The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1334] From: [AUTHOR UNKNOWN] / To: Dr William Cullen (Professor Cullen) / Regarding: Mr (A. B.) (Patient) / 1786? / (Incoming)
Case of 'A. B.', an unnamed 22-year-old male patient with a longstanding history of severe headaches, with impaired vision and nausea. Undated, but make internal references to him being taken ill at Chatham in 1783, as if this was several years ago, hence inferred date of approximately 1786.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
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Metadata
| Field | Data |
|---|---|
| DOC ID | 1334 |
| RCPE Catalogue Number | CUL/1/2/432 |
| Main Language | English |
| Document Direction | Incoming |
| Date | 1786? |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Case of 'A. B.', an unnamed 22-year-old male patient with a longstanding history of severe headaches, with impaired vision and nausea. Undated, but make internal references to him being taken ill at Chatham in 1783, as if this was several years ago, hence inferred date of approximately 1786. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:678] |
Case of 'A. B.', an unnamed 22-year-old male patient suffering from nausea, headaches, disturbed vision and other symptoms. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:5025] | Patient | Mr (A. B.) |
| [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 |
|---|---|---|---|---|---|---|
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | inferred | |
| Mentioned / Other | Chatham | London and South-East | England | Europe | certain |
Normalized Text
A. B. Aged 22 Brown complexion hair & eyes
About 2 Months ago was seized with pains
in the Præcordia, & Nausea, which were removed by the
Exhibition of 2 chamomile vomits -
In about 10 days thereafter the Nausea returned
with headach, & soon after, his sight was so much affec¬
ted as made him judge very improperly of the objects
around him - At this time he complained of ge¬
neral bodily debility & his Pulse was about 100
small & feeble & the pain fixed in both temples
Afterwards & now the pain seizes him in the forehead
- Objects formerly appeared to him much increased
in size - At one period he had double vision, which
went off after vomiting - The headach is always
most severe in the morning about 2 or 3 O clock, & con¬
tinues till towards noon, but commonly goes off
or is greatly better about 5 O clock -
His complaint in general followed this course regu¬
larly, untill he had taken some Peruvian bark, when the
[Page 2]
headach & Nausea disappeared for one, two, three, or four
days; afterwards returning (it is presumed oweing to some
irregularity or neglect) & continuing for one, two, or three days.
The Nausea is now gone off - The headach much
abated & less intense & generally goes off about noon;
Appetite better, sleeps more & sensible of refreshment,
Double vision gone, as also the deceptio visus -
Objects now appear to him of the natural size, & in
general he thinks himself considerably stronger and
getting well -
Had an irregular ague at Chatham in 1783 and
has been more or less affected with it every Spring
& Autumn since - Has (as most people at his time
of life) been exposed to irregularities
Belly regular, Tongue clean. Pulse not 75 & equal
Having in view the frequent returns of his Aguish
complaints & the extreme bodily debility (the last now
in a good measure relieved) induced by habits - Gentle
[Page 3]
vomits & cathartics to relieve the Stomach and Prima Viae, there¬
after Peruvian bark in different forms, so as to be acco¬
modated to the patients liking were given, with
Elixir Vitrioli & a glass of red wine two or three times
a day along with the cortex - A blister was lately
applyed to his neck & his head shaved - wears flannel
next his Skin sleeps upon a Mattrass or hard bed & is
directed not to indulge himself with lying too long
a bed - to take moderate exercise on horse back or
on a spring board; which he complies with
Cork soaled shoes have been ordered & to avoid damp &
wet - Nourishing Diet with a few glasses of Claret
after Dinner has also been advised
Such Directions as Dr. Cullen sees necessary to give
will be carefully attended to
Diplomatic Text
A. B. Aged 22 Brown complexion hair & eyes
About 2 Months ago was seized with pains
in the Præcordia, & Nausea, which were removed by the
Exhibition of 2 chamomile vomits -
In about 10 days thereafter the Nausea returned
with headach, & soon after, his sight was so much affec¬
ted as made him judge very improperly of the objects
around him - At this time he complained of ge¬
neral bodily debility & his Pulse was about 100
small & feeble & the pain fixed in both temples
Afterwards & now the pain seizes him in the forehead
- Objects formerly appeared to him much increased
in size - At one period he had double vision, which
went off after vomiting - The headach is always
most severe in the morning about 2 or 3 O clock, & con¬
tinues till towards noon, but commonly goes off
or is greatly better about 5 O clock -
His complaint in general followed this course regu¬
larly, untill he had taken some cort: Peruv:, when the
[Page 2]
headach & Nausea disappeared for one, two, three, or four
days; afterwards returning (it is presumed oweing to some
irregularity or neglect) & continuing for one, two, or three days.
The Nausea is now gone off - The headach much
abated & less intense & generally goes off about noon;
Appetite better, sleeps more & sensible of refreshment,
Double vision gone, as also the deceptio visus -
Objects now appear to him of the natural size, & in
general he thinks himself considerably stronger and
getting well -
Had an irregular ague at Chatham in 1783 and
has been more or less affected with it every Spring
& Autumn since - Has (as most people at his time
of life) been exposed to irregularities
Belly regular, Tongue clean. Pulse not 75 & equal
Having in view the frequent returns of his Aguish
complaints & the extreme bodily debility (the last now
in a good measure relieved) induced by habits - Gentle
[Page 3]
vomits & cathartics to relieve the Stomach and P. V., there¬
after cort: Peruv: in different forms, so as to be acco¬
modated to the patients liking were given, with
Elixir Vitrioli & a glass of red wine two or three times
a day along with the cortex - A blister was lately
applyed to his neck & his head shaved - wears flannel
next his Skin sleeps upon a Mattrass or hard bed & is
directed not to indulge himself with lying too long
a bed - to take moderate exercise on horse back or
on a spring board; which he complies with
Cork soaled shoes have been ordered & to avoid damp &
wet - Nourishing Diet with a few glasses of Claret
after Dinner has also been advised
Such Directions as Dr. Cullen sees necessary to give
will be carefully attended to
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