Cullen

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

 

[ID:4007] From: Dr William Cullen (Professor Cullen) / To: Dr James Hall / Regarding: Mr Robert Sanderson (Patient) / 4 March 1777 / (Outgoing)

Reply, 'Dr Hall at Duns about Mr Sanderson'

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Metadata

FieldData
DOC ID 4007
RCPE Catalogue Number CUL/1/1/8/119
Main Language English
Document Direction Outgoing
Date4 March 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Dr Hall at Duns about Mr Sanderson'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:28]
Case of Robert Sanderson who has a stiff neck and urinary problems.
13


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:4799]AddresseeDr James Hall
[PERS ID:1550]PatientMr Robert Sanderson
[PERS ID:4799]Patient's Physician / Surgeon / ApothecaryDr James Hall
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

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 Duns (Dunse) Borders Scotland Europe certain

Normalized Text

[Page 1]
Dr Hall at Duns about Mr Sanderson


From the accounts I formerly had of the case I
considered entirely as rheumatic without suspicion
of any affection of the brain. I advised accordingly
but your information of the fall from his horse & con¬
sidering that the pains & rigidity of his neck have
been often the consequence of such accidents & with
this the tendency to Paralysis & the connection between
the head & the Stomach which appeared in the fit of
Thursday last altogether make me conclude that
there is a particular affection of the brain at the bottom
of all his complaints. At least I will retain some
suspicion till the farther progress of his ailments
give us a clearer view. In the mean time the blister
to his temples & the one I advised on Saturday were
very proper. You have judged well also in attending
to his belly & in employing the Calomel as far as
you can do it safely. So far as was necessary to
make his stomach keep the medicine your Opiate
was proper. --- otherwise Opiates are not suited to his
disease. I still think the Bark infusion & Vitriol acid
may be useful to his stomach but would not insist on
the last farther than to assist his appetite.
Your infusion of Mustard &C. is a strong one but as
I think the Paralytic symptoms depend upon an organic
affection of the brain which Stimulants may be not fit¬
ted to remove, I would employ it with caution.

Edinburgh 4th March 1777
W. C.

Diplomatic Text

[Page 1]
Dr Hall at Duns about Mr Sanderson


From the accounts I formerly had of the case I
considered entirely as rheumatic without suspicion
of any affection of the brain. I advised accordingly
but your information of the fall from his horse & con¬
sidering that the pains & rigidity of his neck have
been often the consequence of such accidents & with
this the tendency to Paralysis & the connection between
the head & the Stomach wc appeared in the fit of
Thursday last altogether make me conclude that
there is a particular affection of ye brain at the bottom
of all his complaints. At least I will retain some
suspicion till the farther progress of his ailments
give us a clearer view. In the mean time the blister
to his temples & the one I advised on Saturday were
very proper. You have judged well also in attendg
to his belly & in employg the Calomel as far as
you can do it safely. So far as was necessary to
make his stomach keep the medicine your Opiate
was proper. --- otherwise Opiates are not suited to his
disease. I still think the Bark infus. & Vitriol acid
m. b. useful to his stomach but would not insist on
the last farther than to assist his appetite.
Your infusion of Mustard &C. is a strong one but as
I think the Paralytic symptoms depend upon an organic
affection of the brain wc Stimulants may be not fit¬
ted to remove, I would employ it with caution.

Edinr. 4th March 1777
W. C.

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