The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4184] From: Dr William Cullen (Professor Cullen) / To: Dr William Wemyss (in Kirkcaldy) / Regarding: Mrs Donaldson (Patient) / 3 November 1777 / (Outgoing)
Reply 'To Dr Wemys Kircaldy'. Concerning Mrs Donaldson's case. Cullen believes her case of dropsy to be a desperate one: 'However I think no patient is to be deserted'. He suggests alkalines as diuretic treatment, a blister and possibly puncturing the legs if necessary.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.

[Page 1]

[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4184 |
| RCPE Catalogue Number | CUL/1/1/10/41 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 3 November 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 'To Dr Wemys Kircaldy'. Concerning Mrs Donaldson's case. Cullen believes her case of dropsy to be a desperate one: 'However I think no patient is to be deserted'. He suggests alkalines as diuretic treatment, a blister and possibly puncturing the legs if necessary. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:861] |
Case of Mrs Donaldson whose whole body is swollen and who suffers stomach pains and various other distressing symptoms. |
3 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2161] | Addressee | Dr William Wemyss (in Kirkcaldy) |
| [PERS ID:2162] | Patient | Mrs Donaldson |
| [PERS ID:2161] | Patient's Physician / Surgeon / Apothecary | Dr William Wemyss (in Kirkcaldy) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 | Kirkcaldy | Edinburgh and East | Scotland | Europe | certain |
Normalized Text
To Dr Wemys Kircaldy
I have yours concerning Mrs Donaldson
& agree with you that it is a very bad case and if
your opinion of the remote cause is founded
I shall think it a desperate one. ––
[Page 2]
I have no doubt of there being water in the thorax &
therefore more desperate still. However I think no
patient is to be deserted and therefore that you should
continue your endeavours & I find no more probable
means of relief than those suggested in my former
letter, but I must leave it to your discretion to
judge how far the purgatives are to be pushed.
I can't think there can be any danger from the
alkaline infusion and as it proves diuretic it should
be continued. I dare say a fresh blister between
the shoulders may be of use – & if the legs should
become much distended puncture may be tried.
Wishing you success I am always Dear Dr.
1777.
Diplomatic Text
To Dr Wemys Kircaldy
I have yours concerning Mrs Donaldson
& agree with you that it is a very bad case and if
your opinion of the remote cause is founded
I shall think it a desperate one. ––
[Page 2]
I have no doubt of there being water in the thorax &
therefore more desperate still. However I think no
patient is to be deserted and therefore that you should
continue your endeavours & I find no more probable
means of relief than those suggested in my former
letter, but I must leave it to your discretion to
judge how far the purgatives are to be pushed.
I can't think there can be any danger from the
alkaline infusion and as it proves diuretic it should
be continued. I dare say a fresh blister between
the shoulders may be of use – & if the legs should
become much distended puncture may be tried.
Wishing you success I am always Dr. Dr.
1777.
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