Cullen

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

 

[ID:280] From: Dr William Cullen (Professor Cullen) / To: Dr Alexander Taylor (Sanders) / Regarding: Mr William Orr ((later) of Ingliston, then Ralston) (Patient), Mrs Margaret? Orr (Kibble) (Patient), Mr Kibble? (Patient), Mrs Kibble (Corse?) (of Whiteford) (Patient) / 27 February 1782 / (Outgoing)

Reply, 'Mr Orr'. Cullen has met Mr Orr and members of his family. He gives advice on bathing the patient's eye, and an aperient solution. He also advises on the pregnant Mrs Orr, who may have a degree of uterine prolapse, and on several patients of Mr Stuart to whom Taylor is to forward the advice: Mrs Orr's mother, and her grandson.

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Metadata

FieldData
DOC ID 280
RCPE Catalogue Number CUL/1/1/14/169
Main Language English
Document Direction Outgoing
Date27 February 1782
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Orr'. Cullen has met Mr Orr and members of his family. He gives advice on bathing the patient's eye, and an aperient solution. He also advises on the pregnant Mrs Orr, who may have a degree of uterine prolapse, and on several patients of Mr Stuart to whom Taylor is to forward the advice: Mrs Orr's mother, and her grandson.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:554]
Case of William Orr who has an eye condition.
13
[Case ID:2462]
Case of Mrs Kibble who complains of deafness.
1
[Case ID:2463]
Case of Mrs Orr, wife of William Orr, who has previous suffered a uterine prolapse.
1
[Case ID:2464]
Case of the unnamed son or grandson of Mrs Kibble, with a speck on each cornea.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:207]AddresseeDr Alexander Taylor (Sanders)
[PERS ID:1962]PatientMrs Margaret? Orr
[PERS ID:2234]PatientMr Kibble?
[PERS ID:2271]PatientMrs Kibble (of Whiteford)
[PERS ID:211]PatientMr William Orr ((later) of Ingliston, then Ralston)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:207]Patient's Physician / Surgeon / ApothecaryDr Alexander Taylor (Sanders)
[PERS ID:1089]Patient's Physician / Surgeon / ApothecaryMr William Stewart (Stuart)
[PERS ID:2234]Patient's Relative / Spouse / FriendMr Kibble?
[PERS ID:2271]Patient's Relative / Spouse / FriendMrs Kibble (of Whiteford)
[PERS ID:1962]Patient's Relative / Spouse / FriendMrs Margaret? Orr

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 Paisley Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
Mr Orr
Dear Sir


I had a full conversation yesterday with your
Patient Mr. Orr and his friends and I called yesternight
at their Inn but found they were gone but my missing
them was of no consequence as my calling was rather
to show my attention than for any thing I had further
to say.


I was a little surprised to find Mr. Orrs Eyes
in the motion of the pupils to shew little sensibility:
and I found something new in a little affection in the
Tarsus or edges of the eye lids and which I was told had
been more considerable some days ago so much as to shew
some swelling of the Under Eyelid down to the cheek. I
found also that any pressure on the ball of the eye conti¬
nued to give some pain tho' not so much as formerly.
All these circumstances considered lead me to think that
his ailment is not so much as I thought in the Retina
and is more in the muscles of the ball and ↑of↑ the Eye lids
and this I mention as a Speculation to you and to engage
your Attention and particularly with this view that



[Page 2]

when very little inflammation appears as it has done [more or
less?] within this fortnight upon the Adnata that you observe
if it is not connected with and depends upon some affection
of the Tarsus and that therefore that it does not lead to those
remedies of inflammation which a primary inflammation
in the Adnata might suggest and in case of either inflam¬
mation in
the Adnata or the swelling of the Tarsus there is
one remedy I would employ and that is a Solution
of White Vitriol
in Rose water from one to five grains
of the Vitriol to an Ounce of Rosewater as the eye will
bear it: that is, it should give a little smart; but a little only
for much smarting might do harm. With respect to
Mr. Orr's management otherways the (↑my↑) chief dependence
is upon the Cold bathing both by the pouring water upon
his head & his looking up under water but even these
should at times be intermitted for several days together
by which you will both discern better what are their
effects and also render them more efficacious when
employed I must say the same thing with regard to
the Bark I would lay it aside entirely for a week or
two but afterwards to return to it. From [seeing Mr.?]


[Page 3]

Orr I suspect his original Constitution to have been
such as you formerly hinted and therefore at this Season
of the year while you intermitt the Bark let him for a
fortnight take the following solution

Take 2 ounces of Soluble Tartar, a ½ ounce each of Polychrest and Spanish Sea Salts, 2 ounces of simple Cinnamon Water, and 6 ounces of spring water. Dissolve and strain. Label: Aperient Solution Two tablespoonfuls less or more to be taken in half a Mutchkin of new drawn Cow milk whey at two draughts every morning. The dose should be so much as to keep the belly regular but without purging.

I hope
this course may be of service to his Eyes but of this and
of every thing else relating to him I shall expect your
report in proper time.


Mr. Orr spoke to me of his Wife's having been formerly
troubled with some degree of a prolapsed womb but
in the present state of her pregnancy I think no remedy
can be employed and the only advice I offered was that
she should as much as possible avoid being upon her
feet that she should be delivered by you rather than
by a midwife and when that is over you will let me



[Page 4]

know the Circumstances of the case and I shall then
advise as well as I can.


I found two other patients in Mr. Orrs Company
but whom I found to be patients of your neighbour Mr.
Stuart and I hope to save writing more letters you
will allow me to trouble you with communicating my
advice to Mr. Stuart.


For Mrs. Mrs. Orrs mother complaining
of deafness let her ears be washed out with Soap & water
thrown in with moderate force and let her stop her
ears
↑with black wool↑ and keep the house for two three days after and
every night at bed time let two three drops of the
following Oil be dropt into each ear.

Take an ounce of the best Olive Oil, and a drachm each of Camphor and thoroughly caustic Spirit of Ammoniac Salts. Mix. Label: Oil for the Ears


At the same time let an issue be made in the Crown
of her head
and which will be best done by a piece
of plaister kept on constantly
till the hair pushes
it off and then lay it aside till the skin will bear
Shaving again & then a fresh plaister to be put on
Tho I say the plaister is to be kept on constantly
it may be lifted once or twice a day for the sake of



[Page 5]

drying up the exuding moisture.


For her Son or Grandson who has got a Speck
on
each Cornea let some double refined Sugar be powdered
till it is exceeding fine and let a little of this be laid in
to the left Eye with a hair pencil 1 I would try but one
eye at once
for if it gives much irritation and brings on
the smallest degree of inflammation the attempt must
be given up, if it does not the practice is to be repeated
for a great many days especially if it manifestly
diminishes the speck and in that case also the pow¬
der may be employed in both eyes. If the powder
gives no irritation and at the same time it has no
effect on the speck let another powder be tried made
of 3 parts double refined Sugar & one part Cream of
Tartar
rubbed together to an impalpable powder
and let it be used with the same precautients as above
With Compliments to Mr. Orr and family and to Mr.
Stuart believe ↑me↑ to be always most sincerely Dear Sir

yours
William Cullen
Edinburgh
27th. February
1782

Notes:

1: A 'painter's brush made of camel's hair or the like' OED.

Diplomatic Text

[Page 1]
Mr Orr
Dear Sir


I had a full conversation yesterday with your
Patient Mr. Orr and his friends and I called yesternight
at their Inn but found they were gone but my missing
them was of no consequence as my calling was rather
to show my attention than for any thing I had further
to say.


I was a little surprised to find Mr. Orrs Eyes
in the motion of the pupils to shew little sensibility:
and I found something new in a little affection in the
Tarsus or edges of the eye lids and which I was told had
been more considerable some days ago so much as to shew
some swelling of the Under Eyelid down to the cheek. I
found also that any pressure on the ball of the eye conti¬
nued to give some pain tho' not so much as formerly.
All these circumstances considered lead me to think that
his ailment is not so much as I thought in the Retina
and is more in the muscles of the ball and ↑of↑ the Eye lids
and this I mention as a Speculation to you and to engage
your Attention and particularly with this view that



[Page 2]

when very little inflammation appears as it has done [more or
less?] within this fortnight upon the Adnata that you observe
if it is not connected with and depends upon some affection
of the Tarsus and that therefore that it does not lead to those
remedies of inflammation which a primary inflammation
in the Adnata might suggest and in case of either inflam¬
mation in
the Adnata or the swelling of the Tarsus there is
one remedy I would employ and that is a Solution
of White Vitriol
in Rose water from one to five grains
of the Vitriol to an Ounce of Rosewater as the eye will
bear it: that is, it should give a little smart; but a little only
for much smarting might do harm. With respect to
Mr. Orr's management otherways the (↑my↑) chief dependence
is upon the Cold bathing both by the pouring water upon
his head & his looking up under water but even these
should at times be intermitted for several days together
by which you will both discern better what are their
effects and also render them more efficacious when
employed I must say the same thing with regard to
the Bark I would lay it aside entirely for a week or
two but afterwards to return to it. From [seeing Mr.?]


[Page 3]

Orr I suspect his original Constitution to have been
such as you formerly hinted and therefore at this Season
of the year while you intermitt the Bark let him for a
fortnight take the following solution


Tartar. solub. ℥ij Sal. polychrest., marin. Hispan. @ ℥ſs
Aq. cinnam. Simpl. ℥ij Aq. font. ℥vj. Solve et cola Signa
Aperient Solution Two tablespoonfuls less or more to be
taken in half a Mutckin of new drawn Cow milk whey at
two draughts every morning. The dose should be so much
as to keep the belly regular but without purging.

I hope
this course may be of service to his Eyes but of this and
of every thing else relating to him I shall expect your
report in proper time.


Mr. Orr spoke to me of his Wife's having been formerly
troubled with some degree of a Prolapsus Uteri but
in the present state of her pregnancy I think no remedy
can be employed and the only advice I offered was that
she should as much as possible avoid being upon her
feet that she should be delivered by you rather than
by a midwife and when that is over you will let me



[Page 4]

know the Circumstances of the case and I shall then
advise as well as I can.


I found two other patients in Mr. Orrs Company
but whom I found to be patients of your neighbour Mr.
Stuart and I hope to save writing more letters you
will allow me to trouble you with communicating my
advice to Mr. Stuart.


For Mrs. Mrs. Orrs mother complaining
of deafness let her ears be washed out with Soap & water
thrown in with moderate force and let her stop her
ears
↑with black wool↑ and keep the house for two three days after and
every night at bed time let two three drops of the
following Oil be dropt into each ear.

Ol. olivar. opt. ℥j
Camphor. Spt. sal. ammoniac. probe caustic. @ ʒj ℳ. Sig. Oil for the Ears


At the same time let an issue be made in the Crown
of her head
and which will be best done by a piece
of plaister kept on constantly
till the hair pushes
it off and then lay it aside till the skin will bear
Shaving again & then a fresh plaister to be put on
Tho I say the plaister is to be kept on constantly
it may be lifted once or twice a day for the sake of



[Page 5]

drying up the exuding moisture.


For her Son or Grandson who has got a Speck
on
each Cornea let some double refined Sugar be powdered
till it is exceeding fine and let a little of this be laid in
to the left Eye with a hair pencil 1 I would try but one
eye at once
for if it gives much irritation and brings on
the smallest degree of inflammation the attempt must
be given up, if it does not the practice is to be repeated
for a great many days especially if it manifestly
diminishes the speck and in that case also the pow¬
der may be employed in both eyes. If the powder
gives no irritation and at the same time it has no
effect on the speck let another powder be tried made
of 3 parts double refined Sugar & one part Cream of
Tartar
rubbed together to an impalpable powder
and let it be used with the same precautients as above
With Compliments to Mr. Orr and family and to Mr.
Stuart believe ↑me↑ to be always most sincerely Dear Sir

yours
William Cullen
Edinr.
27th. Febry.
1782

Notes:

1: A 'painter's brush made of camel's hair or the like' OED.

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