Cullen

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

 

[ID:4120] From: Dr William Cullen (Professor Cullen) / To: Dr John Gilchrist (of Speddoch) / Regarding: Mrs Gordon (Patient) / 26 August 1777 / (Outgoing)

Reply, 'Dr Gilchrist C[oncerning] Mrs Gordon'

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4120
RCPE Catalogue Number CUL/1/1/9/93
Main Language English
Document Direction Outgoing
Date26 August 1777
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Dr Gilchrist C[oncerning] Mrs Gordon'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:136]
Case of James Hay, 15th Earl of Erroll who is thought to have a gouty knee and stomach.
13
[Case ID:811]
Case of Mrs Gordon who has a serious 'visceral obstruction' which Cullen thinks may be a tumour, ovarian in origin.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:115]AddresseeDr John Gilchrist (of Speddoch)
[PERS ID:1316]PatientMrs Gordon (of Craigmil(?))
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:115]Patient's Physician / Surgeon / ApothecaryDr John Gilchrist (of Speddoch)

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 Dumfries Borders Scotland Europe inferred

Normalized Text

[Page 1]
Dr Gilchrist Concerning Mrs Gordon


I have the same opinion as before, of Mrs Gordons Case
& I should not more than you have thought of the remedy of
blood letting, but as the tumour of the Abdomen, probably presses
on the great Vessels, in the Abdomen, this may occasion a full¬
ness & distension elsewhere, which may be somewhat relieved by
bloodletting & therefore if the Asthma becomes very urgent; you
must yield to her sollicitation & take a little blood, but in mode¬
rate quantity. I am sorry the Anodyne does not now procure Sleep
but if there is no other objection to it, I think it {illeg} to loose



[Page 2]

the use of that [palliative?], & would try what increasing the
Dose would do. Tho' I cannot expect much from it, I see
no harm in continuing the Cicuta. Squills & Calomel I cannot
speak of, in the same manner, they may be given up, but if
the Opiate is continued & even whether or not a Laxative will
be frequently necessary & considering the disorder which the
Stomach is lible I would propose Magnesia with a
small proportion of Rhubarb rather than any thing else.
If she does not answer, try the Pul: Jallap. Comp: with
an addition of Cream of Tartar & Manna as you shall see
proper. You judge right taht the stoppage is owing to
the Prolapsus, which she has neglected longer than you
know, so nothing but putting up or suspending the Uterus
can give relief. --

August 26 1777 -
W C ------

Diplomatic Text

[Page 1]
Dr Gilchrist C Mrs Gordon


I have the same opinion as before, of Mrs Gordons Case
& I should not more than you have thought of the remedy of
blood letting, but as the tumour of the Abdomen, probably presses
on the great Vessels, in the Abdomen, this may occasion a full¬
ness & distension elsewhere, which may be somewhat relieved by
bloodletting & therefore if the Asthma becomes very urgent; you
must yield to her sollicitation & take a little blood, but in mode¬
rate quantity. I am sorry the Anodyne does not now procure Sleep
but if there is no other objection to it, I think it {illeg} to loose



[Page 2]

the use of that [palliative?], & would try what increasing the
Dose would do. Tho' I cannot expect much from it, I see
no harm in continuing the Cicuta. Squills & Calomel I cannot
speak of, in the same manner, they may be given up, but if
the Opiate is continued & even whether or not a Laxative will
be frequently necessary & considering the disorder which the
Stomach is lible I would propose Magnesia with a
small proportion of Rhubarb rather than any thing else.
If she does not answer, try the Pul: Jallap. Comp: with
an addition of Cream of Tartar & Manna as you shall see
proper. You judge right taht the stoppage is owing to
the Prolapsus, which she has neglected longer than you
know, so nothing but putting up or suspending the Uterus
can give relief. --

Aug 26 1777 -
W C ------

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