The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4579] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Mr Watson (Patient) / 19 February 1780 / (Outgoing)
Reply 'For Mr Watson'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
[Page 3]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4579 |
| RCPE Catalogue Number | CUL/1/1/12/146 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 19 February 1780 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mr Watson' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1313] |
Case of Mr Watson (or his patient?) whose ulcerated tonsils are considered venereal. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:3130] | Addressee | |
| [PERS ID:3129] | Patient | Mr Watson |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:3130] | Patient's Physician / Surgeon / Apothecary |
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 |
Normalized Text
For Mr Watson
You judged right and advised properly. Your advice
I suppose had not been properly pursued. The disease therefore
has returned & both from the history & the Ulcers on his
Tonsils I have no doubt of the Case being Venereal tho
[Page 2]
perhaps aggravated by Cold. Therefore
When he gets home let him take to his chamber which
should be neither large nor small & free from draughts of air.
Flannel round his chops from ear to ear; keeping close
to the corners of the underjaw. Anoint his chops from
ear to ear every night & morning with a little Volatile
oil that is with an oil which has a dram of good caustic
spirit added to every ounce of it. Two or three times a
day use a gargle of Infusion of dried roses well sweetened
with Sugar & having a grain in every ounce of Infusion
Let these measures be followed for three or four days
till the swelling & redness of the Uvula & tonsils are
somewhat abated but these may not take away the
Inflammation & swelling entirely & therefore after
some days it will be necessary to take measures for
correcting the Syphilitic acrimony.
These measures are a Mercurial course brought on
neither fast nor slow nor farther than a little soreness
of mouth & spitting at which keep it up for four weeks or
more securely for six. Employ for this either the
common Mercurial pill or the ointment. If the Pill
shew no tendency to purging you may use it alone;
otherwise, you had better use the ointment.
For keeping up the due degree of sweating without letting
it go to excess & so for withdrawing or adding Mercury I
must trust to your management. Tho he must be
confined to his chamber he need not be kept extremely
warm. The temperature of the room should never be below
62 nor above 66; so 63 is the best medium.
Diet during this of Milk & farinacea; avoiding
roots & greens & animal food except a little weak broth.
[Page 3]
He must take no cold drinks but neither need it be very
warm. Water gruel or Barley water will be the most
proper but it will also be proper to take the Sarsa
decoction to the quantity of a bottle every day.
During the first weeks of the Course the Sarsa Decoc¬
tion may be quite simple or of the Sarsa alone
but for the last weeks when the spitting is allowed
to decline & for a week after, Mezereon is to be added
two drachms to the bottle of Sarsa, unless such quantity be
too hot for the stomach when it should be lessened &c.
Diplomatic Text
For Mr Watson
You judged right and advised properly. Your advice
I suppose had not been properly pursued. The disease therefore
has returned & both from the history & the Ulcers on his
Tonsils I have no doubt of the Case being Venereal tho
[Page 2]
perhaps aggravated by Cold. Therefore
When he gets home let him take to his chamber wc
should be neither large nor small & free from draughts of air.
Flannel round his chops from ear to ear; keeping close
to the corners of the underjaw. Anoint his chops from
ear to ear every night & morning with a little Volatile
oil that is with an oil which has a dram of good caustic
spirit added to every ounce of it. Two or three times a
day use a gargle of Infusion of dried roses well sweetened
with Sugar & having a grain in every ounce of Infusion
Let these measures be followed for three or four days
till the swelling & redness of the Uvula & tonsils are
somewhat abated but these may not take away the
Inflammation & swelling entirely & therefore after
some days it will be necessary to take measures for
correcting the Syphilitic acrimony.
These measures are a Mercurial course brought on
neither fast nor slow nor farther than a little soreness
of mouth & spitting at which keep it up for four weeks or
more securely for six. Employ for this either the
common Mercurial pill or the ointment. If the Pill
shew no tendency to purging you may use it alone;
otherwise, you had better use the ointment.
For keeping up the due degree of sweating without letting
it go to excess & so for withdrawing or adding Mercury I
must trust to your management. Tho he must be
confined to his chamber he need not be kept extremely
warm. The temperature of the room should never be below
62 nor above 66; so 63 is the best medium.
Diet during this of Milk & farinacea; avoiding
roots & greens & animal food except a little weak broth.
[Page 3]
He must take no cold drinks but neither need it be very
warm. Water gruel or Barley water will be the most
proper but it will also be proper to take the Sarsa
decoction to the quantity of a bottle every day.
During the first weeks of the Course the Sarsa Decoc¬
tion may be quite simple or of the Sarsa alone
but for the last weeks when the spitting is allowed
to decline & for a week after, Mezereon is to be added
Ʒij to the bottle of Sarsa, unless such quantity be
too hot for the stomach when it should be lessened &c.
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