The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:5025] From: Dr William Cullen (Professor Cullen) / To: Dr Ivie Campbell / Regarding: Miss Campbell (of Dunstaffnage) (Patient) / 18 April 1785 / (Outgoing)
Reply, for 'Miss Campbell of Dunstaffnage'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
[Page 3]
[Page 4]
Metadata
| Field | Data |
|---|---|
| DOC ID | 5025 |
| RCPE Catalogue Number | CUL/1/1/18/10 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 18 April 1785 |
| 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 'Miss Campbell of Dunstaffnage'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:512] |
Case of Miss Campbell of Dunstaffnage who is suffering from severe headaches and pains in her side since developing an ulcer after ignoring a scratch on her shin. |
15 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:336] | Addressee | Dr Ivie Campbell |
| [PERS ID:2705] | Patient | Miss Campbell (of Dunstaffnage) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:336] | Patient's Physician / Surgeon / Apothecary | Dr Ivie Campbell |
| [PERS ID:1241] | Patient's Physician / Surgeon / Apothecary | Mr Robert Ochiltree |
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 | Edinburgh | Edinburgh and East | Scotland | Europe | inferred |
Normalized Text
Miss Campbell of Dunstaffnage
Dear Sir
Being out of Town on Saturday all day
I could not write you so soon as I wished. You
will please now let Mr. Ochiltree know that
I have perused his exact and full report with
great attention and must do him the justice to say
that I think he has acted in every thing with
great judgement and discretion and it gives me
great Satisfaction when I meet with persons
so willing and capable to Execute my advices.
From his report I am persuaded we
have proposed the only remedies that could have
been effectual and though the disease is by no
means yet dismissed it is I hope considerably
relieved. I take one particular mark of it that
the Opisthotonos which formerly appeared does
not now and that the Spasms in general
are less violent. There is therefore some encourage¬
[Page 2]
ment for us to persist in the course we are in
The Musk has manifestly at least on several
occasions had good effects and if the Stomach
would receive and retain it I believe the dose
might be increassed with advantage and for
making the Stomach retain it better I would
have a hundred or more drops of Laudanum
be given along with it, or such a dose of
Laudanum to be given half an hour or an
hour before the Musk draught. Another
improvement which I think may be made
is not to give the musk in the morning
as I first proposed but rather in the After¬
noon or Evening when the fits are either
more violent or disposed to be so and I think
in Mr. Ochiltrees report there are one
or two instances of the Musk being then
given with immediate good effects. I must
[Page 3]
own that Mr. Ochiltree has given the opiate
as I advised pretty freely but at the same time
must Say that he has done no more than I
would have advised. He might perhaps have
gone a little farther than he has done and
I think he might do so if the disease continue
still obstinate. There is one mark of its obstinacy
& its threatning to continue long which I have
met with before and that is the Patients con¬
tinuing to subsist upon a very small quan¬
tity of nourishment.
In my former Letter I expressed my
diffidence of the benefit of warm Bathing and
rather proposed its being laid aside but there
is an expression in Mr. Ochiltree report which
changes my opinion. He says that the warm
bath has always been a certain means of
relief and if it is so I shall think it very
[Page 4]
proper to employ it as often as may be con¬
venient continuing by interim additions of
warm water to keep her as long in it as
She can easily bear.
Mr. Ochiltree has been very commenda¬
bly attentive to keeping the belly regular and
I hope he will continue to be so, especially
as it is so easily done notwithstanding the
quantity of Opiates taken.
When I wrote formerly I expected that
by this time I should have had an opportunity
of advising a different Set of medicines but
I don't find that opportunity to be yet come
but I shall very willingly embrace it when
it offers. Wishing it may be soon I am
Dear Sir
Your most Obedient Servant
William Cullen
Edinburgh 10th. April
1785
Diplomatic Text
Miss Campbell of Dunstaffnage
Dear Sir
Being out of Town on Saturday all day
I could not write you so soon as I wished. You
will please now let Mr. Ochiltree know that
I have perused his exact and full report with
great attention and must do him the justice to say
that I think he has acted in every thing with
great judgement and discretion and it gives me
great Satisfaction when I meet with persons
so willing and capable to Execute my advices.
From his report I am persuaded we
have proposed the only remedies that could have
been effectual and though the disease is by no
means yet dismissed it is I hope considerably
relieved. I take one particular mark of it that
the Opisthotonos which formerly appeared does
not now and that the Spasms in general
are less violent. There is therefore some encourage¬
[Page 2]
ment for us to persist in the course we are in
The Musk has manifestly at least on several
occasions had good effects and if the Stomach
would receive and retain it I believe the dose
might be increassed with advantage and for
making the Stomach retain it better I would
have a hundred or more drops of Laudanum
be given along with it, or such a dose of
Laudanum to be given half an hour or an
hour before the Musk draught. Another
improvement which I think may be made
is not to give the musk in the morning
as I first proposed but rather in the After¬
noon or Evening when the fits are either
more violent or disposed to be so and I think
in Mr. Ochiltrees report there are one
or two instances of the Musk being then
given with immediate good effects. I must
[Page 3]
own that Mr. Ochiltree has given the opiate
as I advised pretty freely but at the same time
must Say that he has done no more than I
would have advised. He might perhaps have
gone a little farther than he has done and
I think he might do so if the disease continue
still obstinate. There is one mark of its obstinacy
& its threatning to continue long which I have
met with before and that is the Patients con¬
tinuing to subsist upon a very small quan¬
tity of nourishment.
In my former Letter I expressed my
diffidence of the benefit of warm Bathing and
rather proposed its being laid aside but there
is an expression in Mr. Ochiltree report which
changes my opinion. He says that the warm
bath has always been a certain means of
relief and if it is so I shall think it very
[Page 4]
proper to employ it as often as may be con¬
venient continuing by interim additions of
warm water to keep her as long in it as
She can easily bear.
Mr. Ochiltree has been very commenda¬
bly attentive to keeping the belly regular and
I hope he will continue to be so, especially
as it is so easily done notwithstanding the
quantity of Opiates taken.
When I wrote formerly I expected that
by this time I should have had an opportunity
of advising a different Set of medicines but
I don't find that opportunity to be yet come
but I shall very willingly embrace it when
it offers. Wishing it may be soon I am
Dear Sir
Your most Obedient Servant
William Cullen
Edinr. 10th. April
1785
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