Cullen

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

 

[ID:1244] From: Dr Alexander Stevenson (Professor; of Dalgairn ) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Barclay (Patient) / 23 February 1776 / (Incoming)

Letter from Alexander Stevenson regarding the case of Mr Barclay who has a serious chest complaint.

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Metadata

FieldData
DOC ID 1244
RCPE Catalogue Number CUL/1/2/344
Main Language English
Document Direction Incoming
Date23 February 1776
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 Alexander Stevenson regarding the case of Mr Barclay who has a serious chest complaint.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:682]
Case of Mr Barclay with a long history of lung complaints and other symptoms (may be same patient as later Case 1402).
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:563]AuthorDr Alexander Stevenson (Professor; of Dalgairn )
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:564]PatientMr Barclay
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:563]Patient's Physician / Surgeon / ApothecaryDr Alexander Stevenson (Professor; of Dalgairn )
[PERS ID:565]Patient's Physician / Surgeon / ApothecaryMr McArthur
[PERS ID:5066]OtherMrs Woods

Places linked to this document

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

Normalized Text

[Page 1]
Glasgow February 23 – 1776
Dear Doctor


I avail myself of the Liberty
Mr Barclay gave me of writing to you when¬
ever I shou'd see proper, upon his Case.


I write a Line or two in Mrs Woods Letter with
a view to your seeing it.


No body knows Mr Barclays past History better
than yourself.


He endeavour'd to make himself hardy & neglected
to put on his flannel jacket this Winter.


December 1st He fell on the floor but hurt his head
more than any other part - At that time he sat much
for several Days, writing & playing Cards –
His Legs swelled, but that soon vanished by
Exercise & frictions.


Soon after he catched cold & had a cough but
without confinement.


About January 25 he drank, tho little, rather more
than usual & was that Night seiz'd with severe
Cramps to which he is liable. The Cramps
obliged him to jump out o' bed & at times He
was a quarter of an hour at a time uncovered.


Next Day he had a pain of his breast. Mr McArthur
proposed [Venesection?] but a prejudice against it on
account of Nervous complaints hindered him
from complying – He turned better & came
to Glasgow but catched additional cold by sitting
in a cold room, & his breast on the right side being



[Page 2]

uneasy. He was advised by Mr Dunlop to
lose some blood, but he declined it, & was better
next Day – In a few Days He went home &
walk'd about as usual tho' not so well and
cough'd a good deal. In the course of last
week he observ'd that he had a bad taste of
his mouth
, & what he expectorated had a
bad smell –


On Friday last 16 February He had a good deal of
pain in his breast, & spit more of that stuff.
Mr McArthur found his Pulse, on the 17th, quick &
rather hard: bled him to ℥x, it was a little
sizy. He had a Dose of Salts that operated freely.


I went there on Sunday 18 - his Pulse above 90
the pain of his breast was not severe, but {illeg} (↑checked↑)
him a little in Inspiration – He still cough'd up
a gross yellow stuff, which He cou'd promote by
turning towards the right side & indulging the
Cough
, which however He has the power of chec¬
king. Mr McArthur said that the preceeding
Day, it was horridly foetid, & He was sure part
of it was purulent, & that in some spits there
were red streaks
– What I saw I cou'd not pro¬
nounce to be actually purulent, but approaching
it. The pain was chiefly around the nipple but
at times spread down that side of the Thorax.


I restricted him from Animal food - allowing
him variety of Vegetable dishes - with Milk



[Page 3]

especially churned milk & whey - & such
Pectoral Decoction or Infusion as He likes best.
He takes a mixture with a portion of Acet.
scillit.
& Solut. G. Arab.


On Wed. 21 I saw him again – He found
the pain vanished after the blister, & on the 20
his Pulse was under 90 & I then (21st) found
it 84, neither full nor hard – His cheeks in
the forenoon used to become red - less so these
two Days – He had no marked shiverings, but
his hands at times rather cold. A gentle mois¬
ture on his
skin in the mornings – but they
say He always had a disposition to sweat in
the Nights – I desired He shou'd be bled as
yesterday & to have a gentle Laxative to day –
His bed is put into the drawing room - & He is
to take gentle airings in the chaise, which do
not hurt his breast, nor increase the pulse.


I hear that the blood let yesterday is much
more sizy – but the Pulse as on Wednesday.


I have left myself no room for any other subject; but
I am really anxious about him – tho' I woud fain
hope by a ready Expectoration & the advance of the
season matters may turn out more favourably.
I have said nothing yet about any other drain
than the Blisters – I am Dear Dr

your most humble servant
A. Stevenson



[Page 4]


To
Doctor William Cullen
Professor of Physic
Edinburgh


Dr Stevenson. q.
Mr Barclay
February 1776

Diplomatic Text

[Page 1]
Glasgow Feb 23 – 1776
Dear Doctor


I avail myself of the Liberty
Mr Barclay gave me of writing to you when¬
ever I shou'd see proper, upon his Case.


I write a Line or two in Mrs Woods Letter with
a view to your seeing it.


No body knows Mr Barclays past History better
than yourself.


He endeavour'd to make himself hardy & neglected
to put on his flannel jacket this Winter.


Decr 1st He fell on the floor but hurt his head
more than any other part - At that time he sat much
for several Days, writing & playing Cards –
His Legs swelled, but that soon vanished by
Exercise & frictions.


Soon after he catched cold & had a cough but
without confinement.


About Jan. 25 he drank, tho little, rather more
than usual & was that Night seiz'd with severe
Cramps to which he is liable. The Cramps
obliged him to jump out o' bed & at times He
was a quarter of an hour at a time uncovered.


Next Day he had a pain of his breast. Mr McArthur
proposed [V.S.?] but a prejudice against it on
account of Nervous complaints hindered him
from complying – He turned better & came
to Glasgow but catched additional cold by sitting
in a cold room, & his breast on the right side being



[Page 2]

uneasy. He was advised by Mr Dunlop to
lose some blood, but he declined it, & was better
next Day – In a few Days He went home &
walk'd about as usual tho' not so well and
cough'd a good deal. In the course of last
week he observ'd that he had a bad taste of
his mouth
, & what he expectorated had a
bad smell –


On Friday last 16 Feb He had a good deal of
pain in his breast, & spit more of that stuff.
Mr McArthur found his Pulse, on the 17th, quick &
rather hard: bled him to ℥x, it was a little
sizy. He had a Dose of Salts that operated freely.


I went there on Sunday 18 - his Pulse above 90
the pain of his breast was not severe, but {illeg} (↑checked↑)
him a little in Inspiration – He still cough'd up
a gross yellow stuff, which He cou'd promote by
turning towards the right side & indulging the
Cough
, which however He has the power of chec¬
king. Mr McArthur said that the preceeding
Day, it was horridly foetid, & He was sure part
of it was purulent, & that in some spits there
were red streaks
– What I saw I cou'd not pro¬
nounce to be actually purulent, but approaching
it. The pain was chiefly around the nipple but
at times spread down that side of the Thorax.


I restricted him from Animal food - allowing
him variety of Vegetable dishes - with Milk



[Page 3]

especially churned milk & whey - & such
Pectoral Dec. or Inf. as He likes best.
He takes a mixture with a portion of Acet.
scillit.
& Solut. G. Arab.


On Wed. 21 I saw him again – He found
the pain vanished after the blister, & on the 20
his Pulse was under 90 & I then (21st) found
it 84, neither full nor hard – His cheeks in
the forenoon used to become red - less so these
two Days – He had no marked shiverings, but
his hands at times rather cold. A gentle mois¬
ture on his
skin in the mornings – but they
say He always had a disposition to sweat in
the Nights – I desired He shou'd be bled as
yesterday & to have a gentle Laxative to day –
His bed is put into the drawing room - & He is
to take gentle airings in the chaise, which do
not hurt his breast, nor increase the pulse.


I hear that the blood let yesterday is much
more sizy – but the Pulse as on Wedy.


I have left myself no room for any other subject; but
I am really anxious about him – tho' I woud fain
hope by a ready Expectoration & the advance of the
season matters may turn out more favourably.
I have said nothing yet about any other drain
than the Blisters – I am Dr Dr

your most humble servt
A. Stevenson



[Page 4]


To
Doctor William Cullen
Professor of Physic
Edinburgh


Dr Stevenson. q.
Mr Barclay
Feby. 1776

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