Cullen

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

 

[ID:1015] From: Dr William Cullen (Professor Cullen) / To: Dr James Hamilton / Regarding: Miss Margaret Home (Hume, of Jordanfield; Miss Home of Branxton) (Patient) / 1 September 1780 / (Outgoing)

Reply 'For Miss Hume. Jordan field'. Cullen hopes that 'no considerable congestion to be feared'.

Facsimile

There are 2 images for this document.

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Metadata

FieldData
DOC ID 1015
RCPE Catalogue Number CUL/1/1/13/70
Main Language English
Document Direction Outgoing
Date1 September 1780
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 Miss Hume. Jordan field'. Cullen hopes that 'no considerable congestion to be feared'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:687]
Case of Miss Home whose vertigo is considered the symptom of a plethora.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:812]AddresseeDr James Hamilton
[PERS ID:811]PatientMiss Margaret Home (Hume, of Jordanfield; Miss Home of Branxton)
[PERS ID:812]Patient's Physician / Surgeon / ApothecaryDr James Hamilton
[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 Dunbar Borders Scotland Europe inferred
Mentioned / Other Jerdonfield / Jordanfield Jedburgh Borders Scotland Europe certain

Normalized Text

[Page 1]
For Miss Hume. Jordanfield 1


There being no remarkable appearance of



[Page 2]

Plethora in the young ladys constitution so I hope
no considerable congestions to be feared, but it is to be
feared somewhat, in every case of this kind: and vertigo
is a mark of it. I therefore treat every case of this kind
by blood letting. Leeches were properly applied to her
temples but the evacuation made is not always large
enough & less effectual from the slowness of it.


I therefore beg you will consider whether it may not
be proper to take more blood, either from the jugular
or the arm if easier & to repeat these as symptoms &c.


The next step upon the same plan, is keeping
the belly open by cooling medicines & upon occasions
purging. When I propose cooling medicines I do not
mean to exclude Comp. powd. of Sal. added to Cream
of tartar
& sena added to salts &c.


A blister upon the head; & follow it by fresh
blisters on other parts of the Paralytic side rather
than trust to one of them being kept opem as an issue.


Averse to stimulants in the beginning of
such ailments; I think them incompatible with the
plan of Evacuation. I should be glad to find the
Case, nervous or hysteric but from the Lady's history
I cannot at present suspect any thing of that
kind.

W.C.
Edinburgh> 1. September 1780

Notes:

1: Jordanfield, possibly the name of a house, remains untraced.

Diplomatic Text

[Page 1]
For Miss Hume. Jordanfield 1


There being no remarkable appearance of



[Page 2]

Plethora in the young ladys constitution so I hope
no considerable congestions to be feared, but it is to be
feared somewhat, in every case of this kind: and vertigo
is a mark of it. I therefore treat every case of this kind
by blood letting. Leeches were properly applied to her
temples but the evacuation made is not always large
enough & less effectual from the slowness of it.


I therefore beg you will consider whether it may not
be proper to take more blood, either from the jugular
or the arm if easier & to repeat these as symptoms &c.


The next step upon the same plan, is keeping
the belly open by cooling medicines & upon occasions
purging. When I propose cooling medicines I do not
mean to exclude Comp. powd. of Sal. added to Cream
of tartar
& sena added to salts &c.


A blister upon the head; & follow it by fresh
blisters on other parts of the Paralytic side rather
than trust to one of them being kept opem as an issue.


Averse to stimulants in the beginning of
such ailments; I think them incompatible with the
plan of Evacuation. I should be glad to find the
Case, nervous or hysteric but from the Lady's history
I cannot at present suspect any thing of that
kind.

W.C.
Edr. 1. Septr 1780

Notes:

1: Jordanfield, possibly the name of a house, remains untraced.

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