Cullen

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

 

[ID:2558] From: Dr John Govan (Gowan) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Alexander Mayes (Patient) / 2 February 1785 / (Incoming)

Letter from John Govan, concerning the case of Mr Mayes from the West Indies, who will deliver the letter in person.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 2558
RCPE Catalogue Number CUL/1/2/1607
Main Language English
Document Direction Incoming
Date2 February 1785
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction Yes
Case Note Yes
Summary Letter from John Govan, concerning the case of Mr Mayes from the West Indies, who will deliver the letter in person.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1781]
Case of Mr Alexander Mayes on a visit from the West Indies who has a skin condition.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:678]AuthorDr John Govan (Gowan)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3408]PatientMr Alexander Mayes
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:678]Patient's Physician / Surgeon / ApothecaryDr John Govan (Gowan)
[PERS ID:3409]Patient's Physician / Surgeon / ApothecaryMr Smith

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cupar (Coupar / Coupar of Fife) Edinburgh and East Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other West Indies certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Elie (Ely) Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Dear Sir


The bearer of this, Mr Mayes
from the west-indies, has been my patient
for some time past for the care of a cutaneous
disorder, & now goes to Edinburgh for your advice
I beg leave to refer you to himself for an ac¬
count of the progress of his disorder, & of the
means used for his relief, previous to his
coming under my care, about the middle of
September last- I have thought it might not
be necessary to give you a short account
of what has been attempted for his cure since
that time by Mr. Smith Surgeon at Ely, by




[Page 2]


my direction- After venesection & the use of
a dose or two of a cooling solution of Sal: Polychrest
or Tartar Solubil an alterative course of corrosive
sublimate
first, & afterwards of Pil: Plummer:
assisted by tepid bathing & the liberal use of
the Decoction of Sarsaparilla was recommended, with a suit¬
able regimen, & persisted in for six weeks-
Finding then no appearance of benefit; the
medecine appearing to heat him & ruffle his
bowels
, I determined to try the external ap¬
plication of mercury. an ounce and a half of Unguent of Mercury was
directed to be rubbed into his legs & arms
every night before the fire, & a strong Decoction of Mezereon
or Bardan: to be drank to the quantity of lbij
in the 24 hours- It was a considerable time before
the salivary glands seemed affected, but as soon as




[Page 3]


as they were, he was desired to discontinue the
unction, persisting in the use of the decoction,
untill the affection of the mouth went off, when
he immediately resumed the use of the friction.
in this manner he continued from the end of October
till the middle of January But I am sorry to say
that notwithstanding his most scrupulous ad¬
herence to directions both with regard to medecine
& regimen, not the smallest shadow of benefit
has been obtained- He now goes to Edinburgh to
have your opinion on his case, & I most heartily
wish that he may derive more advantage from
your assistance than he has done from that
of


Dear Sir
your most obedient
& very faithfull humble Servt.
John Govan
Cupar 2d. February 1785



[Page 4]


Dr. William Cullen
Physician in
Edinburgh


Mr John Govan
Concerning Mr Mayes
February 1785
V. XVII P. 17

Diplomatic Text

[Page 1]
Dear Sir


The bearer of this, Mr Mayes
from the west-indies, has been my patient
for some time past for the care of a cutaneous
disorder, & now goes to Edinr. for your advice
I beg leave to refer you to himself for an ac¬
count of the progress of his disorder, & of the
means used for his relief, previous to his
coming under my care, about the middle of
Septr. last- I have thought it might not
be necessary to give you a short account
of what has been attempted for his cure since
that time by Mr. Smith Surgeon at Ely, by




[Page 2]


my direction- After venesection & the use of
a dose or two of a cooling solution of Sal: Polychrest
or Tart: Solub: an alterative course of corrosive
sublimate
first, & afterwards of Pil: Plummer:
assisted by tepid bathing & the liberal use of
the Decoct: Sarsap was recommended, with a suit¬
able regimen, & persisted in for six weeks-
Finding then no appearance of benefit; the
medecine appearing to heat him & ruffle his
bowels
, I determined to try the external ap¬
plication of mercury. Ungt. Merc: [fat.?] ℥iſs was
directed to be rubbed into his legs & arms
every night before the fire, & a strong Decoct: Mezer
or Bardan: to be drank to the quantity of lbij
in the 24 hours- It was a considerable time before
the salivary glands seemed affected, but as soon as




[Page 3]


as they were, he was desired to discontinue the
unction, persisting in the use of the decoction,
untill the affection of the mouth went off, when
he immediately resumed the use of the friction.
in this manner he continued from the end of Octr.
till the middle of Janry But I am sorry to say
that notwithstanding his most scrupulous ad¬
herence to directions both with regard to medecine
& regimen, not the smallest shadow of benefit
has been obtained- He now goes to Edinr to
have your opinion on his case, & I most heartily
wish that he may derive more advantage from
your assistance than he has done from that
of


Dr. Sir
your most obedt.
& very faithfull humble Servt.
John Govan
Cupar 2d. Febry. 1785



[Page 4]


Dr. William Cullen
Physician in
Edinr.


Mr John Govan
C. Mr Mayes
Feby. 1785
V. XVII P. 17

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