The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4317] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mrs Davies (Patient) / 20 September 1778 / (Outgoing)
Reply, 'For Mrs Davies'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There is 1 image for this document.
[Page 1]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4317 |
| RCPE Catalogue Number | CUL/1/1/11/55 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 20 September 1778 |
| 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, 'For Mrs Davies' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:828] |
Case of Mrs Davies who has stomach and bowel complaints which Cullen believes are from the gout turned inwards. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2427] | Addressee | Dr |
| [PERS ID:2425] | Patient | Mrs Davies |
| [PERS ID:2427] | Patient's Physician / Surgeon / Apothecary | Dr |
| [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 |
Normalized Text
For Mrs Davies.
From the accounts I have had now as well as from what I knew of Mrs.
Davies formerly I am of the same opinion I was of before that her Ailments are
entirely Gouty. Every body knows that this cannot be eradicated and it is
very Difficult to bring it into any regular course when the constitution disposes
it to be otherwise; but I hope it is possible in such a Case as this of Mrs. Davies
to render the disease tolerable and obviate any dangerous consequence.
Further purpose I give Mrs. Davies formerly what I thought a proper regimen
with respect to diet I think she will have no difficulty in following it but
with respect to exercise I am afraid she has not followed it fully. To keep her
in good plight a great deal of exercise will be necessary and it cannot be
taken in any way so properly as in that of a Journey: and I still wish that
before winter come on Mrs. Davies should continue two or three weeks of travelling.
The only symptom which I imagine to be just now very troublesome is the
disposition to looseness,; which from my former acquaintance with the case will be
best managed by giving opiates and alternating these with doses of Magnesia with
a small proportion of Rhubarb: and I cannot be more precise in prescribing these
unless I were on the spot.
With respect to the Medicine I formerly prescribed it was intended to strengthen
the Stomach and Bowels and to throw the Gout more upon her extremities: And I hope
it will have that effect if she has taken it now; but I think it is fittest to be
taken when she is pretty free from pains of her feet & hands. If she shall find it
agree with her stomach and mend the state of her bowels she may continue it for
sometime. but if she choses to continue it for above two weeks together I could
have the Colomba left out and the Chalybeate taken, by itself, or with only the
Cinnamon. The infusion may be continued at pleasure.
This is all that occurs to me at present but upon a further information I shall be
extremely willing to contribute every thing in my power to Mrs. Davies' relief.
Edinburgh September 20th. 1778.
W.C.
Diplomatic Text
For Mrs Davies.
From the accounts I have had now as well as from what I knew of Mrs.
Davies formerly I am of the same opinion I was of before that her Ailments are
entirely Gouty. Every body knows that this cannot be eradicated and it is
very Difficult to bring it into any regular course when the constitution disposes
it to be otherwise; but I hope it is possible in such a Case as this of Mrs. Davies
to render the disease tolerable and obviate any dangerous consequence.
Further purpose I give Mrs. Davies formerly what I thought a proper regimen
with respect to diet I think she will have no difficulty in following it but
with respect to exercise I am afraid she has not followed it fully. To keep her
in good plight a great deal of exercise will be necessary and it cannot be
taken in any way so properly as in that of a Journey: and I still wish that
before winter come on Mrs. Davies should continue two or three weeks of travelling.
The only symptom which I imagine to be just now very troublesome is the
disposition to looseness,; which from my former acquaintance with the case will be
best managed by giving opiates and alternating these with doses of Magnesia with
a small proportion of Rhubarb: and I cannot be more precise in prescribing these
unless I were on the spot.
With respect to the Medicine I formerly prescribed it was intended to strengthen
the Stomach and Bowels and to throw the Gout more upon her extremities: And I hope
it will have that effect if she has taken it now; but I think it is fittest to be
taken when she is pretty free from pains of her feet & hands. If she shall find it
agree with her stomach and mend the state of her bowels she may continue it for
sometime. but if she choses to continue it for above two weeks together I could
have the Colomba left out and the Chalybeate taken, by itself, or with only the
Cinnamon. The infusion may be continued at pleasure.
This is all that occurs to me at present but upon a further information I shall be
extremely willing to contribute every thing in my power to Mrs. Davies' relief.
Edinr. Septemr. 20th. 1778.
W.C.
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