Cullen

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

 

[ID:4427] From: Dr William Cullen (Professor Cullen) / To: Dr Ebenezer Jacob / Regarding: Mr (Patient), Reverend Richard Lettrente (Patient) / 13 May 1779 / (Outgoing)

Reply, 'Dr Jacob and Mr Lettrente', concerning Letturent himself and an unnamed patient.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4427
RCPE Catalogue Number CUL/1/1/11/165
Main Language English
Document Direction Outgoing
Date13 May 1779
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 Jacob and Mr Lettrente', concerning Letturent himself and an unnamed patient.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1102]
Case of a male patient of Dr Jacob at Wexford, a lawyer who suffers from gout.
2
[Case ID:2515]
Case of reverend Richard Lettrente.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3167]AddresseeDr Ebenezer Jacob
[PERS ID:3177]PatientReverend Richard Lettrente
[PERS ID:3168]PatientMr
[PERS ID:3174]Patient's Physician / Surgeon / ApothecaryDr Philip De La Cour (Philippe Delacour)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:707]Patient's Physician / Surgeon / ApothecaryDr John Fothergill
[PERS ID:3167]Patient's Physician / Surgeon / ApothecaryDr Ebenezer Jacob
[PERS ID:3177]Supplemental AddresseeReverend Richard Lettrente

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 Wexford South Ireland Ireland Europe inferred

Normalized Text

[Page 1]

Dr. Jacob. & Mr. Lettrente


The case is obvious but difficult. The Gout in all cases
and evidently in this Gentleman is a disease of the whole
system which at an early period of life may be modified
& its biass much obviated but in advanced age and
after having long had a particular course it is not
possible to make any considerable change, & especially not
possible by a medicine: & what can be done is by a
Regimen alone. Your judicious direction of the most
proper course can have good effects only by length
of time, & I think De la Cour did him much mischief
but diverting him from following your advice, but as
you are now supported by Fothergill & my humble o¬
pinion so far as it will go, I hope he will continue
to avoid Animal food. This is the more clear as I
perceive



[Page 2]

perceive he is not reduced by his abstemious living;
Does he abstain from wine. I think it necessary he
should. Neither should he take any fermented liquor but
if he has a daily custom taking some kind of strong drink
this must in a certain measure be complied with. but
let it be Spirits & water to the quantity you think he will
require. He must take as much exercise in a carriage
as he can bear, avoiding cold. I expect but little from
the Decoct. of the Mezer. root; & I cannot agree to its use
being long continued. I like better the Mephitic acid
& think that Seltzer water, natural or artificial, &
I prefer the latter, should be his ordinary drink.
You do not mention Mr. Lettrentes having any Stomach
complaints. I therefore do not prescribe for them. but
must observe that I know much benefit derived from the
Caustic fix. alk. in broth as given in Nephritic cases &
by the way I perceive your Patient is not at all free
from thse.


W.C.

Edinburgh May. 13th.1779.

Diplomatic Text

[Page 1]

Dr. Jacob. & Mr. Lettrente


The case is obvious but difficult. The Gout in all cases
and evidently in this Gentleman is a disease of the whole
system which at an early period of life may be modified
& its biass much obviated but in advanced age and
after having long had a particular course it is not
possible to make any considerable change, & especially not
possible by a medicine: & what can be done is by a
Regimen alone. Your judicious direction of the most
proper course can have good effects only by length
of time, & I think De la Cour did him much mischief
but diverting him from following your advice, but as
you are now supported by Fothergill & my humble o¬
pinion so far as it will go, I hope he will continue
to avoid Animal food. This is the more clear as I
perceive



[Page 2]

perceive he is not reduced by his abstemious living;
Does he abstain from wine. I think it necessary he
should. Neither should he take any fermented liquor but
if he has a daily custom taking some kind of strong drink
this must in a certain measure be complied with. but
let it be Spirits & water to the quantity you think he will
require. He must take as much exercise in a carriage
as he can bear, avoiding cold. I expect but little from
the Decoct. of the Mezer. root; & I cannot agree to its use
being long continued. I like better the Mephitic acid
& think that Seltzer water, natural or artificial, &
I prefer the latter, should be his ordinary drink.
You do not mention Mr. Lettrentes having any Stomach
complaints. I therefore do not prescribe for them. but
must observe that I know much benefit derived from the
Caustic fix. alk. in broth as given in Nephritic cases &
by the way I perceive your Patient is not at all free
from thse.


W.C.

Edinr. May. 13th.1779.

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