Cullen

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

 

[ID:493] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mrs Morison (Patient) / 27 May 1774 / (Outgoing)

Reply 'For Mrs Morison' addressed to an unnamed practitioner identified from incoming enquiry as Gavin Fullerton. Cullen concludes that from 'frequent child bearing' and other long-term ailments, her 'Uterine System must be in bad condition' and he is unable to make a 'favourable prognostic', though he suggests using various medicines to relieve her symptoms.

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Metadata

FieldData
DOC ID 493
RCPE Catalogue Number CUL/1/1/3/71
Main Language English
Document Direction Outgoing
Date27 May 1774
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mrs Morison' addressed to an unnamed practitioner identified from incoming enquiry as Gavin Fullerton. Cullen concludes that from 'frequent child bearing' and other long-term ailments, her 'Uterine System must be in bad condition' and he is unable to make a 'favourable prognostic', though he suggests using various medicines to relieve her symptoms.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:67]
Case of Mrs Morison (Morrison), diagnosed with a 'uterine' weakness.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:417]PatientMrs Morison
[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 Greenock Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
For Mrs Morison.
Dear Sir


The case of Mrs Morrison which you have given
me so fully & accurately I have considered carefully &
am sorry that I cannot make a favourable prognostic with
regard to it: From the frequent child bearing & long continu¬
ance of gtgreat evacuations her constitution must now be greatly
impaired & from the nature of the evacuations as they have
appeared of late. the Uterine System must be in
a bad condition. Upon this footing all her symptoms
may be understood. & I cannot percieve in these any
foundation for suspecting any thing venereal & your account of
it is very improbable.


In the view I have of the case I think your aperient
Bolus
to be one of the most probable remedies & ad¬
vise it to be continued so the degree that she easy bears. The
Laudanum may be unavoidable but it does no ser¬
vice to the disease & I would avoid it as much as pain will
any ways allow. It is certainly hurtfull as it occasionally
costiveness & this must be obviated as much as possible.
The medicine I would prefer for this purpose is the Oleum
Ricini if her Stomach will bear it. & if not, the best & least
irritating will be the Flowers of Sulphur or Crystal Tartar To¬
wrds the cure of the disease you must depend upon the Bolus
but 2 measures may be farther necessary. One is to
manage her diet, motion & her posture so as to give as
little visitation to the System in general & to the Uterus
in particular as possible. It is common in such cases to
give wine & animal food but the more weak the
person is the more pernicious. The other measure
is the use of some strengthening medicines & I think the Alum
Russian oleum illegible one of the best as it neither heats the
body nor binds the Belly. You will employ it as
circumstances




[Page 2]


shall direct -

Yours
W. C.
Edinburgh 27th May
1774.

Diplomatic Text

[Page 1]
For Mrs Morison.
Dr Sir


The case of Mrs Morrison wc you have given
me so fully & accurately I have considered carefully &
am sorry yt I cannot make a favourable prognostic w
regard to it: Frm ye freqt. child bear. & long continu¬
ance of gtgreat evacuats her constitutn must now be gtly
impaired & from ye nature of ye evacuats. as yy have
appeared of late. the Uterine System must be in
a bad condition. Upon ys footing all her sympts
may be understood. & I cannot percieve in yse any
foundation for suspect any yg venereal & yr acct of
it is very improbable.


In ye view I have of ye case I think yr aperient
Bolus
to be one of ye most probable remedies & ad¬
vise it to be contd so ye degree yt she easy bears. The
Laudanum may be unavoidable bt it does no ser¬
vice to ye disease & I would avoid it as mc as pn will
any ways allow. It is certainly hurtfull as it occasy
costiveness & ys must be obviated as mc as possible.
The med. I would prefer for ys purpose is ye Oleum
Ricini if her Stom. will bear it. & if nt, ye best & least
irritating will be ye Fl. Sulph. or Cryst. Tart. To¬
wrds ye cure of ye disease you must depend upo ye Bol.
bt 2 measures may be farther necessy. One is to
manage her diet, motion & her posture so as to give as
little visitation to ye Syst. in genl & to ye Uterus
in particr as possible. It is common in sc cases to
give wine & animal food bt ye more weak ye
person is ye more pernicious. The other measure
is ye use of some strengtheng meds & I th. ye Alum
Russ oleum illegible one of ye best as it neither heats ye
body nor binds ye Belly. You will employ it as
circumstances




[Page 2]


shall direct -

Yrs
W. C.
Ed. 27th May
1774.

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