Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:1287] From: Dr Thomas Gillespie / To: Dr William Cullen (Professor Cullen) / Regarding: Mr John Crawford (Crauford, Crawford of Doonside, of Dunside) (Patient) / 15 June 1776 / (Incoming)

Letter from Thomas Gillespie, regarding the case of Mr Crawford.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 1287
RCPE Catalogue Number CUL/1/2/384
Main Language English
Document Direction Incoming
Date15 June 1776
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Thomas Gillespie, regarding the case of Mr Crawford.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:387]
Case of Mr Crauford [Crawford] of Doonside who is being treated for gout.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:552]AuthorDr Thomas Gillespie
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:626]PatientMr John Crawford (Crauford, Crawford of Doonside, of Dunside)
[PERS ID:552]Patient's Physician / Surgeon / ApothecaryDr Thomas Gillespie
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Ayr (Air) Glasgow and West Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Doonside Estate / Dunside Alloway Glasgow and West Scotland Europe certain
Place of Handstamp Ayr (Air) Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]


I Received yours of the 4th in due Course relative to Mr.
Crawford's case. I was very glad your views were very much
the same as my own, both respecting the nature of the
ailment and the mode of management. Since my
last he has been perfectly free of the pain in his side and
shoulder; but in other respects he has been pretty much
the same, his pulse excepted which in general has been
8 or 10 in a minute slower
. Nothwithstanding of that, his
thirst continues & rather encreases. – The encreased secret¬
ion in his mouth is still the same, but his Tongue has
not become red, neither has he any apthuous appear¬
ance in his mouth & throat. The sense of Uneasiness
in his Stomach is the same, and the total aversion to all
kind of food
animal or vegetable; what little Panada
Beef Tea, Chicken Broth or the like, he at any time takes
he complains remain in his stomach and cause a
fullness & swelling. The sense of uneasiness on pressing
his stomach is not so considerable as it was and can
seldom be now produced. His Urine is still high colour¬
ed & foul and less in quantity I think than it should be.


He has no passage in his Belly but what is procured; but
his Bowells always answer in that way, even with
a Gentle purgative.




[Page 2]


As I thought the uneasiness in the region of the stom¬
ach
might arise from the same cause as that of his side
and as Blistering had profited much and he bears it well
& easily, I applied a Blister to it with some warm
aromatic Oil, to see if I could bring about some change
in the condition of things. It Blistered well a good large
surface, and seems to have relieved the pain on pressure
but not the sickishness & loathing. The Castor Oil has
always had the effect of opening his Belly; but for a change
and has he liked it, he has twice brought about this, with
about three gills of Sea water; this I think has answer'd
well, and I think his Urine is rather [fined?] down a little
since. He has used one pound of the Infusion of Bark -
& the Tincture you recommended acidulated with Elixir
Vitrioli
. At first he thought it rather encreased his
sickness; but has agreed better of late. He goes out every
day in the carriage about an hour & a half which he
bears tolerably; but does not profit by it. I am making
him encrease his ride every day. Acids, quench
his thirst & agree with him, he some times sucks a bit
of sweet orange, and at other times ripe Cherries and
Strawberries, all of this kind are grateful as his thirst
is very considerable. He has still good nights and is
easy in Bed when he likes to endulge.




[Page 3]


I think on the whole his flesh & strength daily di¬
minish
, and it cannot well be otherwise as
the quantity of food taken is so small. It is an
Obstine & perplexing case, and I shall be happy
of having your further advice and assistance
in it. I am afraid we wont be able to get him
to jaunt. – I ever am Dear Dr. yours with
very proper esteem & regard – 

Tho: Gillespie
Air June 15th. 76



[Page 4]


To
Dr Cullen Physician
in
Edinburgh


Dr Gillespie Q
Crauford of Doonside Esqr.
15th June 1776
Vol. Vth p. 53

Diplomatic Text

[Page 1]


I Recd. yours of the 4th in due Course relative to Mr.
Crawford's case. I was very glad your views were very much
the same as my own, both respecting the nature of the
ailment and the mode of management. Since my
last he has been perfectly free of the pain in his side and
shoulder; but in other respects he has been pretty much
the same, his pulse excepted which in general has been
8 or 10 in a minute slower
. Nothwithstanding of that, his
thirst continues & rather encreases. – The encreased secret¬
ion in his mouth is still the same, but his Tongue has
not become red, neither has he any apthuous appear¬
ance in his mouth & throat. The sense of Uneasiness
in his Stomach is the same, and the total aversion to all
kind of food
animal or vegetable; what little Panada
Beef Tea, Chicken Broth or the like, he at any time takes
he complains remain in his stomach and cause a
fullness & swelling. The sense of uneasiness on pressing
his stomach is not so considerable as it was and can
seldom be now produced. His Urine is still high colour¬
ed & foul and less in quantity I think than it should be.


He has no passage in his Belly but what is procured; but
his Bowells always answer in that way, even with
a Gentle purgative.




[Page 2]


As I thought the uneasiness in the region of the stom¬
ach
might arise from the same cause as that of his side
and as Blistering had profited much and he bears it well
& easily, I applied a Blister to it with some warm
aromatic Oil, to see if I could bring about some change
in the condition of things. It Blistered well a good large
surface, and seems to have relieved the pain on pressure
but not the sickishness & loathing. The Castor Oil has
always had the effect of opening his Belly; but for a change
and has he liked it, he has twice brought about this, with
about three gills of Sea water; this I think has answer'd
well, and I think his Urine is rather [fined?] down a little
since. He has used one pound of the Infusion of Bark -
& the Tincture you recommended acidulated with Elixr.
Vitrioli
. At first he thought it rather encreased his
sickness; but has agreed better of late. He goes out every
day in the carriage about an hour & a half which he
bears tolerably; but does not profit by it. I am making
him encrease his ride every day. Acids, quench
his thirst & agree with him, he some times sucks a bit
of sweet orange, and at other times ripe Cherries and
Strawberries, all of this kind are grateful as his thirst
is very considerable. He has still good nights and is
easy in Bed when he likes to endulge.




[Page 3]


I think on the whole his flesh & strength daily di¬
minish
, and it cannot well be otherwise as
the quantity of food taken is so small. It is an
Obstine & perplexing case, and I shall be happy
of having your further advice and assistance
in it. I am afraid we wont be able to get him
to jaunt. – I ever am D. Dr. yours with
very proper esteem & regard – 

Tho: Gillespie
Air June 15th. 76



[Page 4]


To
Dr Cullen Physician
in
Edinburgh


Dr Gillespie Q
Crauford of Doonside Esqr.
15th June 1776
Vol. Vth p. 53

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