Cullen

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

 

[ID:561] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Miss Mary Peareth (Pearith, Peariths) (Patient) / 30 May 1782 / (Outgoing)

Reply titled 'Miss Pearith', whose case Cullen believes to be very bad. He believes the discharge to be analogous to a haemorrhoidal discharge, and refers to Sauvage's Nosologia on their nature. He recommends stopping the mercury course and having the patient instead drink 'mucilagious drinks' such as marshmallow decoction, lintseed tea or Arabic emulsion.

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Metadata

FieldData
DOC ID 561
RCPE Catalogue Number CUL/1/1/15/43
Main Language English
Document Direction Outgoing
Date30 May 1782
Annotation None
TypeMachine copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply titled 'Miss Pearith', whose case Cullen believes to be very bad. He believes the discharge to be analogous to a haemorrhoidal discharge, and refers to Sauvage's Nosologia on their nature. He recommends stopping the mercury course and having the patient instead drink 'mucilagious drinks' such as marshmallow decoction, lintseed tea or Arabic emulsion.
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 IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:82]AddresseeMr William Ingham
[PERS ID:80]PatientMiss Mary Peareth (Pearith, Peariths)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:82]Patient's Physician / Surgeon / ApothecaryMr William Ingham
[PERS ID:2596]OtherMiss Hudson

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
Mentioned / Other Newcastle upon Tyne North-East England Europe certain

Normalized Text

[Page 1]

Miss M. Pearith.

Dear Sir


I am favoured by Miss Hudson with
yours concerning Miss M. Pearith inclosing the note from
herself. I am heartly concerned for for her situation which
I think is very bad. I do consider the discharge ↑of blood↑ in this case
to be quite analogous to a hemorrhoidal discharge and Such a
case has been frequently observed by practical Writers. You may
find Several of them referred to in Sauvages Nosologia metho¬
dicia under the Title of Hæmoturia hæmorrhoidalis ↑Vol. II↑ pag. 303 1
However we may explain it i think it a very unfavorable Case
and I have found it so in two or three instances which I myself
have Seen of it. In these instances I do not remember its being
preceded as in this case by an abscess and as I think a Schirrosity
and the Hæmorrhagy ↑here↑ Supervening gives ↑me↑ a ↑Strong↑ Suspicion of Cancer,
and a very dismal prospect for Miss Pearith. How to relieve
her I am at loss to say but I must observe to you that we
can ↑no↑ longer insist on the Mercurial Course as it must rather
favour the bleeding and we can now have little hopes of



[Page 2]

healing by the Mercury our Supposed ulcer in the neck of the
bladder
. All I think that can be done is to palliate matters
as well as we can. Let her use some mucilaginous drinks
as Marshmallow decoction, Lintseed tea or Arabic Emulsion and
these by turns. If the discharge of blood continue to return let
her have the acid Mixture prescribed on t'other page and some¬
times five grains of Nitre several times a day. I fancy you
must at last have recourse to Opiates taking care at the same
time that they do not bind the belly and thereby increase the
hemorrhoidal affections. For this last purpose you will find
the flores Sulphuris or the Oleum ricini the most usefull
medicines. Wishing most heartily for your Success and Miss Peariths
relief I am with Sincere regard


Dear Sir
your most obedient servant

William Cullen

Edinburgh 30th May
1782.


I hope to have the pleasure of visiting
you at Newcastle Sometime in the course
of this Summer.




[Page 3]


For Miss. Mary Pearith

Take three ounces of rose Water, half an ounce of Syrup obtained from Dried roses and half an ounce of Spiritus vitroli tenuis. Mix and label as Cooling Mixture. A spoonful to be taken on an ordinary wine, a glass of water or any of her other drinks, several times a day.


W.C.

30th May
1782. ---

Notes:

1: Francois Boissier de Suavages de Lacroix (1706-1767), a French physician and author of Nosologia Methodica (1763) (precise reference untraced).

Diplomatic Text

[Page 1]

Miss M. Pearith.

Dear Sir


I am favoured by Miss Hudson with
yours concerning Miss M. Pearith inclosing the note from
herself. I am heartly concerned for for her situation which
I think is very bad. I do consider the discharge ↑of blood↑ in this case
to be quite analogous to a hemorrhoidal discharge and Such a
case has been frequently observed by practical Writers. You may
find Several of them referred to in Sauvages Nosologia metho¬
dicia under the Title of Hæmoturia hæmorrhoidalis ↑Vol. II↑ pag. 303 1
However we may explain it i think it a very unfavorable Case
and I have found it so in two or three instances which I myself
have Seen of it. In these instances I do not remember its being
preceded as in this case by an abscess and as I think a Schirrosity
and the Hæmorrhagy ↑here↑ Supervening gives ↑me↑ a ↑Strong↑ Suspicion of Cancer,
and a very dismal prospect for Miss Pearith. How to relieve
her I am at loss to say but I must observe to you that we
can ↑no↑ longer insist on the Mercurial Course as it must rather
favour the bleeding and we can now have little hopes of



[Page 2]

healing by the Mercury our Supposed ulcer in the neck of the
bladder
. All I think that can be done is to palliate matters
as well as we can. Let her use some mucilaginous drinks
as Marshmallow decoction, Lintseed tea or Arabic Emulsion and
these by turns. If the discharge of blood continue to return let
her have the acid Mixture prescribed on t'other page and some¬
times five grains of Nitre several times a day. I fancy you
must at last have recourse to Opiates taking care at the same
time that they do not bind the belly and thereby increase the
hemorrhoidal affections. For this last purpose you will find
the flores Sulphuris or the Oleum ricini the most usefull
medicines. Wishing most heartily for your Success and Miss Peariths
relief I am with Sincere regard


Dear Sir
your most obedient servant

William Cullen

Edin.r 30th May
1782.


I hope to have the pleasure of visiting
you at Newcastle Sometime in the course
of this Summer.




[Page 3]


For Miss. Mary Pearith


Aq. rosar. ℥iij
Syr. e ros. Sicc.
Spir. vitriol. ten. @ ℥fs
ℳ. Sig. Cooling Mixture a tea Spoonfull to be
taken on an ordinary wine glassfull of Water or
any of her other drinks Several times a day


W.C.

30th May
1782. ---

Notes:

1: Francois Boissier de Suavages de Lacroix (1706-1767), a French physician and author of Nosologia Methodica (1763) (precise reference untraced).

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