Chapter VII: Part 7
I agreed at first with the generality of people in their opinion, that lightning had done all this mischief: but upon recollecting, that there had not been much seen any where, in many places none at all, but that the effect was general[118], as far as ever the wind had reached; I began to think, that some other cause might probably be assigned. Accordingly, I set myself immediately to examining the dew or rain, which had fallen on the grass, windows, _&c._ in hopes of being enabled, by its taste, to form some better judgment of the sulphureous or nitrous particles (or of whatever other quality they were), with which the air was so strongly impregnated that night, as to produce such strange effects. Nor was I deceived in my expectations: for, upon tasting it, I found it as brackish as any sea-water. The several vegetables also, which I tasted, were all salt, more or less, and continued so for five or six days after; the saline particles not being then washed off; from the corn and windows in particular; the latter of which, when the moisture on the outside was exhaled next day, sparkled and appeared exceeding brilliant in the sunshine. This saltness, I conceive, has done the principal damage: for common salt dissolved in water, I find, upon experiment on some fresh vegetables (when sprinkled two or three times upon them) has the very same effect, except that it does not turn them quite so black: but particles of a sulphureous, or [119]other quality, may have been mixed with it. That this salt water had been brought from the sea[120], every body, I think, will allow; but the manner how[121], is not so easy to conceive.
This freedom, Sir, perhaps may want an apology: but, as a gentleman[122] of the Society you have the honour to be a member of, did not think something of the like nature either unworthy of his own notice, or that of the world; and as the hurricane principally affected these parts of nature, in the knowledge of which you have so eminently distinguished yourself; I flattered myself you would excuse the trouble I should give you in a perusal of an account of this very strange, tho’ hitherto unnoticed, phenomenon.
I am, Sir, with the greatest respect and esteem,
Your most humble Servant,
Thomas Thomlinson.
XXV. _An Account of the Effects of Lightning upon the Steeple and Church of_ Lestwithiel, Cornwall; _in a Letter to the Right Honourable the Earl of_ Macclesfield, _President of the R.S. By Mr._ John Smeaton, _F.R.S._
[Read April 21, 1757.]
JAnuary 25. 1757. about five o’clock in the evening, returning home from the Edystone works near Plymouth, I observed four flashes of lightning, within the space of six or seven minutes, towards the west; but heard no noise of thunder[123]. A few days after, I was informed, that the same evening the lightning had shattered the church of Lestwithiel in a very surprising manner.
The 1st of March I was at Lestwithiel: they had then begun to repair the damages; but had not made such a such progress, but that the principal effects were equally observable as at first. I observed, and was informed, as follows: At the time before-mentioned, the inhabitants were alarmed by a violent flash of lightning, accompanied with thunder so sudden, loud, and dreadful, that every one thought the house he was in was falling upon him; almost every one being within doors, on account of a violent shower of rain, which preceded the lightning: so that no body saw or heard any thing of the mischief done to the church, till it was observed accidentally after the shower.
The steeple is carried up, plain and square, to about 49 feet, with a kind of slate-stone, rough-casted on the outside; upon which is formed a very elegant octogon Gothic lanthorn about 9 feet high, and thereon a stone spire about 52 feet height, with a spindle and vane rising about 3 feet above the stone: so that the whole together was about 113 feet. Each face of the lanthorn finishes above with a sort of a Gothic pediment, with a little pinacle upon each, separated from the body of the spire.
I will not affirm, that the lightning entered in at the spindle or vane at top; but will suppose it, for the sake of methodizing the facts. The vane was of plate copper, which being turned round, and rivetted, made a socket to turn upon. The spindle did not reach thro’ the socket, but the weight of the vane rested upon the top of the spindle, the top of the socket being closed. About the vane were many acute angles, and some almost sharp; but I did not observe any pointing directly upward. The vane was much bruised, which might be occasioned by the fall; but the socket was rent open, as if it had been burnt by gunpowder; and in such a manner, as I cannot conceive could be occasioned by the fall. Under the spindle, that carried the vane, was a bar of much the same size and length[124], that passed thro’ the center of several of the uppermost stones successively, in order to unite them the more firmly together, and was run in with lead: all which surrounding stones were broke off, except one, which, together with the bar, fell down within the tower.
The shell of the spire, as far down as 35 feet from the top, was no more than 7 inches thick, and the courses about the same height: so that scarce any one stone in the spire could weigh more than 30 or 40 pounds; but they were joined together at the ends, with mortoise and tenon, in a curious manner. Above 20 feet of the upper part was intirely thrown down, and dispersed in all directions; and, as I was informed, some pieces were found at the distance of 200 yards. A great many stones fell upon the roof of the church; and several made their way thro’ both roof and cieling down into the church, breaking the pews, and whatever they fell upon. Six feet still lower the spire was separated; the westermost half being thrown down; the eastern half was left standing, but disjointed, and in so critical a posture, that it seemed ready to fall every moment: so that this was ordered to be taken down immediately; and likewise to 6 feet below, the work being found remarkably shattered. In this condition it was when I saw it. The whole of the spire I found much cracked and damaged, but the remainder of the 7 inch shell so greatly, that there seemed scarcely a whole joint.
The pediments over every face of the lanthorn were damaged more or less; but the whole ashlering of that to the N.W. was torn off from the inner wall, to which it was connected. At first sight this might seem to be done by the falling of the stones from above; but I was convinced to the contrary, by observing, that several of the pediments were damaged, and even stones struck out, where the little pinacles above them were left standing.
About the top of the lanthorn is a bell for the clock to strike on: it is hung upon a cross-bar, with gudgeons at each end; the whole being suspended to a beam laid across the tower. The cross-bar was so bent, that the clock-hammer would not touch the bell by above 2 inches. This could not be done by the falling of stones, because the beam would defend the bell from receiving any stroke in the direction to which the cross-bar was bent. As to the wire, that drew the hammer, as I was informed, not one bit of it could be found.
The bells (four in number) for ringing hung in the square part of the tower, below the lanthorn, two above and two below: the wheels of every one were broke to pieces, and one of the iron straps, by which they are fastened to the yoke, unhooked; and, as appeared to me, could not be replaced without great force, or unloosing. Whether these accidents were occasioned by the lightning, or the falling stones, I leave undetermined.
In the floor under the bells was placed the clock, cased up with slight boards. The verge, that carries the pallets, was bent downwards, as if a ten pound weight had fallen ten feet high right upon it. The crutch, that lays hold of the pendulum, looked as if it had been cut off by a blunt tool, and heated by the blow, till it was coloured blue, at the place where it was cut. It turned at a right angle, and might be about 4/10 of an inch broad by 2/10 thick. As to the pendulum, which hung pretty near the wall, the upper part of the rod was struck with such violence against the wall, that a smart impression thereof was made in the plaister: and near the upper part of the impression appeared a circular shady ring, of a blackish colour, something like as if a pistol had been discharged of powder, and the muzzle held near the wall. The casing of boards round the clock remained unhurt.
In this story, on the north and south side, are two narrow windows or air-loops; against the upper part of which, on the outside, were fixed the timber dials belonging to the clock, both which were blown off, and broke to pieces, possibly by the fall: and not only that, but part of the stone jambs were broke out also, near to where the rod passed, that carried the hands. In this story also was a sort of window or air-loop on the east side, that had communicated with the church, but was stopped up with lath and plaister: also several putlock-holes for the scaffolding, which had gone thro’ the wall into the church, but were stopped up with stone, and plaistered over: all these were forced out into the church, and the plaister torn from the wall.
The ground-story of the tower or bellfrey is expressed in the plan (_See_ TAB. IV. _Fig._ 2.). The south entrance A and north B were shut with wooden doors. The upper part of the eastern C, that communicated with the church, was made up with lath and plaister; and before it, in the church, are the seats D, raised one higher than another; so that the floor of the seats next the wall was half up the door-way; consequently the vacuity under the seats lay open to the bellfrey.
About the middle of the westermost side, at _a_, one of the paving-stones, about 1 foot square, and 1½ inch thick, was thrown up, and a hole pierced into the wall, rather below the level of the pavement, into which one might put three fingers. On the opposite side, the south-west angle of the middle buttress at _b_ had a stone taken out even with the ground, and a hole continued in to the buttress; so that there is great appearance of its reaching thro’ both wall and buttress, which together is 8 feet; but the hole was too rugged and crooked to put any thing thro’. Besides this hole, this wall was pierced in several places, and the plaister thrown off both within and without. One place within, about 4 feet above the floor, right over _c_, was a hole of about 14 inches square pierced 6 inches in the wall; and so near square, that I inquired, whether it had not been made by art; but was assured of the contrary.
The north and south doors of the tower were both blown out, and broke in many pieces. Many of the arch-stones over both doors were disjointed and displaced: two of the stones making the jamb of the south door at _g_ were forced quite out, and one of them broke.
The vaulting of the east door-way C was plaistered underneath: the plaister was sprung from the stone in 30 or 40 places, like as if a small bar of iron had been drove from above thro’ the joints of the stone, and thereby forced off the plaister with its end. The lath and plaister partition, which stopped up the upper part of this door-way, was forced into the church, and the wainscotting making the back of the last seat was torn from the wall from end to end. Some part of the vapour seems to have made its way thro’ the cavity under the seats; for most of the boards composing the rise of the steps from seat to seat were blown out forwards; and several panels of wainscot at each end of the seats, at _d_ and _e_, were forced out, and broke. Hence the vapour seems to have divided itself into three branches; one moving directly forward to the east window G, being 13 feet wide, and about 20 feet high, consisting of five principal lights divided by stone mullions: two of the lights were in a manner wholly destroyed, and several large holes in those remaining; the glass and lead being carried outward, like as if an harlequin had leaped thro’ the window. The north window E, fronting the broken panels at _d_, was very much shattered: but the south window F had scarce a whole pane left.
It is farther to be noted, that almost all the lights in the church, tho’ not broke, were bagged outward; but those parts remaining intire in the window D most remarkably so.
_N.B._ It was said in the London papers, that the organ was intirely spoilt: it is certain there is not, nor ever was, any organ in this church.
XXVI. _An Account of the Case of the late Right Honourable_ Horace _Lord_ Walpole; _being a Sequel to his own Account published in the_ Philosophical Transactions, _Vol._ xlvii. _p. 43. and 472_.
I.
_Copy of a Letter from_ John Pringle, _M.D. F.R.S. to Dr._ Robert Whytt, _Professor of Medicine in the University of_ Edinburgh, _and F.R.S. relating to the Case of the Right Honourable Lord_ Walpole; _with Dr._ Whytt’_s Answer. Communicated by Dr._ Pringle.
[Read April 21, 1757.]
London, 22 Feb, 1757.
+SIR,+
I Imagined, that upon hearing of Lord Walpole’s death, you would be desirous to know the state of his Lordship’s health from the time he published his own case; whether he continued the use of his medicines to the last; what distemper he died of; and, if his body was opened, what was the condition of his bladder and kidneys. I informed myself, as well as I could, of all these particulars; and I hope I shall be able to give you some satisfactory account of most of them.
Last year, in the month of March, about ten months before his Lordship’s death, I happened to meet him at a friend’s house, where he dined, and never saw any man of his age with a more healthful appearance. He was then in his 78th year. He ate with an appetite, and of a variety of dishes; drank some Madeira, and was very chearful the whole time. His Lordship then told me, that he had enjoyed perfect health since he sent his case to the Royal Society; that he thought it probable there was still a stone in his bladder, but so diminished, or smoothed, as to give him no uneasiness; that he did not think it safe to go about the streets of London in a coach, but that he went every where in a chair; and that, in the country, he could travel 40 miles a day in his post-chaise, without fatigue, or feeling any of his old pains upon the motion. That he continued to drink, for a constancy, three pints of oystershell lime-water daily; and to take, as often, from half an ounce to a whole ounce of soap, by way of lenitive. All these circumstances I am sure of, because I noted them down when I came home.
From this time to the beginning of winter, Lord Walpole (as Mr. Graham, his apothecary, informed me) continued in the same state of health; but some time after coming to town, his Lordship was seized with a lingering feverish disorder, very much affecting his spirits, but intirely unconnected with the stone. Dr. Shaw, who attended his Lordship for about a fortnight before his death, told me, that there had never been any stoppage of water, or passing of bloody urine, or any pain about his bladder or kidneys, during his last illness; but that he now and then felt some irritation in making water, a symptom too inconsiderable to require any other medicine than the continuation of his lime-water; which, in smaller quantity, he drank till within two or three days of his end.
Mr. Ranby and Mr. Hawkins, surgeons, with Mr. Graham, were present at the opening of the body; and from the two last I received the account of the dissection.
The coats of the bladder appeared to be a little thicker than natural, but were otherwise sound. The _glandula prostata_ was of a large size, but not distempered. They found three _calculi_, two lying loose in the bladder, and the other, a very small one, sticking in the passage, at that part, which is surrounded by the prostate gland. Mr. Graham favoured me with a sight of them all. The two first were very much alike, being of the shape and size of the kernel of a Spanish nut; only the sides were irregularly flattened, but without forming any sharp angle. The surface of each was every where smooth, except where there had been a separation of some small scales, not so thick as one’s nail; and the largest exfoliation from one of these stones appeared to have been nearly about the breadth of the nail of my little finger. The polish otherwise, as well as the colour of both, might be compared to a boy’s marble. One of these _calculi_ weighed 21 grains, the other 22 grains: they were heavy for that bulk, and seemingly of a hard substance. The smallest stone having been put up with some others of the same size, taken out of the gall-bladder, Mr. Graham could not be positive which of them it was; and therefore I can only say, that what he thought most likely to be so, was about the size and shape of the seed of an apple, with the point broken off, and the edge ragged. This, as I observed, was found in the passage, seemed to be coming away, and probably had occasioned that irritation the patient had now and then felt during his last illness. It weighed only about a grain.
No parts could have a sounder appearance than both the ureters and kidneys. The first were not dilated; nor did the last contain any stone, mucus, or gravel: the pelvis in each was of a natural size.
The rest of the abdominal _viscera_ were in the same healthful state, except the gall-bladder, which was full of stones. The largest was about the size of a small chesnut, but rounder. The surface was smooth, particularly at one part, where it seemed to have rubbed upon a lesser _calculus_, of the shape of one of the _vertebræ_ of a small animal, without the processes. This last had a hollow on each side corresponding to the convexity of the large stone; and these cavities being finely polished, it seemed as if sometimes one side, sometimes the other, of the small stone had been turned to the great one, and had been shaped in that manner by the attrition. The largest _calculus_ weighed one drachm two scruples and two grains; the small one but nine grains: they both sunk in water; and felt specifically heavier than any stones I have ever seen taken out of the gall-bladder. Besides these two, there were several very small _calculi_ of irregular shapes, and of rough surfaces, which all together did not weigh above five grains. Mr. Graham, who had attended his Lordship for about 40 years, assured me, that he never had any symptom that indicated a stoppage of the bile, or the passage of a stone from the gall-bladder into the intestines.
Neither the head nor breast were opened.
These are all the materials, I can furnish you with, relating to this case. If you desire to be more particularly informed of any of these circumstances, let me know, and I will endeavour to procure you all the lights I can. In the mean while, I should be glad to have your remarks upon what I have now sent you; and since you have been so long in the train of thinking, with more than usual attention, on this subject, I presume it would be very agreeable to the gentlemen of the Royal Society to have a paper from you on this occasion; and the rather, as his Lordship began his course of soap and lime-water, upon hearing of your success by that method of cure. I am,
SIR, _&c._
John Pringle.
II.
_Some Observations on the Case of the late Right Honourable Lord_ Walpole, _of_ Woolterton: _In a Letter to Dr._ John Pringle, _F.R.S. By_ Robert Whytt, _M.D. F.R.S._
[Read April 21, 1757.]
Edinburgh, March 16. 1757.
SIR,
PHysicians have not, perhaps, differed more widely in any thing, than in their opinions of the medicines lately proposed for the cure of the stone. While some imagined, that Mrs. Stephens’s medicines, or soap and lime-water, were in most cases to accomplish a dissolution of the stone; others have been positive, that nothing of this kind was to be expected from them: nay, they have condemned these medicines, when used in large quantities, and long persisted in, as hurtful to the stomach, guts, and urinary passages; and have ascribed the remarkable ease, which they almost always give to calculous patients, to their depositing a calcarious powder upon the surface of the stone, by which it is rendered less hurtful to the bladder. And this opinion seems to have been not a little strengthened, by the great quantity of white sediment observed in the urine of those patients, who have used soap and lime-water in considerable quantities. Now, as I am of opinion, that most of these objections and doubts, concerning the effects of soap and lime-water in the cure of the stone, may be cleared by a candid consideration of Lord Walpole’s case, I shall trouble you with a few remarks, which have occurred to me, in comparing it with the appearances found in his Lordship’s body after death, of which you were so obliging as to send me a particular account.
1. Whatever doubts may have been entertained concerning the cause of Lord Walpole’s complaints, yet it now appears evidently beyond dispute, that they must have been owing, not to a scorbutic corrosive humour in his bladder, as was imagined by some[125], but to stones lodged in it. These stones may possibly have lain there since 1734; for from that time to spring 1747, his Lordship was free of any gravelish complaints, only passing some red sand at times. But at what time soever they may have first arrived in the bladder, in 1747 and 1748 they seem to have acquired such a bulk, or were become so rough or pointed in their surface, as to occasion great pain, frequent provocations to urine, and sometimes bloody urine; especially after any considerable motion. These complaints, however, were soon relieved, by swallowing daily an ounce of Alicant soap, and three English pints of lime-water made with calcined oyster-shells; and from 1748 to 1757 his Lordship was kept almost intirely free from any return of them, except for some months of 1750 and 1751, during which he took only one-third part of the quantity of soap and lime-water above-mentioned[126].
2. It is highly probable, nay, I think, altogether certain, that the soap and lime-water not only relieved Lord Walpole of the painful symptoms occasioned by the stones in his bladder, but also prevented their increase.
If these stones came into the bladder in 1734, they must, in so many years as his Lordship lived after this, have acquired a very great bulk: nay, if we suppose them not to have been lodged in the bladder above a year before they began to occasion frequent inclination to make urine, with pain, and sometimes sudden stoppages of urine; yet, from 1746 to 1757, they ought to have grown to a much larger size than that of the kernel of a Spanish nut[127]. ’Tis true, the stone may increase faster in some patients, and slower in others; but stones, after remaining a dozen or more years in the bladder, generally weigh several ounces. Some years since l saw a stone, weighing near six ounces, taken from a boy of no more than 14 years of age.
3. Lord Walpole’s case not only shews the power of soap and lime-water to relieve the painful symptoms, and prevent the increase, of the stone in the bladder, but also makes it probable, that these medicines do communicate to the urine a power of dissolving the stone.
In the beginning of 1749 his Lordship voided with his urine a calculous substance of a flat shape, about the bigness of a silver penny, and covered with a soft white _mucus_[128]; and upon the surfaces of the stones found in his bladder there were some inequalities, which seemed to have been made by the separation of thin _lamellæ_ or scales. Further, the small stone found in the beginning of the _urethra_ must have been in a dissolving state, and considerably lessened in the bulk: for, if it had lain long in the bladder, and never been larger, it ought to have been voided thro’ the _urethra_ with the urine; and it could not have arrived lately in the bladder, since Lord Walpole had not had, for several years before his death, any nephritic pains, or symptoms of stones passing from the kidnies; and since it is not likely, that a stone of the size and shape of the seed of an apple[129] would pass thro’ the ureters without being felt. Now if this small stone, found in the _urethra_, was partly dissolved by the virtue of the soap and lime-water; it will appear at least probable, that the two larger stones in the bladder were so likewise. But altho’ Lord Watpole’s calculous concretions had remained undiminished, and without any symptoms of dissolution; it would not therefore follow, that soap and lime-water cannot dissolve the stone in other patients, where the concretion may be of a less firm texture.
The Revᵈ. Dr. Richard Newcome, now Lord Bishop of Llandaff, while drinking two English quarts of lime-water daily, for the cure of the stone in his bladder, poured his urine every morning and evening upon a piece of human _calculus_ weighing 31 grains; by which, in the space of four months, it was reduced to three pieces, weighing in all only six grains. Upon one of these pieces, weighing 2.31 grains, he caused to be daily poured, for two months, the fresh urine of a person, who drank no lime-water; at the end of which time the piece of _calculus_ was found to weigh 2.56 grains, having increased in weight a quarter of a grain. This same piece being afterwards steeped in the bishop’s urine (who continued to drink lime-water as above), from June 24th to July 9th, was in these few days quite crumbled into powder. Since this experiment shews, beyond dispute, that lime-water, unassisted by soap, can communicate to the urine a power of dissolving the stone out of the body, it can scarcely be doubted, that it must have the like effect on it, when lodged in the bladder. And that the dissolution of the stone in the bladder has been completed by soap alone, appeared evidently in the case of the Rev. Mr. Matthew Simson, Minister of Pancaitland near Edinburgh; an account of which will soon be made public[130] by Dr. Austin, who opened his body after death. Mr. Simson had, from 1730, been afflicted in a less or greater degree with the symptoms of a stone in the bladder; and in November 1735 was sounded by Dr. Drummond of Perth, and Mr. Balderston, surgeon in this city, by whom a stone was not only plainly felt, but also by the patient himself. In February 1737 he began to take soap; and after 1743 never had any gravelish symptoms. He died in May 1756; and, when his bladder was looked into, there was neither stone nor gravel found in it.
4. It appears from Lord Walpole’s case, that soap and lime-water, even when taken in large quantities, proceed very slowly in dissolving the stone.
From July 1748, to the beginning of 1757, his Lordship drank three English pints of lime-water, and swallow’d for the most part an ounce of soap, daily; except from April 1750 to June 1751, during which time he took only one pint of lime-water, and one-third part of an ounce of soap, daily. However speedily soap and lime-water may dissolve the greatest part of urinary stones out of the body, yet being mixed with the aliment and humours of the stomach and guts, and afterwards with the whole mass of blood, it is impossible but their force must be greatly impaired before they arrive with the urine at the bladder. When, therefore, urinary stones are of an uncommon hard texture, we are perhaps scarcely to expect any sensible dissolution of them by the use of soap and lime-water: but when they are of a softer kind, there is no reason to doubt, that these medicines will in time dissolve them; and this will happen sooner or later, in proportion to the hardness of the stone, to the quantity of the medicines swallowed by the patient, and the exact regimen he observes, as to diet[131].
But however slowly soap and lime-water may proceed in dissolving the stone, yet they generally give speedy relief to the patient. Lord Walpole did not take these medicines in the full quantity till the end of July 1748; and, in a few months after, he was not only greatly relieved of all his complaints, but in December was able to ride an hundred miles in his coach, without finding any uneasiness, altho’ the two last days of the journey the horses went at a full trot[132]. In winter 1750, and spring 1751, when his Lordship swallowed only one third part of the soap and lime-water, which he had been in use to take, his pains and frequent inclination to make urine returned in a good degree[133]; but, after taking the medicines in the full quantity, he soon became as easy as before[134].
It would seem, while Lord Walpole used only one pint of lime-water and one third of an ounce of soap daily, that the petrifying quality of his urine was not intirely destroyed, and that the stony particles newly formed on the surface of the _calculi_ occasioned, by their roughness, the return of his painful symptoms. However, when he had recourse to the medicines in a larger quantity, the petrescent quality of his urine was not only destroyed, but this fluid seems to have acquired a power of dissolving the rough stony particles deposited on the surface of the _calculi_; and in this way soon removed the pain, bloody urine, and frequent desire to make water, upon using any considerable exercise.
Soap and lime-water not only relieve the painful symptoms occasioned by the stone, by wearing off its sharp points, and rougher parts, which used to irritate the tender membrane, which lines the bladder; but, when this membrane has been wounded or lacerated by the stone, there is nothing, that will heal it more speedily than lime-water; which the ingenious Dr. Langrish has found to be remarkable also for its effects in curing the bladders of dogs, after being fretted with soap-lees[135].
The power of soap and lime-water to alleviate the painful symptoms attending the stone is so great, that, as far as I remember, I have only met with one patient, who did not find himself considerably relieved by them. But it is to be observed, that this patient neither took them in full quantity, nor persisted in their use for a long enough time: and, when he was afterwards cut, the stone taken out of his bladder was almost as thick set with sharp prickles, as the back of an hedgehog: so that, in this case, no remarkable ease could be procured to the patient by the medicines, until they had quite dissolved these sharp points, and rendered the surface of the stone smooth and equal; which was not to be done but after a very long time, especially as the stone was of a pretty hard texture.
It may be proper to take notice, that when, along with the stone, there is any ulceration in the bladder, soap does mischief, and lime-water often fails of giving any considerable relief. However, even in this case it is perhaps one of the best remedies we know.
5. Soap and lime-water, taken in large quantities, and persisted in for many years together, appear to be innocent, and no way injurious to health.
Lord Walpole, who used these medicines for upwards of eight years, was not only relieved of the painful symptoms of the stone, but had his health improved by them in other respects[136]. His appetite, healthful look, and a degree of spirits uncommon at his age, continued till the end of 1756, when his last illness begin to attack him. And as his health did not appear to be any way injured by these medicines, so, where his body was opened after death, his kidneys and ureters were observed to be quite sound and natural, as was likewise his bladder; only its coats appeared a little thicker than usual, owing probably to the long-continued friction of the stones upon it. Neither the kidneys, ureters, nor bladder, were loaded or crusted with any calcarious matter; an effect most unjustly ascribed to soap and lime-water, since in the urinary passages, to which the air has no access, they cannot deposite their calcarious part[137]; and since the white stuff observable in the urine of such patients, as take these medicines in large quantities, is only the usual sediment of the urine changed in its nature and colour, with, perhaps, some of the dissolved particles of the stone[138].
As the urinary passages were no-way injured, so neither were the stomach, guts, and other _viscera_ of the lower belly. These had all a healthful appearance, except the gall-bladder, which was almost full of biliary concretions: nor is it surprising, that soap and lime-water, which prevent the growth of urinary _calculi_, should have no effect on biliary stones, since, altho’ these medicines dissolve the former out of the body, yet they do not make the smallest impression on the latter.
I presume it will be needless to take notice, that the lingering nervous fever, of which Lord Walpole died, cannot, with any colour of reason, be ascribed to the large use of soap and lime-water; since, if they could have produced such an effect, they must have done it in much less time than eight years and an half.
It may not be amiss to observe, that altho’ soap and lime-water, taken in large quantities, are no-way injurious to health, yet in some cases they may become improper, on account of the particular state of the patient. Thus, in a scorbutic or putrid disposition of the humours, soap at least ought to be totally omitted; and such patients, who are much troubled with the hæmorrhoids, ought to be sparing in its use, as the alkaline salt, with which it abounds, will scarcely fail to exasperate their pain. Where the patient is naturally very costive, less lime-water and more soap ought to be used; and, on the contrary, where the body is too loose, little or no soap is to be taken, but the cure is to be trusted to lime-water alone; which, in this case, ought to be drank to the quantity of two English quarts a day.
As the foregoing observations will, I am afraid, appear more tedious than important, I shall only add, that I am, with great esteem,
+SIR+,
Your most obedient humble Servant,
Robert Whytt.
III.
[Read April 21, 1757.]
_Dr._ Pringle’s _Paper read after Dr._ Whytt’s _Letter_.
DR. Pringle begs leave to inform the Society, that having read the copy of his letter, within these few days, to Dr. Shaw, Mr. Hawkins, and Mr. Graham, those gentlemen found his account agreeable to their several observations; only Mr. Graham took notice, that, of late years, Lord Walpole, in his journies to Norfolk, had twice voided some blood with his urine, but with little uneasiness; and that at other times had passed some sand and stony particles (tho’ never larger than the head of a small pin), attended with frettings of the parts, scarce painful. But Mr. Graham was not sure, whether these accidents were prior or subsequent to the sequel of the case, communicated to the Society by his Lordship.
Dr. Pringle thinks it may be likewise proper to acquaint the Society with another circumstance in Lord Walpole’s case, which he had both from Dr. Shaw and Mr. Graham, _viz._ that after using the soap and lime-water for some time, his Lordship was freed from a very obstinate dry and scurfy eruption, which had resisted several other medicines. But as there were no marks of a putrid scurvy (that species expressly alluded to towards the end of Dr. Whytt’s letter) the Society will easily understand, how the lithontriptic medicines may be prejudicial to one troubled with the true putrid scurvy (such as is most incident to sailors) and yet not be improper for those, that are subject to the scurfy eruptions, which are commonly, tho’ erroneously, called scorbutic.
Pall-Mall, 20 April, 1757.
XXVII. _An Account of the Virtues of Soap in dissolving the Stone, in the Case of the Rev. Mr._ Matthew Simson. _Communicated by_ John Pringle, _M.D. F.R.S._
_To the Rev._ Tho. Birch, _D.D. F.R.S._
[Read April 28, 1757.]
SIR,
A Few days ago I received from Dr. Austin, physician at Edinburgh, the case of the Rev. Mr. Simson, drawn up by himself, in the form of a letter to Dr. Austin; and which you may remember was alluded to by Dr. Whytt, in the paper read at the last meeting of the Society.
As I am at liberty to communicate this account to others, I thought it would not be unacceptable to the gentlemen of the Society, to have another well-attested instance laid before them of the virtues of soap in dissolving the stone, or, at least, in removing all those painful symptoms, which usually accompany that distemper.
To the patient’s own narration I have subjoined an extract from Dr. Austin’s letter to me, containing the sequel of the case from the date of Mr. Simson’s letter to his death; with an account of the state of his bladder, as it appeared to Dr. Austin upon dissection. I am,
SIR,
Your most obedient humble Servant,
John Pringle.
Pall-Mall, 27 April, 1757.
_A Letter from the Rev. Mr._ Simson, _Minister at_ Pencaitland, _to Dr._ Adam Austin, _Physician in_ Edinburgh.
[Read April 28, 1757.]
Dear Sir,
ACcording to your desire, I send you the history of my case; which is as follows:
I was of an healthy constitution till the year 1730, when I was seized with a frequent inclination to make water, without any previous pain in the kidneys or ureters. This symptom continued till the year 1733, without giving me much uneasiness.
In June 1733, as I was riding from Edinburgh to my own house at Pencaitland, I was seized with a great difficulty and pain in making water, which went off when I got home.
In the month of July, having again got on horseback, I was seized with the same complaint, but more violent; for then some drops of blood came away. From this time, if I rode eight or ten miles, I passed some blood, but without pain.
In September I made a journey of 60 miles on horseback; but every two miles was obliged to dismount, and made some bloody water.
I continued much in the same way all the year 1734, as the preceding; only had one additional complaint, of a pain in the glans after making water, and likewise in the neck of the bladder. The only thing I did for it was, to drink plentifully of warm milk and water; and gave over riding, on account of the bloody urine.
In the month of August I was sounded by my nephew, Dr. Simson, professor of medicine in the university of St. Andrew’s; but he found no stone, which he attributed to a wrong posture I was in, when he sounded me.
During the winter, if I walked more than usual, I was sure to have a return of the bloody urine and strangury.
In November 1735, I was sounded by Mr. Balderstone, surgeon, in Edinburgh, a gentleman very expert in that operation, and likewise by Dr. Drummond of Perthshire. They both distinctly felt a stone: and I myself took hold of the catheter, when it was in my bladder, and felt the stone as distinctly, as if it had been in my hand.
About Christmas I was seized with a pain along the left ureter, and violent vomitings; but, upon using a turpentine clyster and opiates, it went off.
During the year 1736, I continued much the same as the preceding year, always drinking great plenty of milk and water; which gave me great relief, as to the bloody urine.
I was advised by my nephew, Dr. Simson, to go to London, and be cut by Mr. Cheselden; the rest of my friends advising me to be cut by Mr. Smith, a lithotomist at Perth. However, I deferred the operation, and continued much the same all the year 1737, having severe fits now and then.
In the year 1738 Sir Alexander Gibson, of Addiston, informed me, that he had been in my condition, had passed several small stones, and had found incredible service from the use of soap pills: for, from not being able to get out of bed, in the space of two months after using the soap he was able to go a hunting. However, for some time I was afraid to try the soap, not knowing what effects it might have on a confirmed stone; Sir Alexander Gibson’s case being only that of small stones. But the Rev. Mr. Lundie, of Salton, by experiments convinced me of the efficacy of soap in dissolving a confirmed stone out of the bladder; for the stone gradually grew smoother and smoother, and at last was quite dissolved.
On the 12th of February 1739, I first began the use of the soap, and in the beginning took only a drachm in the 24 hours. The first week it made me a little qualmish: however, I gradually increased the dose; so that in six weeks I took six drachms a day, without its disagreeing in the least with me. I made it up into pills, and washed them down with a draught of warm milk and water.
From the time I began to use the soap, my gravelish symptoms gradually abated; but, upon walking two or three miles, I made bloody urine. However, that symptom gradually abated; and in the year 1743 all the symptoms of a stone quite vanished, insomuch that I could walk, ride, or go in a machine, as well as ever.
From February 1739, to July 1743, I took every day five or six drachms of soap: but after that time I diminished the dose to half an ounce; and never after had any return of a gravelish symptom, tho’ I still imagine the stone is not intirely dissolved; for after sitting some time, I find as it were something come to the neck of the bladder, but which gives me no uneasiness.
This, Sir, according to the best of my memory, is my case: and if it can be of any benefit to you, in the cure of this painful disease, it will give great pleasure to,
Dear Sir,
Your most obedient Servant,
Matthew Simson.
Nov. 20th, 1749.
_The Extract from Dr._ Austin’_s Letter to Dr._ Pringle.
[Read April 28, 1757.]
THE Rev. Mr. Simson’s letter to me as written in the year 1749; about which time he told me, that he had ridden 40 miles in a day, without any bad symptom ensuing.
In the year 1752 he broke his thigh-bone at the neck; by a fall from his horse, and continued for six weeks in great pain; but after that time he grew easier, and was able to put his foot to the ground. One day, as his servant was helping him to walk across the room, he let him fall; upon which Mr. Simson felt a severe pain: the broken leg became then evidently shorter than the other; and by that misfortune he was confined to his bed for near two years. However, about six months before he died, he was so well recovered, as to be able to go to church, and to perform divine service.
About the beginning of May 1756, Mr. Simson was seized with a diarrhæa, which resisted all medicine, and carried him off in the 83d year of his age. From the date of his letter to his death he had never discontinued the use of the soap (except during the time of his last illness), tho’ he had not been troubled with any painful symptom of a stone since the year 1743.
I obtained leave of his friends to open the body, but found no stone or gravel in the bladder; that part appearing to be, in every respect, in a natural state, except at the neck, where the coats seemed to be schirrous, and were about a quarter of an inch thick.
It is probable, that the stone had been of a softer texture, and more easily dissolved, than ordinary; otherwise five or six drachms of soap taken daily, even for so long a time, could not have dissolved it intirely; for many have used that medicine in much larger doses, and at the same time have drank lime-water plentifully, without obtaining such effects; tho’ all their painful symptoms were removed by that course, as Dr. Whytt has shewn in his treatise on this subject.
I shall only add, that Mr. Simson’s son, who is now minister at Fala, was present at the opening of the body, and can attest, that there was no stone found in the bladder.
Adam Austin.
Edinburgh, 15 April 1757.
_A Letter from Dr._ Adam Drummond _to Dr._ Adam Austin, _relating to the Rev. Mr._ Matthew Simson’_s Case. Communicated by_ J. Pringle, _M.D. F.R.S._
[Read June 23, 1757.]
I Have yours; and was present when Mr. Balderstone sounded Mr. Simson; and both of us perceived, very distinctly, a large stone: and Mr. Simson himself felt it; which we were the more sollicitous he should do, as he was sounded before by Dr. Simson, who had declared there was no stone. But the particular magnitude of it we could not well determine at the end of a long catheter; tho’ I remember Mr. Balderstone, who was well versed in that business, conjectured it to be pretty large. He was sounded only once by us, as the urethra was a little hurt by turning the catheter. There is only one circumstance in the case, which Mr. Simson seems to have omitted; that, from the first symptoms of the stone, he passed a great deal of _mucus_ mixed with _pus_, as well as blood; and great quantities of gritty red sand, all in single grains, never any concreted into small stones. I take the more notice of this, as I do not remember, that, after he used the soap, he ever passed any sand, but a good deal of _mucus_, in which the soap was discoverable by its frothing. Could the gritty particles of sand be again suspended in the urine, so as to become invisible? or were they wrapt up in the soapy liquid, so as to escape observation? I have seen several stones of a soft consistence dissolved into mucilage by soap: but the sand passed by Mr. Simson, before he used the soap, seems to indicate his stone of a harder nature, tho’ indeed it felt obtuse at the end of the catheter.
I shall rejoice, if many instances of this kind are found afterwards: but this seems to be the only one yet, of a stone in the bladder being dissolved by soap alone. I am,
Dear Doctor,
Your most humble Servant,
Adam Drummond.
Bandeeran, June 5. 1757.
XXVIII. _An Account of the Impressions of Plants on the Slates of Coals: In a Letter to the Right Honourable_ George _Earl of_ Macclesfield, _President of the R.S. from Mr._ Emanuel Mendes da Costa, _F.R.S._
[Read April 28, 1757.]
My Lord,
I Have the honour to address this letter to your Lordship, in order to be communicated to the Royal Society, if your Lordship deems it worthy the attention of that learned and illustrious assembly.
The impressions of various kinds of plants are frequently, I might say always, found in some of the strata lying over coal; but more particularly in a stratum of earthy slat, which, in my History of Fossils, page 168. Species IV. I have synonymed _Schistus terrestris niger carbonarius_, and which always lies immediately upon the coal-stratum, not only in the coal-pits of this kingdom, but of many other parts of Europe, _e.g._ France, Saxony, Bohemia, Silesia, _&c._
Most of these impressions, my Lord, are of the _herbæ capillares et affines_, the gramineous, and the reed tribes: but, however, among them many rare and beautiful impressions undoubtedly of vegetable origin, and impressed by plants hitherto unknown to botanists, are not unfrequently met with.
Besides these, my Lord, found over coal-pits, there are likewise found in some parts of this kingdom, as at Robinhood’s-bay in Yorkshire, Coalbrookdale in Shropshire, _&c._ many curious impressions of the fern tribe in regular nodules of iron-stone; and, in the latter place, not only impressions of plants, but even the cones or iuli of some kinds of trees are met with, very perfect and fair, and curiously imbedded in masses of iron-stone.
_J. Mynde sc._ ]
The most part of the impressions of ferns, grasses, _&c._ are easily recognizable, they so minutely tally to the plants they represent. Others indeed, tho’ they do not exactly answer any known species, yet have characters so distinctly expressed, that they are easily arranged under their respective genera[139]. Therefore I shall not trouble your Lordship with any further remarks on all such, but shall only touch on those elegant and extraordinary impressions, probably of unknown vegetables, above-mentioned: for that they are the parts and impressions of vegetables, I think clearly evinced, if we attentively and with a philosophical mind consider them, and reflect on the various circumstances, which attend them in the places, where they now lie buried.
I have therefore the honour, my Lord, to exhibit the drawings of seven such extraordinary impressions, and the fossiles themselves, for your Lordship’s and this learned body’s inspection (_See_ TAB. V.). The impressions figured Nº. 1. is from Mr. Mytton’s collieries at Drilt, near Oswestry, in Shropshire; as are also those figured Nº. 2, 4, and 7: they are found sometimes two feet in length, and are generally covered with a thin crust of coal. The specimina Dr. Woodward exhibits, Catalogue B, pages 106, 107. specimina _q._ 22. and _q._ 32. are analogous to this, tho’ not exactly the same. The Doctor’s fossiles were from Haigh in Lancashire; and he imagines the impressions to be made by vegetables of the fir kind. Volckman also, in his _Silesia subterranea_, tab. 22. fig. 2. figures a branch with a rhomboidal work on it, and with three long narrow leaves, which seems akin to this impression.
Nº. 2. seems of the reed tribe: the knobs placed in rows, which are like the vesicles on the _quercus marina_, and some other _algæ_, are very remarkable. Woodward, Catalogue B. page 9. specimen _a._ 1. exhibits an impression akin to this, which he imagines to be of the fern kind.
Nº. 3. from a coal-pit in Yorkshire. I cannot but think this impression is owing to somewhat of the fir kind. Dr. Woodward, who exhibits such a like impression, Catalogue B. p. 16. specimen _a._ 108. imagines the same: his words are, “The impression is much like what might be made by the branches of the common fir, after the leaves are fallen or stript off.”
Nº. 4. seems to be of the same kind as Nº. 2.
Nº. 5. This extraordinary impression is from Mostyn-colliery in Flintshire. It is a little obscured; but, when attentively viewed, exhibits a reticular impression, the meshes whereof are rhomboidal hollows, and the sides of the rhombs, or the net-work, are raised, or in relief.
Nº. 6. is from Newcastle. Volckman, ibid, part 3. tab. 4. fig. 9. seems to be of this kind.
Nº. 7. The same author, Volckman, figures a somewhat-like impression, ibid. fig. 5.
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Philosophical transactions, Vol. L. Part I. For the year 1757.Chapter VII: Part 7
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