Cullen

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

 

[ID:977] From: Dr William Cullen (Professor Cullen) / To: Mr Stephen Cleasby / Regarding: Mr Smith (of Barnard Castle) (Patient) / 11 June 1780 / (Outgoing)

Reply 'For Mr Smith - Barnard Castle', addressed to Samuel Cleasby; Cullen is 'glad to find your paralytic ailment a good deal relieved'.

Facsimile

There are 2 images for this document.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 977
RCPE Catalogue Number CUL/1/1/13/32
Main Language English
Document Direction Outgoing
Date11 June 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 'For Mr Smith - Barnard Castle', addressed to Samuel Cleasby; Cullen is 'glad to find your paralytic ailment a good deal relieved'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:951]
Case of Mr Smith, a surgeon at Barnard Castle, who has symptoms of palsy and dies of what might be kidney failure.
9


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:516]AddresseeMr Stephen Cleasby
[PERS ID:880]PatientMr Smith (of Barnard Castle)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:516]Patient's Physician / Surgeon / ApothecaryMr Stephen Cleasby

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 Barnard Castle North-East England Europe inferred

Normalized Text

[Page 1]
For Mr Smith - Barnard Castle


I am glad to find your paralytic ailment a good deal
relieved & I percieve that you have not had too much blee¬
ding
for you late complaints are much of an inflamma¬
tory
& rheumatic nature. And altho you have had some
feverish attacks yet as I am not informed of the state of
your pulse I cannot speak positively about more bleeding
& I must leave it to Gentlemen on the Spot to determine
from the fulness & hardness of your pulse how far farther
bleeding is necessary. If you have any return of swelling



[Page 2]

inflammation & pain in a particular joint I would
without regard to any suspicion of Gout advise some
Leeches to be applied to the part & if the pains on the
sound side shooting from the hip down to the foot should
continue to be frequent & severe I would either by Lee¬
ches
or cupping take the blood freely from the hip
joint. Your dose of Tinct. Theb. are very moderate &
if they are at all necessary they may be safely increased
but I am sorry to find them necessary to your rest, for
Opiates in my opinion are unfavourable either to Para¬
lytic
or rheumatic complaints & I would never have
them given but with some antinomial & Diaphoretic
either James's powder, antinomial wine or Tartar Emetic
The Mustard must be given up but you must keep
your belly regular, & for that try the following recipe
which I think well suited to both your rheumatic &
paralytic complaints.

Take two Drams of Guaiacum Gum and three Drachms of hard white Sugar and pound into a fine poweder; slowly and gradually add an ounce-and-a-half of the pure Gum Arabic mucilage. Pulverise these slowly as before until very fine then gradually add an ounce of Antinomial wine, an ounce of pure Cinnamon Water, and three Ounces of Peppermint water and ounce-and-a-half each of Compound Juniper Water and Syrup of Balsam. Mix. Label: Diaphoretic Mixture. a table spoonful every night at bedtime but if neither sicken the Stomach nor move his belly increase the dose to two or three spoonfuls.


If in this quantity it do not keep the belly regular
an aloetic or some other Laxative may be at the same
time employed. Exercise in a carriage & Diet of
milk & vegetables.

W. C.
Edinburgh June 11th. 1780.

Diplomatic Text

[Page 1]
For Mr Smith - Barnard Castle


I am glad to find your paralytic ailment a good deal
relieved & I percieve that you have not had too much blee¬
ding
for you late complaints are much of an inflamma¬
tory
& rheumatic nature. And altho you have had some
feverish attacks yet as I am not informed of the state of
your pulse I cannot speak positively about more bleeding
& I must leave it to Gentlemen on the Spot to determine
from the fulness & hardness of your pulse how far farther
bleeding is necessary. If you have any return of swelling



[Page 2]

inflammation & pain in a particular joint I would
without regard to any suspicion of Gout advise some
Leeches to be applied to the part & if the pains on the
sound side shooting from the hip down to the foot should
continue to be frequent & severe I would either by Lee¬
ches
or cupping take the blood freely from the hip
joint. Your dose of Tinct. Theb. are very moderate &
if they are at all necessary they may be safely increased
but I am sorry to find them necessary to your rest, for
Opiates in my opinion are unfavourable either to Para¬
lytic
or rheumatic complaints & I would never have
them given but with some antinomial & Diaphoretic
either James's powder, antinomial wine or Tart. Em.
The Mustard must be given up but you must keep
your belly regular, & for that try the following ℞
wc I think well suited to both your rheumatic &
paralytic complaints.


Gumm. guaic. ʒij Sacch. alb. duriss. ʒiij Terito
simul in pulverem tenuem, et adde Mucil. g. Arab. craſs.
℥ifs Lento iterum diligenter et paulatim adde Vin.
antimon.
℥i Aq. cinnam. simpl. ℥ij --- menthe piper.
℥iij Aq. junip. comp. Syr. balsam> @℥fs ℳ. Signa
Diaphoretic ℳ. a table spoonful every night at bed
time but if neither sicken his stomach nor move
his belly increase the dose to two or three spoonfuls.


If in this quantity it do not keep the belly regular
an aloetic or some other Laxative may be at the same
time employed. Exercise in a carriage & Diet of
milk & vegetables.

W. C.
Edbr. June 11th. 1780.

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