Cullen

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

 

[ID:5134] From: Dr William Cullen (Professor Cullen) / To: Dr Charles Keith / Regarding: Mr Benjamin Woodman (Patient) / 25 August 1785 / (Outgoing)

Reply, 'Dr Keith C[oncerning] Mr Woodman'; mentions also the case of Mr Riddell.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 5134
RCPE Catalogue Number CUL/1/1/18/116
Main Language English
Document Direction Outgoing
Date25 August 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 Keith C[oncerning] Mr Woodman'; mentions also the case of Mr Riddell.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1799]
Case of Mr Woodman who has a swollen testicle.
3
[Case ID:1975]
Case of Mr Riddell at or near Hexham, whose complaints include pains in his hands and salivating excessively, all symptoms Cullen attributes to a 'gouty' disposition.
16


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3387]AddresseeDr Charles Keith
[PERS ID:3787]PatientMr Benjamin Woodman
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3387]Patient's Physician / Surgeon / ApothecaryDr Charles Keith
[PERS ID:3790]Other Physician / SurgeonDr Askew

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 Morpeth North-East England Europe inferred

Normalized Text

[Page 1]

Dr. Keith Concerning Mr. Woodman

Dear Dr.


I had yours yesterday but no Post going out
I could not answer you till today.


I am fully persuaded that Mr. Woodman
has no disease, but both because it may be difficult
to persuade him of this, and because I cannot be
sufficiently confident in a Negative I think you
have hinted the prudent measure and therefore
tho' you give him as both your own and my
opinion that his having an ailment is very
doubtful; yet for his absolute Security we
think it proper to give him a medicine that
may do good and can do no harm and of the me¬
dicines you hint I am clear in preferring the
Cicuta and would advise a moderate course of
this for some weeks.


With respect to Mr. Riddell. tho' he should
give me no fee I shall be satisfied if he gives you



[Page 2]

one and upon your account I shall give him the best
advice I can.


All his Symptoms certainly depend upon the
Gout and neither this nor its consequences can be
eradicated, but both may be alleviated be good
management and your general plan of moderate
diet, much exercise and a regular belly is I think
the best that can be offered to him. With respect
to the first I would advise a better breakfast to
prevent if possible an immoderate dinner. For
a Laxative your Stomachic pill may do very well
but it is no better and perhaps not so good as
the common Aloetic pill especially if you add
to this a fifth part of Gamboge. With several
persons I have found the Oleum Ricini with
a fourth part of the Edinburgh Tincture of Senna an¬
swer very well even in small quantity when
taken daily. I am of your opinion that blood¬
letting
is not to be freely used in Gouty persons



[Page 3]

but a congestion in the brain the common cause
of Vertigo may sometimes require a little blood to
be drawn but it will be done more safely by
Leeches or cupping on the temples than by opening
a Vein. With respect to Blistering it might upon
occasion be useful but it can give a temporary relief
only and I should expect more benefit from issues
I would change the place of the present issues
as when fresh put in they will discharge
better. Upon the same supposition of
Vertigo depending upon a congestion in
the
head Dr. Askews Medicine may
have been of Service and I think you have done
prudently as well as properly in repeating it and
when you do it again I would prefer the compound
powder of Jalap with a little Calomel to any thing
else and particularly to any Aloetic. I have thus I
think {illeg} every particular in your letter except that
question at the end of it. I think the Gout {illeg}
Scruphulous habits but I believe it has sometimes happened
Wishing you all happiness I am with good regard Dear Sir
yours &c.


William Cullen

Edinburgh 25th. August 1785

Diplomatic Text

[Page 1]

Dr. Keith C. Mr. Woodman

Dear Dr.


I had yours yesterday but no Post going out
I could not answer you till today.


I am fully persuaded that Mr. Woodman
has no disease, but both because it may be difficult
to persuade him of this, and because I cannot be
sufficiently confident in a Negative I think you
have hinted the prudent measure and therefore
tho' you give him as both your own and my
opinion that his having an ailment is very
doubtful; yet for his absolute Security we
think it proper to give him a medicine that
may do good and can do no harm and of the me¬
dicines you hint I am clear in preferring the
Cicuta and would advise a moderate course of
this for some weeks.


With respect to Mr. Riddell. tho' he should
give me no fee I shall be satisfied if he gives you



[Page 2]

one and upon your account I shall give him the best
advice I can.


All his Symptoms certainly depend upon the
Gout and neither this nor its consequences can be
eradicated, but both may be alleviated be good
management and your general plan of moderate
diet, much exercise and a regular belly is I think
the best that can be offered to him. With respect
to the first I would advise a better breakfast to
prevent if possible an immoderate dinner. For
a Laxative your Stomachic pill may do very well
but it is no better and perhaps not so good as
the common Aloetic pill especially if you add
to this a fifth part of Gamboge. With several
persons I have found the Oleum Ricini with
a fourth part of the Edinr. Tincture of Senna an¬
swer very well even in small quantity when
taken daily. I am of your opinion that blood¬
letting
is not to be freely used in Gouty persons



[Page 3]

but a congestion in the brain the common cause
of Vertigo may sometimes require a little blood to
be drawn but it will be done more safely by
Leeches or cupping on the temples than by opening
a Vein. With respect to Blistering it might upon
occasion be useful but it can give a temporary relief
only and I should expect more benefit from issues
I would change the place of the present issues
as when fresh put in they will discharge
better. Upon the same supposition of
Vertigo depending upon a congestion in
the
head Dr. Askews Medicine may
have been of Service and I think you have done
prudently as well as properly in repeating it and
when you do it again I would prefer the compound
powder of Jalap with a little Calomel to any thing
else and particularly to any Aloetic. I have thus I
think {illeg} every particular in your letter except that
question at the end of it. I think the Gout {illeg}
Scruphulous habits but I believe it has sometimes happened
Wishing you all happiness I am with good regard Dear Sir
yours &c.


William Cullen

Edinr. 25th. Aug.t. 1785

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