The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:5569] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mr Alexander Dirom (of Muiresk) (Patient) / 29 November 1787 / (Outgoing)
Reply 'For Mr. Dirom', possibly to his unnamed medical practitioner, in response to his changed symptoms, and enclosing a new prescription.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
[Page 3]
Metadata
| Field | Data |
|---|---|
| DOC ID | 5569 |
| RCPE Catalogue Number | CUL/1/1/20/189 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 29 November 1787 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | Enclosure(s) present |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mr. Dirom', possibly to his unnamed medical practitioner, in response to his changed symptoms, and enclosing a new prescription. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:787] |
Case of Alexander Dirom, who has a urinary tract ailment. |
16 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:5911] | Addressee | Dr |
| [PERS ID:5422] | Patient | Mr Alexander Dirom (of Muiresk) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:5911] | Patient's Physician / Surgeon / Apothecary | Dr |
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 | Turriff | East Highlands | Scotland | Europe | inferred |
Normalized Text
For Mr. Dirom
The report of the 26th. turns out very diffe¬
rently from that of the 8th. current. In the latter
I had in view entirely the voiding of blood, whereas
in this of the 26th. the voiding of the blood
seems to be very much gone, and quite a new
symptom come on. I don't think Mr. Diroms
theory on the subject is clear or correct, but
he is quite right in letting alone the medicines
last prescribed, and they should be let alone
till he lets me know that there is more
occasion for them. He may Continue to take
Gum water or Lintseed tea, in case there
should be any thing in his own opinion
of the parts wanting their natural mucus
though I dont think, there is much ground
for that supposition. His present symptom
seems to me to depend upon a pain affecting
the muscles employed in the expulsion of
[Page 2]
the urine, and which are always [exhausted?]in
some violence in the expulsion of the last drops,
or in what he calls the drawing back of the
parts. The cure of this symptoms as a local
affection may be difficult, but I hope may
be affected. I am clear for his continuing the
bathing of the bottom of his belly, and particu¬
larly between the Scrotum, and Anus and
otherwise to relieve him. I have prescribed
a mixture on the other page of this paper.
let him try it and report to me again
as soon as he pleases.
The only inconvenience that can arise
from this medicine, is, its perhaps rendering
a little costive, but this must be obviated
or removed by simple glysters, [or some?] gentle
laxative, and I suppose he himself or his
Surgeon will know what may best answer
the purpose. I will {illeg} say that an Aloetic
is to be avoided if possible.
[Edinburgh 29th. November?]
[1787?]
[Page 3]
For Mr. Dirom
Take three ounces each of simple Cinnamon Water and peppermint water two ounces of Diacodium Syrup two drachms of Sweet spirit of nitre and one hundred and sixty drops of Laudanum Mix. Label: Antispasmodic mixture [Two?] table spoonfuls to be taken every night at bed time.
29th. November
1787
Diplomatic Text
For Mr. Dirom
The report of the 26th. turns out very diffe¬
rently from that of the 8th. currt.. In the latter
I had in view entirely the voiding of blood, whereas
in this of the 26th. the voiding of the blood
seems to be very much gone, and quite a new
symptom come on. I don't think Mr. Diroms
theory on the subject is clear or correct, but
he is quite right in letting alone the medicines
last prescribed, and they should be let alone
till he lets me know that there is more
occasion for them. He may Continue to take
Gum water or Lintseed tea, in case there
should be any thing in his own opinion
of the parts wanting their natural mucus
though I dont think, there is much ground
for that supposition. His present symptom
seems to me to depend upon a pain affecting
the muscles employed in the expulsion of
[Page 2]
the urine, and which are always [exhausted?]in
some violence in the expulsion of the last drops,
or in what he calls the drawing back of the
parts. The cure of this symptoms as a local
affection may be difficult, but I hope may
be affected. I am clear for his continuing the
bathing of the bottom of his belly, and particu¬
larly between the Scrotum, and Anus and
otherwise to relieve him. I have prescribed
a mixture on the other page of this paper.
let him try it and report to me again
as soon as he pleases.
The only inconvenience that can arise
from this medicine, is, its perhaps rendering
a little costive, but this must be obviated
or removed by simple glysters, [or some?] gentle
laxative, and I suppose he himself or his
Surgeon will know what may best answer
the purpose. I will {illeg} say that an Aloetic
is to be avoided if possible.
[Edinr. 29th. Novr.?]
[1787?]
[Page 3]
For Mr. Dirom
℞ Aq. cinnamom simpl.
–– menth. pip. @ ℥iij
Syr. diacod. ℥ij
Sp. nitr. dulci. ʒij
Tinct. Thebaic. guttas Centum et Sexaginta
ℳ. Sig. Antispasmodic mixture [Two?] table spoonfuls
to be taken every night at bed time.
29th. Novr.
1787
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