Master Wyllyscot of Berkshire sent for my opinion touching the rags & whites in his water since his cutting Thursday 6 May 1624, 8.45 am. Wrote it 16 April 1624. For preservation from the breeding of another stone.
[In chart] Stone once cut for it. Is subject to have it still.
[To right of chart] His stone four inches round, six inches & a half in length round abo[?] 3 inches & a quarter long.
Drinks next his heart every morning.
He sent me 10s. in gold for my counsel & craved my opinion whence he voids in his urine now [and] then sand, sometimes matter, whitish clots. These do sink down to the bottom of the urinal downy, woolly, linty, cobwebby threads, rags & drags. Sometimes higher or lower in his urine according to their thinness, lightness & heaviness of substance & matter. Proceeding as some think from  the ulcer that was in his bladder. 2 others from the foulness of his bladder. 3 others from the back. 4 others from the veins & the whole body generally.
He is desirous to know whence it comes, fearing lest it should be a waste of nature & a weakening of his body.
He was ever of a very thin body. Lean, brown hair, much subject him. He came to man’s state [with?] nocturnal pollutions. & to some looseness of nature upon some little dalliance & carnal provocation & in coitu promptus emittere semen [quick to emit seed during sex] & not with strong ejection of it.
Suspected it might come being to forward to have to do being young with womankind.
[Next column] Since his cutting he finds not in coitus neither that ability nor abundance of nature as formerly, which makes him to think that the abovesaid matter & stuff proceeds to argue for the most part a decaying of nature & want of the former strength of body.
A greedy eating & ingestion at meals but digestion too slow. Egestion slow. Costive naturally.
Since his cutting feels himself more strong & able either on foot or horseback. Indifferent able, good ease & appetite yet errs both in eating & exercise.
He cannot hold his water now so well as when he was sound. He is none of strongest natures.
About the small of his back none of the strongest. If he sleeps any space of time, in his back bending again he feels a weakness.
If his meat offend him, he feels it not at dinner but at supper till towards supper time & his supper will not till after his first sleep.
If since his cutting he take any cassia or turp[entine] for preserve or if he use violent exercise, he shall void more or less sand & going to stool & making of water feels some burning in the neck of his bladder. & offence as formerly. Although before taking of it was at good ease & did see no sand expelled in the space of weeks.
Would use some present physic lest the stone should increase. Yet on the other side a fear of overmuch tempering [tampering] & meddling will make him weaker & worse.
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