The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4613] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Miss Mary Peareth (Pearith, Peariths) (Patient) / 16 April 1783 / (Outgoing)
Letter concerning Miss [Mary] Pearith] whose case, probably a bladder disorder, has proven difficult to ascertain .
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
[Page 3]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4613 |
| RCPE Catalogue Number | CUL/1/1/16/18 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 16 April 1783 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Letter concerning Miss [Mary] Pearith] whose case, probably a bladder disorder, has proven difficult to ascertain . |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:52] |
Case of Miss Mary Peareth who has a painful bladder condition. |
25 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:82] | Addressee | Mr William Ingham |
| [PERS ID:80] | Patient | Miss Mary Peareth (Pearith, Peariths) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:82] | Patient's Physician / Surgeon / Apothecary | Mr William Ingham |
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 | Newcastle upon Tyne | North-East | England | Europe | inferred |
Normalized Text
Miss M. Pearith
Sir,
I shall be exceedingly happy in having any assistance
and my earnest endeavours to relieve Miss Mary Peareth
and I hope you shall give the desired help. I cannot
however enter with you into every theoretical discussion
that the Case might suggest. The Case in the whole of
its course has appeared to me difficult to be accounted
for and indeed mysterious. I was persuaded that the
matter voided was at first mucus it became after¬
wards manifestly purulent and of late has become
chiefly bloody.That there is an ailment at the
neck of the bladder every one at first sight may
perceive but of what nature it is is not so obvious
Once suspected Piles and prescribed accordingly but
I have had reason since to desert that Conjecture
entirely. A Nephritic affection might be suspected
but I do not recollect any other evidence of it at
[any] period of the disease It would appear that of late
the
✍ see next page>
[Page 2]
✍
the disease originally and solely at the neck of the bladder
is now extended to the other parts of the Urinary System and
very considerably also to the Nervous System but at
the same time I have several reasons for doubting if
any Calculus matter be at all concerned in the disease.
The notion of Cancer I shrink from as it can only give
us concern without leading to any useful practice.
I do not enter clearly into the purpose of your
Prescriptions but I am clear for their being tried and
you may let Mrs. Peareth and her family know that
I approve very much of the trial. But let me say
to yourself that I think you must be cautious in
pushing the use of a medicine that may prove heating
and irritating. I formerly tried Balsamics but with
no success. Allow me to observe with regard to your
prescription of the Aqua Calcis &c. you must take care
that the Spiritus Nitri dulcis be perfectly dulcified
and free from all acidity which it seldom is in the
[Page 3]
hands of our Apothecaries.
I shall be glad to hear from you when the
occasion for any further deliberation and you sh[all not]
find me difficult to concur with you in what [you]
propose. I have only one opinion to offer now, the[t we]
should endeavour to palliate what we cannot cu[re]
I imagine that upon several occasions you wi[ll find]
Opiates necessary for Miss Peareth. I am
Sir
your humble Servant
Edinburgh 16.th April
1783
Diplomatic Text
Miss M. Pearith
Sir,
I shall be exceedingly happy in having any assistance
and my earnest endeavours to relieve Miss Mary Peareth
and I hope you shall give the desired help. I cannot
however enter with you into every theoretical discussion
that the Case might suggest. The Case in the whole of
its course has appeared to me difficult to be accounted
for and indeed mysterious. I was persuaded that the
matter voided was at first mucus it became after¬
wards manifestly purulent and of late has become
chiefly bloody.That there is an ailment at the
neck of the bladder every one at first sight may
perceive but of what nature it is is not so obvious
Once suspected Piles and prescribed accordingly but
I have had reason since to desert that Conjecture
entirely. A Nephritic affection might be suspected
but I do not recollect any other evidence of it at
[any] period of the disease It would appear that of late
the
✍ see next page>
[Page 2]
✍
the disease originally and solely at the neck of the bladder
is now extended to the other parts of the Urinary System and
very considerably also to the Nervous System but at
the same time I have several reasons for doubting if
any Calculus matter be at all concerned in the disease.
The notion of Cancer I shrink from as it can only give
us concern without leading to any useful practice.
I do not enter clearly into the purpose of your
Prescriptions but I am clear for their being tried and
you may let Mrs. Peareth and her family know that
I approve very much of the trial. But let me say
to yourself that I think you must be cautious in
pushing the use of a medicine that may prove heating
and irritating. I formerly tried Balsamics but with
no success. Allow me to observe with regard to your
prescription of the Aqua Calcis &c. you must take care
that the Spiritus Nitri dulcis be perfectly dulcified
and free from all acidity which it seldom is in the
[Page 3]
hands of our Apothecaries.
I shall be glad to hear from you when the
occasion for any further deliberation and you sh[all not]
find me difficult to concur with you in what [you]
propose. I have only one opinion to offer now, the[t we]
should endeavour to palliate what we cannot cu[re]
I imagine that upon several occasions you wi[ll find]
Opiates necessary for Miss Peareth. I am
Sir
your humble Servant
Edin.r 16.th April
1783
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