The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4374] From: Dr William Cullen (Professor Cullen) / To: Mr Everard McIntyre / Regarding: Mr Craufuird (Craufurd, of Ardmilland) (Patient) / 8 February 1779 / (Outgoing)
Reply headed 'For Mr Crawfuird of Ardmillan',. Cullen considers Crawford's complaint, which includes dreaming when awake, to be 'inflammatory' but purely external and he does not think his 'brain affected'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
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Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4374 |
| RCPE Catalogue Number | CUL/1/1/11/112 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 8 February 1779 |
| 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 headed 'For Mr Crawfuird of Ardmillan',. Cullen considers Crawford's complaint, which includes dreaming when awake, to be 'inflammatory' but purely external and he does not think his 'brain affected'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:490] |
Case of Mr Crawfuird of Ardmillard who presents varied symptoms of mental confusion, including dreaming 'awake'. |
5 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1470] | Addressee | Mr Everard McIntyre |
| [PERS ID:2589] | Patient | Mr Craufuird (Craufurd, of Ardmilland) |
| [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 | Edinburgh | Edinburgh and East | Scotland | Europe | certain | |
| Destination of Letter | Ayr (Air) | Glasgow and West | Scotland | Europe | inferred |
Normalized Text
For Mr Crawfuird of Ardmillan.
From the notion I have of his constitution & of the nature
& causes of his present complaints I hope that a little
time & pains will relieve him.
His ailments of an inflammatory kind & therefore
his treatment hitherto has been exceedingly proper.
But I dont think his brain affected. I think the disease
external & rheumatic which will account for its obstinacy
& the present irritability. I do not doubt but his pulse
is still more frequent than natural & therefore in spite
of the weakness of his spirits, employ Antiphlogistic mea¬
sures. I would repeat the leeches, as a preparation
for a blister being applied to one half of his head on the
right side. Let it be healed up in course & in 8 or 10
days after, as soon as the skin will bear a razor, let
a second be applied. During these measures let his
diet be very cool. Very little meat or wine & if his sto¬
mach will bear it, let his diet be entirely of milk & grain.
Keep his belly regular, even open. Every night be¬
fore he goes to bed let his feet & legs be set in warm
water for half an hour or an hour. Let the water be not
[Page 2]
not very warm at first, but keep it tepid by pouring in
warm water at the side of the vessel. If this do not
heat or increase his headach it will be of service; but
if it do, it must be let alone. He may go abroad in a
carriage every good day but more for fresh air than
for exercise. The only medicine I would advise is
Take three ounces of Rose water, one ounce each of simple cinnamon, Vinegar distillate and Syrup of cloves, a drachm of Sodium carbonate. Mix and Label: Cooling Mixture. A table spoonful to be taken two, three or four times a day, particularly at bed time.
My good friend Gillespie had some reason for
suspecting an intermitting ↑disorder↑ & therefore properly tried the
bark. But the circumstances of an intermittent should
have discovered themselves more clearly before now & on
this account and because bark unless given in large
quantities is of no use in Intermittents, I would have
it entirely laid aside unless his Stomach seems to require
it & that his appetite is evidently mended by it.
Both a journey & a mineral water may be necessary
to restore his health entirely but neither of them are
admissable at present.
Diplomatic Text
For Mr Crawfuird of Ardmillan.
From the notion I have of his constitution & of the nature
& causes of his present complaints I hope that a little
time & pains will relieve him.
His ailments of an inflammatory kind & therefore
his treatment hitherto has been exceedingly proper.
But I dont think his brain affected. I think the disease
external & rheumatic which will account for its obstinacy
& the present irritability. I do not doubt but his pulse
is still more frequent than natural & therefore in spite
of the weakness of his spirits, employ Antiphlogistic mea¬
sures. I would repeat the leeches, as a preparation
for a blister being applied to one half of his head on the
right side. Let it be healed up in course & in 8 or 10
days after, as soon as the skin will bear a razor, let
a second be applied. During these measures let his
diet be very cool. Very little meat or wine & if his sto¬
mach will bear it, let his diet be entirely of milk & grain.
Keep his belly regular, even open. Every night be¬
fore he goes to bed let his feet & legs be set in warm
water for half an hour or an hour. Let the water be not
[Page 2]
not very warm at first, but keep it tepid by pouring in
warm water at the side of the vessel. If this do not
heat or increase his headach it will be of service; but
if it do, it must be let alone. He may go abroad in a
carriage every good day but more for fresh air than
for exercise. The only medicine I would advise is
℞ Aq. rosar. ℥iij-- cinnam. simpl. Acet. destillt.
Syr. caryophyll. @ ℥j Sal. nitr. ʒj M. S. Cooling M. a
table spoonful or two, three or four times a day particu¬
larly at bedtime.
My good friend Gillespie had some reason for
suspecting an intermitting ↑disorder↑ & therefore properly tried the
bark. But the circumstances of an intermittent should
have discovered themselves more clearly before now & on
this account and because bark unless given in large
quantities is of no use in Intermittents, I would have
it entirely laid aside unless his Stomach seems to require
it & that his appetite is evidently mended by it.
Both a journey & a mineral water may be necessary
to restore his health entirely but neither of them are
admissable at present.
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