The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:639] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Mrs Tarpley (Patient) / 21 September 1782 / (Outgoing)
Letter concerning Mrs Tarpley, who is suffering from illness during her pregnancy.
- 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 | 639 |
| RCPE Catalogue Number | CUL/1/1/15/124 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 21 September 1782 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Letter concerning Mrs Tarpley, who is suffering from illness during her pregnancy. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1488] |
Case of Mrs Tarpley who is ill during pregnancy. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2464] | Addressee | |
| [PERS ID:2463] | Patient | Mrs Tarpley |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:2464] | Patient's Physician / Surgeon / Apothecary |
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 |
Normalized Text
Mrs Tarpley
It gives me a great deal of concern to hear
of Mrs Tarpleys distress but I think in the present situa¬
tion of her pregnancy her complaint can have no bad conse¬
quences. I think she has been blooded enough and neither
the phlogistic appearance of her pulse blood nor the fullness
of her pulse will be readily taken off by bleeding as preg¬
nancy generally gives both these symptoms. At this distance
that is, without knowing more exactly the circumstances of
the case or seeing the effects of remedies I cannot offer any
positive advice but my opinion is that all that can proper¬
ly be done is to let her live as low as her former habits
and the present state of her stomach will allow, to let her
be always in very cool or rather cold air which the state of
pregnancy commonly requires and bears very well, and at
least of all times either of the night or day let all external
heat be avoided carefully. She may take acids and nitrous
medicines but be aware of this that both these sometimes
[excite?] coughing. The fit of coughing between one and two
[Page 2]
o'clock of the morning I have very often met with and it
is only to be obviated or quieted by an opiate taken at bed¬
time. I think this may be safely tried but let the proper
dose and the repetition of it be determined by the effects ~
I hope it will not often be necessary and I should be sorry
to find the repetition of it seem to be so for that to me will
imply that the cough cannot be entirely cured till her de¬
livery and therefore you must be satisfied with palliating
it now and then. I need hardly say that as opiates induce
costiveness, this must be obviated or corrected by gentle laxa¬
tives such as the flores sulphuris or by frequent glysters.
Any degree of bodily exercise must at present be hurtfull
but going abroad in an easy carriage upon smooth roads
may be very usefull both ↑with↑ respectfull compliments to Mrs
Tarpley and earnest wishes for her relief I am most sincerely
Diplomatic Text
Mrs Tarpley
It gives me a great deal of concern to hear
of Mrs Tarpleys distress but I think in the present situa¬
tion of her pregnancy her complaint can have no bad conse¬
quences. I think she has been blooded enough and neither
the phlogistic appearance of her pulse blood nor the fullness
of her pulse will be readily taken off by bleeding as preg¬
nancy generally gives both these symptoms. At this distance
that is, without knowing more exactly the circumstances of
the case or seeing the effects of remedies I cannot offer any
positive advice but my opinion is that all that can proper¬
ly be done is to let her live as low as her former habits
and the present state of her stomach will allow, to let her
be always in very cool or rather cold air which the state of
pregnancy commonly requires and bears very well, and at
least of all times either of the night or day let all external
heat be avoided carefully. She may take acids and nitrous
medicines but be aware of this that both these sometimes
[excite?] coughing. The fit of coughing between one and two
[Page 2]
o'clock of the morning I have very often met with and it
is only to be obviated or quieted by an opiate taken at bed¬
time. I think this may be safely tried but let the proper
dose and the repetition of it be determined by the effects ~
I hope it will not often be necessary and I should be sorry
to find the repetition of it seem to be so for that to me will
imply that the cough cannot be entirely cured till her de¬
livery and therefore you must be satisfied with palliating
it now and then. I need hardly say that as opiates induce
costiveness, this must be obviated or corrected by gentle laxa¬
tives such as the flores sulphuris or by frequent glysters.
Any degree of bodily exercise must at present be hurtfull
but going abroad in an easy carriage upon smooth roads
may be very usefull both ↑with↑ respectfull compliments to Mrs
Tarpley and earnest wishes for her relief I am most sincerely
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