Cullen

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

 

[ID:20] From: Dr William Cullen (Professor Cullen) / To: Mr Farquhar / Regarding: Anonymous (Patient) / 16 November 1764 / (Outgoing)

Reply, 'For the Gentleman whose case is signed by Mr Farquhar & dated 16 Novr. 1764' [untraced]. Cullen does not believe the patient's symptoms to be caused by a recent fall, 'further than that it might contribute something to what has happened'.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 20
RCPE Catalogue Number CUL/1/1/1/15
Main Language English
Document Direction Outgoing
Date16 November 1764
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For the Gentleman whose case is signed by Mr Farquhar & dated 16 Novr. 1764' [untraced]. Cullen does not believe the patient's symptoms to be caused by a recent fall, 'further than that it might contribute something to what has happened'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:290]
Case of an unnamed gentleman whose cough, asthma and epilepsy may not relate to a fall he once had (as reported in an untraced letter from Mr Farquhar.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1124]AddresseeMr Farquhar
[PERS ID:1181]Patient
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1124]Patient's Physician / Surgeon / ApothecaryMr Farquhar

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

Normalized Text

[Page 1]

For the Gentleman whose case is
signed by Mr Farquhar & dated
16 November 1764 1 --


As the fall about the end of August last did not shew
any effects on the head at the time and as his
memory & spirits were affected long before I think
his present complaints can not be imputed to the fall
further than that it might contribute something to
what has happened, that is to the more entire tran¬
slation of the matter that formerly occasioned the
Cough and Asthma from the heart to the head.


This I take to be the case at present and
that the matter loading the Brain and occasio¬
ning the Epilepsy may be dislodged I would



[Page 2]

propose the following remedies.


1. Let a blister be applied to the whole of the
head and let the bigness of a crown ↑a part of it↑ upon the
Crown of the head be afterwards turned into a
a perpetual Issue.


2. Two days after the Blister has been applyed
let him be purged with Jalap & Calomel. Let
the dose be ↑so↑ moderate ↑as to give 2 [easie?] stools only↑, but let it be repeated
every 2d or 3d day for 10 or 12 times
alternatively purging him with Jalap alone
and with Jalap & Calomel.


3. On the Intermediate days let him take 3
or 4 doses of the Cephalic Electuary presented
below


4. As I suspect the matter loading the brain
is rather water than blood I would have bleeding
abstained from except there are symptoms
of fullness I am not informed of -


5. If the weather allows of it and there is the
Conveniency of a Machine 2 he may be the better
for gentle Exercise in a chaise taken very
frequently.


6. His Diet may be of any of the light meats
but all heavy meats or high seasoned are to
be avoided.


7. His ordinary drink may be Wine and Water
& he may have two or three glasses of Wine
every day but so much of it as to heat
him would be very hurtfull.


8. Tho I have recommended Exercise the
greatest care be taken to defend against
Cold or wet -

Take half an ounce apiece of crushed Peruvian Bark and woodland Valerian root, with a drachm of Russian Castor and a half ounce of conserve of roses. Add a sufficient quantity of clove syrup to taste, and let it be made into an electuary. Label: Cephalic Electuary.

Notes:

1: Untraced.

2: Commonly used general term for any sort of horse-drawn vehicle.

Diplomatic Text

[Page 1]

For the Gentleman whose case is
signed by Mr Farquhar & dated
16 Novr 1764 1 --


As the fall about the end of August last did not shew
any effects on the head at the time and as his
memory & spirits were affected long before I think
his present complaints can not be imputed to the fall
further than that it might contribute something to
what has happened, that is to the more entire tran¬
slation of the matter that formerly occasioned the
Cough and Asthma from the heart to the head.


This I take to be the case at present and
that the matter loading the Brain and occasio¬
ning the Epilepsy may be dislodged I would



[Page 2]

propose the following remedies.


1. Let a blister be applied to the whole of the
head and let the bigness of a crown ↑a part of it↑ upon the
Crown of the head be afterwards turned into a
a perpetual Issue.


2. Two days after the Blister has been applyed
let him be purged with Jalap & Calomel. Let
the dose be ↑so↑ moderate ↑as to give 2 [easie?] stools only↑, but let it be repeated
every 2d or 3d day for 10 or 12 times
alternatively purging him with Jalap alone
and with Jalap & Calomel.


3. On the Intermediate days let him take 3
or 4 doses of the Cephalic Electuary presented
below


4. As I suspect the matter loading the brain
is rather water than blood I would have bleeding
abstained from except there are symptoms
of fullness I am not informed of -


5. If the weather allows of it and there is the
Conveniency of a Machine 2 he may be the better
for gentle Exercise in a chaise taken very
frequently.


6. His Diet may be of any of the light meats
but all heavy meats or high seasoned are to
be avoided.


7. His ordinary drink may be Wine and Water
& he may have two or three glasses of Wine
every day but so much of it as to heat
him would be very hurtfull.


8. Tho I have recommended Exercise the
greatest care be taken to defend against
Cold or wet -


Cort. Peruv. Pulv.
Rad. Valerian Sylv. @ ℥ſs
Castor Ruſs. Pulv. ʒj
Conserv. rosar ℥ſs
Syrup. cariophillor qs
f Electicar
S. Cephalic Electuary.

Notes:

1: Untraced.

2: Commonly used general term for any sort of horse-drawn vehicle.

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