The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:967] From: Dr William Cullen (Professor Cullen) / To: Mr John Walker / Regarding: Mr Thomson (of Kirkcudbright) (Patient) / 25 May 1780 / (Outgoing)
Reply 'For Mr Thomson'; Cullen instructs the addressee to lay aside the bleeding, and adds that 'I can by no means encourage you with going on with the purging'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
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[Page 1]
Metadata
| Field | Data |
|---|---|
| DOC ID | 967 |
| RCPE Catalogue Number | CUL/1/1/13/22 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 25 May 1780 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mr Thomson'; Cullen instructs the addressee to lay aside the bleeding, and adds that 'I can by no means encourage you with going on with the purging'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1232] |
Case of Mr Thomson (under care of John Walker) who suffers a severe hectic fever with diarrhoea. |
8 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:838] | Addressee | Mr John Walker |
| [PERS ID:837] | Patient | Mr Thomson (of Kirkcudbright) |
| [PERS ID:838] | Patient's Physician / Surgeon / Apothecary | Mr John Walker |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Edinburgh | Edinburgh and East | Scotland | Europe | certain | |
| Destination of Letter | Kirkcudbright | Borders | Scotland | Europe | inferred |
Normalized Text
For Mr. Thompson vid. p. 8 - 22.75.
It seems clear to me that Evacuations will not re¬
lieve Mr. Thompsons pains. I therefore think you have
done right in laying aside the Bleedings and I can
by no means encourage you with going on with
the purging. Two or three stools every other day will
in my opinion reduce him more than his morning
sweats and what is worse I suspect that tho' you was
to give no opiate the morning sweats would not be
avoided by the purging.
I think his pains must either be from a Suppur¬
ation going on, or must be more of the Spasmodic
kind than we have thought; and in either Case Evacuations
will do no service and opiates are the only means of
relief; and with
those with a Milk Diet, I would entirely
commit the Case. You may try as you have done a
little light animal food at Dinner, but attend to its effects
and proceed accordingly. - Directly flatulent food must
be avoided, but you may perhaps find that its flat¬
ulency will not be diminished by the animal food
his morning sweats must not be encouraged and you
may safely moderate them by shifting him into dry
flannel or linnen, lightening his bedclothes, laying
out his arms, or even taking him out of Bed.
Tho you dont directly mark it, I suspect that a Hectic
is pretty fully formed, and if this is, as I believe it almost
is, I know no remedy for it so good as the Acid mix¬
ture I formerly prescribed. - I am &c
Diplomatic Text
For Mr. Thompson vid. p. 8 - 22.75.
It seems clear to me that Evacuations will not re¬
lieve Mr. Thompsons pains. I therefore think you have
done right in laying aside the Bleedings and I can
by no means encourage you with going on with
the purging. Two or three stools every other day will
in my opinion reduce him more than his morning
sweats and what is worse I suspect that tho' you was
to give no opiate the morning sweats would not be
avoided by the purging.
I think his pains must either be from a Suppur¬
ation going on, or must be more of the Spasmodic
kind than we have thought; and in either Case Evacuations
will do no service and opiates are the only means of
relief; and w
those with a Milk Diet, I would entirely
commit the Case. You may try as you have done a
little light animal food at Dinner, but attend to its effects
and proceed accordingly. - Directly flatulent food must
be avoided, but you may perhaps find that its flat¬
ulency will not be diminished by the animal food
his morning sweats must not be encouraged and you
may safely moderate them by shifting him into dry
flannel or linnen, lightening his bedclothes, laying
out his arms, or even taking him out of Bed.
Tho you dont directly mark it, I suspect that a Hectic
is pretty fully formed, and if this is, as I believe it almost
is, I know no remedy for it so good as the Acid mix¬
ture I formerly prescribed. - I am &c
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