Cullen

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

 

[ID:703] From: Dr William Cullen (Professor Cullen) / To: Dr John Heysham / Regarding: Mrs Langton (Patient) / 24 January 1783 / (Outgoing)

Reply, 'Dr Heysham C[oncerning] Mrs Langton'. Cullen is optimistic and believes she 'may escape a Phthisis'.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 703
RCPE Catalogue Number CUL/1/1/15/190
Main Language English
Document Direction Outgoing
Date24 January 1783
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 Heysham C[oncerning] Mrs Langton'. Cullen is optimistic and believes she 'may escape a Phthisis'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1623]
Case of Mrs Langton, a patient of Dr Heysham's who is 'strongly threatened with a Phthisis'.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:477]AddresseeDr John Heysham
[PERS ID:4350]PatientMrs Langton
[PERS ID:477]Patient's Physician / Surgeon / ApothecaryDr John Heysham
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

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 Carlisle North-West England Europe inferred

Normalized Text

[Page 1]
Dr Heysham Concerning Mrs Langton
Dear Sir


I am favoured with yours of the 23d with Three
Guineas inclosed.


I have a more favourable opinion of Mrs. Langton's
case than I had before and think it is very possible she
may escape a Phthisis. The pain of her side having yielded
so much to the remedies employed is encouraging and though
now upon the approach of the Menses & the setting in
of severe weather her symptoms have in some measure
returned it is not very alarming. Tho' I have this fa¬
vourable prospect of the Case I think it will not allow
us to omitt any precaution as I said before that Cold is
the most to be feared I think the confinement you have
enjoined is extremely judicious I am rather sorry for her
aversion to an Issue but I hope it is not absolutely ne¬
cessary to insist upon it & I hope her aversion will not
go so far as to prevent your repeating a Blister on the pai¬
ned part as often as you shall find it proper. I can
have no doubt that the bleeding you ordered on the 22d.
was very proper and the opinion on that subject in my




[Page 2]


last I stick to very firmly. After what you tell me
with regard to Vomiting I cannot propose to advise arti¬
ficial Vomiting
either with a view, to her stomach or breast
& I dare say with respect to the former you have fallen
upon the most proper measures. In advising small meals
at small intervals but I would bid you to consult experience
in determining whether two hours if not too short an
interval to allow what I think very necessary, that
is, some return of appetite. I am sorry to find that milk
which is so desireable a part of her diet does not at
present agree with her. I have found several persons
who did not digest Cows milk easily digest Asses milk
very well and I have found in imitation of Asses milk
answer very well. The imitation consists of adding to
fresh Cows milk an equal part of thin water Gruel or
Barley water & sweetening the mixture very well with
Sugar or Honey. This I employ either by itself or with
the various farinacea in the same manner as I would
do plain Cows milk; tho' I am averse to Animal food in
such cases I think a few Oysters as safe as any thing that




[Page 3]


can be employed & I think the number you mention or
two three more cannot possibly do harm. At present I
have no new medicine to propose the draughts so long as
they continue to agree with the stomach may be employed. Mrs.
Langtons recovery must in some measure depend upon the
Season & in the meantime upon persisting in the Plan already
proposed. This with absolute confidence I trust to you and
when I can contribute further you may pdepend upon my
attention. I am always with most sincere
regard


Dear Dr.
Your faithful & most obedient servant
William Cullen

Edinburgh 26 January
1783

Diplomatic Text

[Page 1]
Dr Heysham C Mrs Langton
Dear Sir


I am favoured with yours of the 23d with Three
Guineas inclosed.


I have a more favourable opinion of Mrs. Langton's
case than I had before and think it is very possible she
may escape a Phthisis. The pain of her side having yielded
so much to the remedies employed is encouraging and though
now upon the approach of the Menses & the setting in
of severe weather her symptoms have in some measure
returned it is not very alarming. Tho' I have this fa¬
vourable prospect of the Case I think it will not allow
us to omitt any precaution as I said before that Cold is
the most to be feared I think the confinement you have
enjoined is extremely judicious I am rather sorry for her
aversion to an Issue but I hope it is not absolutely ne¬
cessary to insist upon it & I hope her aversion will not
go so far as to prevent your repeating a Blister on the pai¬
ned part as often as you shall find it proper. I can
have no doubt that the bleeding you ordered on the 22d.
was very proper and the opinion on that subject in my




[Page 2]


last I stick to very firmly. After what you tell me
with regard to Vomiting I cannot propose to advise arti¬
ficial Vomiting
either with a view, to her stomach or breast
& I dare say with respect to the former you have fallen
upon the most proper measures. In advising small meals
at small intervals but I would bid you to consult experience
in determining whether two hours if not too short an
interval to allow what I think very necessary, that
is, some return of appetite. I am sorry to find that milk
which is so desireable a part of her diet does not at
present agree with her. I have found several persons
who did not digest Cows milk easily digest Asses milk
very well and I have found in imitation of Asses milk
answer very well. The imitation consists of adding to
fresh Cows milk an equal part of thin water Gruel or
Barley water & sweetening the mixture very well with
Sugar or Honey. This I employ either by itself or with
the various farinacea in the same manner as I would
do plain Cows milk; tho' I am averse to Animal food in
such cases I think a few Oysters as safe as any thing that




[Page 3]


can be employed & I think the number you mention or
two three more cannot possibly do harm. At present I
have no new medicine to propose the draughts so long as
they continue to agree with the stomach may be employed. Mrs.
Langtons recovery must in some measure depend upon the
Season & in the meantime upon persisting in the Plan already
proposed. This with absolute confidence I trust to you and
when I can contribute further you may pdepend upon my
attention. I am always with most sincere
regard


Dear Dr.
Your faithful & most obedient servt.
William Cullen

Edinr. 26 Jany.
1783

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:703]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...