Cullen

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

 

[ID:4557] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Smith (of Barnard Castle) (Patient) / 1 January 1780 / (Outgoing)

Reply headed 'For Mr Smith', concerning how to manage what Cullen considers a rheumatic complaint.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4557
RCPE Catalogue Number CUL/1/1/12/124
Main Language English
Document Direction Outgoing
Date1 January 1780
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply headed 'For Mr Smith', concerning how to manage what Cullen considers a rheumatic complaint.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:951]
Case of Mr Smith, a surgeon at Barnard Castle, who has symptoms of palsy and dies of what might be kidney failure.
9


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:880]PatientMr Smith (of Barnard Castle)
[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 Barnard Castle North-East England Europe inferred

Normalized Text

[Page 1]
For Mr Smith.


I should have judged his complaints rheumatic
if the late translation to his head did not give
reason to suspect some what gouty: at least I
think rheumatism liable to translation is some¬
what of the same nature. The evacuations which
have been made may have been proper & seem to have
been successful; but unless the symptoms be very
urgent, I think evacuation by purging or by
bleeding should be very moderate. Blistering will
always be safe & a constant issue. A seton in the
nape of the neck or two issues in the places where
the two ends of the seton would be. I keep his
belly regular by an aleotic. When the weather
becomes milder fresh air & exercise:


Diet of a middle kind. Meat at dinner. None
at supper. Wine at dinner: toddy at supper: but
all these very moderate &c specially avoid being hea¬
ted by them. A Pediluvium at night may be useful
but the water must not be very warm & the bathing
should continued half an hour or more



[Page 2]

keeping the tepor of the water by little occasional
additions of warm water.

W.C.
Edinburgh January 1. 1780.

Diplomatic Text

[Page 1]
For Mr Smith.


I should have judged his complaints rheumatic
if the late translation to his head did not give
reason to suspect some what gouty: at least I
think rheumatism liable to translation is some¬
what of the same nature. The evacuations which
have been made may have been proper & seem to have
been successful; but unless the symptoms be very
urgent, I think evacuation by purging or by
bleeding should be very moderate. Blistering will
always be safe & a constant issue. A seton in the
nape of the neck or two issues in the places where
the two ends of the seton would be. I keep his
belly regular by an aleotic. When the weather
becomes milder fresh air & exercise:


Diet of a middle kind. Meat at dinner. None
at supper. Wine at dinner: toddy at supper: but
all these very moderate &c specially avoid being hea¬
ted by them. A Pediluvium at night may be useful
but the water must not be very warm & the bathing
should continued half an hour or more



[Page 2]

keeping the tepor of the water by little occasional
additions of warm water.

W.C.
Edinr. Jany. 1. 1780.

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