Cullen

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

 

[ID:948] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mrs Fenwick (Patient) / April 1780 / (Outgoing)

Reply 'For Mrs Fenwick'. Cullen believes that measures must be taken to prevent the return of gravel in the kidney, but since that will require some time, concentrates on 'relieving the fits when they come on' No obvious incoming letter traced.

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Metadata

FieldData
DOC ID 948
RCPE Catalogue Number CUL/1/1/13/3
Main Language English
Document Direction Outgoing
DateApril 1780
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mrs Fenwick'. Cullen believes that measures must be taken to prevent the return of gravel in the kidney, but since that will require some time, concentrates on 'relieving the fits when they come on' No obvious incoming letter traced.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1242]
Case of Mrs Fenwick who suffers from gravel in her right kidney.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:647]PatientMrs Fenwick
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr 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 inferred

Normalized Text

[Page 1]
For Mrs Fenwick


Gravel in the right kidney and measures must be taken to
prevent their return; but as they require a length of time and
cannot be entered upon at present I shall only offer directions
for relieving the fits when they come on


1. To prevent Costiveness and for that if you pass two days
without a stool, take a Dose of the Laxative Oil No 1.
2 If a fit comes on and you suspect some Costiveness you ought
immediately the Glyster No 2.
3. If in spite of this the pain and Vomiting continue and the last
occasioning much straining without bringing up such a Draught
or two of warm water may be taken to make the straining a
little easier, but if it be not for this purpose, I would not
advise the encouraging of ↑the↑Vomiting and would rather stop it
and relief the pain by L.L. If the Vomiting be moderate
a Dose of 25 or 30 Drops maybe swallowed in a little water
and Sugar, but if this should be immediately rejected I would not
attempt any more L.L. by the mouth but immediately
try it by the Glyster No 3.


No 1. Take 3 ounces of Castor Oil1 ounce of Elixir Salutis. Mix. Label: Laxative Oil from ½ a spoonfull to two spoonfulls

No 2. Three Gills of Water Gruel- a Spoonful of common Salt - the same of brown Sugar - two spoonfulls of Florence oil. Mix for Enemas


No. 3. Take a 50 drops of L.L. to an Ounce of Gum Arabic dissolved in four ounces of Water - Mix for Enemas

April 1780

Diplomatic Text

[Page 1]
For Mrs Fenwick


Gravel in the right kidney and measures must be taken to
prevent their return; but as they require a length of time and
cannot be entered upon at present I shall only offer directions
for relieving the fits when they come on


1. To prevent Costiveness and for that if you pass two days
without a stool, take a Dose of the Laxative Oil No 1.
2 If a fit comes on and you suspect some Costiveness you ought
immediately the Glyster No 2.
3. If in spite of this the pain and Vomiting continue and the last
occasioning much straining without bringing up such a Draught
or two of warm water may be taken to make the straining a
little easier, but if it be not for this purpose, I would not
advise the encouraging of ↑the↑Vomiting and would rather stop it
and relief the pain by L.L. If the Vomiting be moderate
a Dose of 25 or 30 Drops maybe swallowed in a little water
and Sugar, but if this should be immediately rejected I would not
attempt any more L.L. by the mouth but immediately
try it by the Glyster No 3.


No 1. - ℞ Ol. ricin ℥iii
Elix. salut. ℥i M. Sig. Lax Oil from ½ a Sp.full to two spfulls.

No 2. Three Gills of Water Gruel - a Spoonfull of common Salt - Ditto
of brown Sugar - two spfulls of Florence Oil. M pro Enemate


No.3. ℞ L.L. gutt. L- to an Ounce of Gum Arabic dissolved in
four ounces of Water.–– M pro Enemate

April 1780

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