The Cullen Project | [ID:4223] From: Dr William Cullen (Professor Cullen) / To: Mr Joseph Harris / Regarding: (a Lady) (Patient) / February? 1778? / (Outgoing)

[ID:4223] From: Dr William Cullen (Professor Cullen) / To: Mr Joseph Harris / Regarding: (a Lady) (Patient) / February? 1778? / (Outgoing)

Reply to 'Mr J. Harris Surgeon Whitehaven' concerning the treatment of an unnamed female patient with an eye disorder.

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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	4223
RCPE Catalogue Number	CUL/1/1/10/80
Main Language	English
Document Direction	Outgoing
Date	February? 1778?
Annotation	None
Type	Scribal copy ( includes Casebook Entry)
Enclosure(s)	No enclosure(s)
Autopsy	No
Recipe	Yes
Regimen	No
Letter of Introduction	No
Case Note	No
Summary	Reply to 'Mr J. Harris Surgeon Whitehaven' concerning the treatment of an unnamed female patient with an eye disorder.
Manuscript Incomplete?	No
Evidence of Commercial Posting	No

Case

Cases that this document belongs to:

Case ID	Description	Num Docs
[Case ID:1091]	Case of a female patient of Mr Harris at Whitehaven who has an unresponsive eye disorder.	2

People linked to this document

Person ID	Role in document	Person
[PERS ID:1]	Author	Dr William Cullen (Professor Cullen)
[PERS ID:214]	Addressee	Mr Joseph Harris
[PERS ID:2199]	Patient	(a Lady)
[PERS ID:1]	Patient's Physician / Surgeon / Apothecary	Dr William Cullen (Professor Cullen)

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		Whitehaven	North-West	England	Europe	certain

Normalized Text

[Page 1]
Mr J. Harris Surgeon Whitehaven

Sorry the Lady for whom I advised
has been so little the better for the advice. From the
first I apprehended the difficulty of the case depending
as I supposed both upon a debility & an increased sensi¬
bility of the Eye. The remedies of Cold Bathing external¬
ly & Tonics internally are the most promising I could
& can think of. I must therefore desire you to persist
in them unless you find some particular objection.

I must observe that Patients may be exact enough
in the use of Remedies, but are often negligent in avoiding
things that may be hurtfull. In the present Case I
consider the avoiding of Lights & Exercise to be of im¬
portance & wish it may be attended to. With re¬
spect to the knee I was desirous suspicious of a
Scropulous tendency, & on that account I desired
to have a report in the Spring when I expected that
any such tendency would descovert itself more clearly
but by your accounts I hope my suspicions

[Page 2]

were groundless. The shrinking of the Limb may be
owing to want of Exercise & the joints being more move¬
able is a favorable circumstance. & as you mention no
increase of swelling I think the whole merely a con¬
sequence of the [strain?]. I will propose the use of the
fomentation prescribed. It is to be employed every Evening
for a fortnight - unless it encreases the swelling or [the?]
pains, tho' it should not have these effects if is the course
of a fortnight it takes off swelling, encrease mobi¬
lity & relieves from pain wou'd not have it continued
any longer. When the Season is a good deal advanced
& mild weather set in, I believ the Lady's complaints
may be relieved by sea bathing. ----

Take an ounce of fresh Laurel Leaves, two drachms of juniper. Boil with six pounds of spring water until they become four pounds; to the strained liquid add an ounce of raw Sal ammoniac. Use for the daily warm fomentation at seven o'clock every evening.

Notes:

1: This abbreviation is unclear, but may be a rushed contraction for 'omni nocte' ("every night")

Diplomatic Text

[Page 1]
Mr J. Harris Surgeon Whitehaven

Sorry the Lady for whom I advised
has been so little the better for the advice. From the
first I apprehended the difficulty of ye case dependg
as I supposed both upon a debility & an increased sensi¬
bility of the Eye. The remedies of Cold Bathing external¬
ly & Tonics internally are the most promising I could
& can think of. I must therefore desire you to persist
in them unless you find some particular objection.

I must observe that Patients may be exact enough
in the use of Remedies, but are often negligent in avoidg
things that may be hurtfull. In the prest Case I
consider the avoiding of Lights & Exercise to be of im¬
portance & wish it may be attended to. With re¬
spect to the knee I was desirous suspicious of a
Scropulous tendency, & on that account I desired
to have a report in the Spring when I expected that
any such tendency wd descovert itself more clearly
but by your accounts I hope my suspicions

[Page 2]

were groundless. The shrinking of the Limb may be
owing to want of Exercise & the joints being more move¬
able is a favorable circumstance. & as you mention no
increase of swelling I think the whole merely a con¬
sequence of the [strain?]. I will propose the use of the
fomentation prescribed. It is to be employed every Eveng
for a fortnt - unless it encreases the swelling or [ye?]
pains, tho' it s.d not have these effects if is the course
of a fortnight it takes off swelling, encrease mobi¬
lity & relieves from pain wou'd not have it continued
any longer. When the Season is a good deal advanced
& mild weather set in, I believ the Lady's complts
may be relieved by sea bathing. ----

℞ Fol: laur: v: ℥j - ---- sabin Ʒij Coq: ex aq:
fontan: ℔vj ad ℔iv et colatura adde Sal ammon
crud. ℥j [Utitur?] pro fotu quotidie h. 7[onc?] ¹ vespera.

Notes:

1: This abbreviation is unclear, but may be a rushed contraction for 'omni nocte' ("every night")

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