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].
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
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[Page 2]
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Metadata
Field | Data |
---|---|
DOC ID | 1621 |
RCPE Catalogue Number | CUL/1/2/711b |
Main Language | English |
Document Direction | Incoming |
Date | 2 February 1779 |
Annotation | None |
Type | Authorial 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 ID | Role in document | Person |
---|---|---|
[PERS ID:1470] | Author | Mr Everard McIntyre |
[PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
[PERS ID:2589] | Patient | Mr Craufuird (Craufurd, of Ardmilland) |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:552] | Patient's Physician / Surgeon / Apothecary | Dr Thomas Gillespie |
[PERS ID:1470] | Patient's Physician / Surgeon / Apothecary | Mr 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
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.-
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
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.-
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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