The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1056] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss Hodgson (Hodgeson) (Patient) / 30 November 1780 / (Outgoing)
Reply, 'Dr Heysham C[oncerning] Miss Hodgson', whose disease is proving difficult to cure.
- 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 | 1056 |
| RCPE Catalogue Number | CUL/1/1/13/110 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 30 November 1780 |
| 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, 'Dr Heysham C[oncerning] Miss Hodgson', whose disease is proving difficult to cure. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:986] |
Case of Miss Hodgson, who has diarrhoea and symptoms suggesting consumption. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1383] | Patient | Miss Hodgson (Hodgeson) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:477] | Patient's Physician / Surgeon / Apothecary | Dr John Heysham |
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 | Carlisle | North-West | England | Europe | inferred |
Normalized Text
Dr Heysham concerning Miss Hodgson
Miss Hodgson's case is not more promising than
some you have sent me before but I hold it as a rule that
I never cease my endeavours to cure and if I cannot do that
to relieve as far as possible
The remedies you have hitherto employed have been
very judicious & as promising as any could be but there is
here a fixed Tubercle & a foul fare in it which are circumstances
not easily mended. The Diarrhoea seems to have been the
most troublesome circumstance in this case & you have
treated it very properly by Astringents & opiates. If it
should return which it probably will do if you have the
Kino you will find it useful. The Terra Japonica is
commonly not very good, but you will find it may
be assisted by the Pomegrenate flowers & bark, but after
[Page 2]
all tho' the Astringents may sometimes save the opiate it
is this last that is especially to be trusted in such Colliquative
Diarrhoea. I think you do right in continuing the Perpetual
blister & if it should prove very troublesome in one place
it may be shifted to another. A gentle Puke of the Ipecacuanha may
be useful both for the looseness and the cough. The Tussilago
& the Vitriolic acid are both useful medicines in such cases
but I chuse always to give them separately & the folia
Tussilaginis in a very strong decoction & the acid diluted
with water or barley water by itself if the stomach will
easily bear the balsamum sulphi crass. I have found
it useful in the following formula
Take [powdered root Emulsion?] and liquorice, one drachm of each, two drachms of thick Balsam of sulphur and a sufficient quantity of [Gum Arabic?]. Let a mass be made and divide into single pills of five grains. Label: Pectoral Pills two or three to be taken every night at bed time.
you have not taken notice of Miss Hodgesons taking
exercise in a carriage. The season indeed is now almost
past, but for these five days we have had such weather
as would have allowed of it very well.
I think her diet is uery well ordered. More early in
the disease I should haue aduised a total abstinence
from Animal food but in such an advanced state it
is difficult to support the Patient without allowing
as much of it as you seem to have done. I should haue
said aboue that the [linotus?] you employ is as proper
as any but it is now & then proper to vary the demulcents
as occasion may seem to require
Diplomatic Text
Dr Heysham C. Miss Hodgson
Miss Hodgson's case is not more promising than
some you have sent me before but I hold it as a rule that
I never cease my endeavours to cure and if I cannot do that
to relieve as far as possible
The remedies you have hitherto employed have been
very judicious & as promising as any could be but there is
here a fixed Tubercle & a foul fare in it which are circumsts
not easily mended. The Diarrhoea seems to have been the
most troublesome circumstance in this case & you have
treated it very properly by Astringents & opiates. If it
should return which it probably will do if you have the
Kino you will find it useful. The Terra Japonica is
commonly not very good, but you will find it may
be assisted by the Pomegrenate flowers & bark, but after
[Page 2]
all tho' the Astringents may sometimes save the opiate it
is this last that is especially to be trusted in such Colliquative
Diarrhoea. I think you do right in continuing the Perpetual
blister & if it should prove very troublesome in one place
it may be shifted to another. A gentle Puke of the Ipecac. may
be useful both for the looseness and the cough. The Tussilago
& the Vitriolic acid are both useful medicines in such cases
but I chuse always to give them separately & the folia
Tussilaginis in a very strong decoction & the acid diluted
with water or barley water by itself if the stomach will
easily bear the balsamum sulphi crass. I have found
it useful in the following formula
℞ [Pulv: rad. Emul.?]
----glycirrhiz @ʒi
Balsam. sulph. crass. ʒij [Mucilas. Arab.?] q.s. ft.
mass. diuid. in pil. sing, gr. V
Sig. Pectoral Pills two or three to be taken every
night at bed time
you have not taken notice of Miss Hodgesons taking
exercise in a carriage. The season indeed is now almost
past, but for these five days we have had such weather
as would have allowed of it very well.
I think her diet is uery well ordered. More early in
the disease I should haue aduised a total abstinence
from Animal food but in such an advanced state it
is difficult to support the Patient without allowing
as much of it as you seem to have done. I should haue
said aboue that the [linotus?] you employ is as proper
as any but it is now & then proper to vary the demulcents
as occasion may seem to require
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