Cullen

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

 

[ID:4502] From: Dr William Cullen (Professor Cullen) / To: Dr William Wilson / Regarding: Mr J Tucker (of Greenock) (Patient) / 4 September 1779 / (Outgoing)

Reply, 'Mr Wm. Wilson C[oncerning] Mr Tucker'

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Metadata

FieldData
DOC ID 4502
RCPE Catalogue Number CUL/1/1/12/69
Main Language English
Document Direction Outgoing
Date4 September 1779
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Wm. Wilson C[oncerning] Mr Tucker'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1194]
Case of Mr J. Tucker, an American-born Greenock merchant who has gradually displayed signs of madness and had to be confined.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:132]AddresseeDr William Wilson
[PERS ID:2958]PatientMr J Tucker (of Greenock)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:132]Patient's Physician / Surgeon / ApothecaryDr William Wilson

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 Greenock Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
Mr Wm. Wilson Concerning Mr Tucker.
Dear Sir


After considering the whole of Mr Tuckers case I am sorry to
find that there are no circumstances which point to either the remote or
proximate cause of the disease & therefore that we must go very much at
random in attempting a cure. I think you was absolutely right in
employing bleeding at first tho as his pulse has never been frequent
or full
it cannot be insisted on now and probably his low diet
has answered the purpose of it sufficiently. - Your trial of the Tartar
Emetic
was a very probable measure but as it operated always
more by stool than by vomiting & that the purging did not seem to
have a good effect I believe you have very properly laid it aside.


Tho you do mention bleeding I dare say you have tried is
or if you have not I would by all means try it now by applying
one to his whole head, - but I would neither let it ly on above twenty
four hours nor keep any part of it open as an Issue. - If it should
produce any strangury I would not let it longer when ever that should happen


As soon as the blister is well healed I would try cold water poured
upon his head. Set the water be taken from a giving
immediately before it is to be used so that it may be as cool as



[Page 2]

possible & by degrees you may increase both the quantity poured on & the
h↑e↑ight from which it is poured on. Let his head be held over a bason & let the water be
poured from the pipe of a tea kettle upon the crown of his head. -- If by the
good effects you are encouraged to continue this practice, you may in¬
crease the coldness of the water by throwing in a handful of salt into
the Kettle of water & pouring it on which the salt is dissolving. If you
cannot easily make him submit to this practice you may try a
a Clay cap this clay made so soft with cold water as ↑that↑ in about
half an inch of thickness it will apply like a cap upon his head
where it may remain for an hour or more at one time & it may be re¬
peated two or three times a day. Besides this cold bathing after blis¬
tering
both being confined to his head, I would propose no other remedy
but soluble Tartar of which he may take dissolved in a muchkin of
water every morning as much as will give him one Stool and no more.


With regard to his confinement I must observe that if he is [very?]
unruly or ready at times to become so, the proper management is by a
strait waiscoat, & if you have not employed it I would by all means advise it as
with that, one man will manage him more easily than two can do without it.

I am &c.
W.C.

Edinburgh 4th September
1779

Diplomatic Text

[Page 1]
Mr Wm. Wilson C. Mr Tucker.
Dear Sir


After considering the whole of Mr Tuckers case I am sorry to
find that there are no circumstances wc point to either ye remote or
proximate cause of the disease & therefore that we must go very mc at
random in attempting a cure. I think you was absolutely right in
employing bleeding at first tho as his pulse has never been frequent
or full
it cannot be insisted on now and probably his low diet
has answered ye purpose of it sufficiently. - Your trial of ye Tartar
Emetic
was a very probable measure but as it operated always
more by stool than by vomiting & yt ye purging did not seem to
have a good effect I believe you have very properly laid it aside.


Tho you do mention bleeding I dare say you have tried is
or if you have not I wd by all means try it now by applying
one to his whole head, - but I wd neither let it ly on above twenty
four hours nor keep any part of it open as an Issue. - If it sd
produce any strangury I wd not let it longer when ever yt sd happen


As soon as ye blister is well healed I wd try cold water poured
upon his head. Set ye water be taken from a giving
immediately before it is to be used so yt it may be as cool as



[Page 2]

possible & by degrees you may increase both ye quantity poured on & ye
h↑e↑ight from wc it is poured on. Let his head be held over a bason & let ye water be
poured fm ye pipe of a tea kettle upon ye crown of his head. -- If by the
good effects you are encouraged to continue ys practice, you may in¬
crease ye coldness of ye water by throwing in a handful of salt into
ye Kettle of water & pouring it on which ye salt is dissolving. If you
cannot easily make him submit to this practice you may try a
a Clay cap this clay made so soft with cold water as ↑yt↑ in about
half an inch of thickness it will apply like a cap upon his head
where it may remain for an hour or more at one time & it may be re¬
peated two or three times a day. Besides this cold bathing after blis¬
tering
both being confined to his head, I would propose no other remedy
but soluble Tartar of which he may take dissolved in a muchkin of
water every morng as mc as will give him one Stool and no more.


With regard to his confinement I must observe that if he is [very?]
unruly or ready at times to become so, ye proper management is by a
strait waiscoat, & if you have not employed it I wd by all means advise it as
with yt, one man will manage him more easily than two can do witht it.

I am &c.
W.C.

Edinr 4th Septr.
1779

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