The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:187] From: Dr William Cullen (Professor Cullen) / To: Dr John Bate / Regarding: Mr Grant (of Montrose) (Patient) / 25 August 1781 / (Outgoing)
Reply with directions for Mr Grant in Montrose, regarding his ascites and tympany, probably for John Bate.
- 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 | 187 |
| RCPE Catalogue Number | CUL/1/1/14/73 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 25 August 1781 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | Enclosure(s) present |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply with directions for Mr Grant in Montrose, regarding his ascites and tympany, probably for John Bate. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:2480] |
Case of a Mr Grant (of Montrose) who may have gravel and an abdominal complaint, diagnosed as 'tympanic'. |
3 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:3945] | Addressee | Dr John Bate |
| [PERS ID:160] | Patient | Mr Grant (of Montrose) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:3945] | Patient's Physician / Surgeon / Apothecary | Dr John Bate |
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 | Montrose | East Highlands | Scotland | Europe | inferred |
Normalized Text
For Mr Grant
It is common enough for Ascitic and Tympanitic
complaints to be joined together and that too in different
proportion. It appears clearly to me that in Mr Grants
case the tympanitic affection prevails very much and
nothing else can account for the sudden changes that
happen in the state of his swelling.
The tympanitic affection commonly depends upon
a great laxity of the intestines and to remedy this
I would have Mr Grant try the strengthening Electu¬
ary prescribed on the other page.
Tho he has had little benefit by the many purga¬
tives he has employed yet they are absolutely neces¬
sary to a certain degree and I am well perswaded that
if these had been omitted he would have been still
worse than he is and tho they have not taken ↑down↑ his
swelling they have at least kept it from increasing.
I am therefore of opinion that some purgative
[Page 2]
is still to be continued an on the other page I have
prescribed one which I have often found usefull in
discharging wind. It is to be given every second or
third day as shall be found necessary but the Electuary
is to be omitted in the morning & forenoon of these
day on which he takes the Oil.
The Regimen formerly advised is to be continued
avoiding carefully all flatulent food.
The Riding should certainly be continued as
long as he is able for it.
1781
[Page 3]
For Mr Grant
Take an ounce of ground Peruvian Bark, two drachms of prepared Powdered Steel, a drachm each of ground Cinnamon and grated Nutmeg, and ounce of Orange Peel Conserve, and enough Simple Syrup to make an Electuary. Label: strengthening Electuary the bigness of a nutmeg to be taken three times a day washing it down with a cup of Juniper tea with a sixth part of good Dutch Gin in it
Take two ounces each of best Castor Oil and the Edinburgh Pharmacopœia's Composite Senna Tincture. Mix. Label: Laxative Oil a table spoonfull or two to be taken in the morning every second or third day. Shaking the phial always very well before pouring out.
1781
Diplomatic Text
For Mr Grant
It is common enough for Ascitic and Tympanitic
complaints to be joined together and that too in different
proportion. It appears clearly to me that in Mr Grants
case the tympanitic affection prevails very much and
nothing else can account for the sudden changes that
happen in the state of his swelling.
The tympanitic affection commonly depends upon
a great laxity of the intestines and to remedy this
I would have Mr Grant try the strengthening Electu¬
ary prescribed on the other page.
Tho he has had little benefit by the many purga¬
tives he has employed yet they are absolutely neces¬
sary to a certain degree and I am well perswaded that
if these had been omitted he would have been still
worse than he is and tho they have not taken ↑down↑ his
swelling they have at least kept it from increasing.
I am therefore of opinion that some purgative
[Page 2]
is still to be continued an on the other page I have
prescribed one which I have often found usefull in
discharging wind. It is to be given every second or
third day as shall be found necessary but the Electuary
is to be omitted in the morning & forenoon of these
day on which he takes the Oil.
The Regimen formerly advised is to be continued
avoiding carefully all flatulent food.
The Riding should certainly be continued as
long as he is able for it.
1781
[Page 3]
For Mr Grant
℞ pulv. cort. Peruvian. ℥j
Limatur. Mart. ppt. ʒij
Cinnamom. pulv.
Nuc. Moschat. ras. @ ʒj
Cons. e cort. aurantior. ℥j
Syr. Simpl. q. s. ut f. Electuarium
Sig. strengthening Electuary the bigness of a nutmeg
to be taken three times a day washing it down
with a cup of Juniper tea with a sixth part of good
Dutch Gin in it
℞ Ol. ricin. opt.
Tinct. Senn. comp. Ph. Ed. @ ℥ij
ℳ. Sig. Laxative Oil a table spoonfull or two to be taken
in the morning every second or third day. Shaking the
phial always very well before pouring out.
1781
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