Cullen

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

 

[ID:4305] From: Dr William Cullen (Professor Cullen) / To: Mr John Corbett / Regarding: Mrs Corbett (of Tollcross) (Patient) / 7 September 1778 / (Outgoing)

Reply headed 'For Mrs Corbett of Tolcross', concerning the continued treatment of his wife. Cullen has not changed his opinion that the patient is very weak and advises on the use of several medicines.

Facsimile

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Metadata

FieldData
DOC ID 4305
RCPE Catalogue Number CUL/1/1/11/43
Main Language English
Document Direction Outgoing
Date7 September 1778
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply headed 'For Mrs Corbett of Tolcross', concerning the continued treatment of his wife. Cullen has not changed his opinion that the patient is very weak and advises on the use of several medicines.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:970]
Case of Mrs Corbett of Tolcross who has a weak stomach accompanied by faintness and nosebleeds.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2451]AddresseeMr John Corbett
[PERS ID:2446]PatientMrs Corbett (of Tollcross)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2451]Patient's Relative / Spouse / FriendMr John Corbett

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 Glasgow Glasgow and West Scotland Europe inferred
Mentioned / Other Tollcross Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]
For Mrs Corbett of Tolcross


I consider the case as very desperate and tho you neither
agree nor disagree with me in the opinion I gave
last I still have the same; & at any rate I am
persuaded that her weakness is extreme.


Vomiting will be of little service & all Purgatives
hurtfull. If good can be done it must be by Tonics & by
Opiates: the latter I take to be indispensible & the
more of them she has already taken, the more and larger
doses will be necessary. In cases of vomiting we are
often disappointed by the opiate being thrown up & in
that case throw them in by a glyster of small bulk &
mild quality such as a solution of gum Arabic.
The external application may be of some service but
not to be depended upon. For a tonic I propose the
following,

Take three ounces of rose Water and half-an-ounce of syrup of dried roses and Spiritus vitroli tenuis. Mix. Label: stomachic acid, a teaspooonful in an ordinary wine glass full of water several times a day; & it should be very much for her ordinary drink.

If her stomach bear ths well & if this
together with the opiate moderate the vomiting I
would try her with the following strengthening Infusion.

Take one drachm each of Terra Japonica and Cinnamon, half an ounce of Gum Arabic and eight ounces of boiling water. Digest for three hours, stirring frequently. Then strain through a thick rag or paper and to the solution add one ounce of Diacodium Syrup and Tincture of kino and one drachm of Tincture of Mars. Mix. Label: Strengthening Infusion, a tablespoonful to be taken several times a day.

You will please to observe


[Page 2]

that if the stomach bear this, both the Tincture of kino and
Tincture of Mars may be increased.


Till her stomach can be made firmer I can ima¬
gine nothing better than the diet you have ordered of
mild liquid but gelatinous food.

W.C.
Edinburgh September 7 1778

Diplomatic Text

[Page 1]
For Mrs Corbett of Tolcross


I consider the case as very desperate and tho you neither
agree nor disagree with me in the opinion I gave
last I still have the same; & at any rate I am
persuaded that her weakness is extreme.


Vomiting will be of little service & all Purgatives
hurtfull. If good can be done it must be by Tonics & by
Opiates: the latter I take to be indispensible & the
more of them she has already taken, the more and larger
doses will be necessary. In cases of vomiting we are
often disappointed by the opiate being thrown up & in
that case throw them in by a glyster of small bulk &
mild quality such as a solution of gum Arabic.
The external application may be of some service but
not to be depended upon. For a tonic I propose the
following,

Aq. rosar. ℥iij syr. e ros. sicc. Spt
vitriol. ten.
@ ℥ſs ℳ. S. stomachic acid a teaspoon¬
ful, in an ordinary wine glass full of water several
times a day; & it should be very much for her ordinary
drink.

If her stomach bear ths well & if this
together with the opiate moderate the vomiting I
would try her with the following strengthening Infusion.


Terr. Japon. Cinnam. @ʒj G. Arab ℥ſs. Aq. bullt
℥viij. Digere subinde agitans horas tres; dein per
pannum densum vel chartam cola et liquori cola to
adde Syr. Diacod. Tinct. e kino @℥j Tinct. Mart ʒj
ℳ. S. Strengthening Infusion, a tablespoonful to be
taken several times a day.

You will please to observe


[Page 2]

that if the stomach bear this, both the Tinct. e kino and
Martis may be increased.


Till her stomach can be made firmer I can ima¬
gine nothing better than the diet you have ordered of
mild liquid but gelatinous food.

W.C.
Edr Sept 7 1778

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