Cullen

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

 

[ID:941] From: Dr John Hall / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Anthony Wilkinson (Patient) / 1 December 1774 / (Incoming)

Letter from John Hall concerning the continuing case of Anthony Wilkinson who has a bladder problem, probably venereal.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 941
RCPE Catalogue Number CUL/1/2/201
Main Language English
Document Direction Incoming
Date1 December 1774
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from John Hall concerning the continuing case of Anthony Wilkinson who has a bladder problem, probably venereal.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2]
Case of Anthony Wilkinson, who has a bladder complaint.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:510]AuthorDr John Hall
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:452]PatientMr Anthony Wilkinson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:510]Patient's Physician / Surgeon / ApothecaryDr John Hall

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Newcastle upon Tyne North-East England Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Place of Handstamp Newcastle upon Tyne North-East England Europe certain

Normalized Text

[Page 1]
Newcastle December 1st. 1774
Sir


I received your favours [by the?] Express & have the pleas¬
ure to acquaint you that the Bleeding Stopd Sooner than usuall
I had used the puls. Styptic. of the Edinburgh Pharmacopoeia 1 in Small Quantity
but I do not attribute the Speedy Stoppage of the Haemorrhage
to any use of it --- The fact is that it came on Soon after
an Erection & appear'd to arise from some Local Strain --
& therefore ceased so soon as the Effects of that were over --
I observe Your Opinion upon the Nitre but I have never been
able to find the Least Effect of that Nature upon him, his
efforts to make Water not being oftener than at the
distance of Some hours & that with Ease, Subject only to the
Slightest degree of uneasiness
if any - I have repeatedly Seen
him make water about ℥viii at a time -- tis muddy,
wheyish Like Small Beer when made -- the Stuff that Cre¬
ates that muddy appearance falls to the Bottom Like a [thickly?]
Cloud & will mix readily again with the water as before upon
the Glass being Shaken - has no Smell - yet he persists



[Page 2]

in an ulceration or excoriation at the neck of his Bladder - He
yesterday told me that I might now see the matter or pus
if I would Look into a Little Bason where he had made
about half a pint of water, when I looked the water ap¬
pear'd to me as Good an any healthy persons - but at
the Bottom there was Like a drop of Something Lying
which upon pouring the water off & taking betwixt my
fingers appear'd to me Like that Sebaceous sort of Substance
that is Sometimes behind the Glans Penis - Upon Rubbing
it betwixt my fingersit did not Like pus melt away
& dissappear but Left rather a firmish Substance
there -- this is what he Calls pus -- I own I can See
no Sufficient reason for supposing it such, but I would
not upon any Consideration have You Lean to my Opinion
but Judge as much for Yourself as my description will


[Page 3]

enable you, my design is to have him better if possible
but I fear if his tail were well -- there would Still re¬
main above something unsatisfied -- Your Opinion
is exactly what I have repeatedly told his Surgeon, But
which I dare not tell him as his knowledge of it would
make him miserable -- He has all along used the Emulsion
arabic
-- & Decoct. aether. -- He proceeds in this way, but
I could wi[sh] for his Satisfaction that you would recommend
the Best Mode of treating it as an ulcer since he'lls dete[r]¬
min'd to consider it as such -- His first Letter would Show you
this to be his favorite Idea -- In respect to regimen tis the
most Exact in Nature not having tasted wine this 12 months
nor any fermented Liquor - drinking Constantly Bristol water
I was rather sorry to See in yours a recommentation of keaping
his bed - for we have the utmost difficulty when well to Get him
up - altho sometimes a Little chearfull - at most times he is so Gloomy
[&] desponding & acts so oddly
as to form one of the most singular characters
you can suppose -- but this is under the rose 2 -- I beg your Answer

& am Sir your most Obedient Humble Servant
JHall



[Page 4]

I fancy you paid for the Express - if So I will remind him of it -
We have no Extract. Hyoscyam - I could wish to have a Little of it Sent
me - we are not yet so fond of poison in England as you are in Edinburgh
The flores Zinci I think do not answer with us ---
adieu once more Jno. Hall


Dr. Cullen
Edinburg


Mr Hall
about Anthy Wilkinson December 1st. 1774.
Vol. 1. p. 143. Vol. I.1L

Notes:

1: See Pharmacopoeia Collegii Regii Medicorum Edinburgensis (Edinburgh: 1774), p. 157. Styptic powder made with Alum and Kino.

2: From the Latin expression "sub rosa" meaning "secretly" or "to be undisclosed".

Diplomatic Text

[Page 1]
Newcastle Decr. 1st. 1774
Sir


I recd. your favours [per?] Express & have the pleas¬
ure to acquaint you that the Bleeding Stopd Sooner than usuall
I had used the puls. Styptic. of the P. Edin. 1 in Small Quantity
but I do not attribute the Speedy Stoppage of the Haemorrhage
to any use of it --- The fact is that it came on Soon after
an Erection & appear'd to arise from some Local Strain --
& therefore ceased so soon as the Effects of that were over --
I observe Your Opinion upon the Nitre but I have never been
able to find the Least Effect of that Nature upon him, his
efforts to make Water not being oftener than at the
distance of Some hours & that with Ease, Subject only to the
Slightest degree of uneasiness
if any - I have repeatedly Seen
him make water about ℥viii at a time -- tis muddy,
wheyish Like Small Beer when made -- the Stuff that Cre¬
ates that muddy appearance falls to the Bottom Like a [thickly?]
Cloud & will mix readily again wt. the water as before upon
the Glass being Shaken - has no Smell - yet he persists



[Page 2]

in an ulceration or excoriation at the neck of his Bladder - He
yesterday told me that I might now see the matter or pus
if I would Look into a Little Bason where he had made
about half a pint of water, when I looked the water ap¬
pear'd to me as Good an any healthy persons - but at
the Bottom there was Like a drop of Something Lying
which upon pouring the water off & taking betwixt my
fingers appear'd to me Like that Sebaceous sort of Substance
that is Sometimes behind the Glans Penis - Upon Rubbing
it betwixt my fingersit did not Like pus melt away
& dissappear but Left rather a firmish Substance
there -- this is what he Calls pus -- I own I can See
no Sufficient reason for supposing it such, but I wd.
not upon any Consideration have You Lean to my Opinion
but Judge as much for Yourself as my description will


[Page 3]

enable you, my design is to have him better if possible
but I fear if his tail were well -- there would Still re¬
main above something unsatisfied -- Your Opinion
is exactly what I have repeatedly told his Surgeon, But
which I dare not tell him as his knowledge of it would
make him miserable -- He has all along used the Emulsion
arabic
-- & Decoct. aether. -- He proceeds in this way, but
I could wi[sh] for his Satisfaction that you would recommend
the Best Mode of treating it as an ulcer since he'lls dete[r]¬
min'd to consider it as such -- His first Letter would Show you
this to be his favorite Idea -- In respect to regimen tis the
most Exact in Nature not having tasted wine this 12 months
nor any fermented Liquor - drinking Constantly Bristol water
I was rather sorry to See in yours a recommentation of keaping
his bed - for we have the utmost difficulty when well to Get him
up - altho sometimes a Little chearfull - at most times he is so Gloomy
[&] desponding & acts so oddly
as to form one of the most singular characters
you can suppose -- but this is under the rose 2 -- I beg your Answer

& am Srr your most Obd Hb Servt
JHall



[Page 4]

I fancy you pd. for the Express - if So I will remind him of it -
We have no Extract. Hyoscyam - I could wish to have a Little of it Sent
me - we are not yet so fond of poison in England as you are in Edr.
The flores Zinci I think do not answer with us ---
adieu once more Jno. Hall


Dr. Cullen
Edinburg


Mr Hall
about Anthy Wilkinson Decr. 1st. 1774.
Vol. 1. p. 143. Vol. I.1L

Notes:

1: See Pharmacopoeia Collegii Regii Medicorum Edinburgensis (Edinburgh: 1774), p. 157. Styptic powder made with Alum and Kino.

2: From the Latin expression "sub rosa" meaning "secretly" or "to be undisclosed".

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