Cullen

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

 

[ID:1122] From: Archibald McIntyre / To: Dr William Cullen (Professor Cullen) / Regarding: Mr McIntyre (Patient) / 21 February 1775 / (Incoming)

Letter from Archibald McIntyre, recording the case of his brother, Mr McIntyre, who has a feverish condition. Sent as enclosure with Letter ID:880.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 1122
RCPE Catalogue Number CUL/1/2/223
Main Language English
Document Direction Incoming
Date21 February 1775
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Archibald McIntyre, recording the case of his brother, Mr McIntyre, who has a feverish condition. Sent as enclosure with Letter ID:880.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:459]
Case of Archibald McIntyre's brother who has recently been sweated.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:400]Author Archibald McIntyre
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:401]PatientMr McIntyre
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:400]Patient's Relative / Spouse / Friend Archibald McIntyre

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Girvan Glasgow and West Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]


Mr McIntyre about fourteen weeks ago, was taken ill of a fever. --
When he was first seized he had headach, uneasyness and fulness of his
eyes, which to the look appeared very dim; pain of his back, and Coldness.
The second evening after he was seized, he took a dose of Emetic Tartar, which
vomited and sweated him; he was a little relieved by it but the next day
found himself much in the same way. - He had always a grewing coldness
in the morning, particularly in his back, at this time his pulse was
slow
, but as he grew warmer towards the afternoon, it grew quicker but
seldom above Eighty
if it was not when he got out of bed. -- His Head
frequently was very heavy and painful, and his Eyes a little inflamed
with a Burning heat at those times in his head. --- He repeated the
Emetic Tartar, two or three times, and found it always took of the
Spasm for a little, but they soon returned. -- He had scarce any
unusual thirst, and his tongue was not much furred but white ---
He used the Salin Julep frequently and had his Temples Blooded with
Litches
. Once or twice when he thought he had an Interval he took
a little of the Bark, but he could not continue it as the febrile Symt¬
oms always returned; - He alw↑a↑ys Discharged an immoderate
quantity of Bile when he took the Emetic's. --- His Urine
{illeg} frequently Deposited a cediment, and he could always
eat a little food with an appetite. He continued in this way for
upwards of three Weeks, when his febrile symtoms left him at
once, after taking another Emetic: he recovered flesh and strength
every day for about eight days, when something happening
to Distress him very much, and going out to take air probably
too soon, he was that same night taken ill as at first. ---
He took an Emetic immediately which the Effect of vomiting



[Page 2]

and sweating him a little without any advantage. His fever continued
to remit daily as at first for some time, but at last turn'd to the
Continuing kind, with constant headach want of sleep, &
confusion in the he↑a↑d; his Skin constantly a little hoter than
usual and his ↑pulse a little quicker↑, he was blistered repeatedly
with only temporary relief. ---- His Case for these some weeks
has been thus: In the morning he is seiz'd with a kind of
Gruing 1 and coldness over all his body, which sometimes continue
through the whole day till towards the evening. -- During this
Period he is exceedingly drowsy and complains of uneversal
uneasyness over all his body pains in back and the in¬
side of his thighs. -- He sometimes gets a little unrefreshing
dosing sleep
towards the afternoon, after which he grows easier
but seldom sweats any. If he happens to get good rest in the
morning, the [gruing?] does not seize him till further in the day
perhaps till Nine or ten o Clock he has two or three times
taken an Emetic before the fit in the morning: and a
little Laudanum. --- Some days ago in the evening when
he was easier he has taken some bark in Decoction
with a little {illeg} Snakeroot without any
sensible advantage; he most {illeg} Yesterday morning


[Page 3]

morning, he begun to grew (↑grue↑) a little upon which he took
twelve gutts of Laudanum, Dosed a little after it ↑in↑ the
forenoon; and in the evening grew easier & got up, and
walk↑e↑d a little what up and down the room. -- Upon his doing
to bed he felt a little Coldness in his back, and afterwards he
felt as if the fleshy parts of his body were shaking or
trembling
though at the same time he felt no cold then
his pulse through the night is pretty Strong with a hard
thob throb; it was not quick about 6,6
, this scarce so much
this is the comon state of his Pulse after the evening comes
on till the morning, when if the Cold fit comes on and
is allowed to Continue his Pulse is Languid. -- His Urine
he makes at night Dipossits a Sediment, but through the
day it does ↑not↑ always. -- What gives alarms him most
is that within these ten days, in the morning he is seized
with a pain in his breast which has hitherto grown easier
towards the afternoon. --- Except some particular days
he could not complain of want of appetite; -- his food at
present is a little Chocolate, Chicken Broth, and Panada -
and all along he has taken a little port Wine. ---


The pain of his back has continued more or less all along;
His Head is not much pain'd but sometimes an unusual
Heavyness & heat in it. ---- According to your advice, this
morning he took a grain of Emetic Tartar, a quarter of
a grain made him sick and Vomitited ↑him↑ a little once he
took the rest of the grain at proper intervals, which
made him sick a long will while and sweated him a
little. He does not intend, to take any more of the Bark



[Page 4]

till he hears your advice -- Vomitting fevers were
very frequent in this Country, around the time he was seized
with his but all that he saw got the better of them in
Eight days or a fourth night when taken in time
without any other treatment, than taking a little
Blood
from them in the Beginning and giving the
Emetic Tartar 2 or three times; many of them however
he understands since his confinement when neglected
have proved fatal or tedious. -- Distress of mind perhaps
may have hurt ↑him↑, altho he has not been very anxious
or apprehensive about himself. --- His hands
continue always dry


Girvan. February 21
1775

Notes:

1: This Scots word meaning 'shivering' is very rarely found in print, but one possible source is a passage on severe colic in Scottish physician, John Arbuthnot's popular Practical Rules of Diet in the Various Constitutions Diseases of the Human Body (London: 1732), where he remarks 'if the Patient survives three Days, the Acuteness of the Pain abates and a Coldness or Gruing affects the Body...' (p. 353).

Diplomatic Text

[Page 1]


Mr McIntyre about fourteen weeks ago, was taken ill of a fever. --
When he was first seized he had headach, uneasyness and fulness of his
eyes, which to the look appeared very dim; pain of his back, and Coldness.
The second evening after he was seized, he took a dose of Emetic Tartar, which
vomited and sweated him; he was a little relieved by it but the next day
found himself much in the same way. - He had always a grewing coldness
in the morning, particularly in his back, at this time his pulse was
slow
, but as he grew warmer towards the afternoon, it grew quicker but
seldom above Eighty
if it was not when he got out of bed. -- His Head
frequently was very heavy and painful, and his Eyes a little inflamed
with a Burning heat at those times in his head. --- He repeated the
Emetic Tartar, two or three times, and found it always took of the
Spasm for a little, but they soon returned. -- He had scarce any
unusual thirst, and his tongue was not much furred but white ---
He used the Salin Julep frequently and had his Temples Blooded with
Litches
. Once or twice when he thought he had an Interval he took
a little of the Bark, but he could not continue it as the febrile Symt¬
oms always returned; - He alw↑a↑ys Discharged an immoderate
quantity of Bile when he took the Emetic's. --- His Urine
{illeg} frequently Deposited a cediment, and he could always
eat a little food with an appetite. He continued in this way for
upwards of three Weeks, when his febrile symtoms left him at
once, after taking another Emetic: he recovered flesh and strength
every day for about eight days, when something happening
to Distress him very much, and going out to take air probably
too soon, he was that same night taken ill as at first. ---
He took an Emetic immediately which the Effect of vomiting



[Page 2]

and sweating him a little without any advantage. His fever continued
to remit daily as at first for some time, but at last turn'd to the
Continuing kind, with constant headach want of sleep, &
confusion in the he↑a↑d; his Skin constantly a little hoter than
usual and his ↑pulse a little quicker↑, he was blistered repeatedly
with only temporary relief. ---- His Case for these some weeks
has been thus: In the morning he is seiz'd with a kind of
Gruing 1 and coldness over all his body, which sometimes continue
through the whole day till towards the evening. -- During this
Period he is exceedingly drowsy and complains of uneversal
uneasyness over all his body pains in back and the in¬
side of his thighs. -- He sometimes gets a little unrefreshing
dosing sleep
towards the afternoon, after which he grows easier
but seldom sweats any. If he happens to get good rest in the
morning, the [gruing?] does not seize him till further in the day
perhaps till Nine or ten o Clock he has two or three times
taken an Emetic before the fit in the morning: and a
little Laudanum. --- Some days ago in the evening when
he was easier he has taken some bark in Decoction
with a little {illeg} Snakeroot without any
sensible advantage; he most {illeg} Yesterday morning


[Page 3]

morning, he begun to grew (↑grue↑) a little upon which he took
twelve gutts of Laudanum, Dosed a little after it ↑in↑ the
forenoon; and in the evening grew easier & got up, and
walk↑e↑d a little what up and down the room. -- Upon his doing
to bed he felt a little Coldness in his back, and afterwards he
felt as if the fleshy parts of his body were shaking or
trembling
though at the same time he felt no cold then
his pulse through the night is pretty Strong with a hard
thob throb; it was not quick about 6,6
, this scarce so much
this is the comon state of his Pulse after the evening comes
on till the morning, when if the Cold fit comes on and
is allowed to Continue his Pulse is Languid. -- His Urine
he makes at night Dipossits a Sediment, but through the
day it does ↑not↑ always. -- What gives alarms him most
is that within these ten days, in the morning he is seized
with a pain in his breast which has hitherto grown easier
towards the afternoon. --- Except some particular days
he could not complain of want of appetite; -- his food at
present is a little Chocolate, Chicken Broth, and Panada -
and all along he has taken a little port Wine. ---


The pain of his back has continued more or less all along;
His Head is not much pain'd but sometimes an unusual
Heavyness & heat in it. ---- According to your advice, this
morning he took a grain of Emetic Tartar, a quarter of
a grain made him sick and Vomitited ↑him↑ a little once he
took the rest of the grain at proper intervals, which
made him sick a long will while and sweated him a
little. He does not intend, to take any more of the Bark



[Page 4]

till he hears your advice -- Vomitting fevers were
very frequent in this Country, around the time he was seized
with his but all that he saw got the better of them in
Eight days or a fourth night when taken in time
without any other treatment, than taking a little
Blood
from them in the Beginning and giving the
Emetic Tartar 2 or three times; many of them however
he understands since his confinement when neglected
have proved fatal or tedious. -- Distress of mind perhaps
may have hurt ↑him↑, altho he has not been very anxious
or apprehensive about himself. --- His hands
continue always dry


Girvan. Febry 21
1775

Notes:

1: This Scots word meaning 'shivering' is very rarely found in print, but one possible source is a passage on severe colic in Scottish physician, John Arbuthnot's popular Practical Rules of Diet in the Various Constitutions Diseases of the Human Body (London: 1732), where he remarks 'if the Patient survives three Days, the Acuteness of the Pain abates and a Coldness or Gruing affects the Body...' (p. 353).

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:1122]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...