The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1678] Case Note / Regarding: Mr Fraser (of Gortbeg) (Patient) / 24 May 1779 / (Incoming)
Originally described as 'Directions for Mr Fraser of Gortabeg', but this is a case note probably sent as an enclosure (in handwriting of Dr John Alves who in ID1683 mentions laying a 'case' before Wc a week earlier), with a recipe written on the blank space by WC or his assistant.
- 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 | 1678 |
| RCPE Catalogue Number | CUL/1/2/765 |
| Main Language | English |
| Document Direction | Incoming |
| Date | 24 May 1779 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Originally described as 'Directions for Mr Fraser of Gortabeg', but this is a case note probably sent as an enclosure (in handwriting of Dr John Alves who in ID1683 mentions laying a 'case' before Wc a week earlier), with a recipe written on the blank space by WC or his assistant. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:980] |
Case of Mr Fraser of Gortubeg who has a tumour on his lip. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:148] | Author | Dr John Alves |
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:3319] | Patient | Mr Fraser (of Gortbeg) |
| [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 |
|---|---|---|---|---|---|---|
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | certain |
Normalized Text
A Gentleman Aged 81 years has for some Years
had an Excrescence on his under lip, which
bled easily upon being rub'd or [hust?], had
Some flying pains in it & a hard root,
from which it was Suppos'd to be of
the Carcinomatous kind, & in a man of his
very advanced age with the Infirmities, which
naturaly attend it, it was not judged adviseable
to use any other remedy than Palliatives.
The Tumour has been gradually increasing in
size, ↑&↑ [now?] spreads, (as indeed it did less or more
from the beginning) over the whole lip. It has been
generally covered with a Scably crust, from under
which some Matter could be press'd out oc¬
casionally. The hardness is now [come?] much lower
& to one Side & the Size of the Tumour so
large as to prevent his Using his ordinary
[Page 2]
food with ease. He is nearl (↑considerably↑) emaciated & [en¬
feebled?] of late, and tho' much cannot be
expected from the best Assistance in such a
case, yet the anxiety & uneasiness of his
friends will be somewhat Aleviated by
having recourse to the ablest advice they can
procure.
For the above patient
Take half an ounce of dried leaves of water trefoil and one and a half pounds of boiling water. Let it digest for two hours and add to the strained liquid two ounces of peruvian Bark Tincture. Label Aperient Tincture; four tablespoons to be taken two or three times a day.
Take half a drachms of belladonna leaves and six ounces of boiling water. Let it digest for one night, and add to the strained liquid half a drachm of Sugar of Lead. Label as Antiseptic Tincture for touching the part affected two or three times a day.
W.C.
[Page 3]
✍
Fraser of Gortubeg
Answered
May 24 1779
Diplomatic Text
A Gentleman Aged 81 ys. has for some Years
had an Excrescence on his under lip, which
bled easily upon being rub'd or [hust?], had
Some flying pains in it & a hard root,
from which it was Suppos'd to be of
the Carcinomatous kind, & in a man of his
very advanced age with the Infirmities, which
naturaly attend it, it was not judged adviseable
to use any other remedy than Palliatives.
The Tumour has been gradually increasing in
size, ↑&↑ [now?] spreads, (as indeed it did less or more
from the beginning) over the whole lip. It has been
generally covered with a Scably crust, from under
which some Matter could be press'd out oc¬
casionally. The hardness is now [come?] much lower
& to one Side & the Size of the Tumour so
large as to prevent his Using his ordinary
[Page 2]
food with ease. He is nearl (↑considerably↑) emaciated & [en¬
feebled?] of late, and tho' much cannot be
expected from the best Assistance in such a
case, yet the anxiety & uneasiness of his
friends will be somewhat Aleviated by
having recourse to the ablest advice they can
procure.
For the above patient
℞ fol. trifol. aquat. siccat. ℥fs
Aq. bullient. ℔jβ
Digere horas duas et colaturæ adde
Tinct. cort. Peruv. ℥ij
Sig. Aperient Tincture four tablespoonfulls to be
taken two or three times a day
℞ fol. belladonn. ʒfs
Aq. bullient. ℥vi
Digere per noctem et colatura adde
Sacchar. Saturn. ʒfs
Sig. Antiseptic Tincture for touching the part affected
two or three times a day.
W.C.
[Page 3]
✍
Fraser of Gortubeg
Answered
May 24 1779
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