Cullen

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

 

[ID:2044] From: Mr John McFarquhar (Farquharson) / To: Dr William Cullen (Professor Cullen) / Regarding: Captain Ross (Patient), Mr Hugh Munro (Monro, of Achanie, of Achannie) (Patient) / 10 August 1781 / (Incoming)

Letter from John McFarquhar, concerning the case of Hugh Munro of Achannie, and reporting on the progress of Captain Ross, who was being treated by Dr Alves.

Facsimile

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Metadata

FieldData
DOC ID 2044
RCPE Catalogue Number CUL/1/2/1119
Main Language English
Document Direction Incoming
Date10 August 1781
Annotation None
TypeAuthorial original
Enclosure(s) Enclosure(s) mentioned, but missing
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from John McFarquhar, concerning the case of Hugh Munro of Achannie, and reporting on the progress of Captain Ross, who was being treated by Dr Alves.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1352]
Case of Captain Ross, a young soldier, who caught a venereal infection when in America - which was treated - but who after recently attending a recent review at Ford George has started to display signs of a severe mental disorder.
5
[Case ID:2076]
Case of Mr Hugh Munro of Achanie, who is suspected of having liver disease.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:2842]AuthorMr John McFarquhar (Farquharson)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:147]PatientCaptain Ross
[PERS ID:156]PatientMr Hugh Munro (Monro, of Achanie, of Achannie)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:148]Patient's Physician / Surgeon / ApothecaryDr John Alves
[PERS ID:2842]Patient's Physician / Surgeon / ApothecaryMr John McFarquhar (Farquharson)
[PERS ID:3208]Other McFarquhar
[PERS ID:3209]Other Thomas McFarquhar
[PERS ID:3200]Other

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Tain North Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Achany North Highlands Scotland Europe certain
Mentioned / Other Highlands East Highlands Scotland Europe certain
Mentioned / Other Sutherland North Highlands Scotland Europe certain

Normalized Text

[Page 1]
Tain 10th August 1781
Sir,


Inclos'd is an account of the case of A Gentleman in the
highlands of Sutherland, whom I was calld to visit a few
days ago, only, and the narrative is expressly as I had it
from himself. I have {illeg} this to be delivered to you
with two Guineas, which is but a small fee, but such
as corresponds with the Gentlemans Circumstances, and
after considering the case I shall look for your advice &
directions as soon as may suite your convenience, you may
give it to the person that deilvers you this & he will
forward it to me. -


Last post brought in your advice in the case of
Poor unfortunate Capn. Ross of {illeg}, and I am very
sorrie to [Acquant?] you at the desire of his friends, that
since the [Orders?] send you of him by Dr Alves were made out
he has been almost daily growing worse.


Two days after Dr Alves left him, as he visibly grew worse
he was by Intreaty got to submitt to have his hair cut
out, his head shaved, and a blistering plaster was applyd
over the whole
Scalp, which, as it began to have effect
appears to have quieted him a good deal for about 30 hours,
in which he slept more than he had done since the
Commencement of his Illness, some times express'd a sense
of his situation, & a hope of his getting benefit by the
Application. The Blister was allowed to ly on 45 hours



[Page 2]

in which time it descharged most copiously, some hours befor it
was taken away, he became restless & uneasie, complaining
indistinctly of his head & at times quite outragious. For some
some hours after the Blister was taken off he expressd a
satisfaction & said he hoped it woud do him good as his head
was then a great deal better. But that little Interval soon
wore off & he became very troublesome & in a good measure
Immanagable, On the whole, except that when he is wore
out with fatigue that some times in 25 or 30 hours, he gets
two, three, or four hours sleep, by which he is not refresh'd,
he has very little Interval from Violent Impetuosity, {illeg} will¬
fullness, & all the symptoms of a Violent Delirium.
Address or Artifice having little or no effect, those about
him are at times obligd to use Violence, which leads him
to beat & tare at every person & thing that comes his
way. At times he takes Immoderate fitts of laughter
& crying out, & at other times weeping, the last but seldom
freqiently playing the most foolish {illeg}.


Since the use of those evacuations now & formerly
mentiond to you, his pulse is quite easie, except in those
furious fitts, his face seldom flushed & no Inflamation
in his
eyes, but a great fierceness of look.


He has been taking [1/2?] oz of soluble Tartar dayly since
Dr. Alves saw him which keeps his belly easie, but



[Page 3]

does not purge, His regimen has been as you recommend from
the beginning of his Illness, He took the first dose of
Camphor & Nitre last night & will continue it in the way
you propose, and a strait wastcoat is getting made for him,
which is certainly the most [scarse?] & gentle measure that
can be opted for him. Your farther advice will be
expected, & by this post said the former one to Dr. Alves
for his satisfaction, it was sent to me for sake of
expedition. I shall ever return a gratefull sense of your
friendship & countenance to both my sons, when they were
your students & patients, & I am with sincere regard


Sir
your most Obligd & Obedient
humble Servant
{illeg} McFarqr.


For Dr. Cullen




[Page 4]


Mr Farquharson
Concerning a Gentleman of
Sutherland. -
August 1781




[Page 5]
[Start of margin text]
Tain
10th August
1781 [End of margin text]


Mr. Hugh Munro of Achannie, aged 65 years, remarkably
healthy through life, living in a highland country, much
accustom'd to exercise of various kinds, particularly, Hunting
Deer & game of various (↑all↑) kinds, Generaly living very temperatly
& sober. About three years ago he was suddenly seiz'd with
a violent pain in his right side, on the short ribbs, which --
continued for some days & was removed by Blistering the part
Affected. In the beginning of february last, owing as he believd
to cold, got a cough which distress'd him a good deal till the
end of may, expectorating very little but by the use of Squill
pills
, all that time his urine was high colourd with a great
deal of sediment, especialy when he used the pills.


Soon after the cough ceased, the pain in his side remov'd, when
he took recourse to another blister, which removed the pain
a second time, some days ago it recurrd a third time but not
with such violence and was in some measure relievd by
the application of Camphorated oyle, but not thorrowly -
removed, & feels painfull to the toutch.


For four weeks past he has had a {illeg} & fullness on the
Abdomen, partly on the Stomach and below it, attended with
a tightness of the parts, which, as he thinks, oppress - his
breast & confines his lungs, though he breathes easie.
Also, a slight pain in his right shoulder from the top of his
neck, & some times a slight headache, to which he has been
now & then, subject for years. -


Ever since, or soon after the commencement of his cough in
february, he fell, & continues still subject to sweatings, which
comes on regularly about three o Clock in the mornings &
continues till he get out of bed after Irregular broken sleep,
a thirst in the Mornings, but a discharge of urine always
in proportion to his drink, His pulse easie, without any
degree of fever, his apetite tollerable, but he beleives his
digestion not so good {illeg} (↓x↓[Start of margin text]x though[End of margin text]) naturally easie in his belly.
Little or no medicine used, other than some Elixir of Vitriol,
& some Bark for a few days back

{illeg} McFarqr. Surgeon.



[Page 6]


The Case of
Hugh Munro
of Achannie
10th August 1781
V. XIII. p. 133

Diplomatic Text

[Page 1]
Tain 10th Augt. 1781
Sir,


Inclos'd is an account of the case of A Gentleman in the
highlands of Sutherland, whom I was calld to visit a few
days ago, only, and the narrative is expressly as I had it
from himself. I have {illeg} this to be delivered to you
with two Guineas, which is but a small fee, but such
as corresponds with the Gentlemans Circumstances, and
after considering the case I shall look for your advice &
directions as soon as may suite your convenience, you may
give it to the person that deilvers you this & he will
forward it to me. -


Last post brought in your advice in the case of
Poor unfortunate Capn. Ross of {illeg}, and I am very
sorrie to [Acquant?] you at the desire of his friends, that
since the [Ordrs.?] send you of him by Dr Alves were made out
he has been almost daily growing worse.


Two days after Dr Alves left him, as he visibly grew worse
he was by Intreaty got to submitt to have his hair cut
out, his head shaved, and a blistering plaster was applyd
over the whole
Scalp, which, as it began to have effect
appears to have quieted him a good deal for about 30 hours,
in which he slept more than he had done since the
Commencement of his Illness, some times express'd a sense
of his situation, & a hope of his getting benefit by the
Application. The Blister was allowed to ly on 45 hours



[Page 2]

in which time it descharged most copiously, some hours befor it
was taken away, he became restless & uneasie, complaining
indistinctly of his head & at times quite outragious. For some
some hours after the Blister was taken off he expressd a
satisfaction & said he hoped it woud do him good as his head
was then a great deal better. But that little Interval soon
wore off & he became very troublesome & in a good measure
Immanagable, On the whole, except that when he is wore
out with fatigue that some times in 25 or 30 hours, he gets
two, three, or four hours sleep, by which he is not refresh'd,
he has very little Interval from Violent Impetuosity, {illeg} will¬
fullness, & all the symptoms of a Violent Delirium.
Address or Artifice having little or no effect, those about
him are at times obligd to use Violence, which leads him
to beat & tare at every person & thing that comes his
way. At times he takes Immoderate fitts of laughter
& crying out, & at other times weeping, the last but seldom
freqiently playing the most foolish {illeg}.


Since the use of those evacuations now & formerly
mentiond to you, his pulse is quite easie, except in those
furious fitts, his face seldom flushed & no Inflamation
in his
eyes, but a great fierceness of look.


He has been taking [1/2?] oz of soluble Tartar dayly since
Dr. Alves saw him which keeps his belly easie, but



[Page 3]

does not purge, His regimen has been as you recommend from
the beginning of his Illness, He took the first dose of
Camphor & Nitre last night & will continue it in the way
you propose, and a strait wastcoat is getting made for him,
which is certainly the most [scarse?] & gentle measure that
can be opted for him. Your farther advice will be
expected, & by this post said the former one to Dr. Alves
for his satisfaction, it was sent to me for sake of
expedition. I shall ever return a gratefull sense of your
friendship & countenance to both my sons, when they were
your students & patients, & I am with sincere regard


Sir
your most Obligd & Obedt.
humble Servt.
{illeg} McFarqr.


For Dr. Cullen




[Page 4]


Mr Farquharson
C. a Gentleman of
Sutherland. -
Aug. 1781




[Page 5]
[Start of margin text]
Tain
10th Augt.
1781 [End of margin text]


Mr. Hugh Munro of Achannie, aged 65 years, remarkably
healthy through life, living in a highland country, much
accustom'd to exercise of various kinds, particularly, Hunting
Deer & game of various (↑all↑) kinds, Generaly living very temperatly
& sober. About three years ago he was suddenly seiz'd with
a violent pain in his right side, on the short ribbs, which --
continued for some days & was removed by Blistering the part
Affected. In the beginning of febry last, owing as he believd
to cold, got a cough which distress'd him a good deal till the
end of may, expectorating very little but by the use of Squill
pills
, all that time his urine was high colourd with a great
deal of sediment, especialy when he used the pills.


Soon after the cough ceased, the pain in his side remov'd, when
he took recourse to another blister, which removed the pain
a second time, some days ago it recurrd a third time but not
with such violence and was in some measure relievd by
the application of Camphorated oyle, but not thorrowly -
removed, & feels painfull to the toutch.


For four weeks past he has had a {illeg} & fullness on the
Abdomen, partly on the Stomach and below it, attended with
a tightness of the parts, which, as he thinks, oppress - his
breast & confines his lungs, though he breathes easie.
Also, a slight pain in his right shoulder from the top of his
neck, & some times a slight headache, to which he has been
now & then, subject for years. -


Ever since, or soon after the commencement of his cough in
febry, he fell, & continues still subject to sweatings, which
comes on regularly about three o Clock in the mornings &
continues till he get out of bed after Irregular broken sleep,
a thirst in the Mornings, but a discharge of urine always
in proportion to his drink, His pulse easie, without any
degree of fever, his apetite tollerable, but he beleives his
digestion not so good {illeg} (↓x↓[Start of margin text]x though[End of margin text]) naturally easie in his belly.
Little or no medicine used, oyr. than some Elixir of Vitriol,
& some Bark for a few days back

{illeg} McFarqr. Surgeon.



[Page 6]


The Case of
Hugh Munro
of Achannie
10th August 1781
V. XIII. p. 133

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