Cullen

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

 

[ID:452] From: Dr William Cullen (Professor Cullen) / To: John Trail (of Westness) / Regarding: Anonymous (Patient) / 20 October 1771 / (Outgoing)

Reply 'To John Trail of Westness Esqr', concerning a child who has swallowed a halfpenny.

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There are 2 images for this document.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 452
RCPE Catalogue Number CUL/1/1/3/35
Main Language English
Document Direction Outgoing
Date20 October 1771
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply 'To John Trail of Westness Esqr', concerning a child who has swallowed a halfpenny.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:322]
Case of a boy who has swallowed halfpenny.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1336]Addressee John Trail (of Westness)
[PERS ID:1337]Patient
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1338]Patient's Physician / Surgeon / Apothecary

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 Westness Orkneys Scotland Europe inferred

Normalized Text

[Page 1]

To Mr John Trail of Westness Esquire
Sir


I have attended to{illeg} all the Circumstances of
the Case you have been pleased to send me & shall give you
the best Advice I can. I have frequently met with the Case
before & have not in any instance found any troublesome
consequences. Sometimes we have found the halfpenny
pass by stool after a different length of time in different
Cases but frequently the voiding of it has not been observed
either from careslessness in observing or perhaps from other
causes. Even in this case I have not met with any bad
consequence but I have heard of such and they certainly
may happen — The danger is certainly greatest from
the Coppers continuing in the Stomach and if the
Gentleman who writes the Case be right in his judging
of the present situation of the Halfpenny I hope the



[Page 2]

Hazard is nearly over and before this comes to hand
the young man may be entirely delivered. However if it
should ↑not↑ be so my advice is —


1. That the belly be kept open so that he does not
miss a stool every day, but there is no use for more and
much purging may hurt the boys constitution. If a Medecine
is necessary. I would prefer the Magnesia Alba as
it will otherwise be usefull in preventing the effects
of the Copper. but if the Magnesia fails, a Senna Ptisan
or a small dose of Aloetic pills are preferable to any saline
Purgatives
— When he misses a stool and a Medecine
has been neglected a Clyster may be very proper.


2. In his diet let him avoid all sorts of Acids or
As Accescents. Let him every day take a plain broth
{illeg} Soup without Barley, Roots or Greens of any kind
A Weak broth of this kind with Some bread will make
a proper Supper. The best breakfast will be a
weak Chocolate or if that is not at hand he may
take gruil or Tea — At dinner he may take any
kind of plain broth meat, that is flesh or fish but
as a full meal of that kind may be improper for
his constitution he may fill it up with a light
pudding or pancake but he must till this affair is
over avoid all sorts of Roots or Greens. — His drink must
be water alone avoiding all sorts of wine or Malt liquors.


3. Moderate Exercise is very proper but walking is better
than riding & walking is enough without any violent motions.

Edinburgh 26th. October. 1771. —
W C.

Diplomatic Text

[Page 1]

To Mr John Trail of Westness Esqr
Sir


I have attended to{illeg} all the Circumstances of
the Case you have been pleased to send me & shall give you
the best Advice I can. I have frequently met with the Case
before & have not in any instance found any troublesome
consequences. Sometimes we have found the halfpenny
pass by stool after a different length of time in different
Cases but frequently the voiding of it has not been observed
either from careslessness in observing or perhaps from other
causes. Even in this case I have not met with any bad
consequence but I have heard of such and they certainly
may happen — The danger is certainly greatest from
the Coppers continuing in the Stomach and if the
Gentleman who writes the Case be right in his judging
of the present situation of the Halfpenny I hope the



[Page 2]

Hazard is nearly over and before this comes to hand
the young man may be entirely delivered. However if it
should ↑not↑ be so my advice is —


1. That the belly be kept open so that he does not
miss a stool every day, but there is no use for more and
much purging may hurt the boys constitution. If a Medecine
is necessary. I would prefer the Magnesia Alba as
it will otherwise be usefull in preventing the effects
of the Copper. but if the Magnesia fails, a Senna Ptisan
or a small dose of Aloetic pills are preferable to any saline
Purgatives
— When he misses a stool and a Medecine
has been neglected a Clyster may be very proper.


2. In his diet let him avoid all sorts of Acids or
As Accescents. Let him every day take a plain broth
{illeg} Soup without Barley, Roots or Greens of any kind
A Weak broth of this kind with Some bread will make
a proper Supper. The best breakfast will be a
weak Chocolate or if that is not at hand he may
take gruil or Tea — At dinner he may take any
kind of plain broth meat, that is flesh or fish but
as a full meal of that kind may be improper for
his constitution he may fill it up with a light
pudding or pancake but he must till this affair is
over avoid all sorts of Roots or Greens. — His drink must
be water alone avoiding all sorts of wine or Malt liquors.


3. Moderate Exercise is very proper but walking is better
than riding & walking is enough without any violent motions.

Edr 26th. Octor. 1771. —
W C.

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