The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4830] From: Dr William Cullen (Professor Cullen) / To: Dr John Alves / Regarding: Mrs Jane Fraser (of Relick) (Patient) / 12 May 1784 / (Outgoing)
Reply, for 'Mrs Fraser'. Addressed to Dr John Alves concerning the case of Mrs Fraser, whose symptoms include hardness and pain in the breast. Cullen diagnoses her symptoms as a milk obstruction and recommends the application of camphorated oil over the present application of sugar of lead.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
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Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
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Metadata
| Field | Data |
|---|---|
| DOC ID | 4830 |
| RCPE Catalogue Number | CUL/1/1/17/26 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 12 May 1784 |
| Annotation | None |
| Type | Machine scribal copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, for 'Mrs Fraser'. Addressed to Dr John Alves concerning the case of Mrs Fraser, whose symptoms include hardness and pain in the breast. Cullen diagnoses her symptoms as a milk obstruction and recommends the application of camphorated oil over the present application of sugar of lead. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:788] |
Case of Mrs [Jane] Fraser of Relict [Relig/Reelig], who suffers from breathlessness and pain in her side; she subsequently falls down stairs, becomes pregnant and is then dissuaded from suckling her child for fear of her catching milk fever and a cold. |
21 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:148] | Addressee | Dr John Alves |
| [PERS ID:857] | Patient | Mrs Jane Fraser (of Relick) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:148] | Patient's Physician / Surgeon / Apothecary | Dr John Alves |
| [PERS ID:858] | Patient's Relative / Spouse / Friend | Mr Fraser (of Relick) |
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 | Inverness | North Highlands | Scotland | Europe | inferred | |
| Mentioned / Other | Aldourie Castle | Reelig (Relig / Relict / Relick) | East Highlands | Scotland | Europe | certain |
Normalized Text
Mrs Fraser
I have this day only received your Account
of a case in which I take a most affectionate concern
I am sorry to say it is a Case that gives me
some difficulty in advising and you know well
the uncertainty and difficulty that attend
such cases. Although I know of internal
medicines that could be of service I think
her present state of Pregnancy will not
allow of any but I hope the same pregnancy
will prove a remedy. I have known several
instances of hardness and pain of the breast
remain from one Birth to another and the
procuring a full discharge of milk after the
second birth resolve it entirely and in the
present case I hope it may be considere
as a milk obstruction from the lesser discharge
[Page 2]
from that breast. In all cases however of induration
of the breast you know the delicacy that is ne¬
cessary with respect to external application
and I must say that I have no favour for
the present favourite practice with Saccharum
Saturni. The only application that I can at
present advise is that of a moderately Cam¬
phorated Oil for annointing the parts slightly
every evening with her own fingers. For the
rest let her live cool and use little or no
bodily exercise particularly of the right Arm.
If you have smooth roads some exercise in a
Carriage may be useful to her health but if
we have any warm weather which I hope we
shall let her avoid it as well as possible
Pregnant women are liable to Costiveness
and it may be hurtful to her breast and
therefore you will guard against it in the
[Page 3]
best manner your discretion will suggest and
her Constitution will direct.
Make my respectful Compliments at
Aldowrie and to Relict if you speak to him
upon this subject. If any thing new occurs
to you that you think may be the subject
of deliberation let me hear from you,
as often as you please and you may
depend upon my anxious attention. Though
otherwise sufficiently occupied I have not
delayed an hour to write this letter.
I am with the utmost regard
Dear Doctor
Your most Obedient Servant
Edinburgh 12th. May
1784
Diplomatic Text
Mrs Fraser
I have this day only received your Account
of a case in which I take a most affectionate concern
I am sorry to say it is a Case that gives me
some difficulty in advising and you know well
the uncertainty and difficulty that attend
such cases. Although I know of internal
medicines that could be of service I think
her present state of Pregnancy will not
allow of any but I hope the same pregnancy
will prove a remedy. I have known several
instances of hardness and pain of the breast
remain from one Birth to another and the
procuring a full discharge of milk after the
second birth resolve it entirely and in the
present case I hope it may be considere
as a milk obstruction from the lesser discharge
[Page 2]
from that breast. In all cases however of induration
of the breast you know the delicacy that is ne¬
cessary with respect to external application
and I must say that I have no favour for
the present favourite practice with Saccharum
Saturni. The only application that I can at
present advise is that of a moderately Cam¬
phorated Oil for annointing the parts slightly
every evening with her own fingers. For the
rest let her live cool and use little or no
bodily exercise particularly of the right Arm.
If you have smooth roads some exercise in a
Carriage may be useful to her health but if
we have any warm weather which I hope we
shall let her avoid it as well as possible
Pregnant women are liable to Costiveness
and it may be hurtful to her breast and
therefore you will guard against it in the
[Page 3]
best manner your discretion will suggest and
her Constitution will direct.
Make my respectful Compliments at
Aldowrie and to Relict if you speak to him
upon this subject. If any thing new occurs
to you that you think may be the subject
of deliberation let me hear from you,
as often as you please and you may
depend upon my anxious attention. Though
otherwise sufficiently occupied I have not
delayed an hour to write this letter.
I am with the utmost regard
Dear Dr
Your most Obedient Servant
Edinr. 12th. May
1784
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