Cullen

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

 

[ID:2575] From: Mr Robert Ochiltree / To: Dr Ivie Campbell / Regarding: Miss Campbell (of Dunstaffnage) (Patient) / 11 March 1785 / (Incoming)

Letter from Robert Ochiltree, concerning the case of Miss Campbell. The letter is addressed to Ivie Campbell, care of James Stewart, druggist, Edinburgh, whom he asks to consult Cullen.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 2575
RCPE Catalogue Number CUL/1/2/1624
Main Language English
Document Direction Incoming
Date11 March 1785
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 Ochiltree, concerning the case of Miss Campbell. The letter is addressed to Ivie Campbell, care of James Stewart, druggist, Edinburgh, whom he asks to consult Cullen.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:512]
Case of Miss Campbell of Dunstaffnage who is suffering from severe headaches and pains in her side since developing an ulcer after ignoring a scratch on her shin.
15


People linked to this document

Person IDRole in documentPerson
[PERS ID:1241]AuthorMr Robert Ochiltree
[PERS ID:336]AddresseeDr Ivie Campbell
[PERS ID:2705]PatientMiss Campbell (of Dunstaffnage)
[PERS ID:336]Patient's Physician / Surgeon / ApothecaryDr Ivie Campbell
[PERS ID:1241]Patient's Physician / Surgeon / ApothecaryMr Robert Ochiltree
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2709]OtherMr James Stewart

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Dunstaffnage Castle Oban West Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Glasgow Glasgow and West Scotland Europe certain
Mentioned / Other Inveraray West Highlands Scotland Europe certain
Mentioned / Other Ardchyline Dunoon Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]

Dear Sir


Your letters from Ardchyline & Glasgow,
having lain some time at Inveraray, came to hand
only a few days ago ---- Our patients disorder has
run to such a length without any great appearance
of recovering suddenly that I think it will be proper
to have Dr. Cullens or any others ↑advice↑ upon it --


Her Age & constitution you are acquainted with, and her
complaints have been as follows ----


The Catamenia from the first have always
bear rather difficult, & in small Quantity -- In the
month of May last, during that period, they suddenly stopt.
About that time she received a scratch upon the skin,
which, from inattention, degenerated into a small Ulcer; &
with near a Month confinement, & Bark, was cicatrized
about Christmas --- In this confinement her violent
complaints began; altho' she had long, & particularly
since May, been subject to headache & sowerness in
her stomach, & other complaints incident to indigestion


In December her headach became almost
constant, & she was seized with a most violent & Constant
pain in her stomach & side -- As she was accustomed
to take Vomits, one was given, & some laxatives
after wards, without relief -- Opium æther other were
given, & a blistering plaister applyed to the stomach,
which seemed to give some ease -- Faintings suc¬
ceeded, & continued for some days, &, as the period of
menstruation was near, she took a small quantity
of some bitters with steel, & sometimes some Castor
& sal Volatile drops, with Lavender; her feet for a
few nights put into warm water, & some blood taken



[Page 2]

from her Ancles: hardly any thing appeared, as
indeed had been the case at every time since May --
The pain in her stomach continuing very violent
A short time after a fever came on, with starting
of the
Tendons, & slight delirium, in the Evenings;
Acrid Cataplasms & blisters were applied to the
lower extremities, Laudanum was given in larger
Quantities, & some saline draughts. -- The fever went
off: but the pains continued, with a very consider¬
able degree of Globus, which becoming more severe
soon after, every Evening, about 4 o'Clock, for a week,
a violent spasm, which continued for an hour & half,
seized her throat, threatning suffucation. In the
last of these fits her lower Jaw locked, & continued
firmly fixed for several days, but the Spasm on
her
Throat entirely left her.


About a month ago the Spasm became
general, affecting almost every Muscle at the
same time - these fits return every quarter or
half hour, & remain for one or two minutes - She
has been for several days at a time, free of them,
but they generally come on every Evening, & con¬
tinue for three or four hours - her headach is
always tormenting, & the pain in the Stomach
very severe --- In the beginning of February
the Catamenia came on at the proper, & continued
in much larger Quantity than ever, which deemed
to releive her head & stomach -- And there was a
tollerable Quantity the last time, altho' it did not
continue above a day ---- She has been twice
blistered on the head, without any effect, but the
first releiving the spasm on the Jaw, which she
can open a little, but it brought on a very trou¬
blesome stranguary, which still continues ----



[Page 3]

About three weeks ago, she had a severe press of
vomiting
, in which there was a great dale of
Viscid Phlegm; next day a salivation came on, to the
extend of a pound & half or Two pounds a day, & con¬
tinued with intermissions, for a few days --


She has been often in the tepid Bath, has got several
fœtid injections mixed with Soup, but now declares
against them -- Sometimes takes of the Gum pills, &
in the Intervalls of the Spasmodic fitts sometimes
Bark -- She takes almost no Nourishment,
drinks moderately, but her Urine is scarce; she
never has a stool but from a laxative pill ---
Her pulse is hardly over at 80, & has been often
under 60, but, in general, is pretty regular, & from
60 to 70, varying in Strength
---


Her principal complaints at present a[re the]
spasmodic fitts, the headach, pain in the stomach
the stranguary & frequent sicknesses -----


Since she was about ten years old, she has had
always less or more of the Fluor Albus, & in h[er]
present weak & reduced state, it is almost constant


---------------------------------------------------------------------------


This is nearly I think an Account of her case from
the first; from which I hope you can make easily a
state for consultation, -- I fear these fitts may
become Epileptic --- Dunstaffnage begs you
will advance the necessary fee, which he will order
to be paid you -- If any Medicines are ordered, which
are not easily got in the Country, please to send
them to me by the first opportunity -- I shall
write on my own affair in a few days --


I am Dear Sir yours

Robert Ochiltree

Dunstaffnage
March 11th. 1785



[Page 4]


The abdomen is sometimes distended seemingly from wind --
for a few days past the Globus has become more frequent &
the sickness constant and something feverish ---


Mr. Ivie Campbell
Care of Mr. James Stewart
Druggist
Edinburgh


Mr. Robt. Ochiltree
Concerning Miss Campbell
of Dunstaffnage
March 1785
№ XVI p.339

Diplomatic Text

[Page 1]

Dear Sir


Your letters from Ardchyline & Glasgow,
having lain some time at Inveraray, came to hand
only a few days ago ---- Our patients disorder has
run to such a length without any great appearance
of recovering suddenly that I think it will be proper
to have Dr. Cullens or any others ↑advice↑ upon it --


Her Age & constitution you are acquainted with, and her
complaints have been as follows ----


The Catamenia from the first have always
bear rather difficult, & in small Quantity -- In the
month of May last, during that period, they suddenly stopt.
About that time she received a scratch upon the skin,
which, from inattention, degenerated into a small Ulcer; &
with near a Month confinement, & Bark, was cicatrized
about Christmas --- In this confinement her violent
complaints began; altho' she had long, & particularly
since May, been subject to headache & sowerness in
her stomach, & other complaints incident to indigestion


In December her headach became almost
constant, & she was seized with a most violent & Constant
pain in her stomach & side -- As she was accustomed
to take Vomits, one was given, & some laxatives
after wards, without relief -- Opium æther other were
given, & a blistering plaister applyed to the stomach,
which seemed to give some ease -- Faintings suc¬
ceeded, & continued for some days, &, as the period of
menstruation was near, she took a small quantity
of some bitters with steel, & sometimes some Castor
& sal Volatile drops, with Lavender; her feet for a
few nights put into warm water, & some blood taken



[Page 2]

from her Ancles: hardly any thing appeared, as
indeed had been the case at every time since May --
The pain in her stomach continuing very violent
A short time after a fever came on, with starting
of the
Tendons, & slight delirium, in the Evenings;
Acrid Cataplasms & blisters were applied to the
lower extremities, Laudanum was given in larger
Quantities, & some saline draughts. -- The fever went
off: but the pains continued, with a very consider¬
able degree of Globus, which becoming more severe
soon after, every Evening, about 4 o'Clock, for a week,
a violent spasm, which continued for an hour & half,
seized her throat, threatning suffucation. In the
last of these fits her lower Jaw locked, & continued
firmly fixed for several days, but the Spasm on
her
Throat entirely left her.


About a month ago the Spasm became
general, affecting almost every Muscle at the
same time - these fits return every quarter or
half hour, & remain for one or two minutes - She
has been for several days at a time, free of them,
but they generally come on every Evening, & con¬
tinue for three or four hours - her headach is
always tormenting, & the pain in the Stomach
very severe --- In the beginning of Feb:
the Catamenia came on at the proper, & continued
in much larger Quantity than ever, which deemed
to releive her head & stomach -- And there was a
tollerable Quantity the last time, altho' it did not
continue above a day ---- She has been twice
blistered on the head, without any effect, but the
first releiving the spasm on the Jaw, which she
can open a little, but it brought on a very trou¬
blesome stranguary, which still continues ----



[Page 3]

About three weeks ago, she had a severe press of
vomiting
, in which there was a great dale of
Viscid Phlegm; next day a salivation came on, to the
extend of a pound & half or Two pounds a day, & con¬
tinued with intermissions, for a few days --


She has been often in the tepid Bath, has got several
fœtid injections mixed with Soup, but now declares
against them -- Sometimes takes of the Gum pills, &
in the Intervalls of the Spasmodic fitts sometimes
Bark -- She takes almost no Nourishment,
drinks moderately, but her Urine is scarce; she
never has a stool but from a laxative pill ---
Her pulse is hardly over at 80, & has been often
under 60, but, in general, is pretty regular, & from
60 to 70, varying in Strength
---


Her principal complaints at present a[re the]
spasmodic fitts, the headach, pain in the stomach
the stranguary & frequent sicknesses -----


Since she was about ten years old, she has had
always less or more of the Fluor Albus, & in h[er]
present weak & reduced state, it is almost constant


---------------------------------------------------------------------------


This is nearly I think an Account of her case from
the first; from which I hope you can make easily a
state for consultation, -- I fear these fitts may
become Epileptic --- Dunstaffnage begs you
will advance the necessary fee, which he will order
to be paid you -- If any Medicines are ordered, which
are not easily got in the Country, please to send
them to me by the first opportunity -- I shall
write on my own affair in a few days --


I am Dr. Sir yours

Robert Ochiltree

Dunstaffnage
March 11th. 1785



[Page 4]


The abdomen is sometimes distended seemingly from wind --
for a few days past the Globus has become more frequent &
the sickness constant and something feverish ---


Mr. Ivie Campbell
Care of Mr. James Stewart
Druggist
Edinr.


Mr. Robt. Ochiltree
C. Miss Campbell
of Dunstaffnage
March 1785
№ XVI p.339

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