Cullen

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

 

[ID:532] From: Dr William Cullen (Professor Cullen) / To: Dr Peter Wright / Regarding: Mr James Fleming (Patient), Mr Matthie (Patient) / 24 April 1782 / (Outgoing)

Reply [to Dr Peter Wright] regarding the ongoing complaint of Mr Fleming, who has an obstructed oesophagus. Cullen is 'still much at a loss what to say', but suggests that the electricity treatments have not been tried for long enough to resolve the patient's schirrosity. He adds some suggestions for Mr Mathie, and passes on his compliments to Mr Wallace and Mr Fleming.

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Metadata

FieldData
DOC ID 532
RCPE Catalogue Number CUL/1/1/15/15
Main Language English
Document Direction Outgoing
Date24 April 1782
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply [to Dr Peter Wright] regarding the ongoing complaint of Mr Fleming, who has an obstructed oesophagus. Cullen is 'still much at a loss what to say', but suggests that the electricity treatments have not been tried for long enough to resolve the patient's schirrosity. He adds some suggestions for Mr Mathie, and passes on his compliments to Mr Wallace and Mr Fleming.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:863]
Case of Cullen's 'old aquaintance' Mr James Fleming who has an obstructed oesophagus which proves fatal. May be same person as Case 276.
10
[Case ID:1480]
Case of Mr Matthie, a young man with a nephritic complaint who is too attached to the pursuit of pleasure to give Cullen's treatments time to take effect.
8


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2830]AddresseeDr Peter Wright
[PERS ID:2831]PatientMr Matthie
[PERS ID:2820]PatientMr James Fleming
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:216]Patient's Physician / Surgeon / ApothecaryMr Robert Wallace
[PERS ID:2830]Patient's Physician / Surgeon / ApothecaryDr Peter Wright

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 Glasgow Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]

Mr Fleming

Dear Sir


I am favoured with yours concerning
Mr Fleming, but both hurry and business has preve¬
ted me from answering you before now, and I am
still much at a loss what to say. I am sorry to find
that the Electricity has had no effect. but must observe
that it seldom has effect, but after long continuance
and unless it is Somehow very troublesome to him
I would say it has not been continued long enough
to resolve a Schirrosity. In the meantime you have
done right in avoiding as I hope you do in some
measure the throwing up of his food and the pain
which attends it by giving a little Laudanum
but this will also require the pretty frequent use
of Glysters. You do not tell me whether in place
of the Brandy you have given him the Spir.
vitriol dulc.
as I proposed. The Liniment you



[Page 2]

employ is certainly very proper and I think
if it can do any service either Æther or the
Spir. vitriol dulc
should be a good ingredient
of it, and the varying of the present may at
least amuse him a little. If he gets or retains
little nourishment by the mouth, might he get
not once or twice a day with a Glyster with Veal
broth in such quantity as is most likely to
be retained. It will at least answer for any
other Laxative without Form


With respect to Mr Matthie, I have no
objection to his taking a little Bark, tho I
dont think it a remedy for his Disease. With
respect to this I have nothing to say but what I
said in my Postscript to my last. With Compliments
Mr Wallace and Mr Fleming. I am


Dear Sir
Your most obedient Servant

William Cullen

Edinburgh April 24. 1782.

Diplomatic Text

[Page 1]

Mr Fleming

Dear Sir


I am favoured with yours concerning
Mr Fleming, but both hurry and business has preve¬
ted me from answering you before now, and I am
still much at a loss what to say. I am sorry to find
that the Electricity has had no effect. but must observe
that it seldom has effect, but after long continuance
and unless it is Somehow very troublesome to him
I would say it has not been continued long enough
to resolve a Schirrosity. In the meantime you have
done right in avoiding as I hope you do in some
measure the throwing up of his food and the pain
which attends it by giving a little Laudanum
but this will also require the pretty frequent use
of Glysters. You do not tell me whether in place
of the Brandy you have given him the Spir.
vitriol dulc.
as I proposed. The Liniment you



[Page 2]

employ is certainly very proper and I think
if it can do any service either Æther or the
Spir. vitriol dulc
should be a good ingredient
of it, and the varying of the present may at
least amuse him a little. If he gets or retains
little nourishment by the mouth, might he get
not once or twice a day with a Glyster with Veal
broth in such quantity as is most likely to
be retained. It will at least answer for any
other Laxative without Form


With respect to Mr Matthie, I have no
objection to his taking a little Bark, tho I
dont think it a remedy for his Disease. With
respect to this I have nothing to say but what I
said in my Postscript to my last. With Compts
Mr Wallace and Mr Fleming. I am


Dear Sir
Your most obedt Servt

William Cullen

Edinr April 24. 1782.

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