The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:5400] From: Dr William Cullen (Professor Cullen) / To: Mr / Regarding: Mrs Jamieson (Patient) / 27 January 1787 / (Outgoing)
Reply, concerning Mrs Jamieson, possibly enclosed with the previous letter, to the surgeon(s) in Dysart, advising against the amputation of her breast because 'the axillary glands are so much affected'. Cullen gives instructions on the use of belladonna.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 5400 |
| RCPE Catalogue Number | CUL/1/1/20/20 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 27 January 1787 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, concerning Mrs Jamieson, possibly enclosed with the previous letter, to the surgeon(s) in Dysart, advising against the amputation of her breast because 'the axillary glands are so much affected'. Cullen gives instructions on the use of belladonna. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:2072] |
Case of Mrs Jamieson in Dysart, who has a breast condition which Cullen thinks is beyond any potential benefit from amputation. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:5360] | Addressee | Mr |
| [PERS ID:5359] | Patient | Mrs Jamieson |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:5360] | Patient's Physician / Surgeon / Apothecary | Mr |
| [PERS ID:5361] | Patient's Relative / Spouse / Friend | Mr Jamieson |
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 | Dysart | Edinburgh and East | Scotland | Europe | inferred | |
| Mentioned / Other | Dysart | Edinburgh and East | Scotland | Europe | certain |
Normalized Text
Edinburgh 27th. January 1787
Dear sir
I send you inclosed our opinion and
advice for Mrs. Jamieson. We are very sorry to
find it so unpromising, and particularly that
the axillary glands are so much affected as to
make us think Amputation would be useless
and possibly very hurtful, and that we must
attempt by other means any relief that is
possible. The remedy we wish to try, and from
which relief and even a cure has been obtained
is the Belladona which we did not chuse to
mention to either Mr. or Mrs. Jamieson. We
could not expect it to be found at Dysart and
it has been with difficulty obtained here. We
have sent you two little boxes of pills. №. I
containing pills of one grain of Belladona in
each [also?] №. II consisting of two grains in
each. We would have you begin with one pill
[Page 2]
of №. I for a dose to be given at bedtime every
night, or every second night as it operates. It
sometimes excites some fever and commonly occasions
some sickness at stomach, and brings on some stupor
and tremor and if you perceive any such effects, you
must make the intervals between the doses longer
or even diminish the dose by half of a pill. If
however you observe none of these effects, you may
go on with the single grain dose, but after having
given four of them you may give the remaining
two of №. I one of them at night and the other in
the morning, and if you still go on without any
sensible effects, you may then give the pills of
№. II. every second night and we expect before
you have gone far you will report to us some
account of their operation.
What further relates to this case, you will
find in the inclosed directions. For the lotion
mentioned we give you the prescription {illeg} inclosed
Wishing you heartily success we are
sir you most obedient
servant
William Cullen
Diplomatic Text
Edinr. 27th. Janry. 1787
Dear sir
I send you inclosed our opinion and
advice for Mrs. Jamieson. We are very sorry to
find it so unpromising, and particularly that
the axillary glands are so much affected as to
make us think Amputation would be useless
and possibly very hurtful, and that we must
attempt by other means any relief that is
possible. The remedy we wish to try, and from
which relief and even a cure has been obtained
is the Belladona which we did not chuse to
mention to either Mr. or Mrs. Jamieson. We
could not expect it to be found at Dysart and
it has been with difficulty obtained here. We
have sent you two little boxes of pills. №. I
containing pills of one grain of Belladona in
each [also?] №. II consisting of two grains in
each. We would have you begin with one pill
[Page 2]
of №. I for a dose to be given at bedtime every
night, or every second night as it operates. It
sometimes excites some fever and commonly occasions
some sickness at stomach, and brings on some stupor
and tremor and if you perceive any such effects, you
must make the intervals between the doses longer
or even diminish the dose by half of a pill. If
however you observe none of these effects, you may
go on with the single grain dose, but after having
given four of them you may give the remaining
two of №. I one of them at night and the other in
the morning, and if you still go on without any
sensible effects, you may then give the pills of
№. II. every second night and we expect before
you have gone far you will report to us some
account of their operation.
What further relates to this case, you will
find in the inclosed directions. For the lotion
mentioned we give you the prescription {illeg} inclosed
Wishing you heartily success we are
sir you most obedient
servant
William Cullen
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