Cullen

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

 

[ID:137] From: Dr William Cullen (Professor Cullen) / To: Dr William Wilson / Regarding: Mrs Scot (Patient) / 29 May 1781 / (Outgoing)

Reply to Dr William Wilson regarding a continuing case of 'pseudo syphilis' in a female patient [Mrs Scot] who Cullen is keen to assist. Also mentions previous mercurial cure.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 137
RCPE Catalogue Number CUL/1/1/14/23
Main Language English
Document Direction Outgoing
Date29 May 1781
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply to Dr William Wilson regarding a continuing case of 'pseudo syphilis' in a female patient [Mrs Scot] who Cullen is keen to assist. Also mentions previous mercurial cure.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1416]
Case of Mrs. Scot who has a vaginal shanker and a discharge, possibly syphilitic in origin.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:132]AddresseeDr William Wilson
[PERS ID:2888]PatientMrs Scot
[PERS ID:132]Patient's Physician / Surgeon / ApothecaryDr William Wilson
[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 certain
Destination of Letter Greenock Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]

Mr Wilson of Greenock Concerning -

Dear William


I have now kept your patient
with me for Some days that I might be more certain
of the nature of her disorder. From the account She
gives me of her last mercurial course I am persuaded that
the venereal taint is now eradicated and that nothing now
remains but a local affection of which the nature may
be doubtfull but to determine it I have employed a
Solution of the Corrosive ↑by injection. There is now no external
Swelling or ulcer or if there was any internal I expected
that the injection would discover it by the pain it would
give and if there was an ulcer that the corrosive was the
most likely means to mend it. I began with ¼ of a gr.
to the ounce of distilled water and that giving no Smart
I proceeded to gr. ½ and this neither giving any Smart
I have now employed one grain to the ounce for these
three days past. This gives Some Smarting but Slight



[Page 2]

and of Short duration. From all this I conclude that
there is no internal Sore and the discharge which Seems
increased by the last injection depends upon fluor albus
or a gleet which takes place in females as well as Males.
and is frequently attended with Some phlogosis of the
Vagina which may be affected with the Strong Solution --
but an ulceration would be affected with the weakest. I am
confirmed in all this by their being no ardor urinæ and
by their being much pain of the back. She is to set
out on her Journey home tomorrow morning & till She
is Settled at home I have desired her to lay aside the
Injection but then you may let her try it again for
eight days or thereby. It may at first again increase
the discharge but if that Should depend upon ulcer I
think the Injection will heal that and diminish to
entirely dry up the discharge but that I the ceasing
of the discharge I by no means expect and therefore
I should not think it necessary to continue the In


[Page 3]

jection
for any length of time. The discharge may be
very tedious but for drying it up I have found great be¬
nefit by the prescription inclosed if her Stomach will bear
it. It is to be managed as follows. Put a teaSpoonfull or
two of powdered Sugar into a tea cup, upon this drop 20
drops of the Balsam and Stir ↑it↑ well among the Sugar with
the back of tea Spoon then pour on an ounce or two of water
and Stiring the whole very well & quickly let her Swallow
it immediately. The dose at first may be 20 drops but
you are to increase it by degrees till She can take 50 or
60. The time of taking it is at bedtime and She may wash
it down with water, Small beer or a little brandy & water.
This is my plan for the present but I am always ready
to acknowlege the fallibility of my best judgement and
therefore Shall allow that Syphillitic Symptoms may
Still recur and in that case our measures must be
changed but I shall Say no more till I Shall find from
your account that it is necessary. If it Should I think
the measures will be very easy. In the mean time please


[Page 4]

mind this that a pimple or small Sore coming upon
the labia or the continuance of the present discharge is
not to be concluded as a mark of Lues without Some other
Symptoms to Show a more general affection of the System.
Mind this also that I Shall grudge no trouble to make
this lady quite well. I Shall willingly read your letters
and write answers to them as often as you please.


Dear William
Your most obedient servant

William Cullen.

Edinburgh 29th May
1781

Diplomatic Text

[Page 1]

Mr Wilson of Greenock C. -

Dear Wm


I have now kept your patient
with me for Some days that I might be more certain
of the nature of her disorder. From the account She
gives me of her last mercurial course I am persuaded that
the venereal taint is now eradicated and that nothing now
remains but a local affection of which the nature may
be doubtfull but to determine it I have employed a
Solution of the Corrosive ↑by injection. There is now no external
Swelling or ulcer or if there was any internal I expected
that the injection would discover it by the pain it would
give and if there was an ulcer that the corrosive was the
most likely means to mend it. I began with ¼ of a gr.
to the ounce of distilled water and that giving no Smart
I proceeded to gr. ½ and this neither giving any Smart
I have now employed one grain to the ounce for these
three days past. This gives Some Smarting but Slight



[Page 2]

and of Short duration. From all this I conclude that
there is no internal Sore and the discharge which Seems
increased by the last injection depends upon fluor albus
or a gleet which takes place in females as well as Males.
and is frequently attended with Some phlogosis of the
Vagina which may be affected with the Strong Solution --
but an ulceration would be affected with the weakest. I am
confirmed in all this by their being no ardor urinæ and
by their being much pain of the back. She is to set
out on her Journey home tomorrow morning & till She
is Settled at home I have desired her to lay aside the
Injection but then you may let her try it again for
eight days or thereby. It may at first again increase
the discharge but if that Should depend upon ulcer I
think the Injection will heal that and diminish to
entirely dry up the discharge but that I the ceasing
of the discharge I by no means expect and therefore
I should not think it necessary to continue the In


[Page 3]

jection
for any length of time. The discharge may be
very tedious but for drying it up I have found great be¬
nefit by the prescription inclosed if her Stomach will bear
it. It is to be managed as follows. Put a teaSpoonfull or
two of powdered Sugar into a tea cup, upon this drop 20
drops of the Balsam and Stir ↑it↑ well among the Sugar with
the back of tea Spoon then pour on an ounce or two of water
and Stiring the whole very well & quickly let her Swallow
it immediately. The dose at first may be 20 drops but
you are to increase it by degrees till She can take 50 or
60. The time of taking it is at bedtime and She may wash
it down with water, Small beer or a little brandy & water.
This is my plan for the present but I am always ready
to acknowlege the fallibility of my best judgement and
therefore Shall allow that Syphillitic Symptoms may
Still recur and in that case our measures must be
changed but I shall Say no more till I Shall find from
your account that it is necessary. If it Should I think
the measures will be very easy. In the mean time please


[Page 4]

mind this that a pimple or small Sore coming upon
the labia or the continuance of the present discharge is
not to be concluded as a mark of Lues without Some other
Symptoms to Show a more general affection of the System.
Mind this also that I Shall grudge no trouble to make
this lady quite well. I Shall willingly read your letters
and write answers to them as often as you please.


Dear Wm.
Your most obedient servant

William Cullen.

Edinr. 29th May
1781

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:137]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...