Cullen

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

 

[ID:1524] From: Mr Brown / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Brown (Patient) / 25 June 1778 / (Incoming)

Letter from Mr Brown, a ship's surgeon, in Haddington, regarding his own case of fever, followed by paralytic spasms which he has to dictate on account of poor eyesight.

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[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 1524
RCPE Catalogue Number CUL/1/2/617
Main Language English
Document Direction Incoming
Date25 June 1778
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 Mr Brown, a ship's surgeon, in Haddington, regarding his own case of fever, followed by paralytic spasms which he has to dictate on account of poor eyesight.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1020]
Case of Mr Brown, a ship's surgeon, who came down with a delerious fever while at sea, was then hospitalised and now suffers from paralytic spasms.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:2359]AuthorMr Brown
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2359]PatientMr Brown
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2408]Other Physician / SurgeonDr Far

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Haddington Edinburgh and East Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred
Mentioned / Other London London and South-East England Europe certain

Normalized Text

[Page 1]
Sir


I should have wrote you before this time but my
being greatly indisposed prevented me. When I had the pleasure of seeing you I acquainted
you that my complaints began in the month of november, arising from a Visceral obstruction
in the lower belly, occasioned by my feet being continually wet when I went to see the people
(there being at that time a very hard Gale of wind and the Ship taking in water) I was seized
with a voilent shivering, a great distention of the Belly, sickness at the stomach, a full and frequent
pulse
attended with great thirst, I immediately took from myself 16/ounces of blood, in an hour
after cleaned my stomach with 6 grains of Ipecacuanha The feverish symptoms still continuing to increase
in about 4 hours after the first bleeding, I took 16 ounces more, drank plentifully of Barley Water
and nitre with a little manna in every second drink, But first received three injections in an
hour, pretty strong, thay all remained, I then turned quite delirious and my mate took another bit
of blood
from me; a profuse sweating came on the third day of the Delirium with a large
and fetid passage by stool. He then gave me manna and soluble tartar, The Delirium abated and
I continued on the above evacuants till I recovered so well not to take 2 ounces of the Bark with
Elixr Vitriol. We then came in from our Cruize but was obliged in three days to go to sea again
I was obliged to go a shore to the Hospital to survey some men and it being a bold rainy day
got myself a good deal wet, and while I was talking with Doctor Far the Physician, was on
a sudden seized with a numbness in my left hand and upper lip and my tongue denyed me
utterances. In this state I remained an hour and a quarter, The Doctor ordered me a strong [nervine?]
mixture, and to take a spoonful of mustard seed three times a day. I followed his advice
and found good effect from it, having the spasms but seldom, every second or third



[Page 2]

day, nor did they continue quite so long as at first, never exceeding an hour Except when on my
journey to London and then I had them every day, which I attributed to the Cold and shaking
of the Carriage. -- On my coming to London, I gave over the Mustard and was desired to substitute
in its place, Pill Gum amminiacum, and storax, 10 grains of each a day --


The spasms are now less frequent But the symptoms at present are a continual rolling of my tongue
which is white and Chopt, want of sleep, a full and frequent pulse (more than usualy. at times a slight
degree of delirium, which I attribute to my want of rest I forgot to mention that from the time
I was seized with the spasms I have constantly taken a mixture of Tinctura fuliginis and volatile Valerian
my appetite is tolerably good, I have no uncommon thirst, my eyesight is greatly impaired and
after a spasm a continual running off of tears. On tuesday I had a slight spasm in both my
hands and upper lip -- Thus Sir, have I in as distinct a manner as any memory will
admit of given you an account of my illness, and of the manner I have been treated.
You will be so good as excuse any incorrectness, as my eyesight will not serve me
to write myself am obliged to dictate to another
. Your taking my case into con¬
sideration as soon as possible will greatly oblige


Sir
your most obedient humble servant
{illeg} Brown

Haddington
June the 25th 1778



[Page 3]


Doctor Cullen


Mr Browns
Case
June 28 1778
9 p. 2d

Diplomatic Text

[Page 1]
Sir


I should have wrote you before this time but my
being greatly indisposed prevented me. When I had the pleasure of seeing you I acquainted
you that my complaints began in the month of november, arising from a Visceral obstruction
in the lower belly, occasioned by my feet being continually wet when I went to see the people
(there being at that time a very hard Gale of wind and the Ship taking in water) I was seized
with a voilent shivering, a great distention of the Belly, sickness at the stomach, a full and frequent
pulse
attended with great thirst, I immediately took from myself 16/ounces of blood, in an hour
after cleaned my stomach with 6 grains of Ipeca: The feverish symptoms still continuing to increase
in about 4 hours after the first bleeding, I took 16 ounces more, drank plentifully of Barley Water
and nitre with a little manna in every second drink, But first received three injections in an
hour, pretty strong, thay all remained, I then turned quite delirious and my mate took another bit
of blood
from me; a profuse sweating came on the third day of the Delirium with a large
and fetid passage by stool. He then gave me manna and soluble tartar, The Delirium abated and
I continued on the above evacuants till I recovered so well not to take 2 ounces of the Bark with
Elixr Vitriol. We then came in from our Cruize but was obliged in three days to go to sea again
I was obliged to go a shore to the Hospital to survey some men and it being a bold rainy day
got myself a good deal wet, and while I was talking with Doctor Far the Physician, was on
a sudden seized with a numbness in my left hand and upper lip and my tongue denyed me
utterances. In this state I remained an hour and a quarter, The Doctor ordered me a strong [nervine?]
mixture, and to take a spoonful of mustard seed three times a day. I followed his advice
and found good effect from it, having the spasms but seldom, every second or third



[Page 2]

day, nor did they continue quite so long as at first, never exceeding an hour Except when on my
journey to London and then I had them every day, which I attributed to the Cold and shaking
of the Carriage. -- On my coming to London, I gave over the Mustard and was desired to substitute
in its place, Pill Gum amminiacum, and storax, 10 grains of each a day --


The spasms are now less frequent But the symptoms at present are a continual rolling of my tongue
which is white and Chopt, want of sleep, a full and frequent pulse (more than usualy. at times a slight
degree of delirium, which I attribute to my want of rest I forgot to mention that from the time
I was seized with the spasms I have constantly taken a mixture of Tinct: Cast and volat: Valeriana
my appetite is tolerably good, I have no uncommon thirst, my eyesight is greatly impaired and
after a spasm a continual running off of tears. On tuesday I had a slight spasm in both my
hands and upper lip -- Thus Sir, have I in as distinct a manner as any memory will
admit of given you an account of my illness, and of the manner I have been treated.
You will be so good as excuse any incorrectness, as my eyesight will not serve me
to write myself am obliged to dictate to another
. Your taking my case into con¬
sideration as soon as possible will greatly oblige


Sir
your most obedient humble servant
{illeg} Brown

Haddington
June the 25th 1778



[Page 3]


Doctor Cullen


Mr Browns
Case
June 28 1778
9 p. 2d

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