Cullen

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

 

[ID:5411] From: Dr William Cullen (Professor Cullen) / To: Dr Charles Keith / Regarding: Mr Gabriel Dunn (Dun) (Patient) / 12 February 1787 / (Outgoing)

Reply for 'Gabl. Dun', to Dr Charles Keith. Cullen believes that Gabriel Dun's disease is not caused by 'Biliary stones nor Hydatides', but is 'an Ascites from a Schirrous liver', which 'will now go on very fast'. Nevertheless, he prescribed a diuretic.

Facsimile

There are 3 images for this document.

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Metadata

FieldData
DOC ID 5411
RCPE Catalogue Number CUL/1/1/20/31
Main Language English
Document Direction Outgoing
Date12 February 1787
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 for 'Gabl. Dun', to Dr Charles Keith. Cullen believes that Gabriel Dun's disease is not caused by 'Biliary stones nor Hydatides', but is 'an Ascites from a Schirrous liver', which 'will now go on very fast'. Nevertheless, he prescribed a diuretic.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1481]
Case of Gabriel Dun(n), a poor, elderly man with jaundice.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3387]AddresseeDr Charles Keith
[PERS ID:3699]PatientMr Gabriel Dunn (Dun)
[PERS ID:3387]Patient's Physician / Surgeon / ApothecaryDr Charles Keith
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr 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 Morpeth North-East England Europe certain

Normalized Text

[Page 1]
Gabl. Dun
Dear Dr.


I am favoured with yours concerning Gabriel
Dun and find every fee sufficient that is suited
to the Patients circumstances.


The Jaundice continued for a twelve month
with hardness and pain, at length felt in the
Hypochondrium
makes me think that there
are neither Biliary stones nor Hydatides in
the case, and that the disease is an Ascites
from a Schirrous liver, and the state of his
urine makes me think it will now go on
very fast. The attempts you have made have
been extremely proper, and I am not surprised
that they have been unsuccessful. I am of
opinion that every other attempt would be so
and therefore I would not urge you to make
your patient uneasy by either the squills
or drastic purgatives. But something




[Page 2]


must be done, and I would advise diuretics only
You may try the Digitalis {illeg} in small
doses, as a diuretic only. You may try also the
Tobacco, but let it be in decoction
only, and
pretty well boiled with a large proportion of
water you will find it more manageable than
any infusion. One of the best medicines you
have employed was the fixed alkali in Chamomile
tea.
On the other page you have a formula
of my fashion, which will at least furnish a variety
in prescription. This is all that I can or need
to say, and I hope it is by no means necessary
to add that I am always

Dear Dr.
Most Sincerely Yours
William Cullen
Edinburgh 12th. February
1787



[Page 3]
For Gabriel Dun

Take half an ounce of best Juniper Berries,crushed; two drachms of Wild Carrot seed, one drachm of Sweet Fennel seeds and two pints one pint of boiling water. Steep for eight hours. Cook a little and strain with squeezing, and to the strainings add half an ounce of Tartar salt and one ounce of Sugar Candy and, after settling, strain again through paper. Label: Diuretic infusion two tablespoonfuls to be taken several times a day.

W. C.
12th. February
1787

Diplomatic Text

[Page 1]
Gabl. Dun
Dear Dr.


I am favoured with yours concerning Gabriel
Dun and find every fee sufficient that is suited
to the Patients circumstances.


The Jaundice continued for a twelve month
with hardness and pain, at length felt in the
Hypochondrium
makes me think that there
are neither Biliary stones nor Hydatides in
the case, and that the disease is an Ascites
from a Schirrous liver, and the state of his
urine makes me think it will now go on
very fast. The attempts you have made have
been extremely proper, and I am not surprised
that they have been unsuccessful. I am of
opinion that every other attempt would be so
and therefore I would not urge you to make
your patient uneasy by either the squills
or drastic purgatives. But something




[Page 2]


must be done, and I would advise diuretics only
You may try the Digitalis {illeg} in small
doses, as a diuretic only. You may try also the
Tobacco, but let it be in decoction
only, and
pretty well boiled with a large proportion of
water you will find it more manageable than
any infusion. One of the best medicines you
have employed was the fixed alkali in Chamomile
tea.
On the other page you have a formula
of my fashion, which will at least furnish a variety
in prescription. This is all that I can or need
to say, and I hope it is by no means necessary
to add that I am always

Dear Dr.
Most Sincerely Yours
William Cullen
Edr. 12th. Feby.
1787



[Page 3]
For Gabriel Dun


Baccar. Junip. quam opt. contus. ℥ſs
Sem. dauc. Sylv. ʒij
–– fœni. dulc. ʒj
Aq. bull. lbij lb.j
Digere hor. viij Coque parum et Cola cum expressione
et Colaturæ adde
Sal. tart. ℥ſs
Sacchar. Cand. ℥j et post subsidentiam
iterum per chartam cola
Sig Diuretic infusion two table spoonfuls
to be taken several times a day.

W. C.
12th. Feby.
1787

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