Cullen

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

 

[ID:5539] From: Dr William Cullen (Professor Cullen) / To: Mr William Russell (Russel; of Newbottle; later of Brancepeth Castle) / Regarding: Miss Margaret Russell (Russel; later Mrs, then Lady Drummond.) (Patient) / 30 September 1787 / (Outgoing)

Reply, for 'Miss Russel'. This letter is addressed to William Russell, concerning the case of his daughter, Miss Russell, in response to 'yours of the 25th currt.' Undated, but the date is given by Russell in his reply, (see letter 3269. Based on Mr Kearsley's account, Cullen advises reducing the use of the aperient, and believes it may be possible to bandage compresses to the sores on the side and axilla.

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Metadata

FieldData
DOC ID 5539
RCPE Catalogue Number CUL/1/1/20/159
Main Language English
Document Direction Outgoing
Date30 September 1787
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, for 'Miss Russel'. This letter is addressed to William Russell, concerning the case of his daughter, Miss Russell, in response to 'yours of the 25th currt.' Undated, but the date is given by Russell in his reply, (see letter 3269. Based on Mr Kearsley's account, Cullen advises reducing the use of the aperient, and believes it may be possible to bandage compresses to the sores on the side and axilla.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2030]
Case of nine-year-old Miss Margaret Russell who has been treated for ulcerated tumours on her face and body.
8


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:5650]AddresseeMr William Russell (Russel; of Newbottle; later of Brancepeth Castle)
[PERS ID:5651]PatientMiss Margaret Russell (Russel; later Mrs, then Lady Drummond.)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:5652]Patient's Physician / Surgeon / ApothecaryDr Cuthbert Eden (Edin)
[PERS ID:5653]Patient's Physician / Surgeon / ApothecaryMr Paul Kearsley
[PERS ID:5650]Patient's Relative / Spouse / FriendMr William Russell (Russel; of Newbottle; later of Brancepeth Castle)

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 Russell House (East Farm) Newbottle North-East England Europe inferred

Normalized Text

[Page 1]
Miss Russel
Sir


I had the honour of yours of the 25th.
current but being obliged to be out of town for a day or
two could not answer it sooner, but at the same
time was under no impatience to write, as in
the meantime matters are proceeding very
properly.


I am happy to think that my advice
has been of some service, as the disease is so
far from growing worse that it seems mani¬
festly to be mending. When I wrote last I
thought it was proper to limit the course to
the first of October, as I then expected that
against this time some change of the season
when it might not be proper to persist
in the same course, but the course having
succeeded so well, and the weather appearing
to be still favourable I will advise the



[Page 2]

continuance of the course for some time longer and
indeed till there is more appearance of Winter
setting in. By Mr. Kearsleys letter it would
seem that the solution sometimes operates
more than once a day, and I would now be more
jealous of that, as the cold weather comes on
and if the solution ever operates twice a day
or if even it gives one stool more liquid than
ordinary
I would diminish the dose, for I shall
say now that though upon the approach of
cold weather I advise the ceasing from the
Sea bathing I would have the solution conti¬
nued for a month longer, but at the same
time in a diminished dose. Such, as may
keep her belly regular, but not so much
as to give a loose stool.


I am happy to find that the young
Lady's general health is very good, and the only
ailment is the sores not healing so fast as



[Page 3]

we would wish. To remedy this le[t] the Ointment
formerly prescribed be made [w]ith double the
quantity of Alumen ustum, and even with a
larger proportion if this does not smart much.
Mr. Kearsley makes a very just observation
if that the sores were in a situation to admit
of a little compression
they would probably mend
sooner. I am of his opinion but as not
being on the spot I cannot exactly say
what may be practicable in this way
but if the sores on the side are near the axilla
continue I should think it possible by a
proper bandage to give a little compression
-
I should think also that something might
be done both under the Ear and upon the Cheek,
but I must leave all this to the discretion of
the Gentlemen upon the spot. Begging to hear
from you again in the month of November but without
the ceremony of a fee I shall then advise for the Winter
I beg my compliments to Messrs Kearsley and Edin

I am with
the utmost regard Sir your most
Obedient Humble Servant.
William Cullen

Diplomatic Text

[Page 1]
Miss Russel
Sir


I had the honour of yours of the 25th.
currt. but being obliged to be out of town for a day or
two could not answer it sooner, but at the same
time was under no impatience to write, as in
the meantime matters are proceeding very
properly.


I am happy to think that my advice
has been of some service, as the disease is so
far from growing worse that it seems mani¬
festly to be mending. When I wrote last I
thought it was proper to limit the course to
the first of October, as I then expected that
against this time some change of the season
when it might not be proper to persist
in the same course, but the course having
succeeded so well, and the weather appearing
to be still favourable I will advise the



[Page 2]

continuance of the course for some time longer and
indeed till there is more appearance of Winter
setting in. By Mr. Kearsleys letter it would
seem that the solution sometimes operates
more than once a day, and I would now be more
jealous of that, as the cold weather comes on
and if the solution ever operates twice a day
or if even it gives one stool more liquid than
ordinary
I would diminish the dose, for I shall
say now that though upon the approach of
cold weather I advise the ceasing from the
Sea bathing I would have the solution conti¬
nued for a month longer, but at the same
time in a diminished dose. Such, as may
keep her belly regular, but not so much
as to give a loose stool.


I am happy to find that the young
Lady's general health is very good, and the only
ailment is the sores not healing so fast as



[Page 3]

we would wish. To remedy this le[t] the Ointment
formerly prescribed be made [w]ith double the
quantity of Alumen ustum, and even with a
larger proportion if this does not smart much.
Mr. Kearsley makes a very just observation
if that the sores were in a situation to admit
of a little compression
they would probably mend
sooner. I am of his opinion but as not
being on the spot I cannot exactly say
what may be practicable in this way
but if the sores on the side are near the axilla
continue I should think it possible by a
proper bandage to give a little compression
-
I should think also that something might
be done both under the Ear and upon the Cheek,
but I must leave all this to the discretion of
the Gentlemen upon the spot. Begging to hear
from you again in the month of November but without
the ceremony of a fee I shall then advise for the Winter
I beg my compliments to Messrs Kearsley and Edin

I am with
the utmost regard Sir your most
Obedient Humble Servant.
William Cullen

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