The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4349] From: Dr William Cullen (Professor Cullen) / To: Mr Thomas Irwin (Irwine, at Moss Side) / Regarding: Mr Thomas Irwin (Irwine, at Moss Side) (Patient) / 15 December 1778 / (Outgoing)
Reply 'For Mr Irwin'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
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[Page 1]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4349 |
| RCPE Catalogue Number | CUL/1/1/11/87 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 15 December 1778 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mr Irwin' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:794] |
Case of Mr Thomas Irwin [Irwine] who suffers from swollen legs, itchiness and biliousness and which eventually proves fatal. |
18 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:889] | Addressee | Mr Thomas Irwin (Irwine, at Moss Side) |
| [PERS ID:889] | Patient | Mr Thomas Irwin (Irwine, at Moss Side) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 | Moss Side | Carlisle | North-West | England | Europe | inferred |
Normalized Text
For Mr Irwin
I regret the marks of increasing debility but do not
think they lead to any measures & particularly do not
think the edematous swellings of the legs should
give any alarm while the urine continued in its natu¬
ral state. A dose of Laudanum & larger than you
had employed would at times be very proper. From
the effect of cold in his extremities, I think much
caution necessary in going abroad at this season and
that it could not be practiced but by covering him well
to prevent the access of cold to either his feet or hands.
As the season has been very mild & going abroad
has such good effect on his spirits I cannot blame
his attempting it often with the precaution I
have mentioned & farther taking care that the
length of his journies be suited to his strength. With
respect to medicines I was of opinion it might be right
to intermit the mixture for a little that it might
have more effect when he returned to it again,
but taking care in the mean time that his belly be kept
regular by some other gentle laxative when necessary.
I still think the Saline mixture may be intermitted
for a week or two & in the mean time let him take the
following.
Take an ounce each of tincture of mars according to the Edinburgh Pharmacopoeia, and of aromatic tincture. Mix and label strengthening mixture 20 drops in a small glassful of tepid water twice in the forenoon & once towards the Evening.
I hope this may even have a good effect upon his itching &
with this medicine I should wish his diet a little more nou¬
rishing if his Stomach can be brought to admit of it easily.
An egg now & then will be particularly proper.
Diplomatic Text
For Mr Irwin
I regret the marks of increasing debility but do not
think they lead to any measures & particularly do not
think the edematous swellings of the legs should
give any alarm while the urine continued in its natu¬
ral state. A dose of Laudanum & larger than you
had employed would at times be very proper. From
the effect of cold in his extremities, I think much
caution necessary in going abroad at this season and
that it could not be practiced but by covering him well
to prevent the access of cold to either his feet or hands.
As the season has been very mild & going abroad
has such good effect on his spirits I cannot blame
his attempting it often with the precaution I
have mentioned & farther taking care that the
length of his journies be suited to his strength. With
respect to meds I was of opinion it might be right
to intermit the mixture for a little that it might
have more effect when he returned to it again,
but taking care in the mean time that his belly be kept
regular by some other gentle laxative when necessary.
I still think the Saline mixture may be intermitted
for a week or two & in the mean time let him take the
following.
℞ Tinct. mart. Ph. Ed. Tinct. aromat. @ ℥j ℳ. Segna Streng¬
thening mixture 20 drops in a small glassful of tepid wa¬
ter twice in the forenoon & once towards the Evening.
I hope this may even have a good effect upon his itching &
with this medicine I should wish his diet a little more nou¬
rishing if his Stomach can be brought to admit of it easily.
An egg now & then will be particularly proper.
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