Cullen

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

 

[ID:4536] From: Dr William Cullen (Professor Cullen) / To: Mr John Walker / Regarding: Miss Mitchell (Patient) / 14 November 1779 / (Outgoing)

Reply to John Walker 'For Miss Mitchell'. In response to Doc ID:1755, Cullen is sorry to find her case 'so desperate', and advises Walker to treat her with mercury or mezereon, for the use of which he gives directions.

Facsimile

There are 2 images for this document.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4536
RCPE Catalogue Number CUL/1/1/12/103
Main Language English
Document Direction Outgoing
Date14 November 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 to John Walker 'For Miss Mitchell'. In response to Doc ID:1755, Cullen is sorry to find her case 'so desperate', and advises Walker to treat her with mercury or mezereon, for the use of which he gives directions.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1148]
Case of Miss Mitchell whose health was undermined in the West Indies from where she returned two years previously; she has rheumatic pains and a long-standing throat condition which is described variously as a tumour or quinsy.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:838]AddresseeMr John Walker
[PERS ID:3119]PatientMiss Mitchell
[PERS ID:838]Patient's Physician / Surgeon / ApothecaryMr John Walker
[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 Kirkcudbright Borders Scotland Europe inferred

Normalized Text

[Page 1]
For Miss Mitchell.


I am sorry to find it so desperate & especially because it
does not admit of the exhibition of medicines. Altho I
will determine what is the disease I am persuaded it can
be cured only by Mercury or Mezereon; but this last can be
only used in Decoction & by the mouth. I never knew it tried
by injection
& am doubtful how it would do for it is an
acrid medicine that cannot be given in large doses at once
& therefore might require a greater frequency of injections
than can be conveniently practised. but you may try proceeding
with caution: giving no more at first of the Decoction than
what contains ten grains of the bark of the root
. I have
had great benefit from the use of the Mezereon but



[Page 2]

in this case, I think there is more reason to trust to
Mercury. You should try it by unction & proceeding slowly
in bringing on only a tainted breath or the slightest spitting
& therefore intermitting a day or two as soon as the mouth is
in any way affected. I advise this method both on account
of the pain she felt from a greater salivation & of the
inflammation on
her Tonsil. In either way the MerĀ¬
cury
may be troublesome but the case is otherwise
so desperate as to encourage running risk & cc.

W.C.
Edinburgh 14th. November 1779.

Diplomatic Text

[Page 1]
For Miss Mitchell.


I am sorry to find it so desperate & especially because it
does not admit of the exhibition of medicines. Altho I
will determine what is the disease I am persuaded it can
be cured only by Mercury or Mezereon; but this last can be
only used in Decoction & by the mouth. I never knew it tried
by injection
& am doubtful how it would do for it is an
acrid medicine that cannot be given in large doses at once
& therefore might require a greater frequency of injections
than can be conveniently practised. but you may try proceedg
with caution: giving no more at first of the Decoction than
what contains ten grains of the bark of the root
. I have
had great benefit from the use of the Mezereon but



[Page 2]

in this case, I think there is more reason to trust to
Mercury. You should try it by unction & proceeding slowly
in bringing on only a tainted breath or the slightest spitting
& therefore intermitting a day or two as soon as the mouth is
in any way affected. I advise this method both on account
of the pain she felt from a greater salivation & of the
inflammation on
her Tonsil. In either way the MerĀ¬
cury
may be troublesome but the case is otherwise
so desperate as to encourage running risk & cc.

W.C.
Edinr. 14th. Novr. 1779.

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