The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1028] From: Dr William Cullen (Professor Cullen) / To: Dr John Clark (Clerke, Clarke) / Regarding: Mrs Clark (Clerke, Clarke) (Patient) / 3 October 1780 / (Outgoing)
Reply 'To Dr Clarke in Newcastle [Concerning] his Wife'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
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[Page 1]
Metadata
| Field | Data |
|---|---|
| DOC ID | 1028 |
| RCPE Catalogue Number | CUL/1/1/13/83 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 3 October 1780 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'To Dr Clarke in Newcastle [Concerning] his Wife' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1278] |
Case of Mrs Clark(e) [Clerke], wife of Dr Clark(e) at Newcastle, who has a pectoral complaint. |
4 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:816] | Addressee | Dr John Clark (Clerke, Clarke) |
| [PERS ID:840] | Patient | Mrs Clark (Clerke, Clarke) |
| [PERS ID:816] | Patient's Physician / Surgeon / Apothecary | Dr John Clark (Clerke, Clarke) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:816] | Patient's Relative / Spouse / Friend | Dr John Clark (Clerke, Clarke) |
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 | Newcastle upon Tyne | North-East | England | Europe | certain |
Normalized Text
To Dr Clarke in Newcastle Concerning his Wife ---
Though no purulence yet appears in her Spitting
I must suspect a Suppuration
within and the event of this is
too commonly unfavourable but not so certainly as
to excuse our
omitting any means of relief that may be suggested I wish
I could recommend some with much Confidence.
The Seneka root has
appeared to be of service given to such quantity as the Stomach
and Intestines easily bear - unless it is given
in small and divided
Doses it will excite Vomiting,
which it seems your Wife is not
suited to bear and it will readily purge which I think
in her case
cannot be pushed far, but you may make some cautious trials.
Though Mrs Clarke does not bear full Vomiting
I must observe
that I have almost always found benefit from nauseating doses of
an Antinomial. Every thing
that determines to the skin relieves the
Lungs. Though I am persuaded
that Opiates are unfavourable to
every Inflammatory state I think
there has been so much of a
Spasmodic
affection in your Wifes Case that you could not
avoid Opiates & in most
cases of Cough I have thought they did more service
by avoiding the irritation
from Coughing than harm
by their Inflammatory tendency
and I am clear
that you must continue them in the present case
as the chief means of
relief to be depended on. If by repetition they seem to fail, I suspect it
is owing to you not having courage in increasing the dose -
I think the
Riding on horseback has been very properly employed, &
should be
continued as long as the Weather will allow, but I do
not think it is
to be pushed in all weathers. I think you might also in
Blistering
& an Issue often it may be
of Service. I could wish the abstinence
from meat & wine had been continued, but I leave that to your discretion
Demulcents are frequently of
service & you must have already determined
by experience what kind are of use to Mrs.
Clarke, but I must
observe that to a Person who takes Opiates,
the Trochsci bechici
nigri cum opio
of our Dispensary 1 is one of the most effectual
demulcents
Notes:
1: See Pharmacopoeia Collegii Regii Medicorum Edinburgensis (Edinburgh: 1774), pp.169-70.
Diplomatic Text
To Dr Clarke in Newcastle Concg. his Wife ---
Though no purulence yet appears in her Spitting
I must suspect a Suppuration
within and the event of this is
too commonly unfavourable but not so certainly as
to excuse our
omitting any means of relief that may be suggested I wish
I could recommend some with much Confidence.
The Seneka root has
appeared to be of service given to such quantity as the Stomach
and Intestines easily bear - unless it is given
in small and divided
Doses it will excite Vomiting,
which it seems your Wife is not
suited to bear and it will readily purge which I think
in her case
cannot be pushed far, but you may make some cautious trials.
Though Mrs Clarke does not bear full Vomiting
I must observe
that I have almost always found benefit from nauseating doses of
an Antinomial. Every thing
that determines to the skin relieves the
Lungs. Though I am persuaded
that Opiates are unfavourable to
every Inflammatory state I think
there has been so much of a
Spasmc.
affection in your Wifes Case that you could not
avoid Opiates & in most
cases of Cough I have thought they did more service
by avoiding the irritation
from Coughing than harm
by their Inflammatory tendency
and I am clear
that you must continue them in the present case
as the chief means of
relief to be depended on. If by repetition they seem to fail, I suspect it
is owing to you not having courage in increasing the dose -
I think the
Riding on horseback has been very properly employed, &
should be
continued as long as the Weather will allow, but I do
not think it is
to be pushed in all weathers. I think you might also in
Blistering
& an Issue often it may be
of Service. I could wish the abstinence
from meat & wine had been continued, but I leave that to your discretion
Demulcents are frequently of
service & you must have already determd.
by experience what kind are of use to Mrs.
Clarke, but I must
observe that to a Person who takes Opiates,
the Trochsci bechici
nigri cum opio
of our Dispensary 1 is one of the most effectual
demulcs.
Notes:
1: See Pharmacopoeia Collegii Regii Medicorum Edinburgensis (Edinburgh: 1774), pp.169-70.
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