Cullen

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

 

[ID:1985] From: Dr Robert Menzies (of Dura ) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Bruce (of Kinloch) (Patient) / 8 March 1781 / (Incoming)

Letter from Robert Menzies, concerning the case of Mr Bruce of Kinloch.

Facsimile

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Metadata

FieldData
DOC ID 1985
RCPE Catalogue Number CUL/1/2/1063
Main Language English
Document Direction Incoming
Date8 March 1781
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 Robert Menzies, concerning the case of Mr Bruce of Kinloch.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1422]
Case of Mr Bruce of Kinloch an elderly gentleman who is emaciated with a whole range of pains, swellings and other symptoms for which he has recently been 'electrified'.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:830]AuthorDr Robert Menzies (of Dura )
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2801]PatientMr Bruce (of Kinloch)
[PERS ID:2800]Patient's Physician / Surgeon / ApothecaryMr Macaulay (McAulay)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:830]Patient's Physician / Surgeon / ApothecaryDr Robert Menzies (of Dura )
[PERS ID:743]OtherMrs Anna Cullen

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Kinloch Mid Scotland Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Auchtermuchty Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Kinloch March 8th 1781
Dear Sir


Mr Bruce of Kinloch desires one to state his case to you, &
Begs the favour of your advice. He is aged about 68, was of
a very healthy constitution, & active till in Harvest 1779 he began
to complain of uneasy sensations under the false Ribs and Stomach
pit
, & lose his colour which was formerly fresh & good. I suspected
some Hepatic Obstruction forming & advised some easy Deobstruent,
attention to diet, & take moderate Exercise. For some time before
he used to be seized with a Sudden Giddyness which made it unsafe
for him to ride
& all his exercise was walking or in a Chaise.
In Spring 1780 he drank a tea cupfull or two of Antiscorbutic
Juices
every day for some time or before this time he complained
much of a pain in his feet & legs attended with a numness & Coldness
& a hardness in the Muscular parts of his legs Arms & back for which
we gave two or three tea Spoonfulls of Elixir Guajaci at bedtime
to raise a gentle perspiration & made him try a warm bath
once or twice a week for two weeks in order to soften & relax
these parts & bring on perspiration; this had some times the Effect
of making him perspire but he reaped no benefit from it and
therefore the bathing was given up as it seemed rather to
weaken him than relieve him. All this while his appetite was
pretty good considering the little exercise he took. He was
Habitually Costive which we obviated by Elixir Salutis, pill Allo¬
etic.
Sapone & Soluble tartar & Manna &c but if any of these
Operated above twice he turned very languid & found himself
weakened
which Oblidged us to use them with great Moderation
In harvest Last he began to have a frequent desire of makeing
water
upon examining it I found that it was of a wheyish colour




[Page 2]


when made & soon seperated a white creamy film to the top and
deposited a white light sedement to the bottom. I suspected that
as he digested his meal well, that the Nutritious parts of it was
going of by urine which accounted for his great loss of strength
& emaciating so fast. He had a Considerable degree of a diabetes
I advised him to take 10 or 12 gutti twice a day of Tincture Cantha¬
radum
in a Cup of beef tea or Chicken water & to take a teaspoon¬
full or two of Colombo root tincture an hour before Dinner
The Symptoms of a Diabetes soon went off his urine became
of a light Brandy Colour seemed well & perfectly Digested
& has continued so since. When we found these appearances
gone the Tincture Cantharad. was given up but the Columbo
tinctur.
continued. However he continued dayly to lose strength
and flesh till in the beginning of winter Last He was reduced
to Skin and Bone & was not able to walk thro his room without
two men to support him. His feet & hands were generaly numbd
& often pained, & always cold & the Circulation excessively Lan¬
guid.
Soon after an Oedematous Swelling came on his ankles
& hands. I wanted to try gently electrifying these parts as it
might be a powerfull mean of {illeg} the Circulation in
these parts & accordingly by continued for or six weeks to
take the spark from these parts beginning to draw them off as
soon as the wheel was set a going to avoid strokes & varying
from Place to place. Since the time he began to be electrified
the numbness & coldness in his extremities is much gone off & he
feels a heat in his soles & hands complains of such an exquisite Irrita¬
bility that
he starts at times as if he was Electrified. Can this be
the fidgets? I tried to day to rubb the right foot & hand with a



[Page 3]

& I have not heard as yet since it was done Mention that
disagreeable Sensation
with a Mixture of Oyl and Lauda¬
num
& I have not heard him complain of that Sensation
Since. His legs are rubbed Morning & Evening with a
little warm Oyl
& the Oedematous Swelling tho not totally
gone is very Much discussed. Physick we can give but spare¬
ingly & Dieuretics might bring back his diabetes Moderate
perspiration is the only handle we have to remove this. For this Pil. Gumm
& Pill. Alloet Camphor two grains made into 2 pills which raises a little heat
& when they do not give Passage every other day he takes 4 teaspoon¬
fulls of Castor Oyl or an Infusion of Senna & Cream of tartar.
He tried asses milk but it did not agree with him. His Eyes
water much without being pained or {illeg} - he Spitts a dale of
Saliva & sometimes coughs up tough Defluxion from his lungs
which seem to be very sound - I often examine his belly and
can feel no particular tumefaction on any Part as I can feel
below the ribs on both sides without giveing uneasiness. The
Cartilage Xyphoides at the upper part of it is considerably out
& the point of it bent in towards Stomach pit you would
imagine the Contents of the Abdomen are Clung to his back


Mr McAulay Surgeon at Auchtermouchty bearer
of this attended him all along with me & can give you particu¬
lar Information was any thing further you would wish to know


I hope Mrs Cullen & all your famely are well.


I have the Honour to be
Dear Sir your most Obedient
& very humble Servant
Robert Menzies



[Page 4]


Doctor Cullen Physician
Edinburgh


Dr Menzies
Concerning Mr Bruce
March 8. 1781.
V. XI p. 168

Diplomatic Text

[Page 1]
Kinloch March 8th 1781
Dear Sir


Mr Bruce of Kinloch desires one to state his case to you, &
Begs the favour of your advice. He is aged about 68, was of
a very healthy constitution, & active till in Harvest 1779 he began
to complain of uneasy sensations under the false Ribs and Stomach
pit
, & lose his colour which was formerly fresh & good. I suspected
some Hepatic Obstruction forming & advised some easy Deobstruent,
attention to diet, & take moderate Exercise. For some time before
he used to be seized with a Sudden Giddyness which made it unsafe
for him to ride
& all his exercise was walking or in a Chaise.
In Spring 1780 he drank a tea cupfull or two of Antiscorbutic
Juices
every day for some time or before this time he complained
much of a pain in his feet & legs attended with a numness & Coldness
& a hardness in the Muscular parts of his legs Arms & back for which
we gave two or three tea Spoonfulls of Elixir Guajaci at bedtime
to raise a gentle perspiration & made him try a warm bath
once or twice a week for two weeks in order to soften & relax
these parts & bring on perspiration; this had some times the Effect
of making him perspire but he reaped no benefit from it and
therefore the bathing was given up as it seemed rather to
weaken him than relieve him. All this while his appetite was
pretty good considering the little exercise he took. He was
Habitually Costive which we obviated by Elixr, pill Allo¬
etic.
Sapone & Soluble tartar & Manna &c but if any of these
Operated above twice he turned very languid & found himself
weakened
which Oblidged us to use them with great Moderation
In harvest Last he began to have a frequent desire of makeing
water
upon examining it I found that it was of a wheyish colour




[Page 2]


when made & soon seperated a white creamy film to the top and
deposited a white light sedement to the bottom. I suspected that
as he digested his meal well, that the Nutritious parts of it was
going of by urine which accounted for his great loss of strength
& emaciating so fast. He had a Considerable degree of a diabetes
I advised him to take 10 or 12 gutti twice a day of Tincture Cantha¬
radum
in a Cup of beef tea or Chicken water & to take a teaspoon¬
full or two of Colombo root tincture an hour before Dinner
The Symptoms of a Diabetes soon went off his urine became
of a light Brandy Colour seemed well & perfectly Digested
& has continued so since. When we found these appearances
gone the Tincture Cantharad. was given up but the Columbo
tinctur.
continued. However he continued dayly to lose strength
and flesh till in the beginning of winter Last He was reduced
to Skin and Bone & was not able to walk thro his room without
two men to support him. His feet & hands were generaly numbd
& often pained, & always cold & the Circulation excessively Lan¬
guid.
Soon after an Oedematous Swelling came on his ankles
& hands. I wanted to try gently electrifying these parts as it
might be a powerfull mean of {illeg} the Circulation in
these parts & accordingly by continued for or six weeks to
take the spark from these parts beginning to draw them off as
soon as the wheel was set a going to avoid strokes & varying
from Place to place. Since the time he began to be electrified
the numbness & coldness in his extremities is much gone off & he
feels a heat in his soles & hands complains of such an exquisite Irrita¬
bility that
he starts at times as if he was Electrified. Can this be
the fidgets? I tried to day to rubb the right foot & hand with a



[Page 3]

& I have not heard as yet since it was done Mention that
disagreeable Sensation
with a Mixture of Oyl and Lauda¬
num
& I have not heard him complain of that Sensation
Since. His legs are rubbed Morning & Evening with a
little warm Oyl
& the Oedematous Swelling tho not totally
gone is very Much discussed. Physick we can give but spare¬
ingly & Dieuretics might bring back his diabetes Moderate
perspiration is the only handle we have to remove this. For this Pil. Gumm
& Pill. Alloet Camphor Gr ii made into 2 pills which raises a little heat
& when they do not give Passage every other day he takes 4 teaspoon¬
fulls of Castor Oyl or an Infusion of Senna & Cream of tartar.
He tried asses milk but it did not agree with him. His Eyes
water much without being pained or {illeg} - he Spitts a dale of
Saliva & sometimes coughs up tough Defluxion from his lungs
which seem to be very sound - I often examine his belly and
can feel no particular tumefaction on any Part as I can feel
below the ribs on both sides without giveing uneasiness. The
Cartilage Xyphoides at the upper part of it is considerably out
& the point of it bent in towards Stomach pit you would
imagine the Contents of the Abdomen are Clung to his back


Mr McAulay Surgeon at Auchtermouchty bearer
of this attended him all along with me & can give you particu¬
lar Information was any thing further you would wish to know


I hope Mrs Cullen & all your famely are well.


I have the Honour to be
Dr Sir your most Obednt
& very humble Servt
Robert Menzies



[Page 4]


Doctor Cullen Physician
Edr


Dr Menzies
C Mr Bruce
March 8. 1781.
V. XI p. 168

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