Cullen

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

 

[ID:2670] From: Mr Angus MacDonnell (MacDonell, MacDonald) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Greig (Patient), Mr Robert MacKenzie (Bob; McKenzie) (Patient) / 26 July 1785 / (Incoming)

Letter from Angus Macdonell, concerning the cases of Mr Greig, who has a history of skin eruptions, mainly on his hands, and has been to see Cullen in Edinburgh. He also discusses the case of Master Bob MacKenzie, a boy who has problems with his legs and walking, and is in the care of his aunt, Miss Ord. He has recently fallen from his pony in Moffat.

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[Page 1]


 

[Page 2]


 

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[Page 4]


 
 

Metadata

FieldData
DOC ID 2670
RCPE Catalogue Number CUL/1/2/1712
Main Language English
Document Direction Incoming
Date26 July 1785
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 Angus Macdonell, concerning the cases of Mr Greig, who has a history of skin eruptions, mainly on his hands, and has been to see Cullen in Edinburgh. He also discusses the case of Master Bob MacKenzie, a boy who has problems with his legs and walking, and is in the care of his aunt, Miss Ord. He has recently fallen from his pony in Moffat.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1792]
Case of Robert 'Bob' McKenzie, a child with a swelling on his cheek and pains in the muscular parts of his thighs which impair his walking.
13
[Case ID:1849]
Case of Mr Greig who has an eruption on his hands which is in danger of spreading.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:4189]AuthorMr Angus MacDonnell (MacDonell, MacDonald)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:4380]PatientMr Greig
[PERS ID:4383]PatientMr Robert MacKenzie (Bob; McKenzie)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:4189]Patient's Physician / Surgeon / ApothecaryMr Angus MacDonnell (MacDonell, MacDonald)
[PERS ID:4384]Patient's Relative / Spouse / FriendMiss N. Ord
[PERS ID:4385]OtherMr Joseph Bell

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Moffat Borders Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Moffat 26th. July. ––
Dear Sir


I was favored with your obliging letter from my
friend Mr. Greig; by being called from home the morning he
set out from Edinburgh was the reason of my not writing you with him
as was intended. Mr Greig is a worthy man, and has for
many years past been much distressed with an Eruption on
his hands, similar to what you have now prescribed for.


Tho I have for some time past attended Mr. Greigs family
he never till lately, advised with me seriously about himself.


My answer was, To take your opinion, and as he meant to
visit his friends in Edinburgh, to delay it till then, when you woud
be better able of judge of his case, by being present. –– He had
some years ago consulted a Physician, who recommended a course
of Antiscorbutic, and Diaphoretic medicines, which I find
consisted of Sarsaparilla. & the Antimonial wine –– In that
course he persisted for some time but without effect.


Tho the eruption has chiefly appeard, and distressed
him in summer, it has often continued thro' the winter; Till
this summer it never spred farther than his hands, and
used to appear at first in pustles, spreading in the form you
saw it. Upon his showing me the dry appearance upon
the Axillæ, and on his arms, and the boills appearing
around
his neck, with swelled glands, I began to suspect



[Page 2]

something more than a cutaneous disease, and till he should
see you, gave him every night a dose of Antimony with
Magnesia as an alterative, and antimonial wine to en¬
crease and promote perspiration
.


Mr Greigs chearful disposition makes him sometimes
exceed when with his friends, and he is sensible that all
kinds of spiritous Liquors hurt his complaint. Tho I
think the present eruption not altogather a cutaneous disease
I have found from Experience, that by allowing an eruption
to continue for a few years upon
the hands, or on any other
part, it often degenerates into an appearance of something
worse, at the same time that it has been safely carried
off by outward application, after the Patient had been
torturd with medicines. ––


Your present advice for Mr. Greig seems to be per¬
fectly proper: He enjoys good health, and finds his hands
growing better. He takes the Diaphoretic mixture, and
his salts as prescribed, and I expect will persevere in
the warm Bath as he has begun. The doses prescribed
answer your intention, and the ointment is certainly taking
effect. –– You shall be informed from time to time of
its success, and every hint from you shall be gratefully



[Page 3]

accepted.


As Mr Joseph Bell in passing thro this place called
upon me, I carried him to see your young friend Mr Mc.¬
Kenzie, and as he saw, and examined all his complaints
he woud inform you particularly about him. –– Mr Bell
promised to inform you that in consequence of his being here, I
wou'd not trouble you with a letter sooner than this week.


Mr Bob was going on extremely well till one unlucky
day last week, that his Ponie started a little and he fell
–– Tho not hurt, from his extreme weakness and irritability
it has certainly affected his spirits very much. For two
days, he had a return of the pains in the fleshy parts of his
Thighs
; but these have disappeared again, and yesterday
and this day he is free of pain, and sleeps well –– His
chieff ailment is his walking
– In that he makes a poor
appearance, and I begin to fear his shape, in consequence
of his bending so much forward, may suffer, tho there is yet
no visible appearance in any of the vertebrae of the Back.


Every thing is done that can be suggested to remedy it, and
he is at every pains himself to support himself erect –– The
fullness upon
the sternum is decreasing, and his complaints
upon
his cheek doing well. His appetite tolerable, and
his pulse decreasing. –– His chieff complaint is great



[Page 4]

stiffness in
his limbs, and Thighs, with an uncommon
degree of nervous irritability
, which is distressing to himself
and his amiable aunt. –– Bottles of warm water are
now applied to
his feet at bedtime in place of the dry
Bath, and they answer. The few nights that he did
not sleep well
, I gave a spoonfull of Diacodion which
had the desird effect. –– With all his pains, and
weakness, it is surpring Mr Robert has never given the
least cough
, nor has he had any appearance of the slightest
cold
. –– Upon the whole, you will observe that tho your
friends complaints are rather mending in one way, yet his
general weakness continues considerable
; and as his pulse
continues to decrease
, certainly every thing nourishing, &
strengthening, that can be suggested, ought to be used.


He continues to drink his Bottle of mineral water
and digests it easily, eating a roll for breakfast


I sincerely wish something could be thought off to
rileive these sudden startings that he is seized with upon
attempting to rise or walk, and which seem to be spasms
in
the fleshy parts of his Thighs. –– The [oill?] is still applied
there. Miss Ord joins me in compliments to you, and I
am most respectfully Dear Sir

your obliged humble Servant
Angus Macdonell

Diplomatic Text

[Page 1]
Moffat 26th. July. ––
Dear Sir


I was favored with your obliging letter from my
friend Mr. Greig; by being called from home the morning he
set out from Edinr. was the reason of my not writing you with him
as was intended. Mr Greig is a worthy man, and has for
many years past been much distressed with an Eruption on
his hands, similar to what you have now prescribed for.


Tho I have for some time past attended Mr. Greigs family
he never till lately, advised with me seriously about himself.


My answer was, To take your opinion, and as he meant to
visit his friends in Edinr., to delay it till then, when you woud
be better able of judge of his case, by being present. –– He had
some years ago consulted a Physician, who recommended a course
of Antiscorbutic, and Diaphoretic medicines, which I find
consisted of Sarsaparilla. & the Antimonial wine –– In that
course he persisted for some time but without effect.


Tho the eruption has chiefly appeard, and distressed
him in summer, it has often continued thro' the winter; Till
this summer it never spred farther than his hands, and
used to appear at first in pustles, spreading in the form you
saw it. Upon his showing me the dry appearance upon
the Axillæ, and on his arms, and the boills appearing
around
his neck, with swelled glands, I began to suspect



[Page 2]

something more than a cutaneous disease, and till he should
see you, gave him every night a dose of Antimony with
Magnesia as an alterative, and antimonial wine to en¬
crease and promote perspiration
.


Mr Greigs chearful disposition makes him sometimes
exceed when with his friends, and he is sensible that all
kinds of spiritous Liquors hurt his complaint. Tho I
think the present eruption not altogather a cutaneous disease
I have found from Experience, that by allowing an eruption
to continue for a few years upon
the hands, or on any other
part, it often degenerates into an appearance of something
worse, at the same time that it has been safely carried
off by outward application, after the Patient had been
torturd with medicines. ––


Your present advice for Mr. Greig seems to be per¬
fectly proper: He enjoys good health, and finds his hands
growing better. He takes the Diaphoretic mixture, and
his salts as prescribed, and I expect will persevere in
the warm Bath as he has begun. The doses prescribed
answer your intention, and the ointment is certainly taking
effect. –– You shall be informed from time to time of
its success, and every hint from you shall be gratefully



[Page 3]

accepted.


As Mr Joseph Bell in passing thro this place called
upon me, I carried him to see your young friend Mr Mc.¬
Kenzie, and as he saw, and examined all his complaints
he woud inform you particularly about him. –– Mr Bell
promised to inform you that in consequence of his being here, I
wou'd not trouble you with a letter sooner than this week.


Mr Bob was going on extremely well till one unlucky
day last week, that his Ponie started a little and he fell
–– Tho not hurt, from his extreme weakness and irritability
it has certainly affected his spirits very much. For two
days, he had a return of the pains in the fleshy parts of his
Thighs
; but these have disappeared again, and yesterday
and this day he is free of pain, and sleeps well –– His
chieff ailment is his walking
– In that he makes a poor
appearance, and I begin to fear his shape, in consequence
of his bending so much forward, may suffer, tho there is yet
no visible appearance in any of the vertebrae of the Back.


Every thing is done that can be suggested to remedy it, and
he is at every pains himself to support himself erect –– The
fullness upon
the sternum is decreasing, and his complaints
upon
his cheek doing well. His appetite tolerable, and
his pulse decreasing. –– His chieff complaint is great



[Page 4]

stiffness in
his limbs, and Thighs, with an uncommon
degree of nervous irritability
, which is distressing to himself
and his amiable aunt. –– Bottles of warm water are
now applied to
his feet at bedtime in place of the dry
Bath, and they answer. The few nights that he did
not sleep well
, I gave a spoonfull of Diacodion which
had the desird effect. –– With all his pains, and
weakness, it is surpring Mr Robert has never given the
least cough
, nor has he had any appearance of the slightest
cold
. –– Upon the whole, you will observe that tho your
friends complaints are rather mending in one way, yet his
general weakness continues considerable
; and as his pulse
continues to decrease
, certainly every thing nourishing, &
strengthening, that can be suggested, ought to be used.


He continues to drink his Bottle of mineral water
and digests it easily, eating a roll for breakfast


I sincerely wish something could be thought off to
rileive these sudden startings that he is seized with upon
attempting to rise or walk, and which seem to be spasms
in
the fleshy parts of his Thighs. –– The [oill?] is still applied
there. Miss Ord joins me in compliments to you, and I
am most respectfully Dear Sir

your obliged humble Servt.
Angus Macdonell

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