Cullen

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

 

[ID:1908] From: Dr James Hamilton / To: [ADDRESSEE UNKNOWN] / Regarding: Miss Margaret Home (Hume, of Jordanfield; Miss Home of Branxton) (Patient) / 2 September 1780 / (Incoming)

Letter from James Hamilton concerning the case of Miss Home.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 1908
RCPE Catalogue Number CUL/1/2/988
Main Language English
Document Direction Incoming
Date2 September 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 James Hamilton concerning the case of Miss Home.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:687]
Case of Miss Home whose vertigo is considered the symptom of a plethora.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:812]AuthorDr James Hamilton
[PERS ID:811]PatientMiss Margaret Home (Hume, of Jordanfield; Miss Home of Branxton)
[PERS ID:812]Patient's Physician / Surgeon / ApothecaryDr James Hamilton
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3166]Patient's Relative / Spouse / FriendMr Home (Hume)

Places linked to this document

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

Normalized Text

[Page 1]
Dear Sir


I had the pleasure of yours this
morning by Mr. Home, & am happy to find
your superior Judgement with regard to Miss Home's
case exactly conincides with my own.


Miss Home's case is a true hemiplegia, the
whole left side being affected, even the muscules
of the face have not escaped, which points out
the source of the disorder to be in the brain. --
Altho' from the appearance of our Patient
Plethory might not be expected, yet as you
observe in all healthy people attacked with
palsy, it is always more or less & notwith¬
standing her pulse was not [feeble?], yet I bled
her largely & as I hoped, the pulse from the
obstruction in the
Head being [lessened?], rose
& became more firm, the Blood was sizy &
{illeg}. I ordered Her to lay in a cool room,
the Body, particularly the Head to be lightly



[Page 2]

covered; & the head to be raised high, and
a Matress to be putt upon the Bed. On
Wednesday she was taken ill & the [next?]
day she took a [paying?] Decoction of Senna
Salts
& which operated briskly & well,
same day had six Leeches applyed to the
Temples, which releived her much, entirely
removed the pain of the head, & procured a
considerable motion to the affected Leg. Yesterday
the Leeches were again applyed & this
day she still gains ground. Tomorrow I
have desired the Leeches to be applyed
again, if any pain in the head, redness
of the
Eyes or defect in vision makes this
application [hurtfull?], & on Monday, I
intend to repeat the Laxative & then apply
a Blister to the head. The reason why I
have not putt the Blister on before is, that
I wished to avoid every thing either external
or internal, that is any measure would oil


[Page 3]

a stimulus, in however small degree, but
I think by the time I mention, there will be
no danger from the Blister acting in that
way, tho' on external stimulus often removes
an internal [one?]. I ordered the Arms &
Leg to be rubbed with a solution of
Camphere
, as I saw something was
expected by my patients friends for that
purpose, & if you aprove I shall add
some Other to it. Shall be glad to have
your opinion about the future plan of operation
supposing no other symptom occurs --
What occurs to me [or?] Bleedings when {illeg}
by the Lancet, Leeches a {illeg}. Blisters
applyed [healed?] up & applyed again.
The Belly kept open, & [sometimes?] {illeg}
the Electrical. efluvia, wisely & cautiously
conducted, wishing ↑you↑ the peace of God I am

Dear Sir your
most obedient Servant
James Hamilton
Dunbar 2 September 1780



[Page 4]


PS. I have forbid all animal food, spirits
& fermented liquors, & have given no continual
medicine whatever, except the first day, a
a small dose of the compound [tincture?] of Castor

JH

Dr Hamilton Concerning
Miss Home
September 1780

Diplomatic Text

[Page 1]
Dear Sir


I had the pleasure of yours this
morning by Mr. Home, & am happy to find
yr. superior Judgement with regard to Miss Home's
case exactly conincides with my own.


Miss Home's case is a true hemiplegia, the
whole left side being affected, even the muscules
of the face have not escaped, which points out
the source of the disorder to be in the brain. --
Altho' from the appearance of our Patient
Plethory might not be expected, yet as you
observe in all healthy people attacked with
palsy, it is always more or less & notwith¬
standing her pulse was not [feeble?], yet I bled
her largely & as I hoped, the pulse from the
obstruction in the
Head being [lessened?], rose
& became more firm, the Blood was sizy &
{illeg}. I ordered Her to lay in a cool room,
the Body, particularly the Head to be lightly



[Page 2]

covered; & the head to be raised high, and
a Matress to be putt upon the Bed. On
Wednesday she was taken ill & the [next?]
day she took a [paying?] Decoction of Senna
Salts
& which operated briskly & well,
same day had six Leeches applyed to the
Temples, which releived her much, entirely
removed the pain of the head, & procured a
considerable motion to the affected Leg. Yesterday
the Leeches were again applyed & this
day she still gains ground. Tomorrow I
have desired the Leeches to be applyed
again, if any pain in the head, redness
of the
Eyes or defect in vision makes this
application [hurtfull?], & on Monday, I
intend to repeat the Laxative & then apply
a Blister to the head. The reason why I
have not putt the Blister on before is, that
I wished to avoid every thing either external
or internal, that is any measure would oil


[Page 3]

a stimulus, in however small degree, but
I think by the time I mention, there will be
no danger from the Blister acting in that
way, tho' on external stimulus often removes
an internal [one?]. I ordered the Arms &
Leg to be rubbed with a solution of
Camphere
, as I saw something was
expected by my patients friends for that
purpose, & if you aprove I shall add
some Other to it. Shall be glad to have
yr. opinion about the future plan of operation
supposing no other symptom occurs --
What occurs to me [or?] Bleedings when {illeg}
by the Lancet, Leeches a {illeg}. Blisters
applyed [healed?] up & applyed again.
The Belly kept open, & [sometimes?] {illeg}
the Electrical. efluvia, wisely & cautiously
conducted, wishing ↑you↑ the peace of God I am

Dr. Sir yr.
most obedient Servant
James Hamilton
Dunbar 2 Septr. 1780



[Page 4]


PS. I have forbid all animal food, spirits
& fermented liquors, & have given no continual
medicine whatever, except the first day, a
a small dose of the compound [tincture?] of Castor

JH

Dr Hamilton C.
Miss Home
Septr. 1780

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