Cullen

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

 

[ID:4045] From: Dr William Cullen (Professor Cullen) / To: Dr John Alves / Regarding: Mrs Baillie (of Lamington) (Patient) / 21 April 1777 / (Outgoing)

Reply, 'Dr Alves C[oncerning] Mrs Baillie'. A small passage is in Latin.

Facsimile

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Metadata

FieldData
DOC ID 4045
RCPE Catalogue Number CUL/1/1/9/18
Main Language English
Document Direction Outgoing
Date21 April 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 Alves C[oncerning] Mrs Baillie'. A small passage is in Latin.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:175]
Case of Mrs Baillie who caught a cold, then got chilled in church and is now feverish.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:148]AddresseeDr John Alves
[PERS ID:1732]PatientMrs Baillie (of Lamington)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:148]Patient's Physician / Surgeon / ApothecaryDr John Alves

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 Balnagown Kildary North Highlands Scotland Europe certain

Normalized Text

[Page 1]
Dr Alves Concerning Mrs Baillie --


I cannot suspect any Aguish Disorder and I believe
that the first feverishness was owing to cold and it was only
the improper management of it which occasioned its Conti¬
nuance. I am persuaded that it was a fresh Cold, which
appeared on Thursday or Friday senight and I date the
present ailment from that time only; and I am disposed
to consider the present ailment purely as a Catarrhal
Affection
. I should have thought it lucky if Mrs B
could have allowed the loosing a little blood and still
if the Cough should increase with any pains about
the Chest, I should think it desireable: but I hope it
shall not be necessary and that your proper measures
of taking away animal food and Wine will answer
the purpose and your keeping the belly open will also
constitute to the same end. If the feverishness and Megrim
should continue as you mention I shall think the repetition
of Vomits may be necessary
or if you cannot repeat
them so often as these symptoms may require I think you
may by some nauseating Doses even of Tartar Emetic or at
least of Ipecacuanha and you may possibly find such
Doses the most convenient Laxative you can employ.
If notwithstanding the use of these some feverish fits and
Megrim should continue to recur immerging the feet and legs
in warm water or fomenting them with cloths very well
wrung out of warm water
may be of service but you must
employ



[Page 2]

either the one or the other some hours before bedtime lest
they increase the sweatings she has been liable to. If the
Feverishness and Cough persist an epispastic plaister is to be applied between the shoulders. If the Megrim recurs with feverish symptoms it is to be applied [twice a day?] to the temples. Continue the Saline Mixture as required.
Continue the Nitrous Mixture but I would contrive a separate
form for the Nitre that you may not be confined in the use
of the Emulsion. She must not go abroad till she is
quite well nor even till the weather is much better
than it is at present. -- If the feverishness should
go no further than it has done, she should be out of
bed every day & lye above it. If she be liable
to Chillness
on lying down at night use the warm¬
ing Pan --

Edinburgh 21st April. 1777. --

Diplomatic Text

[Page 1]
Dr Alves C Mrs Baillie --


I cannot suspect any Aguish Disorder and I believe
that the first feverishness was owing to cold and it was only
the improper management of it which occasioned its Conti¬
nuance. I am persuaded that it was a fresh Cold, which
appeared on Thursday or Friday senight and I date the
present ailment from that time only; and I am disposed
to consider the present ailment purely as a Catarrhal
Affection
. I should have thought it lucky if Mrs B
could have allowed the loosing a little blood and still
if the Cough should increase with any pains about
the Chest, I should think it desireable: but I hope it
shall not be necessary and that your proper measures
of taking away animal food and Wine will answer
the purpose and your keeping the belly open will also
constitute to the same end. If the feverishness and Megrim
should continue as you mention I shall think the repetition
of Vomits may be necessary
or if you cannot repeat
them so often as these symptoms may require I think you
may by some nauseating Doses even of Tartar Emet. or at
least of Ipecacuanha and you may possibly find such
Doses the most convenient Laxative you can employ.
If notwithstanding the use of these some feverish fits and
Megrim should continue to recur immerging the feet and legs
in warm water or fomenting them with cloths very well
wrung out of warm water
may be of service but you must
employ



[Page 2]

either the one or the other some hours before bedtime lest
they increase the sweatings she has been liable to. If the
Pyrexia et Tussis perstiterit applicr. Emp. Ep. inter Scap.
Si Hemicrania recurrerit cum Symptomatibus Pyrexiæ
Applicr [bini dines?] tempori. Contr Mist. Salin pro re nata
Cont the Nitrous Mixt. but I would contrive a separate
form for the Nitre that you may not be confined in the use
of the Emulsion. She must not go abroad till she is
quite well nor even till the weather is much better
than it is at present. -- If the feverishness should
go no further than it has done, she should be out of
bed every day & lye above it. If she be liable
to Chillness
on lying down at night use the warm¬
ing Pan --

Edinr 21st April. 1777. --

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