DEP/DUA/1/23/21 (Transcript version)

James Cairns

(1780)

---

James Cairns.

Case appears to me less diffic than shall probab. find it both troublesome & obstin.

At the same time however is by no means without doubt.

Pains of [loins] shooting toward Coxix & down thigh, which constit great part of it, occur in many diff affect

But when to these add bloody appear often observd in urine, & indeed large disch of blood, by urin passages, have great reason to presume that is an affect of kidney.

And that to be consid as an inst of Haematuria.

Haemorrhage from this organ either of active or passive kind.

When of former however for most part occurs with those in early life & of plethoric habit.

But case of our patient occurs in very contrary circum.

Hence then reason to concl. it of passive kind.

And this rend the rather probab both by pain with which attended, & by accid to which attrib.

For accord to acct, first arose from severe sprain of parts.

And to this also probab. to [arous] bloody vomiting, with which at times affected.

With this view of nature of affect to which patient subj. could not look for exped cure.

For no med by which can expect to exert immed, & cert. action on viscus so much out of reach as kidneys.

At same time however patient without any alarm sympt.

And unless in conseq of sudden change in affect. no reason I think to dread immed danger.

Here I think great obj in cure is restorat of due vigour to [rup.] vessels.

And for this purpose might here I think employ astring both from veget & anim min kingdom.

And perhaps in future treatment of this case, now tranf. to Dispensary latter may be employd.

Thought it however more advis to begin with former.

Because if more gentle in nature, expose to less hazard from sudden check to disch.

Among the vegetab. many possess astring to very great degree.

Here however made choice of the Uva Ursi.

A vegetab. which has but lately obt place in Mat. Med.

And which on first introd as will observe by exper of Dr [De Haen], was celeb. for a very diff purpose.

Cure viz of Calculus.

Or at least as means of allev. pain arising from calcul. although cause should still remain.

In these cases, may vent to say, has by no means been found to answr expect.

Yet from freq empl. of it in such, mayny led to think that of service against ulcerat, & simil affect of Urin pass

This I think have in more than once inst [seen] conf. by my own exper.

And accord led to trial in pres inst.

Cannot however say that here any consid benef as yet derivd from it.

And from tend to bind belly obliged to have recourse to Crem of Tart as means of obv. costiveness

This has in some degree at least had desired affect

And patient in such situat at las report, that reason to hope for best effect from contin.