The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:117] From: Dr William Cullen (Professor Cullen) / To: Dr J Smith (of Bath) / Regarding: Mr Charles Brown (Patient) / 7 April 1781 / (Outgoing)
Reply 'To Dr Smith C[oncerning] Mr Charles Brown', a patient with 'compleat hemiplagia'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 117 |
| RCPE Catalogue Number | CUL/1/1/14/6 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 7 April 1781 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'To Dr Smith C[oncerning] Mr Charles Brown', a patient with 'compleat hemiplagia'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1356] |
Case of Charles Brown who has had a stroke (a 'complete hemiplagia'), and who dies of another shortly after visiting Cullen and then travelling down to Bath. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:3223] | Addressee | Dr J Smith (of Bath) |
| [PERS ID:77] | Patient | Mr Charles Brown |
| [PERS ID:3223] | Patient's Physician / Surgeon / Apothecary | Dr J Smith (of Bath) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 | Bath | South-West | England | Europe | inferred | |
| Therapeutic Recommendation | Bath | South-West | England | Europe | certain | |
| Mentioned / Other | Bath | South-West | England | Europe | certain |
Normalized Text
Dr Smith Concerning Mr Charles Brown
I send you a patient Charles Brown Esqr.
whom I must recommend to your particular attention as a
man of worth to whom I have a particular regard.
Some months ago he was attacked with a palsy of one arm
which at first seemed to yield to remedies but soon returned and
has by degrees become a compleat hemiplegia. He has been
treated by bleeding, blistering, purging and a few internal medi¬
cines of the lighter stimulant kind. While the disease was very
much confined to one arm Electricity was employed with very little
advantage and since the disease became more general the Electricity
has been entirely omitted. At first he had some heat & fre¬
quency of pulse but these symptoms for some time past have
been very much abated. The disease had not continued long
when first the arm and afterwards the leg & foot more conside¬
rable were affected with odematous swelling which in some
[measure] continues but a good deal less than before. When
{illeg} the affection became more general His memory
[Page 2]
✍
He became Apoplectic on the 24. & died next day. at Bath.
and intellect were a good deal of affected but of late he is very
much mended in both these particulars. Of late also he is much
mended with respect to sleep and appetite. He is indeed of late
much mended in many respects but less considerably in the
paralytic affection than in any other and as he has come
to bear exercise in a carriage tolerably well we think he may
be the better for a journey to Bath and perhaps for bathing
and drinking the waters there. The conduct employment
and conduct of these remedies we trust entirely to your good
judgement. You will observe that his time of life and
make of body are favourable to the disease and before the disease
came on his manner of living had for a long time been rather
full & in these circumstances I have seldom known much be¬
nefit got from Bath and in all such cases I think that both
drinking and bathing are to be proceeded in with caution and
by degrees only, but these hints are certainly superfluous to you
whose judgement I can trust so entirely. Believe me to be with
very great regard Dear Sir your most obedient humble servant
Diplomatic Text
Dr Smith C Mr Charles Brown
I send you a patient Charles Brown Esqr.
whom I must recommend to your particular attention as a
man of worth to whom I have a particular regard.
Some months ago he was attacked with a palsy of one arm
which at first seemed to yield to remedies but soon returned and
has by degrees become a compleat hemiplegia. He has been
treated by bleeding, blistering, purging and a few internal medi¬
cines of the lighter stimulant kind. While the disease was very
much confined to one arm Electricity was employed with very little
advantage and since the disease became more general the Electricity
has been entirely omitted. At first he had some heat & fre¬
quency of pulse but these symptoms for some time past have
been very much abated. The disease had not continued long
when first the arm and afterwards the leg & foot more conside¬
rable were affected with odematous swelling which in some
[measure] continues but a good deal less than before. When
{illeg} the affection became more general His memory
[Page 2]
✍
He became Apoplectic on the 24. & died next day. at Bath.
and intellect were a good deal of affected but of late he is very
much mended in both these particulars. Of late also he is much
mended with respect to sleep and appetite. He is indeed of late
much mended in many respects but less considerably in the
paralytic affection than in any other and as he has come
to bear exercise in a carriage tolerably well we think he may
be the better for a journey to Bath and perhaps for bathing
and drinking the waters there. The conduct employment
and conduct of these remedies we trust entirely to your good
judgement. You will observe that his time of life and
make of body are favourable to the disease and before the disease
came on his manner of living had for a long time been rather
full & in these circumstances I have seldom known much be¬
nefit got from Bath and in all such cases I think that both
drinking and bathing are to be proceeded in with caution and
by degrees only, but these hints are certainly superfluous to you
whose judgement I can trust so entirely. Believe me to be with
very great regard Dear Sir your most obedient humble servant
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