The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:44] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Mr Everson (Patient) / 27 December 1768 / (Outgoing)
Reply 'For Mr Everson'
- 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 | 44 |
| RCPE Catalogue Number | CUL/1/1/1/39 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 27 December 1768 |
| 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 'For Mr Everson' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:46] |
Case of Mr Everson with jaundice. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1186] | Addressee | |
| [PERS ID:23] | Patient | Mr Everson |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:1186] | Patient's Physician / Surgeon / Apothecary |
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 |
Normalized Text
For Mr Everson
Your good opinion does me a great deal of honour & I should
be very happy to support it & at the same time gratify this Inclination
I have to oblige you ~
You have given me at present given a very difficult Case
When ever a Jaundice lasts for any length of time it must be an
obst↑i↑nate disease. If it is owing to Biliary Stones as most commonly
their remaini↑n↑g long in the duct shews that either that on account of their
large Sise or of some insuperable constriction in the Duct, they
cannot pass & must therefore give an incurable Disease or if the
obstruction of the Duct is owing to any tumour in themselves or
in the neighbouring parts such as tumours generally found to be of the
Schirrous kind and very seldom to be capable of resolution. As you
mention no Symptoms accompanying the Jaundice in the present
case you afford me no means of judging what may be the particular
cause of it. The only Symptoms you mention are the Slight
Shiverings & some degree of fever that have of late appeared & they are
very unfavourable as they give some suspicion of some Supperation for¬
ming. The Physician judged well in letting blood & from the effects
of that & the state of the pulse or other Symptoms a person on the Spot
must judge of the propriety of repeating the blooding but so far as I can judge
I shall expect nothing from it. [Alterrants?] may be very proper but
what particular medicines you comprehend under that general title I
cannot excatly judge & therefore cannot certa↑i↑nly approve or dissaprove
[Page 2]
If the Doses of Calomel & purgatives have good effects I shall
make no objection but I suspect [they?] may do mischief especially if any
fever has arisen. If there is no fever I think an Alternative Mercurial
Course the most probable remedy for your Patient & it must be continued
for a long time; but if there is any fever I shall not think it safe.
In the case of fever or feverish disposition I would advise the MilliPede
made into Pills with Spanish Soap & these washed down with a
Solution of Sal Dieretius or as we call it Regenerated Tartar &
if these Medicines do not keep his belly regular soluble the should
be assisted with some other gentle Laxative. I am sorry I cannot
propose any more powerfull remedies but we must always take
care to do no harm & I think we may readily do mischief by
urging very fixed obsructions by violent Remedies. I shall be
glad to find that what I have said can be of use to Mr Everson or
agreable to you & upon further Information I shall be glad to
add what I can but if you write me again I must desire you
to be much more full & particular with respect to every circum¬
stance of the Case.
I am with great regard.
Yours
Diplomatic Text
For Mr Everson
Your good opinion does me a great deal of honour & I should
be very happy to support it & at the same time gratify this Inclination
I have to oblige you ~
You have given me at present given a very difficult Case
When ever a Jaundice lasts for any length of time it must be an
obst↑i↑nate disease. If it is owing to Biliary Stones as most commonly
their remaini↑n↑g long in the duct shews that either that on account of their
large Sise or of some insuperable constriction in the Duct, they
cannot pass & must therefore give an incurable Disease or if the
obstruction of the Duct is owing to any tumour in themselves or
in the neighbouring parts such as tumours generally found to be of the
Schirrous kind and very seldom to be capable of resolution. As you
mention no Symptoms accompanying the Jaundice in the present
case you afford me no means of judging what may be the particular
cause of it. The only Symptoms you mention are the Slight
Shiverings & some degree of fever that have of late appeared & they are
very unfavourable as they give some suspicion of some Supperation for¬
ming. The Physician judged well in letting blood & from the effects
of that & the state of the pulse or other Symptoms a person on the Spot
must judge of the propriety of repeating the blooding but so far as I can judge
I shall expect nothing from it. [Alterrants?] may be very proper but
what particular medicines you comprehend under that general title I
cannot excatly judge & therefore cannot certa↑i↑nly approve or dissaprove
[Page 2]
If the Doses of Calomel & purgatives have good effects I shall
make no objection but I suspect [they?] may do mischief especially if any
fever has arisen. If there is no fever I think an Alternative Mercurial
Course the most probable remedy for your Patient & it must be continued
for a long time; but if there is any fever I shall not think it safe.
In the case of fever or feverish disposition I would advise the MilliPede
made into Pills with Spanish Soap & these washed down with a
Solution of Sal Dieretius or as we call it Regenerated Tartar &
if these Medicines do not keep his belly regular soluble the should
be assisted with some other gentle Laxative. I am sorry I cannot
propose any more powerfull remedies but we must always take
care to do no harm & I think we may readily do mischief by
urging very fixed obsructions by violent Remedies. I shall be
glad to find that what I have said can be of use to Mr Everson or
agreable to you & upon further Information I shall be glad to
add what I can but if you write me again I must desire you
to be much more full & particular with respect to every circum¬
stance of the Case.
I am with great regard.
Yours
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