Cullen

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

 

[ID:1393] From: Mr John Walker / To: Dr William Cullen (Professor Cullen) / Regarding: Miss Miller (Millar) (Patient) / 8 April 1777 / (Incoming)

Letter from John Walker regarding the case of Miss Millar.

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Metadata

FieldData
DOC ID 1393
RCPE Catalogue Number CUL/1/2/489
Main Language English
Document Direction Incoming
Date8 April 1777
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from John Walker regarding the case of Miss Millar.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:615]
Case of Miss Millar who is suffering from various symptoms since beginning a 'starving course'. Under care of Dr Walker in 1779, but she is refered again to Cullen by Dr Ravenscroft in 1779.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:838]AuthorMr John Walker
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2539]PatientMiss Miller (Millar)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:838]Patient's Physician / Surgeon / ApothecaryMr John Walker

Places linked to this document

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

Normalized Text

[Page 1]
Sir


I am desired to consult you on account of a young
lady a Miss Millar, who has been in very poor health for
many months by past. Miss Millar is about twenty, was
very healthy till about two years ago growing fat, she
begun a starving course, which soon produced a real loss
of appetite
and whatever food with difficulty she could force
down was soon thrown up again, from thence followed
weakness, listlessness habitual, costiveness and an obstruc¬
tion of the Menses
. About a year ago her ankles began
to swell which alarmed her a good dale, and made her con¬
sult. She was advised to ride and go about and use what exer¬
cise she was well able to bear, and twice a day to take
a fen teaspoonfulls of Elixir Stomachicus in a glass of water.


About the beginning of last winter when all her other
complaints were much the same, she was seized with
a Catarrhal cough which harassed her day & night. After
continuing for two months I was called and found her
coughing almost incessantly, her cough hard and dry
without the least expectoration, attended with a wheezing
and difficulty of breathing
on the least motion. There
was no quickness in the pulse, no particular heat nor



[Page 2]

much drought, but very restless thro' the night from
the cough. She could eat very little and what ever she
did eat, was thrown up again on the first fit of cough¬
ing
. She complained very much of a pain in the left
side about the false ribs. The oedemateus swellings of
the ankles were much gone but the obstruction of the
Menses
still continued. To allay the tickling cough
she was ordered to take frequently a little of a light
Oilly Linctus but this she could not take, I had
recurse then to the simple mucilage of Gum arabic
which she used frequently thro' the day, and Evenings
and mornings she took three or four of ↑the following↑ Pills following

[Take?] Squills root after gum of ammon, of each one drachm, two drachms of Venetian soap; turn into a pill-mass of a single drachm; let twelve pills be made.


A blister was applied to her side which was ordered
to be kept open & attention was paid to her diet.


These directions were followed for some weeks and
with advantage. The cough is now greatly gone, the
pain of the side much better, and she has more appetite
she says than she has had for ↑these↑ two years but still the
Wheezing and difficulty of breathing continue.



[Page 3]

The Oedematous swellings are much increased and
her legs are often swelled to the knee attended
pain and redness, but since her legs have become
œdematous her cough has been remarkably better
The obstruction of the Menses still continued
On receipt of this you'll please direct what you see
proper address'd to me Surgeon Kirkudbright.


I am
Sir
your most Obedient humble Servant
John Walker

Kirkudbright
8th April 1777



[Page 4]


To
Doctor Cullen
Edinburgh


Mr Walker C.
Miss Millar
April 8th 1777
V. VII. p 5.

Diplomatic Text

[Page 1]
Sir


I am desired to consult you on account of a young
lady a Miss Millar, who has been in very poor health for
many months by past. Miss Millar is about twenty, was
very healthy till about two years ago growing fat, she
begun a starving course, which soon produced a real loss
of appetite
and whatever food with difficulty she could force
down was soon thrown up again, from thence followed
weakness, listlessness habitual, costiveness and an obstruc¬
tion of the Menses
. About a year ago her ankles began
to swell which alarmed her a good dale, and made her con¬
sult. She was advised to ride and go about and use what exer¬
cise she was well able to bear, and twice a day to take
a fen teaspoonfulls of Elixir Stomach. in a glass of water.


About the beginning of last winter when all her other
complaints were much the same, she was seized with
a Catarrhal cough which harassed her day & night. After
continuing for two months I was called and found her
coughing almost incessantly, her cough hard and dry
without the least expectoration, attended with a wheezing
and difficulty of breathing
on the least motion. There
was no quickness in the pulse, no particular heat nor



[Page 2]

much drought, but very restless thro' the night from
the cough. She could eat very little and what ever she
did eat, was thrown up again on the first fit of cough¬
ing
. She complained very much of a pain in the left
side about the false ribs. The oedemateus swellings of
the ankles were much gone but the obstruction of the
Menses
still continued. To allay the tickling cough
she was ordered to take frequently a little of a light
Oilly Linctus but this she could not take, I had
recurse then to the simple mucilage of Gum arabic
which she used frequently thro' the day, and Evenings
and mornings she took three or four of ↑the following↑ Pills following


[Rf.?] Rad. Scillae recent. Gum Ammon. àa Ʒj Sapon. Venet.
Ʒij deger in Mas. Pil. ex singul. drach f. Pil Nxij


A blister was applied to her side which was ordered
to be kept open & attention was paid to her diet.


These directions were followed for some weeks and
with advantage. The cough is now greatly gone, the
pain of the side much better, and she has more appetite
she says than she has had for ↑these↑ two years but still the
Wheezing and difficulty of breathing continue.



[Page 3]

The Oedematous swellings are much increased and
her legs are often swelled to the knee attended
pain and redness, but since her legs have become
œdematous her cough has been remarkably better
The obstruction of the Menses still continued
On receipt of this you'll please direct what you see
proper address'd to me Surgeon Kirkudbright.


I am
Sir
your most Obt hu Sert
John Walker

Kirkudbt.
8th April 1777



[Page 4]


To
Doctor Cullen
Edinr.


Mr Walker C.
Miss Millar
April 8th 1777
V. VII. p 5.

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