The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4392] From: Dr William Cullen (Professor Cullen) / To: Mr Thomas Irwin (Irwine, at Moss Side) / Regarding: Mr Thomas Irwin (Irwine, at Moss Side) (Patient) / 22 March 1779 / (Outgoing)
Reply, 'For Mr Irwin'.
- 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 | 4392 |
| RCPE Catalogue Number | CUL/1/1/11/130 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 22 March 1779 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, 'For Mr Irwin'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:794] |
Case of Mr Thomas Irwin [Irwine] who suffers from swollen legs, itchiness and biliousness and which eventually proves fatal. |
18 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:889] | Addressee | Mr Thomas Irwin (Irwine, at Moss Side) |
| [PERS ID:889] | Patient | Mr Thomas Irwin (Irwine, at Moss Side) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:477] | Patient's Physician / Surgeon / Apothecary | Dr John Heysham |
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 | Carlisle | North-West | England | Europe | inferred |
Normalized Text
For Mr Irwin
It is plain that he is affected with rheumatism
which tho of moderate symptoms is certainly of the
acute kind. I dont think it however an unfavourable
appearance in his constitution which we had reason to
suspect was rather of a contrary tendency and still I
think you have been right in not insisting on
the evacuations his rheumatism might seem to re¬
quire. I hope putting on flannels, avoiding cold,
& keeping his belly regular will discuss all ↑his↑ rheumatic
complaints. I think at any rate it will be proper
to lay aside the Chalybeate till the rheumatic symp¬
toms be entirely gone; but then a laxity is apt to
prevail & therefore the Chalybeate must be resumed
& perhaps other tonics be necessary. In the mean
time if the rheumatic symptoms linger I would
[Page 2]
recommend the Nitrous mixture ordered below, which
is both cooling & diuretic. It may possible too be a laxative
but if not, employ the laxative Electuary ordered below.
If his rheumatism does not become more violent he
should take frequent exercise in a carriage, as far as
his pain & the weather allow; His measures for the
summer I cannot just now positively determine. A
watering place of one kind or other may be of service
but before it be the time of going we shall be able
to judge more exactly.
Take four ounces of rose Water, an ounce each of distilled Vinegar and Syrup of cloves, a drachm of nitre. Mix. Label: Nitrous Mixture, a table spoonful three or four times a day.
Take an ounce of tartar Crystals, a drachm of Powdered jallop compound, half an ounce of lenitive Electuary, enough simple Syrup to make a mild Electuary. Label Laxative Electuary a teaspoonful or two in the morning when occasion requires.
I have said nothing about his diet because you
have mentioned no change of the state of his appetite
& if it continues as before, his former diet will be well
suited to his rheumatic complaints
Diplomatic Text
For Mr Irwin
It is plain that he is affected with rheumatism
which tho of moderate symptoms is certainly of the
acute kind. I dont think it however an unfavourable
appearance in his constitution which we had reason to
suspect was rather of a contrary tendency and still I
think you have been right in not insisting on
the evacuations his rheumatism might seem to re¬
quire. I hope putting on flannels, avoiding cold,
& keeping his belly regular will discuss all ↑his↑ rheumatic
complaints. I think at any rate it will be proper
to lay aside the Chalybeate till the rheumatic symp¬
toms be entirely gone; but then a laxity is apt to
prevail & therefore the Chalybeate must be resumed
& perhaps other tonics be necessary. In the mean
time if the rheumatic symptoms linger I would
[Page 2]
recommend the Nitrous mixture ordered below, which
is both cooling & diuretic. It may possible too be a laxative
but if not, employ the laxative Electuary ord below.
If his rheumatism does not become more violent he
should take frequent exercise in a carriage, as far as
his pain & the weather allow; His measures for the
summer I cannot just now positively determine. A
watering place of one kind or other may be of service
but before it be the time of going we shall be able
to judge more exactly.
℞ Aq. rosar. ℥iv Acet. destillt Syr. caryoph. @ ℥j
Sal. nitr. Ʒj ℳ. S. Nitrous ℳ a table spoonful three
or four times a day.
℞ Cryst. tart. ℥j Pulv. e jal. comp. Ʒj Elect. lenit. ℥ſs
Syr. simpl. q. s. ut f. Electuar. tenue. S. Laxative
Electuary a teaspoonful or two in the morning when
occasion requires.
I have said nothing about his diet because you
have mentioned no change of the state of his appetite
& if it continues as before, his former diet will be well
suited to his rheumatic complaints
XML
XML file not yet available.
Feedback
Send us specfic feeback about this document [DOC ID:4392]
Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...
