Cullen

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

 

[ID:1455] From: Dr Thomas Livingston / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Gordon (Craigmil?) (Patient) / 14 October 1777 / (Incoming)

Letter from Thomas Livingston regarding the case of Mrs Gordon who has a uterine disorder with water retention.

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Metadata

FieldData
DOC ID 1455
RCPE Catalogue Number CUL/1/2/549
Main Language English
Document Direction Incoming
Date14 October 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 Thomas Livingston regarding the case of Mrs Gordon who has a uterine disorder with water retention.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2047]
Case of Mrs Gordon who has swelling of the belly.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:852]AuthorDr Thomas Livingston
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:1316]PatientMrs Gordon (of Craigmil(?))
[PERS ID:852]Patient's Physician / Surgeon / ApothecaryDr Thomas Livingston
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2121]Patient's Relative / Spouse / FriendMr Gordon

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Aberdeen East Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred
Therapeutic Recommendation Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Aberdeen October 14.th -- 1777

Dear Sir


This will be presented you by Mr. Gordon
a Gentleman of this County, who accompanys his Mother
to Edinburgh in order to have the benefit of Your Advice &
Assistance for the recovery of her health.


The Lady is about Sixty years of Age, & for the greatest
part of her life, enjoyed a healthy, tho' not a vigorous Consti¬
tution. -- About a year ago She complain'd of a Prolapsus
Uteris, which occasion'd the usual inconveniences, but as
it never protruded, extra Vaginam, She tryed the ordinary
strengthening & astringent Applications, was put upon
a Course of the Bark & Aromatick-bitters, & did not suffer
much pain or trouble from that Complaint. - Soon after,
She was seiz'd with Flatulencys of her stomach & Bowels,
loss of Appetite, Swelling & distension of her Belly, Borbo¬
rygmi
; & with all the ordinary feelings, attending a
weakly & relaxed state of the P.V. 1 -- for these Complaints
She was put upon a Course of the Gummosæ, & Chalybeate
Medicines, the Infusion of the Bark & bitters was continued.
She was ordered to take Exercise, & a Suitable Regimen was
prescribed. -



[Page 2]

These Medicines produced no sensible effects upon her Comp¬
laints; the swellings of her Belly, tho' Variable at different
times, never entirely subsided, her flesh & strength were
considerably impair'd
, & I suspected some Obstructions of the
Viscera as the Cause of her disorder. -- About three Months
ago, I first examin'd the state of her Belly, & upon a carefull
examination, I could not discover any partial hardness
or inequality. -- The Lower Belly in general, was much more
distended than was natural to a Person of her Size & frame,
& I was convinc'd that there was a fluctuation of Water in
the Cavity. -- As her Strength was so much reduc'd, & her Complex¬
ion at that time pale & Sallow
, I did not think it safe to try
the Drastick purgatives, & She was order'd the Diuretick
Medicines
, with Neutral Salts dissolved in warm bitter Infusion.


She made a fair tryal of that Course for a considerable time,
but without much benefit, & I did not see her ↑for three Months↑, till two days
ago, when I was sensible that her Appearance in general
was much more healthy, & She acknowledges, that her Appetite
is mended, her strength recruited, & that at present, She has



[Page 3]

no Complaints, but the encreas'd Size of her Belly. ---
She never had much thirst, Paucity of Urine, or the least
degree of Oedematous Swelling of the Extremities. ---
Upon examining the state of the Belly again, I am still
more convinc'd of an evident Undulation, & as I suspect
a Dropsy of the encysted kind may be pretty far advanc'd,
I have advisd her to try the effects of a Journey to Edinburgh
where She may have the benefit of Your Advice &
Directions. -- I am respectfully


Dear Sir
Your most Obedient humble Servant

Thos. Livingston.


Oily Frictions have been daily continued to the Abdomen
for some months past. ---




[Page 4]


Dr Livingston
concerning
Mrs Gordon Craigmil
October 1777
8 p.42

Notes:

1: This abbreviation is obscure, though the context suggests "Prolapsus Vaginam".

Diplomatic Text

[Page 1]
Aberdeen Octr. 14.th -- 1777

Dear Sir


This will be presented you by Mr. Gordon
a Gentleman of this County, who accompanys his Mother
to Edinr. in order to have the benefit of Your Advice &
Assistance for the recovery of her health.


The Lady is about Sixty years of Age, & for the greatest
part of her life, enjoyed a healthy, tho' not a vigorous Consti¬
tution. -- About a year ago She complain'd of a Prolapsus
Uteris, which occasion'd the usual inconveniences, but as
it never protruded, extra Vaginam, She tryed the ordinary
strengthening & astringent Applications, was put upon
a Course of the Bark & Aromatick-bitters, & did not suffer
much pain or trouble from that Complaint. - Soon after,
She was seiz'd with Flatulencys of her stomach & Bowels,
loss of Appetite, Swelling & distension of her Belly, Borbo¬
rygmi
; & with all the ordinary feelings, attending a
weakly & relaxed state of the P.V. 1 -- for these Complaints
She was put upon a Course of the Gummosæ, & Chalybeate
Medicines, the Infusion of the Bark & bitters was continued.
She was ordered to take Exercise, & a Suitable Regimen was
prescribed. -



[Page 2]

These Medicines produced no sensible effects upon her Comp¬
laints; the swellings of her Belly, tho' Variable at different
times, never entirely subsided, her flesh & strength were
considerably impair'd
, & I suspected some Obstructions of the
Viscera as the Cause of her disorder. -- About three Months
ago, I first examin'd the state of her Belly, & upon a carefull
examination, I could not discover any partial hardness
or inequality. -- The Lower Belly in general, was much more
distended than was natural to a Person of her Size & frame,
& I was convinc'd that there was a fluctuation of Water in
the Cavity. -- As her Strength was so much reduc'd, & her Complex¬
ion at that time pale & Sallow
, I did not think it safe to try
the Drastick purgatives, & She was order'd the Diuretick
Medicines
, with Neutral Salts dissolved in warm bitter Infusion.


She made a fair tryal of that Course for a considerable time,
but without much benefit, & I did not see her ↑for three Months↑, till two days
ago, when I was sensible that her Appearance in general
was much more healthy, & She acknowledges, that her Appetite
is mended, her strength recruited, & that at present, She has



[Page 3]

no Complaints, but the encreas'd Size of her Belly. ---
She never had much thirst, Paucity of Urine, or the least
degree of Oedematous Swelling of the Extremities. ---
Upon examining the state of the Belly again, I am still
more convinc'd of an evident Undulation, & as I suspect
a Dropsy of the encysted kind may be pretty far advanc'd,
I have advisd her to try the effects of a Journey to Edinr.
where She may have the benefit of Your Advice &
Directions. -- I am respectfully


Dear Sir
Your most Obedient humble Sert

Thos. Livingston.


Oily Frictions have been daily continued to the Abdomen
for some months past. ---




[Page 4]


Dr Livingston
conc.
Mrs Gordon Craigmil
Octr. 1777
8 p.42

Notes:

1: This abbreviation is obscure, though the context suggests "Prolapsus Vaginam".

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