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The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:513] From: Dr William Cullen (Professor Cullen) / To: Mr Thomas Duncanson / Regarding: Captain Thomas Fraser (Frazer) (Patient) / 27 February 1775 / (Outgoing)
Reply 'For Captain Fraser', who has a remitting fever and enlarged spleen.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
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Metadata
Field | Data |
---|---|
DOC ID | 513 |
RCPE Catalogue Number | CUL/1/1/3/91 |
Main Language | English |
Document Direction | Outgoing |
Date | 27 February 1775 |
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 'For Captain Fraser', who has a remitting fever and enlarged spleen. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:185] |
Case of Captain Thomas Fraser [Frazer] who now has a fever having long taken to his bed after a long history of real and, possibly imagined, complaints. |
5 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
[PERS ID:1564] | Addressee | Mr Thomas Duncanson |
[PERS ID:1341] | Patient | Captain Thomas Fraser (Frazer) |
[PERS ID:1564] | Patient's Physician / Surgeon / Apothecary | Mr Thomas Duncanson |
[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 | Forres | East Highlands | Scotland | Europe | inferred |
Normalized Text
For Captain Fraser.
I remember Captain Fs. cas very well & the
singularity of his case.
His fever of a Remittent kind - & to be cured by bark.
The management must depend ↑on↑ your discretion. –– To [seek?]
the times of remission & throw ↑it in substance↑ in as large quantities, as he
can bear. - To prepare for it by a gentle vomit of Tartar Emetic
given at the time of accession –– His belly to be kept
moderately open & if the bark purges – Opiates must be added
Every dose of the bark should be attended with a saline
Draught. –
I begin with the fever, because I suspect the swelling
on one side of his belly to be an ague cake. The
weakness of the thigh & leg is the effects of compress¬
[Page 2]
ion on the Lumbar nerves. if the cure of the
fever does not rimove it, it will be of difficult
cure. To relieve it in the mean time, you must employ
a long continued friction of the Camphorated oil not quite
so strong as usually made – Anoint much about the
contraction of (↑in↑) the knee & from thence up to the thigh
and along the tumefied part. A long continued but
gentle friction, with an oiled finger, has wonderfull
powers in discussing & relaxing. If it does not
answer here, you may try a fomentation of aroma¬
tic herbs applied especially, to the knee & thigh.
Let the cloths, be very hard wrung, so as to give chiefly
a vapour bath and that you may apply warmer, than
you can a more humid. Nothing under an hours
fomentation does any good. This is all I can offer
at present, but if the case proves Chronic, as it is
likely to be I shall advise further, as &c.
Diplomatic Text
For Captain Fraser.
I remember Captn Fs. cas very well & the
singularity of his case.
His fever of a Remittent kind - & to be cured by bark.
The management must depend ↑on↑ your discretion. –– To [seek?]
the times of remission & throw ↑it in substance↑ in as large qties, as he
can bear. - To prepare for it by a gentle vomit of T. Emet.
given at the time of accession –– His belly to be kept
moderately open & if the bark purges – Opiates must be added
Every dose of the bark should be attended with a saline
Draught. –
I begin with the fever, because I suspect the swelling
on one side of his belly to be an ague cake. The
weakness of the thigh & leg is the effects of compress¬
[Page 2]
ion on the Lumbar nerves. if the cure of the
fever does not rimove it, it will be of difficult
cure. To relieve it in the mean time, you must employ
a long contd friction of the Camphorated oil not quite
so strong as usually made – Anoint much about the
contraction of (↑in↑) the knee & from thence up to the thigh
and along the tumefied part. A long contd but
gentle friction, with an oiled finger, has wonderfull
powers in discussing & relaxing. If it does not
answer here, you may try a fomentation of aroma¬
tic herbs applied especially, to the knee & thigh.
Let the cloths, be very hard wrung, so as to give chiefly
a vapour bath and that you may apply warmer, than
you can a more humid. Nothing under an hours
fomentation does any good. This is all I can offer
at present, but if the case proves Chronic, as it is
likely to be I shall advise further, as &c.
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