Cullen

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

 

[ID:1882] From: Dr Thomas Stephen / To: Dr William Cullen (Professor Cullen) / Regarding: Mr James Brander (Patient) / 10 July 1780 / (Incoming)

Letter from Thomas Stephen concerning the case of James Brander.

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[Page 2]


 

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Metadata

FieldData
DOC ID 1882
RCPE Catalogue Number CUL/1/2/961
Main Language English
Document Direction Incoming
Date10 July 1780
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 Stephen concerning the case of James Brander.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1255]
Case of Mr James Brander who has had a long-standing stomach disorder since returning from Lisbon.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:820]AuthorDr Thomas Stephen
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:818]PatientMr James Brander
[PERS ID:820]Patient's Physician / Surgeon / ApothecaryDr Thomas Stephen
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Elgin East Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred
Mentioned / Other Lisbon Portugal Portugal Europe certain
Mentioned / Other Pitgaveny East Highlands Scotland Europe certain

Normalized Text

[Page 1]
Elgin 10th July 1780
Dear Sir


Inclosd youll receive two
Notes with the following state of Mr Bran¬
ders case, on which, you'll be so good as favour
us with your opinion and advice, as soon
as possible, his friends being anxious concer¬
ning him. As some circumstances may very
probably be omitted, in the annexd detail
that might tend to throw more ↑light↑ on the
case, if you'll be do good as put such
queries, as may be proper for your further
information, I shall endeavour to give the
most satisfactory answers in my power.


I have the honour to be with the greatest
respect

Dear Sir your most obedient humble servant
Thomas Stephen


James Brander Esquire of Pilgaveny aged
about 47, naturally strong, temperate, and
using a good deal of Exercise, is of a very cos¬
tive habit
. He livd ten years in Lisbon



[Page 2]

in the English Factory, during which pe¬
riod he enjoyed good health. In 1765 retur¬
ned to Scotland, and settled in his estate
in this neighbourhood, and in 1766 or 67
for it began to complain, of pain, in the regi¬
on of the stomach, which he has been more
or less subject to, every year since, and in par¬
ticular in Spring. He says his complaint
usually began about noon, and continued an
hour, when he felt an uneasy sensation
(which he likens to griping or squeezing)
in the Epigastric region; that, about one
o'clock he for most part felt himself con¬
siderably easier, was able to make a good din¬
ner, and remaind tollerably well, till about
seven at night, when the pain for ordinary re¬
turned, and lasted an hour or there about, then
it went off again, and left him able to eat
some supper; that he slept well and was
perfectly easy till noon next day [& then?] the
pain and uneasiness returned as before.


These Complaints Mr Brander says usd common¬
ly to continue from ten days to a Month in ↓Spring↓,



[Page 3]

after which time they left him and he en¬
joyed perfect health thro' the Summer and Win¬
ter tho with sometimes a return in Autumn.


But in the month of November last his pain
came on in a much more severe manner
than formerly and he has very often attackd him
since at all seasons and times of the day [will
not observing?] any regular periods as before.


The fit of pain is commonly usherd in with
a sense of coldness in the lower extremities
and during its continuance which (with
little intermissions) is sometimes for hours
together he is troubled with Nausea, Thirst,
and bad taste in the mouth and Nausea,
with vomiting of an insipid Phlegm or an
acid [saburra?]: A sense of fullness too he
complains of during the fit and as he
expresses it an obstruction to then passage
of the contents of the
stomach downwards.
These are succeeded after having been long in
distress by status through the Abdomen and
a sense of somthing escaping from the
stomach, which is generally a prelude to



[Page 4]

a state of ease. When the fit is off he complains
of want of appetite dryness and ill taste in the
mouth and feebleness. His pulse is slow {illeg}
while but in [art?] and belly as was befor {illeg}
[binnd?] both in and out of the fits.


Mr B. is not sensible of any thing in parti¬
cular that bring on his Complaints; tho as
he has of late had frequent occasion to go thro' new¬
ly draind Marsh grounds and he has been sud¬
denly attackd on his return home I cannot {illeg}
doubt if that acting as an occasional cause of
them. Mr Brander has no appearance of any
fixd obstruction in the liver or other abdominal
Viscera
in as far as I can Judge from feeling.


He informs me he long ago had a tertian
ague
which yielded to Bark; but never had a
lot of gout. The indications for his relief that
presented themselves to me were - 1st to obviate
costiveness in and out of the fits for which Glysters
Aloetic Pills &c were usd 2d To correct aciditics by Mag¬
nesia
. 3d to [take?] of spasm in the Stomach and
intestines in time of fits by opiates pediluvia fomen¬
tations
[&?] 4 To give tone to the Stomach out of the
fits by Cortex &c 5th To keep up a brisk [perspaton?]
by warm clothing Cold on the feet to be particularly
avoided and lastly a bit of light animal food recom¬
mended at meals every thing flatulent or [acescent?] particu¬
lar drink brandy and water and depressing passions to be
guarded acainst

T.S.

Diplomatic Text

[Page 1]
Elgin 10th July 1780
Dear Sir


Inclosd youll receive two
Notes with the following state of Mr Bran¬
ders case, on which, you'll be so good as favour
us with your opinion and advice, as soon
as possible, his friends being anxious concer¬
ning him. As some circumstances may very
probably be omitted, in the annexd detail
that might tend to throw more ↑light↑ on the
case, if you'll be do good as put such
queries, as may be proper for your further
information, I shall endeavour to give the
most satisfactory answers in my power.


I have the honour to be with the greatest
respect

Dr Sir your most obedt humble servt
Thos Stephen


James Brander Esqr of Pilgaveny aged
about 47, naturally strong, temperate, and
using a good deal of Exercise, is of a very cos¬
tive habit
. He livd ten years in Lisbon



[Page 2]

in the English Factory, during which pe¬
riod he enjoyed good health. In 1765 retur¬
ned to Scotland, and settled in his estate
in this neighbourhood, and in 1766 or 67
for it began to complain, of pain, in the regi¬
on of the stomach, which he has been more
or less subject to, every year since, and in par¬
ticular in Spring. He says his complaint
usually began about noon, and continued an
hour, when he felt an uneasy sensation
(which he likens to griping or squeezing)
in the Epigastric region; that, about one
o'clock he for most part felt himself con¬
siderably easier, was able to make a good din¬
ner, and remaind tollerably well, till about
seven at night, when the pain for ordinary re¬
turned, and lasted an hour or there about, then
it went off again, and left him able to eat
some supper; that he slept well and was
perfectly easy till noon next day [& then?] the
pain and uneasiness returned as before.


These Complaints Mr Brander says usd common¬
ly to continue from ten days to a Month in ↓Spring↓,



[Page 3]

after which time they left him and he en¬
joyed perfect health thro' the Summer and Win¬
ter tho with sometimes a return in Autumn.


But in the month of Novr last his pain
came on in a much more severe manner
than formerly and he has very often attackd him
since at all seasons and times of the day [will
not observing?] any regular periods as before.


The fit of pain is commonly usherd in wt
a sense of coldness in the lower extremities
and during its continuance which (with
little intermissions) is sometimes for hours
together he is troubled with Nausea, Thirst,
and bad taste in the mouth and Nausea,
with vomiting of an insipid Phlegm or an
acid [saburra?]: A sense of fullness too he
complains of during the fit and as he
expresses it an obstruction to then passage
of the contents of the
stomach downwards.
These are succeeded after having been long in
distress by status through the Abdomen and
a sense of somthing escaping from the
stomach, which is generally a prelude to



[Page 4]

a state of ease. When the fit is off he complains
of want of appetite dryness and ill taste in the
mouth and feebleness. His pulse is slow {illeg}
while but in [art?] and belly as was befor {illeg}
[binnd?] both in and out of the fits.


Mr B. is not sensible of any thing in parti¬
cular that bring on his Complaints; tho as
he has of late had frequent occasion to go thro' new¬
ly draind Marsh grounds and he has been sud¬
denly attackd on his return home I cannot {illeg}
doubt if that acting as an occasional cause of
them. Mr Brander has no appearance of any
fixd obstruction in the liver or other abdominal
Viscera
in as far as I can Judge from feeling.


He informs me he long ago had a tertian
ague
which yielded to Bark; but never had a
lot of gout. The indications for his relief that
presented themselves to me were - 1st to obviate
costiveness in and out of the fits for which Glysters
Pil. Aloet &c were usd 2d To correct aciditics by Mag¬
nesia
. 3d to [take?] of spasm in the Stomach and
intestines in time of fits by opiates pediluvia fomen¬
tations
[&?] 4 To give tone to the Stomach out of the
fits by Cortex &c 5th To keep up a brisk [perspaton?]
by warm clothing Cold on the feet to be particularly
avoided and lastly a bit of light animal food recom¬
mended at meals every thing flatulent or [acescent?] particu¬
lar drink brandy and water and depressing passions to be
guarded acainst

T.S.

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