Cullen

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

 

[ID:1285] From: Dr John Gilchrist (of Speddoch) / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Blackstock (Patient), Miss Euphemia? Murray (of Broughton) (Patient) / 10 June 1776 / (Incoming)

Letter from John Gilchrist concerning the case of Mrs Blackstock.

Facsimile

There are 4 images for this document.

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[Page 2]


 

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Metadata

FieldData
DOC ID 1285
RCPE Catalogue Number CUL/1/2/382
Main Language English
Document Direction Incoming
Date10 June 1776
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from John Gilchrist concerning the case of Mrs Blackstock.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:174]
Case of Mrs Blackstock who has various symptoms including painful legs and 'glandular' eruptions for which she has been given mercury. She is diagnosed as having 'dropsy' on the brain.
4
[Case ID:436]
Case of the teenage Miss Murray of Broughton who has a log-standing pulmonary complaint and eventually starts to spit blood.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:115]AuthorDr John Gilchrist (of Speddoch)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:631]PatientMiss Euphemia? Murray (of Broughton)
[PERS ID:612]PatientMrs Blackstock
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:115]Patient's Physician / Surgeon / ApothecaryDr John Gilchrist (of Speddoch)
[PERS ID:632]Patient's Relative / Spouse / FriendMr James Murray (of Broughton)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Dumfries Borders Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other South of France France Europe certain
Mentioned / Other New York New York USA North America certain

Normalized Text

[Page 1]
Dumfries June 10 1776
Dear Sir


By a person who I find is just now setting
off for Edinburgh I write you two or three lines concern¬
ing Mrs Blackstock, though very little can as yet
be added to what I formerly writ. – But first I must
beg your excuse for the apology in my last which
you very justly take notice of. I am fully sensible
that although my own crude notions and limited ex¬
perience may frequently not be sufficient to help me
forward, yet that this would be a very absurd rea¬
son for giving up all expectations of receiving be¬
nefit from you. I am equally sensible of the impropri¬
ety of deserting any case however bad, having already
experienced that very unpromising cases have some¬
times taken favourable turns; and even when no
benefit is expected from us, yet that attention satis¬
fies. Accept my thanks, thanks therefore, for bringing
to my mind, with their proper force, these useful con¬
siderations.


I am very happy that you approve of what has been
already done for Mrs B. – As soon as your letter



[Page 2]

arrived, we returned to the regenerated Tartar, by itself,
of which, for about ten days, she took from two to three
drams daily, dissolved in the common Emulsion. This
was the largest quantity that her stomach would bear,
but it has done her no good, for the swelling still
went on increasing every where, till it soon became
much more considerable than it was when I writ
you, the whole of the legs & thighs growing to a
great degree œdematous, & the abdomen likewise still
enlarging. – In this situation Mrs B. desired to use
the application which is sometimes used with advantage
namely poultices of masked Cabbage leaves, which
she has accordingly been applying to her legs for a
week past, and which really soon accasioned a con¬
siderable discharge, and sensibly reduced the tumor
of the legs. – As soon as the regenerated Tartar ap¬
peared to be failing as I began with the Colchicum,
which she has now used for five or six days, but
I cannot say that it is producing any sensible effect
as a diuretic tho' it appears to be moving her belly
somewhat, which indeed is no wonder, for his sto¬


[Page 3]

mach
and bowels are now in such a delicate si¬
tuation that for several days past she has been
affected with much [sickness?] frequent & severe retch¬
ings
, and, at times ↑with↑ acute colic pains, attended with
much sickness, and great thirst, though, during her
intervals of ease, she still retains her appetite.


I will not say that she is worse however
since I writ, but you will easily see that
she is no better. I am now thinking to
begin the Mezereon, if I can, and will not
fail [to?] inform you of its effects. Whatever
farther occurs to you, I will be happy to know.
This letter I write at a snatched opportunity which
makes it less full & less accurate I doubt than it should
be; but indeed there is no writing about our cases in
the manner in which I should be most happy to con¬
verse
with you if I was nearer you.


Since I writ you last Mr Murray of Broughton &
his family returned from the South of France, to which they
came from New York. Miss Murray appears to be in
perfect health.


I ever am Dear Sir
Yours most sincerely
John Gilchrist



[Page 3]


To
Doctor Cullen
Physician in
Edinburgh


Dr Gilchrist Q.
Mrs Blackstock
June 10th 1776
Vol. Vth p 46

Diplomatic Text

[Page 1]
Dumfries June 10 1776
Dear Sir


By a person who I find is just now setting
off for Edinr I write you two or three lines concern¬
ing Mrs Blackstock, though very little can as yet
be added to what I formerly writ. – But first I must
beg your excuse for the apology in my last which
you very justly take notice of. I am fully sensible
that although my own crude notions and limited ex¬
perience may frequently not be sufficient to help me
forward, yet that this would be a very absurd rea¬
son for giving up all expectations of receiving be¬
nefit from you. I am equally sensible of the impropri¬
ety of deserting any case however bad, having already
experienced that very unpromising cases have some¬
times taken favourable turns; and even when no
benefit is expected from us, yet that attention satis¬
fies. Accept my thanks, thanks therefore, for bringing
to my mind, with their proper force, these useful con¬
siderations.


I am very happy that you approve of what has been
already done for Mrs B. – As soon as your letter



[Page 2]

arrived, we returned to the regenerated Tartar, by itself,
of which, for about ten days, she took from two to three
drams daily, dissolved in the common Emulsion. This
was the largest quantity that her stomach would bear,
but it has done her no good, for the swelling still
went on increasing every where, till it soon became
much more considerable than it was when I writ
you, the whole of the legs & thighs growing to a
great degree œdematous, & the abdomen likewise still
enlarging. – In this situation Mrs B. desired to use
the application which is sometimes used with advantage
namely poultices of masked Cabbage leaves, which
she has accordingly been applying to her legs for a
week past, and which really soon accasioned a con¬
siderable discharge, and sensibly reduced the tumor
of the legs. – As soon as the regenerated Tartar ap¬
peared to be failing as I began with the Colchicum,
which she has now used for five or six days, but
I cannot say that it is producing any sensible effect
as a diuretic tho' it appears to be moving her belly
somewhat, which indeed is no wonder, for his sto¬


[Page 3]

mach
and bowels are now in such a delicate si¬
tuation that for several days past she has been
affected with much [sickness?] frequent & severe retch¬
ings
, and, at times ↑with↑ acute colic pains, attended with
much sickness, and great thirst, though, during her
intervals of ease, she still retains her appetite.


I will not say that she is worse however
since I writ, but you will easily see that
she is no better. I am now thinking to
begin the Mezereon, if I can, and will not
fail [to?] inform you of its effects. Whatever
farther occurs to you, I will be happy to know.
This letter I write at a snatched opportunity which
makes it less full & less accurate I doubt than it should
be; but indeed there is no writing about our cases in
the manner in which I should be most happy to con¬
verse
with you if I was nearer you.


Since I writ you last Mr Murray of Broughton &
his family returned from the South of France, to which they
came from New York. Miss Murray appears to be in
perfect health.


I ever am Dear Sir
Yours most sincerely
John Gilchrist



[Page 3]


To
Doctor Cullen
Physician in
Edinr


Dr Gilchrist Q.
Mrs Blackstock
June 10th 1776
Vol. Vth p 46

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