Cullen

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

 

[ID:2484] From: Mr William Dougall (Dougal) / To: Mr Thomas Gordon (of Whitburn) / Regarding: Reverend Thomas Gordon (of Speymouth) (Patient) / 10 July 1784 / (Incoming)

Letter from William Dougal concerning the case of the Rev. Mr Gordon. Addressed to Mr Gordon's son, Thomas Gordon, Writer to the Signet, Edinburgh. Handstamp present but illegible.

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Metadata

FieldData
DOC ID 2484
RCPE Catalogue Number CUL/1/2/1537
Main Language English
Document Direction Incoming
Date10 July 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 William Dougal concerning the case of the Rev. Mr Gordon. Addressed to Mr Gordon's son, Thomas Gordon, Writer to the Signet, Edinburgh. Handstamp 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:1704]
Case of the Revd. Gordon who is very weak and distressed by an advanced chest condition for which he is prescribed Laudanam.
8


People linked to this document

Person IDRole in documentPerson
[PERS ID:814]AuthorMr William Dougall (Dougal)
[PERS ID:2924]AddresseeMr Thomas Gordon (of Whitburn)
[PERS ID:2921]PatientReverend Thomas Gordon (of Speymouth)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:814]Patient's Physician / Surgeon / ApothecaryMr William Dougall (Dougal)
[PERS ID:820]Patient's Physician / Surgeon / ApothecaryDr Thomas Stephen
[PERS ID:4024]Patient's Relative / Spouse / FriendMrs Rebecca Gordon
[PERS ID:2924]Patient's Relative / Spouse / FriendMr Thomas Gordon (of Whitburn)
[PERS ID:2925]Patient's Relative / Spouse / FriendMrs Mary Bell

Places linked to this document

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

Normalized Text

[Page 1]

Keith Saturday July 10th. 1784

Sir --


I was call'd to see your Father on Wednesday last, and got
there in the Evening. --- when it gave me the greatest pain to find my
worthy Friend, in the following condition, viz.


His Strength and Spirits were greatly exhausted, -- owing probably in
some measure, to his having slept almost none, the four preceeding Nights:
His Pulse very feeble and small, but regular, and near 100 in the Minute
His Skin cold and clammy - particularly his Feet and Legs, which were
likewise œdematous: -- His breathing distressed, -- yet not by Wheesing in
the Lungs, but a kind of hissing noise in his Mouth, in time of Expiration,
like the hissing of a Serpent: -- On any sudden Exertion he gasped
for Breath
and lay quite lifeless -- Cou'd scarcely walk a Dosen of Steps
without making a Stop, both on account of his Weakness and Dyspnœa, tho
supported with his Staff and a Person's Arm; -- yet he does not now complain
of the Pain across his Breast so much as formerly: -- he had been troubled
with a Cough about ten days past, which is sensibly relieved by Squill Pills,
but they had produced four Stools that day, -- this, with some degree of
Looseness
a few days before, was more exhausting to him, as his Appetite
had been so much failed
that his Stomach loathed all Food, and he
cou'd be prevailed on to drink nothing stronger than Milk and Water.


After taking some warm Egg-Caudle with a good proportion of red Port,
we got 40 Drops of Laudanum, his common Dose, had his Limbs well
rubbed
-- and his Bed effectualy warmed with Seltzer-Water-Bottles fill'd with
very hot Water -- which were likewise kept all night at his Feet and Limbs
because they generaly continued cold in Bed. -- He slept pretty well that
Night, and seemed more refreshed next Day -- his Breathing and Voice
more easy and natural -- his Skin more comfortably warm - and his Spirits
a little better, -- and the Looseness gone: -- so that he rode out in a little
Carriage with Mrs. Bell, two Miles that Forenoon, without fatigue.


In his low State, the chief Indications appeared to be -- To support
Nature by light cordial Nourishment, -- To brace up the Solids -- And to pro¬
mote Perspiration. --- I therefore directed Egg-Caudle, as above, -- strong Broth



[Page 2]

of Chicken or lean of Butcher meat -- or light Bread Pudding -- ale with a good
share of Wine, to be frequently given in such Quantity as his Stomach can
bear. --- Strong Frictions to his Limbs frequently through the Day
and the Execise of a Spring-Dale so often as he can bear without fatigue.
-- besides his Riding out in the Carriage. -- And the application of
Jars of hot Water to the Limbs in Bed. ---


I shou'd not have troubled you with such a long Letter, had it not
been at your Mamma's request -- She says Doctor Cullen is so obliging as
to desire a particular account of every Alteration in the Case: -- they both ex¬
press their warmest Gratitude for his kind Attention: -- his Directions have
been carefully observed -- and she expactes you will lose no time in writing
her any thing he further prescribes. ---


I know not wether Dr. Stephen at Elgin has wrote You or the
Doctor: -- he had been call'd about three weeks ago, to see your Father, on
the occasion of a violent Paroxysm -- And drew off 6 or 7 Oz. of Blood, --
This, with a Blister and Solution of Gum Ammoniac & Asafœtida gave imme¬
diate Relief at that time: -- I do not however imagine he wou'd now
incline to take more Blood. ---


Most sincerely wishing the Recovery of so valuable a Member of
Society, I am with Regard


Dr. Sr.
Your most Obedient Humble Servant

Will Dougal



[Page 3]


Mr. Thomas Gordon - Writer to the Signet
Edinburgh


Dr. Dougal
Concerning Mr. Gordon
July 1784
XVI. p.87. 88, 104, 109, 118

Diplomatic Text

[Page 1]

Keith Saturday July 10th. 1784

Sir --


I was call'd to see your Father on Wednesday last, and got
there in the Evening. --- when it gave me the greatest pain to find my
worthy Friend, in the following condition, viz.


His Strength and Spirits were greatly exhausted, -- owing probably in
some measure, to his having slept almost none, the four preceeding Nights:
His Pulse very feeble and small, but regular, and near 100 in the Minute
His Skin cold and clammy - particularly his Feet and Legs, which were
likewise œdematous: -- His breathing distressed, -- yet not by Wheesing in
the Lungs, but a kind of hissing noise in his Mouth, in time of Expiration,
like the hissing of a Serpent: -- On any sudden Exertion he gasped
for Breath
and lay quite lifeless -- Cou'd scarcely walk a Dosen of Steps
without making a Stop, both on account of his Weakness and Dyspnœa, tho
supported with his Staff and a Person's Arm; -- yet he does not now complain
of the Pain across his Breast so much as formerly: -- he had been troubled
with a Cough about ten days past, which is sensibly relieved by Squill Pills,
but they had produced four Stools that day, -- this, with some degree of
Looseness
a few days before, was more exhausting to him, as his Appetite
had been so much failed
that his Stomach loathed all Food, and he
cou'd be prevailed on to drink nothing stronger than Milk and Water.


After taking some warm Egg-Caudle with a good proportion of red Port,
we got 40 Drops of Laudanum, his common Dose, had his Limbs well
rubbed
-- and his Bed effectualy warmed with Seltzer-Water-Bottles fill'd with
very hot Water -- which were likewise kept all night at his Feet and Limbs
because they generaly continued cold in Bed. -- He slept pretty well that
Night, and seemed more refreshed next Day -- his Breathing and Voice
more easy and natural -- his Skin more comfortably warm - and his Spirits
a little better, -- and the Looseness gone: -- so that he rode out in a little
Carriage with Mrs. Bell, two Miles that Forenoon, without fatigue.


In his low State, the chief Indications appeared to be -- To support
Nature by light cordial Nourishment, -- To brace up the Solids -- And to pro¬
mote Perspiration. --- I therefore directed Egg-Caudle, as above, -- strong Broth



[Page 2]

of Chicken or lean of Butcher meat -- or light Bread Pudding -- ale with a good
share of Wine, to be frequently given in such Quantity as his Stomach can
bear. --- Strong Frictions to his Limbs frequently through the Day
and the Execise of a Spring-Dale so oft. as he can bear without fatigue.
-- besides his Riding out in the Carriage. -- And the application of
Jars of hot Water to the Limbs in Bed. ---


I shou'd not have troubled you with such a long Letter, had it not
been at your Mamma's request -- She says Doctor Cullen is so obliging as
to desire a particular account of every Alteration in the Case: -- they both ex¬
press their warmest Gratitude for his kind Attention: -- his Directions have
been carefully observed -- and she expactes you will lose no time in writing
her any thing he further prescribes. ---


I know not wether Dr. Stephen at Elgin has wrote You or the
Doctor: -- he had been call'd about three weeks ago, to see your Father, on
the occasion of a violent Paroxysm -- And drew off 6 or 7 Oz. of Blood, --
This, with a Blister and Solution of G. Ammoniac & As. Fœtid gave imme¬
diate Relief at that time: -- I do not however imagine he wou'd now
incline to take more Blood. ---


Most sincerely wishing the Recovery of so valuable a Member of
Society, I am with Regard


Dr. Sr.
Your most Obedt Hum. Servt

Will Dougal



[Page 3]


Mr. Thomas Gordon - Writer to the Signet
Edinburgh


Dr. Dougal
C. Mr. Gordon
July 1784
XVI. p.87. 88, 104, 109, 118

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