Cullen

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

 

[ID:4300] From: Dr William Cullen (Professor Cullen) / To: Dr William Hamilton (in Glasgow) / Regarding: Mrs Bushby (in Dumfries) (Patient) / 26 August 1778 / (Outgoing)

Reply to Dr Hamilton concerning Mrs Bushby.

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[Page 1]


 
 

Metadata

FieldData
DOC ID 4300
RCPE Catalogue Number CUL/1/1/11/38
Main Language English
Document Direction Outgoing
Date26 August 1778
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply to Dr Hamilton concerning Mrs Bushby.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:785]
Case of Mrs Bushby who has a bad chest, vomiting and various other complaints generally associated with multiple child-bearing.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:175]AddresseeDr William Hamilton (in Glasgow)
[PERS ID:2197]PatientMrs Bushby (in Dumfries)
[PERS ID:175]Patient's Physician / Surgeon / ApothecaryDr William Hamilton (in Glasgow)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr 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 Dumfries Borders Scotland Europe inferred

Normalized Text

[Page 1]
Dr Hamilton Concerning Mrs Bushby vid. p.23.


I have no doubt of an internal Abscess of & I think it is
in the Thorax; but it maybe in the stomach- You may
determine this by observing whether she throws up (coughs up matter) from the
breast or throws it up from the stomach. - Your expression of throwing
up
is quite ambiguous. - However it may be it can make no great
odds in our conduct. - We can do little to heal the internal Ulcer
but I would give it a chance of becoming an external one by putting
a seton on the part. Tho the Ulcer may not be in the stomach
There is as much disorder there that we must treat it very gently.
I will not therefore insist upon the Electuary; but I am
very much surprised at her complaining of the taste of it. The Infusion
I think may still be continued. The Diet formerly advised
now still more proper. - & give her as much Exercise on horseback
or in a Carriage as she can easily bear. The more I consider
The Disorder of her stomach, I think the Thebaic Tincture more necessary
& if you employ that much some Laxative must be employed (↑contrived↑)
for considering her disposition to Piles I cannot approve
of the Pilul. Aloetic. - She says she cannot bear the
taste of the sulphur; but I never percieved it to have any
but I believe it is the smell attending its operation that
offends her. - You mention no objection to the Oleum Ricini
& if she does not dislike I would prefer it to every thing else
but if she can ↑not↑ take Oil let her use the following Electuary

Take one ounce of Crystal Tartar and one drachm of jalappa compound, two ounces of lenitive Electuary and a sufficient quantity of simple syrup to make a lenitive Electuary. Label: Laxative Electuary. Two tablespoonfuls to be taken in the morning.

W.C.
26th Aug. 1778.

Diplomatic Text

[Page 1]
Dr Hamilton C Mrs Bushby vid. p.23.


I have no doubt of an internal Abscess of & I think it is
in the Thorax; but it maybe in the stomach- You may
determine this by observing whether she throws up (coughs up matter) from the
breast or throws it up from the stomach. - Your expression of throwing
up
is quite ambiguous. - However it may be it can make no great
odds in our conduct. - We can do little to heal the internal Ulcer
but I would give it a chance of becoming an external one by putting
a seton on the part. Tho the Ulcer may not be in the stomach
There is as much disorder there that we must treat it very gently.
I will not therefore insist upon the Electuary; but I am
very much surprised at her complaining of the taste of it. The Infusion
I think may still be continued. The Diet formerly advised
now still more proper. - & give her as much Exercise on h.back
or in a Carriage as she can easily bear. The more I consider
The Disorder of her stomach, I think the T.T more necessary
& if you employ that much some Laxative must be employed (↑contrived↑)
for considering her disposition to Piles I cannot approve
of the Pilul. Aloetic. - She says she cannot bear the
taste of the sulphur; but I never percieved it to have any
but I believe it is the smell attending its operation that
offends her. - You mention no objection to the Ol. Ricini
& if she does not dislike I would prefer it to every thing else
but if she can ↑not↑ take Oil let her use the following Electy


Cryst. Tart. ℥j Pulv. e. j. compt ʒj Elect. lenitiv ℥ii. Syr.
simpl.
q.s. ut f. Elect. len. Sig. Lax. Elect. Cap. cochl. ij. mane

W.C.
26th Aug. 1778.

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