Cullen

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

 

[ID:4210] From: Dr William Cullen (Professor Cullen) / To: Dr Walter Riddell / Regarding: Earl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol) (Patient), Mrs (Patient) / 2 February 1778 / (Outgoing)

Reply, 'Dr Riddell C. Mrs __', giving advice on treating a female patient with Leucorrhoea. Cullen states that, at present, her condition is not dangerous, but that Riddell must watch out for changes in the discharge. He also adds that 'Lord Erroll continues well', since Lady Erroll is the daughter of Riddell's patient Sir William Carr of Etal.

Facsimile

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4210
RCPE Catalogue Number CUL/1/1/10/67
Main Language English
Document Direction Outgoing
Date2 February 1778
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Dr Riddell C. Mrs __', giving advice on treating a female patient with Leucorrhoea. Cullen states that, at present, her condition is not dangerous, but that Riddell must watch out for changes in the discharge. He also adds that 'Lord Erroll continues well', since Lady Erroll is the daughter of Riddell's patient Sir William Carr of Etal.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1019]
Case of an unnamed female patient.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:561]AddresseeDr Walter Riddell
[PERS ID:2174]PatientMrs
[PERS ID:22]PatientEarl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol)
[PERS ID:561]Patient's Physician / Surgeon / ApothecaryDr Walter Riddell
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr 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 Berwick-upon-Tweed (Berwick) North-East England Europe inferred

Normalized Text

[Page 1]
Dr Riddell Concerning Mrs


A difficult Case to cure immediately. It is a
suite of the irregular and large menstruation she
was formerly liable to & depends upon a
particular condition of the Uterus at her time of
life. it is hoped that advancing years will do
her service but that is distant and uncertain &
I have known the Disease in the mean time prove
fatal - So long as the discharge is ↑a↑ white
and somewhat acrid viscid liquor in moderate quantity
it may be pretty safe; but if it changes to a copious
greenish matter Water
it is very dangerous ––


The pains in the Back Loins & shew an
irritation and increased action of the Vessels which
makes it me think that Opiates are not only
necessary to procure sleep but may be also
a fundamental Remedy in the Disease &
I should be willing to try not only the {illeg}
but a strong Solution of Sacch Saturn
applied in Cloah Cloaths to the Loins ––––


According to the notions I have of the operation
of Cantharides suited to cases of pure debility I should
think them improper in your present Patient –
The Tonic Remedies have a Chance to be usefull,



[Page 2]

but the simply Astringent and Cooling I would
prefer & therefore the Allum to either Bark or
Chalybeates – To what length you have gone it with
it I cannot exactly judge but I think you may
go as far as the stomach easily bears, and I have
gone to a Dram in the day in divided Doses; &
not continued for many days together ––––


I suppose that the Catarrhal Complaints exclude
the use of cold bathing; but there is one Remedy
which I think iadapted to both the Catarrhal
& Uterine Complaints & that is a Voyage of some
length; but if the season or other circumstances prevent
this a Journey in a carriage might be substituted especi¬
ally when the Season is further advanced and in the mean
time I suppose you have advised some degree of this sort
of Exercise – I dare say you have ordered the Diet
very properly, and I have only to say that very much
of a milk Diet might be proper –––– Tho I have
said above that I prefer the Allum to the Bark
I still think that the Allum might be given in
the form of a Bark Electuary & if you have the
Kino
it may be either an ingredient in the Electuary
or a portion of its Tincture might be put into any
liquor which you employ to wash down the Electuary ––
Lord Erroll continues well &c.

Edinburgh 2 February 1778. ––––

Diplomatic Text

[Page 1]
Dr Riddell C Mrs


A difficult Case to cure immediately. It is a
suite of the irregular and large menstruation she
was formerly liable to & depends upon a
particular condition of the Uterus at her time of
life. it is hoped that advancing years will do
her service but that is distant and uncertain &
I have known the Disease in the mean time prove
fatal - So long as the discharge is ↑a↑ white
and somewhat acrid viscid liquor in moderate qty
it may be pretty safe; but if it changes to a copious
greenish matter Water
it is very dangerous ––


The pains in the Back Loins & shew an
irritation and increased action of the Vessels wc
makes it me think that Opiates are not only
necessary to procure sleep but may be also
a fundamental Remedy in the Disease &
I should be willing to try not only the {illeg}
but a strong Solution of Sacch Saturn
applied in Cloah Cloaths to the Loins ––––


According to the notions I have of the operation
of Cantharides suited to cases of pure debility I should
think them improper in your present Patient –
The Tonic Remedies have a Chance to be usefull,



[Page 2]

but the simply Astringent and Cooling I would
prefer & therefore the Allum to either Bark or
Chalybeates – To what length you have gone it with
it I cannot exactly judge but I think you may
go as far as the stomach easily bears, and I have
gone to a Dram in the day in divided Doses; &
not continued for many days together ––––


I suppose that the Catarrhal Compts. exclude
the use of cold bathing; but there is one Remedy
which I think iadapted to both the Catarrhal
& Uterine Compts. & that is a Voyage of some
length; but if the season or other circumstances prevent
this a Journey in a carriage might be substituted especi¬
ally when the Season is further advanced and in the mean
time I suppose you have advised some degree of this sort
of Exercise – I dare say you have ordered the Diet
very properly, and I have only to say that very much
of a milk Diet might be proper –––– Tho I have
said above that I prefer the Allum to the Bark
I still think that the Allum might be given in
the form of a Bark Electuary & if you have the
Kino
it may be either an ingredient in the Electy
or a portion of its Tincture might be put into any
liquor wc you employ to wash down the Electuary ––
Lord Erroll continues well &c.

Edinr 2 Febry 1778. ––––

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