Cullen

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

 

[ID:1604] From: Mr Charles Fleming (Fleeming; of Montgomeryfield) / To: Dr William Cullen (Professor Cullen) / Regarding: Miss Semple (Simple) (Patient) / 16? December? 1778 / (Incoming)

Case of Miss Simple, drawn up by Mr Fleming. Unsigned and undated, but annotated as December 1778. Probably sent as an enclosure (cover-letter untraced), Cullen's reply in Document 4351 mentions this report on her pulse being 100, so this case-note must presumably pre-date 18 December by a day or two (having been sent to Edinburgh from Irvine).

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Metadata

FieldData
DOC ID 1604
RCPE Catalogue Number CUL/1/2/694
Main Language English
Document Direction Incoming
Date16? December? 1778
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Case of Miss Simple, drawn up by Mr Fleming. Unsigned and undated, but annotated as December 1778. Probably sent as an enclosure (cover-letter untraced), Cullen's reply in Document 4351 mentions this report on her pulse being 100, so this case-note must presumably pre-date 18 December by a day or two (having been sent to Edinburgh from Irvine).
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:475]
Case of Miss Semple (Simple), a teenage girl who suffers from excess salivation and loss of appetite attributed to having had smallpox.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:215]AuthorMr Charles Fleming (Fleeming; of Montgomeryfield)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2545]PatientMiss Semple (Simple)
[PERS ID:215]Patient's Physician / Surgeon / ApothecaryMr Charles Fleming (Fleeming; of Montgomeryfield)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

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

Normalized Text

[Page 1]


Miss Simple about 25 years of age, of a thin, deli¬
cate consitution was affected about this time twelve
month with an uncommon discharge of saliva and
a loss of appetite, the saliva was sometimes frothy
at others viscid & these changes happened two or
three times every day, for this complaint she was
vomited, took the Elixir sacrum & the bark with no
great benefit; during the winter she got litle or no
exercise taken. As soon as the season would ad¬
mit she usd the sea water bathing & continued
it for three or four months - she gained a good deal
of strength & some appetite from the bathing --
about a month ago she was taken ill with the
symptoms of a fever which was pretty prevalent
in this place of the slow nervous kind, & was treated
accordingly, about the 14 day though she got no
regular crisis. yet as the quickness in her pulse
was sensibly abated she began using a decoction
of the bark, with Claret. Still she gained no strength
and her pulse rather grew quicker, for her diet, she has
been mostly upon the acesscent fruit & stewed apples
prunes, gooseberry jam &c & for some days past she
has taken about a gill of new cows milk morning
& Evening - From the beginning of her complaints
she has had the Catamenia regularly, but in very



[Page 2]
small quantity,
she had that discharge within these
few days, had more of it than usual, & her pulse
was considerably slower, she is habitually and
unmark ably costive, for this she often takes Magnesium
& Sulphur & Crm or Tartar- she has many nervous
symptoms
, as her nervous system is accordingly
irritable
. She is naturally of a chearfull lively
disposition. Her pulse for these two weeks past
has been generably at 100-

Diplomatic Text

[Page 1]


Miss Simple about 25 years of age, of a thin, deli¬
cate consitution was affected about this time twelve
month with an uncommon discharge of saliva and
a loss of appetite, the saliva was sometimes frothy
at others viscid & these changes happened two or
three times every day, for this complaint she was
vomited, took the Elixr. sacrum & the bark with no
great benefit; during the winter she got litle or no
exercise taken. As soon as the season would ad¬
mit she usd the sea water bathing & continued
it for three or four months - she gained a good deal
of strength & some appetite from the bathing --
about a month ago she was taken ill with the
symptoms of a fever which was pretty prevalent
in this place of the slow nervous kind, & was treatd
accordingly, about the 14 day though she got no
regular crisis. yet as the quickness in her pulse
was sensibly abated she began using a decoction
of the bark, with Claret. Still she gained no strength
and her pulse rather grew quicker, for her diet, she has
been mostly upon the acesscent fruit & stewed apples
prunes, gooseberry jam &c & for some days past she
has taken about a gill of new cows milk morning
& Evening - From the beginning of her complaints
she has had the Catamenia regularly, but in very



[Page 2]
small quantity,
she had that discharge within these
few days, had more of it than usual, & her pulse
was considerably slower, she is habitually and
unmark ably costive, for this she often takes Magnesium
& Sulphur & Crm or Tartar- she has many nervous
symptoms
, as her nervous system is accordingly
irritable
. She is naturally of a chearfull lively
disposition. Her pulse for these two weeks past
has been generably at 100-

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