The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4827] From: Dr William Cullen (Professor Cullen) / To: Mr William Cokayne (Cocayne) / Regarding: Mr Handasyde (Handyside) (Patient) / 6 May 1784 / (Outgoing)
Reply, for 'Mr Handyside'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
[Page 3]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4827 |
| RCPE Catalogue Number | CUL/1/1/17/23 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 6 May 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 'Mr Handyside'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:975] |
Case of Mr Handasyde (Handyside) who is swollen all over his body (dropsy), and who also develops a tumor and a bowel disorder. |
8 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2833] | Addressee | Mr William Cokayne (Cocayne) |
| [PERS ID:3126] | Patient | Mr Handasyde (Handyside) |
| [PERS ID:2833] | Patient's Physician / Surgeon / Apothecary | Mr William Cokayne (Cocayne) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 | Wooler | North-East | England | Europe | inferred |
Normalized Text
Mr. Handyside
Dear Sir
I am favoured with yours of the first current
but some very particular circumstances in my
affairs have prevented my answering you till now.
I am heartily concerned for Mr. Handyside
and have ↑more↑ no fears for him than I had but shall
be glad to do him all the service in my power.
I am much disappointed in finding that
although the sweating doses produce sweating
as we would wish they have had no effects upon
his Anasarca. I cannot therefore urge his
continuing to take them so frequently as he has
done but as they give him so much freedom
from pain he may still continue to take a dose
now and then.
As the Diuretic infusion has done little
service and the taking of it proves now so dis¬
agreeable you may change it by putting an {illeg}
[Page 2]
of Sal Diureticus instead of the Sal Tartare
to every Pound of the same infusion and putting also
to the same quantity an Ounce and a half of the
Syrupus Scilliticus and let him take this as before
as often as his Stomach easily bears.
I hope his late purging has been owing to the
cause you mention but if it continues the only
means of moderating it will be an Opiate at
bed time.
For taking out the water of the increasing
Anasarca I see no other remedy that can be em¬
ployed but Punctures made in the lower extre¬
mities and if the swelling goes on increasing they
must be employed. I suppose you know that
they must be Punctures only made with a narrow
bladed lancet without any thing like incision
or Scarification but merely a puncture reaching
the Cellular structure. If you think of trying
[Page 3]
this measure begin first in the Thighs making
two or three punctures there at some distance from
one another and if it succeeds in drawing off any
quantity of water you may go afterwards with
your punctures lower down. Wishing you
heartily success I am
Sir
Your most Obedient Servant
William Cullen
Edinburgh 6th. May
1784
Diplomatic Text
Mr. Handyside
Dear Sir
I am favoured with yours of the first currt.
but some very particular circumstances in my
affairs have prevented my answering you till now.
I am heartily concerned for Mr. Handyside
and have ↑more↑ no fears for him than I had but shall
be glad to do him all the service in my power.
I am much disappointed in finding that
although the sweating doses produce sweating
as we would wish they have had no effects upon
his Anasarca. I cannot therefore urge his
continuing to take them so frequently as he has
done but as they give him so much freedom
from pain he may still continue to take a dose
now and then.
As the Diuretic infusion has done little
service and the taking of it proves now so dis¬
agreeable you may change it by putting an {illeg}
[Page 2]
of Sal Diureticus instead of the Sal Tartare
to every Pound of the same infusion and putting also
to the same quantity an Ounce and a half of the
Syrupus Scilliticus and let him take this as before
as often as his Stomach easily bears.
I hope his late purging has been owing to the
cause you mention but if it continues the only
means of moderating it will be an Opiate at
bed time.
For taking out the water of the increasing
Anasarca I see no other remedy that can be em¬
ployed but Punctures made in the lower extre¬
mities and if the swelling goes on increasing they
must be employed. I suppose you know that
they must be Punctures only made with a narrow
bladed lancet without any thing like incision
or Scarification but merely a puncture reaching
the Cellular structure. If you think of trying
[Page 3]
this measure begin first in the Thighs making
two or three punctures there at some distance from
one another and if it succeeds in drawing off any
quantity of water you may go afterwards with
your punctures lower down. Wishing you
heartily success I am
Sir
Your most Obedient Servant
William Cullen
Edinr. 6th. May
1784
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