Cullen

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

 

[ID:4569] From: Dr William Cullen (Professor Cullen) / To: Dr Alexander Taylor (Sanders) / Regarding: Mr Robert Neilson (Nielson, of Paisley) (Patient), Mrs Macclaw (MacLaw, Mclaws) (Patient) / 22 January 1780 / (Outgoing)

Reply, 'To Mr Taylor C Mr Neilson & Mrs Mac'. Advice on diet and bleeding for Mr Neilson, and on the lack of success of tartar on Mrs Maclaw's arm.

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Metadata

FieldData
DOC ID 4569
RCPE Catalogue Number CUL/1/1/12/136
Main Language English
Document Direction Outgoing
Date22 January 1780
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 Mr Taylor C Mr Neilson & Mrs Mac'. Advice on diet and bleeding for Mr Neilson, and on the lack of success of tartar on Mrs Maclaw's arm.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:316]
Case of Mr Robert Neilson with a chronic, progressive illness, probably pulmonary (consumption) but possible cardiac. After a gap, in early January 1782, Cullen confirms that Neilson's condition is terminal. An autopsy soon follows.
22
[Case ID:2050]
Case of Mrs McLaws (Macclaw) who has an 'eruption on her arm'.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:207]AddresseeDr Alexander Taylor (Sanders)
[PERS ID:832]PatientMrs Macclaw (MacLaw, Mclaws)
[PERS ID:206]PatientMr Robert Neilson (Nielson, of Paisley)
[PERS ID:207]Patient's Physician / Surgeon / ApothecaryDr Alexander Taylor (Sanders)
[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 Paisley Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
To Mr Taylor Concerning Mr Neilson & Mrs Mac


The theory of Mr N.s ailments may be difficult, but of little con¬
sequence when the nature of them is so evident. ––


I consider them as Rheumatic & Inflammatory, coming by fits and
shewing a mobility, both which have been very little taken notice
of by Practitioners and still less by practical Writers.


My idea of the disease arose from the relief obtained by venesection &
is strongly confirmed by the benefit of his present Diet, which
is always less acescent & flatulent, when no Animal matter what¬
ever is joined with it. I am clear that the same Diet should be
continued strictly for a long time to come, and at this season I know
no other preservative that can be employed. When the Season mends
I expect he will go frequently on horseback & in Summer take a long
Journey. With respect to the question you put concerning the preserva¬
tive means of bleeding and purging – the later I do not consider as very
powerfull & would push it no farther than to obviate Costiveness. ––


Venesection is more powerfull, but I would not wish to practise it often
because I am uncertain it contributes to induce a Plethoric State. –
I would employ it only when thes (↑r↑)e are pretty evidently marks of a
threatening Plethora or when actually some pains with a frequent
& full Pulse
shewed the Plethora operating – &c. to your discretion
The pains affecting the right Kidney with an increased secretion of Urine
may give some suspicion of Nephritis; but as the Symptom may be
explained another way, I wait for something more decisive to mark it as
Nephritic ––––

For Mrs Maclaw


I am sorry the Tartar has had no good effect on her arm; but
the season is unfavourable & the Spring may answer better &
therefore let her lay it aside till then & let her try it for a week
or two in the beginning of March against which time I expect to hear
from you of her situation &c. –

January 22. 1780. –

Diplomatic Text

[Page 1]
To Mr Taylor C Mr Neilson & Mrs Mac


The theory of Mr N.s ailments may be difficult, but of little con¬
sequence when the nature of them is so evident. ––


I consider them as Rheumatic & Inflammatory, coming by fits and
shewing a mobility, both which have been very little taken notice
of by Practitioners and still less by practical Writers.


My idea of the disease arose from the relief obtained by V.S. &
is strongly confirmed by the benefit of his present Diet, which
is always less acescent & flatulent, when no Animal matter what¬
ever is joined with it. I am clear that the same Diet should be
continued strictly for a long time to come, and at this season I know
no other preservative that can be employed. When the Season mends
I expect he will go frequently on horseback & in Summer take a long
Journey. With respect to the question you put concerning the preserva¬
tive means of bleeding and purging – the later I do not consider as very
powerfull & would push it no farther than to obviate Costiveness. ––


V.S. is more powerfull, but I would not wish to practise it often
because I am uncertain it contributes to induce a Plethoric State. –
I would employ it only when thes (↑r↑)e are pretty evidently marks of a
threatening Plethora or when actually some pains with a frequent
& full Pulse
shewed the Plethora operating – &c. to your discretion
The pains affecting the right Kidney with an increased secretion of Urine
may give some suspicion of Nephritis; but as the Symptom may be
explained another way, I wait for something more decisive to mark it as
Nephritic ––––

For Mrs Maclaw


I am sorry the Tartar has had no good effect on her arm; but
the season is unfavourable & the Spring may answer better &
therefore let her lay it aside till then & let her try it for a week
or two in the beginning of March against wc time I expect to hear
from you of her situation &c. –

Janry 22. 1780. –

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