The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4519] From: Dr William Cullen (Professor Cullen) / To: H.A. Bryan / Regarding: Bryan (H.A. Bryan's father) (Patient) / 15 October 1779 / (Outgoing)
Reply headed 'Mr Bryan C his Father',
- 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 | 4519 |
| RCPE Catalogue Number | CUL/1/1/12/86 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 15 October 1779 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply headed 'Mr Bryan C his Father', |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1170] |
Case of Mr Bryan, senior with a history of gout who has now developed asthma. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:4197] | Addressee | H.A. Bryan |
| [PERS ID:4198] | Patient | Bryan (H.A. Bryan's father) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:4197] | Patient's Relative / Spouse / Friend | H.A. Bryan |
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 | Worlington (East Worlington) | South-West | England | Europe | inferred |
Normalized Text
Mr Bryan concerning his Father.
From his time of life the vigour of the System is grown
too weak to push the Gout with due force to his extremities
and the Atonic state by a family constitution is determined
to the Lungs --- The fits of Dyspnoea Asthmatic & of
the Spasmodic kind - In a constitutional disease at your Fathers
time of life it is difficult to mend [matters?], but ---
In first attacks of the Asthma it was allowable
to take a little blood and [mr?] in very violent attacks
it may be necessary still, but it should be avoided as
much as possible as it must have a bad effect on
his Constitution.
Vomiting is a safer and generally when it can
be applied in time a more effetual remedy and it
may not only be employed at the coming on of
fits, but frequently at other times to prevent them
whenever flatulency weight at Stomach loss of
appetite & other Symptoms of indigestion appear
a gentle vomit will generally be of Service.
As the three last Paroxysms were preceeded by Diarrhoea
& if the Belly is comm ordinarily regular I would not give
him any purgative, but Costiveness may often take
place & Should be removed by a gentle Laxative, such
as the following.
Take a drachm of asafoetida, half a drachm of Socoterine, 15 grammes of polychrest salts, and a sufficient amount of simple syrup
[Page 2]
I dont expect much benefit from Pectorals.
& particularly none from Squills & (↑or↑) Ammoniac
& if any are solely employed I would off prefer
Salt of Hartshorn to be given now and then in a
Bolus at bedtime - A tea Spoonfull of Aether given
in time of the fit I have know often relieve it. --
In case of a very languid & inert state of the Stomach
some Bark may perphaps be usefull; but any frequent
or long continued use of I should think hurtfull
I believe that blisters d may be of service. & I
advise you to have a Pea Issue behind the Shoulder
or in the Arm kept constantly open
If your Father can bear Excercise & the weather
permit of it, riding on horseback & or in a Carriage
will be of more service than any thing else & particul¬
arly of the formerly daily pursued -
He must carefully gaurd against cold.
Diet, rather light - avoiding Vegetables. & very light
Suppers in particular.
Drink, if accustomed to strong drink it cannot
be taken away entirely, but great moderation
should be observed.
Diplomatic Text
Mr Bryan C his Father.
From his time of life the vigour of the System is grown
too weak to push the Gout with due force to his extremities
and the Atonic state by a family constitution is determined
to the Lungs --- The fits of Dyspnoea Asthmatic & of
the Spasmodic kind - In a constitutional disease at your Fathers
time of life it is difficult to mend [matters?], but ---
In first attacks of the Asthma it was allowable
to take a little blood and [mr?] in very violent attacks
it may be necessary still, but it should be avoided as
much as possible as it must have a bad effect on
his Constitution.
Vomiting is a safer and generally when it can
be applied in time a more effetual remedy and it
may not only be employed at the coming on of
fits, but frequently at other times to prevent them
whenever flatulency weight at Stomach loss of
appetite & other Symptoms of indigestion appear
a gentle vomit will generally be of Service.
As the three last Paroxysms were preceeded by Diarrhoea
& if the Belly is comm ordinarily regr I would not give
him any purgative, but Costiveness may often take
place & Should be removed by a gentle Laxative, such
as the following.
℞ Asa. foetid. ʒj al. Socotorin
Al Socotorin ʒſs Sal polychrest. gr xv. Syr. Simpl. q.s.
[Page 2]
I dont expect much benefit from Pectorals.
& particularly none from Squills & (↑or↑) Ammoniac
& if any are solely employed I would off prefer
Salt of Hartshorn to be given now and then in a
Bolus at bedtime - A tea Spoonfull of Aether given
in time of the fit I have know often relieve it. --
In case of a very languid & inert state of the Stomach
some Bark may perphaps be usefull; but any freqt
or long contd use of I should think hurtfull
I believe that blisters d may be of service. & I
advise you to have a Pea Issue behind the Shoulder
or in the Arm kept constantly open
If your Father can bear Excercise & the weather
permit of it, riding on horseback & or in a Carriage
will be of more service than any thing else & particul¬
arly of the formerly daily pursued -
He must carefully gaurd against cold.
Diet, rather light - avoiding Vegetables. & very light
Suppers in particular.
Drink, if accustomed to strong drink it cannot
be taken away entirely, but great moderation
should be observed.
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