Cullen

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

 

[ID:5788] From: Dr William Cullen (Professor Cullen) / To: Mr James Bone / Regarding: Mr D. Fergusson (Patient) / 28 February 1789 / (Outgoing)

Reply, 'Mr Ferguson'.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 5788
RCPE Catalogue Number CUL/1/1/21/60
Main Language English
Document Direction Outgoing
Date28 February 1789
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Ferguson'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2297]
Case of Mr D. Ferguson who is afflicted with a cough.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:5527]AddresseeMr James Bone
[PERS ID:5526]PatientMr D. Fergusson
[PERS ID:5528]Patient's Physician / Surgeon / ApothecaryMr Charles
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1586]Patient's Physician / Surgeon / ApothecaryDr John Campbell (of Wellwood)

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 Ayr (Air) Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]

Mr. Ferguson

Sir


I have the favour of yours concerning
Mr. Ferguson, and am sorry to find that his
ailments depend upon a general constitution
shich it will be difficult to change. He has
got into a Plethoric state producing various
disorders, but while we could do little by
the only effectual means of Evacuation and
exercise, nature is endeavouring to relieve
him by throwing out the blood that appears
in his stools
, and which I would by no means
have restrained, and the use of the Rhubarb
should be continued, as occasion may seem
to require, for as it does not increase the
bleeding, so it may be useful in obviating
costiveness, or the long stagnation of the blood
for I consider the disease as a Melæna or
Morbus niger, and that the source of it



[Page 2]

may be pretty high in the intestines, and therefor[e]
by its stagnation to produce the fœtor you
speak of. Upon the supposition of the
discharge being salutary I would by no means
employ the Kino or any other astringent.
The Elixir vitrioli I consider as of little
power, and therefore pretty safe, but I have
some scruples about the use of the Elixir
Paregoricum
, but I would not forbid it
altogether while it is useful in giving him
better nights, but I would wish to have the
use of it as moderate as possible, and certainly
never so much as to bind his belly.


For his cough and the defluxion on
his
breast I would employ again a blister
on his
breast or back, and I know nothing
that is more likely to be of service in
such a plethoric habit than a large Pea
issue put in behind his
shoulder.




[Page 3]


His regimen may be of consequence but
I must leave the management of it to Dr.
Campbell and the other Gentlemen upon the
spot, and when I can be of any further service
you may depend upon my punctual attention
to any reports you shall be pleased to make


With my best compliments to
Dr. Campbell and Mr. Charles


I am
with great regard
sir
your most obedient servant

William Cullen

Edinburgh 28th. February
1789 -

Diplomatic Text

[Page 1]

Mr. Ferguson

Sir


I have the favour of yours concerning
Mr. Ferguson, and am sorry to find that his
ailments depend upon a general constitution
shich it will be difficult to change. He has
got into a Plethoric state producing various
disorders, but while we could do little by
the only effectual means of Evacuation and
exercise, nature is endeavouring to relieve
him by throwing out the blood that appears
in his stools
, and which I would by no means
have restrained, and the use of the Rhubarb
should be continued, as occasion may seem
to require, for as it does not increase the
bleeding, so it may be useful in obviating
costiveness, or the long stagnation of the blood
for I consider the disease as a Melæna or
Morbus niger, and that the source of it



[Page 2]

may be pretty high in the intestines, and therefor[e]
by its stagnation to produce the fœtor you
speak of. Upon the supposition of the
discharge being salutary I would by no means
employ the Kino or any other astringent.
The Elixir vitrioli I consider as of little
power, and therefore pretty safe, but I have
some scruples about the use of the Elixir
Paregoricum
, but I would not forbid it
altogether while it is useful in giving him
better nights, but I would wish to have the
use of it as moderate as possible, and certainly
never so much as to bind his belly.


For his cough and the defluxion on
his
breast I would employ again a blister
on his
breast or back, and I know nothing
that is more likely to be of service in
such a plethoric habit than a large Pea
issue put in behind his
shoulder.




[Page 3]


His regimen may be of consequence but
I must leave the management of it to Dr.
Campbell and the other Gentlemen upon the
spot, and when I can be of any further service
you may depend upon my punctual attention
to any reports you shall be pleased to make


With my best compliments to
Dr. Campbell and Mr. Charles


I am
with great regard
sir
your most obedient servant

William Cullen

Edinr. 28th. Feby.
1789 -

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