en served as a Mate.

_James Ruffendal_, aged Twenty, of a delicate Habit, was, in
the Middle of _July_ last, seized with a violent Pain in both
Kidneys, which extended along the Ureters to the Bladder, and
remained in the same Situation for about three Weeks; during
which Period his Urine began to decrease in Quantity, and the
voiding of it was attended with acute Pain about the Neck of
the Bladder. The Secretion then totally stopt; he remained
for upwards of five Weeks in the Hospital at _Dorchester_,
and made no Water; at the End of which Time I first visited
him along with Mr. _Adair_. He complained then of a slight
Pain in his Kidneys, and told us he had a tolerable Appetite,
sweated little, and voided every Day four or five Liquid
Stools. He was ordered Boluses of Camphor, and _sal. vol. c.
cervi_, and every Night a Dose of _tinctura cantharidum_;
which he continued to take for a Fortnight without receiving
the least Benefit. I then blooded him to the Quantity of ten
Ounces, and gave him an Emetic of six Drachms of the _vinum
ipecacoanhae_, and two Ounces of the Oxymel of Squills, which
operated very well; and afterwards ordered him to take one of
the following Boluses every four Hours. Rx Sapon. dur. Hispan.
drachm. i. Sal. Absynth. gr. vi. Calc. Viv. gr. x. Balsam.
Peruv. q. s. ut fiat Bolus. These he continued to take for
twelve Days. On the Morning of the 14th of _October_, he was
suddenly seized with an acute Pain in both Kidneys, and about
Noon voided upwards of Half a Pint of straw-coloured Urine,
which let fall a clay-coloured Sediment. As he was feverish,
I took away twelve Ounces of Blood, and ordered him
Barley-Water with Nitre for Drink. He was easy in the Night,
and made upwards of two Pints of Urine, which deposited a
Sediment of a gelatinous Consistence. Next Morning the Pain
increased, especially in his Right Side, and ten Ounces more
of Blood was taken away. This lowered the Pulse, and
considerably abated the Pain. Both this and the Blood taken
away the Day before threw up an inflammatory Buff. He was
ordered to continue the Use of the Barley Water with Nitre,
and to take three Spoonfuls of a Mixture with _spiritus
mindereri_ every two Hours. He had an easy Night, and was
next Day free from Fever; but complained of an Uneasiness in
his Stoma