Cullen

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

 

[ID:2441] From: Dr James Ross / To: Dr William Cullen (Professor Cullen) / Regarding: Lieutenant Smith (Patient) / 12 April 1784 / (Incoming)

Letter from James Ross and M. Hunter, concerning the case of Lieutenant Smith of the Marines. Handstamp is present but illegible.

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Metadata

FieldData
DOC ID 2441
RCPE Catalogue Number CUL/1/2/1496
Main Language English
Document Direction Incoming
Date12 April 1784
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 Ross and M. Hunter, concerning the case of Lieutenant Smith of the Marines. Handstamp is present but illegible.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1711]
Case of Lieutenant Smith who has recently developed a distressing stomach and bowel disorder.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:3152]AuthorDr James Ross
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3144]PatientLieutenant Smith
[PERS ID:2578]Patient's Physician / Surgeon / ApothecaryDr McNaughtan Hunter (MacNachtan Hunter; MacNaughtane Hunter)
[PERS ID:3152]Patient's Physician / Surgeon / ApothecaryDr James Ross
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3153]Patient's Relative / Spouse / FriendMr Smith
[PERS ID:2578]Supplemental AuthorDr McNaughtan Hunter (MacNachtan Hunter; MacNaughtane Hunter)

Places linked to this document

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

Normalized Text

[Page 1]

Montrose 12 April 1784.

Sir


We beg leave to give You the fol¬
lowing case of Lieutenant Smith of the Ma¬
rines, for Your consideration & advice.


Mr. Smith is about 30 Years old, remar¬
kably stout, but inclining to corpulency, has en¬
joyed very good health 'till about three weeks
ago, when he was seized with acute spasmodic
pains in his
Stomach & bowels, which baffled
every remedy byut large doses of Thebaic Tincture
and a blister; but since their removal, Mr. Smith
almost constantly labours under a dull, obtuse
pain across his back, about a hand-breadth
higher than the Region of the Kidneys. This
pain (as was that of his stomach & bowels) is at¬
tended with an inexpressible restlesness & weariness
so severe as to be extendingly distressing; and tho'



[Page 2]

this distressed, is at times even unable to show the
precise part affected: while the pain or rather
the uneasiness or weariness (as he himself expresses
it) exists, a profuse sweat bursts out over his
body, but particularly from his head & to such
a degree that he will wet eight or ten night¬
caps over night. His pulse all along has
been so quick as to beat from 120 to 160 strokes
in the minute, sometimes tense but not full
, his
tongue is clean, little thirst & bad appetite; is
also much distressed with flatus in the Abdomen
-- We must remark to you, that Mr. Smith's Father
during the last 16 Years of his life laboured under
a distress somewhat similar, & the Phthisis Pul¬
monalis
has been fatal to several of his Family.


We treated Mr. Smith's case in the beginning as
a Nervous Affection, believing the the malady to pro¬



[Page 3]

ceed primarly from a distemperature of the nervous Sys¬
tem
, but having used Musk, Asafœtida &c We begin to
imagine there is some obstruction in one or other of the
abdominal Viscera: On this supposition We have given
him half an ounce of Soluble Tartar & intend to repeat
it every third day: We also meant to apply another
Epispastic on his back, but will probably defer it 'till
We are favour'd with Your advice.


Upon the whole he has received no
apparent relief but from the blister and
from large & frequent doses of Laudanum, of which
we are still obliged to persevere in, as they never
fail to produce ease for a certain time. We are


with much respect
Sir
Your Most Obedient
humble Servants

James Ross --
M: Hunter


Doctor Cullen.




[Page 4]


Doctor Cullen
Physician
Edinburgh


Mr. Hunter of Montrose
Concerning Lieutenant Smyth
April. 1784
V. XVI. p.12

Diplomatic Text

[Page 1]

Montrose 12 April 1784.

Sir


We beg leave to give You the fol¬
lowing case of Lieutenant Smith of the Ma¬
rines, for Your consideration & advice.


Mr. Smith is about 30 Years old, remar¬
kably stout, but inclining to corpulency, has en¬
joyed very good health 'till about three weeks
ago, when he was seized with acute spasmodic
pains in his
Stomach & bowels, which baffled
every remedy byut large doses of Thebaic Tincture
and a blister; but since their removal, Mr. Smith
almost constantly labours under a dull, obtuse
pain across his back, about a hand-breadth
higher than the Region of the Kidneys. This
pain (as was that of his stomach & bowels) is at¬
tended with an inexpressible restlesness & weariness
so severe as to be extendingly distressing; and tho'



[Page 2]

this distressed, is at times even unable to show the
precise part affected: while the pain or rather
the uneasiness or weariness (as he himself expresses
it) exists, a profuse sweat bursts out over his
body, but particularly from his head & to such
a degree that he will wet eight or ten night¬
caps over night. His pulse all along has
been so quick as to beat from 120 to 160 strokes
in the minute, sometimes tense but not full
, his
tongue is clean, little thirst & bad appetite; is
also much distressed with flatus in the Abdomen
-- We must remark to you, that Mr. Smith's Father
during the last 16 Years of his life laboured under
a distress somewhat similar, & the Phthisis Pul¬
monalis
has been fatal to several of his Family.


We treated Mr. Smith's case in the beginning as
a Nervous Affection, believing the the malady to pro¬



[Page 3]

ceed primarly from a distemperature of the nervous Sys¬
tem
, but having used Musk, Asafœtida &c We begin to
imagine there is some obstruction in one or other of the
abdominal Viscera: On this supposition We have given
him half an ounce of Soluble Tartar & intend to repeat
it every third day: We also meant to apply another
Epispastic on his back, but will probably defer it 'till
We are favour'd with Your advice.


Upon the whole he has received no
apparent relief but from the blister and
from large & frequent doses of Laudanum, of which
we are still obliged to persevere in, as they never
fail to produce ease for a certain time. We are


with much respect
Sir
Your Most Obedient
humble Servants

James Ross --
M: Hunter


Doctor Cullen.




[Page 4]


Doctor Cullen
Physician
Edinburgh


Mr. Hunter of Montrose
C. Lieut. Smyth
April. 1784
V. XVI. p.12

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