Cullen

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

 

[ID:4496] From: Dr William Cullen (Professor Cullen) / To: Mr William Cokayne (Cocayne) / Regarding: Mrs Cokayne (Patient) / 26 August 1779 / (Outgoing)

Reply headed 'Mr Cockayne c. Mrs Cokayne', who is taking an aleotic pill and has menstrual problems.

Facsimile

There are 2 images for this document.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4496
RCPE Catalogue Number CUL/1/1/12/63
Main Language English
Document Direction Outgoing
Date26 August 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 'Mr Cockayne c. Mrs Cokayne', who is taking an aleotic pill and has menstrual problems.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:973]
Case of Mrs Cockayne [Cocayne] who consults Cullen over several years regarding a painful abdominal condition.
17


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2833]AddresseeMr William Cokayne (Cocayne)
[PERS ID:2834]PatientMrs Cokayne
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2833]Patient's Relative / Spouse / FriendMr William Cokayne (Cocayne)

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 Wooler North-East England Europe inferred

Normalized Text

[Page 1]

Mr Cockayne Concerning Mrs Cokayne

Sir


I am still of opinion that the measure proposed
to you are the most proper, but I think there must be
something in the execution not quite exact. The effect of the
Aloetic Pill was rather too much for after three or four Stools
from one dose the Belly is ready to become costive & this
seems to have been the case by the evacuation ↑& relief↑ which the Glyster
afterwards gave. I would have you manage the Aloetic if possible
so as to prevent Costiveness without any purging, & your sure
measure will be as soon as soon as any pains come on to
give a Laxative Glyster. In the use of the Laudanum
I think your first dose was too small, & it would have
been better to have given at once twenty or twentyfive
Drops than to have divided it, but if such a dose as I
propose does not in two hours give considerable relief, I would
even then give fifteen drops more. It is very possible that
in such a Constitution as Mrs C.s the Laudanum may
give the headach & pain of the Eyes you mention, but it is
a temporary distress only & does not commonly prevent
the effect of the Laudanum upon the chief ailment, & so I



[Page 2]

Think it happened to Mrs C. as if I understand the case
rightly She was easier on the last occasion than usual.
As for the draining which continued & the Floor Fluor Albus which
followed they must be let alone until we have got the
Menses to come with more ease. I am &c.


Edinburgh August 26.th 1779

W.C.

Diplomatic Text

[Page 1]

Mr Cockayne C. Mrs Cokayne

Sir


I am still of opinion that the measure proposed
to you are the most proper, but I think there must be
something in the execution not quite exact. The effect of ye
Aloetic Pill was rather too mc for after three or four Stools
from one dose the Belly is ready to become costive & this
seems to have been the case by ye evacuation ↑& relief↑ wc the Glyster
afterwards gave. I wd have you manage ye Aloetic if possible
so as to prevent Costiveness without any purging, & your sure
measure will be as soon as soon as any pains come on to
give a Laxative Glyster. In the use of the Laudanum
I think your first dose was too small, & it would have
been better to have given at once twenty or twentyfive
Drops than to have divided it, but if such a dose as I
propose does not in two hours give considerable relief, I wd
even then give fifteen drops more. It is very possible that
in such a Constitution as Mrs C.s the Laudanum may
give ye headach & pain of the Eyes you mention, but it is
a temporary distress only & does not commonly prevent
the effect of ye Laud.m upon ye chief ailment, & so I



[Page 2]

Think it happened to Mrs C. as if I understand ye case
rightly She was easier on ye last occasion than usual.
As for the draining wc continued & ye Floor Fluor Albus wc
followed they must be let alone until we have got the
Menses to come with more ease. I am &c.


Edin.r Aug. 26.th 1779

W.C.

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