The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1079] From: Dr William Cullen (Professor Cullen) / To: Dr John Fuller / Regarding: Mr John Cockburn (Patient) / 24 January 1781 / (Outgoing)
Reply 'For Mr John Cockburn'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 1079 |
| RCPE Catalogue Number | CUL/1/1/13/133 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 24 January 1781 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | Yes |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mr John Cockburn'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1328] |
Case of John Cockburn who probably has a kidney stone. |
5 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:3447] | Addressee | Dr John Fuller |
| [PERS ID:3446] | Patient | Mr John Cockburn |
| [PERS ID:3447] | Patient's Physician / Surgeon / Apothecary | Dr John Fuller |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Cullen's House / Mint Close | Edinburgh | Edinburgh and East | Scotland | Europe | certain |
| Destination of Letter | Ayton | Borders | Scotland | Europe | inferred |
Normalized Text
For Mr. John Cockburn
I am favoured with yours concerning Mr. Cockburn
& shall be glad to do him all the service I can. From all that I can
bear it does not appear to me to be clear that his Case is
Nephritic or Calculous. He had formerly some pains & coldness
of his Back but these were never distinctly an affection
of the kidneys nor were attended with the usual symptoms
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of sickness & vomiting or any pain along the Course of
the Ureter. To determine positively the Case to be a calculous
will require more time & attention particularly to the state
of his urine which in the case of calculous puts on
different appearance & often becomes whey coloured
with a light mucous sediment. You will please from
time to time as suits your conveniency to examine his
Urine & let me know what you observe & I shall be ready
to advise farther as circumstances may require.
In the meantime he should continue the Soap Pills
to the quantity that may be necessary to keep his belly
regular. If a moderate number of the Pills do not answer
this purpose it will be right to put ¼ of Rhubarb
to the Soap & let him try this Composition. The lime water
can do no harm but I am not yet persuaded of the necessity
of it. He should however drink pretty plentifully, his
ordinary drink may be spring water with two drams of
powdered Gum Arabic to every Choppin of the water. At times
he may take some glasses of water with an 8th. part of
Aqua Juniperi compositus in it or if this is not at hand a good Dutch
Gin. The only medicine I shall farther advise at present
is the Uva Ursi of which he may take half a dram twice
every day. In Diet he may take his ordinary fare avoiding
only all salted or high seasoned meats. If he takes Milk
or milk meats both for breakfast & supper he will
be the better for it.
Diplomatic Text
For Mr. John Cockburn
I am favoured wt. yours concerning Mr. Cockburn
& shall be glad to do him all the service I can. From all that I can
bear it does not appear to me to be clear that his Case is
Nephritic or Calculous. He had formerly some pains & coldness
of his Back but these were never distinctly an affection
of the kidneys nor were attended wt. the usual sympts
[Page 2]
of sickness & vomiting or any pain along the Course of
the Ureter. To determine positively the Case to be a calculous
will require more time & attention particly. to the state
of his urine which in the case of calculous puts on
different appearance & often becomes whey coloured
with a light mucous sediment. You will please from
time to time as suits your conveniency to examine his
Urine & let me know what you observe & I shall be ready
to advise farther as circumsts. may require.
In the meantime he should continue the Soap Pills
to the quantity that may be necessary to keep his belly
regular. If a moderate number of the Pills do not answer
this purpose it will be right to put ¼ of Rhubarb
to the Soap & let him try this Composition. The lime water
can do no harm but I am not yet persuaded of the necessity
of it. He should however drink pretty plentifully, his
ordinary drink may be spring water wt. two drams of
powdered G: Arabic to every Choppin of the water. At times
he may take some glasses of water wt. an 8th. part of
Aq: Junip comp. in it or if this is not at hand a good Dutch
Gin. The only medicine I shall farther advise at prest.
is the Uv: Urs. of which he may take half a dram twice
every day. In Diet he may take his ordinary fare avoidg
only all salted or high seasoned meats. If he takes Milk
or milk meats both for breakfast & supper he will
be the better for it.
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