Cullen

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

 

[ID:4326] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Matthew Bell (Patient) / October? 1778? / (Outgoing)

Reply to 'Dr Riddell C[oncerning] Mr Bell', giving summary advice on regimen and ongoing treatment for calculi. Undated, but date inferred from context in case book which places it between the 13th and 23rd October, 1778.

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[Page 1]


 
 

Metadata

FieldData
DOC ID 4326
RCPE Catalogue Number CUL/1/1/11/64
Main Language English
Document Direction Outgoing
DateOctober? 1778?
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply to 'Dr Riddell C[oncerning] Mr Bell', giving summary advice on regimen and ongoing treatment for calculi. Undated, but date inferred from context in case book which places it between the 13th and 23rd October, 1778.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1575]
Case of Mr M. Bell who has jaundice, a painful rheumatic shoulder and calculi.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2460]PatientMr Matthew Bell
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:561]Patient's Physician / Surgeon / ApothecaryDr Walter Riddell

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe inferred
Destination of Letter Berwick-upon-Tweed (Berwick) North-East England Europe inferred

Normalized Text

[Page 1]
Dr Riddell Concerning Mr Bell.


Agree in thinking the Disease owing to biliary Calculi
but we wish you would examine the fæces by diluting them
& then passing them thro a Sieve -- as we may have [both?]
satisfaction & instruction in knowing the number & size
of the Calculi.


Your management of the Paroxysms judicious,
but when pains are very violent, & after bleeding or even
without it when there is not much frequency nor hardness
of Pulse
, we have found much benefit from Opiates
& also in such Cases from the warm [bath?] which [we?]
think much better than partial fomentations.


The next thing is to prevent returns - this very
difficult but to be attempted - by a few medicines &
a Regimen -- 1. The Aperient Pills №1.


2. The Aperical Solution №2.


We mean to keep his belly regular & even a little
open. & you will adjust the Doses accordingly.


In Diet ordinary fare with a few exceptions. No Eggs
Cheese, Salted, or Hung meats Bacon or such [like fat?] meat
Vegetables he may take avoiding the ones that prove
Windy on his Stomach. -- A little Butter, in great
moderation --

Diplomatic Text

[Page 1]
Dr Riddell C. Mr Bell.


Agree in thinking the Disease owing to biliary Calculi
but we wish you would examine the fæces by diluting them
& then passing them thro a Sieve -- as we may have [both?]
satisfaction & instruction in knowing the number & size
of the Calculi.


Your management of the Paroxysms judicious,
but when pains are very violent, & after bleeding or even
without it when there is not much frequency nor hardness
of Pulse
, we have found much benefit from Opiates
& also in such Cases from the warm [bath?] wc [we?]
think much better than partial fomentations.


The next thing is to prevent returns - this very
difficult but to be attempted - by a few meds &
a Regimen -- 1. The Aperient Pills №1.


2. The Aperical Solution №2.


We mean to keep his belly regular & even a little
open. & you will adjust the Doses accordingly.


In Diet ordinary fare with a few exceptions. No Eggs
Cheese, Salted, or Hung meats Bacon or such [like fat?] meat
Vegetables he may take avoiding the ones that prove
Windy on his Stomach. -- A little Butter, in great
moderation --

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