Cullen

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

 

[ID:5039] From: Dr William Cullen (Professor Cullen) / To: Dr John Gilchrist (of Speddoch) / Regarding: Mr William McDowall (Macdowall, McDoual, McDowal, McDouall) (Patient), Miss Aitken (Patient), Mr Wellwood Johnstone Maxwell (of Barncleugh) (Patient) / 27 April 1785 / (Outgoing)

Reply, to 'Dr Gilchrist C[oncerning] Mr Maxwell'. Also touches upon the cases of Mr McDowall and Miss Aitken. Cullen references his First Lines on the subject of haemorroids.

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Metadata

FieldData
DOC ID 5039
RCPE Catalogue Number CUL/1/1/18/22
Main Language English
Document Direction Outgoing
Date27 April 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, to 'Dr Gilchrist C[oncerning] Mr Maxwell'. Also touches upon the cases of Mr McDowall and Miss Aitken. Cullen references his First Lines on the subject of haemorroids.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1107]
Case of Mr William McDowal [McDowall, McDouall], who has a chest complaint and spits blood.
19
[Case ID:1410]
Case of Miss Aitken who has a long-standing, intermittent, painful chest complaint.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:115]AddresseeDr John Gilchrist (of Speddoch)
[PERS ID:2808]PatientMr Wellwood Johnstone Maxwell (of Barncleugh)
[PERS ID:1080]PatientMr William McDowall (Macdowall, McDoual, McDowal, McDouall)
[PERS ID:2748]PatientMiss Aitken
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:115]Patient's Physician / Surgeon / ApothecaryDr John Gilchrist (of Speddoch)

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 Dumfries Borders Scotland Europe inferred
Therapeutic Recommendation Bristol South-West England Europe certain

Normalized Text

[Page 1]
Dr. Gilchrist Concerning [Mr.] Maxwell
Dear Dr.


I must Speak first of Mr. Maxwell.
I must view the Case as properly Dyspeptic, the
Symptoms of indigestion have been sufficiently evi¬
dent and there is nothing more common than for
indigestion to produce Diarrhœa. The blood dischar¬
ges
I cannot consider as properly connected with
his principal complaint, only that the acrimony
connected with these sollicits the prolapsus and
a Hæmorrhoidal evacuation long before connected
with it.


You have thus my view of the whole affair
and I have do doubt about the advice I am to offer.
The violence of the Symptoms is to be moderated by
Opiates and there is no fever [present?] to forbid
their use. It is to me probable that the bark
might restore the tone of the Stomach but I



[Page 2]

think Air and a good deal of exercise in a Carriage
would do it more effectually and usefully. I myself
am very liable to Diarrhœa and I find noth[ing]
mend me so much as travelling some length [or]
way in a Carriage. If you can any ways enjoin
Mr. Maxwell in such a practice I have no
doubt of its being useful to him {illeg}
you must try what small doses of {illeg}
may do either by inverting the Peristaltic
motion or by determining to the surface of the
body. If i[n] [s]pite of these measures his diarrhœa
should continue I am very averse [to purging?]
in any shape and I think you may safely
employ Astringents and the Kino as the best
that I know of and [rubbd?] with a very little {illeg}
Sugar it may be given from ten {illeg}
[grains?] Several times a day.




[Page 3]


With regard to the Prolapsus Ani and dis¬
charge
of blood I have no doubt about employing
Astringents there and what we call the Nutgall
Ointment
which is made of finely powdered galls
and Hogs lard is now commonly kept in our
Shops and in the Hæmorrhois ab Exania has
been frequently employed with advantage. On
this Subject I must give you a further advice
that Mr. Maxwell should never go to Stool in a
Sitting posture but always lying on one side and
should always ly in that situation till the
Prolapsus is reduced taking pains in the mean¬
time to reduce it as soon as possible. I dare say
you have read over my first lines on the Hæmorr¬
hois
. I think I have made much improvement
on that Subject and can venture to recommend
it to your consideration.




[Page 4]


For my friend Mr. Mc.dowal I cannot advise
any thing more proper than a Journey to Bristol
and his employing daily exercise on horseback while
he is there.


With respect to Miss Aitken when an
hydropic diathesis is once induced it is not uncommon
to see it (the Serum) poured into some or all of the internal
Cavities as well as into the Cellular texture. I am
as always


Dear John
Entirely Yours
William Cullen

Edinburgh 27th. April
1785

Diplomatic Text

[Page 1]
Dr. Gilchrist C. [Mr.] Maxwell
Dear Dr.


I must Speak first of Mr. Maxwell.
I must view the Case as properly Dyspeptic, the
Symptoms of indigestion have been sufficiently evi¬
dent and there is nothing more common than for
indigestion to produce Diarrhœa. The blood dischar¬
ges
I cannot consider as properly connected with
his principal complaint, only that the acrimony
connected with these sollicits the prolapsus and
a Hæmorrhoidal evacuation long before connected
with it.


You have thus my view of the whole affair
and I have do doubt about the advice I am to offer.
The violence of the Symptoms is to be moderated by
Opiates and there is no fever [present?] to forbid
their use. It is to me probable that the bark
might restore the tone of the Stomach but I



[Page 2]

think Air and a good deal of exercise in a Carriage
would do it more effectually and usefully. I myself
am very liable to Diarrhœa and I find noth[ing]
mend me so much as travelling some length [or]
way in a Carriage. If you can any ways enjoin
Mr. Maxwell in such a practice I have no
doubt of its being useful to him {illeg}
you must try what small doses of {illeg}
may do either by inverting the Peristaltic
motion or by determining to the surface of the
body. If i[n] [s]pite of these measures his diarrhœa
should continue I am very averse [to purging?]
in any shape and I think you may safely
employ Astringents and the Kino as the best
that I know of and [rubbd?] with a very little {illeg}
Sugar it may be given from ten {illeg}
[grains?] Several times a day.




[Page 3]


With regard to the Prolapsus Ani and dis¬
charge
of blood I have no doubt about employing
Astringents there and what we call the Nutgall
Ointment
which is made of finely powdered galls
and Hogs lard is now commonly kept in our
Shops and in the Hæmorrhois ab Exania has
been frequently employed with advantage. On
this Subject I must give you a further advice
that Mr. Maxwell should never go to Stool in a
Sitting posture but always lying on one side and
should always ly in that situation till the
Prolapsus is reduced taking pains in the mean¬
time to reduce it as soon as possible. I dare say
you have read over my first lines on the Hæmorr¬
hois
. I think I have made much improvement
on that Subject and can venture to recommend
it to your consideration.




[Page 4]


For my friend Mr. Mc.dowal I cannot advise
any thing more proper than a Journey to Bristol
and his employing daily exercise on horseback while
he is there.


With respect to Miss Aitken when an
hydropic diathesis is once induced it is not uncommon
to see it (the Serum) poured into some or all of the internal
Cavities as well as into the Cellular texture. I am
as always


Dear John
Entirely Yours
William Cullen

Edinr. 27th. April
1785

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