Cullen

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

 

[ID:4906] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Reverend Archibald Stevenson (of St Madoes) (Patient) / 3 September 1784 / (Outgoing)

Reply, for 'Dr C. Robertson C(once)r(ning) Mr Stevenson'. Despite the the Reverend Mr Stevenson's pulse not exceeding 80, Cullen thinks a diagnosis of fever should not be ruled out.

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Metadata

FieldData
DOC ID 4906
RCPE Catalogue Number CUL/1/1/17/101
Main Language English
Document Direction Outgoing
Date3 September 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 'Dr C. Robertson C(once)r(ning) Mr Stevenson'. Despite the the Reverend Mr Stevenson's pulse not exceeding 80, Cullen thinks a diagnosis of fever should not be ruled out.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1691]
Case of the Revd. Archibald Stevenson, who has an eruption all over his body stemming from an issue applied to his shoulders to treat his rheumatism in his neck and head. He subsequently becomes weak with a flux.
9


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3882]PatientReverend Archibald Stevenson (of St Madoes)
[PERS ID:2177]Patient's Physician / Surgeon / ApothecaryDr Colin Robertsone (Robertson)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3883]Other Physician / SurgeonMr James Stevenson
[PERS ID:3883]Patient's Relative / Spouse / FriendMr James Stevenson

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 Perth Mid Scotland Scotland Europe inferred

Normalized Text

[Page 1]
Dr C. Robertson Concerning Mr Stevenson


I am favoured with yours concerning The Revd
Mr. Stevenson and shall be glad to give you all the
assistance in my power for his relief but must own
the cause of such an affection is to me not very evident
and I am therefore more doubtful in giving my
advice. You observe that the Eruption was not
preceded by any fever and that notwithstanding
the irritation, the state of his skin might be
supposed to give his pulse does not exceed 80.
I agree with you that no considerable fever
but the irritation evident, the sizyness of his
blood and even the number of his pulse will not
allow me to think there is no fever at all and
therefore I think that his Brother and you
have done right both in bleeding and giving
doses of Glauber Salt and in employing the
Vitriolic acid and I am clear that these Antiphlo¬
gistic remedies
and a regimen of the same kind



[Page 2]

should be continued as circumstances may seem to
require and from the same consideration of a
Phlogistic diathesis present I am rather averse
to the use of the peruvian Bark and not very
fond unless you had given me more reason than
you have done to apprehend a debility of the
System. I am not either very fond of opiates but
believe that these may be very necessary to
relieve the irritation from the skin which proba¬
bly interrupts his sleep and if care is taken by
cooling laxatives to obviate Costiveness good quiet
sleep will do more good than the opiate can do
harm. I am hopeful that under an Antiphlogistic
course
this disease will gradually decline and
I would willingly let alone proposing any other
remedy than what I have prescribed on other page.
But if upon the decline of all fever any affection
of the skin should remain I shall be ready upon your
report to suggest some other remedies. I am with the
utmost regard

Dear Sir your most
obedient
William Cullen



[Page 3]
For The Revd Mr Stevenson

Take [three?] ounces of rose Water, one ounce each of the best Wine vinegar and Syrup of cloves, and one drachm of Sodium carbonate. Mix. Label: Cooling Mixture two table spoonfulls to be taken every three or four hours

W.C.

3d September
1784.

Diplomatic Text

[Page 1]
Dr C. Robertson Cr Mr Stevenson


I am favoured with yours concerning The Revd
Mr. Stevenson and shall be glad to give you all the
assistance in my power for his relief but must own
the cause of such an affection is to me not very evident
and I am therefore more doubtful in giving my
advice. You observe that the Eruption was not
preceded by any fever and that notwithstanding
the irritation, the state of his skin might be
supposed to give his pulse does not exceed 80.
I agree with you that no considerable fever
but the irritation evident, the sizyness of his
blood and even the number of his pulse will not
allow me to think there is no fever at all and
therefore I think that his Brother and you
have done right both in bleeding and giving
doses of Glauber Salt and in employing the
Vitriolic acid and I am clear that these Antiphlo¬
gistic remedies
and a regimen of the same kind



[Page 2]

should be continued as circumstances may seem to
require and from the same consideration of a
Phlogistic diathesis present I am rather averse
to the use of the peruvian Bark and not very
fond unless you had given me more reason than
you have done to apprehend a debility of the
System. I am not either very fond of opiates but
believe that these may be very necessary to
relieve the irritation from the skin which proba¬
bly interrupts his sleep and if care is taken by
cooling laxatives to obviate Costiveness good quiet
sleep will do more good than the opiate can do
harm. I am hopeful that under an Antiphlogistic
course
this disease will gradually decline and
I would willingly let alone proposing any other
remedy than what I have prescribed on other page.
But if upon the decline of all fever any affection
of the skin should remain I shall be ready upon your
report to suggest some other remedies. I am with the
utmost regard

Dear Sir your most
obedient
William Cullen



[Page 3]
For The Revd Mr Stevenson


Aq. rosar ℥[iij?]
Acet. vin. opt.
Syr. caryophyll. @ ℥j
Sal. nitri. ʒj
ℳ. Sig. Cooling Mixture two table spoonfulls
to be taken every three or four hours

W.C.

3d Septr.
1784.

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