Cullen

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

 

[ID:1676] From: Dr Richard Dixon (Dickson) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr John Senhouse (Patient) / 20 May 1779 / (Incoming)

Letter from Richard Dixon concerning the case of John Senhouse who appears jaundiced.

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Metadata

FieldData
DOC ID 1676
RCPE Catalogue Number CUL/1/2/763
Main Language English
Document Direction Incoming
Date20 May 1779
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Richard Dixon concerning the case of John Senhouse who appears jaundiced.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1103]
Case of John Senhouse, Whitehaven, who has developed jaundice.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:2728]AuthorDr Richard Dixon (Dickson)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2761]PatientMr John Senhouse
[PERS ID:2728]Patient's Physician / Surgeon / ApothecaryDr Richard Dixon (Dickson)
[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 Whitehaven North-West England Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]
Whitehaven May 20th 1779
Sir


Mr John Senhouse, the
Gentleman who delivers this into your hands;
and for whom, your advice is desired; about eight
months since, was observed to decline in his health,
his appetite, which for some years, had not been
good, grew much worse
; he complained of great
sickness, reachings and flatulency, at the Stomach,
especially, towards morning; and soon after, the
colour of the skin, fæces, and urine, gave strong
suspicions, of obstructions forming, in the Liver,
and a jaundice taking place, in consequence
of such obstruction- To remove which, a variety
of medicines have been tryed; particularly , repea¬
ted gentle vomits of Ipecacuanha. Rhubarb with
the aperient salts, have been taken, occasionally,
in moderate doses - The resolvent Gums, with Saponis Veneti along with bitter Stomachic Infusions, were
used for a considerable time; and after that, a course
of the Salts of Absynthium, saturated with the Succus Limoni
was entered upon; and now, within these few days,



[Page 2]

he has begun to drink the Spa Water: Yet
altho the above, have been taken very regularly;
and a considerable reform made, in my patients
regimen, the Icteric Symptoms continue fixed,
and obstinate; and within the last six Weeks,
notwithstanding, the quantity of Urine discharged,
is in full proportion to the liquids taken in,
some appearances of Oedematous ↑swelling↑ in the Ankles
have taken place, towards nights; but which, upon
his going to bed, vanish before morning --


-- It may not be amiss to take notice, that my
patients is naturally of a robust, healthy con¬
stitution; has suffered no previous diseases,
deserving to be mentioned; that he is descended
from Ancestors, in no wise disposed to the Gout,
Dropsy, or any other chronical distemper, and
therefore, have some reason to suspect, that an
active publick life, which this Gentleman has
always been engaged in; and which, of course, carried
nim much into company, and indulgence over the
bottle, may have laid the foundation of his



[Page 3]

present complaint -- The above, Sir, is all
I can judge necessary, for your more particular
information, with regard, to the case of this
my most worthy friend and patient, whose
health and life, is of the greatest inportance,
to his family, friend,and neighbour -- What
directions you shall please to give us, {illeg}
will take care to see carried, punctually, into
execution, to which, I must sincerely wish
success; and am, with the greatest esteem,
and respect; Sir


Your most Obedient humble Servant
Richard Dixon


[q.v.?] Would you, at this good
Season of the Year, advise
my patient, to use any of
our mineral waters, to be drunk
at the Spring; and if advisable,
which would you prefer?




[Page 4]


Dr Dickson
Concerning Mr Senhouse
May 20th 1779
X p.5

Diplomatic Text

[Page 1]
Whitehaven May 20th 1779
Sir


Mr John Senhouse, the
Gentleman who delivers this into your hands;
and for whom, your advice is desired; about eight
months since, was observed to decline in his health,
his appetite, which for some years, had not been
good, grew much worse
; he complained of great
sickness, reachings and flatulency, at the Stomach,
especially, towards morning; and soon after, the
colour of the skin, fæces, and urine, gave strong
suspicions, of obstructions forming, in the Liver,
and a jaundice taking place, in consequence
of such obstruction- To remove which, a variety
of medicines have been tryed; particularly , repea¬
ted gentle vomits of Ipecacuanha. Rhubarb with
the aperient salts, have been taken, occasionally,
in moderate doses - The resolvent Gums, with Sapo
Venet
along with bitter Stomachic Infusions, were
used for a considerable time; and after that, a course
of the Sal. Absinthij., saturated with the Suc: Limon:
was entered upon; and now, within these few days,



[Page 2]

he has begun to drink the Spa Water: Yet
altho the above, have been taken very regularly;
and a considerable reform made, in my patients
regimen, the Icteric Symptoms continue fixed,
and obstinate; and within the last six Weeks,
notwithstanding, the quantity of Urine discharged,
is in full proportion to the liquids taken in,
some appearances of Oedematous ↑swelling↑ in the Ankles
have taken place, towards nights; but which, upon
his going to bed, vanish before morning --


-- It may not be amiss to take notice, that my
patients is naturally of a robust, healthy con¬
stitution; has suffered no previous diseases,
deserving to be mentioned; that he is descended
from Ancestors, in no wise disposed to the Gout,
Dropsy, or any other chronical distemper, and
therefore, have some reason to suspect, that an
active publick life, which this Gentleman has
always been engaged in; and which, of course, carried
nim much into company, and indulgence over the
bottle, may have laid the foundation of his



[Page 3]

present complaint -- The above, Sir, is all
I can judge necessary, for your more particular
information, with regard, to the case of this
my most worthy friend and patient, whose
health and life, is of the greatest inportance,
to his family, friend,and neighbour -- What
directions you shall please to give us, {illeg}
will take care to see carried, punctually, into
execution, to which, I must sincerely wish
success; and am, with the greatest esteem,
and respect; Sir


Yr most Obedt humb Sert
Richard Dixon


[q.v.?] Would you, at this good
Season of the Year, advise
my patient, to use any of
our mineral waters, to be drunk
at the Spring; and if advisable,
which would you prefer?




[Page 4]


Dr Dickson
C. Mr Senhouse
May 20th 1779
X p.5

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