Cullen

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

 

[ID:4888] From: Dr William Cullen (Professor Cullen) / To: Alexander Strachan / Regarding: Mr Thomas Innes (Captain, of Rosyburn/Rosieburn) (Patient) / 29 July 1784 / (Outgoing)

Reply concerning the case of Mr Innes who has obstructed viscera.

Facsimile

There are 3 images for this document.

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Metadata

FieldData
DOC ID 4888
RCPE Catalogue Number CUL/1/1/17/84
Main Language English
Document Direction Outgoing
Date29 July 1784
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply concerning the case of Mr Innes who has obstructed viscera.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1740]
Case of Mr (Captain) Innes whose complaints were first reported to Cullen in 1775. He has been in decline since that date with vomiting of blood and fluid retention.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3317]Addressee Alexander Strachan
[PERS ID:3506]PatientMr Thomas Innes (Captain, of Rosyburn/Rosieburn)
[PERS ID:3317]Patient's Physician / Surgeon / Apothecary Alexander Strachan
[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 Banff (Bamf) East Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Mr. Innes


{illeg} I can pretty [well?] {illeg} of the circum¬
stances of his Case in [the year?] 1775 and the accurate information
I have received. I am sorry to {illeg} that his own
situation is in a bad train. I am afraid there are
considerable obstructions in his Viscera and particularly
that the Spleen is very much affected and if the
general swelling of his belly will allow any distinct
feeling of what [is?] within I believe that some par¬
ticular hardness would be found in the left Hy¬
pochondrium
. The disposition to Dropsy seems to
have appeared pretty strongly but as the swelling
of
his belly is diminished and his thirst is abated
I hope the Hydropic diathesis is not so strong as
it was but there are still so much of the symptoms
remaining as to lead us still to a particular conduct.




[Page 2]


The conduct in such circumstances would be in general
to {illeg} the {illeg} but as it is observed
that purgatives depress him very much and that
his evacuations by stool are very regular I think
the use of purgatives cannot be pushed with any
freedom and certainly no otherwise than by a little
of the bitter wine when any incidental slowness of
his belly may seem to require it.


Mr. Innes relief must be chiefly attempted
by the use of Diuretics and for that purpose I
have prescribed a medicine on other Page which I
hope may be of service. As I cannot exactly foresee
how his stomach and bowels may bear it I have
prescribed a small dose only of the Squills but if
this quantity shall neither disturb his stomach
by Nausea nor run off too much by stool, the




[Page 3]


quantity of the Squills should be increased to what
his bowels will {illeg} if possible {illeg}
thier Diuretic effects. I have no other medicine to
propose at present and his diet ↑and drink↑ seems to be already
very properly ordered.

William Cullen

Edinburgh 29th. July
1784
For Mr Innes

Take two and a half ounces of plain Cinnamon water, four and a half ounces of Rose water, half an ounce of Acetate of Squills, six drachms of Syrup of Squills, three drachms of Antimonial wine and one ounce of Regenerated tartar. Mix and Label: Aperient Solution a table spoonfull to be taken several times every day.

W. C.

29th July
1784.

Diplomatic Text

[Page 1]
For Mr. Innes


{illeg} I can pretty [well?] {illeg} of the circum¬
stances of his Case in [the year?] 1775 and the accurate information
I have received. I am sorry to {illeg} that his own
situation is in a bad train. I am afraid there are
considerable obstructions in his Viscera and particularly
that the Spleen is very much affected and if the
general swelling of his belly will allow any distinct
feeling of what [is?] within I believe that some par¬
ticular hardness would be found in the left Hy¬
pochondrium
. The disposition to Dropsy seems to
have appeared pretty strongly but as the swelling
of
his belly is diminished and his thirst is abated
I hope the Hydropic diathesis is not so strong as
it was but there are still so much of the symptoms
remaining as to lead us still to a particular conduct.




[Page 2]


The conduct in such circumstances would be in general
to {illeg} the {illeg} but as it is observed
that purgatives depress him very much and that
his evacuations by stool are very regular I think
the use of purgatives cannot be pushed with any
freedom and certainly no otherwise than by a little
of the bitter wine when any incidental slowness of
his belly may seem to require it.


Mr. Innes relief must be chiefly attempted
by the use of Diuretics and for that purpose I
have prescribed a medicine on other Page which I
hope may be of service. As I cannot exactly foresee
how his stomach and bowels may bear it I have
prescribed a small dose only of the Squills but if
this quantity shall neither disturb his stomach
by Nausea nor run off too much by stool, the




[Page 3]


quantity of the Squills should be increased to what
his bowels will {illeg} if possible {illeg}
thier Diuretic effects. I have no other medicine to
propose at present and his diet ↑and drink↑ seems to be already
very properly ordered.

William Cullen

Edinr. 29th. July
1784
For Mr Innes


Aq. cinnam. Simpl. ℥iiſs
-- rosar. ℥ivſs
Acet. Scillit. ℥ſs
Syr. Scillit. ʒvj
Vin. antimon. ʒiij
Tartar. regenerat. ℥j
ℳ. Sig. Aperient solution table spoonfull to be
taken several times every day

W. C.

29th July
1784.

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