The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4786] From: Dr William Cullen (Professor Cullen) / To: Thomas Logan / Regarding: Mr Macadam (of Grimmel) (Patient) / 24 February 1784 / (Outgoing)
Reply to the surgeon Thomas Logan concerning the case of Mr Macadam of Grimmel, who has suffered a palsy. The bottom lines of each page are barely legible.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
[Page 3]
[Page 4]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4786 |
| RCPE Catalogue Number | CUL/1/1/16/190 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 24 February 1784 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply to the surgeon Thomas Logan concerning the case of Mr Macadam of Grimmel, who has suffered a palsy. The bottom lines of each page are barely legible. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:658] |
Case of Mr Macadam of Grimmel, who has been siezed with a palsy. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2228] | Addressee | Thomas Logan |
| [PERS ID:2651] | Patient | Mr Macadam (of Grimmel) |
| [PERS ID:3943] | Patient's Physician / Surgeon / Apothecary | Dr Campbell |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:2228] | Patient's Physician / Surgeon / Apothecary | Thomas Logan |
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 | Maybole | Glasgow and West | Scotland | Europe | inferred |
Normalized Text
I am just now favoured with yours concerning
Mr Macadam of Grimmel and I sit down directly
to give you an answer as I think the Case will not
admitt of any delay.
I am sorry to observe that the Case appears to me
as very desperate, the causes producing it have
been strong and long applied, the symptoms have
been gradually increasing and are now to a high
degree and what especially shows the violence of
the disease is that it has hitherto resisted the
most powerful remedies that could have been
prepared.
I think your bleeding at the arm was extremely
[proper and?] the Cupping of the temples was no less
[so and what you take for his?] {illeg} [being?] under [eva¬?]
{illeg} was but {illeg} the {illeg} of the disease
{illeg}
[Page 2]
probably an effusion in the brain which evacuations
only could relieve or obviate and should have rather
supported than sunk the Patients strength. I am
therefore clear that your evacuations have not been
too great and I think your continuation of a purga¬
tive is still to be persisted in and if the state of the
mouth difficult I would have you give a pretty
sharp glyster every day. The Blistering you
have employed and prepared appears to me ex¬
tremely proper and as I think they will have
the most effect applied to the head I must observe
to you that I have no dificulty in applying one
to the head though another had been taken from
it but a few days before I leave it however to
your discretion either to apply it in that way
or to other {illeg}
[Page 3]
remedies that seem to be now admissible. But
if you can perceive that though the Pulse is some
what sunk the vessels of the head are still full
I would not be afraid of still taking a little blood
by Cupping and if you do try it let it be upon the
hind head where the vessels seem to have more
communication with the sinuses of the brain than
these of the temples have.
I am much afraid you may have little
opportunity of exhibiting internal remedies
and they are in such a case very ambiguous
Mustard and Horse radish in any shape you can
introduce them are amongst the safest and next to
these the Volatile Alkali. Though this and every other
stimulant given internally are of doubtful safety
they are however very safe when applied externally
you may apply [Sinapism of proper mustard?] that has been
[for a day or two before prepared for the table, to both arm?]
{illeg}
{illeg}
{illeg}
[Page 4]
for your patient and compliments to Dr Campbell
great regard Dear Sir your most Obedient Servant
Take three ounces of the best Olive Oil and one ounce of Oil of Amber and half an ounce of caustic Spirit of Ammoniac Salt. Mix.
Diplomatic Text
I am just now favoured with yours concerning
Mr Macadam of Grimmel and I sit down directly
to give you an answer as I think the Case will not
admitt of any delay.
I am sorry to observe that the Case appears to me
as very desperate, the causes producing it have
been strong and long applied, the symptoms have
been gradually increasing and are now to a high
degree and what especially shows the violence of
the disease is that it has hitherto resisted the
most powerful remedies that could have been
prepared.
I think your bleeding at the arm was extremely
[proper and?] the Cupping of the temples was no less
[so and what you take for his?] {illeg} [being?] under [eva¬?]
{illeg} was but {illeg} the {illeg} of the disease
{illeg}
[Page 2]
probably an effusion in the brain which evacuations
only could relieve or obviate and should have rather
supported than sunk the Patients strength. I am
therefore clear that your evacuations have not been
too great and I think your continuation of a purga¬
tive is still to be persisted in and if the state of the
mouth difficult I would have you give a pretty
sharp glyster every day. The Blistering you
have employed and prepared appears to me ex¬
tremely proper and as I think they will have
the most effect applied to the head I must observe
to you that I have no dificulty in applying one
to the head though another had been taken from
it but a few days before I leave it however to
your discretion either to apply it in that way
or to other {illeg}
[Page 3]
remedies that seem to be now admissible. But
if you can perceive that though the Pulse is some
what sunk the vessels of the head are still full
I would not be afraid of still taking a little blood
by Cupping and if you do try it let it be upon the
hind head where the vessels seem to have more
communication with the sinuses of the brain than
these of the temples have.
I am much afraid you may have little
opportunity of exhibiting internal remedies
and they are in such a case very ambiguous
Mustard and Horse radish in any shape you can
introduce them are amongst the safest and next to
these the Volatile Alkali. Though this and every other
stimulant given internally are of doubtful safety
they are however very safe when applied externally
you may apply [Sinapism of proper mustard?] that has been
[for a day or two before prepared for the table, to both arm?]
{illeg}
{illeg}
{illeg}
[Page 4]
for your patient and compliments to Dr Campbell
great regard Dr Sir your most Obedient Servant
℞ Ol. Olivar opt. ℥iij Ol. Succin ℥j Spt Sal. Ammoniac. probe caustic ℥ſs ℳ.
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