The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:561] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Miss Mary Peareth (Pearith, Peariths) (Patient) / 30 May 1782 / (Outgoing)
Reply titled 'Miss Pearith', whose case Cullen believes to be very bad. He believes the discharge to be analogous to a haemorrhoidal discharge, and refers to Sauvage's Nosologia on their nature. He recommends stopping the mercury course and having the patient instead drink 'mucilagious drinks' such as marshmallow decoction, lintseed tea or Arabic emulsion.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
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Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
[Page 3]
Metadata
| Field | Data |
|---|---|
| DOC ID | 561 |
| RCPE Catalogue Number | CUL/1/1/15/43 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 30 May 1782 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | Enclosure(s) present |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply titled 'Miss Pearith', whose case Cullen believes to be very bad. He believes the discharge to be analogous to a haemorrhoidal discharge, and refers to Sauvage's Nosologia on their nature. He recommends stopping the mercury course and having the patient instead drink 'mucilagious drinks' such as marshmallow decoction, lintseed tea or Arabic emulsion. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:52] |
Case of Miss Mary Peareth who has a painful bladder condition. |
25 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:82] | Addressee | Mr William Ingham |
| [PERS ID:80] | Patient | Miss Mary Peareth (Pearith, Peariths) |
| [PERS ID:82] | Patient's Physician / Surgeon / Apothecary | Mr William Ingham |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:2596] | Other | Miss Hudson |
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 | Newcastle upon Tyne | North-East | England | Europe | inferred | |
| Mentioned / Other | Newcastle upon Tyne | North-East | England | Europe | certain |
Normalized Text
Miss M. Pearith.
Dear Sir
I am favoured by Miss Hudson with
yours concerning Miss M. Pearith inclosing the note from
herself. I am heartly concerned for for her situation which
I think is very bad. I do consider the discharge ↑of blood↑ in this case
to be quite analogous to a hemorrhoidal discharge and Such a
case has been frequently observed by practical Writers. You may
find Several of them referred to in Sauvages Nosologia metho¬
dicia under the Title of Hæmoturia hæmorrhoidalis ↑Vol. II↑ pag. 303 1
However we may explain it i think it a very unfavorable Case
and I have found it so in two or three instances which I myself
have Seen of it. In these instances I do not remember its being
preceded as in this case by an abscess and as I think a Schirrosity
and the Hæmorrhagy ↑here↑ Supervening gives ↑me↑ a ↑Strong↑ Suspicion of Cancer,
and a very dismal prospect for Miss Pearith. How to relieve
her I am at loss to say but I must observe to you that we
can ↑no↑ longer insist on the Mercurial Course as it must rather
favour the bleeding and we can now have little hopes of
[Page 2]
healing by the Mercury our Supposed ulcer in the neck of the
bladder. All I think that can be done is to palliate matters
as well as we can. Let her use some mucilaginous drinks
as Marshmallow decoction, Lintseed tea or Arabic Emulsion and
these by turns. If the discharge of blood continue to return let
her have the acid Mixture prescribed on t'other page and some¬
times five grains of Nitre several times a day. I fancy you
must at last have recourse to Opiates taking care at the same
time that they do not bind the belly and thereby increase the
hemorrhoidal affections. For this last purpose you will find
the flores Sulphuris or the Oleum ricini the most usefull
medicines. Wishing most heartily for your Success and Miss Peariths
relief I am with Sincere regard
Dear Sir
your most obedient servant
William Cullen
Edinburgh 30th May
1782.
I hope to have the pleasure of visiting
you at Newcastle Sometime in the course
of this Summer.
[Page 3]
For Miss. Mary Pearith
Take three ounces of rose Water, half an ounce of Syrup obtained from Dried roses and half an ounce of Spiritus vitroli tenuis. Mix and label as Cooling Mixture. A spoonful to be taken on an ordinary wine, a glass of water or any of her other drinks, several times a day.
W.C.
30th May
1782. ---
Notes:
1: Francois Boissier de Suavages de Lacroix (1706-1767), a French physician and author of Nosologia Methodica (1763) (precise reference untraced).
Diplomatic Text
Miss M. Pearith.
Dear Sir
I am favoured by Miss Hudson with
yours concerning Miss M. Pearith inclosing the note from
herself. I am heartly concerned for for her situation which
I think is very bad. I do consider the discharge ↑of blood↑ in this case
to be quite analogous to a hemorrhoidal discharge and Such a
case has been frequently observed by practical Writers. You may
find Several of them referred to in Sauvages Nosologia metho¬
dicia under the Title of Hæmoturia hæmorrhoidalis ↑Vol. II↑ pag. 303 1
However we may explain it i think it a very unfavorable Case
and I have found it so in two or three instances which I myself
have Seen of it. In these instances I do not remember its being
preceded as in this case by an abscess and as I think a Schirrosity
and the Hæmorrhagy ↑here↑ Supervening gives ↑me↑ a ↑Strong↑ Suspicion of Cancer,
and a very dismal prospect for Miss Pearith. How to relieve
her I am at loss to say but I must observe to you that we
can ↑no↑ longer insist on the Mercurial Course as it must rather
favour the bleeding and we can now have little hopes of
[Page 2]
healing by the Mercury our Supposed ulcer in the neck of the
bladder. All I think that can be done is to palliate matters
as well as we can. Let her use some mucilaginous drinks
as Marshmallow decoction, Lintseed tea or Arabic Emulsion and
these by turns. If the discharge of blood continue to return let
her have the acid Mixture prescribed on t'other page and some¬
times five grains of Nitre several times a day. I fancy you
must at last have recourse to Opiates taking care at the same
time that they do not bind the belly and thereby increase the
hemorrhoidal affections. For this last purpose you will find
the flores Sulphuris or the Oleum ricini the most usefull
medicines. Wishing most heartily for your Success and Miss Peariths
relief I am with Sincere regard
Dear Sir
your most obedient servant
William Cullen
Edin.r 30th May
1782.
I hope to have the pleasure of visiting
you at Newcastle Sometime in the course
of this Summer.
[Page 3]
For Miss. Mary Pearith
℞ Aq. rosar. ℥iij
Syr. e ros. Sicc.
Spir. vitriol. ten. @ ℥fs
ℳ. Sig. Cooling Mixture a tea Spoonfull to be
taken on an ordinary wine glassfull of Water or
any of her other drinks Several times a day
W.C.
30th May
1782. ---
Notes:
1: Francois Boissier de Suavages de Lacroix (1706-1767), a French physician and author of Nosologia Methodica (1763) (precise reference untraced).
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