Cullen

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

 

[ID:1423] From: Dr Jasper Tough / To: Dr William Cullen (Professor Cullen) / Regarding: Mr (Patient) / 30 June 1777 / (Incoming)

Letter from Jasper Tough, regarding an unnamed male patient, a household servant, described as being epileptic and developing mania.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 1423
RCPE Catalogue Number CUL/1/2/518
Main Language English
Document Direction Incoming
Date30 June 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 Jasper Tough, regarding an unnamed male patient, a household servant, described as being epileptic and developing mania.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:571]
Case of an unnamed young male patient, a household servant suffering from epileptic fits that now border on brief episodes of insanity appearing to follow the phases of the moon.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1667]AuthorDr Jasper Tough
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2009]PatientMr
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1667]Patient's Physician / Surgeon / ApothecaryDr Jasper Tough
[PERS ID:2010]Patient's Physician / Surgeon / ApothecaryMr

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Kilmarnock Glasgow and West Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]
Dr Sir


I am happy to hear Your health has been so much
better last Season than the preceeding one. May this long Continue to be
the Case with you. I take the liberty of Mentioning to you A pretty
Singular Disorder in a Young Man, A labouring Servant Of twenty
three Years of age, who As I am informed when About three or four
Years old was for Some time Subject to Epileptic fitts, it seems you
had then been Consulted, & putt him under a Course of Medicines
for worms which made him Void a Good many, & he was free of that
Melancholy Disorder, till between three and four Years ago, that
The Epilepsy returned, & has Continued to return at about two
or three Days before the moons change ever Since. His first Luna¬
tick fitts
left a Dullness & Melancholy upon ↑him↑or A Day or two After
Moons Change, but these have of late increased to real Madness
in which State (of Mania) he Continues for three or four Days, then
returns to his Work, As if nothing had ever ailed him. As I have
never Seen him under his fitts either of Epilepsy or Mania, can Say
nothing of his appearance but his Mother who commonly attends
him tells me that he knows Some little time perhaps an hour or
So before he is Siezed, he has Sometimes three Epileptic fitts within
three Days of the Moons Change & At other times twice that number, And
the Degree & duration of the Madness is proportional to the number &
Severity of the fitts.




[Page 2]


For about three Weeks he has all the appearance of health, as A
remarkably Stout looking Young man, only has Gott that Gloomy
Stair & Cast of Eyes which most part of the Epileptic have.


Having only Seen him Once or twice When he had walked in
Some miles, & hearing he had Gott an Immensity of Medicines
from the Surgeon in his Neighbourhood, repeated bloodings, Evacu¬
ants αυω Και Κατω
, 1 Sudorifics, Bark, blisters &c &c I resolved to
Ask Your advice whether in a Case of this kind it might be worth¬
wile to try the flores Zinci So much in use at present. which if
You approve of, must also beg of You to Inform You where they ar
to be had of the best kind. As Cases of this kind have never occurr'd
to me I hope You will forgive the freedom I have taken in Giv¬
ing You the trouble of this & Ever believe that I am whit utmost
esteem & regard Dr Sir


Your most Obedient humble Servant

Jasper Tough

Kilmarnock June 30th
1777


Case of Mania
from Mr Tough of
Kilmarnock
June 30th 1777.

Notes:

1: "up and down", meaning evacuants have been used which stimulate vomiting and purging.

Diplomatic Text

[Page 1]
Dr Sir


I am happy to hear Your health has been so much
better last Season than the preceeding one. May this long Continue to be
the Case wt you. I take the liberty of Mentioning to you A pretty
Singular Disorder in a Young Man, A labouring Servant Of twenty
three Years of age, who As I am informed when About three or four
Years old was for Some time Subject to Epileptic fitts, it seems Y
had then been Consulted, & putt him under a Course of Medicines
for worms which made him Void a Good many, & he was free of that
Melancholy Disorder, till between three and four Years ago, that
The Epilepsy returned, & has Continued to return at about two
or three Days before the moons change ever Since. His first Luna¬
tick fitts
left a Dullness & Melancholy upon ↑him↑or A Day or two After
Moons Change, but these have of late increased to real Madness
in which State (of Mania) he Continues for three or four Days, then
returns to his Work, As if nothing had ever ailed him. As I have
never Seen him under his fitts either of Epilepsy or Mania, can Say
nothing of his appearance but his Mother who commonly attends
him tells me that he knows Some little time perhaps an hour or
So before he is Siezed, he has Sometimes three Epileptic fitts within
three Days of the Moons Change & At other times twice that number, And
the Degree & duration of the Madness is proportional to the number &
Severity of the fitts.




[Page 2]


For about three Weeks he has all the appearance of health, as A
remarkably Stout looking Young man, only has Gott that Gloomy
Stair & Cast of Eyes which most part of the Epileptic have.


Having only Seen him Once or twice When he had walked in
Some miles, & hearing he had Gott an Immensity of Medicines
from the Surgeon in his Neighbourhood, repeated bloodings, Evacu¬
ants αυω Και Κατω
, 1 Sudorifics, Bark, blisters &c &c I resolved to
Ask Your advice whether in a Case of this kind it might be worth¬
wile to try the flores Zinci So much in use at present. which if
You approve of, must also beg of You to Inform You where they ar
to be had of the best kind. As Cases of this kind have never occurr'd
to me I hope You will forgive the freedom I have taken in Giv¬
ing You the trouble of this & Ever believe that I am wt utmost
esteem & regard Dr Sir


Your most Obedt humble Servt

Jasper Tough

Kilmarnock June 30th
1777


Case of Mania
from Mr Tough of
Kilmarnock
June 30th 1777.

Notes:

1: "up and down", meaning evacuants have been used which stimulate vomiting and purging.

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