
The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1952] From: Dr Ralph Paterson (Patterson) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Rigby (Patient) / 28 November 1780 / (Incoming)
Letter from Ralph Patterson, concerning the case of Mr Rigby.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
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Metadata
Field | Data |
---|---|
DOC ID | 1952 |
RCPE Catalogue Number | CUL/1/2/1031 |
Main Language | English |
Document Direction | Incoming |
Date | 28 November 1780 |
Annotation | None |
Type | Authorial original |
Enclosure(s) | No enclosure(s) |
Autopsy | No |
Recipe | Yes |
Regimen | No |
Letter of Introduction | No |
Case Note | No |
Summary | Letter from Ralph Patterson, concerning the case of Mr Rigby. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | Yes |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:1234] |
Case of Mr Rigby who has 'a tendency to Epilepsy'. |
4 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:129] | Author | Dr Ralph Paterson (Patterson) |
[PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
[PERS ID:1194] | Patient | Mr Rigby |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:129] | Patient's Physician / Surgeon / Apothecary | Dr Ralph Paterson (Patterson) |
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 | Berwick-upon-Tweed (Berwick) | North-East | England | Europe | certain |
Normalized Text
Your letter of the 20th came to my hand
only on Saturday night last & then too late at
night to be answered in course. I have considered
the Case and have a strong suspicion that the
fits have a tendency to become of the Epileptic
kind. I have little doubt that it depends upon
the interruption of the bleeding at the nose to
which he had been formerly accustomed & therefore
think that you have managed it most properly
by pretty large bleeding but as these bleedings
have a tendency to bring back the plethoric
state it is absolutely necessary that we should
take other measures to obviate this. The keeping
of his belly open which you have properly pract¬
ised will contribute in part but I think
another part of your advice still more necessary,
that is to diminish his nourishment both
[Page 2]
in quantity & quality & If he would for some
time live entirely without animal food it may
prove the most certain remedy.
To keep his belly regular I think the Cream
of Tartar alone would be the most eligible.
The only medicine I would prescribe for him
are the Powders ordered below, which may
possibly supersede the necessity of any other
Laxative.
I need not say to you what you seem to appre¬
hend already that a good deal of exercise and
even bodily exercise will be of service to him but
let him take care that he be never heated by
it & that in the management of any business
he never stoop much. His frequently getting
up early in the morning should I think do him
no harm, as much sleep might. I have known
[Page 3]
some of his profession who have been much hurt
by being exposed to the Steam of their ferment¬
ing backs and he should avoid it.
Sir Your most obedient humble Servant
Edinburgh 28th November
1780
Take ten grains each of powdered Sodium carbonate and Magnesia alba. Mix to make a powder and in this way make a dose of twelve. Label: Cooling Powders; one to be taken three times a day in a little water, washing them down with two tablespoonfuls of the following.
Take four ounces of rose Water, one ounce each of Vinegar and Syrup of cloves and one drachm of Sodium carbonate. Mix. Cooling Mixture two tablespoonfuls to be taken with every dose of the Powders.
[Page 4]
Mr Ralph Paterson
Surgeon at
Berwick
Mr. Rigby
November 1780
Vol XI.p.III
Diplomatic Text
Your letter of the 20th came to my hand
only on Saturday night last & then too late at
night to be answered in course. I have considered
the Case and have a strong suspicion that the
fits have a tendency to become of the Epileptic
kind. I have little doubt that it depends upon
the interruption of the bleeding at the nose to
which he had been formerly accustomed & therefore
think that you have managed it most properly
by pretty large bleeding but as these bleedings
have a tendency to bring back the plethoric
state it is absolutely necessary that we should
take other measures to obviate this. The keeping
of his belly open which you have properly pract¬
ised will contribute in part but I think
another part of your advice still more necessary,
that is to diminish his nourishment both
[Page 2]
in quantity & quality & If he would for some
time live entirely without animal food it may
prove the most certain remedy.
To keep his belly regular I think the Cream
of Tartar alone would be the most eligible.
The only medicine I would prescribe for him
are the Powders ordered below, which may
possibly supersede the necessity of any other
Laxative.
I need not say to you what you seem to appre¬
hend already that a good deal of exercise and
even bodily exercise will be of service to him but
let him take care that he be never heated by
it & that in the management of any business
he never stoop much. His frequently getting
up early in the morning should I think do him
no harm, as much sleep might. I have known
[Page 3]
some of his profession who have been much hurt
by being exposed to the Steam of their ferment¬
ing backs and he should avoid it.
Sir Your most obed. humble Servant
Edinr 28th Novr
1780
℞ Sal. nitr. pulv.
Magnes. alb. @ gr. X
ℳ. f. pulv. et f.h.m. dos. No. XII
Signa Cooling powders; one to be taken three
times a day, in a little water washing them
down with two tablespoonfuls of the following
℞ Aq. rosar. ℥jv
Acet. distill.
Syr. caryoph. @ ℥j
Sal. nitr. ʒj
ℳ. Cooling Mixture two tablespoonfuls to be
taken with every dose of the Powders.
[Page 4]
Mr Ralph Paterson
Surgeon at
Berwick
Mr. Rigby
Novr 1780
Vol XI.p.III
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