Cullen

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

 

[ID:4695] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss Brown (Patient) / 19 August 1783 / (Outgoing)

Reply 'For Miss Brown', concerning the seriousness of her condition which is 'a schirrosity of the Ovaria' and the continued use of mercury.

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Metadata

FieldData
DOC ID 4695
RCPE Catalogue Number CUL/1/1/16/99
Main Language English
Document Direction Outgoing
Date19 August 1783
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Miss Brown', concerning the seriousness of her condition which is 'a schirrosity of the Ovaria' and the continued use of mercury.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1648]
Case of Miss Brown, who 'complains of loss of appetite and swelling of the lower part of the belly'.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2983]PatientMiss Brown
[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

Normalized Text

[Page 1]
For Miss Brown


I have considered attentively the whole of this Case
and am sorry to observe that it is one very difficult
and unpromising. I take the foundation of the whole
to be a Schirrosity of the Ovaria likely to end in
Dropsy. The various remedies employed to bring
back the Menses were well designed but they have
been fruitless and I would not expect benefit from
the continuance of any of them and some of them
as Cold bathing might I think do harm. The
last remedy employed, that is, Mercury seems to
me the most promising and I would advise it
still to be tried in the formula prescribed below,
but let it be under the care of somebody of the
Profession who may take care that it does not
at any time go too farr It will do no service
unless continued for some length of time but when




[Page 2]


it threatens to touch her mouth it must be interrupted
for a little but may be afterwards resumed with discretion
I expect that the medicine here prescribed will keep
her belly regular but if it does not it may be
assisted from time to time with some gentle
laxative
. No particular diet is necessary with
this remedy, it only it will be proper for her to
avoid fruit and much Garden things. Moderate
exercise in every shape is likely to be of service.

William Cullen

Edinburgh 19th. August
1783

Take one scruple of dried Squill Root, ten grains of Calomel, one scruple of Millipedes, half a drachm of Extract of gentian and enough muscilage of Gum Arabic to make a mass to be divided into twenty pills. Label: Aperient Pills. One to be taken every night and morning.

19th August 1783
W. C.

Diplomatic Text

[Page 1]
For Miss Brown


I have considered attentively the whole of this Case
and am sorry to observe that it is one very difficult
and unpromising. I take the foundation of the whole
to be a Schirrosity of the Ovaria likely to end in
Dropsy. The various remedies employed to bring
back the Menses were well designed but they have
been fruitless and I would not expect benefit from
the continuance of any of them and some of them
as Cold bathing might I think do harm. The
last remedy employed, that is, Mercury seems to
me the most promising and I would advise it
still to be tried in the formula prescribed below,
but let it be under the care of somebody of the
Profession who may take care that it does not
at any time go too farr It will do no service
unless continued for some length of time but when




[Page 2]


it threatens to touch her mouth it must be interrupted
for a little but may be afterwards resumed with discretion
I expect that the medicine here prescribed will keep
her belly regular but if it does not it may be
assisted from time to time with some gentle
laxative
. No particular diet is necessary with
this remedy, it only it will be proper for her to
avoid fruit and much Garden things. Moderate
exercise in every shape is likely to be of service.

William Cullen

Edinr. 19th. August
1783


Rad. Scill. siccat. ℈l
Calomelan. gr. X
Milleped. ppt ℈j
Extract. gentian. ʒſs
Mucilag. G. Arabic. q. s. ut massa dividenda
in pil. № XX
Signa Aperient Pills one to be taken every night and
morning

19th August 1783
W. C.

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