Cullen

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

 

[ID:4762] From: Dr William Cullen (Professor Cullen) / To: Dr Alexander Kellock / Regarding: Mr Watson Carr (Patient) / 22 December 1783 / (Outgoing)

Reply, 'Mr Watson Carr'. Cullen adds a postscript concerning his fees: 'I never find fault with a fee when it is properly suited to the circumstances of the patient'. Though the main body of the letter is a machine scribal copy, the recipe for a pectoral mixture included is in Cullen's hand.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 4762
RCPE Catalogue Number CUL/1/1/16/166
Main Language English
Document Direction Outgoing
Date22 December 1783
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Watson Carr'. Cullen adds a postscript concerning his fees: 'I never find fault with a fee when it is properly suited to the circumstances of the patient'. Though the main body of the letter is a machine scribal copy, the recipe for a pectoral mixture included is in Cullen's hand.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1570]
Case of Mr Watson Carr who has asthma.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2995]AddresseeDr Alexander Kellock
[PERS ID:3801]PatientMr Watson Carr
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2995]Patient's Physician / Surgeon / ApothecaryDr Alexander Kellock

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 Berwick-upon-Tweed (Berwick) North-East England Europe inferred

Normalized Text

[Page 1]
Mr Watson Carr
Dear Sir


yours concerning Mr Watson Carr came too late
yesternight but I shall now give you the best advice
for him I can. A constitutional and habitual Asthma
is always very difficult to Cure and this {illeg} that Mr
Carr seems to have been more violent and [seems?] to
have continued also longer than usual. In the mean
time you seem to have treated it very properly and
done indeed every thing that could well have been
suggested. Asthmatics do not commonly bear much
bleeding and you have been sufficiently cautious but
I believe the bleedings you practiced were absolutely
necessary. Vomiting so far as they bear it is com¬
monly a very useful remedy and when they do
not bear full vomiting {illeg} doses as Dia¬
phoretic are always useful and your intention



[Page 2]

of employing them now is very judicious. The other remedy
to be depended upon is Blistering which I hope you
are now practicing with advantage. I hope by the
means you are proposing and executing your patient
shall find relief but if that should not prove imme¬
diate and continue with any degree of fever the
Emetics and Neutral salts are the remedise to be
insisted on and if there is no fever I would certainly
advise a trial of anodynes which is so far as the
disease is spasmodic are both very effectual and
safe remedies. If with the same condition of the
above of fever the disease shall be alleviated
but continue in some degrees to linger you may
employ the medicine prescribed on the other page.


Wishing you heartily success I am with great regard


Dear Sir your most Obedient Servant
William Cullen


N.B. I never find fault with a fee when it is properly
suited to the circumstances of the patient




[Page 3]
For Mr Watson Carr

Take a drachm of gum guajacum, two drachms of very hard white sugar. Crush well into a powder then add an ounce of mucilage of raw gum Arabic. Crush again very well then little by little pour two ounces each of lac Ammoniacum and simple cinnamon water, three ounces of rose water, two drachms of spirit of Hartshorn. Mix and label Pectoral Mixture, a tablespoonful to be taken in the forenoon and at bedtime shaking the vial always very well before pouring out.


22d December
.1783.
WC

Diplomatic Text

[Page 1]
Mr Watson Carr
Dr Sir


yours concerning Mr Watson Carr came too late
yesternight but I shall now give you the best advice
for him I can. A constitutional and habitual Asthma
is always very difficult to Cure and this {illeg} that Mr
Carr seems to have been more violent and [seems?] to
have continued also longer than usual. In the mean
time you seem to have treated it very properly and
done indeed every thing that could well have been
suggested. Asthmatics do not commonly bear much
bleeding and you have been sufficiently cautious but
I believe the bleedings you practiced were absolutely
necessary. Vomiting so far as they bear it is com¬
monly a very useful remedy and when they do
not bear full vomiting {illeg} doses as Dia¬
phoretic are always useful and your intention



[Page 2]

of employing them now is very judicious. The other remedy
to be depended upon is Blistering which I hope you
are now practicing with advantage. I hope by the
means you are proposing and executing your patient
shall find relief but if that should not prove imme¬
diate and continue with any degree of fever the
Emetics and Neutral salts are the remedise to be
insisted on and if there is no fever I would certainly
advise a trial of anodynes which is so far as the
disease is spasmodic are both very effectual and
safe remedies. If with the same condition of the
above of fever the disease shall be alleviated
but continue in some degrees to linger you may
employ the medicine prescribed on the other page.


Wishing you heartily success I am with great regard


Dear Sir your most Obedient Servant
William Cullen


N.B. I never find fault with a fee when it is properly
suited to the circumstances of the patient




[Page 3]
For Mr Watson Carr


Gum. Guajac. Ʒj
Sacchar. alb. puriss. Ʒij
Terito simul in pulverem cui adde
Mucilag. G. Arabic. crass ℥j
Terito iterum diligenter et paulatim affunde
Lac. Ammoniac.
Aq. Cinnam. simpl. @ ℥ij
-- rosar. ℥iij
Spir. corn. cerv. Ʒij
ℳ. Sig. Pectoral Mixture a table spoonfull
to be taken in the forenoon and at bedtime
shaking the vial always very well before
pouring out.


22d Decr.
.1783.
WC

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