The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4438] From: Dr William Cullen (Professor Cullen) / To: Mr William Wightman / Regarding: Mrs Grieve (Patient) / 22 May 1779 / (Outgoing)
Reply, 'Mr Wightman C[oncerning] Mrs Grieve'. Cullen says 'the Case can admit no more blooding'. He recommends continuing blistering, the use of opiates and tussilago for her. He includes a recipe for an electuary 'which I expect may prove Diuretic as well as Laxative'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
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- People
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Facsimile
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Metadata
| Field | Data |
|---|---|
| DOC ID | 4438 |
| RCPE Catalogue Number | CUL/1/1/12/5 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 22 May 1779 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, 'Mr Wightman C[oncerning] Mrs Grieve'. Cullen says 'the Case can admit no more blooding'. He recommends continuing blistering, the use of opiates and tussilago for her. He includes a recipe for an electuary 'which I expect may prove Diuretic as well as Laxative'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:726] |
Case of Mrs Grieve who apparently consulted Cullen in winter of 1778-79 for a stomach ailment. She has a long history of arm pains; in February 1777 underwent a partial mastectomy for suspected breast cancer in 1779 develops respiratory difficulties. |
6 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2385] | Addressee | Mr William Wightman |
| [PERS ID:2583] | Patient | Mrs Grieve |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:2385] | Patient's Physician / Surgeon / Apothecary | Mr William Wightman |
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 | Eyemouth (Eymouth) | Borders | Scotland | Europe | inferred |
Normalized Text
Mr Wightman Concerning Mrs Grieve.
I think the Case can admit no more blooding as you have reason to apprehend
a serous Effusion & I am much afraid that it is made already in the thorax &
hardly anything else can explain the peculiar state of Symptoms you take
notice of. Your continuing to Blister can do no harm & the Opiate you will
still find necessary. The Tussilago Juice may also be continued that we may not
appear to fluctuate too much but in the present view of things I expect nothing
from it – The only medicine that I can advise is the Electuary below
which I expect may prove Diuretic as well as Laxative and both the use
of the Opiate and your view of the Case render thse purposes proper. ––
Take an ounce of Tartar Crystals, a drachm each of Regenerated Tartar and Composite Jalap Powder, ½ an ounce of Lenitive Electuary, and enough Simple Syrup to make a thin Electuary or Linctus. Label: S. Laxative Electuary. a tea spoonfull twice a day
Diplomatic Text
Mr Wightman C. Mrs Grieve.
I think the Case can admit no more blooding as you have reason to apprehend
a serous Effusion & I am much afraid that it is made already in the thorax &
hardly anything else can explain the peculiar state of Symptoms you take
notice of. Your continuing to Blister can do no harm & the Opiate you will
still find necessary. The Tussilago Juice may also be continued that we may not
appear to fluctuate too much but in the present view of things I expect nothing
from it – The only medicine that I can advise is the Electuary below
which I expect may prove Diuretic as well as Laxative and both the use
of the Opiate and your view of the Case render thse purposes proper. ––
℞ Crystall. Tartar. ℥j
Tartar. regenerat.
Pulv. e. jalap comp.t @ ʒi
Elect. lenitiv. ℥ſs
Syr. simpl. q. s. ut f. Elect. tenue sive Lochoch
S. Laxative Electuary. a tea spoonfull twice a day
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