Monthly Archives: March 2012

‘Lectures Introductory to the Course of the Practice of Physic’

In Volume 1 of his The Works of William Cullen, John Thomson (et al.) prints some very interesting manuscript source material related to Cullen’s views on the history of medicine, the proper plan for studying it, and some general thoughts on the purpose and use of nosology (see pp. 364-464).

In the Preface to this volume, Thomson says this about the material in this section:

The Lectures introductory to the Course on the Practice of Physic, now published for the first time, have been printed from copies of them corrected in Dr. Cullen’s hand-writing. To these Lectures I have restored a portion of the History of Medicine, which Dr. Cullen had transferred to his preface to the First Lines (v-vi).

The latter statement is slightly puzzling at first, but all Thomson is indicating here is that he reprints a large chunk (where Cullen discusses the history of medicine) of Cullen’s preface to the 1784 edition of his First Lines in this section. But he does not leave this intact. Instead he splits it up into two parts: p. xi-xxxiv of the preface is printed on pp. 403-415 in the Works, while p. xxxiv to xlvi is printed on pp. 427-432. Incidentally the rest of the preface is also printed  in the Works, again split up, as the Preface to Cullen’s First Lines which begins on p. 467. More precisely, p. i-vi of the original preface is printed on pp. 467-469; at the end of the 2nd paragraph on p. 469, the preface continues but it now contains p. xlvi of the original preface. Thomson does not indicate this switch. And, in fact, Thomson does not indicate where he prints the original Preface in the ‘Lectures Introductory’ section, either. He is, instead, trying to create a seamless reading experience that makes sense of the source material.

What about the rest of the ‘Lectures Introductory’ section? Where does that come from? In a footnote (n. 48) in his chapter on ‘Philosophy and method in Cullen’s medical teaching’, Mike Barfoot says about this material: “It is not known precisely which copies Thomson drew upon. However, the final version in the Works, though based on lectures once spoken was probably written out by an amanuensis…” (130).

I am preparing — very slowly, as time is limited — a marked-up edition (an annotated PDF) of the Works (and the Life), in which I attempt to identify all of Thomson’s source material, i.e. everything he includes in ‘inverted commas’ as he calls them (quotation marks, in my idiolect).

And I have spent some time doing this for the ‘Lectures Introductory’ section already because it is the basis for a chapter I have been working on about Cullen’s understanding of the role of theory in medicine. And I have now, just about, identified all the source material.

So now we can identify precisely the manuscript material Thomson drew upon to create this section of the Works. It is something of a hodge-podge of a number of different sources stuck together, done in a way that Thomson thought made sense. I think the example I highlighted above gives some indication of this, with the caveat that, at least in that case, Thomson is working with printed source material. Everything becomes more complicated when handwritten source material is at issue.

A great deal of it, as Barfoot suspected, is written in the hand of a number of Cullen’s amanuenses over the years, but with Cullen’s handwritten corrections, as Thomson tells us (see above). In this sense, the material is more worked through and complete than Cullen’s lecture notes, if not quite on par with his published works. It provides a very reliable picture of what Cullen thought about these topics. And, in fact, a surprising amount of the material is even in Cullen’s hand, written in full.

It is very helpful to know the actual source material for this long, important section of the Works because it is clear that what Thomson has done here — and, indeed, in the Works as a whole, though perhaps this section is the most complex — is anything but a straightforward editing job and must be used with a good deal of caution.

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Clinical Lectures, published in 1797

In 1797 a volume entitled Clinical Lectures, Delivered in the Years 1765 and 1766, by William Cullen, M.D. Taken in Short-hand by a Gentleman who attended was published in London by Lee and Hurst. In Volume II of the Life of Cullen, Allen Thomson (the editor), in his list of the ‘Published Writings of Dr Cullen’ (pp. 687-690) has this to say about it (or he may have just been copying what John or William Thomson had written elsewhere):

Besides the works here enumerated, there were published at London, in the year 1797, seven years after the death of Dr Cullen, Clinical Lectures by Dr Cullen in 1765 and 1766. This volume, however, is one of questionable authenticity; and though it professes to give Clinical Lectures by Dr Cullen, it cannot justly be regarded as a production of his. It was merely a speculation of the bookseller; and, indeed, any book bearing the name of Cullen, for some years before his death, and after that event, would have been readily bought (690).

John Thomson claimed that the notes for Cullen’s clinical lectures for these years survive (see p. 107, Vol I, for his list), so it should be possible to compare the contents of the published volume to Cullen’s own lecture notes to verify just how accurate—or speculative—this publication actually is (I don’t have the catalogue numbers at hand for these notes, though they are almost certainly held at the RCPE).

Nonetheless, I’m confident the 1797 publication was not a fabrication. I think I have discovered the ‘author’ of the manuscript upon which this volume is based  - i.e. the person who transcribed the notes, and indeed, his transcription of those very notes. So I think the publication is authentic and not a mere ‘speculation of the bookseller’, although it may have been initiated by the bookseller. In any case, it is likely what it says it is. However, the accuracy of the notes is still an open question.

Addendum: I have discovered that John Thomson (et al.) quotes directly from the published Clinical Lectures discussed above, so its dismissal by Allen Thomson/David Craigie was not shared by John Thomson himself. If you compare the MS quotation from Thomson’s Life of Cullen, Vol 1, p. 342-343, you will see it is identical to the bottom half of p. 9 from the Clinical Lectures, published in 1797. Thomson also quotes directly and explicitly from the Clinical Lectures on p. 268 of Vol. 1, as well, without condemning them. And finally, the section on Headache found in his Works, Vol 2, pp. 537-559, comes directly from the published Clinical Lectures (1797).

So, this source warrants more attention than it has traditionally been given – at least, John Thomson thought so.

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Update to E-Cullen

I’ve just completed a major update to the E-Cullen page. It’s not yet comprehensive, but I’ve linked to quite a number of Cullen’s works and various editions of each. You can now read all of Thomson’s works on Cullen (the biography and edited collection of Cullen’s works), and at least one edition of each of Cullen’s published works.

Work continues…

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