Cullen

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

 

[ID:1921] Case Note / Regarding: Sir George Burnet(t) (Burnett of Kemnay) (Patient) / 29? September 1780? / (Incoming)

Unsigned case note describing the case of George Burnett of Kemnay, in his own hand (he is probably also the author, but adopts he third person mode of address as a formality), in which his various attempts to treat his breathing problems are described in detail. Some phonetic spelling throughout. Sent as an enclosure with ID:1920. Undated but must be c. late September 1780.

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Metadata

FieldData
DOC ID 1921
RCPE Catalogue Number CUL/1/2/1000b
Main Language English
Document Direction Incoming
Date29? September 1780?
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Unsigned case note describing the case of George Burnett of Kemnay, in his own hand (he is probably also the author, but adopts he third person mode of address as a formality), in which his various attempts to treat his breathing problems are described in detail. Some phonetic spelling throughout. Sent as an enclosure with ID:1920. Undated but must be c. late September 1780.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1200]
Case of George Burnet of Kenmay who is emaciated after a very chronic cough, like chin cough which has lasted several years.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:641]AuthorSir George Burnet(t) (Burnett of Kemnay)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:641]PatientSir George Burnet(t) (Burnett of Kemnay)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:157]Patient's Physician / Surgeon / ApothecaryMr Farquhar (McFarquhar)
[PERS ID:5393]Patient's Relative / Spouse / FriendDr

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Kemnay House Aberdeen East Highlands Scotland Europe inferred
Mentioned / Other London London and South-East England Europe certain
Mentioned / Other River Dee (head of) East Highlands Scotland Europe certain

Normalized Text

[Page 1]


G B of a fair completion, & rather delicat
thin Robust; somewhat below the midle
stature, not given to much excess in his
way of living, past throw a great part
of his life without great ailment; yet
sometimes troubled with nervous complaints
as indigestions, flatulences in his stomack
sleepless nights now & then, always accompained
with pale urine, & a pulse scarce perceptible


[These?] things went on till
his 56th. year, when he catched cold, by riding
in a cold frosty winter night, which turnd
to a most voilent cough, & atackd him by
fitts, so strong & voilent, that it was liker
the chincough in Children then a common
cough. But thinking always it would wear
off & living at some distance from town
did not take any advice about it for some
months. When he applyd to a Physician
who orderd him a vomit, Paregorick
Elixir
& Ground Ivy; drinking a decotion
of Liquirish root &c. This not having the
desired effect he got a perscription from
a friend of his, a Physician in London, to
take Peruvian Bark, Wild Valerian, Nutmeg
watter
, Syrup of Lavender & Syrup of Saffron.
But thought if he got any reliefe it was
rather from a Squill mixture then any
thing else ↑but could not say with certainty↑ As it Seemd to be abating
about the time he tryd this, & inclin'd to



[Page 2]

grant him some interval; as it continued
to do from [these?], sometimes for weeks, &
sometimes for Months {illeg} once eight months
at a time; during which, tho never intirely
free, he was never much anoyd with it.


About the time he has mentiond, and
when it begun to allow these interval,
Mr. Farquhar Surgeon London happend
to come to his House, & advis'd him at
the time it came on, to take vinegar &
Honey boil up together, two or three spoon¬
fulls. He thought this gave him Ease, &
prevented his being kept from rest & he
continued it a year or two & tryd no other
thing, till he begun to think it was thinning
him. He was then advis'd to try milk &
honey milk & Conserve of Roses &c in the
morning. but still the cough stuck by him,
& he would have had for once or twice a day
fitts just like the chincough. At which
times he always spit a great deal of
gross defluction
; ↑which he thinks flows originally from his head & the expectorations
he got either in his Bed, ot in the
mornings, some of it was ↑of↑ a faint yellowish
colour, tho none of it was fetid, or sunk in
watter. His Head at those times running
much. But as he has said he had during
these several years many intervals, one of
them about three years agoe for near a
twelfmonth.




[Page 3]


That all his life he could ill bear heat or
or hot weather; but since he turnd old & weak
he feels great distress that way. For this
two years past he has had a very great
dryness in his mouth, both night & day with
sometimes, tho not often, a braikish taste
in his mouth. But the most alarming
symptom is a very quick falling away
of his flesh
. Haveing within this year & a
half, come down from a good midling Plight,
to be much emaciated & greatly decayd in
his ↑flesh↑
. His stomach was pritty good
all his life time, ↑better than his Digestion↑ and continowd so during
all the time of these complents till within
these three or four months.


He was advised during these three or four
last year, to take different things, viz amongst
the rest opiates, which keept off the cough
the night he took it & sometimes for two or
three others. but always keept him that
whole night without sleep; encreased the
dryness in his mouth, & he thought hurt
his stomack took frequent vomits Ipeca:/treatment> Squill mixture with & without gargles
Blisters pectoral mixtures & at night Parigorick Elixir & pacific Pills


During most of last Winter he drank
Ass milk, without finding much benefit; & was
advised as soon as it could be got, to try the
Goat milk, up on the Head of Dee, where the
air is remarkably dry & Salubrious.


Here he continowd five weeks, & was during
that time almost free of his cough & Slept


※ was advised about that time to try water, but this he cant sicurely say he tryed as he
thought it too strong made, & that it did not agree with the stomach




[Page 4]


pritty well. yet he could not know, if he could
atribut this to the benefit of that air,
as he is used to be free of the cough, for as
long, & after longer, in the Summer Months.


Not long after he came home
it returnd upon him with greated voelince,
than ever, in so much, that he will sometimes
have several fitts a day, & not long after he
lys down, such long & sever ones, that seem to
resemble the very Paroxisms of the Chincough
& makes his breath painfully short as it is some¬
times in the day now when he has had no fitt or too Strong exercise


He should have mentiond before,
that his Cough was often preceded by a [Whozling?]
or whizing
at his Breast, which is now increased
to be greatly more loud & troublesome.


He has been all along pritty well in his
Belly, except about three months, when he was
voilently constipated, & never got a stool
without great pain, & that procured by Pill
Sacred Tincture, or Rhubarb: has for this
month past come back to his uswall way.


He never has had, as
fare as he can judge, any hectic or consumptive
symptoms. His breath perfectly sweet, no
sweatings in the night, or pain in his
Breast. sometimes, endeed, he has flushes of
heat, but seldom, & mostly in warme
weather; Even these do not seem to flush
his
face, or rais his Pulse. ↑or glow in his Palms or soles When he said
he had never any pain in his Breast



[Page 5]

dos not know if it was worth mentioning,
that after walking, especialy at the end
of his walk, he has felt, no acute, but
a dull heavey pain at the bottom of the
short ribs
on the left sid. But never felt it
at any other time, or either in his chaise
or on horseback; & always wore off with
rest:, which perswades him tis more
owing to weakness then any other cause.


He every day takes some
exercise; either on his horse or in his
chaise, sometimes both. He eats an egg,
some bread & butter, honey marmalet or
jelly, & Drinks two Dishes of Coffee to his
breakfast. & tho he has no great stomack
to his dinner Eats a Wing & part of a
Leg of a Fowle. or the same of muirfowl
or partradge, with a few Pease, or Colliflowr
& about the same proportion of Lamb,
or Veal. Tho a lover of fish, do's not eat
any, as he thinks they encrease Phlegm
To his super never more there an artichock ↑or sewings & white wine↑ 1
drinks a little Porter to his meat; & after
such meal three or four Glasses of Red
Port, or four or five Glasses of Claret.
often takes a single glass of Rid or whit
wine, about one oclock.


Dos not recollect if he has
mention'd that in the course of this long
ailment



[Page 6]

besides running throw the common
things. He has taken many vomits
& Blisters. but never felt himself
a Bit the Better of any of them.
except it might have been about half a
year agoe, that he was siezed with a
giddiness in his Head, fell over, & was carried
to bed, but without the smallest intervall
of perfect Recollection or thought, at this
time he got a vomit, injection, & blister.
He has just now had a small fitt of the
same kind, & taken a vomit for it, as
thinking it procured from his stomach,
which he thinks has been offended [from?]
similar causes; in the former case it came
on after taking some kind of strong opiates ↑tho none stronger than mentioned above↑
to quiet or keep off that cough, that wasted him
to last, & in the latter case after takeing, Syrup
of Poppies
at Bedtime, for the same Purpos -
He is just now within a few days of Sixty six.

Notes:

1: More usually "sowens' being an 'article of diet formerly in common use in Scotland (and some parts of Ireland), consisting of farinaceous matter extracted from the bran or husks of oats by steeping in water, allowed to ferment slightly, and prepared by boiling' (OED).

Diplomatic Text

[Page 1]


G B of a fair completion, & rather delicat
thin Robust; somewhat below the midle
stature, not given to much excess in his
way of living, past throw a great part
of his life without great ailment; yet
sometimes troubled with nervous complaints
as indigestions, flatulences in his stomack
sleepless nights now & then, always accompained
with pale urine, & a pulse scarce perceptible


[These?] things went on till
his 56th. year, when he catched cold, by riding
in a cold frosty winter night, which turnd
to a most voilent cough, & atackd him by
fitts, so strong & voilent, that it was liker
the chincough in Children then a common
cough. But thinking always it would wear
off & living at some distance from town
did not take any advice about it for some
months. When he applyd to a Physician
who orderd him a vomit, Paregorick
Elixir
& Ground Ivy; drinking a decotion
of Liquirish root &c. This not having the
desired effect he got a perscription from
a friend of his, a Physician in London, to
take Peruvian Bark, Wild Valerian, Nutmeg
watter
, Syrup of Lavender & Syrup of Saffron.
But thought if he got any reliefe it was
rather from a Squill mixture then any
thing else ↑but could not say with certainty↑ As it Seemd to be abating
about the time he tryd this, & inclin'd to



[Page 2]

grant him some interval; as it continued
to do from [these?], sometimes for weeks, &
sometimes for Months {illeg} once eight months
at a time; during which, tho never intirely
free, he was never much anoyd with it.


About the time he has mentiond, and
when it begun to allow these interval,
Mr. Farquhar Surgeon London happend
to come to his House, & advis'd him at
the time it came on, to take vinegar &
Honey boil up together, two or three spoon¬
fulls. He thought this gave him Ease, &
prevented his being kept from rest & he
continued it a year or two & tryd no other
thing, till he begun to think it was thinning
him. He was then advis'd to try milk &
honey milk & Conserve of Roses &c in the
morning. but still the cough stuck by him,
& he would have had for once or twice a day
fitts just like the chincough. At which
times he always spit a great deal of
gross defluction
; ↑which he thinks flows originally from his head & the expectorations
he got either in his Bed, ot in the
mornings, some of it was ↑of↑ a faint yellowish
colour, tho none of it was fetid, or sunk in
watter. His Head at those times running
much. But as he has said he had during
these several years many intervals, one of
them about three years agoe for near a
twelfmonth.




[Page 3]


That all his life he could ill bear heat or
or hot weather; but since he turnd old & weak
he feels great distress that way. For this
two years past he has had a very great
dryness in his mouth, both night & day with
sometimes, tho not often, a braikish taste
in his mouth. But the most alarming
symptom is a very quick falling away
of his flesh
. Haveing within this year & a
half, come down from a good midling Plight,
to be much emaciated & greatly decayd in
his ↑flesh↑
. His stomach was pritty good
all his life time, ↑better than his Digestion↑ and continowd so during
all the time of these complents till within
these three or four months.


He was advised during these three or four
last year, to take different things, viz amongst
the rest opiates, which keept off the cough
the night he took it & sometimes for two or
three others. but always keept him that
whole night without sleep; encreased the
dryness in his mouth, & he thought hurt
his stomack took frequent vomits Ipeca:/treatment> Squill mixture wt. & wt.out gargles
Blisters pectoral mixtures & at night Parigorick Elixir & pacific Pills


During most of last Winter he drank
Ass milk, without finding much benefit; & was
advised as soon as it could be got, to try the
Goat milk, up on the Head of Dee, where the
air is remarkably dry & Salubrious.


Here he continowd five weeks, & was during
that time almost free of his cough & Slept


※ was advised about that time to try water, but this he cant sicurely say he tryed as he
thought it too strong made, & that it did not agree with the stomach




[Page 4]


pritty well. yet he could not know, if he could
atribut this to the benefit of that air,
as he is used to be free of the cough, for as
long, & after longer, in the Summer Months.


Not long after he came home
it returnd upon him with greated voelince,
than ever, in so much, that he will sometimes
have several fitts a day, & not long after he
lys down, such long & sever ones, that seem to
resemble the very Paroxisms of the Chincough
& makes his breath painfully short as it is some¬
times in the day now when he has had no fitt or too Strong exercise


He should have mentiond before,
that his Cough was often preceded by a [Whozling?]
or whizing
at his Breast, which is now increased
to be greatly more loud & troublesome.


He has been all along pritty well in his
Belly, except about three months, when he was
voilently constipated, & never got a stool
without great pain, & that procured by Pill
Sacred Tincture, or Rhubarb: has for this
month past come back to his uswall way.


He never has had, as
fare as he can judge, any hectic or consumptive
symptoms. His breath perfectly sweet, no
sweatings in the night, or pain in his
Breast. sometimes, endeed, he has flushes of
heat, but seldom, & mostly in warme
weather; Even these do not seem to flush
his
face, or rais his Pulse. ↑or glow in his Palms or soles When he said
he had never any pain in his Breast



[Page 5]

dos not know if it was worth mentioning,
that after walking, especialy at the end
of his walk, he has felt, no acute, but
a dull heavey pain at the bottom of the
short ribs
on the left sid. But never felt it
at any other time, or either in his chaise
or on horseback; & always wore off with
rest:, which perswades him tis more
owing to weakness then any other cause.


He every day takes some
exercise; either on his horse or in his
chaise, sometimes both. He eats an egg,
some bread & butter, honey marmalet or
jelly, & Drinks two Dishes of Coffee to his
breakfast. & tho he has no great stomack
to his dinner Eats a Wing & part of a
Leg of a Fowle. or the same of muirfowl
or partradge, with a few Pease, or Colliflowr
& about the same proportion of Lamb,
or Veal. Tho a lover of fish, do's not eat
any, as he thinks they encrease Phlegm
To his super never more there an artichock ↑or sewings & white wine↑ 1
drinks a little Porter to his meat; & after
such meal three or four Glasses of Red
Port, or four or five Glasses of Claret.
often takes a single glass of Rid or whit
wine, about one oclock.


Dos not recollect if he has
mention'd that in the course of this long
ailment



[Page 6]

besides running throw the common
things. He has taken many vomits
& Blisters. but never felt himself
a Bit the Better of any of them.
except it might have been about half a
year agoe, that he was siezed with a
giddiness in his Head, fell over, & was carried
to bed, but without the smallest intervall
of perfect Recollection or thought, at this
time he got a vomit, injection, & blister.
He has just now had a small fitt of the
same kind, & taken a vomit for it, as
thinking it procured from his stomach,
which he thinks has been offended [from?]
similar causes; in the former case it came
on after taking some kind of strong opiates ↑tho none stronger than mentioned above↑
to quiet or keep off that cough, that wasted him
to last, & in the latter case after takeing, Syrup
of Poppies
at Bedtime, for the same Purpos -
He is just now within a few days of Sixty six.

Notes:

1: More usually "sowens' being an 'article of diet formerly in common use in Scotland (and some parts of Ireland), consisting of farinaceous matter extracted from the bran or husks of oats by steeping in water, allowed to ferment slightly, and prepared by boiling' (OED).

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