Cullen

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

 

[ID:1710] From: Dr William Hamilton / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Paterson (Patient) / 26 July 1779 / (Incoming)

Letter from William Hamilton concerning the case of Mrs Paterson who suffers from recurring bowel and urinary problems.

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Metadata

FieldData
DOC ID 1710
RCPE Catalogue Number CUL/1/2/797
Main Language English
Document Direction Incoming
Date26 July 1779
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from William Hamilton concerning the case of Mrs Paterson who suffers from recurring bowel and urinary problems.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1127]
Case of Mrs Paterson whose shortness of breath, swollen legs and thirst are all taken as signs of dropsy. She later develops a 'nervous stomach'.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:2763]AuthorDr William Hamilton
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2762]PatientMrs Paterson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2763]Patient's Physician / Surgeon / ApothecaryDr William Hamilton

Places linked to this document

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

Normalized Text

[Page 1]

Dear Sir


Mrs. Paterson aged about 52, of a thin
habit, has since the menstrual flux ceased, been
frequently attack'd with the Fluor Albus
and some
degree of Diarrhœa; tho' it does not appear that
these complaints generally came together.- She
has generally at these times complained of a
scarcity of urine.-
About three months since,
which was the first time she ask'd my advice,
she was attack'd with the Diarrhœa and along
with it the
Fluor Albus in pretty considerable
quantity.-
She complain'd of a great degree of sick¬
ness at Stomach, every thing which she took
disagreeing with her,
and belching up sour &
ill tasted.-
Her urine was scarce, not more than
three or four wine glass fulls in the 24 hours, but
no swelling, either in the legs or abdomen, and
no degree of breathlessness at any time.- She
complain'd frequently of colick pains, and what
she pass'd ↑by Stool↑ was watery, sometimes Slimy, and as
She said, like the scrapings of paunches.- For




[Page 2]


these complaints, I made trial of several medicines,
as Emetics, the Bark in various forms, the Oleum Ricini
Radix Rhabarb torrefacto, Spiritus vitroli tenuis, Laudanum, and
advised frequent riding on horseback.- She recovered
so much that I was in hopes she would do well;
but about three weeks ago, she was attacked with
all the complaints, I have above enumerated, tho' in
a milder degree apparently.- She is, besides these, at¬
tack'd with a new complaint, >Vizt. a Short tickling
cough, without any expectoration.-
It begis as
soon as she lays down at any time, whether night
or day, and seldom troubles her when she is in
an erect position.- Her legs for some days past
generally swell a little in the evening
, and she
has a considerable degree of thirst
.- She has no
pain in her breast or side,
and breathes easily &
freely.- Pulse from 80 to 92. Her appetite is
better than for some time past, tho' She is conside¬
rably fatter off within these two or three weeks.-


She has used very little medicine in this last
illness.- Sometimes Magnesia when she feels acidity
in her
Stomach, and every other night 15 or 20 drops
or Laudanum, which puts a stop to the
cough.-


She wears flannel next her skin, and generally




[Page 3]


rides out a few miles once or twice a day.- I have
advised blistering but she rather declines it upon
account of the warmth of the weather.-
She uses
now and then a little of the Spiritus vitroli tenuis, which
she thinks quenching, without adding to the un¬
easiness of her bowells.---
I beg you would
assist us with your advice as soon as possible


And am
Dear Sir
Your most obedient humble
Servant
Will Hamilton

Kilmarnock
26th. July 1779



[Page 4]


Doctor William Cullen
Physician
Edinr.


Dr Hamilton Concerning
Mrs Paterson.
July 26. 1779. V. X p. 52.

Diplomatic Text

[Page 1]

Dear Sir


Mrs. Paterson aged about 52, of a thin
habit, has since the menstrual flux ceased, been
frequently attack'd with the Fluor Alb:
and some
degree of Diarrhœa; tho' it does not appear that
these complaints generally came together.- She
has generally at these times complained of a
scarcity of urine.-
About three months since,
which was the first time she ask'd my advice,
she was attack'd with the Diarrhœa and along
with it the
Fluor Alb: in pretty considerable
quantity.-
She complain'd of a great degree of sick¬
ness at Stomach, every thing which she took
disagreeing with her,
and belching up sour &
ill tasted.-
Her urine was scarce, not more than
three or four wine glass fulls in the 24 hours, but
no swelling, either in the legs or abdomen, and
no degree of breathlessness at any time.- She
complain'd frequently of colick pains, and what
she pass'd ↑by Stool↑ was watery, sometimes Slimy, and as
She said, like the scrapings of paunches.- For




[Page 2]


these complaints, I made trial of several medicines,
as Emetics, the Bark in various forms, the Ol: Ricin:
Rad: Rhabarb: torrefact:, Spir: Vitriol: ten:, Laudan:, and
advised frequent riding on horseback.- She recovered
so much that I was in hopes she would do well;
but about three weeks ago, she was attacked with
all the complaints, I have above enumerated, tho' in
a milder degree apparently.- She is, besides these, at¬
tack'd with a new complaint, >Vizt. a Short tickling
cough, without any expectoration.-
It begis as
soon as she lays down at any time, whether night
or day, and seldom troubles her when she is in
an erect position.- Her legs for some days past
generally swell a little in the evening
, and she
has a considerable degree of thirst
.- She has no
pain in her breast or side,
and breathes easily &
freely.- Pulse from 80 to 92. Her appetite is
better than for some time past, tho' She is conside¬
rably fatter off within these two or three weeks.-


She has used very little medicine in this last
illness.- Sometimes Magnesia when she feels acidity
in her
Stomach, and every other night 15 or 20 drops
or Laudanum, which puts a stop to the
cough.-


She wears flannel next her skin, and generally




[Page 3]


rides out a few miles once or twice a day.- I have
advised blistering but she rather declines it upon
account of the warmth of the weather.-
She uses
now and then a little of the Spir: Vitriol: ten:, which
she thinks quenching, without adding to the un¬
easiness of her bowells.---
I beg you would
assist us with your advice as soon as possible


And am
Dear Sir
Your most obedt humble
Servt.
Will Hamilton

Kilmarnock
26th. July 1779



[Page 4]


Doctor William Cullen
Physician
Edinr.


Dr Hamilton C.
Mrs Paterson.
July 26. 1779. V. X p. 52.

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