Cullen

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

 

[ID:1475] From: Dr Colin Robertsone (Robertson) / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Keir (of Wester Rhynd) (Patient) / 22 January 1778 / (Incoming)

Letter from C. Robertsone concerning the case of Mrs Keir of Wester Rhynd.

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Metadata

FieldData
DOC ID 1475
RCPE Catalogue Number CUL/1/2/569
Main Language English
Document Direction Incoming
Date22 January 1778
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from C. Robertsone concerning the case of Mrs Keir of Wester Rhynd.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:957]
Case of Mrs Keir of Wester Rhynd whose complaints are considered hysteric.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:2177]AuthorDr Colin Robertsone (Robertson)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2178]PatientMrs Keir (of Wester Rhynd)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2177]Patient's Physician / Surgeon / ApothecaryDr Colin Robertsone (Robertson)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Perth Mid Scotland Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred
Mentioned / Other Wester Rhynd Rhynd Mid Scotland Scotland Europe certain

Normalized Text

[Page 1]


Mrs Keir of Wester Rhynd aged 46 or 47
was in June last a good deal distressed with
hysteric complaints - for which she had the
jalop. hysteric. & powders of valerian. sylvestr
[Start of margin text]1777[End of margin text] & serpent. Virgin. she in a few days recovered
her former state of health: - as, during her
illness, she discovered symptoms of an intermit¬
tent, she had a course of cort. Peruv.
& continued in good health for many (↑several↑) months
though she did not recover her flesh.


[Start of margin text]December 9.[End of margin text] Distressed a good deal in the same way as before
Repeating jalop. hysteric. stomach oppressed -


[Start of margin text]10[End of margin text]

Took fifteen grams of powdered ipecacuanha and a vomit.


pulses at this time 90 exceedingly small which
it naturally is. troubled with shiverings which
are frequently succeeded by sweating.


[Start of margin text]13.[End of margin text] Complains of a cough


in a few days the cough much easier - almost gone
The medicines continued.


[Start of margin text]25.[End of margin text] The cough worse, very frequent & troublesome.



[Page 2]
[Start of margin text]1777[End of margin text]
[Start of margin text]December 25[End of margin text], Mrs Keir imagined she had caught cold afresh
which, from the symptoms of obstruction
in the membran. Schneider. I was ready &
think was the case. pills continued.


28 Applied vesicant. cervicit.

Took twelve nitres


Pulse 90 as before - complains of palpitation
of the
heart sleeps pretty well unless
when the cough prevents it.


[Start of margin text]1778 [End of margin text]
[Start of margin text]January. 5.[End of margin text] Applied ung. vesicat. & repeating pro re nata
A flanel shift was recommended - milk
& vegetable diet. These were complied with.
Cannot be perswaded to take womens milk
from a strong aversion she has to it.


[Start of margin text]17.[End of margin text] Stomach much oppressed.

Took ten grams of powdered ipecacuanha


the pills continued - the blister runs
very well with the issue ointment.


For drink


Mrs Keir has had no appearance of the menses
for these three years past save



[Page 3]

once about 18 months ago. Was for many years by¬
gone subject to faintish-fits & palpitation of the
heart. Of a costive habit. -- When ailing had
a great tendency to sweating. Within these
two weeks has complained of a straitenedness
of her breathing
. Urine turbid, depositing
a copious sediment. Of late a slight degree
of swelling in her feet. Her expectoration,
which is pretty free, is perfectly mucous to
appearance. Her pulse is this day 90 as before
but a good deal irregular the palpitation being
very frequent. Slept pretty well last night:
cough very frequent, though not so much so as
some days ago.

C. Robertsone
Perth 22 January 1778



[Page 4]


Mrs Keirs Case
22 January 1778
8 p. 51

Diplomatic Text

[Page 1]


Mrs Keir of Wester Rhynd aged 46 or 47
was in June last a good deal distressed with
hysteric complaints - for which she had the
jalop. hysteric. & powders of valerian. sylvestr
[Start of margin text]1777[End of margin text] & serpent. Virgin. she in a few days recovered
her former state of health: - as, during her
illness, she discovered symptoms of an intermit¬
tent, she had a course of cort. Peruv.
& continued in good health for many (↑several↑) months
though she did not recover her flesh.


[Start of margin text]Decr 9.[End of margin text] Distressed a good deal in the same way as before
Repet[n?] jalop. hysteric. stomach oppressed -


[Start of margin text]10[End of margin text]


pulv. ipecacuanh. gr. xv & vomitor.


pulses at this time 90 exceedingly small which
it naturally is. troubled with shiverings which
are frequently succeeded by sweating.


[Start of margin text]13.[End of margin text] Complains of a cough


in a few days the cough much easier - almost gone
The medicines continued.


[Start of margin text]25.[End of margin text] The cough worse, very frequent & troublesome.



[Page 2]
[Start of margin text]1777[End of margin text]
[Start of margin text]Decr 25[End of margin text], Mrs Keir imagined she had caught cold afresh
which, from the symptoms of obstruction
in the membran. Schneider. I was ready &
think was the case. pills continued.


28 Appl. vesicant. cervicit.


℞ duod. nitros.


Pulse 90 as before - complains of palpitation
of the
heart sleeps pretty well unless
when the cough prevents it.


[Start of margin text]1778 [End of margin text]
[Start of margin text]Jany. 5.[End of margin text] Appl. ung. vesicat. & Repet[n?] pro re nata
A flanel shift was recommended - milk
& vegetable diet. These were complied with.
Cannot be perswaded to take womens milk
from a strong aversion she has to it.


[Start of margin text]17.[End of margin text] Stomach much oppressed.


pulv. ipecac. gr. x


the pills continued - the blister runs
very well with the issue ointment.


For drink


Mrs Keir has had no appearance of the menses
for these three years past save



[Page 3]

once about 18 months ago. Was for many years by¬
gone subject to faintish-fits & palpitation of the
heart. Of a costive habit. -- When ailing had
a great tendency to sweating. Within these
two weeks has complained of a straitenedness
of her breathing
. Urine turbid, depositing
a copious sediment. Of late a slight degree
of swelling in her feet. Her expectoration,
which is pretty free, is perfectly mucous to
appearance. Her pulse is this day 90 as before
but a good deal irregular the palpitation being
very frequent. Slept pretty well last night:
cough very frequent, though not so much so as
some days ago.

C. Robertsone
Perth 22 Jany 1778



[Page 4]


Mrs Keirs Case
22 Jany 1778
8 p. 51

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