Cullen

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

 

[ID:366] From: Dr William Cullen (Professor Cullen) / To: Dr Archibald Bathie / Regarding: Captain David Skene (Patient) / 4 December 1775 / (Outgoing)

Reply in note form regarding the continued treatment of Captain Skene who has a feverish chest complaint (Vol.6, p. 89). Symptoms to some extent match those of a Captain Skene being reported by Barthie as mentioned in other letters, but the connection is not proven.

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Metadata

FieldData
DOC ID 366
RCPE Catalogue Number CUL/1/1/6/65
Main Language English
Document Direction Outgoing
Date4 December 1775
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply in note form regarding the continued treatment of Captain Skene who has a feverish chest complaint (Vol.6, p. 89). Symptoms to some extent match those of a Captain Skene being reported by Barthie as mentioned in other letters, but the connection is not proven.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:599]
Case of Captain Skene who suffers from 'langour and oppression'.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1362]AddresseeDr Archibald Bathie
[PERS ID:1190]PatientCaptain David Skene
[PERS ID:1362]Patient's Physician / Surgeon / ApothecaryDr Archibald Bathie
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Auchtermuchty Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]
Captain Skene


Judged well in being sparing at the first bleeding - but from the
appearance of the blood & other circumstances you was right in taking
more. - As I think the case purely inflammatory of the fever ↑Symptoms↑ have increas'd
or are continuing. I hope you have taken some more blood before now.
Blister well judged -- If any pain or difficulty of breathing ↑lying on either side remains
I would still apply another blister to the side affected. Mercury to be
discontinued - & every cooling & Demulcent remedy [needs?] to be used.
Moderate doses of Nitre may be used & to throws in as much
oily & Mucilaginous medicines as his stomach easily bears. I am of opini¬
on that none of the acrid Pectorals such as Squills Ammoniac can
be safe. - But if the fever subside & any difficult Expectoration remain
you may try the Squills with discretion - Keeping the Belly open by
cooling laxative an excellent Antiphlogistic Remedy. -- Pediluvium
proper, may be repeated.

Edinburgh 4. December ---------------------------------------

Diplomatic Text

[Page 1]
Captn. Skene


Judged well in being sparing at the first bleeding - but from the
appearance of the bl.d & other circumstances you was right in taking
more. - As I think the case purely inflammatory of the fever ↑Symp.s↑ have increas'd
or are contg. I hope you have taken some more blood before now.
Blister well judged -- If any pain or difficulty of breathing ↑lying on either side remains
I would still apply another blister to the side affected. Mery. to be
discontinued - & every cooling & Demulcent remedy [needs?] to be used.
Moderate doses of Nitre may be used & to throws in as much
oily & Mucilaginous meds as his stomach easily bears. I am of opini¬
on that none of the acrid Pectorals such as Squills Ammoniac can
be safe. - But if the fever subside & any difficult Expect.n remain
you may try the Squills with discretion - Keeping the B. open by
cooling laxative an excellent Antiphlogistic Remedy. -- Pediluvium
proper, may be repeated.

Edinr. 4. Decr. ---------------------------------------

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