Cullen

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

 

[ID:4585] From: Dr William Cullen (Professor Cullen) / To: Dr Hugh Rose (of Brea and Broadley) / Regarding: Mr Urquhart (Patient) / 15 March 1780 / (Outgoing)

Reply 'For Mr Urquhart', who has jaundice attributed to biliary stones.

Facsimile

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4585
RCPE Catalogue Number CUL/1/1/12/152
Main Language English
Document Direction Outgoing
Date15 March 1780
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mr Urquhart', who has jaundice attributed to biliary stones.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1252]
Case of Mr Urquhart who developed Ague when living in Maryland.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:136]AddresseeDr Hugh Rose (of Brea and Broadley)
[PERS ID:691]PatientMr Urquhart
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:136]Patient's Physician / Surgeon / ApothecaryDr Hugh Rose (of Brea and Broadley)

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 Forres East Highlands Scotland Europe inferred

Normalized Text

[Page 1]
For Mr Urquhart.


Stones passing the biliary ducts; at times they pass more
easily giving only a transient colic; at other times they stick
& give great pain especially after eating & cause jaundice.
You did right in a severe fit to employ bleeding & in the like
circumstances again, I advise its repetition
. Use an
opiate
to ease the spasm of the ducts; but keeping the
belly
open by sacred tincture or other laxative or perhaps with
advantage by glysters. In case the jaundice continue
with much pain both the bleeding & opiate may be omitted
& try the following

Take an ounce of Spanish Soap, a drachm each of ground tops of Common Wormwood and Rhubarb Electuary, and enough Simple Syrup as to make a mass to be divided into pills of 5 grains each. Label: Aperient pills 4 or 5 every night & morning.


If they do not keep the belly regular, give
them three or four times a day & if even this dont do, give a
small dose of an aloetic
at bedtime. Exercise on horse¬
back will be of use both to discuss fits & to prevent them.



[Page 2]

When free of jaundice the use of these soap pills with exer¬
cise on horseback will be very useful but when the Season
advances to afford the Dandelion leaves give the expressed
juice of these from 2 to 4 ounces daily for a week or two &
they may be of service in preventing biliary concretions.


What Diet prevents such concretions we are uncertain
but I do think Vegetables the most proper & therefore
recommend a large proportion of them in Diet. Allow
him no strong drink but porter.

WC.
Edinburgh 15. March. 1780.

Diplomatic Text

[Page 1]
For Mr Urquhart.


Stones passing the biliary ducts; at times they pass more
easily giving only a transient colic; at other times they stick
& give great pain especially after eating & cause jaundice.
You did right in a severe fit to employ bleeding & in the like
circumstances again, I advise its repetition
. Use an
opiate
to ease the spasm of the ducts; but keeping the
belly
open by sacred tincture or other laxative or perhaps with
advantage by glysters. In case the jaundice continue
with much pain both the bleeding & opiate may be omitted
& try the following

Sapon. hisp. ℥j Pulv. summit.
absinth. vulgar.
Rhei elect @ ʒj Syr. simpl. q. s. ut f. m.
div. in Pil. s. gr. V. S. Aperient pills 4 or 5 every night
& morning.


If they do not keep the belly regular, give
them three or four times a day & if even this dont do, give a
small dose of an aloetic
at bedtime. Exercise on horse¬
back will be of use both to discuss fits & to prevent them.



[Page 2]

When free of jaundice the use of these soap pills with exer¬
cise on horseback will be very useful but when the Season
advances to afford the Dandelion leaves give the expressed
juice of these from 2 to 4 ounces daily for a week or two &
they may be of service in preventing biliary concretions.


What Diet prevents such concretions we are uncertain
but I do think Vegetables the most proper & therefore
recommend a large proportion of them in Diet. Allow
him no strong drink but porter.

WC.
Edinr. 15. March. 1780.

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