Cullen

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

 

[ID:1076] From: Dr William Cullen (Professor Cullen) / To: Dr Richard Worthington / Regarding: Mrs Worthington (Patient) / 18 January 1781 / (Outgoing)

Letter to Dr Worthington regarding his mother, whose complaints 'both now and formerly I take to be entirely gouty'. Letter ends abruptly with 'When I had got thus far I am called to the Country (to see Lord Hopetoun)'.

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[Page 1]


 
 

Metadata

FieldData
DOC ID 1076
RCPE Catalogue Number CUL/1/1/13/130
Main Language English
Document Direction Outgoing
Date18 January 1781
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter to Dr Worthington regarding his mother, whose complaints 'both now and formerly I take to be entirely gouty'. Letter ends abruptly with 'When I had got thus far I am called to the Country (to see Lord Hopetoun)'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1366]
Case of the mother of Dr Worthington, whose numerous symptoms are attributed to gout.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3947]AddresseeDr Richard Worthington
[PERS ID:3948]PatientMrs Worthington
[PERS ID:3947]Patient's Physician / Surgeon / ApothecaryDr Richard Worthington
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3947]Patient's Relative / Spouse / FriendDr Richard Worthington
[PERS ID:703]OtherEarl John Hope (Lord Hopetoun, 2nd Earl of Hopetoun)

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 Wrexham North Wales Wales Europe inferred

Normalized Text

[Page 1]
To Dr Worthington Concerning his Mother


All your mothers complaints both now and formerly I take
to be entirely gouty. I have had many instances of the Disease
falling upon the neck of the bladder and producing a Catarrhus
Vesicae
, throwing out matter of various appearance, but I
have always found such Cases very difficult as we do not
know how to move the Gout from one place into another
where it may either be more safe or less troublesome


Blistering when it can be brought near to the part
affected is often effectual in dismissing the Gout and I am
very clear for your applying a Blister to the Pubis and I
hope it may give some durable relief, but as the Gouty Diathesis
seems to be strong I cannot say, what may be the effect of
a Translation - Another remedy for dismissing the Gout
from the part, is a Solution of Camphire in Oil
to be applied to the region of the bladder either before or after
blistering - While I mention these things as fitted for diminishing
the Gout from the neck of the bladder, they are a little doubtful
as to their propriety otherwise and you must judge yourself.


If you do not chuse to run the risk, the only other measure I can
suggest is the Use of Opiates to keep her easy while nature is
left to take her own Course. Another palliative is the use of
fomentations. and the use of Opiates will probably require the
internal fomentations by Glysters. When I had got thus far
I am called to the Country (to see Lord Hopetoun). &c

January. 18. 1781

Diplomatic Text

[Page 1]
To Dr Worthington C his Mother


All your mothers complaints both now and formerly I take
to be entirely gouty. I have had many instances of the Disease
falling upon the neck of the bladder and producing a Catarrhus
Vesicae
, throwing out matter of various appearance, but I
have always found such Cases very difficult as we do not
know how to move the Gout from one place into another
where it may either be more safe or less troublesome


Blistering when it can be brought near to the part
affected is often effectual in dismissing the Gout and I am
very clear for your applying a Blister to the Pubis and I
hope it may give some durable relief, but as the Gouty Diathesis
seems to be strong I cannot say, what may be the effect of
a Translation - Another remedy for dismissing the Gout
from the part, is a Solution of Camphire in Oil
to be applied to the region of the bladder either before or after
blistering - While I mention these things as fitted for diminishing
the Gout from the neck of the bladder, they are a little doubtful
as to their propriety otherwise and you must judge yourself.


If you do not chuse to run the risk, the only other measure I can
suggest is the Use of Opiates to keep her easy while nature is
left to take her own Course. Another palliative is the use of
fomentations. and the use of Opiates will probably require the
internal fomentations by Glysters. When I had got thus far
I am called to the Country (to see Lord Hopetoun). &c

Janry. 18. 1781

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