Cullen

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

 

[ID:513] From: Dr William Cullen (Professor Cullen) / To: Mr Thomas Duncanson / Regarding: Captain Thomas Fraser (Frazer) (Patient) / 27 February 1775 / (Outgoing)

Reply 'For Captain Fraser', who has a remitting fever and enlarged spleen.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 513
RCPE Catalogue Number CUL/1/1/3/91
Main Language English
Document Direction Outgoing
Date27 February 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 'For Captain Fraser', who has a remitting fever and enlarged spleen.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:185]
Case of Captain Thomas Fraser [Frazer] who now has a fever having long taken to his bed after a long history of real and, possibly imagined, complaints.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1564]AddresseeMr Thomas Duncanson
[PERS ID:1341]PatientCaptain Thomas Fraser (Frazer)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1564]Patient's Physician / Surgeon / ApothecaryMr Thomas Duncanson

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 Forres East Highlands Scotland Europe inferred

Normalized Text

[Page 1]
For Captain Fraser.
Dear Sir


I remember Captain Fs. cas very well & the
singularity of his case.


His fever of a Remittent kind - & to be cured by bark.
The management must depend ↑on↑ your discretion. –– To [seek?]
the times of remission & throw ↑it in substance↑ in as large quantities, as he
can bear. - To prepare for it by a gentle vomit of Tartar Emetic
given at the time of accession –– His belly to be kept
moderately open & if the bark purgesOpiates must be added
Every dose of the bark should be attended with a saline
Draught. –


I begin with the fever, because I suspect the swelling
on one side of his belly to be an ague cake. The
weakness of the thigh & leg is the effects of compress¬



[Page 2]

ion on the Lumbar nerves. if the cure of the
fever
does not rimove it, it will be of difficult
cure. To relieve it in the mean time, you must employ
a long continued friction of the Camphorated oil not quite
so strong as usually made – Anoint much about the
contraction of (↑in↑)
the knee & from thence up to the thigh
and along the tumefied part. A long continued but
gentle friction
, with an oiled finger, has wonderfull
powers in discussing & relaxing. If it does not
answer here, you may try a fomentation of aroma¬
tic herbs
applied especially, to the knee & thigh.
Let the cloths, be very hard wrung, so as to give chiefly
a vapour bath and that you may apply warmer, than
you can a more humid. Nothing under an hours
fomentation does any good
. This is all I can offer
at present, but if the case proves Chronic, as it is
likely to be I shall advise further, as &c.

W.C.
Edinburgh February 27th. 1775

Diplomatic Text

[Page 1]
For Captain Fraser.
Dear Sir


I remember Captn Fs. cas very well & the
singularity of his case.


His fever of a Remittent kind - & to be cured by bark.
The management must depend ↑on↑ your discretion. –– To [seek?]
the times of remission & throw ↑it in substance↑ in as large qties, as he
can bear. - To prepare for it by a gentle vomit of T. Emet.
given at the time of accession –– His belly to be kept
moderately open & if the bark purgesOpiates must be added
Every dose of the bark should be attended with a saline
Draught. –


I begin with the fever, because I suspect the swelling
on one side of his belly to be an ague cake. The
weakness of the thigh & leg is the effects of compress¬



[Page 2]

ion on the Lumbar nerves. if the cure of the
fever
does not rimove it, it will be of difficult
cure. To relieve it in the mean time, you must employ
a long contd friction of the Camphorated oil not quite
so strong as usually made – Anoint much about the
contraction of (↑in↑)
the knee & from thence up to the thigh
and along the tumefied part. A long contd but
gentle friction
, with an oiled finger, has wonderfull
powers in discussing & relaxing. If it does not
answer here, you may try a fomentation of aroma¬
tic herbs
applied especially, to the knee & thigh.
Let the cloths, be very hard wrung, so as to give chiefly
a vapour bath and that you may apply warmer, than
you can a more humid. Nothing under an hours
fomentation does any good
. This is all I can offer
at present, but if the case proves Chronic, as it is
likely to be I shall advise further, as &c.

W.C.
Edinr Febry 27th. 1775

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