Cullen

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

 

[ID:120] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss Mary Peareth (Pearith, Peariths) (Patient), Miss Mary Clutterbuck (Patient) / 12 April 1781 / (Outgoing)

Reply, 'Mr Lambert C. Miss Peareth'

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Metadata

FieldData
DOC ID 120
RCPE Catalogue Number CUL/1/1/14/9
Main Language English
Document Direction Outgoing
Date12 April 1781
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Lambert C. Miss Peareth'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:52]
Case of Miss Mary Peareth who has a painful bladder condition.
25
[Case ID:193]
Case of Miss Mary Clutterbuck whose cough and other breathing problems are diagnosed as signs of 'hysteria'.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:80]PatientMiss Mary Peareth (Pearith, Peariths)
[PERS ID:83]PatientMiss Mary Clutterbuck
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:81]Patient's Physician / Surgeon / ApothecaryMr Richard Lambert
[PERS ID:82]Patient's Physician / Surgeon / ApothecaryMr William Ingham

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
Mentioned / Other Hotwells South-West England Europe certain

Normalized Text

[Page 1]

Mr Lambert Concerning Miss Peareths

Dear Sir


yours of the first came here on Monday
but my being in the country on tuesday and there being no post
yesterday has prevented my answering you till now


I am heartily concerned for Miss Mary Peareths distress and
the more so that I think it will be difficult to relieve it. I have no
dut doubt that there is, as you suspect, some schirrosity in the neck
of the bladder
or neighburing parts and that is always a difficult
disease. However the patient must not be deserted and I think
it may be very allowable now to try an alterative Mercurial
Curse
but I cannot promise so much upon it as to allow me to
advise its being pushed very far, and in that respect I shall --
think it ↑in↑ very good hands. If after a few weeks trial you shall
despair of its Success I would next advise a trial of the Hotwell
at Bristol which may be of Service and cannot possibly do harm
I must think that much uneasiness arise to Miss Peareth from
her costive habit & the only medicine for mending that which I can



[Page 2]

advise is the Oleum ricini which I dare say you have tried but
I will venture still to propose your trying it in small quantities
as that of three ↑or↑ four tea spoonfulls given three or four times in
one day, and if you try it in this way let me also propose your
always mixing with it one fourth part of the Tinct. Senn. comp.
of our last Dispensatory. You must always put up four ounces
of the Mixture at once that it may be always well shaken in the
vial before pouring.


I formerly advised some Balsamum Copaiba for Miss M.
Peareth and to the quantity of fifthy or sixty drops I have frequently
found it keep the belly regular and if Miss Peareth remembers its
having that effect with her it may be tried again for that purpose


It is possible that you may have been or may be obbliged to
employ an opiate & in that case instead of Opium I would recom¬
mend the Extract. Hyosoyami because it has commonly a laxative
effect and by its use I have kept a Schirrouss neck of the bladder for
a long time very easy. This medicine may be used even during
the mercurial course but more certainly during the use of
Bristol Water, I dare Say the diet of Milk and farinacea I



[Page 3]

formerly recommended was very properly tried but I do not
remember to have any particular report of it in your or Mr
Inghams letters. I would not now insist on any strict course
of that kind but must Still think that any degree of full diet
must be very improper.


Please make my compliments to Mr Ingham and tell
him that I am much oblidged to him for his account of
Miss Clutterbuck, but I have not time now to say
any thing upon the subject but that with her
low diet I hope her health shall continue. -


I am with very great regard
Dear Sir
your most obedient Servant

William Cullen -

Edinburgh 12th April
1781

Diplomatic Text

[Page 1]

Mr Lambert C. Miss Peareths

Dear Sir


yours of the first came here on Monday
but my being in the country on tuesday and there being no post
yesterday has prevented my answering you till now


I am heartily concerned for Miss Mary Peareths distress and
the more so that I think it will be difficult to relieve it. I have no
dut doubt that there is, as you suspect, some schirrosity in the neck
of the bladder
or neighburing parts and that is always a difficult
disease. However the patient must not be deserted and I think
it may be very allowable now to try an alterative Mercurial
Curse
but I cannot promise so much upon it as to allow me to
advise its being pushed very far, and in that respect I shall --
think it ↑in↑ very good hands. If after a few weeks trial you shall
despair of its Success I would next advise a trial of the Hotwell
at Bristol which may be of Service and cannot possibly do harm
I must think that much uneasiness arise to Miss Peareth from
her costive habit & the only medicine for mending that which I can



[Page 2]

advise is the Oleum ricini which I dare say you have tried but
I will venture still to propose your trying it in small quantities
as that of three ↑or↑ four tea spoonfulls given three or four times in
one day, and if you try it in this way let me also propose your
always mixing with it one fourth part of the Tinct. Senn. comp.
of our last Dispensatory. You must always put up four ounces
of the Mixture at once that it may be always well shaken in the
vial before pouring.


I formerly advised some Balsamum Copaiba for Miss M.
Peareth and to the quantity of fifthy or sixty drops I have frequently
found it keep the belly regular and if Miss Peareth remembers its
having that effect with her it may be tried again for that purpose


It is possible that you may have been or may be obbliged to
employ an opiate & in that case instead of Opium I would recom¬
mend the Extract. Hyosoyami because it has commonly a laxative
effect and by its use I have kept a Schirrouss neck of the bladder for
a long time very easy. This medicine may be used even during
the mercurial course but more certainly during the use of
Bristol Water, I dare Say the diet of Milk and farinacea I



[Page 3]

formerly recommended was very properly tried but I do not
remember to have any particular report of it in your or Mr
Inghams letters. I would not now insist on any strict course
of that kind but must Still think that any degree of full diet
must be very improper.


Please make my compliments to Mr Ingham and tell
him that I am much oblidged to him for his account of
Miss Clutterbuck, but I have not time now to say
any thing upon the subject but that with her
low diet I hope her health shall continue. -


I am with very great regard
Dear Sir
your most obedient Servant

William Cullen -

Edinr. 12th April
1781

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