Cullen

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

 

[ID:3864] From: Dr William Cullen (Professor Cullen) / To: Mr Robert Hunter (of Thurston) / Regarding: Mr James Hunter (Patient) / 13 July 1776 / (Outgoing)

Reply 'To Mr Hunter of Thurston' answering 'your of the 11th' and concerning the continued treatment of his brother James for asthma and dropsy.

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Metadata

FieldData
DOC ID 3864
RCPE Catalogue Number CUL/1/1/7/85
Main Language English
Document Direction Outgoing
Date13 July 1776
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 Reply 'To Mr Hunter of Thurston' answering 'your of the 11th' and concerning the continued treatment of his brother James for asthma and dropsy.
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 IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:635]AddresseeMr Robert Hunter (of Thurston)
[PERS ID:636]PatientMr James Hunter
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:635]Patient's Relative / Spouse / FriendMr 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
Destination of Letter Thurston East England Europe inferred

Normalized Text

[Page 1]
To Mr Hunter of Thurston
Dear Sir.


yours of the 11th is come to hand only yesterday.
I am heartily sorry for your Brothers distress & the more so, that
his throwing up of blood must make him & you more
deliberate about your journay, & indeed till the throwing up
of blood
shall have ceased for some days I think you
cannot venture upon it. I hope the medicined proposed
shal continue to operate properly & I expect they may
give him considerable relief. I need say nothing about
increasing the dose of the Calomel & squills further than
what I said here. If they are given often, the dose cannot be
increase least the mercury should go to his blood, but if
other circumstances will admit of the mercury being
given more seldom, the full dose may be employed
I think you are right in giving, the Pulv. jalap compt the
very morning after the dose of Calomel & the night before.
As the Dropsical symptoms with the asthma are increased
I am afraid that his disease urges into a Crisis & if he can bear
the Evacuations, I think they are the only chance he has
for recovery & must therefore be persisted in. Possibly
they may answer so well as to save a dose of Calomel
once in two times & when this is given therefore every
fourth day, you may safely venture upon the four grain
doses. If the water should increase in his thighs &
get in to the scrotum & Penis, it may be necessary to
make some punctures on the inside of his thighs, &
punctures are much better than Scarification
& either of them safer in the thighs than on the ancles.
Made in the thighs indeed they will not much relieve
the parts below, but if they discharge well, & heal easily,
it may tempt us when occasion requires to try them in the ancles.
also. . -----

Edinburgh 13th July 1776
W.m Cullen

Diplomatic Text

[Page 1]
To Mr Hunter of Thurston
Dr Sir.


yours of ye 11th is come to hand only ysday.
I am heartily sorry for yr Brothers distress & ye more so, yt
his throwing up of blood must make him & you more
deliberate about yr journay, & indeed till ye throwing up
of blood
shall have ceased for some days I think you
cannot venture upon it. I hope ye medicined proposed
shal cont.e to operate properly & I expect they may
give him considerable relief. I need say noth.g about
increasing ye dose of ye Calomel & squills further than
what I said here. If they are given often, ye dose cannot be
increase least ye mercury should go to his blood, but if
other circumstances will admit of ye mercury being
given more seldom, ye full dose may be employed
I think you are right in giving, ye Pulv. jalap compt ye
very morning after ye dose of Calomel & ye night before.
As ye Dropsical symptoms wt ye asthma are increased
I am afraid yt his disease urges into a Crisis & if he can bear
ye Evacuations, I think they are ye only chance he has
for recovery & must therefore be persisted in. Possibly
they may answer so well as to save a dose of Calomel
once in two times & when this is given therefore every
fourth day, you may safely venture upon ye four grain
doses. If ye water should increase in his thighs &
get in to ye scrotum & Penis, it may be necessary to
make some punctures on ye inside of his thighs, &
punctures are much better than Scarification
& either of them safer in ye thighs than on ye ancles.
Made in ye thighs indeed they will not much relieve
ye parts below, but if they discharge well, & heal easily,
it may tempt us when occasion requires to try them in ye ancles.
also. . -----

Edinr 13th July 1776
W.m Cullen

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