Cullen

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

 

[ID:4880] From: Dr William Cullen (Professor Cullen) / To: Colonel George Clerk (Clarke, Clark) / Regarding: Colonel George Clerk (Clarke, Clark) (Patient) / 19 July 1784 / (Outgoing)

Reply, for 'Col: Clarke'. This letter is addressed to Colonel George Clerk, concerning his own case, in response to letters from his brother, Robert Clerk, and his nephew, Colonel Maxwell. Cullen believes the patient's current symptoms may be attributed to a Gouty effort which his constitution is not well able to render effectual. The recipe is in Cullen's own hand.

Facsimile

There are 3 images for this document.

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[Page 2]


 

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Metadata

FieldData
DOC ID 4880
RCPE Catalogue Number CUL/1/1/17/76
Main Language English
Document Direction Outgoing
Date19 July 1784
Annotation None
TypeMachine scribal copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, for 'Col: Clarke'. This letter is addressed to Colonel George Clerk, concerning his own case, in response to letters from his brother, Robert Clerk, and his nephew, Colonel Maxwell. Cullen believes the patient's current symptoms may be attributed to a Gouty effort which his constitution is not well able to render effectual. The recipe is in Cullen's own hand.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1473]
Case of Colonel George Clerk [Clark, Clarke, Clerke] who becomes excessively weak and feeble from chronic costiveness, breathlessness, and other chronic complaints. In New York he has a perpetual fever and stomach complaint and mentions consulting Cullen before but no firm evidence traced unless he is the same patient as Case 283 in 1768.
24


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2507]AddresseeColonel George Clerk (Clarke, Clark)
[PERS ID:2507]PatientColonel George Clerk (Clarke, Clark)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3181]Patient's Relative / Spouse / FriendMr Robert Clerk (Clarke; Clerke; of Mavisbank)
[PERS ID:3190]Patient's Relative / Spouse / FriendColonel William Maxwell (General Sir William Maxwell of Calderwood, 7th Bt (after 1829))

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 Rooks Nest Godstone London and South-East England Europe inferred

Normalized Text

[Page 1]
Col: Clarke
Dear [Sir?]


I have [seen letters?] from Col. Maxwell & your
brother, but [think?] it proper to address my answer to your¬
self and which I do by the first post.


I am happy to observe that in general your
health is better. I have no doubt that your fears of
inflammation and fever which was the object of our
last correspondence are now entirely over and I am
now only to speak to the complaint you have lastly
and lately been affected with. I hope it is in no ways
of a dangerous kind and on the contrary may be a sign
of some effort of nature in your constitution for I
suspect very strongly that it is a Gouty effort which
your constitution is not well able to render effectual.
My advice at present is to proceed upon that suppo¬
sition but before this letter can come to hand a Phy¬
sician upon the spot must ↑be able to↑ judge by what has hap¬
pened since the 11th. of July how far my opinion
and advice are to be pushed.




[Page 2]


My advice is that you should employ the tepid bathing
previously advised and that every night or every second
night you should take the draught prescribed on other
page which I hope will support the heat of your body
and obviate the return of the complaints I have been
told of. It may possibly occasion perspiration during
the night and if it does so moderately it may be of
service but I would by no means have it pushed to
any sweating. If this medicine agrees very well and
seems to answer its purpose, I would recommend
to the discretion of your Physician to consider whether
Guaiacum might not also be employed in some
other shape. I have only further to say that all
my further advice with respect to diet, to the state
of the belly
to exercise and bodily motion should be
closely attended to at present. Wishing you heartily
all health I am respectfully


Dear Sir
Your most Obedient Servant
William Cullen.

Edinburgh 19th. July
1784



[Page 3]
For Colonel Clerk

Take a half drachm of volatile Elixir of guaiacum and 20 drops of egg Yolk. Blend them together and gradually add: two drachms of balsamic Syrup, twenty drops of antimonial Wine, ten drops of Thebaic Tincture, and six drachms each of simple cinnamon Water and peppermint Water. Mix to make a Draught. Label: Diaphoretic Draught to be taken at bedtime.

W.C.

19th July
1784.

Diplomatic Text

[Page 1]
Col: Clarke
Dear [Sir?]


I have [seen letters?] from Col. Maxwell & your
brother, but [think?] it proper to address my answer to your¬
self and which I do by the first post.


I am happy to observe that in general your
health is better. I have no doubt that your fears of
inflammation and fever which was the object of our
last correspondence are now entirely over and I am
now only to speak to the complaint you have lastly
and lately been affected with. I hope it is in no ways
of a dangerous kind and on the contrary may be a sign
of some effort of nature in your constitution for I
suspect very strongly that it is a Gouty effort which
your constitution is not well able to render effectual.
My advice at present is to proceed upon that suppo¬
sition but before this letter can come to hand a Phy¬
sician upon the spot must ↑be able to↑ judge by what has hap¬
pened since the 11th. of July how far my opinion
and advice are to be pushed.




[Page 2]


My advice is that you should employ the tepid bathing
previously advised and that every night or every second
night you should take the draught prescribed on other
page which I hope will support the heat of your body
and obviate the return of the complaints I have been
told of. It may possibly occasion perspiration during
the night and if it does so moderately it may be of
service but I would by no means have it pushed to
any sweating. If this medicine agrees very well and
seems to answer its purpose, I would recommend
to the discretion of your Physician to consider whether
Guaiacum might not also be employed in some
other shape. I have only further to say that all
my further advice with respect to diet, to the state
of the belly
to exercise and bodily motion should be
closely attended to at present. Wishing you heartily
all health I am respectfully


Dear Sir
Your most Obedient Servant
William Cullen.

Edinr. 19th. July
1784



[Page 3]
For Colonel Clerk


Elix. guajacin. vol. ʒſs
Vitell. ovi gutt. xx.
Terito simul et paulatim adde
Syr. balsam. ʒij
Vin. antimonial. gtt xx.
Tinct. Thebaic. gtt x.
Aq. cinnam. simpl.
–– menth. pip. @ ʒvj
ℳ. f. Haustus
Signa Diaphoretic Draught to be taken at bedtime

W.C.

19th July
1784.

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