Cullen

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

 

[ID:1938] From: Mr Stephen Cleasby / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Smith (of Barnard Castle) (Patient), Miss Milbanke (Patient) / 27 October 1780 / (Incoming)

Letter from Stephen Cleasby concerning the case of Miss Milbanke.

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There are 4 images for this document.

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Metadata

FieldData
DOC ID 1938
RCPE Catalogue Number CUL/1/2/1017
Main Language English
Document Direction Incoming
Date27 October 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 Stephen Cleasby concerning the case of Miss Milbanke.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:951]
Case of Mr Smith, a surgeon at Barnard Castle, who has symptoms of palsy and dies of what might be kidney failure.
9
[Case ID:1262]
Case of Miss Milbanke who has water on her lungs.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:516]AuthorMr Stephen Cleasby
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:880]PatientMr Smith (of Barnard Castle)
[PERS ID:1182]PatientMiss Milbanke
[PERS ID:516]Patient's Physician / Surgeon / ApothecaryMr Stephen Cleasby
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2874]OtherMr Pratt

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Barnard Castle North-East England Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Buxton Midlands England Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other London London and South-East England Europe certain
Place of Handstamp Barnard Castle North-East England Europe certain

Normalized Text

[Page 1]
Sir


We request your Assistance with the following
Case. I have desired Mr Pratt an eminent Druggist
who I know has Connections at Edinburgh to get
one of his Friends to present you a genteel Fee.
If he shou'd not offer sufficient I beg you will
demand more of him.


Miss Milbanke about 40 Years of Age who
has always had the Catamenia regular & in due
Quantity a Year ago was seized with a Coldness
& violent Difficulty of Breathing which continued
one Night & then abated but never since has been
so well as to lay down in Bed, has had a short
troublesome Cough
, made a small Quantity of high
coloured Urine
, has been gently lax without the
use of Medicine
. Four Years ago she had the
Measles in London after which the Legs were swell'd
& inflamed & Goulards Vegeto Mineral Water was applied
plentifully by means of wet Cloths. Since the
Beginning they have been swell'd without Heat
or Redness. In the Spring the Cough encreased
but no Expectoration & from this Time the Difficulty
of Breathing
gradually grew worse till September
when it was so violent that she cou'd not go up or



[Page 2]

down Stairs, was greatly reduced & sometimes
had Pains in her Limbs- when the worst cou'd
ride in a Carriage when it went very quick.
She has often had a Sickness & Reaching but throws
nothing up except a little frothy Phlegm - is often
afflicted with the Cramp which is natural to the Family
At the latter End of the last two Years had a very
stubborn Colic with great Costiveness.


Two Purgatives have been taken which operated
briskly but weaken'd her much. Her Pulse is
now weak & a little quick
. Towards Night the Legs are
swelld /but not as much as a few Weeks ago/ & I believe
will pit -- still makes a small Quantity of Urine
has not a very bad Appetite -- As Miss Milbanke
is just come into the Neighbourhod I can not
tell what has has been done more than the Purgatives
She is considerably better & apparently recovering
but as the Complaints may be liable to return
& the best Advice is required I wish to have your
Directions to restore the Constitution & prevent
a Relapse. Please to favor me with your Answer
as soon as possible. I am Sir


with great Respect
Your obedient Humble Servant
S. Cleasby

Barnard Castle
October 27th 1780



[Page 3]


Mr Smith who I have twice troubled you about
is gone to try the Buxton Waters -- He still
flatters himself with the Hopes of seeing
Edinburgh & making you an Acknowledgment
in Person but shou'd it not be so it will
not be forgot. The Guaiacum Mixture
you recommended did great Service.




[Page 4]


Doctor William Cullen
Edinburgh
October 28. 1780


Mr S. Cleasby Concerning
Miss Milbanke
1780
V.XI. p.104

Diplomatic Text

[Page 1]
Sir


We request your Assistance with the following
Case. I have desired Mr Pratt an eminent Druggist
who I know has Connections at Edinburgh to get
one of his Friends to present you a genteel Fee.
If he shou'd not offer sufficient I beg you will
demand more of him.


Miss Milbanke about 40 Years of Age who
has always had the Catamenia regular & in due
Quantity a Year ago was seized with a Coldness
& violent Difficulty of Breathing which continued
one Night & then abated but never since has been
so well as to lay down in Bed, has had a short
troublesome Cough
, made a small Quantity of high
coloured Urine
, has been gently lax without the
use of Medicine
. Four Years ago she had the
Measles in London after which the Legs were swell'd
& inflamed & Goulards Aq vegito-min was applied
plentifully by means of wet Cloths. Since the
Beginning they have been swell'd without Heat
or Redness. In the Spring the Cough encreased
but no Expectoration & from this Time the Difficulty
of Breathing
gradually grew worse till September
when it was so violent that she cou'd not go up or



[Page 2]

down Stairs, was greatly reduced & sometimes
had Pains in her Limbs- when the worst cou'd
ride in a Carriage when it went very quick.
She has often had a Sickness & Reaching but throws
nothing up except a little frothy Phlegm - is often
afflicted with the Cramp wch is natural to the Family
At the latter End of the last two Years had a very
stubborn Colic with great Costiveness.


Two Purgatives have been taken which operated
briskly but weaken'd her much. Her Pulse is
now weak & a little quick
. Towards Night the Legs are
swelld /but not as much as a few Weeks ago/ & I believe
will pit -- still makes a small Quantity of Urine
has not a very bad Appetite -- As Miss Milbanke
is just come into the Neighbourhod I can not
tell what has has been done more than the Purgatives
She is considerably better & apparently recovering
but as the Complaints may be liable to return
& the best Advice is required I wish to have your
Directions to restore the Constitution & prevent
a Relapse. Please to favor me with your Answer
as soon as possible. I am Sir


with great Respect
Yr obdt Hble Servt
S. Cleasby

Barnd Castle
Oct. 27th 1780



[Page 3]


Mr Smith who I have twice troubled you about
is gone to try the Buxton Waters -- He still
flatters himself with the Hopes of seeing
Edinburgh & making you an Acknowledgment
in Person but shou'd it not be so it will
not be forgot. The Guaiacum Mixture
you recommended did great Service.




[Page 4]


Doctr Willm Cullen
Edinburgh
Oct: 28. 1780


Mr S. Cleasby C.
Miss Milbanke
Octr
V.XI. p.104

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