Cullen

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

 

[ID:4310] From: Dr William Cullen (Professor Cullen) / To: Dr Joseph Brandreth / Regarding: Mr T Dickson (Patient) / 11 September 1778 / (Outgoing)

Reply [to Jospeh Brandreth], headed as being for 'Mr Dickson'.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4310
RCPE Catalogue Number CUL/1/1/11/48
Main Language English
Document Direction Outgoing
Date11 September 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 [to Jospeh Brandreth], headed as being for 'Mr Dickson'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1022]
Case of Mr T. Dickson, an impetuous young man who suffers pains in his face and costiveness and who rides from his home in Liverpool to Cheltenham and on to Bath and then Bristol, and then Harrogate taking the waters in pursuit of health.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2312]AddresseeDr Joseph Brandreth
[PERS ID:2243]PatientMr T Dickson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2312]Patient's Physician / Surgeon / ApothecaryDr Joseph Brandreth

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Liverpool North-West England Europe certain
Mentioned / Other Cheltenham South-West England Europe certain
Mentioned / Other Harrogate North-East England Europe certain

Normalized Text

[Page 1]
Mr Dickson -
Liverpool.


Tho there appears a considerable change in the state of
his bowels yet the increasing weakness & emaciation shew
that he is far from being recovered. I still think there
is some speciality in the state of his brain which pre¬
vents its energy from being duly exerted. How far it is
curable I cannot say but it should be attempted and on
the same plan I formerly proposed. There is no cos¬
tiveness
now indeed but it may return & therefore his
present trial of Harrowgate may have a good effect but
if the costiveness do not prevail I would not insist on
his drinking it as unless as a purgative I think it not
otherwise adapted to his disease. I shall think it




[Page 2]


lucky if being at Harrowgate lead him to try a warm
bath. For I still reckon warm bathing are of the most
promising remedies - As for the rest I would advise
dissipation, by being in the country & much in moderate
exercise on horseback. I would fill his body with
mild, light & liquid nourishment- If he can digest
milk without trouble in his stomach or costiveness, I
would put him upon it entirely. Plain cow milk
may not answer but if diluted will an equal quantity of wa¬
ter gruel or barley water & the mixture well sweete¬
ned with honey or sugar it will not be attended with
those inconveniencies. If instead of this he could
get enough of ass milk, it would still do better.


You have given me a better opinion of Chelten¬
ham
water than I had & if it were as near us
as Harrowgate I should prefer it as you do.

Edinburgh September11. 1778
W. C.

Diplomatic Text

[Page 1]
Mr Dickson -
Liverpool.


Tho there appears a considerable change in the state of
his bowels yet the increasing weakness & emaciation shew
that he is far from being recovered. I still think there
is some speciality in the state of his brain which pre¬
vents its energy from being duly exerted. How far it is
curable I cannot say but it should be attempted and on
the same plan I formerly proposed. There is no cos¬
tiveness
now indeed but it may return & therefore his
present trial of Harrowgate may have a good effect but
if the costiveness do not prevail I would not insist on
his drinking it as unless as a purgative I think it not
otherwise adapted to his disease. I shall think it




[Page 2]


lucky if being at Harrowgate lead him to try a warm
bath. For I still reckon warm bathing are of the most
promising remedies - As for the rest I would advise
dissipation, by being in the country & much in moderate
exercise on horseback. I would fill his body with
mild, light & liquid nourishment- If he can digest
milk without trouble in his stomach or costiveness, I
would put him upon it entirely. Plain cow milk
may not answer but if diluted will an equal qty of wa¬
ter gruel or barley water & the mixture well sweete¬
ned with honey or sugar it will not be attended with
those inconveniencies. If instead of this he could
get enough of ass milk, it would still do better.


You have given me a better opinion of Chelten¬
ham
water than I had & if it were as near us
as Harrowgate I should prefer it as you do.

Edinr. Septr.11. 1778
W. C.

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