The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3825] From: Dr William Cullen (Professor Cullen) / To: Dr Thomas Gillespie / Regarding: Mr John Crawford (Crauford, Crawford of Doonside, of Dunside) (Patient) / 4 June 1776 / (Outgoing)
Reply probably to Dr Thomas Gillespie headed 'Mr Crauford of Doonside'. The recipe refers readers to recipe for Lord Cathcart on p.53 [see previous document, ID:3824].
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
[Page 3]
Metadata
Field | Data |
---|---|
DOC ID | 3825 |
RCPE Catalogue Number | CUL/1/1/7/46 |
Main Language | English |
Document Direction | Outgoing |
Date | 4 June 1776 |
Annotation | None |
Type | Scribal copy ( includes Casebook Entry) |
Enclosure(s) | No enclosure(s) |
Autopsy | No |
Recipe | Yes |
Regimen | No |
Letter of Introduction | No |
Case Note | No |
Summary | Reply probably to Dr Thomas Gillespie headed 'Mr Crauford of Doonside'. The recipe refers readers to recipe for Lord Cathcart on p.53 [see previous document, ID:3824]. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:387] |
Case of Mr Crauford [Crawford] of Doonside who is being treated for gout. |
7 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
[PERS ID:552] | Addressee | Dr Thomas Gillespie |
[PERS ID:626] | Patient | Mr John Crawford (Crauford, Crawford of Doonside, of Dunside) |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:552] | Patient's Physician / Surgeon / Apothecary | Dr Thomas Gillespie |
Places linked to this document
Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
---|---|---|---|---|---|---|
Place of Writing | Cullen's House / Mint Close | Edinburgh | Edinburgh and East | Scotland | Europe | certain |
Destination of Letter | Ayr (Air) | Glasgow and West | Scotland | Europe | inferred | |
Mentioned / Other | Bath | South-West | England | Europe | certain | |
Mentioned / Other | Doonside Estate / Dunside | Alloway | Glasgow and West | Scotland | Europe | certain |
Normalized Text
Mr Crauford of Doonside
The case entirely gouty. The falling off of his appetite some
time ago is but a common effect of the Diathesis not taking a proper
course & tho the fit this spring seems to have been regular enough
it has not been sufficient to take off the Diathesis (↑effects
of the Diathesis↑) in other parts. --
I think the pain of his side {illeg} was entirely external and
does not lead me to suspect either an affection of the Lungs
or Spleen (↑Liver↑) the last indeed in persons, who have
for a long time lived full is always to be suspected, but
there is little reason from the Symptoms you mention even
with the pain of the top of the shoulder to suspect it
in the present case. I think the ailment was purely a gouty
or Rheumatic, that is as inflammatory affection of the
[Page 2]
Muscles on the right side of the Thorax; your treatment
by bleeding and blistering was very proper and your success con¬
firms me in my opinion. I hope this affection of the side is now out
of the question but if not, a blister should be again applied
The ailment seems to be now chiefly in the Stomach, but
what sort of affection it is there, is not quite clear. It does not
appear to be the Atonic Dyspepsia which is the most common
effect of the Gout not taking to the extremities. The pulse at 82
is certainly more than natural at Mr Crawford's time of life & this
with the high colour of his urine & his feelings of the pressure
of the Stomach lead me to think that the Stomach is affected
with some Phlogosis but I do not say Inflammation Even the
increased secretion from the gland of his mouth and tongue
lead to the same suspicion & I expect it will be confirmed by
the tongue & fauces becoming very claen clean and red -
This view of the case gives a good deal of difficulty
for it leads to exclude all those warm medicines which we com¬
monly employ (↑think↑) necessary for defending the stomach &
pushing to the Extremities
The only medicine I advise is ordered below. - this he may
take in one or two ounces for a dose & two or three
times a day as you shall find it agree with him, but
let every dose [ma?] be moderately acidulated with
Elix. vitr. acid this is the most proper medicine for restoring
his appetite which we can advise but it will be necessary to
join fresh air & gentle exercise - this I hope will
[Page 3]
not now be interrupted by the pain of his side. You
must therefore as he bears it increase the measure of his exer¬
cise & as soon as he can be found to bear it, I should think
a journey of some length, the most proper remedy.
He may go to Bath as well as any where else & the
Bath Drs will advise him to try their waters, but unless all
suspicion of any feverish habit be entirely removed. I shall think
a great deal of caution necessary in trying Bath Water.
With the remedies mentioned attention to his belly is very
necessary. The Oleum Ricini is preferable to every warmer
medicine
Diet. While his appetite is so bad he may take of any
light food (↑animal food↑) he likes best. Upon my notion of
the state of his stomach all kinds of strong drink might
seem improper but his habits absolutely require the con¬
tinuance of Wine, only let it be a little diluted, tho
not so far as to be cold to his stomach. Even his Gin
Punch may be at times allowed if not very strong.
℞ Bark Infusion as ordered for Lord Cathcart p. 53 1
Notes:
1: Refers to the recipe for Lord Cathcart on p.53, for which see previous document, ID:3824.
Diplomatic Text
Mr Crauford of Doonside
The case entirely gouty. The falling off of his appetite some
time ago is but a common effect of the Diathesis not taking a proper
course & tho the fit this spring seems to have been regular enough
it has not been sufficient to take off the Diathesis (↑effects
of the Diathesis↑) in other parts. --
I think the pain of his side {illeg} was entirely external and
does not lead me to suspect either an affection of the Lungs
or Spleen (↑Liver↑) the last indeed in persons, who have
for a long time lived full is always to be suspected, but
there is little reason from the Symptoms you mention even
with the pain of the top of the shoulder to suspect it
in the present case. I think the ailment was purely a gouty
or Rheumatic, that is as inflammatory affection of the
[Page 2]
Muscles on the right side of the Thorax; your treatment
by bleeding and blistering was very proper and your success con¬
firms me in my opinion. I hope this affection of the side is now out
of the question but if not, a blister should be again applied
The ailment seems to be now chiefly in the Stomach, but
what sort of affection it is there, is not quite clear. It does not
appear to be the Atonic Dyspepsia which is the most common
effect of the Gout not taking to the extremities. The pulse at 82
is certainly more than natural at Mr Crawford's time of life & this
with the high colour of his urine & his feelings of the pressure
of the Stomach lead me to think that the Stomach is affected
with some Phlogosis but I do not say Inflammation Even the
increased secretion from the gland of his mouth and tongue
lead to the same suspicion & I expect it will be confirmed by
the tongue & fauces becoming very claen clean and red -
This view of the case gives a good deal of difficulty
for it leads to exclude all those warm meds which we com¬
monly employ (↑think↑) necessary for defending the stomach &
pushing to the Extremities
The only med I advise is ordered below. - this he may
take in one or two ounces for a dose & two or three
times a day as you shall find it agree with him, but
let every dose [ma?] be moderately acidulated with
Elix. vitr. acid this is the most proper med for restoring
his appetite wc we can advise but it will be necessary to
join fresh air & gentle exercise - this I hope will
[Page 3]
not now be interrupted by the pain of his side. You
must therefore as he bears it increase the measure of his exer¬
cise & as soon as he can be found to bear it, I should think
a journey of some length, the most proper remedy.
He may go to Bath as well as any where else & the
Bath Drs will advise him to try their waters, but unless all
suspicion of any feverish habit be entirely removed. I shall think
a great deal of caution necessary in trying Bath Water.
With the remedies mentioned attention to his belly is very
necessary. The Oleum Ricini is preferable to every warmer
medicine
Diet. While his appetite is so bad he may take of any
light food (↑animal food↑) he likes best. Upon my notion of
the state of his stomach all kinds of strong drink might
seem improper but his habits absolutely require the con¬
tinuance of Wine, only let it be a little diluted, tho
not so far as to be cold to his stomach. Even his Gin
Punch may be at times allowed if not very strong.
℞ Bark Infusion as ordered for Lord Cathcart p. 53 1
Notes:
1: Refers to the recipe for Lord Cathcart on p.53, for which see previous document, ID:3824.
XML
XML file not yet available.
Feedback
Send us specfic feeback about this document [DOC ID:3825]
Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...