Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:3867] From: Dr William Cullen (Professor Cullen) / To: Mr J Rudd / Regarding: Pease (Patient) / 15 July 1776 / (Outgoing)

Reply, 'To Mr Rudd Q Mr Pease's son'

Facsimile

There are 2 images for this document.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 3867
RCPE Catalogue Number CUL/1/1/7/88
Main Language English
Document Direction Outgoing
Date15 July 1776
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'To Mr Rudd Q Mr Pease's son'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:777]
Case of the infant son of Thomas Pease who has suffered convulsions.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2295]AddresseeMr J Rudd
[PERS ID:2297]Patient Pease
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2295]Patient's Physician / Surgeon / ApothecaryMr J Rudd
[PERS ID:2296]Patient's Relative / Spouse / FriendMr Thomas Pease

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 Darlington North-East England Europe inferred

Normalized Text

[Page 1]
To Mr Rudd Query Mr Pease's Son
Sir


Iam favord with yours concerning Mr Peases Son.


There is little harm in scarifying the Gums, but it is of no
service till the tooth has stretched the Membranes & are there¬
fore ready to come thro, & when the time is Child is ill
that time is to be watched. To obviate the fits I know
nothing so useful as a small perpetual Blister in the
Arm & a plaister of burgundy pitch, put between the
Shoulders; & this renewed from time to time, with the some¬
time let the belly be kept regular, by a little Rhubarb
& magnesia . If the child is disposed to be loose you
must lay aside the Magnesia, diminish the quantity of
Rhubarb, & to give in place of the Magnesia Crabs Eyes
or Chalk. There are some general measures which
I have often found of service, but I have found most
benefit from Laudanum duely timed : The Child cant
take it constantly with out prejudice, but when fits
come on &. repeat, it is necessary & even safe to give




[Page 2]


it very frequently. I give partly Diacodium &
partly Tinctura Thebaica, but I cant exactly fix the dose, but
you may give three Drops of the Tincture with half a
dram of the Syrup, & dilute both with a little Pepperment
water.
If you dont find this have any Sensible Effect
in laying the child Asleep, it is enough & you may repeat
it once or twice, in the 24 hours, but if it has no Sensible
Effect either in laying the Child Asleep or in
preventing the return of fits, you must increase the
Dose to what you find necessary. It is generally
of service to give a few drops of Spirit of Hartshorn
along with every dose of the Laudanum.


These are Measures with respect to the child, but some
are also to be observed, ↑also necessary with regard↑ with to the Nurse. If theChild
is 9th Months Old, I would take the first opportun¬
ity of weaning the Child & the opportunity is when
a tooth is just cut & no other is in view. -


If the child is too young to wean, let care be
taken of the nurses diet, keeping her entirily
from Animal food; It is good both for Nurse &
Child to have them both frequently in fresh Air.


If the C- has been used to Cold baths I would
continue it, but I would not begin it now.


I dont think it possible for the Child to take
as much Bark as could be of any service &
I dont Expect any thing from it. Dalbys Carminative
& when there is no disorder in the stomach or bowels I
see no use for any Carminative Whatever. ---

I am Sir &cc
Wm Cullen

Edinburgh 15th July
1776

Diplomatic Text

[Page 1]
To Mr Rudd Q Mr Pease's Son
Sir


Iam favord wt yrs concerng. Mr Peases Son.


There is little harm in scarifying ye Gums, but it is of no
service till ye tooth has stretched ye Membranes & are there¬
fore ready to come thro, & when ye time is Child is ill
that time is to be watched. To obviate ye fits I know
nothing so useful as a small perpetual Blister in ye
Arm & a plaister of burgundy pitch, put between ye
Shoulders; & this renewed fm time to time, wt ye some¬
time let ye belly be kept regular, by a little Rhubarb
& magnesia . If ye child is disposed to be loose you
must lay aside ye Magnesia, diminish ye quantity of
Rhubarb, & to give in place of ye Magia. Crabs Eyes
or Chalk. There are some general measures wc
I have often found of service, but I have found most
benefit fm Laudanum duely timed : The Child cant
take it constantly wt out prejudice, but when fits
come on &. repeat, it is necessary & even safe to give




[Page 2]


it very frequently. I give partly Diacodium &
partly Tinctura Thebaica, but I cant exactly fix ye dose, but
you may give three Drops of ye Tincture wt half a
dram of ye Syrup, & dilute both wt a little Pepperment
water.
If you dont find this have any Sensible Effect
in laying ye child Asleep, it is enough & you may repeat
it once or twice, in ye 24 hours, but if it has no Sensible
Effect either in laying ye Child Asleep or in
preventing ye return of fits, you must increase ye
Dose to what you find necessary. It is generally
of service to give a few drops of Spirit of Hartshorn
along wt every dose of ye Laudanum.


These are Measures wt respect to ye child, but some
are also to be observed, ↑also necessary wt regard↑ wt to ye Nurse. If yeChild
is 9th Months Old, I would take ye first opportun¬
ity of weaning ye Child & ye opportunity is when
a tooth is just cut & no other is in view. -


If ye child is too young to wean, let care be
taken of ye nurses diet, keeping her entirily
fm. Animal food; It is good both for Nurse &
Child to have them both frequently in fresh Air.


If ye C- has been used to Cold baths I would
continue it, but I would not begin it now.


I dont think it possible for ye Ch-d to take
as mc Bark as could be of any service &
I dont Expect any thing fm it. Dalbys Carminative
& wn there is no disorder in ye stomach or bowels I
see no use for any Carminative Whatever. ---

I am Sir &cc
Wm Cullen

Edinr 15th July
1776

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