Cullen

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

 

[ID:4360] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Reverend Joseph Munro (of Edderton) (Patient) / 12 January 1779 / (Outgoing)

Reply headed 'For the Revd Mr Joseph Munro', advising on his bladder complaint, signed by Cullen and his Edinburgh associate Dr James Mackenzie.

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Metadata

FieldData
DOC ID 4360
RCPE Catalogue Number CUL/1/1/11/98
Main Language English
Document Direction Outgoing
Date12 January 1779
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 headed 'For the Revd Mr Joseph Munro', advising on his bladder complaint, signed by Cullen and his Edinburgh associate Dr James Mackenzie.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1059]
Case of Joseph Munro, a minister, whose present distresses, which include pain, flatulency and swellings in his abdomen and a serious bladder disorder, he traces back to when his manse was inundated with flood-water.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:777]PatientReverend Joseph Munro (of Edderton)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2491]Patient's Physician / Surgeon / ApothecaryDr James McKenzie (of Edinburgh)
[PERS ID:2491]Supplemental AuthorDr James McKenzie (of Edinburgh)

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 certain
Destination of Letter Edderton (Eddertown) North Highlands Scotland Europe certain

Normalized Text

[Page 1]
For the Reverend Mr Joseph Munro.


A spasmodic affection of the neck of the bladder
depending upon an organic affection constantly present
there,- But whether this be a tumor or perhaps
also a stone in the bladder we cannot be positive


Continue the Althea decoction & other mucilaginous
drinks. The bark may have been useful, but let it
be laid aside now to give room for a more powerful
remedy the Uva ursi folia in powder which may be
taken to 2 or 3 drams a day but divided into two or 3
separate doses to be taken each in a glass of water.


If these should not be immediately effectual & fits still
should return, when he percieves the ordinary preludes
of a fit viz: the wind in his bowels & coldness of his
feet
, let him take a full dose of Laudanum &
repeat this the next or following days in proportion
to the urgency of symptoms.


In the intervals of his disease obviate costiveness
by sulphur or oleum ricini especially the latter, &
use either of them in the time of fits & particularly
when the Opiate is employed at the same time.


If the arms be considerably swelled & protruded during
a fit, let two leeches be applied to the swelling & bleed
very freely. Let him lay aside the decoction of roses


As no bloody urine as attended his last fits
let him lay aside the decoction of roses with spirit
of vitriol
which we do not otherwise think very proper.


No alteration of diet. Fresh air & exercise but
neither walking nor riding unless in the gentlest
manner safe.


W. C-
Jas. Mackenzie.
Edinburgh January 12th. 1779.

Diplomatic Text

[Page 1]
For the Revd. Mr Joseph Munro.


A spasmodic affection of the neck of the bladder
depending upon an organic affection constantly present
there,- But whether this be a tumor or perhaps
also a stone in the bladder we cannot be positive


Continue the Alth. decoction & other mucilaginous
drinks. The bark may have been useful, but let it
be laid aside now to give room for a more powerful
remedy the Uv. urs. folia in powder which may be
taken to 2 or 3 drams a day but divided into two or 3
separate doses to be taken each in a glass of water.


If these should not be immediately effectual & fits still
should return, when he percieves the ordinary preludes
of a fit viz: the wind in his bowels & coldness of his
feet
, let him take a full dose of Laudanum &
repeat this the next or following days in proportion
to the urgency of symptoms.


In the intervals of his disease obviate costiveness
by sulphur or ol. ricini especially the latter, &
use either of them in the time of fits & particularly
when the Opiate is employed at the same time.


If the arms be considerably swelled & protruded during
a fit, let two leeches be applied to the swelling & bleed
very freely. Let him lay aside the decoction of roses


As no bloody urine as attended his last fits
let him lay aside the decoction of roses with spirit
of vitriol
wc we do not otherwise think very proper.


No alteration of diet. Fresh air & exercise but
neither walking nor riding unless in the gentlest
manner safe.


W. C-
Jas. Mackenzie.
Edr. Jany. 12th. 1779.

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