Cullen

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

 

[ID:3980] From: Dr William Cullen (Professor Cullen) / To: Mr William Turnbull / Regarding: Reverend Cuthbert Allen (Allan; of Wooler) (Patient) / 12 January 1777 / (Outgoing)

Reply to Dr Turnbull following-up on the case of Mr Allen which Cullen suspects to be dropsy after all.

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Metadata

FieldData
DOC ID 3980
RCPE Catalogue Number CUL/1/1/8/92
Main Language English
Document Direction Outgoing
Date12 January 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply to Dr Turnbull following-up on the case of Mr Allen which Cullen suspects to be dropsy after all.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1]
Case of the Reverend Mr Cuthbert Allen of Wooler, suffering from consumption, and later anasarca and a hernia to his scrotum.
8


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2837]AddresseeMr William Turnbull
[PERS ID:1310]PatientReverend Cuthbert Allen (Allan; of Wooler)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2837]Patient's Physician / Surgeon / ApothecaryMr William Turnbull

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Wooler North-East England Europe inferred

Normalized Text

[Page 1]
Turnbull Concerning Mr Allen.


Cannot agree with you that there is no dropsical diathesis.
I am afraid that not only in his limbs but also in his
Thorax there is water. However upon either of our suppositions
the scarcity of urine will appear, & must be restored.
The Lixivium often effectual, & tho not so in the last
instance, should be continued. but instead of the Decoct.
Bard.
employ a Decoct. of the wild Carrotseed, an ounce
of the seed to every lb.ij of the Decoction. Besides these
I would employ another, i.e. Calomel & dried squills which
I think more powerful than the Pil. Scillit. Ph. Ed. 1 Take
care that the squills be well dried, & the dose should be as much
as the Stomach will bear without vomiting & with this the Calo¬
mel
must be from gr. j to iij or sufficient a dose as you may con¬
tinue for some time without its coming to the mouth. The dose
of Calom. & Sq. should be given at bedtime when he will been
more of the Sq. than at any other time. For 2 hours before
taking it he should not have taken any of the Lixivium.
If his Stomach can bear so much Calom. & Squills as to keep his
belly open he needs no other Laxative, but if not, he should
every morning take from ʒij to iv of the Cr. of Tart. mixed
with Simple Syrup. If you have the command of his belly you
may procure him better rest, by an opiate at bedtime &
which will not interfere with the Calom. & Sq. but must be taken
at the same time. I would apply a blister between his
shoulders, for his breast & would not let it lye so long as
to endanger Strangury. I would {illeg} apply me with a view
to the Kidnies.

Edinburgh January 12. 1777
W.C.

Notes:

1: While the revised Pharmacopoeia Collegii Regii Medicorum Edinburgensis (Edinburgh: 1774), to which Cullen usually refers by this date, does not include a recipe for employing Squills in pill form, such a recipe is found in the earlier 1754 edition (p. 119).

Diplomatic Text

[Page 1]
Turnbull C. Mr Allen.


Cannot agree w- you that there is no dropsical diathesis.
I am afraid that not only in his limbs but also in his
Thorax there is water. However upon either of our suppositions
the scarcity of urine will appear, & must be restored.
The Lixivium often effectual, & tho not so in the last
instance, should be continued. but instead of the Decoct.
Bard.
employ a Decoct. of the wild Carrotseed, an ounce
of the seed to every lb.ij of the Decoction. Besides these
I would employ another, i.e. Calomel & dried squills wc
I think more powerful yn ye Pil. Scillit. Ph. Ed. 1 Take
care yt ye squills be well dried, & the dose should be as mc
as ye Stom. will bear w-out vomiting & with this the Calo¬
mel
m.b. from gr. j to iij or sc a dose as you may con¬
tinue for some time w-out its coming to the mouth. The dose
of Calom. & Sq. shd be given at bedtime wn he will been
more of the Sq. yn at any other time. For 2 hours before
takg it he should not have taken any of the Lixivium.
If his Stom. can bear so mc Calom. & Squills as to keep his
belly open he needs no other Laxative, but if not, he should
every morning take from ʒij to iv of the Cr. of Tart. mixed
w- Simple Syrup. If you have the command of his belly you
may procure him better rest, by an opiate at bedtime &
which will not interfere w- the Calom. & Sq. but m.b. taken
at ye same time. I would apply a blister between his
shoulders, for his breast & would not let it lye so long as
to endanger Strangury. I would {illeg} apply me w a view
to the Kidnies.

Edr. Jany. 12. 1777
W.C.

Notes:

1: While the revised Pharmacopoeia Collegii Regii Medicorum Edinburgensis (Edinburgh: 1774), to which Cullen usually refers by this date, does not include a recipe for employing Squills in pill form, such a recipe is found in the earlier 1754 edition (p. 119).

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