Cullen

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

 

[ID:968] From: Dr William Cullen (Professor Cullen) / To: Dr John Gilchrist (of Speddoch) / Regarding: Dr Thomas Mutter (Reverend) (Patient) / 31 May 1780 / (Outgoing)

Reply 'To Dr Gilchrist C[oncerning] Dr Mutter'. Cullen advises 'no wonder you are disappointed in treating such cases [of palsy] as it depends so much upon the time of life etc..'.

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[Page 1]


 
 

Metadata

FieldData
DOC ID 968
RCPE Catalogue Number CUL/1/1/13/23
Main Language English
Document Direction Outgoing
Date31 May 1780
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'To Dr Gilchrist C[oncerning] Dr Mutter'. Cullen advises 'no wonder you are disappointed in treating such cases [of palsy] as it depends so much upon the time of life etc..'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:9]
Case of Dr Thomas Mutter who has suffered 'a palsy' (stroke).
14


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:115]AddresseeDr John Gilchrist (of Speddoch)
[PERS ID:472]PatientDr Thomas Mutter (Reverend)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:115]Patient's Physician / Surgeon / ApothecaryDr John Gilchrist (of Speddoch)

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 Dumfries Borders Scotland Europe inferred

Normalized Text

[Page 1]
To Dr Gilchrist Concerning Mr Mutter vid. p. 14. [Ve.?]


No wonder that you have been disappointed in treating such Cases
as it depends so much on the time of life &c &c. -- but I hope
Dr Mutters symptoms are moderate &c. & may at least admit of some
relief -- I have doubts as well as you about general bleedings-
but I am clear that topical are proper & safe -- You may apply
the Leeches to either Temple but rather the left. --- What ever may
be the state of Collapse I think there is always some degree of
Congestion & therefore I would not be hindered by the slowness of
the Pulse
from repeating the topical bleeding when the pulse is
tolerably full
& especially if there is any suffusion of the Face or Eyes.


Your Blister upon the nape of the neck was certainly proper -
& in due time I would repeat it on the Crown of the Head - Your salt
of Hartshorn
may be usefull, but I am not fond of internal
Stimulants while the Disease is yet recent & as the notion of some
Congestion prevails strong with me. Among the internal Stimulants
I would not include Wine or Animal Broths both which may
be necessary & safe from former habits - External Stimulants
in every shape very proper. -- Tho he has been liable to Diarrhœa
you are to expect that in the present circumstances the intestines
will become if not Paralytic at least very torpid & as the Eva¬
cuation by stool is very necessary and may be of service I think
you may even use a little freedom in moving his Belly.

May 31. 1780.

Diplomatic Text

[Page 1]
To Dr Gilchrist C. Mr Mutter vid. p. 14. [Ve.?]


No wonder that you have been disappointed in treating such Cases
as it depends so much on the time of life &c &c. -- but I hope
Dr Mutters symptoms are moderate &c. & may at least admit of some
relief -- I have doubts as well as you about general bleedings-
but I am clear that topical are proper & safe -- You may apply
the Leeches to either Temple but rather the left. --- What ever may
be the state of Collapse I think there is always some degree of
Congestion & therefore I would not be hindered by the slowness of
the Pulse
from repeating the topical bleeding when the pulse is
tolerably full
& especially if there is any suffusion of the Face or Eyes.


Your Blister upon the nape of the neck was certainly proper -
& in due time I would repeat it on the Crown of the Head - Your salt
of Hartshorn
may be usefull, but I am not fond of internal
Stimulants while the Disease is yet recent & as the notion of some
Congestion prevails strong with me. Among the internal Stimulants
I would not include Wine or Animal Broths both which may
be necessary & safe from former habits - External Stimulants
in every shape very proper. -- Tho he has been liable to Diarrhœa
you are to expect that in the present circumstances the intestines
will become if not Paralytic at least very torpid & as the Eva¬
cuation by stool is very necessary and may be of service I think
you may even use a little freedom in moving his Belly.

May 31. 1780.

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