Cullen

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

 

[ID:1806] From: Mr Richard Lambert / To: Dr William Cullen (Professor Cullen) / Regarding: Miss Mary Peareth (Pearith, Peariths) (Patient), Miss Barbara Peareth (Pearith) (Patient) / 19 January 1780 / (Incoming)

Letter from Richard Lambert, surgeon at Newcastle, concerning the case of Miss Mary and Miss Barbara Peareth.

Facsimile

There are 6 images for this document.

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Metadata

FieldData
DOC ID 1806
RCPE Catalogue Number CUL/1/2/886
Main Language English
Document Direction Incoming
Date19 January 1780
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Richard Lambert, surgeon at Newcastle, concerning the case of Miss Mary and Miss Barbara Peareth.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:52]
Case of Miss Mary Peareth who has a painful bladder condition.
25
[Case ID:53]
Case of Miss Barbara Peareth who is thought to have an internal abdominal tumour.
13


People linked to this document

Person IDRole in documentPerson
[PERS ID:81]AuthorMr Richard Lambert
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:80]PatientMiss Mary Peareth (Pearith, Peariths)
[PERS ID:662]PatientMiss Barbara Peareth (Pearith)
[PERS ID:81]Patient's Physician / Surgeon / ApothecaryMr Richard Lambert
[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 Newcastle upon Tyne North-East England Europe certain
Destination of Letter Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]
Newcastle upon Tyne January 19th 80
Sir


as the Ladies who deliver this will be much
better able personally to relate the particular
Symptoms of their disorders from the commen¬
cement, than any Narrative I could possibly
give, would do, - I therefore refer that Mat¬
ter entirely to themselves ----


The Elder Lady Miss Mary's disorder was
a little particular and anomolous from
the first, putting on many different appear¬
ances as to pain uneasiness &c in the Bladder
and urinary passages, so far that having once
resemblance to those of the Stone, it was judged
right to make an examination by sounding,
but no calculus was found --- about this
Time She was put under a Course of Balsamic
Medicines by a Physician in which She conti¬
nued some time, but without any very apparent



[Page 2]

advantage --- As such from carefully con¬
sidering all circumstances of the Case, I appre¬
hended the disorder most likely proceeded from
some abcess at the Neck or inside of the Bladder
which from time to time, filled with matter
and as often discharged its contents through
the Meatus Urinarius with the Water, I judged
on this Ground a Course of Detergents joined
to Sweetners might be of Service and therefore
directed the use of the Pills A and the Decoction
B from the use of which She thought Herself
in some measure relieved ––– The collection
of matter (during which the uneasyness was
always the greatest) has of Late returned more
frequently but no so Violently --- Had She not
thought Herself relieved by this Course, I meant
to have changed it, and tried the Effects of the
Pulv Cicuta ---


The Other Lady Miss Barbara has Laboured



[Page 3]

under Her complaint much Longer- the
Tumor appeared at first seated under the false
Ribs
of the Right side, nearly in the Region
of the Liver indeed I conceived it to be placed
upon the Viscus, and some subsequent circum¬
stances have rather more confirmed me in
that opnion, viz that the Tumor is sometimes
Less than at others, and that after the Lessening
a sort of Spontaneous Diarrhea succeded –
but as those internal Abdominall matters
are so very uncertain I am far from being
positive as to my Imagination on that Score
- She has at times had severe Pleurisies
with bad Coughs &c for which VS and the Com¬
mon Routine of Medicines were administered
-- In my opinion the Swelling is at present
lower down and more in the middle than for¬
merly, but She says recides under the Ribs


[Page 4]

as before when She Lays down in Bed -
- Emollient, Discutient & Supparative Plasters
have been used - I had once some hopes of its
Suppurating so that a discharge might be
procured Externally, but have been disap¬
pointed in my wishes, little can be expected
outwardly ––

I am Sir
your Most Obedient Humble Servant
Richd: Lambert

Take half a drachm each of Quicksilver and Melissa, a drachm of breadcrumbs, make up into 30 Pills

Take half an ounce of Powdered Peruvian Bark, and chopped Sarsaparilla root infused in a suffient quantity of pure spring water up to a pound in weight




[Page 5]


Colica (callosa) cum Sensu
in quadam intestinorum parte
Stricturæ et ↑sæpe↑ ante eam collecti
flatus cum aliqno dolore; qui
flatus etiam
per eandem paulatim transiens
evanescit; 1




[Page 6]


Dr: Cullen
Professor of Medicine
Edinburgh


Mr Lambert
query
The Misses Peareths
January 1780
X. p.153.


5〃11 2
3〃6
12〃5
2〃4
5〃11
3〃8
1〃10
–––––
31〃11
31〃11
–––––
63〃10

Notes:

1: Translates as: "Colic (Calosities) with a sense of constriction in some part of the intestines, and often, before it [the constriction], of collected flatus with some pain. This pain, as the flatus passes through it [the stricture], gradually goes off." Calosities indicates a hardening of the tissue.

2: The significance of this list of prices, added as an annotation, is obscure.

Diplomatic Text

[Page 1]
NCaste upon Tyne Janry. 19th 80
Sir


as the Ladies who deliver this will be much
better able personally to relate the particular
Symptoms of their disorders from the commen¬
cement, than any Narrative I could possibly
give, would do, - I therefore refer that Mat¬
ter entirely to themselves ----


The Elder Lady Miss Mary's disorder was
a little particular and anomolous from
the first, putting on many different appear¬
ances as to pain uneasiness &c in the Bladder
and urinary passages, so far that having once
resemblance to those of the Stone, it was judged
right to make an examination by sounding,
but no calculus was found --- about this
Time She was put under a Course of Balsamic
Medicines by a Physician in which She conti¬
nued some time, but without any very apparent



[Page 2]

advantage --- As such from carefully con¬
sidering all circumstances of the Case, I appre¬
hended the disorder most likely proceeded from
some abcess at the Neck or inside of the Bladder
which from time to time, filled with matter
and as often discharged its contents through
the Meatus Urinarius with the Water, I judged
on this Ground a Course of Detergents joined
to Sweetners might be of Service and therefore
directed the use of the Pills A and the Decoction
B from the use of which She thought Herself
in some measure relieved ––– The collection
of matter (during which the uneasyness was
always the greatest) has of Late returned more
frequently but no so Violently --- Had She not
thought Herself relieved by this Course, I meant
to have changed it, and tried the Effects of the
Pulv Cicuta ---


The Other Lady Miss Barbara has Laboured



[Page 3]

under Her complaint much Longer- the
Tumor appeared at first seated under the false
Ribs
of the Right side, nearly in the Region
of the Liver indeed I conceived it to be placed
upon the Viscus, and some subsequent circum¬
stances have rather more confirmed me in
that opnion, viz that the Tumor is sometimes
Less than at others, and that after the Lessening
a sort of Spontaneous Diarrhea succeded –
but as those internal Abdominall matters
are so very uncertain I am far from being
positive as to my Imagination on that Score
- She has at times had severe Pleurisies
with bad Coughs &c for which VS and the Com¬
mon Routine of Medicines were administered
-- In my opinion the Swelling is at present
lower down and more in the middle than for¬
merly, but She says recides under the Ribs


[Page 4]

as before when She Lays down in Bed -
- Emollient, Discutient & Supparative Plasters
have been used - I had once some hopes of its
Suppurating so that a discharge might be
procured Externally, but have been disap¬
pointed in my wishes, little can be expected
outwardly ––

I am Sir
yr Most Obedt: Hble Serv:t.
Richd: Lambert


A ℞ Argent Viv
Mellis @ ʒſs
Mille Panis ʒi M. ft. Pilul No. xxx


B ℞ Pulv. Cort. Peruvian.
Radix. Sarsaparile Incis @ ℥ſs. cog in Aq
Fontan pura q.s. ad lbi




[Page 5]


Colica (callosa) cum Sensu
in quadam intestinorum parte
Stricturæ et ↑sæpe↑ ante eam collecti
flatus cum aliqno dolore; qui
flatus etiam
per eandem paulatim transiens
evanescit; 1




[Page 6]


Dr: Cullen
Professor of Medicine
Edinburgh


Mr Lambert
q.
The Misses Peareths
Jany. 1780
X. p.153.


5〃11 2
3〃6
12〃5
2〃4
5〃11
3〃8
1〃10
–––––
31〃11
31〃11
–––––
63〃10

Notes:

1: Translates as: "Colic (Calosities) with a sense of constriction in some part of the intestines, and often, before it [the constriction], of collected flatus with some pain. This pain, as the flatus passes through it [the stricture], gradually goes off." Calosities indicates a hardening of the tissue.

2: The significance of this list of prices, added as an annotation, is obscure.

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