Cullen

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

 

[ID:4711] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Miss Mary Peareth (Pearith, Peariths) (Patient) / 19? September 1783 / (Outgoing)

Reply concerning the case of the Newcastle surgeon Mr Ingham, and that of his patient Miss Mary Peareth.

Facsimile

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Metadata

FieldData
DOC ID 4711
RCPE Catalogue Number CUL/1/1/16/115
Main Language English
Document Direction Outgoing
Date19? September 1783
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply concerning the case of the Newcastle surgeon Mr Ingham, and that of his patient Miss Mary Peareth.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:52]
Case of Miss Mary Peareth who has a painful bladder condition.
25
[Case ID:1657]
Case of Mr Ingham, the Newcastle surgeon, who has a weakness of his lung considered temporary.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:82]AddresseeMr William Ingham
[PERS ID:80]PatientMiss Mary Peareth (Pearith, Peariths)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:82]Patient's Physician / Surgeon / ApothecaryMr William Ingham

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 Newcastle upon Tyne North-East England Europe inferred

Normalized Text

[Page 1]

Mr Ingham.

Dear Sir,


I take the first moment I can have to
answer your letter. The many instances you have
given of attention to me must engage a very grateful
return on my part.


I am heartly concerned to find that you have
any Ailment and would be (↑am↑) glad at the same time to find
it is not of a dangerous kind. It is plainly a Spasm
of the
Lungs that you are liable to but it is so much
of a temporary kind that it cannot depend upon
any fixed affection for even eighteen hours I do not
look upon as a long fit and from the whole of your
account I must think your ordinary fits much
shorter. By those circumstances and by the several
causes which bring on your fits these can depend
upon nothing but a peculiar irritability of you lungs-
[It?] may have been brought on by your first Pleurisy



[Page 2]

and increased by the second but it is not easily accoun¬
ted for from these but must be chiefly ascribed to some¬
what in your original constitution. But however
this may be the irritability is established and I am
sorry to observe that it is not easily mended. I
have often lost my labour in employing Tonics and
I have no confidence in advising them and now
the only remedy I can depend upon is being fre¬
quently on horseback and in gentle exercise that
way. The ailment when it occurrs may be pal¬
liated by Opiates and should commonly be so.
In fits of some violence and of unusual continu¬
ance a bleeding may be employed but I would have
it employed as seldom as possible because if
employed with freedom it certainly increases ir¬
ritability
. In short I must say that your safety
must especially depend upon your great attention
in avoiding the exciting Causes as cold, violent


[Page 3]

exercise, fatigue &c. I am sorry that your line of
life must almost necessary expose you to some
of these but I must leave it to your own discretion
to judge how best to avoid them or moderate them.
Whenever you can think that my opinion or advice
may be of any service to you you will do me [a?]
favour in asking them.


I thank you for Miss M. Peareths Fee. I am
glad to find that she bears the Lixivium
as well and I am happy to think she gets
some benefit by it. I consider the voiding
of Gravel as a good effect of it and I would have
you try to make her bear a little more of it. I
dont think it can have any share in producing
her Hysterical complaints. I believe that these
depends entirely upon her Menstruation and I judge
Opiates to be the only remedy and I see no reason for you
being must restrained in the use of it. Wishing heartly
good health I am with the utmost regard Dear Sir yours
most obedient Servant.


William Cullen

Edinburgh 19th September
1783

Diplomatic Text

[Page 1]

Mr Ingham.

Dear Sir,


I take the first moment I can have to
answer your letter. The many instances you have
given of attention to me must engage a very grateful
return on my part.


I am heartly concerned to find that you have
any Ailment and would be (↑am↑) glad at the same time to find
it is not of a dangerous kind. It is plainly a Spasm
of the
Lungs that you are liable to but it is so much
of a temporary kind that it cannot depend upon
any fixed affection for even eighteen hours I do not
look upon as a long fit and from the whole of your
account I must think your ordinary fits much
shorter. By those circumstances and by the several
causes which bring on your fits these can depend
upon nothing but a peculiar irritability of you lungs-
[It?] may have been brought on by your first Pleurisy



[Page 2]

and increased by the second but it is not easily accoun¬
ted for from these but must be chiefly ascribed to some¬
what in your original constitution. But however
this may be the irritability is established and I am
sorry to observe that it is not easily mended. I
have often lost my labour in employing Tonics and
I have no confidence in advising them and now
the only remedy I can depend upon is being fre¬
quently on horseback and in gentle exercise that
way. The ailment when it occurrs may be pal¬
liated by Opiates and should commonly be so.
In fits of some violence and of unusual continu¬
ance a bleeding may be employed but I would have
it employed as seldom as possible because if
employed with freedom it certainly increases ir¬
ritability
. In short I must say that your safety
must especially depend upon your great attention
in avoiding the exciting Causes as cold, violent


[Page 3]

exercise, fatigue &c. I am sorry that your line of
life must almost necessary expose you to some
of these but I must leave it to your own discretion
to judge how best to avoid them or moderate them.
Whenever you can think that my opinion or advice
may be of any service to you you will do me [a?]
favour in asking them.


I thank you for Miss M. Peareths Fee. I am
glad to find that she bears the Lixivium
as well and I am happy to think she gets
some benefit by it. I consider the voiding
of Gravel as a good effect of it and I would have
you try to make her bear a little more of it. I
dont think it can have any share in producing
her Hysterical complaints. I believe that these
depends entirely upon her Menstruation and I judge
Opiates to be the only remedy and I see no reason for you
being must restrained in the use of it. Wishing heartly
good health I am with the utmost regard Dear Sir yours
most obedient Servant.


William Cullen

Edinr 19th Septr
1783

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