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
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
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Metadata
| Field | Data |
|---|---|
| DOC ID | 5411 |
| RCPE Catalogue Number | CUL/1/1/20/31 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 12 February 1787 |
| Annotation | None |
| Type | Machine 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 ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:3387] | Addressee | Dr Charles Keith |
| [PERS ID:3699] | Patient | Mr Gabriel Dunn (Dun) |
| [PERS ID:3387] | Patient's Physician / Surgeon / Apothecary | Dr Charles Keith |
| [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 | Morpeth | North-East | England | Europe | certain |
Normalized Text
Gabl. Dun
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
Most Sincerely Yours
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.
1787
Diplomatic Text
Gabl. Dun
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
Most Sincerely Yours
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.
1787
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