Cullen

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

 

[ID:4605] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Miss Mary Peareth (Pearith, Peariths) (Patient), Miss Barbara Peareth (Pearith) (Patient) / 5 April 1783 / (Outgoing)

Reply, 'Miss Mary Pearith'. Also discusses the death of Mary's sister Barbara.

Facsimile

There are 3 images for this document.

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[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 4605
RCPE Catalogue Number CUL/1/1/16/10
Main Language English
Document Direction Outgoing
Date5 April 1783
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Miss Mary Pearith'. Also discusses the death of Mary's sister Barbara.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:52]
Case of Miss Mary Peareth who has a painful bladder condition.
25
[Case ID:53]
Case of Miss Barbara Peareth who is thought to have an internal abdominal tumour.
13


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:82]AddresseeMr William Ingham
[PERS ID:80]PatientMiss Mary Peareth (Pearith, Peariths)
[PERS ID:662]PatientMiss Barbara Peareth (Pearith)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:82]Patient's Physician / Surgeon / ApothecaryMr William Ingham

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 Newcastle upon Tyne North-East England Europe inferred

Normalized Text

[Page 1]

Miss Mary Pearith

Dear Sir,


I am obliged to you for giving me the Dissection
of Miss B. Pearith. I think it shows matters very much
in the state we imagined them to be and that her disease
was absolutely measurable.


I heartily prey that Miss. Marys Case may not
turn out the same kind but I hope there is still more
opportunity for attempting a relief and I would be inconceavably
happy in contributing to it. I think both her own proposals
are very reasonable and I am clear for having them both
tired. The Seton in the place you mention can do no
harm and possibly may be of service. I cannot now
propose the Mercury on the same plan I did before
that is, on the supposition of having an abscess or Ulce¬
ration
at the neck of the bladder but there is certainly
reason ↑to↑ suppose a topical affection there with respect
to which Mercury may be of service and let it be
kind but in the same cautious method she herself



[Page 2]

propose that is, in an alterative way only. While both those
measures are pursued I dont think we can with any pro¬
priety at the same time pursue any other. When the uneasy
fits she mentions of some difficulty in making water occur
attended with violent pains in different parts I would
certainly try Opiates and push them more or less as their
effects shall direct but as the disorder arise from a
topical affection which the opiate cannot remove I would
not push them violently but be satisfied with their mode¬
rating the Violence of the paroxysm. In case such [trouble
ling?] fits as happened on the Second and Sixteenth of last
month should again recur I would treat them in the
same manner by Opiates but in this case I would give
the Laudanum with a Saline draught. To a saline draught
made of a Scruple of Alkaline salt I would add fifteen
drops of Laudanum and this I would repeat if necessary
in an hour after and perhaps for a third time at the
same interval. If these doses shall bring out some


[Page 3]

mixture upon the skin I am persuaded they {illeg}
When you have had time and opportunity to {illeg}
the measures above mentioned I shall by {illeg}
and you need not be reasured in writing to {illeg}
from the family have been sufficiently fr{illeg}
and I would give twenty fees to be of use {illeg}
Present my most respectful Compliments to {illeg}
and believe to be always


Dear Sir
your most obedient Ser[vant]
Edinburgh 5th. April
1783.

Diplomatic Text

[Page 1]

Miss Mary Pearith

Dear Sir,


I am obliged to you for giving me the Dissection
of Miss B. Pearith. I think it shows matters very much
in the state we imagined them to be and that her disease
was absolutely measurable.


I heartily prey that Miss. Marys Case may not
turn out the same kind but I hope there is still more
opportunity for attempting a relief and I would be inconceavably
happy in contributing to it. I think both her own proposals
are very reasonable and I am clear for having them both
tired. The Seton in the place you mention can do no
harm and possibly may be of service. I cannot now
propose the Mercury on the same plan I did before
that is, on the supposition of having an abscess or Ulce¬
ration
at the neck of the bladder but there is certainly
reason ↑to↑ suppose a topical affection there with respect
to which Mercury may be of service and let it be
kind but in the same cautious method she herself



[Page 2]

propose that is, in an alterative way only. While both those
measures are pursued I dont think we can with any pro¬
priety at the same time pursue any other. When the uneasy
fits she mentions of some difficulty in making water occur
attended with violent pains in different parts I would
certainly try Opiates and push them more or less as their
effects shall direct but as the disorder arise from a
topical affection which the opiate cannot remove I would
not push them violently but be satisfied with their mode¬
rating the Violence of the paroxysm. In case such [trouble
ling?] fits as happened on the Second and Sixteenth of last
month should again recur I would treat them in the
same manner by Opiates but in this case I would give
the Laudanum with a Saline draught. To a saline draught
made of a Scruple of Alkaline salt I would add fifteen
drops of Laudanum and this I would repeat if necessary
in an hour after and perhaps for a third time at the
same interval. If these doses shall bring out some


[Page 3]

mixture upon the skin I am persuaded they {illeg}
When you have had time and opportunity to {illeg}
the measures above mentioned I shall by {illeg}
and you need not be reasured in writing to {illeg}
from the family have been sufficiently fr{illeg}
and I would give twenty fees to be of use {illeg}
Present my most respectful Compliments to {illeg}
and believe to be always


Dear Sir
your most obedient Ser[vant]
Edinr. 5th. April
1783.

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