The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4585] From: Dr William Cullen (Professor Cullen) / To: Dr Hugh Rose (of Brea and Broadley) / Regarding: Mr Urquhart (Patient) / 15 March 1780 / (Outgoing)
Reply 'For Mr Urquhart', who has jaundice attributed to biliary stones.
- 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 | 4585 |
| RCPE Catalogue Number | CUL/1/1/12/152 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 15 March 1780 |
| 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 'For Mr Urquhart', who has jaundice attributed to biliary stones. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1252] |
Case of Mr Urquhart who developed Ague when living in Maryland. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:136] | Addressee | Dr Hugh Rose (of Brea and Broadley) |
| [PERS ID:691] | Patient | Mr Urquhart |
| [PERS ID:136] | Patient's Physician / Surgeon / Apothecary | Dr Hugh Rose (of Brea and Broadley) |
| [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 | Forres | East Highlands | Scotland | Europe | inferred |
Normalized Text
For Mr Urquhart.
Stones passing the biliary ducts; at times they pass more
easily giving only a transient colic; at other times they stick
& give great pain especially after eating & cause jaundice.
You did right in a severe fit to employ bleeding & in the like
circumstances again, I advise its repetition. Use an
opiate to ease the spasm of the ducts; but keeping the
belly open by sacred tincture or other laxative or perhaps with
advantage by glysters. In case the jaundice continue
with much pain both the bleeding & opiate may be omitted
& try the following
Take an ounce of Spanish Soap, a drachm each of ground tops of Common Wormwood and Rhubarb Electuary, and enough Simple Syrup as to make a mass to be divided into pills of 5 grains each. Label: Aperient pills 4 or 5 every night & morning.
If they do not keep the belly regular, give
them three or four times a day & if even this dont do, give a
small dose of an aloetic at bedtime. Exercise on horse¬
back will be of use both to discuss fits & to prevent them.
[Page 2]
When free of jaundice the use of these soap pills with exer¬
cise on horseback will be very useful but when the Season
advances to afford the Dandelion leaves give the expressed
juice of these from 2 to 4 ounces daily for a week or two &
they may be of service in preventing biliary concretions.
What Diet prevents such concretions we are uncertain
but I do think Vegetables the most proper & therefore
recommend a large proportion of them in Diet. Allow
him no strong drink but porter.
Diplomatic Text
For Mr Urquhart.
Stones passing the biliary ducts; at times they pass more
easily giving only a transient colic; at other times they stick
& give great pain especially after eating & cause jaundice.
You did right in a severe fit to employ bleeding & in the like
circumstances again, I advise its repetition. Use an
opiate to ease the spasm of the ducts; but keeping the
belly open by sacred tincture or other laxative or perhaps with
advantage by glysters. In case the jaundice continue
with much pain both the bleeding & opiate may be omitted
& try the following
℞ Sapon. hisp. ℥j Pulv. summit.
absinth. vulgar. Rhei elect @ ʒj Syr. simpl. q. s. ut f. m.
div. in Pil. s. gr. V. S. Aperient pills 4 or 5 every night
& morning.
If they do not keep the belly regular, give
them three or four times a day & if even this dont do, give a
small dose of an aloetic at bedtime. Exercise on horse¬
back will be of use both to discuss fits & to prevent them.
[Page 2]
When free of jaundice the use of these soap pills with exer¬
cise on horseback will be very useful but when the Season
advances to afford the Dandelion leaves give the expressed
juice of these from 2 to 4 ounces daily for a week or two &
they may be of service in preventing biliary concretions.
What Diet prevents such concretions we are uncertain
but I do think Vegetables the most proper & therefore
recommend a large proportion of them in Diet. Allow
him no strong drink but porter.
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