The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:2443] Case Note / Regarding: Lady (Patient) / 12 April 1784 / (Incoming)
Unsigned note describing the case of an unnamed female patient who has developed a cough and other hectic symptoms. From Cullen's reply it can be ascertained that this case note was 'communicated' - if not actually written - by Sir William Forbes.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
[Page 3]
[Page 4]
Metadata
| Field | Data |
|---|---|
| DOC ID | 2443 |
| RCPE Catalogue Number | CUL/1/2/1498 |
| Main Language | English |
| Document Direction | Incoming |
| Date | 12 April 1784 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Unsigned note describing the case of an unnamed female patient who has developed a cough and other hectic symptoms. From Cullen's reply it can be ascertained that this case note was 'communicated' - if not actually written - by Sir William Forbes. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:2417] |
Case of an unnamed female patient, aged thirty-eight, who had developed a cough and other potentially hectic symptoms. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:4004] | Patient | Lady |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:3574] | Patient's Relative / Spouse / Friend | Sir William Forbes |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | inferred |
Normalized Text
Madam -- who is now 28 years old,
was born with the appearance of a
good constitution, though tender and
delicate. She was fat until she attained
the age of 7 years, after which she began
to grow thin, and, within a short time
after, was subject to itchings, succeeded
by a small running of blood. They gave
her sweetning and softning things, with
injections of the like nature. Though
a stop was put to the disorder, it was
but for a time, for it returned frequently,
though not quite so often, untill she had
had her menses. It was remarked both
before and after that period, that the
blood fell upon her lungs, & sometimes
upon her eyes. She was blooded but seldom,
though it was necessary to be done twice
[Page 2]
or thrice. Notwithstanding she had a very
bad state of health, it gave no real alarm
to her friends, till about 3 years ago, when
she was observed to have some red spots;
and also some yellow ones upon her breast.
She was not able to digest, without great
difficulty; was incapable of bearing the
most moderate exercise without unheard of
fatigue; and sometimes was oppressed with
a cough. About 2 years ago she took a
long journey, in which she overheated
herself, and lived upon stronger food
than usual; in consequence of which, a
very large spot appeared upon her hand.
This spot indeed has disappeared; yet,
ever since that time, the disorder above-
mentioned has increased; for she has fre¬
quently a cough, & an irritation in her
nerves, and a pain in her back & breast,
and sometimes in her stomach.
Such is the case of the Patient,
[Page 3]
for whom advise is desired.
For many months past she has grown
considerably leaner. It is about a year ago,
that she began ti take an infusion of 12
grains of bark; she has had 3 blisters,
and drank asse's milk twice at the same
time, which gave her a fever, and caused
a bad digestion, and such a disgust & loath¬
someness, that she was obliged to leave
it off, and take physick. It is now
3 weeks since she took the bark in
bolus, & some limonade & water of
marsh-mallow by turns, with the opiate
of conserve of roses, and also some
whey in the morning. As the cough has
been more violent during the last fort¬
night, and as the blood seemed to be
settled upon her lungs, they applied
leeches to her yesterday. The cough
troubled her much in the morning, but
[Page 4]
still more in the evening. The menses
do very well; but she suffers always
much more for some days, before they
come on; however the physician says,
that she has not a constant fever -- 29th.
of March 1784.
Since the 29th. of March, she
left off the bark, and the leeches were
again applied by the direction of her
physician. Her cough, as well as the
pains in her breast & back are diminished.
and she seems to have recovered a little
degree of strength; tho' probably a suffi¬
cient time has not elapsed to determine,
whether this arises from the change of
her regimen.
April 12. 1784
Mr Culline Doctor Edinburg
Diplomatic Text
Madam -- who is now 28 years old,
was born with the appearance of a
good constitution, though tender and
delicate. She was fat until she attained
the age of 7 years, after which she began
to grow thin, and, within a short time
after, was subject to itchings, succeeded
by a small running of blood. They gave
her sweetning and softning things, with
injections of the like nature. Though
a stop was put to the disorder, it was
but for a time, for it returned frequently,
though not quite so often, untill she had
had her menses. It was remarked both
before and after that period, that the
blood fell upon her lungs, & sometimes
upon her eyes. She was blooded but seldom,
though it was necessary to be done twice
[Page 2]
or thrice. Notwithstanding she had a very
bad state of health, it gave no real alarm
to her friends, till about 3 years ago, when
she was observed to have some red spots;
and also some yellow ones upon her breast.
She was not able to digest, without great
difficulty; was incapable of bearing the
most moderate exercise without unheard of
fatigue; and sometimes was oppressed with
a cough. About 2 years ago she took a
long journey, in which she overheated
herself, and lived upon stronger food
than usual; in consequence of which, a
very large spot appeared upon her hand.
This spot indeed has disappeared; yet,
ever since that time, the disorder above-
mentioned has increased; for she has fre¬
quently a cough, & an irritation in her
nerves, and a pain in her back & breast,
and sometimes in her stomach.
Such is the case of the Patient,
[Page 3]
for whom advise is desired.
For many months past she has grown
considerably leaner. It is about a year ago,
that she began ti take an infusion of 12
grains of bark; she has had 3 blisters,
and drank asse's milk twice at the same
time, which gave her a fever, and caused
a bad digestion, and such a disgust & loath¬
someness, that she was obliged to leave
it off, and take physick. It is now
3 weeks since she took the bark in
bolus, & some limonade & water of
marsh-mallow by turns, with the opiate
of conserve of roses, and also some
whey in the morning. As the cough has
been more violent during the last fort¬
night, and as the blood seemed to be
settled upon her lungs, they applied
leeches to her yesterday. The cough
troubled her much in the morning, but
[Page 4]
still more in the evening. The menses
do very well; but she suffers always
much more for some days, before they
come on; however the physician says,
that she has not a constant fever -- 29th.
of March 1784.
Since the 29th. of March, she
left off the bark, and the leeches were
again applied by the direction of her
physician. Her cough, as well as the
pains in her breast & back are diminished.
and she seems to have recovered a little
degree of strength; tho' probably a suffi¬
cient time has not elapsed to determine,
whether this arises from the change of
her regimen.
April 12. 1784
Mr Culline Dr Edinburg
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