The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3832] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr James Hunter (Patient) / 15 June 1776 / (Outgoing)
Reply 'To Mr Hunter of Thurston Q[uery] his brother'..
- 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 | 3832 |
| RCPE Catalogue Number | CUL/1/1/7/53 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 15 June 1776 |
| 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 Mr Hunter of Thurston Q[uery] his brother'.. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:767] |
Case of James Hunter of Thurston (brother of Robert) whose catarrh turns to asthma and dropsy and who is advised to travel south. |
5 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:636] | Patient | Mr James Hunter |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:336] | Other Physician / Surgeon | Dr Ivie Campbell |
| [PERS ID:1469] | Other Physician / Surgeon | Mr Douglas |
| [PERS ID:635] | Patient's Relative / Spouse / Friend | Mr Robert Hunter (of Thurston) |
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
To Mr Hunter of Thurston Query his brother
Catarrh
No thing uncommon or dangerous in the case. I think it can
be nothing more than an aggravation of the catarrhal state
he has been so long affected with. As he is without any
pain of his breast & or sides & his pulse little affected
these can be no inflammation but as in all such cases
there is some Phlogistic Diathesis or tendency to inflam¬
mation, I think it would be proper to take a little
blood from his arm especially if the Blister applied
on Wednesday night has not entirely relieved his breathing
If the blood is taken from a large orifice and runs
in a full stream into the cups without tricking down
his arm the appearance of it will enable us to judge
of the condition of it and help to direct our conduct.
I think the blistering a very proper measure and
also the keeping an Open Issue for some {illeg} time, but
I would rather have the Issue in his side that the
back, may be ready for another blister if it should seem
necessary and I hold that a first blister will do more
service than a fortnights Issue. The squills promise
to be of service, but they are of little service if the do
not give a little squeamishness and if they to do they
[Page 2]
are a very disagreeable remedy. I think the most
powerfull of all expectorants is a Vomit and there¬
fore after bleeding and when any strong suspicion
of inflammation is gone. I would give your brother
a a gentle Vomit & repeat it after some days, provid¬
ding always that he is not very difficult to vomit
or liable to any violent straining after it under it.
It is very necessary to keep his belly regular and even
open and if, upon laying aside the squills it does
not continue so, some other medicines must be employed
and I should like the Cream of Tartar or if he would
require a bulky dose of this, it may be made easier, by
taking two parts of Cream of Tartar and one of the
powdered jalappa compound taking care that the latter be
prepared with long and diligent Triture. To finish
this I depend upon your brothers recovery by bleeding blis¬
tering and vomiting employed as symptoms may require
& especially by his giving up at least a great deal of his seden¬
tary life, by his being much in the country, by his taking
a good deal of exercise, by riding if he can & if not in a
carriage & lastly by his using a light diet, taking only a
little animal food at dinner & taking little or no supper.
I shall be glad to hear when this comes to hand what Dr Camp¬
bell & Mr Douglas have to say about bleeding & vomiting
I wish also to know the date of this Urine &c
Diplomatic Text
To Mr Hunter of Thurston Q his brother
Catarrh
No thing uncommon or dangerous in the case. I think it can
be nothing more than an aggravation of the catarrhal state
he has been so long affected with. As he is without any
pain of his breast & or sides & his pulse little affected
these can be no inflammation but as in all such cases
there is some Phlogistic Diathesis or tendency to inflam¬
mation, I think it would be proper to take a little
blood from his arm especially if the Blister applied
on Wedy night has not entirely relieved his breathing
If the blood is taken from a large orifice and runs
in a full stream into the cups without tricking down
his arm the appearance of it will enable us to judge
of the condition of it and help to direct our conduct.
I think the blistering a very proper measure and
also the keeping an Open Issue for some {illeg} time, but
I would rather have the Issue in his side that the
back, may be ready for another blister if it should seem
necessary and I hold that a first blister will do more
service than a fortnights Issue. The squills promise
to be of service, but they are of little service if the do
not give a little squeamishness and if they to do they
[Page 2]
are a very disagreeable remedy. I think the most
powerfull of all expectorants is a Vomit and there¬
fore after bleeding and when any strong suspicion
of inflammation is gone. I would give your brother
a a gentle Vomit & repeat it after some days, provid¬
ding always that he is not very difficult to vomit
or liable to any violent straining after it under it.
It is very necessary to keep his belly regular and even
open and if, upon laying aside the squills it does
not continue so, some other medicines must be employed
and I should like the Cream of Tartar or if he would
require a bulky dose of this, it may be made easier, by
taking two parts of Cream of Tartar and one of the
pulve jalappa compt taking care that the latter be
prepared with long and diligent Triture. To finish
this I depend upon your brothers recovery by bleeding blis¬
tering and vomiting employed as symptoms may require
& especially by his giving up at least a great deal of his seden¬
tary life, by his being much in the country, by his taking
a good deal of exercise, by riding if he can & if not in a
carriage & lastly by his using a light diet, taking only a
little animal food at dinner & taking little or no supper.
I shall be glad to hear when this comes to hand what Dr Camp¬
bell & Mr Douglas have to say about bleeding & vomiting
I wish also to know the date of this Urine &c
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