Cullen

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

 

[ID:1621] Case Note / Regarding: Mr Craufuird (Craufurd, of Ardmilland) (Patient) / 2 February 1779 / (Incoming)

Case note of Mr Craufuird of Ardmillard, composed by the surgeon Everard McIntyre [sent as enclosure with Document:1620].

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Metadata

FieldData
DOC ID 1621
RCPE Catalogue Number CUL/1/2/711b
Main Language English
Document Direction Incoming
Date2 February 1779
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Case note of Mr Craufuird of Ardmillard, composed by the surgeon Everard McIntyre [sent as enclosure with Document:1620].
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:490]
Case of Mr Crawfuird of Ardmillard who presents varied symptoms of mental confusion, including dreaming 'awake'.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1470]AuthorMr Everard McIntyre
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2589]PatientMr Craufuird (Craufurd, of Ardmilland)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:552]Patient's Physician / Surgeon / ApothecaryDr Thomas Gillespie
[PERS ID:1470]Patient's Physician / Surgeon / ApothecaryMr Everard McIntyre

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Mentioned / Other England Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]


Mr. Craufuird was taken ill about the beginning of December, immediately
after his return from a Journey of eight days to Edinburgh - Before he left
home indeed he complaind of Low Spirits, & some degree of Cough, like a common
cold-
The day after his return his cough grew worse, accompanied with a
pain in his head, particularly over his right Eye, a heaviness in his
Eyes,
confusion in his head- Strong, full, hard pulse, above 80, thirst
dry tongue and Fauces- I saw him next day & found him in that
State- I bled him to the extent of a pound , order'd him to bed, with the
Antiphlogistic Regimen- He slept ill at night & next day was
worse every way - pulse more frequent & still hard- He was again freely
Blooded, which
removed his cough altogether & relieved in some degree
the rest of the Symptoms- In the evening, he took a dose of Emetic Tartar,
& though he got a very considerable dose, it neither produced Nausea
nor Vomiting
- but procured many loose Stools & some Sweat.-
Still notwithstanding these Evacuations his pulse was commonly
up above 90- & hard-
& the uneasiness in his head & confusion remaind
The Emetic Tartar was again tried, and in a large dose, yet passd
in the same way as the first did, by Stool.- At this time A Physician
in this Neighbourhood saw Mr. Craufuird- who gave him another dose of
the Emetic Tartar
, which acted in the same way as the former &
in other respects continued the same Regimen- He likewise had his
Temples Blooded with Leetches
,- and a Blister was applied to the
Nape of his neck- By these means in about ten days- the
Violence of the Fever was got under- Except the first five or Six
days of his illness, he was always able to sit out of bed the
most part of the day- but commonly he always grew worse to¬
wards night- Still however his pulse kept always above 80- &
sometimes it exceeded 90 in a minute
- and that Uneasiness in his
↑head↑ continued, & indeed still does
, notwithstanding the heat, thirst &
other feverish Symptoms have long since gone off
- It is some¬
times accompanied with a heavy dull pain in his right Temple
or
above his right eye- & sometimes the pain rises from behind
his right ear
- always with a confusion as he says in his,




[Page 2]


head, and stiffness of his eyes, which are so tender that he cannot bear the
light
- though they are noways inflamed,- but look heavy.-
As his headach had something of an Intermitting appearance, by
growing worse in the evenings- as soon as his pulse would bear it-
Dr Gillespie order'd him some doses of the Bark daily- which
however seem'd to produce no material good effect- He complained
of feeling vastly debilitated,- and is exceedingly dispirited- The
least noise hurts his head, and throws him into a heat- When he goes
out in the Chaise, which he often does; the least jolting of the carriage
has the same effect
.- He has all along slept ill at night- At that time
the uneasiness in his head, is worse than through the day- When he awakes
he feels, (as he describes himself) a phizzing kind of noise in the back part
of his head
.- His mind is so weak that the smallest accident alarms
him, & he turns every thing, even dreams as arguments in proof of his
own danger
-


Great care has all along been taken to keep his Belly open- His bowels
however have no great tendency to be in a dry state
- and when a laxative
is necessary, a very gentle one is sufficient
-- His diet consists always
of the lightest kind of food- of which he is able to eat moderately- but
seldom with any kind ↑of↑ appetite.- He uses no Medicine just now,
except a dose of Bark in the forenoon, sometimes with a little of the
Elixir Vitrioli in it.- His Temples have been several times Blooded with
Leetches
- without evident advantage- A Blister has been proposed for
his Head
- but as yet, it has not been done-


Mr. Craufuird is some days better and others worse- and that com¬
monly depends on his Nights rest- His Urine never was high colourd
but during the first week of his illness, when it sometimes dropt a
Sediment- It is at present neither Limpid, nor high colour'd- His
Pulse however commonly keeps up above 80, & sometimes 90
- It is
easily quickned, the Heart & Arteries being very easily irritated-
we dont know the Standard of his pulse in health
- though from his
situation, & its being frequently a little hard- we suppose that it
is considerably quicker than natural- He has sometimes com¬
plaind of a pain in his Back during his illness
- but ↑it↑ is seldom severe




[Page 3]


or lasts long.--


As to Age Mr Crawfuird is under fifty- was a strong healthy man,
pretty fat- and of a Sanguine appearance- though he is considerably
reduced by this illness he is by no means emaciated- He was not
subject to Inflammatory Diathesis
- Rather supposed to be of an Atrabilious
temperament
in some degree- He was not liable to any particular
disorder, farther than I have been informed that at times when his
Mind has been much distressed- he used to be seized with Spasms in
his Stomach which would affect his head
& comfuse it a good deal
for a little- Once about ten or twelve years ago he had a severe fever,
when his head was much affected, with a considerable degree of Melancholia
and for a year or more after, his mind was so easily russled that the
smallest noise or accident discomposed him
- The Symptoms of this fever
he says were exactly the same with the last, but not near so violent
on account of the timely Evacuations that were used.-


Mr Craufuird for some years by past complaind of a pain in one
of his hips-
just across the upper part of the Os Ilium- which was
thought to be of the Rhumatic kind
- It incommoded part him
particularly when he walk'd- He has not complaind of this since
his late illness-


As Mr Craufuirds Mind for sometime before he was taken ill, was very
Much
distressd and perplexed about some disagreeable affairs that nearly
concern'd him it is imagined that, that had a gread share in bringing on
his disorder.-

Everard McIntyre Surgeon


P. S- If Dr Cullen thought that going to any of the Watering places
in England would be of service to Mr. Craufuird, he would very
willingly go to any of them.-

Diplomatic Text

[Page 1]


Mr. Craufuird was taken ill about the beginning of December, immediately
after his return from a Journey of eight days to Edinburgh - Before he left
home indeed he complaind of Low Spirits, & some degree of Cough, like a common
cold-
The day after his return his cough grew worse, accompanied with a
pain in his head, particularly over his right Eye, a heaviness in his
Eyes,
confusion in his head- Strong, full, hard pulse, above 80, thirst
dry tongue and Fauces- I saw him next day & found him in that
State- I bled him to the extent of lbi , order'd him to bed, with the
Antiphlogistic Regimen- He slept ill at night & next day was
worse every way - pulse more frequent & still hard- He was again freely
Blooded, which
removed his cough altogether & relieved in some degree
the rest of the Symptoms- In the evening, he took a dose of Emetic Tartar,
& though he got a very considerable dose, it neither produced Nausea
nor Vomiting
- but procured many loose Stools & some Sweat.-
Still notwithstanding these Evacuations his pulse was commonly
up above 90- & hard-
& the uneasiness in his head & confusion remaind
The Emetic Tartar was again tried, and in a large dose, yet passd
in the same way as the first did, by Stool.- At this time A Physician
in this Neighbourhood saw Mr. Craufuird- who gave him another dose of
the Emetic Tartar
, which acted in the same way as the former &
in other respects continued the same Regimen- He likewise had his
Temples Blooded with Leetches
,- and a Blister was applied to the
Nape of his neck- By these means in about ten days- the
Violence of the Fever was got under- Except the first five or Six
days of his illness, he was always able to sit out of bed the
most part of the day- but commonly he always grew worse to¬
wards night- Still however his pulse kept always above 80- &
sometimes it exceeded 90 in a minute
- and that Uneasiness in his
↑head↑ continued, & indeed still does
, notwithstanding the heat, thirst &
other feverish Symptoms have long since gone off
- It is some¬
times accompanied with a heavy dull pain in his right Temple
or
above his right eye- & sometimes the pain rises from behind
his right ear
- always with a confusion as he says in his,




[Page 2]


head, and stiffness of his eyes, which are so tender that he cannot bear the
light
- though they are noways inflamed,- but look heavy.-
As his headach had something of an Intermitting appearance, by
growing worse in the evenings- as soon as his pulse would bear it-
Dr Gillespie order'd him some doses of the Bark daily- which
however seem'd to produce no material good effect- He complained
of feeling vastly debilitated,- and is exceedingly dispirited- The
least noise hurts his head, and throws him into a heat- When he goes
out in the Chaise, which he often does; the least jolting of the carriage
has the same effect
.- He has all along slept ill at night- At that time
the uneasiness in his head, is worse than through the day- When he awakes
he feels, (as he describes himself) a phizzing kind of noise in the back part
of his head
.- His mind is so weak that the smallest accident alarms
him, & he turns every thing, even dreams as arguments in proof of his
own danger
-


Great care has all along been taken to keep his Belly open- His bowels
however have no great tendency to be in a dry state
- and when a laxative
is necessary, a very gentle one is sufficient
-- His diet consists always
of the lightest kind of food- of which he is able to eat moderately- but
seldom with any kind ↑of↑ appetite.- He uses no Medicine just now,
except a dose of Bark in the forenoon, sometimes with a little of the
Elixir Vitrioli in it.- His Temples have been several times Blooded with
Leetches
- without evident advantage- A Blister has been proposed for
his Head
- but as yet, it has not been done-


Mr. Craufuird is some days better and others worse- and that com¬
monly depends on his Nights rest- His Urine never was high colourd
but during the first week of his illness, when it sometimes dropt a
Sediment- It is at present neither Limpid, nor high colour'd- His
Pulse however commonly keeps up above 80, & sometimes 90
- It is
easily quickned, the Heart & Arteries being very easily irritated-
we dont know the Standard of his pulse in health
- though from his
situation, & its being frequently a little hard- we suppose that it
is considerably quicker than natural- He has sometimes com¬
plaind of a pain in his Back during his illness
- but ↑it↑ is seldom severe




[Page 3]


or lasts long.--


As to Age Mr Crawfuird is under fifty- was a strong healthy man,
pretty fat- and of a Sanguine appearance- though he is considerably
reduced by this illness he is by no means emaciated- He was not
subject to Inflammatory Diathesis
- Rather supposed to be of an Atrabilious
temperament
in some degree- He was not liable to any particular
disorder, farther than I have been informed that at times when his
Mind has been much distressed- he used to be seized with Spasms in
his Stomach which would affect his head
& comfuse it a good deal
for a little- Once about ten or twelve years ago he had a severe fever,
when his head was much affected, with a considerable degree of Melancholia
and for a year or more after, his mind was so easily russled that the
smallest noise or accident discomposed him
- The Symptoms of this fever
he says were exactly the same with the last, but not near so violent
on account of the timely Evacuations that were used.-


Mr Craufuird for some years by past complaind of a pain in one
of his hips-
just across the upper part of the Os Ilium- which was
thought to be of the Rhumatic kind
- It incommoded part him
particularly when he walk'd- He has not complaind of this since
his late illness-


As Mr Craufuirds Mind for sometime before he was taken ill, was very
Much
distressd and perplexed about some disagreeable affairs that nearly
concern'd him it is imagined that, that had a gread share in bringing on
his disorder.-

Everard McIntyre Surgeon


P. S- If Dr Cullen thought that going to any of the Watering places
in England would be of service to Mr. Craufuird, he would very
willingly go to any of them.-

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