Cullen

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

 

[ID:4983] From: Dr William Cullen (Professor Cullen) / To: Dr John Stewart / Regarding: Mr James Abernethie (Abernethy; of Mayen) (Patient), Mrs (Patient) / 15 February 1785 / (Outgoing)

Reply, 'Dr John Stewart C[oncerning] a Lady'. Her case is 'very desperate': the physician who told her that her husband had not infected her with the pox was wrong. Cullen is convinced 'she now labours under a Venereal Phthisis'. He advises the use of mercury, even though it may 'hurry on' the Phthisis Pulmonalis fatally. He also tells Dr Stewart that 'this day a Gentleman by my advice given some time ago sets out for Southampton to be under your care', carrying a letter and directions – a reference to James Abernethie of Mayen.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4983
RCPE Catalogue Number CUL/1/1/17/177
Main Language English
Document Direction Outgoing
Date15 February 1785
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, 'Dr John Stewart C[oncerning] a Lady'. Her case is 'very desperate': the physician who told her that her husband had not infected her with the pox was wrong. Cullen is convinced 'she now labours under a Venereal Phthisis'. He advises the use of mercury, even though it may 'hurry on' the Phthisis Pulmonalis fatally. He also tells Dr Stewart that 'this day a Gentleman by my advice given some time ago sets out for Southampton to be under your care', carrying a letter and directions – a reference to James Abernethie of Mayen.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1802]
Case of Mr James Abernethie who is consumptive.
4
[Case ID:1846]
Case of an unnamed female patient with a bad cough. Despite showing no signs of venereal infection she once gave birth to a child who the attending physician called 'one of the worst venereal cases in Children that ever had come under his care'.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:4256]AddresseeDr John Stewart
[PERS ID:4257]PatientMrs
[PERS ID:4254]PatientMr James Abernethie (Abernethy; of Mayen)
[PERS ID:4256]Patient's Physician / Surgeon / ApothecaryDr John Stewart
[PERS ID:5628]Patient's Physician / Surgeon / ApothecaryDr
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:4259]Patient's Relative / Spouse / FriendMr

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 Southampton London and South-East England Europe inferred
Mentioned / Other Southampton London and South-East England Europe certain

Normalized Text

[Page 1]
Dr. John Stewart
Concerning a Lady
Dear John


Your letter of the 7th. came to my hand
only this day and I give [you my?] answer in course
of post.


The Case you describe I take to be a very des¬
perate one and I think the Physician who was Con¬
sulted upon the death of her second husband has
[deceived?] her by telling her and her friends that she
[was] not infected
. I am positively of opinion she was
and from that source that she now labours under
a Venereal Phthisis. I am of opinion that a proper
Phthisis
Pulmonalis cannot be cured by mercury
and on the contr[ary] {illeg} it can be very much
{illeg} by it but I am strongly perswaded that
your Patient can only be cured by the use of
Mercury
. It may possibly hurry on the Phthisical
[ailment?]
to a fatal issue but it would be
only [because?] that issue is otherwise unavoidable
and if I myself were in your Patients Case



[Page 2]

I should certainly take the risk of a Mercurial Course,
It should by no means indeed be urged very fast but
it should be urges to some sensible effects. {illeg}
Mercurial Course has often answered the purp[ose]
I have very little experience of the Calcinated Mercury and perhaps for that reason have no [high?]
opinion of it but I leave the matter to your own
discretion.


As to communicating Patients I am very glad
to have been before hand with you for this day a
Gentleman by my advice given some time ago sets
out for Southampton to be under your Care but as he
carries a letter and directions along with him I
need say no more of it here. I am as always
with very great and particular regard

Dear John
Your [most] Obedient Servant
William Cullen
Edinburgh 15th. February
1785

Diplomatic Text

[Page 1]
Dr. John Stewart
C a Lady
Dear John


Your letter of the 7th. came to my hand
only this day and I give [you my?] answer in course
of post.


The Case you describe I take to be a very des¬
perate one and I think the Physician who was Con¬
sulted upon the death of her second husband has
[deceived?] her by telling her and her friends that she
[was] not infected
. I am positively of opinion she was
and from that source that she now labours under
a Venereal Phthisis. I am of opinion that a proper
Phthisis
Pulmonalis cannot be cured by mercury
and on the contr[ary] {illeg} it can be very much
{illeg} by it but I am strongly perswaded that
your Patient can only be cured by the use of
Mercury
. It may possibly hurry on the Phthisical
[ailment?]
to a fatal issue but it would be
only [because?] that issue is otherwise unavoidable
and if I myself were in your Patients Case



[Page 2]

I should certainly take the risk of a Mercurial Course,
It should by no means indeed be urged very fast but
it should be urges to some sensible effects. {illeg}
Mercurial Course has often answered the purp[ose]
I have very little experience of the Mercurius calci¬
natus
and perhaps for that reason have no [high?]
opinion of it but I leave the matter to your own
discretion.


As to communicating Patients I am very glad
to have been before hand with you for this day a
Gentleman by my advice given some time ago sets
out for Southampton to be under your Care but as he
carries a letter and directions along with him I
need say no more of it here. I am as always
with very great and particular regard

Dear John
Your [most] Obedient Servant
William Cullen
Edinr. 15th. Febry.
1785

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