Cullen

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

 

[ID:1952] From: Dr Ralph Paterson (Patterson) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Rigby (Patient) / 28 November 1780 / (Incoming)

Letter from Ralph Patterson, concerning the case of Mr Rigby.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 1952
RCPE Catalogue Number CUL/1/2/1031
Main Language English
Document Direction Incoming
Date28 November 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 Ralph Patterson, concerning the case of Mr Rigby.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1234]
Case of Mr Rigby who has 'a tendency to Epilepsy'.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:129]AuthorDr Ralph Paterson (Patterson)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:1194]PatientMr Rigby
[PERS ID:129]Patient's Physician / Surgeon / ApothecaryDr Ralph Paterson (Patterson)
[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 Berwick-upon-Tweed (Berwick) North-East England Europe certain

Normalized Text

[Page 1]
Dear Sir


Your letter of the 20th came to my hand
only on Saturday night last & then too late at
night to be answered in course. I have considered
the Case and have a strong suspicion that the
fits
have a tendency to become of the Epileptic
kind. I have little doubt that it depends upon
the interruption of the bleeding at the nose to
which he had been formerly accustomed & therefore
think that you have managed it most properly
by pretty large bleeding but as these bleedings
have a tendency to bring back the plethoric
state
it is absolutely necessary that we should
take other measures to obviate this. The keeping
of his belly open which you have properly pract¬
ised will contribute in part but I think
another part of your advice still more necessary,
that is to diminish his nourishment both



[Page 2]

in quantity & quality & If he would for some
time live entirely without animal food it may
prove the most certain remedy.


To keep his belly regular I think the Cream
of Tartar
alone would be the most eligible.


The only medicine I would prescribe for him
are the Powders ordered below, which may
possibly supersede the necessity of any other
Laxative.


I need not say to you what you seem to appre¬
hend already that a good deal of exercise and
even bodily exercise will be of service to him but
let him take care that he be never heated by
it & that in the management of any business
he never stoop much. His frequently getting
up early in the morning should I think do him
no harm, as much sleep might. I have known




[Page 3]


some of his profession who have been much hurt
by being exposed to the Steam of their ferment¬
ing backs and he should avoid it.

I am Dear
Sir Your most obedient humble Servant
William Cullen

Edinburgh 28th November
1780
For Mr Rigby

Take ten grains each of powdered Sodium carbonate and Magnesia alba. Mix to make a powder and in this way make a dose of twelve. Label: Cooling Powders; one to be taken three times a day in a little water, washing them down with two tablespoonfuls of the following.

Take four ounces of rose Water, one ounce each of Vinegar and Syrup of cloves and one drachm of Sodium carbonate. Mix. Cooling Mixture two tablespoonfuls to be taken with every dose of the Powders.

W.C.
28th November 1780



[Page 4]


Mr Ralph Paterson
Surgeon at
Berwick


Mr. Rigby
November 1780
Vol XI.p.III

Diplomatic Text

[Page 1]
Dear Sir


Your letter of the 20th came to my hand
only on Saturday night last & then too late at
night to be answered in course. I have considered
the Case and have a strong suspicion that the
fits
have a tendency to become of the Epileptic
kind. I have little doubt that it depends upon
the interruption of the bleeding at the nose to
which he had been formerly accustomed & therefore
think that you have managed it most properly
by pretty large bleeding but as these bleedings
have a tendency to bring back the plethoric
state
it is absolutely necessary that we should
take other measures to obviate this. The keeping
of his belly open which you have properly pract¬
ised will contribute in part but I think
another part of your advice still more necessary,
that is to diminish his nourishment both



[Page 2]

in quantity & quality & If he would for some
time live entirely without animal food it may
prove the most certain remedy.


To keep his belly regular I think the Cream
of Tartar
alone would be the most eligible.


The only medicine I would prescribe for him
are the Powders ordered below, which may
possibly supersede the necessity of any other
Laxative.


I need not say to you what you seem to appre¬
hend already that a good deal of exercise and
even bodily exercise will be of service to him but
let him take care that he be never heated by
it & that in the management of any business
he never stoop much. His frequently getting
up early in the morning should I think do him
no harm, as much sleep might. I have known




[Page 3]


some of his profession who have been much hurt
by being exposed to the Steam of their ferment¬
ing backs and he should avoid it.

I am Dr
Sir Your most obed. humble Servant
William Cullen

Edinr 28th Novr
1780
For Mr Rigby


Sal. nitr. pulv.
Magnes. alb. @ gr. X
ℳ. f. pulv. et f.h.m. dos. No. XII
Signa Cooling powders; one to be taken three
times a day, in a little water washing them
down with two tablespoonfuls of the following


Aq. rosar. ℥jv
Acet. distill.
Syr. caryoph. @ ℥j
Sal. nitr. ʒj
ℳ. Cooling Mixture two tablespoonfuls to be
taken with every dose of the Powders.

W.C.
28th Novr. 1780



[Page 4]


Mr Ralph Paterson
Surgeon at
Berwick


Mr. Rigby
Novr 1780
Vol XI.p.III

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