The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4815] From: Dr William Cullen (Professor Cullen) / To: Dr James Ross / Regarding: Lieutenant Smith (Patient) / 13? April? 1784? / (Outgoing)
Reply, for 'Lt. Smith'. Cullen diagnoses Smith's stomach and bowel disorder as a 'spasmodic affection'.
- 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 | 4815 |
| RCPE Catalogue Number | CUL/1/1/17/11 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 13? April? 1784? |
| Annotation | None |
| Type | Machine scribal copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, for 'Lt. Smith'. Cullen diagnoses Smith's stomach and bowel disorder as a 'spasmodic affection'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1711] |
Case of Lieutenant Smith who has recently developed a distressing stomach and bowel disorder. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:3152] | Addressee | Dr James Ross |
| [PERS ID:3144] | Patient | Lieutenant Smith |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:2578] | Patient's Physician / Surgeon / Apothecary | Dr McNaughtan Hunter (MacNachtan Hunter; MacNaughtane Hunter) |
| [PERS ID:3152] | Patient's Physician / Surgeon / Apothecary | Dr James Ross |
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 | Montrose | East Highlands | Scotland | Europe | inferred |
Normalized Text
Lieutenant Smith
Dear Sir
I am favoured with yours concerning Lieutenant
Smith and I shall give you the best advice for
him I can but I must own to you I am not very
confident in ascertaining the nature of the disease
but ↑the first appearances of the disease↑ the flatulent state of the bowels and the relief
from Opiates presume it to be a Spasmodic
affection and neither the frequency of his pulse
nor the sweatings of his head are much against
it as they may and seem rather to depend
upon a Spasmodic irritation but what is the
seat of the irritation I find it difficult to
determine. As however the irritation is com¬
municated to the muscles of the back I think
it will be very proper to apply a blister upon
the part. But if it gives any sensible relief
I would not have any part of it turned into
an issue but the whole {illeg} to give [an]
opportunity to a fresh {illeg}
[Page 2]
shall be fit to bear it and there shall seem to be
occasion for it. Upon our general supposition it
seems to be necessary to continue the Opiates and
in my opinion it should be in full doses and with
frequent repetition and this will render ne¬
cessary what would be otherwise proper the use
of laxatives. I doubt much if your half Ounce
of Soluble tartar but will answer your purpose
but your trial has by this time determined this
If it does not answer let me recommend to you
the Oleum Ricini with a fourth part of the
Tinctura Sennæ composita or Tinctura Jalapi
joined to it and the two being very well shaken
together.
These are the only advices I can offer at
present but shall be ready to add or alter as
your report may give me occasion. With Compliments
to Mr. Hunter I am
Diplomatic Text
Lt. Smith
Dear Sir
I am favoured with yours concerning Lieut.
Smith and I shall give you the best advice for
him I can but I must own to you I am not very
confident in ascertaining the nature of the disease
but ↑the first appearances of the disease↑ the flatulent state of the bowels and the relief
from Opiates presume it to be a Spasmodic
affection and neither the frequency of his pulse
nor the sweatings of his head are much against
it as they may and seem rather to depend
upon a Spasmodic irritation but what is the
seat of the irritation I find it difficult to
determine. As however the irritation is com¬
municated to the muscles of the back I think
it will be very proper to apply a blister upon
the part. But if it gives any sensible relief
I would not have any part of it turned into
an issue but the whole {illeg} to give [an]
opportunity to a fresh {illeg}
[Page 2]
shall be fit to bear it and there shall seem to be
occasion for it. Upon our general supposition it
seems to be necessary to continue the Opiates and
in my opinion it should be in full doses and with
frequent repetition and this will render ne¬
cessary what would be otherwise proper the use
of laxatives. I doubt much if your half Ounce
of Soluble tartar but will answer your purpose
but your trial has by this time determined this
If it does not answer let me recommend to you
the Oleum Ricini with a fourth part of the
Tinctura Sennæ composita or Tinctura Jalapi
joined to it and the two being very well shaken
together.
These are the only advices I can offer at
present but shall be ready to add or alter as
your report may give me occasion. With Compliments
to Mr. Hunter I am
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