The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4153] From: Dr William Cullen (Professor Cullen) / To: Mr Archibald Murray (in Kirkcaldy) / Regarding: Miss Ayton (Aytoun, of Inchdarney, Inchdairnie) (Patient) / 25 September 1777 / (Outgoing)
Reply 'To Mr Murray Surgeon in Kirkcady concerning Miss Aytoun'. Cullen suggests bleeding rather than blistering, warming her feet, and the use of injections, rather than anodynes, for her gripings.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
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Facsimile
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[Page 1]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4153 |
| RCPE Catalogue Number | CUL/1/1/10/10 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 25 September 1777 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'To Mr Murray Surgeon in Kirkcady concerning Miss Aytoun'. Cullen suggests bleeding rather than blistering, warming her feet, and the use of injections, rather than anodynes, for her gripings. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:764] |
Case of Miss Aytoun who suffers varied symptoms including abdominal pains, feverishness, looseness and vomiting. |
11 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1942] | Addressee | Mr Archibald Murray (in Kirkcaldy) |
| [PERS ID:1587] | Patient | Miss Ayton (Aytoun, of Inchdarney, Inchdairnie) |
| [PERS ID:1942] | Patient's Physician / Surgeon / Apothecary | Mr Archibald Murray (in Kirkcaldy) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 | Kirkcaldy | Edinburgh and East | Scotland | Europe | certain |
Normalized Text
To Mr. Murray Surgeon in Kirkaldy concerning
Miss Aytoun
I dont doubt but we shall cure very well in our practice but Miss
Aytoun's symptoms are so frequently changing that you must be sometimes puzled,
You are well quit of the looseness & vomiting but I suppose it is the grypings that oblige you
to push the anadine so strongly & I must leave that to your discretion for in my view of
the Case I would wish to use the anadine less & try what repeated injections of the Common
decoction will do & if you do find it necessary to continue the anadine these injections will
also be so & must perhaps be made still more laxative. I consider the principall cir¬
cumstances of Miss Aytouns complaints to be the pain of the breast & dyspneoa with per¬
haps some cough of which you take little or no notice. For these symptoms the principal
remedy is bleeding & blistering. You have practiced the last but are perhaps afraid of the
first on account of her increasing debility You are possibly right but I would
regard the state of her pulse more than her complaints of weakness & I still
leave you to be governed by your own discretion. I am glad you have got into
the use of accids & I think you should use them freely if you dont perceive what
I dont expect that they increase the grypings. The coldness of the feet it is of the
utmost consequence to remove & obviate by warm bricks bottles of warm water or
warm flannels applied as often & as constantly as may be necessary. Ex¬
pecting your further accounts. I am &c.
Diplomatic Text
To Mr. Murray Surgeon in Kirkaldy concerning
Miss Aytoun
I dont doubt but we shall cure very well in our practice but Miss
Aytoun's symptoms are so frequently changing that you must be sometimes puzled,
You are well quit of the looseness & vomiting but I suppose it is the grypings that oblige you
to push the anadine so strongly & I must leave that to your discretion for in my view of
the Case I would wish to use the anadine less & try what repeated injections of the Common
decoction will do & if you do find it necessary to continue the anadine these injections will
also be so & must perhaps be made still more laxative. I consider the principall cir¬
cumstances of Miss Aytouns complaints to be the pain of the breast & dyspneoa wt. per¬
haps some cough of wc. you take little or no notice. For these symptoms the principal
remedy is bleeding & blistering. You have practiced the last but are perhaps afraid of the
first on account of her increasing debility You are possibly right but I would
regard the state of her pulse more than her complaints of weakness & I still
leave you to be governed by your own discretion. I am glad you have got into
the use of accids & I think you should use them freely if you dont perceive what
I dont expect that they increase the grypings. The coldness of the feet it is of the
utmost consequence to remove & obviate by warm bricks bottles of warm water or
warm flannels applied as often & as constantly as may be necessary. Ex¬
pecting your further accounts. I am &c.
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