The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4371] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Freke (Patient) / 28 January 1779 / (Outgoing)
Reply 'For Mr Freke'
- Facsimile
- 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 | 4371 |
| RCPE Catalogue Number | CUL/1/1/11/109 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 28 January 1779 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mr Freke' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1169] |
Case of Mr Freke who has had a paralytic seizure (stroke or palsy). |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2717] | Patient | Mr Freke |
| [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 Mr Freke.
A palsy which may possibly have arisen from in¬
terrupted Gout but there is no clear evidence of it. I
have often known Palsies introduced by pains of the
joints, not gouty. A palsy at his time of life &
to such a degree is of difficult cure & as far as I
know has never been cured.
If the perpetual blister on the back & issue in
the arm are still employed, continue them. If they
have been interrupted; I advise a pea issue on each
side of the nape of the neck.
A variety of proper medicines have been used
[Page 2]
in this case but to no purpose, perhaps not
safe to harass the patient with so many acrid medicines
The only one I would recommend is the Tinctura
guaiacina volatilis which from half a dram to a
dram rubbed with a little yolk of egg & made into a
draught with a little simple Pimento water may
be taken every night at bed time.
Purging is improper, & he has little need of laxa¬
tives & if purging be at any time necessary I
would prefer the Tinctura Senæ to any Aloetic.
Tinctures tho not mentioned I dare say have been
employed. Frictions with the hand with the inter¬
position of a [little?] oil duly employed might have
been a means of preventing & now may perhaps be
a means of curing. The oil may be common olive
oil with an eighth of the distilled oil of Rosemary.
Exercise, according to weather & strength.
Avoid cold as he is liable to be much hurt by it.
As loss of speech & difficulty of swallowing shew
the muscles of the larynx & pharynx considerably
affected, it may be tried to relieve them, by now & then
swallowing a little of the syrup of horse radish
made like the Syrupus ex allio Pharmacopœia Londonensis -- but this
must not be repeated too frequently as it would
make the mouth & fauces sore & tender.
Diplomatic Text
For Mr Freke.
A palsy which may possibly have arisen from in¬
terrupted Gout but there is no clear evidence of it. I
have often known Palsies introduced by pains of the
joints, not gouty. A palsy at his time of life &
to such a degree is of difficult cure & as far as I
know has never been cured.
If the perpetual blister on the back & issue in
the arm are still employed, continue them. If they
have been interrupted; I advise a pea issue on each
side of the nape of the neck.
A variety of proper medicines have been used
[Page 2]
in this case but to no purpose, perhaps not
safe to harass the patient with so many acrid medicines
The only one I would recommend is the Tinctura
guaiacina volatilis which from half a dram to a
dram rubbed with a little yolk of egg & made into a
draught with a little simple Pimento water may
be taken every night at bed time.
Purging is improper, & he has little need of laxa¬
tives & if purging be at any time necessary I
would prefer the Tinctura Senæ to any Aloetic.
Tinctures tho not mentioned I dare say have been
employed. Frictions with the hand with the inter¬
position of a [little?] oil duly employed might have
been a means of preventing & now may perhaps be
a means of curing. The oil may be common olive
oil with an eighth of the distilled oil of Rosemary.
Exercise, according to weather & strength.
Avoid cold as he is liable to be much hurt by it.
As loss of speech & difficulty of swallowing shew
the muscles of the larynx & pharynx considerably
affected, it may be tried to relieve them, by now & then
swallowing a little of the syrup of horse radish
made like the Syrupus ex allio Ph. Lond -- but this
must not be repeated too frequently as it would
make the mouth & fauces sore & tender.
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