Cullen

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

 

[ID:4896] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Mr Hudson (Patient) / 11 August 1784 / (Outgoing)

Letter (possibly to William Ingham) concerning the case of Mr Hudson, who has respiratory problems: 'there is some danger of his being affected with a Peripneumonia notha'. A pea issue in the neck is recommended. Poor quality machine copy.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 4896
RCPE Catalogue Number CUL/1/1/17/92
Main Language English
Document Direction Outgoing
Date11 August 1784
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter (possibly to William Ingham) concerning the case of Mr Hudson, who has respiratory problems: 'there is some danger of his being affected with a Peripneumonia notha'. A pea issue in the neck is recommended. Poor quality machine copy.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1492]
Case of Mr Hudson who has weak lungs.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:82]AddresseeMr William Ingham
[PERS ID:4103]PatientMr Hudson
[PERS ID:82]Patient's Physician / Surgeon / ApothecaryMr William Ingham
[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 Newcastle upon Tyne North-East England Europe inferred

Normalized Text

[Page 1]
Mr Hudson
Dear Sir


Mr Hudson of your neighbourhood has done me
the honour to Consult me about his health and I have
considered every thing he has been pleased to tell me with
all possible attention.


I can find no disease upon him at present but a
disposition to some infarction of his lungs not very trou¬
blesome just now but upon the application of cold or any
violence in his exertions ready to become considerable
and there is some danger of his being affected with a
Peripneumonia notha.


The trouble and danger to be apprehended from
such a disposition makes it very prudent in Mr.
Hudson to take every precaution against it. For this
purpose he ought to have great attention to guard against
cold but without precluding himself from being much



[Page 2]

in the free hair. [He ought?] also to avoid all violent bodily
exercise but [at the same time?] to be very constantly
in [some?] gentle motion but as that in walking cannot
go far he should go very frequently on horseback or
when the weather does not favour that in a Carriage.
His chief precaution must be Temperance both in
Eating and drinking, There is no occasion for his taking
to a low diet in either respect but in Eating he ought
to avoid all gross and heavy food he should even be
moderate in every kind of animal food and to ensure
him to be so he should contrive to take as much of
any kind of Vegetable food as he possibly can. In
Drinking I think well brewed and clear small
beer is better than water for his ordinary Draught
but all kinds of stronger malt liquor are very
improper for him. With respect to strong drink


[Page 3]

Claret is the safest wine he can take but
he should [take very moderately and these?]
[be still?]are necessary with [respect to?] {illeg}
stronger and more heating wines. I am of {illeg}
that he should avoid Spirituous liquor in every {illeg}.


With these precautions and his continuing to
avoid Suppers and to keep his belly regular I hope
he may long escape all danger, but when I consider
his present fullness and that the execution
of some part of the above may not be very
perfect I am clearly of opinion that he ought
before Winter to have some kind of Issue established
a Seton might certainly for the time be very effectual but
I find that Pea issues can be as useful and may be more
permanent and I would therefore advise a pea issue to be
put in
one side of the nape of the neck nearly in the two
places where the ends of the seton are commonly brought out.
When you can say I can be further useful to Mr. Hudson please
let me know. I am always Dear Sir your most Obedient Servant

William Cullen
Edinburgh 11th. August 1784.

Diplomatic Text

[Page 1]
Mr Hudson
Dear Sir


Mr Hudson of your neighbourhood has done me
the honour to Consult me about his health and I have
considered every thing he has been pleased to tell me with
all possible attention.


I can find no disease upon him at present but a
disposition to some infarction of his lungs not very trou¬
blesome just now but upon the application of cold or any
violence in his exertions ready to become considerable
and there is some danger of his being affected with a
Peripneumonia notha.


The trouble and danger to be apprehended from
such a disposition makes it very prudent in Mr.
Hudson to take every precaution against it. For this
purpose he ought to have great attention to guard against
cold but without precluding himself from being much



[Page 2]

in the free hair. [He ought?] also to avoid all violent bodily
exercise but [at the same time?] to be very constantly
in [some?] gentle motion but as that in walking cannot
go far he should go very frequently on horseback or
when the weather does not favour that in a Carriage.
His chief precaution must be Temperance both in
Eating and drinking, There is no occasion for his taking
to a low diet in either respect but in Eating he ought
to avoid all gross and heavy food he should even be
moderate in every kind of animal food and to ensure
him to be so he should contrive to take as much of
any kind of Vegetable food as he possibly can. In
Drinking I think well brewed and clear small
beer is better than water for his ordinary Draught
but all kinds of stronger malt liquor are very
improper for him. With respect to strong drink


[Page 3]

Claret is the safest wine he can take but
he should [take very moderately and these?]
[be still?]are necessary with [respect to?] {illeg}
stronger and more heating wines. I am of {illeg}
that he should avoid Spirituous liquor in every {illeg}.


With these precautions and his continuing to
avoid Suppers and to keep his belly regular I hope
he may long escape all danger, but when I consider
his present fullness and that the execution
of some part of the above may not be very
perfect I am clearly of opinion that he ought
before Winter to have some kind of Issue established
a Seton might certainly for the time be very effectual but
I find that Pea issues can be as useful and may be more
permanent and I would therefore advise a pea issue to be
put in
one side of the nape of the neck nearly in the two
places where the ends of the seton are commonly brought out.
When you can say I can be further useful to Mr. Hudson please
let me know. I am always Dear Sir your most Obedient Servant

William Cullen
Edinr. 11th. Augt. 1784.

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