The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1113] From: Dr John Gilchrist (of Speddoch) / To: Dr William Cullen (Professor Cullen) / Regarding: Miss Euphemia? Murray (of Broughton) (Patient) / 20 January 1775 / (Incoming)
Case note, probably sent as an enclosure, from John Gilchrist and William Hamilton, describing the history and treatment of Miss Murray (daughter of James Murray of Broughton), a 14-year-old girl with pulmonary symptoms.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
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Metadata
Field | Data |
---|---|
DOC ID | 1113 |
RCPE Catalogue Number | CUL/1/2/215 |
Main Language | English |
Document Direction | Incoming |
Date | 20 January 1775 |
Annotation | None |
Type | Authorial original |
Enclosure(s) | No enclosure(s) |
Autopsy | No |
Recipe | No |
Regimen | No |
Letter of Introduction | No |
Case Note | No |
Summary | Case note, probably sent as an enclosure, from John Gilchrist and William Hamilton, describing the history and treatment of Miss Murray (daughter of James Murray of Broughton), a 14-year-old girl with pulmonary symptoms. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:436] |
Case of the teenage Miss Murray of Broughton who has a log-standing pulmonary complaint and eventually starts to spit blood. |
6 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:115] | Author | Dr John Gilchrist (of Speddoch) |
[PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
[PERS ID:631] | Patient | Miss Euphemia? Murray (of Broughton) |
[PERS ID:2112] | Patient's Physician / Surgeon / Apothecary | Dr William Hamilton (in Dumfries) |
[PERS ID:115] | Patient's Physician / Surgeon / Apothecary | Dr John Gilchrist (of Speddoch) |
[PERS ID:2112] | Supplemental Author | Dr William Hamilton (in Dumfries) |
Places linked to this document
Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
---|---|---|---|---|---|---|
Place of Writing | Dumfries | Borders | Scotland | Europe | certain | |
Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | inferred | |
Mentioned / Other | South of France | France | Europe | certain | ||
Mentioned / Other | London | London and South-East | England | Europe | certain | |
Mentioned / Other | Cally House | Gatehouse of Fleet | Borders | Scotland | Europe | certain |
Normalized Text
In the winter of 1771. Miss Murray, whilst in London, and
then ten years old, went through the measles and chincough
and from the long continuance of both these ailments, was
considerably reduced. _ She set out for Scotland in the Spring,
with the remains of the chincough still upon her, and, either
from being exposed to cold on the journey, or rather from
lying in a damp bed, contracted a very severe cough, at¬
tended with considerable fever, difficulty of breathing, and
other alarming symptoms, which obliged her to stop a good
while on the road. _ By moderate bleeding however, and by
exercise on horseback, as soon as she could bear it, her
complaints were, in a short time, considerably relieved;
and, though a cough, sometimes pretty severe, continued for
some time; yet after staying through the summer at Cally,
and using constant exercise, she seemed to be almost quite
well. But, for greater security, she went towards the end
of the year, to the south of France; and after remaining
there six or eight months, returned home with a con¬
firmed state of health, which she has enjoyed till this time.
She is now about fourteen, very tall, inclining to be
thin, and rather of a delicate complexion. She is apt to be
very anxious and timorous, when ailing. _ Her menses
appeared, for the first time, about a year ago, attended with
[Page 2]
no troublesome symptoms. The first three or four periods
were sufficiently regular, but, since that time, they have ap¬
peared once in five or six weeks. _ About a fortnight ago
which was supposed to be within a week of the time when
they should have appeared, she got cold by riding to some
distance, not more than a mile or two from home; and in
a cold wet day. The menses did not appear, and, since the
time of her taking cold, she has had a pretty severe cough,
very troublesome in the night, and attended with some degree
of fever and breathlessness; but without any pain of the
breast. _ She expectorates little _ Tho, at present she
looks poorly, is at times a good deal depressed, and, when
any way fluttered, has a quick pulse, with some labour
in breathing, yet the degree of fever does not seem, upon
the whole, to have been considerable. _ The person who
attended her in the country had declared she had no fever
to prevent her taking flesh meat and wine; _ and she
says herself that her cough is her principal com¬
plaint.
We first saw her on Wednesday last, the 18th. in the
evening, after her journey from Cally to this place. By the
way she got out of the Coach, and rode eight or nine
miles on horseback, without being at all heated or
[Page 3]
fatigued; and without any increase of her cough. _ She was
a good deal fluttered on our first seeing her, which made
her pulse a good deal (↑much↑) quicker than it would otherwise
have been, – but as her chief complaint at the time was,
that the severity of the cough kept her from sleeping,
we gave her an anodyne, which procured a very easy
night, the cough not being at all troublesome, and her
sleep good.
Next morning (that is yesterday morning) when she
was getting up, she coughed pretty severely, and expector¬
ated several times some tough, yellowish matter, mixed
here & there with a little blood; but we think that fifteen
or twenty drops would have produced all the appearance.
––– A little blood we thought was now to be taken from the
arm; and proposed for a trial to take six ounces, but,
either from the smallness of the orifice, or from Miss Mur¬
rays being in a great flutter at the time, no more
than two or three ounces cougld be obtained, which
trickled down the arm, and shewed but very little of
a buffy appearance. The crassamentum was firm and
in pretty large proportion to the Serum. __ We pre¬
scribed the Spir. Vitriol ten: about twenty drops to
be taken four times a day in a small cup of cold water
[Page 4]
and forbid the use of flesh meat & wine, confining her diet
to whey & vegetables, especially fruits & grains. __ As she
was tolerably easy all yesterday, and has a great aver¬
sion to medicines, we did not repeat the anodyne last
night, which however she did not [↑pass↑ nea'r?] so easily as the
night before, having been a good deal troubled with the
cough. __ This morning we find her much in the same
state as yesterday, her pulse about 100, tho varying,
her skin cool not much hotter than natural. She does
not complain of thirst, but her tongue looks dry, & her
lips parched. _ She does not seem to have any hectic
heats flushes or sweatings. __ Besides the continuance
↑of↑ the acid drops we have this night prescribed a draught
of Spir: Minderer: and Syr: papav: alb: @ ʒVI. _ She
has just now rode out a few miles as the day is
favourable.
Will Hamilton
January 20. 1775
Miss Murray.
January 20. 1775
Diplomatic Text
In the winter of 1771. Miss Murray, whilst in London, and
then ten years old, went through the measles and chincough
and from the long continuance of both these ailments, was
considerably reduced. _ She set out for Scotland in the Spring,
with the remains of the chincough still upon her, and, either
from being exposed to cold on the journey, or rather from
lying in a damp bed, contracted a very severe cough, at¬
tended with considerable fever, difficulty of breathing, and
other alarming symptoms, which obliged her to stop a good
while on the road. _ By moderate bleeding however, and by
exercise on horseback, as soon as she could bear it, her
complaints were, in a short time, considerably relieved;
and, though a cough, sometimes pretty severe, continued for
some time; yet after staying through the summer at Cally,
and using constant exercise, she seemed to be almost quite
well. But, for greater security, she went towards the end
of the year, to the south of France; and after remaining
there six or eight months, returned home with a con¬
firmed state of health, which she has enjoyed till this time.
She is now about fourteen, very tall, inclining to be
thin, and rather of a delicate complexion. She is apt to be
very anxious and timorous, when ailing. _ Her menses
appeared, for the first time, about a year ago, attended with
[Page 2]
no troublesome symptoms. The first three or four periods
were sufficiently regular, but, since that time, they have ap¬
peared once in five or six weeks. _ About a fortnight ago
which was supposed to be within a week of the time when
they should have appeared, she got cold by riding to some
distance, not more than a mile or two from home; and in
a cold wet day. The menses did not appear, and, since the
time of her taking cold, she has had a pretty severe cough,
very troublesome in the night, and attended with some degree
of fever and breathlessness; but without any pain of the
breast. _ She expectorates little _ Tho, at present she
looks poorly, is at times a good deal depressed, and, when
any way fluttered, has a quick pulse, with some labour
in breathing, yet the degree of fever does not seem, upon
the whole, to have been considerable. _ The person who
attended her in the country had declared she had no fever
to prevent her taking flesh meat and wine; _ and she
says herself that her cough is her principal com¬
plaint.
We first saw her on Wednesday last, the 18th. in the
evening, after her journey from Cally to this place. By the
way she got out of the Coach, and rode eight or nine
miles on horseback, without being at all heated or
[Page 3]
fatigued; and without any increase of her cough. _ She was
a good deal fluttered on our first seeing her, which made
her pulse a good deal (↑much↑) quicker than it would otherwise
have been, – but as her chief complaint at the time was,
that the severity of the cough kept her from sleeping,
we gave her an anodyne, which procured a very easy
night, the cough not being at all troublesome, and her
sleep good.
Next morning (that is yesterday morning) when she
was getting up, she coughed pretty severely, and expector¬
ated several times some tough, yellowish matter, mixed
here & there with a little blood; but we think that fifteen
or twenty drops would have produced all the appearance.
––– A little blood we thought was now to be taken from the
arm; and proposed for a trial to take six ounces, but,
either from the smallness of the orifice, or from Miss Mur¬
rays being in a great flutter at the time, no more
than two or three ounces cougld be obtained, which
trickled down the arm, and shewed but very little of
a buffy appearance. The crassamentum was firm and
in pretty large proportion to the Serum. __ We pre¬
scribed the Spir. Vitriol ten: about twenty drops to
be taken four times a day in a small cup of cold water
[Page 4]
and forbid the use of flesh meat & wine, confining her diet
to whey & vegetables, especially fruits & grains. __ As she
was tolerably easy all yesterday, and has a great aver¬
sion to medicines, we did not repeat the anodyne last
night, which however she did not [↑pass↑ nea'r?] so easily as the
night before, having been a good deal troubled with the
cough. __ This morning we find her much in the same
state as yesterday, her pulse about 100, tho varying,
her skin cool not much hotter than natural. She does
not complain of thirst, but her tongue looks dry, & her
lips parched. _ She does not seem to have any hectic
heats flushes or sweatings. __ Besides the continuance
↑of↑ the acid drops we have this night prescribed a draught
of Spir: Minderer: and Syr: papav: alb: @ ʒVI. _ She
has just now rode out a few miles as the day is
favourable.
Will Hamilton
Jan 20. 1775
Miss Murray.
Janry 20. 1775
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