The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:6255] From: Dr William Cullen (Professor Cullen) / To: Dr Walter Stirling / Regarding: Miss Anne Gascoigne (Hamilton, Countess of Haddington or Lady Haddington (1786-96)) (Patient) / 12 February 1782 / (Outgoing)
Reply titled 'Miss Gascoigne'.Cullen slightly adjusts his advice to Dr Stirling about Miss Gascoigne. She 'has acted almost quite contrary to you and me' in that, to Cullen, she emphasised her cough and respiratory problems, whereas to Stirling, she emphasised her suspected 'rheumatic' pains.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 6255 |
| RCPE Catalogue Number | CUL/1/1/14/191 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 12 February 1782 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply titled 'Miss Gascoigne'.Cullen slightly adjusts his advice to Dr Stirling about Miss Gascoigne. She 'has acted almost quite contrary to you and me' in that, to Cullen, she emphasised her cough and respiratory problems, whereas to Stirling, she emphasised her suspected 'rheumatic' pains. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:10] |
Case of Miss Anne Gascoigne (Hamilton, later Countess of Haddington), who has chest and 'rheumatic' complaints. |
5 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2153] | Addressee | Dr Walter Stirling |
| [PERS ID:2594] | Patient | Miss Anne Gascoigne (Hamilton, Countess of Haddington or Lady Haddington (1786-96)) |
| [PERS ID:2153] | Patient's Physician / Surgeon / Apothecary | Dr Walter Stirling |
| [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 | Stirling | Mid Scotland | Scotland | Europe | inferred |
Normalized Text
Miss Gascoigne
Miss Gascoigne has acted almost quite
contrary to you and me. She did speak to me of her pains
but it was slightly and insisted chiefly on her cough at night
and spitting in the morning and of the pain of the breast. With
you these symptoms are slight and the flying pains her
great distress. But whatever is the true state of the matter
the travelling in a wet chaise might produce both kinds of
affections at the same time and the rheumatic might be
the most distressing, the affections of the breast if any at all
[was?] certainly the most dangerous and to this therefore my
attention was chiefly directed. I shall be very happy to find
it slight and not threatening ↑any↑ consequence; but still I would
not have you to lose sight and I dare say you will not.
In the meantime reconsidering the case as you desire I
do not find that supposing the rheumatic affection to be the
principal ailment I could have advised better than I did.
[Page 2]
The flannel shirt and other precautions against cold are in
my opinion equally proper in the case of rheumatism as of
catarrh and I would say the same with respect both to the exer¬
cise and diet I advised. The Asses milk may not be necessary
but it can do no harm. The taking a little blood I left to
your discretion and do so still as the same circumstances will
direct ↑you↑ on either supposition. There is only ↑one↑ advice I would
add on the supposition of rheumatism being the principal or
only ailment and that is to give sometimes a diaphoretic of
Laudanum with Tartar emetic or Antimonial Wine and
if the rheumatic affection should become still more considerable
I would try especially after a bleeding try a gentle sweat with
a moderate dose of Dovers powder; but I would be in no haste
with this remedy during the present season. I am much ob¬
liged to you for the trouble you have taken in restating the
Case to me but I would have been more so still if you had also
hinted what other remedies your view of ↑the↑ case suggested to you. I have
a regard for your judgement and shall always wish to have it I am
with sincere esteem Dear Doctor
Diplomatic Text
Miss Gascoigne
Miss Gascoigne has acted almost quite
contrary to you and me. She did speak to me of her pains
but it was slightly and insisted chiefly on her cough at night
and spitting in the morning and of the pain of the breast. With
you these symptoms are slight and the flying pains her
great distress. But whatever is the true state of the matter
the travelling in a wet chaise might produce both kinds of
affections at the same time and the rheumatic might be
the most distressing, the affections of the breast if any at all
[was?] certainly the most dangerous and to this therefore my
attention was chiefly directed. I shall be very happy to find
it slight and not threatening ↑any↑ consequence; but still I would
not have you to lose sight and I dare say you will not.
In the meantime reconsidering the case as you desire I
do not find that supposing the rheumatic affection to be the
principal ailment I could have advised better than I did.
[Page 2]
The flannel shirt and other precautions against cold are in
my opinion equally proper in the case of rheumatism as of
catarrh and I would say the same with respect both to the exer¬
cise and diet I advised. The Asses milk may not be necessary
but it can do no harm. The taking a little blood I left to
your discretion and do so still as the same circumstances will
direct ↑you↑ on either supposition. There is only ↑one↑ advice I would
add on the supposition of rheumatism being the principal or
only ailment and that is to give sometimes a diaphoretic of
Laudanum with Tartar emetic or Vinum antimoniali and
if the rheumatic affection should become still more considerable
I would try especially after a bleeding try a gentle sweat with
a moderate dose of Dovers powder; but I would be in no haste
with this remedy during the present season. I am much ob¬
liged to you for the trouble you have taken in restating the
Case to me but I would have been more so still if you had also
hinted what other remedies your view of ↑the↑ case suggested to you. I have
a regard for your judgement and shall always wish to have it I am
with sincere esteem Dr. Dr
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