Cullen

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

 

[ID:142] From: Dr William Cullen (Professor Cullen) / To: Dr James Hamilton / Regarding: Mr MacNab (Patient), Mr Anderson (Patient) / 9 June 1781 / (Outgoing)

Letter to Dr James Hamilton concerning Mr McNab at Dunbar giving directions for an injection for his ulcerated ear and also with advice on his stomach complaints and 'rheumatic affection'.

Facsimile

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 142
RCPE Catalogue Number CUL/1/1/14/28
Main Language English
Document Direction Outgoing
Date9 June 1781
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Letter to Dr James Hamilton concerning Mr McNab at Dunbar giving directions for an injection for his ulcerated ear and also with advice on his stomach complaints and 'rheumatic affection'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1357]
Case of Mr McNab who has a stomach complaint and ulcerated ear.
3
[Case ID:2460]
Case of Mr Anderson, a patient of Dr James Hamilton.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:812]AddresseeDr James Hamilton
[PERS ID:105]PatientMr MacNab
[PERS ID:3226]PatientMr Anderson
[PERS ID:812]Patient's Physician / Surgeon / ApothecaryDr James Hamilton
[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 Dunbar Borders Scotland Europe inferred

Normalized Text

[Page 1]
Dear Dr.


When I came home on Wednesday
I found your letter concerning Mr Macnab but did not answer
it immediately because I expected a letter either yesterday or this day
concerning Mr Anderson & might write you once for all. However
as I find no letter yet on the latter subject I will no longer delay
writing for Mr Macnab. For such an ulcer of the internal ear
as he has, I have found nothing answer so well as a Solution of Cor¬
rosive
thrown in twice a day. I begin with a quarter of a grain
to the ounce of distilled water and if that smarts a little I don't
increase it, but if it does ↑not↑ smart I increase to half a grain or even
a whole one. On the other hand if the quarter of a grain smarts
very much I diminish even that. In the intervals of injection
the ear must be always closely shut up. I have commonly found
that the Injection mends and diminishes the discharge and when
it does not answer these purposes in a week or two I do not persist
in it. For the complaints of his stomach and some
rheumatic affection which he complained of and which I imputed
to cold let him try the following



[Page 2]

Take two drachms each of Gum Guiaicum and very hard white sugar. Crush well into a powder, to which add an ounce and a half of Mucilage of thick gum Arabic. Crush again and little by little soak in three ounces each of simple cinnamon water and peppermint water, half an ounce of aromatic tincture, an ounce of simple syrup and two grams of Tartar emetic. Mix and labelDiaphoretic Mixture, a tablespoonful to be taken every night at bedtime, shaking the phial always very well before pouring out.


This Mixture should keep the belly re¬
gular without purging and if it does either more or less the
dose may be diminished or increased.


If he complains much of flatulency indigestion or want
of appetite
you may give him some Tincture of Bark to be
taken but a spoonfull with two or three spoonfulls of water an
hour before dinner & supper.


With these medicines let him ride as often as he conveni¬
ently can taking care at all times to avoid cold and let him
be very moderate both in eating and drinking and especially
in the latter. Hoping to hear good accounts of Mr Anderson I
am very sincerely

Dear James yours &
Wm Cullen

Edinburgh 9th June
1781

Diplomatic Text

[Page 1]
Dear Dr.


When I came home on Wednesday
I found your letter concerning Mr Macnab but did not answer
it immediately because I expected a letter either yesterday or this day
concerning Mr Anderson & might write you once for all. However
as I find no letter yet on the latter subject I will no longer delay
writing for Mr Macnab. For such an ulcer of the internal ear
as he has, I have found nothing answer so well as a Solution of Cor¬
rosive
thrown in twice a day. I begin with a quarter of a grain
to the ounce of distilled water and if that smarts a little I don't
increase it, but if it does ↑not↑ smart I increase to half a grain or even
a whole one. On the other hand if the quarter of a grain smarts
very much I diminish even that. In the intervals of injection
the ear must be always closely shut up. I have commonly found
that the Injection mends and diminishes the discharge and when
it does not answer these purposes in a week or two I do not persist
in it. For the complaints of his stomach and some
rheumatic affection which he complained of and which I imputed
to cold let him try the following



[Page 2]


Gum. guajac. Sacchar. alb. duriss. @ Ʒij Terito simul in
pulverem cui adde Mucilag. G. Arab. crass. ℥jβ. Terito iterum
et paulatim affunde Aq. cinnam. simpl. Aq. menth. piper. @ ℥iij
Tinct. aromat. ℥ſs Syr. simpl. ℥j Tartar. emetic. gr. ij. ℳ.
Sig. Diaphoretic Mixture a table spoonfull to be taken every -
night at bedtime, shaking the phial always very well before pou¬
ring out.


This Mixture should keep the belly re¬
gular without purging and if it does either more or less the
dose may be diminished or increased.


If he complains much of flatulency indigestion or want
of appetite
you may give him some Tincture of Bark to be
taken but a spoonfull with two or three spoonfulls of water an
hour before dinner & supper.


With these medicines let him ride as often as he conveni¬
ently can taking care at all times to avoid cold and let him
be very moderate both in eating and drinking and especially
in the latter. Hoping to hear good accounts of Mr Anderson I
am very sincerely

Dear James yours &
Wm Cullen

Edinr. 9th June
1781

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