The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3994] From: Dr William Cullen (Professor Cullen) / To: Dr John Mudie (Moodie) / Regarding: Anonymous (Patient) / 6 February 1777 / (Outgoing)
Reply, 'Dr Mudie C[oncerning] a Lady'. Cullen now believes that the patient's principal ailment is rectal, perhaps 'schirrous', and that this 'has a considerable influence on the affection of the head'. He suggests laxatives and topical application of a mercury ointment, advising Mudie on the composition. He asks Mudie if he has tried the fresh blister or camphor he previously suggested.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 3994 |
| RCPE Catalogue Number | CUL/1/1/8/106 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 6 February 1777 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, 'Dr Mudie C[oncerning] a Lady'. Cullen now believes that the patient's principal ailment is rectal, perhaps 'schirrous', and that this 'has a considerable influence on the affection of the head'. He suggests laxatives and topical application of a mercury ointment, advising Mudie on the composition. He asks Mudie if he has tried the fresh blister or camphor he previously suggested. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:562] |
Case of an unnamed female patient, aged forty-nine, with various symptoms, including bouts of delirious speech, partly associated with a cessation of her menses, but she also has blind piles and toothache. |
4 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1646] | Addressee | Dr John Mudie (Moodie) |
| [PERS ID:1647] | Patient | |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:1646] | Patient's Physician / Surgeon / Apothecary | Dr John Mudie (Moodie) |
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
Dr Mudie Concerning a Lady. vid. p. 104.
Sorry we have had so little success. Now fully persuaded
that her principal ailment is a topical affection near the extremi¬
ty of the Rectum and it appears that the state of this has a
considerable influence on the affection of the head . Our attention
must be therefore, chiefly to the Rectum & in the first place,
Laxatives must be constantly employed. All must be liable
to irritate & we must give the mildest. None of those I formerly
proposed seem to be proper. If the fl. sulph. which you are now em¬
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ploying answer the purpose, it is well and I would employ no
other; but if you find it proper to employ another let it be
the Oleum ricini, well mixed with a little rum to make it sit
well on the Stomach. I am not positive about the affection
of the Rectum but suppose it schirrous, perhaps ulcerated &
at least excoriated & for that I would anoint the Anus with
a little mercury ointment & if possible introduce a little. Let
the ointment be prepared with suet & axunge alone & to the ordinary
ointment of the Dispensary add equal part of Axunge & let
this weak ointment be used first & I allow you to take it
stronger if you see cause, safety & cc. I am persuaded that
if a little of this or a mild oil could be introduced at going
to bed it might obviate her distress. Tho this attention to
the Rectum neglect not the head. You have not told me if
you tried the fresh blister or the camphire as I advised before.
Diplomatic Text
Dr Mudie C. a Lady. vid. p. 104.
Sorry we have had so little success. Now fully persuaded
that her principal ailment is a topical affection near the extremi¬
ty of the Rectum and it appears that the state of this has a
considerable influence on the affection of the head . Our attention
must be therefore, chiefly to the Rectum & in the first place,
Laxatives must be constantly employed. All must be liable
to irritate & we must give the mildest. None of those I formerly
proposed seem to be proper. If the fl. sulph. wc you are now em¬
[Page 2]
ploying answer the purpose, it is well and I would employ no
other; but if you find it proper to employ another let it be
the Oleum ricini, well mixed w a little rum to make it sit
well on the Stomach. I am not positive about the affection
of the Rectum but suppose it schirrous, perhaps ulcerated &
at least excoriated & for that I would anoint the Anus with
a little ☿ ointment & if possible introduce a little. Let
the ointmt be prepared w suet & axunge alone & to ye ordinary
ointmt. of the Dispens. add equal part of Axunge & let
this weak ointmt be used first & I allow you to take it
stronger if you see cause, safety & cc. I am persuaded that
if a little of this or a mild oil could be introduced at going
to bed it might obviate her distress. Tho this attention to
the Rectum neglect not the head. You have not told me if
you tried the fresh blister or ye camphire as I advised before.
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