Cullen

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

 

[ID:4182] From: Dr William Cullen (Professor Cullen) / To: Mr William Home / Regarding: Mr Heriot (of Ladykirk) (Patient) / 30? October? 1777? / (Outgoing)

Reply, 'Mr W Home Surgeon at Mr Heriots Ladykirk by Berwick'

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Metadata

FieldData
DOC ID 4182
RCPE Catalogue Number CUL/1/1/10/39
Main Language English
Document Direction Outgoing
Date30? October? 1777?
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr W Home Surgeon at Mr Heriots Ladykirk by Berwick'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:890]
Case of the aged Mr Heriot at Ladykirk who is lethargic and has a weak bladder; he then develops a fever which proves fatal.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2139]AddresseeMr William Home
[PERS ID:2138]PatientMr Heriot (of Ladykirk)
[PERS ID:2139]Patient's Physician / Surgeon / ApothecaryMr William Home
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

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 Ladykirk Borders Scotland Europe certain
Mentioned / Other Berwick-upon-Tweed (Berwick) North-East England Europe certain

Normalized Text

[Page 1]
Mr W Home Surgeon at Mr Heriots Ladykirk by Berwick


At 77 every disease must be difficult but is not certainly
desperate & I hope Mr Heriot may yet be relieved. A blis¬
ter
put between his shoulder the seat of his former pains
may both relieve his lethargic dispositions & the frequen¬
cy of making water
. The last as well as as his general
weakness may require some further assistance &
am sorry to find that he did not quite agree with the bark
tho' I can hardly believe that it increased his pains I can
But the pains being gone there cannot be the same objec¬
tions to it now, (and I would have him try it again in the
formula ordered below which will make a smaller quan¬
tity go further in strengthening him. I think a little wine
is very proper but cannot easily determine the proper
quantity without knowing his former habits & consti¬
tution with respect to strong drink. If he has been
strong in that re↑s↑pect two bottles in 3 days may not
be too much but if otherwise I should think a much¬
kin every day may be enough. The white mustard
is a very proper medicine for him it generally serves
the purpose of keeping the belly regular which
I think is a very necessary measure in Mr He¬
riot's case & you are therefore right in supplying the
deficiency so far as necessary. I have only to add that if
Mr Heriot's weakness will admit of it he will be the better
of some exercise abroad in the fresh air. However after
this time of year some choice must be made of the
weather & the only exercise that I can advise or think
safe is his travelling in a single horse chair.

Take one ounce of powdered Peruvian bark half an ounce of valerian silvestris root, one drachm of cinnamon, two drachms of prepared Iron Filings, one ounce of Conserve of rose and a sufficient quantity of simple Syrup to make an Electuary. Label: strengthening Electuary the bigness of a mutchness to be taken twice a day.

Diplomatic Text

[Page 1]
Mr W Home Surgeon at Mr Heriots Ladykirk by Berwick


At 77 every disease must be difficult but is not certainly
desperate & I hope Mr Heriot may yet be relieved. A blis¬
ter
put between his shoulder the seat of his former pains
may both relieve his lethargic dispositions & the frequen¬
cy of making water
. The last as well as as his general
weakness may require some further assistance &
am sorry to find that he did not quite agree with the bark
tho' I can hardly believe that it increased his pains I can
But the pains being gone there cannot be the same objec¬
tions to it now, (and I would have him try it again in ye
formula ordered below which will make a smaller quan¬
tity go further in strengthening him. I think a little wine
is very proper but cannot easily determine the proper
quantity without knowing his former habits & consti¬
tution with respect to strong drink. If he has been
strong in that re↑s↑pect two bottles in 3 days may not
be too much but if otherwise I should think a much¬
kin every day may be enough. The white mustard
is a very proper medicine for him it generally serves
the purpose of keeping the belly regular which
I think is a very necessary measure in Mr He¬
riot's case & you are therefore right in supplying the
deficiency so far as necessary. I have only to add that if
Mr Heriot's weakness will admit of it he will be the better
of some exercise abroad in the fresh air. However after
this time of year some choice must be made of the
weather & the only exercise that I can advise or think
safe is his travelling in a single horse chair.


℞ P: cort. Per: ℥j rad. valerian. silv. ℥ſs. cinnam. ʒj Limat
Mart.
ppt ʒij Cons. rosar. ℥j Syr. simpl. q.s. ut. f. Elec.
S. strengthening Electuary the bigness of a mutchness to be taken
twice a day.

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