Cullen

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

 

[ID:5242] From: Dr William Cullen (Professor Cullen) / To: Mr James McNab / Regarding: Mr Henry Ivie-Nicolson (Ivie) (Nicolson of Glenbervie) (Patient) / 19 April 1786 / (Outgoing)

Reply, 'Mr Nicholson'

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 5242
RCPE Catalogue Number CUL/1/1/19/54
Main Language English
Document Direction Outgoing
Date19 April 1786
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Nicholson'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2555]
Case of Henry Ivie-Nicolson of Glenbervie (attended by physicians in Waterford), who has a suspected paralytic complaint and 'dimness of sight' all of which Cullen considers 'nervous' and for which the patient undertakes electrical treatment.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2807]AddresseeMr James McNab
[PERS ID:5787]PatientMr Henry Ivie-Nicolson (Nicolson of Glenbervie)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2807]Patient's Physician / Surgeon / ApothecaryMr James McNab

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Waterford South Ireland Ireland Europe inferred
Mentioned / Other Cork South Ireland Ireland Europe certain
Mentioned / Other Dublin Mid Ireland Ireland Europe certain
Mentioned / Other Waterford South Ireland Ireland Europe certain

Normalized Text

[Page 1]
Mr. Nicolson
Dear Sir,


I have the honour of yours of the 6th. current
and am heartily concerned to find that Mr. Nicolson
has made no greater progress towards recovery, but
as you observe that his Nerves are deeply affected
it is not uncommon for us to find in such cases
the ailments somewhat obstinate. I am of the same
opinion I was of before with respect to the nature
of the case and I would prescribe still the same
remedies, with this observation that it may be
necessary to continue them for a longer time, and
I consider a fortnight as but a short time for
the employment of Electricity. As we have here
so I dare say you may have at Waterford or may
readily get from Cork or Dublin a portable
Apparatus that might be employed by Mr.
Nicolson in his own house, and I would earnestly
recommend this that it may not only be employed




[Page 2]


every day, but three or four times every day. With respect
to other remedies those you employed were very proper
but if a Mercurial is proper a preparation of it that
would go more certainly into the System is necessary
and to be continued also for a longer time, but from
some consideration I am not clear in advising such a
course.


I think the Seton was a probable remedy but to
be of Service it must have been continued for a longer
time. I find a pea issue in the nape of the neck an¬
swer the purpose very well, and it is much more
easy to the patient.


I cannot find it necessary to employ bark and
Steel in substance, for in my view of the disease they
are not tonic but Stimulant remedies that are ne¬
cessary, and even the latter may be superseded if
Electricity can by employed, but at the same time the
following can do no harm and may be of some service

Take half an ounce each of volatile Tincture of valerian and volatile Elixir of Guaiacum and one ounce of compound of Spirit of lavender. Mix and Label: Cephalic Spirits. Two teaspoonfuls to be taken in a little wine and water two three times every day




[Page 3]


The regimen you have proposed is extremely proper
but I think your allowance of Wine is full and especially
as most people in getting an inch will take a span and
I take Mr. Nicolson to be hospitable and chearful and
the most part of his Countrymen not to be abstemious.
That he may get good health is the earnest wish of


Dear Sir
Your most Obedient Servant
William Cullen

Edinburgh 19th. April
1786

Diplomatic Text

[Page 1]
Mr. Nicolson
Dear Sir,


I have the honour of yours of the 6th. currt.
and am heartily concerned to find that Mr. Nicolson
has made no greater progress towards recovery, but
as you observe that his Nerves are deeply affected
it is not uncommon for us to find in such cases
the ailments somewhat obstinate. I am of the same
opinion I was of before with respect to the nature
of the case and I would prescribe still the same
remedies, with this observation that it may be
necessary to continue them for a longer time, and
I consider a fortnight as but a short time for
the employment of Electricity. As we have here
so I dare say you may have at Waterford or may
readily get from Cork or Dublin a portable
Apparatus that might be employed by Mr.
Nicolson in his own house, and I would earnestly
recommend this that it may not only be employed




[Page 2]


every day, but three or four times every day. With respect
to other remedies those you employed were very proper
but if a Mercurial is proper a preparation of it that
would go more certainly into the System is necessary
and to be continued also for a longer time, but from
some consideration I am not clear in advising such a
course.


I think the Seton was a probable remedy but to
be of Service it must have been continued for a longer
time. I find a pea issue in the nape of the neck an¬
swer the purpose very well, and it is much more
easy to the patient.


I cannot find it necessary to employ bark and
Steel in substance, for in my view of the disease they
are not tonic but Stimulant remedies that are ne¬
cessary, and even the latter may be superseded if
Electricity can by employed, but at the same time the
following can do no harm and may be of some service


Tinct. valer. volat. Elix. Guaiac. volat. ℥ſs Sp. lavend. ℥j ℳ. Sig. Cephalic Spirits two teaSpoonfuls to be
taken in a little wine and water two three times every day




[Page 3]


The regimen you have proposed is extremely proper
but I think your allowance of Wine is full and especially
as most people in getting an inch will take a span and
I take Mr. Nicolson to be hospitable and chearful and
the most part of his Countrymen not to be abstemious.
That he may get good health is the earnest wish of


Dear Sir
Your most Obedient Servant
William Cullen

Edinr. 19th. April
1786

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