The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4460] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr John Napier (of Balikinrain) (Patient) / 20 June 1779 / (Outgoing)
Reply, 'John Napier of Balinkinrain Eqr.'
- 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 | 4460 |
| RCPE Catalogue Number | CUL/1/1/12/27 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 20 June 1779 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, 'John Napier of Balinkinrain Eqr.' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1191] |
Case of John Napier of Balikinrain who has suffered from a pervasive inflammatory condition for some time and now has an open sore on his shin requiring the lancet. |
4 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2660] | Patient | Mr John Napier (of Balikinrain) |
| [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 |
| Destination of Letter | Ballinkinrain (Balikinrain) | Mid Scotland | Scotland | Europe | inferred | |
| Mentioned / Other | Ballinkinrain (Balikinrain) | Mid Scotland | Scotland | Europe | certain |
Normalized Text
John Napier of Balikinrain Esquire
I think his ailment consists chiefly in a topical affection, but
so far as there is any suspicion of a fault in his blood. I shall
not neglect it - It is evident that the sore in his leg cannot heal
while there is such as Callus about the edges of it. This therefore I would
have in the first place removed and what I think is the best for this
purpose, is by making with the point of a Lancet many small
Scarifications into the quick all around the sore and dressing the
sore with Basilicon for three or four days. I shall hope for some
suppuration, that will have a tendency to throw off the Callus.
but in three four or five days as you shall judge proper after
the Scarifications I would dress the whole with [dry Precipitate?]
and lay such dressing with the conditions to be mentioned I hope
the sore will entirely heal up.- Before you perform your
operation, he should give up walking and lie upon a Couch
for two or three days before it
[Page 2]
To effectuate the cure of the sore, the condition
sine qua non, is his avoiding walking entirely and even
hanging his leg & except when he is abed he should lie
almost lie entirely in a horizantal posture upon a
Couch, or if sometimes as to his Meals there may
be a necessity for his sitting I would have him always
lay his sore leg upon a Stool. Further to secure all
weight of a the humour upon that leg, I would have him
either wear a lace Stocking or have a bandage
applied every day from his Ancle up to the Calf
whether a Stocking or Bandage be employed, they
should be tight tho not so much as to be uneasy
The Lace Stocking better than the Bandage, but few
people can make it right.- If you can get a Stocking
made so as to give a gradual and uniform compression
from the Toes to the Calf, it will save him a good deal
of the restraint of lying along --
As to the State of his blood, I shall trust to the Mezereon
The Bark of the Root only is of virtue, so that if you get
in large Sticky bits, you must peal off the Bark
Begin with a Dram to a bottle of a Slight Decoction
of Sarsa, increasing the quantity of the Mezereon if it does not
heat to prove very warm on his Stomach- a bottle
in the 24 hours, to be continued for a fortnight at least.
Diplomatic Text
John Napier of Balikinrain Eqr
I think his ailment consists chiefly in a topical affection, but
so far as there is any suspicion of a fault in his blood. I shall
not neglect it - It is evident that the sore in his leg cannot heal
while there is such as Callus about the edges of it. This therefore I would
have in the first place removed and what I think is the best for this
purpose, is by making with the point of a Lancet many small
Scarifications into the quick all around the sore and dressing the
sore with Basilicon for three or four days. I shall hope for some
suppuration, that will have a tendency to throw off the Callus.
but in three four or five days as you shall judge proper after
the Scarifications I would dress the whole with [dry Precipitate?]
and lay such dressing with the conditions to be mentioned I hope
the sore will entirely heal up.- Before you perform your
operation, he should give up walking and lie upon a Couch
for two or three days before it
[Page 2]
To effectuate the cure of the sore, the condition
sine qua non, is his avoiding walking entirely and even
hanging his leg & except when he is abed he should lie
almost lie entirely in a horizantal posture upon a
Couch, or if sometimes as to his Meals there may
be a necessity for his sitting I would have him always
lay his sore leg upon a Stool. Further to secure all
weight of a the humour upon that leg, I would have him
either wear a lace Stocking or have a bandage
applied every day from his Ancle up to the Calf
whether a Stocking or Bandage be employed, they
should be tight tho not so much as to be uneasy
The Lace Stocking better than the Bandage, but few
people can make it right.- If you can get a Stocking
made so as to give a gradual and uniform compression
from the Toes to the Calf, it will save him a good deal
of the restraint of lying along --
As to the State of his blood, I shall trust to the Mezereon
The Bark of the Root only is of virtue, so that if you get
in large Sticky bits, you must peal off the Bark
Begin with a Dram to a bottle of a Slight Decoction
of Sarsa, increasing the qty of the Mezereon if it does not
heat to prove very warm on his Stomach- a bottle
in the 24 hours, to be continued for a fortnight at least.
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