Cullen

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

 

[ID:4431] From: Dr William Cullen (Professor Cullen) / To: Mr Robert Wallace / Regarding: Mr Arthur Robertson (Patient) / 19 May 1779 / (Outgoing)

Reply 'Mr Rob Wallace C. Mr Arthur Robertson'

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Metadata

FieldData
DOC ID 4431
RCPE Catalogue Number CUL/1/1/11/169
Main Language English
Document Direction Outgoing
Date19 May 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 'Mr Rob Wallace C. Mr Arthur Robertson'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1218]
Case of Mr Arthur Robertson who is passing bloody urine.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:216]AddresseeMr Robert Wallace
[PERS ID:751]PatientMr Arthur Robertson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:216]Patient's Physician / Surgeon / ApothecaryMr Robert Wallace

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

Normalized Text

[Page 1]
Mr Robert Wallace Concerning Mr Arthur Robertson


Bloody Urine - not an affection of his bladder or must
have been attended with other Symptoms - this reaso¬
ning might apply against an affection of the Kidneys
but I can explain it better in supposing the blood to
come from there as I have now known several instances
of a stone hanging in the Pelvis of the kidney &
without producing any disorder till by accident shaken
into the orifice of the Ureter & these giving no other
Symptom than bloody urine appearing from time to
time from particular exercise - but time may
discover more & then.


You judged very right in advising Lintseed Tea. &
I have advised something similar - viz. one drachm of Gum Arabic five grains of sodium carbonate. Mix and make a Powder &c frequently dissolved in water
& one or other maybe very constantly employed. Let him
avoid exercise & especially if violent - & particularly let him
go down stairs as slow as possible. An easy Carriage on a
smooth road may do his health good & may not hurt his
complaint. Let his belly be kept regular by all means


Oleum Ricini one of the best. but if his Stomach does
not like it try Manna with Salts or Cream of Tartar. The only
medicine I think proper is the Uva ursi, which may do him
service & cannot do him harm, for a week or two. Let
him begin with half a dram twice a day & increase gradually
even to three drams per day- i.e. a one drachm three times a day - When I spoke
of Demulcents I forgot to say that diluting with water is of more conse¬
quence that impregnation with Mucilaginous matter which last I always
employ with a [Valent quantum?]

May 19th 1779

Diplomatic Text

[Page 1]
Mr Rob. Wallace C Mr Arthur Robertson


Bloody Urine - not an affection of his bladder or must
have been attended with other Symptoms - this reaso¬
ning might apply against an affection of the Kidneys
but I can explain it better in supposing the blood to
come from there as I have now known several instances
of a stone hanging in the Pelvis of the kidney &
without producing any disorder till by accident shaken
into the orifice of the Ureter & these giving no other
Symptom than bloody urine appearing from time to
time from particular exercise - but time may
discover more & then.


You judged very right in advising Lintseed Tea. &
I have advised something similar - viz. Gum Arabic ʒj
sal. Nitr. gr. v. M. f. Pulv. &c frequently dissolved in water
& one or other maybe very constantly employed. Let him
avoid exercise & especially if violent - & particularly let him
go down stairs as slow as possible. An easy Carriage on a
smooth road may do his health good & may not hurt his
complaint. Let his belly be kept regr by all means


Oleum Ricini one of the best. but if his Stomach does
not like it try Manna with Salts or Crem. tart.. The only
med I think proper is the Uva ursi, which may do him
service & cannot do him harm, for a week or two. Let
him begin with half a dram twice a day & increase gradually
even to three drams per day- i.e. a ʒj ter in die - When I spoke
of Demulcents I forgot to say that diluting with water is of more conse¬
quence that impregnation with Mucilaginous matter wc last I always
employ with a [Valent quantum?]

May 19th 1779

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