The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4076] From: Dr William Cullen (Professor Cullen) / To: Earl John Hope (Lord Hopetoun, 2nd Earl of Hopetoun) / Regarding: Earl John Hope (Lord Hopetoun, 2nd Earl of Hopetoun) (Patient) / 2 June 1777 / (Outgoing)
Reply 'For Lord Hopeton', concerning a watery tumour, signed by Cullen and John Hope.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
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Metadata
| Field | Data |
|---|---|
| DOC ID | 4076 |
| RCPE Catalogue Number | CUL/1/1/9/49 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 2 June 1777 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Lord Hopeton', concerning a watery tumour, signed by Cullen and John Hope. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:79] |
Case of John, 2nd Earl of Hopetoun, who in the 1750s reports a persistent cough and other effects of 'the Epidemic', including 'Lowness and Oppression'. In 1777 he is being treated for a recurring 'watery tumour'. |
3 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:703] | Addressee | Earl John Hope (Lord Hopetoun, 2nd Earl of Hopetoun) |
| [PERS ID:703] | Patient | Earl John Hope (Lord Hopetoun, 2nd Earl of Hopetoun) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:312] | Patient's Physician / Surgeon / Apothecary | Dr John Hope |
| [PERS ID:312] | Supplemental Author | Dr John Hope |
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
For Lord Hopeton.
We have no doubt that it is a swelling of the watery kind &
tho not in the Scrotum that it is of the external kind, not con¬
siderable nor dangerous. If it become more considerable it may be relieved by a slight operation that is commonly safe, but there
is no temptation to that at present both because of the moderate
size of the tumor & of what happened last summer & which
we hope may happen this. In the mean time we have no
confidence in offering any remedies because those that might
be thought of are not only in such a partial ailment of very
uncertain effect, but also hurtful to the constitution.
Take in diet things of a diuretic tendency, as much as
[Page 2]
you can, as Asparagus, onion, horseradish, Cresses, mustard.
As you have formerly taken mustard with advantage, you must
now be the better of a table spoonful of unbruised white mus¬
tard seed once a day & it may serve instead of any other laxative.
May continue to take moderately of the Hartfell Spaw,
for a large quantity of any liquids is improper, & should
be sparing of drink & all liquid foods. Need not lessen
your quantity of wine, but endeavour to find which are
more diuretic & prefer these. Continue fresh air &
Exercise, & if walking or riding increase the ailment, be
more moderate in both, & oftener use a Carriage.
As the ailment is local, you must expect some prescrip¬
tion for a topical application but we know none
of efficacy & especially of safety. Apply only a sus¬
pensary, & give it constant attention. The thickness
which is liable to come on is of no consequence ---- it is
the effect of ridingg & if this be moderate the thickness
will disappear. If the whole tumor should in the
course of this summer disappear as last year, cold
bathing may be used to prevent a return but of this we
reserve saying till afterwards.
Diplomatic Text
For Lord Hopeton.
We have no doubt that it is a swelling of the watery kind &
tho not in the Scrotum that it is of the external kind, not con¬
siderable nor dangerous. If it become more considerable it m.
b. relieved by a slight operation that is commonly safe, but there
is no temptation to that at present both because of the moderate
size of the tumor & of what happened last summer & which
we hope may happen this. In the mean time we have no
confidence in offering any remedies because those that might
be thought of are not only in such a partial ailment of very
uncertain effect, but also hurtful to the constitution.
Take in diet things of a diuretic tendency, as much as
[Page 2]
you can, as Asparagus, onion, horseradish, Cresses, mustard.
As you have formerly taken mustard w advantage, you mt
now be the better of a table spoonful of unbruised white mus¬
tard seed once a day & it may serve instead of any other laxative.
May continue to take moderately of the Hartfell Spaw,
for a large quantity of any liquids is improper, & should
be sparing of drink & all liquid foods. Need not lessen
your quantity of wine, but endeavour to find which are
more diuretic & prefer these. Continue fresh air &
Exercise, & if walkg or ridg increase the ailment, be
more moderate in both, & oftener use a Carriage.
As the ailment is local, you mt expect some prescrip¬
tion for a topical application but we know none
of efficacy & especially of safety. Apply only a sus¬
pensary, & give it constant attention. The thickness
wc is liable to come on is of no consequence ---- it is
the effect of ridingg & if this be moderate the thickness
will disappear. If the whole tumor should in the
course of this summer disappear as last year, cold
bathg m. b. used to prevent a return but of this we
reserve sayg till afterwards.
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