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.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
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[Page 2]
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Metadata
Field | Data |
---|---|
DOC ID | 1244 |
RCPE Catalogue Number | CUL/1/2/344 |
Main Language | English |
Document Direction | Incoming |
Date | 23 February 1776 |
Annotation | None |
Type | Authorial 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 ID | Role in document | Person |
---|---|---|
[PERS ID:563] | Author | Dr Alexander Stevenson (Professor; of Dalgairn ) |
[PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
[PERS ID:564] | Patient | Mr Barclay |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:563] | Patient's Physician / Surgeon / Apothecary | Dr Alexander Stevenson (Professor; of Dalgairn ) |
[PERS ID:565] | Patient's Physician / Surgeon / Apothecary | Mr McArthur |
[PERS ID:5066] | Other | Mrs 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
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
[Page 4]
To
Doctor William Cullen
Professor of Physic
Edinburgh
Dr Stevenson. q.
Mr Barclay
February 1776
Diplomatic Text
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
[Page 4]
To
Doctor William Cullen
Professor of Physic
Edinburgh
Dr Stevenson. q.
Mr Barclay
Feby. 1776
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