Cullen

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

 

[ID:2284] From: Dr James Hamilton / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Alexander? Drysdale (Patient) / 15 July 1783 / (Incoming)

Letter from James Hamilton concerning the case of Mr Drysdale, who was accompanied to his visit to Cullen by his brother John, who is a doctor or surgeon. He coughs up purulent matter and blood, and his breath smells offensive. Hamilton intends to treat him with Cicuta and Mercury.

Facsimile

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Metadata

FieldData
DOC ID 2284
RCPE Catalogue Number CUL/1/2/1342
Main Language English
Document Direction Incoming
Date15 July 1783
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 James Hamilton concerning the case of Mr Drysdale, who was accompanied to his visit to Cullen by his brother John, who is a doctor or surgeon. He coughs up purulent matter and blood, and his breath smells offensive. Hamilton intends to treat him with Cicuta and Mercury.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:648]
Case of Mr Drysdale declining from a feverish chest complaint and 'a putrid ulcer in his chest'.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:812]AuthorDr James Hamilton
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3001]PatientMr Alexander? Drysdale
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:812]Patient's Physician / Surgeon / ApothecaryDr James Hamilton
[PERS ID:3003]Patient's Relative / Spouse / FriendMr John Drysdale (of Ruchlaw House, East Lothian)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Dunbar Borders Scotland Europe certain
Place of Writing Haddington Edinburgh and East Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Dear Sir


This accompanys a particular friend
of mine Mr Drysdale of this town, who has
been for some time in ↑a↑ declining way. His Brother
who goes with Him, is of our profession, and
will will tell you the beginning of his disease.
When I saw Him, He was much distressed had
repeated shiverings, a severe cough, stricture
across
his breast, difficulty in breathing &
his pulse contracted quick, & hard, with a
copious expectoration
of purulent matter, very
offensive
and frequently tinged with blood, &
repeatedly spitt blood in pretty large quantitys
.
he was directly put upon a vegetable and
milk diet, restricted from all heating liquors.
repeatedly blooded, his Blood ever sizy, and
took large doses of [Nitre?] with Rose Conserve
he has shifted the air different times, has ↑had↑ ass
milk goat whey &c, & yet the disease



[Page 2]

seems to increase. It will afford all his friends,
particularly his Brother & myself much
satisfaction at having your advice, we talked
together this day about his situation. I
proposed the following things, which Mr
John Drysdale approved, & which I beg
leave to lay before you –––– As He has
an ulcer in his breast, and of a very putrid
offensive nature, that He should take one
grain of the extract of Hemlock twice each day,
with which is mixed one sixth part of a
grain of mercury, to take also two table
spoonfuls of an infusion of the red Bark
four times a day, to have a seton put in
his side, to take a jaunt in a Carriage,
to continue the milk fruit & vegetable diet,
& to drink seltzer water. The reason why
I have mentioned the extract of Cicuta & Mercury
is, as it is the best method of healing an ulcer
when external, especially when the Bark is


[Page 3]

added, so I judge it the most likely way to heal
an internal sore, especially in the advanced
state, that my friend's complaints are in ––
but I shall be directed by you, & wishing
that the Almighty, who giveth unto Man
understanding, may direct you to order such
things as may prove effectual, and further
wishing you {illeg} his favour. I am

dear Sir your most obliged
& most obedient servant
James Hamilton
Dunbar
July 15th 1783


Hadinton 16 July. I have just seen my patient
at this place on his way to you. I am sorry
to find Him worse and the smell of his Breath
when
He coughs exceedingly offensive. His pulse
nearly one hundred

will not a sea voyage be useful

JH



[Page 4]


Doctor William Cullen
Physician
Edinburgh


Mr Drysdale
July 1783.
V. XV p. 146.

Diplomatic Text

[Page 1]
Dear Sir


This accompanys a particular friend
of mine Mr Drysdale of this town, who has
been for some time in ↑a↑ declining way. His Brother
who goes with Him, is of our profession, and
will will tell you the beginning of his disease.
When I saw Him, He was much distressed had
repeated shiverings, a severe cough, stricture
across
his breast, difficulty in breathing &
his pulse contracted quick, & hard, with a
copious expectoration
of purulent matter, very
offensive
and frequently tinged with blood, &
repeatedly spitt blood in pretty large quantitys
.
he was directly put upon a vegetable and
milk diet, restricted from all heating liquors.
repeatedly blooded, his Blood ever sizy, and
took large doses of [Nitre?] with Cons: Rosar.
he has shifted the air different times, has ↑had↑ ass
milk goat whey &c, & yet the disease



[Page 2]

seems to increase. It will afford all his friends,
particularly his Brother & myself much
satisfaction at having your advice, we talked
together this day about his situation. I
proposed the following things, which Mr
John Drysdale approved, & which I beg
leave to lay before you –––– As He has
an ulcer in his breast, and of a very putrid
offensive nature, that He should take one
grain of the extract of Hemlock twice each day,
with which is mixed one sixth part of a
grain of mercury, to take also two table
spoonfuls of an infusion of the red Bark
four times a day, to have a seton put in
his side, to take a jaunt in a Carriage,
to continue the milk fruit & vegetable diet,
& to drink seltzer water. The reason why
I have mentioned the extract Cicut & Mercury
is, as it is the best method of healing an ulcer
when external, especially when the Bark is


[Page 3]

added, so I judge it the most likely way to heal
an internal sore, especially in the advanced
state, that my friend's complaints are in ––
but I shall be directed by you, & wishing
that the Almighty, who giveth unto Man
understanding, may direct you to order such
things as may prove effectual, and further
wishing you {illeg} his favour. I am

dear Sir your most obliged
& most obedt. servt.
James Hamilton
Dunbar
July 15th 1783


Hadinton 16 July. I have just seen my patient
at this place on his way to you. I am sorry
to find Him worse and the smell of his Breath
when
He coughs exceedingly offensive. His pulse
nearly one hundred

will not a sea voyage be useful

JH



[Page 4]


Doctor William Cullen
Physician
Edinburgh


Mr Drysdale
July 1783.
V. XV p. 146.

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