Cullen

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

 

[ID:1381] From: Dr James Hall / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Robert Sanderson (Patient) / 5 March 1777 / (Incoming)

Letter from James Hall concerning the case of Mr. Robert Sanderson who became delirious and furious from the agonies of a severe headache after not heeding Hall's advice. Postscript mentions Sanderson's brother-in-law, John Davidson of Ravelrigg.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 1381
RCPE Catalogue Number CUL/1/2/477
Main Language English
Document Direction Incoming
Date5 March 1777
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 James Hall concerning the case of Mr. Robert Sanderson who became delirious and furious from the agonies of a severe headache after not heeding Hall's advice. Postscript mentions Sanderson's brother-in-law, John Davidson of Ravelrigg.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:28]
Case of Robert Sanderson who has a stiff neck and urinary problems.
13


People linked to this document

Person IDRole in documentPerson
[PERS ID:4799]AuthorDr James Hall
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:1550]PatientMr Robert Sanderson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1621]Patient's Physician / Surgeon / ApothecaryDr John Lorrain
[PERS ID:4799]Patient's Physician / Surgeon / ApothecaryDr James Hall
[PERS ID:1313]Patient's Relative / Spouse / FriendMr John Davidson (of Ravelrigg)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Duns (Dunse) Borders Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Dear Sir,
Dunse March 5th-3 p.m. 1777


I am not surprized that you complain of im¬
perfect information with regard to the symptoms of Mr Sanderson's
troublesome case. On the spot here, I have difficulty in
getting proper & distinct accounts-. Alongst with the continua¬
tion of his case, I shall trouble you with a few more parti¬
culars, which I have discovered since my last. --


All last summer he had very little appetite. It was 12 months,
& not 15, since he got a fall from his horse on his right
shoulder
, & broke, as was supposed, his collar bone. He
soon turned better. - The Rheumatic affection came on
about 10 weeks ago after sitting in a warm room with
his back to an open window. - On Monday last week, the
day after he was sweated with Dover's powder, his Grand¬
father sent him a Bottle of a mineral water, famous
among the country [both?] for curing colics, a great part of which
he drank on that & the day following, unknown to Mr Lorrain.


March 2nd. Last night, the pain returning to his neck, a
blister was applied to the nape. At 3 a.m. I was raised
out of bed, & found him seized with nausea and puking
up a spoonfull or two of thin stuff. pulse 80. Had taken 1 grain
of Calomel & one third part of the Diaphoretic Draught.
Intermitted the Draught. - Desired his wife to get out of
bed from him. Turned easier & fell asleep. At 7 a.m.
pulse 72 soft & natural. Free of pain, sensible.
Repetitur Calomel grain 1. OmittiturHaust. Diaphoret. - Injiciatur [Inem.?] emoll. 1




[Page 2]


Blister on his neck was dressed & had run well. His legs are much
fallen away, tho' his face & trunk are not. -


3d - Had a stool last night by the injection, slept well, vomited none.
Took some Coffee & bread, & insisted to have some butter. pulse72 ,
a stool naturally this morning of a darkish colour. Free of pain.
Begin the Infusion Cortex Peruvianus - Omittuntur pilulas Calomel. 2 - This day he drank
a mutchkin of his mineral water again, almost cold. This
Discovery I only made this morning. - Took one spoonfull
of the Infusion at midday, & another in the evening. Ate a
Custard in the evening after the 2nd dose of the Infusion & threw up a
mouthfull or two of curdled stuff. - refuses the Magnesia.


4th - Vomited the infusion this morning again. Omittitur Infusion
Capiat Elix. vitr. ten. 3 - in asking why he refuses the Mag¬
nesia
, he says it makes him giddy & see things double,
& that it did so formerly before I saw him. - Took one
dose of the Elix. vitr. ten. this forenoon. At 1 p.m. he com¬
plained of a pain in his right eye, pulse80. & rather fuller,
light more disagreable to him than yesterday. Ordered
perfect quiet & Darkness. I was scarcely out of his
room, when he transacted some business with a Bankrupt,
& he was not sooner done than he complained more &
more of his head, & at last grew delirious. I was sent for
when at 6 miles distance. When I came, I found him perfectly
delirious, furious, never pleased with his drinks
which he took greedily, breaking the cups, striking about
him, crying out of a most intolerable headach, vomiting
frequently
, tossing, muttering, sleeping now and then, very
sensible to the least noise or whisper, or light, but without
any redness in his countenance; tho' perhaps there might be



[Page 3]

some about his eyes, for he could not bear an examination.
pulse72 oppressed. - Ordered saline draughts in the act of efferves¬
cence, a saline injection which wraught well & brought
away some urine which deposited a sediment, Poultices to his
feet, a large Blister to the head & one to each ancle. It
was with great difficulty these things cou'd be done, & it was 5
in the evening, before Mr Lorrain cou'd get him blooded. Some
time before he was blooded, he had a violent Pyrexia coldness
of the extremities, depressed pulse & some degree of subsultus
tendinum
. After the loss of 12 oz. of blood from the arm, which
partly trickled down his arm, his Pulse rose to 90, became
fuller
, he turned warmer, & had some moisture over his
body
with more natural heat. - He was calmer for an hour.
The Delirium returning & the Pulse raising to 96 he was blooded to
8 oz & then his Pulse fell to 80. Blood of a natural appearance.
He now continued calmer. The Poultices being kicked off on account
of a ↑pain↑ in the metatarsus of the left foot, which he cou'd not get
rubbed well enough to please him, Sinapisms were applied
to both feet. (I dont find that any of his friends ever had the Gout.)
He kicked the Sinapism from the left foot in less then ↑an↑ hour, but
allowed the other to remain 4 or 5 hours. He insisted to have
the metatarsus well rubbed. -


5th - Delirium threatening to return at 5 this morning, I
ordered the Glyster to be repeated wich brought away a little
hardened faeces. Blisters on the ancles rose well, that on his
head is supposed to have done its part also; for the
pain of the head & Delirium are gone this morning at break¬
fastime, Pulse 82 soft, skinmoist. Took some bread [berry?]
this morning & is free of headach, nausea, or vomiting
at present numbness of ↑ right leg today sensible. - & the Phrenitis symptoms had returned violent
I intended to have blistered the temples again & if possible to have
blooded him at the jugular vein . - His stomach is still weak
& troubled with flatulency, & Hiccup at times. -

I am, Dear Sir, with the greatest esteem & regard yours &c.
James Hall



[Page 4]


Mr Davidsons Compliments An [Express?] came to
him this night with the letter, and is to call
at Mr. Lorrain tomorrow morning for Dr
Cullens answer. Mr. Sandersons Case seems
very unpromising & truly alarming ----


Doctor Cullen


Case of
Mr Sanderson.
March. 1777
V vi -- N 109 &c

Notes:

1: 'Repeated the one grain of Calomel, ommitted the draught of Diaphoretic; [unclear] the emolient injection'.

2: 'Ommited the Calomel pills...'.

3: 'Ommitted the....Elixir'.

Diplomatic Text

[Page 1]
Dear Sir,
Dunse March 5th-3 p.m. 1777


I am not surprized that you complain of im¬
perfect information with regard to the symptoms of Mr Sanderson's
troublesome case. On the spot here, I have difficulty in
getting proper & distinct accounts-. Alongst with the continua¬
tion of his case, I shall trouble you with a few more parti¬
culars, which I have discovered since my last. --


All last summer he had very little appetite. It was 12 months,
& not 15, since he got a fall from his horse on his right
shoulder
, & broke, as was supposed, his collar bone. He
soon turned better. - The Rheumatic affection came on
about 10 weeks ago after sitting in a warm room with
his back to an open window. - On Monday last week, the
day after he was sweated with Dover's powder, his Grand¬
father sent him a Bottle of a mineral water, famous
among the country [both?] for curing colics, a great part of which
he drank on that & the day following, unknown to Mr Lorrain.


March 2nd. Last night, the pain returning to his neck, a
blister was applied to the nape. At 3 a.m. I was raised
out of bed, & found him seized with nausea and puking
up a spoonfull or two of thin stuff. P. 80. Had taken 1 grain
of Calomel & one third part of the Diaphoretic Draught.
Intermitt ye Draught. - Desired his wife to get out of
bed from him. Turned easier & fell asleep. At 7 a.m.
P. 72 soft & natural. Free of pain, sensible.
Repetr. Calomel gr. 1. Omitt.Haust. Diaphoret. - Injiciatur [Inem.?] emoll. 1




[Page 2]


Blister on his neck was dressed & had run well. His legs are much
fallen away, tho' his face & trunk are not. -


3d - Had a stool last night by the injection, slept well, vomited none.
Took some Coffee & bread, & insisted to have some butter. P.72 ,
a stool naturally this morning of a darkish colour. Free of pain.
Begin the Infus. Cort. P. - Omittr. Pil. Calomel. 2 - This day he drank
a mutchkin of his mineral water again, almost cold. This
Discovery I only made this morning. - Took one spoonfull
of the Infus. at midday, & another in the evening. Ate a
Custard in the evening after the 2nd dose of the Infus. & threw up a
mouthfull or two of curdled stuff. - refuses the Magnesia.


4th - Vomited the infus. this morning again. Omittr Infus.
Capiat Elix. vitr. ten. 3 - in asking why he refuses the Mag¬
nesia
, he says it makes him giddy & see things double,
& that it did so formerly before I saw him. - Took one
dose of the Elix. vitr. ten. this forenoon. At 1 p.m. he com¬
plained of a pain in his right eye, P.80. & rather fuller,
light more disagreable to him than yesterday. Ordered
perfect quiet & Darkness. I was scarcely out of his
room, when he transacted some business with a Bankrupt,
& he was not sooner done than he complained more &
more of his head, & at last grew delirious. I was sent for
when at 6 miles distance. When I came, I found him perfectly
delirious, furious, never pleased with his drinks
which he took greedily, breaking the cups, striking about
him, crying out of a most intolerable headach, vomiting
frequently
, tossing, muttering, sleeping now and then, very
sensible to the least noise or whisper, or light, but without
any redness in his countenance; tho' perhaps there might be



[Page 3]

some about his eyes, for he could not bear an examination.
P.72 oppressed. - Ordered saline draughts in the act of efferves¬
cence, a saline injection which wraught well & brought
away some urine which deposited a sediment, Poultices to his
feet, a large Blister to the head & one to each ancle. It
was wt great difficulty these things cou'd be done, & it was 5
in the evening, before Mr Lorrain cou'd get him blooded. Some
time before he was blooded, he had a violent Pyrexia coldness
of the extremities, depressed pulse & some degree of subsultus
tendinum
. After the loss of 12 oz. of blood from the arm, which
partly trickled down his arm, his Pulse rose to 90, became
fuller
, he turned warmer, & had some moisture over his
body
with more natural heat. - He was calmer for an hour.
The Delirium returning & the P. raising to 96 he was blooded to
8 oz & then his Pulse fell to 80. Blood of a natural appearance.
He now continued calmer. The Poultices being kicked off on account
of a ↑pain↑ in the metatarsus of the left foot, which he cou'd not get
rubbed well enough to please him, Sinapisms were applied
to both feet. (I dont find that any of his friends ever had the Gout.)
He kicked the Sinapism from the left foot in less then ↑an↑ hour, but
allowed the other to remain 4 or 5 hours. He insisted to have
the metatarsus well rubbed. -


5th - Delirium threatening to return at 5 this morning, I
ordered the Glyster to be repeated wch brought away a little
hardened faeces. Blisters on the ancles rose well, that on his
head is supposed to have done its part also; for the
pain of the head & Delirium are gone this morning at break¬
fastime, P. 82 soft, skinmoist. Took some bread [berry?]
this morning & is free of headach, nausea, or vomiting
at present numbness of ↑ right leg today sensible. - & ye Phrenitis symptoms had returned violent
I intended to have blistered the temples again & if possible to have
blooded him at the jugular vein . - His stomach is still weak
& troubled with flatulency, & Hiccup at times. -

I am, Dear Sir, with the greatest esteem & regard yours &c.
James Hall



[Page 4]


Mr Davidsons Compts An [Express?] came to
him this night with the letter, and is to call
at Mr. Lorrain tomorrow morning for Dr
Cullens answer. Mr. Sandersons Case seems
very unpromising & truly alarming ----


Doctor Cullen


Case of
Mr Sanderson.
March. 1777
V vi -- N 109 &c

Notes:

1: 'Repeated the one grain of Calomel, ommitted the draught of Diaphoretic; [unclear] the emolient injection'.

2: 'Ommited the Calomel pills...'.

3: 'Ommitted the....Elixir'.

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:1381]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...