The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:468] From: Dr William Cullen (Professor Cullen) / To: Mr Alexander Dunlop (Sanders, Saunders) / Regarding: Mrs Hopekirk (Patient) / February? 1773? / (Outgoing)
Reply 'For Mrs Hopekirk'
- 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 | 468 |
| RCPE Catalogue Number | CUL/1/1/3/51 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | February? 1773? |
| 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 Mrs Hopekirk' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:389] |
Case of Mrs Hopekirk who is diagnosed as having an obstructed pylorus. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:591] | Addressee | Mr Alexander Dunlop (Sanders, Saunders) |
| [PERS ID:239] | Patient | Mrs Hopekirk |
| [PERS ID:591] | Patient's Physician / Surgeon / Apothecary | Mr Alexander Dunlop (Sanders, Saunders) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:563] | Other Physician / Surgeon | Dr Alexander Stevenson (Professor; of Dalgairn ) |
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 | Glasgow | Glasgow and West | Scotland | Europe | inferred |
Normalized Text
I have been consulted here by your patient Mrs
Hopekirk & am very anxious to do her all the service in my
power. I am sorry however to find that her ailment is so ob¬
stinate as to have resisted all your remedies which I believe
have been very well chosen I am afraid it may require
both time & pains to cure her. I think there is an obstruction at
the Pylorus & it explains all her symptoms very well. As it has
already gone so far I believe that neither Bark nor Bitters
will now do any service not to say that they have already been
tryed in vain. Her relief I think must be obtained by
Neutral salts rengenerated, or Soluble Tartar. Instead of the
first you may use Saline Draughts but if you find that these
do not keep her Belly regular you must take to the Soluble Tartar.
When acidity becomes very troublesome as it is likely to be
the Magnesia or any other Absorbent may be liable to purge her
& I would rather employ such a soap pill as below. With
these Medicines I would join the Extract. sem. Cicut. of which
I sent you a quantity thro' Dr Stevensons's hands some time
ago but if that is exhausted I shall supply you with more. You
will begin with a small dose of two grains & increase it by degrees.
Tho' I think the complaint depends upon an obstructed pylorus
there may be & there often is much spasmodic affection
joined with it the most certain relief of that is by Anodynes but
they are otherwise inconvenient by their Astringency. However
I dare say you have been obliged to try them & I would wish
to know your experience on that head. If you see occasion
to try them again I recommend the Formula on the other page as
that nearly dry will do better with her than any liquid. The time of
trying them immediately before Dinner or an hour after it,
repeating the dose in half an hour or an hour if necessary.
I will say nothing of Mrs Hopkirk's Diet, as that must be re¬
gulated by her own experience better than by any rules I can
give. Exercise in a Carriage will certainly be of service to
her, but it ought to be when her stomach is empty, upon
a smooth road always within the bounds of fatigue & with
great care to keep her feet and legs warm.
[Page 2]
For Mrs Hopkirk.
Take half a drachm of powdered Columbo root, two drachms of Spanish soap, and a sufficient quantity of simple syrup, and make a mass to be divided into single pills of five grains each. Label: Absorbent Pills, 3, 4 or 5 to be taken for a dose.
Take one ounce of Elixir proprietatis and two drachms of Thebaic tincture. Mix. Label: Stomachic Drops, 50 for a dose to be taken on a bit of sugar
Diplomatic Text
I have been consulted here by your patient Mrs
Hopekirk & am very anxious to do her all ye service in my
power. I am sorry however to find that her ailment is so ob¬
stinate as to have resisted all your remedies which I believe
have been very well chosen I am afraid it may require
both time & pains to cure her. I think there is an obstruction at
ye Pylorus & it explains all her sympts very well. As it has
already gone so far I believe that neither Bark nor Bitters
will now do any service not to say yt they have already been
tryed in vain. Her relief I think must be obtained by
Neutral salts rengenerated, or Soluble Tartar. Instead of the
first you may use Saline Draughts but if you find yt yse
do not keep her B. regr. you must take to ye Soluble Tartar.
When acidity becomes very troublesome as it is likely to be
ye Magnesia or any other Absorbt. may be liable to purge her
& I would rather employ such a soap pill as below. Wth
yse Medicines I would join ye Extract. sem. Cicut. of which
I sent you a quantity thro' Dr Stevensons's hands some time
ago bt if yt is exhausted I shall supply you wth more. You
will begin wth a small dose of gr. ij & increase it by degrees.
Tho' I think ye compt depends upon an obstructed pylorus
there may be & there often is much spasmodic affection
joined wt. it & ye most certain relief of yt is by Anodynes bt.
yey are otherwise inconvenient by their Astringency. However
I dare say you have been obliged to try ym & I would wish
to know your experience on yt head. If you see occasion
to try ym again I recommend ye Formula on ye other page as
yt nearly dry will do better wth her yn any liquid. Ye time of
trying ym immediately before Dinner or an hour after it,
repeating ye dose in half an hour or an hour if necessary.
I will say nothing of Mrs Hopkirk's Diet, as yt must be re¬
gulated by her own experience better yn by any rules I can
give. Exercise in a Carriage will certainly be of service to
her, but it ought to be when her stomach is empty, upon
a smooth road always within ye bounds of fatigue & wth
great care to keep her feet and legs warm.
[Page 2]
For Mrs Hopkirk.
℞ pulv. Rad. Colomb. ʒſs Sapon. Hispan. ʒij. Syr. commun.
q. s. ut f. massa dividenda in Pilulas sing. gr. v.
Signa Absorbent Pills 3, 4 or 5 to be taken for a dose.
℞ Elix. proprietat. ℥j. Tinct. Thebaic ʒij.
ℳ Signa Stomachic Drops 50 for a dose to be taken on
a bit of sugar
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