The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1069] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr George C Fox (Patient) / January? 1781? / (Outgoing)
Directions for George Fox, whose disease is 'founded in Gout',. Date of January 1781 'inferred', from the incoming letter.
- 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 | 1069 |
| RCPE Catalogue Number | CUL/1/1/13/123 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | January? 1781? |
| 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 | Directions for George Fox, whose disease is 'founded in Gout',. Date of January 1781 'inferred', from the incoming letter. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1303] |
Case of George C. Fox, 'a Quaker', whose swollen legs and stomach complaints are attributed to gout. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:4084] | Patient | Mr George C Fox |
| [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 | Kelso | Borders | Scotland | Europe | inferred |
Normalized Text
For Mr George Fox
His Disease founded in Gout of which the fits having
been weaker have brought the Body lower into its
present relaxed state - the swelling of his legs and thighs
Hydropic - & some effusion is probably made into the chest
The bringing back the Gout to the Vigorous [states?] not
to be expected and the only measures we can attempt
is to prevent or relieve his hydropic symptoms
To attempt this as usual by Hydrogogues would
be dangerous - If any purging is to be tried, it
should be with the Cream of Tartar alone
and this must be left to the discretion of persons
on the spot - and it may be attempted if the Cream of
Tartar seems to produce some watery evacuation
without weakening to any considerable degree
the only measure I can confidently advise is
a trial of diuretics - If they have been tried and any
one found to succeed let it be continued but if not
the formula below seems well adapted to Mr Foxs
Gouty Disposition & I have found effectual in such
cases -- Besides this if he vomits easily or if his
breathing easily admit of it I think that vomiting
pretty often might be of great service to him
Tonics might be of service, but bark and
Bitters might do harm and the only Tonic I would
[Page 2]
advise is the Chalybeate and he may take pretty
large doses of the Rubigo preparata
Diet - avoid liquids - and as long as his appetite
is tolerably entire a little animal food would be very
proper and two or three Glasses of some strong
bodied wine or spirits well tempered with water
very proper - Continue Exercise as long as possible
and flesh brush. -
Take two drachms Wormwood and a pound of boiling water soak overnight and strain the liquid, add half an ounce of tartar Salt, two ounces of Aqua Juniperi Compositus and after it settles down strain again through paper Label: Diuretic
Diplomatic Text
For Mr George Fox
His Disease founded in Gout of wc the fits having
been weaker have brought the Body lower into its
present relaxed state - the swelling of his legs and thighs
Hydropic - & some effusion is probably made into the chest
The bringing back the Gout to the Vigorous [states?] not
to be expected and the only measures we can attempt
is to prevent or relieve his hydropic symptoms
To attempt this as usual by Hydrogogues would
be dangerous - If any purging is to be tried, it
should be with the Cream of Tartar alone
and this must be left to the discretion of persons
on the spot - and it may be attempted if the Cream of
Tartar seems to produce some watery evacuation
without weakening to any considerable degree
the only measure I can confidently advise is
a trial of diuretics - If they have been tried and any
one found to succeed let it be continued but if not
the formula below seems well adapted to Mr Foxs
Gouty Disposition & I have found effectual in such
cases -- Besides this if he vomits easily or if his
breathing easily admit of it I think that vomiting
pretty often might be of great service to him
Tonics might be of service, but bark and
Bitters might do harm and the only Tonic I would
[Page 2]
advise is the Chalybeate and he may take pretty
large doses of the Rubigo preparata
Diet - avoid liquids - and as long as his appetite
is tolerably entire a little animal food would be very
proper and two or three Glasses of some strong
bodied wine or spirits well tempered with water
very proper - Continue Exercise as long as possible
and flesh brush. -
℞ Summit. absinth vulg. ʒij Aq. fervent lbj
Maccia per noctem et liquors colato adde
Sal. tartar ℥ſs - Aq. junip. comt ℥ij
et post subsidentiam cola iterum per chartam
Sig. Diuretic
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