The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:25] From: Dr William Cullen (Professor Cullen) / To: Dr Joseph Black / Regarding: Mr Mackie (Patient) / March? 1765? / (Outgoing)
Reply, 'To Dr Black about Mr Mackie', concerning the patient's gout.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 25 |
| RCPE Catalogue Number | CUL/1/1/1/20 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | March? 1765? |
| 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 Black about Mr Mackie', concerning the patient's gout. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:249] |
Case of Mr Mackie who has gout. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1003] | Addressee | Dr Joseph Black |
| [PERS ID:1004] | Patient | Mr Mackie |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:1003] | Patient's Physician / Surgeon / Apothecary | Dr Joseph Black |
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 |
Normalized Text
In our last we were ready to despair of the
Gout but find we are happily dissapointed in
Mr Mackie's case and as the weather is now likely to mend
every day we hope to see more & more the salutary Effects
of nature in the same way - In the mean time we think
you have been very properly employed in giving the
most proper Auxiliary Remedies that could be thought
of - The chief seems to have been the Squills in [which?]
however you have met with some difficulties
one should is their purd (g)ing which should [certainly?]
be avoided & may be done either by dividing the
Doses more or by giving an opiate along with
them - we find that 9 grains of dryd Squills will
in three doses purge more than 10 grains give[n?]
in 5 doses - I think an opiate [increases?] the
Diuretic effects of Squills while it obviates
their purgative, astrigents & Roborants
we think do neither & Confect. Japonic is
not a good choice - we have no Objection to
the Acet. Scillitic: but from our [shops?] it is a more
precarious Remedy however good more [liable?]
to disturb both the stomach & Gutts & if you solve
these by smallness of Dose or its weaker powder you
save the Kidneys also - there is another difficulty
occurs in the use of Squills which I shall mention tho perhaps
unecessary to you - Even in Persons on whom the
Squills operate best they grow familiar & fail
or they must be given in such Doses as
certainly to purge Nothing mends this but
an Intermission & if this shall happen to you while
the swellings are urgent there will be a place for
the colchium - The Bitter & Bark you
have been using are very proper especially if the
stomach is affected & we percieve you are aware
of them when the [beast?] is -
[Page 2]
We have spoke to the Particulars of your Letter &
have only to add that if Asthma, Cough & Swellings
return to what they were when you wrote formerly
we also return to what we then advised only
think that the appearance of the Gout has pointed
out Blisters to be proper so far as you think
the State of the Swelling renders them safe - If you
take down part of them by Punctures you may
find the Blisters safer to the parts above from
whence the Odematous state is removed ---
Diplomatic Text
In our last we were ready to despair of ye
Gout but find we are happily dissapointed in
Mr Mackie's case and as ye weather is now likely to mend
every day we hope to see more & more ye salutary Effects
of nature in ye same way - In ye mean time we think
you have been very properly employed in giving the
most proper Auxiliary Remedies yt could be thought
of - The chief seems to have been ye Squills in [which?]
however you have met wt some difficulties
one should is their purd (g)ing which should [certainly?]
be avoided & may be done either by dividing ye
Doses more or by giving an opiate along with
them - we find yt 9 grains of dryd Squills will
in three doses purge more than 10 grains give[n?]
in 5 doses - I think an opiate [increases?] ye
Diuretic effects of Squills while it obviates
their purgative, astrigents & Roborants
we think do neither & Confect. Japonic is
not a good choice - we have no Objection to
the Acet. Scillitic: but from our [shops?] it is a more
precarious Remedy however good more [liable?]
to disturb both the stomach & Gutts & if you solve
these by smallness of Dose or its weaker powder you
save ye Kidneys also - there is another difficulty
occurs in ye use of Squills wch I shall mention tho perhaps
unecessary to you - Even in Persons on whom ye
Squills operate best they grow familiar & fail
or they must be given in such Doses as
certainly to purge Nothing mends this but
an Intermission & if this shall happen to you while
ye swellings are urgent there will be a place for
ye colchium - The Bitter & Bark you
have been using are very proper especially if ye
stomach is affected & we percieve you are aware
of them when ye [beast?] is -
[Page 2]
We have spoke to ye Particulars of your Letter &
have only to add that if Asthma, Cough & Swellings
return to what they were when you wrote formerly
we also return to what we then advised only
think that ye appearance of ye Gout has pointed
out Blisters to be proper so far as you think
ye State of ye Swelling renders them safe - If you
take down part of them by Punctures you may
find the Blisters safer to ye parts above from
whence ye Odematous state is removed ---
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