The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:5980] From: [AUTHOR UNKNOWN] / To: Mr Andrew Liddell (Liddle) / Regarding: Mr Dunbar (Patient) / 23? February 1776 / (Outgoing)
Reply to 'Mr Liddell about Mr Dunbar', concerning the possibility that Dunbar, an adolescent, may have worms which might account for some of his complaints.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 5980 |
| RCPE Catalogue Number | CUL/1/1/6/90 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 23? February 1776 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply to 'Mr Liddell about Mr Dunbar', concerning the possibility that Dunbar, an adolescent, may have worms which might account for some of his complaints. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:438] |
Case of Mr Alexander Dunbar, adolescent son of Captain Dunbar of Westfield who has been 'subject to irregular & wandering Pains of his Belly' since infancy and who develops severe back pain, dizziness and an inability to stand. |
5 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:339] | Addressee | Mr Andrew Liddell (Liddle) |
| [PERS ID:1721] | Patient | Mr Dunbar |
| [PERS ID:339] | Patient's Physician / Surgeon / Apothecary | Mr Andrew Liddell (Liddle) |
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 | Thurso | North Highlands | Scotland | Europe | inferred |
Normalized Text
Mr Liddell about Mr Dunbar.
The startings in his sleep are of the convulsive kind & I have known
them end in Epilepsy but at present as they seem to depend on an affection of
The Intestines & possibly on worms, it is to be hoped the disorder may be removed
or at least that any disagreeable consequence may be avoided
All these symptoms have arisen on occasions from worms but here there
having been no no appearance of them for six years past & the patients
having long (↑often↑) enjoyed long intervals of rest ease renders the supposition
of worms less probable but does not expresly exclude it. I think there¬
fore that some efforts should be made to expell worms & the
medicines I find most effectual for this purpose is Gamboge & Mercury
but the first must be used with caution. I would give to a
young man of Mr Dunbars age Gambogia two grains Calomel five grains Jallop ten grains
Mix and make a Bolus or Pills as he likes best. This dose should give 4
or 5 stools & if it gives any less the dose of the Gambogia should be
increased to 2 or 3 grains more & such doses at the intervals of 2 3
or 4 days, as he bears the purging should be given for several times
[Page 2]
If he can bear it for three or four times & at the same time no worms
appear I would give up the trial but if they do appear, you will be
directed by the circumstances of them & the relief of symptoms which
they produce to repeat the course again sooner or later.- A day or
two before he takes these doses, let him drink Valerian tea pretty
strong & in what quantity he as easily bears & he should do the same in all the
intervals of his Physick - Tho I have fixed a dose for him, you may
order as his constitution & may direct. If his measure has no effect
& produce no appearance of worms the case must be taken up as
a spasmodic affection & the medecine I would chiefly depend upon is the
following
Take five grains of prepared Steel; ten grains of each of powdered Cinnamon and white Sugar Rub together in order to make a Powder. In an emergency make a dose of twelve. Label: Tonic Powders. One to be taken twice a day in a little currant Jelly or Panada
On trial, the dose of the Limat. while it does not make him sick
should be increased to ten to fifteen nay twenty grains for a dose. It
frequently keeps the belly open, but if it do not you must give a Laxative
especially when the preludes to his startings or the startings themselves
have come on - Continue his low diet - not sit long at study, and be
in fresh air & exercise
Diplomatic Text
Mr Liddell about Mr Dunbar.
The startings in his sleep are of the convulsive kind & I have known
ym end in Epilepsy but at present as they seem to depend on an affection of
The Intestines & possibly on worms, it is to be hoped the disorder may be removed
or at least that any disagreeable consequence may be avoided
All these symps have arisen on occasions from worms but here there
having been no no appearance of them for six years past & the patients
having long (↑often↑) enjoyed long intervals of rest ease renders the supposition
of worms less probable but does not expresly exclude it. I think there¬
fore that some efforts should be made to expell worms & the
medicines I find most effectual for this purpose is Gamboge & Mercury
but the first must be used with caution. I would give to a
young man of Mr Dunbars age Gamb. gr ij Calom. gr v Jalap gr X
ℳ. f. Bolus vel Pilula as he likes best. This dose should give 4
or 5 stools & if it gives any less the dose of the Gamb. should be
increased to 2 or 3 grains more & such doses at the intervals of 2 3
or 4 days, as he bears the purging should be given for several times
[Page 2]
If he can bear it for three or four times & at the same time no worms
appear I would give up the trial but if they do appear, you will be
directed by the circumstances of them & the relief of symptoms wc
they produce to repeat the course again sooner or later.- A day or
two before he takes these doses, let him drink Valerian tea pretty
strong & in what qty he as easily bears & he should do the same in all the
intervals of his Physick - Tho I have fixed a dose for him, you may
order as his constitution & may direct. If his measure has no effect
& produce no appearance of worms the case must be taken up as
a spasmodic affection & the medecine I would chiefly depend upon is the
following
℞ Limatur. Mart. pp.t gr v. Cinnamon. pulv. sacch alb. @ gr X
Terito simul ut f. Pulvis ut. f. h.m. dos xij S. Tonic Powders
one to be taken twice a day in a little Currant Jelly or Panada
On trial, the dose of the Limat. while it does not make him sick
should be increased to ten to fifteen nay twenty grains for a dose. It
frequently keeps the belly open, but if it do not you must give a Laxative
especially when the preludes to his startings or the startings themselves
have come on - Cont his low diet - not sit long at study, and be
in fresh air & exercise
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