Cullen

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

 

[ID:2023] From: Mr R Cowan / To: Dr William Cullen (Professor Cullen) / Regarding: Alexander Cowan (Patient) / 30 June 1781 / (Incoming)

Letter from Mr Cowan, concerning the case of his 15-year-old son Alexander, 'distressed with a Breathlessness'.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 2023
RCPE Catalogue Number CUL/1/2/1100
Main Language English
Document Direction Incoming
Date30 June 1781
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 Cowan, concerning the case of his 15-year-old son Alexander, 'distressed with a Breathlessness'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1331]
Case of Alexander Cowan who has asthma.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:126]AuthorMr R Cowan
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:127]Patient Alexander Cowan
[PERS ID:2153]Patient's Physician / Surgeon / ApothecaryDr Walter Stirling
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:126]Patient's Relative / Spouse / FriendMr R Cowan

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Therapeutic Recommendation Bo'ness (Borness / Borrowstouneness) Mid Scotland Scotland Europe certain
Mentioned / Other Carron Edinburgh and East Scotland Europe certain
Mentioned / Other Falkirk Mid Scotland Scotland Europe certain
Mentioned / Other Glasgow Glasgow and West Scotland Europe certain
Mentioned / Other Kirkcaldy Edinburgh and East Scotland Europe certain
Mentioned / Other London London and South-East England Europe certain
Mentioned / Other Stirling Mid Scotland Scotland Europe certain
Mentioned / Other Kerse Castle / Carse Castle Dumfries Borders Scotland Europe certain

Normalized Text

[Page 1]
Sir


My Son Alexander aged 15 last May
has been for about two years past a good deal distressed
with a Breathlessness


When about 12 Months old he was seized with
that complaint in his head and face, I think they call an
Erysipilas - He was then very lusty, and it was thought
proper to bleed him frequently - He also took a great
deal of physic, and his ordinary drink was Cream of
Tartar whey
- The Disorder still continuing Dr Stirling
of Stirling was called who advised to discontinue the
bleedings, as also the purging medecines, and ordered
him frequent infusions of bark - This disorder grew
gradually better tho th he was three or four years
old before it was entirely removed, During the time
mentioned he had not the smallest Symptom of his
present complaint, So far as can be recollected he
did not complain of it till after he had the Chin cough



[Page 2]

at which time he was after 8 years old. - After this period
and for several years a difficulty in breathing appeared
but at no time but when he had evidently catched a Cold
and after continuing pretty ill for a day or two at most
it went off with a slight cough, at these times he
used to complain much of a pain and weariness in his
Legs, and at times they appeared swelled a little
- When his Cold began to grow better there was
commonly a Spot or two (such as he used formerly to be
troubled with) upon his feet


For about twelve months past or more he has
had frequent returns of this breathlessness, and without any
appearance of his having catched cold, and particularly
this Summer - When upon him he rather Sleeps sitting
than lying in bed - He sleeps in a {illeg} room of my
house in the Country down in the Kerse about a
mile below Falkirk - Many nights of late he has
been forced to rise in much distress - generally after
being about an hour or two up, the violence of his
trouble goes off, when he returns to bed or Sleeps till
morning in an easy chair - He was within these
few months four or five weeks with his friends in
Bo:ness sent on purpose for a change of air and to
be diverted, and during that time he had no
Complaint - He has also been at Glasgow twice



[Page 3]

The first time 8 or nine days, the other 12 or 14 days &
no complaint. He was very ill last Wednesday morning
- I left home with him in the afternoon. That night
we lay at Bo:ness, and the two following we were with
a friend in Kirkaldy, all the three nights he has
Sleeped well, and he continues well as you see him - At
home his Stomach is but puny, he is afraid to eat has he
thinks it hurts him - From home he eats Cheerfully - He
has some desire to follow the Sea as his line of life
- He speaks of a tryal voyage to London. He thinks
it might better his health, and if he finnd it so
this no doubt would have its weight to determine both
himself & me as to his future Conduct


Your opinion if it can be formed from the
imperfect account I have given is requested, and
if you please I will wish for it by a line directed
for me at Carronbank, near Falkirk, I am
respectfully Sir

your most obedient Servant

Edinburgh Saturday 30 June
1781



[Page 4]


Dr Cullen


Mr Cowan
June 1781
XIII. p 87

Diplomatic Text

[Page 1]
Sir


My Son Alexander aged 15 last May
has been for about two years past a good deal distressed
with a Breathlessness


When about 12 Months old he was seized with
that complaint in his head and face, I think they call an
Erysipilas - He was then very lusty, and it was thought
proper to bleed him frequently - He also took a great
deal of physic, and his ordinary drink was Cream of
Tartar whey
- The Disorder still continuing Dr Stirling
of Stirling was called who advised to discontinue the
bleedings, as also the purging medecines, and ordered
him frequent infusions of bark - This disorder grew
gradually better tho th he was three or four years
old before it was entirely removed, During the time
mentioned he had not the smallest Symptom of his
present complaint, So far as can be recollected he
did not complain of it till after he had the Chin cough



[Page 2]

at which time he was after 8 years old. - After this period
and for several years a difficulty in breathing appeared
but at no time but when he had evidently catched a Cold
and after continuing pretty ill for a day or two at most
it went off with a slight cough, at these times he
used to complain much of a pain and weariness in his
Legs, and at times they appeared swelled a little
- When his Cold began to grow better there was
commonly a Spot or two (such as he used formerly to be
troubled with) upon his feet


For about twelve months past or more he has
had frequent returns of this breathlessness, and without any
appearance of his having catched cold, and particularly
this Summer - When upon him he rather Sleeps sitting
than lying in bed - He sleeps in a {illeg} room of my
house in the Country down in the Kerse about a
mile below Falkirk - Many nights of late he has
been forced to rise in much distress - generally after
being about an hour or two up, the violence of his
trouble goes off, when he returns to bed or Sleeps till
morning in an easy chair - He was within these
few months four or five weeks with his friends in
Bo:ness sent on purpose for a change of air and to
be diverted, and during that time he had no
Complaint - He has also been at Glasgow twice



[Page 3]

The first time 8 or nine days, the oyr 12 or 14 days &
no complaint. He was very ill last Wednesday morng
- I left home with him in the afternoon. That night
we lay at Bo:ness, and the two following we were with
a friend in Kirkaldy, all the three nights he has
Sleeped well, and he continues well as you see him - At
home his Stomach is but puny, he is afraid to eat has he
thinks it hurts him - From home he eats Cheerfully - He
has some desire to follow the Sea as his line of life
- He speaks of a tryal voyage to London. He thinks
it might better his health, and if he finnd it so
this no doubt would have its weight to determine both
himself & me as to his future Conduct


Your opinion if it can be formed from the
imperfect account I have given is requested, and
if you please I will wish for it by a line directed
for me at Carronbank, near Falkirk, I am
respectfully Sir

your most obt. Servt

Edin Saturday 30 June
1781



[Page 4]


Dr Cullen


Mr Cowan
June 1781
XIII. p 87

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