The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3021] From: Dr John Scruton / To: Dr William Cullen (Professor Cullen) / Regarding: Mr (Patient) / 22 April 1787 / (Incoming)
Letter from John Scruton, concerning the case of an unnamed male patient who was seized with 'great pain in both Jaws', after 'exposure to the north & East winds'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
[Page 3]
[Page 4]
Metadata
| Field | Data |
|---|---|
| DOC ID | 3021 |
| RCPE Catalogue Number | CUL/1/2/2054 |
| Main Language | English |
| Document Direction | Incoming |
| Date | 22 April 1787 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Letter from John Scruton, concerning the case of an unnamed male patient who was seized with 'great pain in both Jaws', after 'exposure to the north & East winds'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | Yes |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:2045] |
Case of an unnamed male patient who was seized with 'great pain in both Jaws', after 'exposure to the north & East winds', as reported by John Scruton. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:5560] | Author | Dr John Scruton |
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:5561] | Patient | Mr |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:5560] | Patient's Physician / Surgeon / Apothecary | Dr John Scruton |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Glasgow | Glasgow and West | Scotland | Europe | certain | |
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | certain | |
| Place of Handstamp | Glasgow | Glasgow and West | Scotland | Europe | certain |
Normalized Text
Doctor
A patient of mine, a gentleman aged
38, fair complexioned, & a full habit of body,
was seized last spring in April after expos¬
sure to the north & east winds which then pre¬
vailed with great pain in both Jaws, on the
left particularly on the upper, extending
to the Crown very often.
The complaint was particularly severe
in the night time, & found no relief from
topical bleedings, blistering & the Bark. ---
The farthest upper grinder was down, which
gave relief, but the disease has never been
entirely removed, twitches of pain being
occasionally felt, upon the application of
hot or cold liquors, or upon a cold wind.
This disease took place when he had
been taking mercury, & his mouth was
slightly affected by it, at the time of the
exposure to cold.
He was troubled with the Toothache
in a slight degree 15 years ago, which
soon went off, but returning about three
years ago, a carious tooth was extracted.
[Page 2]
Since the east & north winds sett in this
spring, has been attacked in a less (↑similar↑) mann¬
er tho' with less pain
Last year the pain was daily worse
about bed time, this year in the morning.
His pulse & appetite are good, belly open,
with occasional looseness, & at first ↑a slight↑ heat of
↑skin↑. The two upper grinders on the left
are somewhat loose, & have been so since
the attack last year, tho' in a greater deg¬
ree since the present attack; the basis
of the furthest, & of the corresponding one
below somewhat bluish, & on this side
the pain is extended along the ↑lower↑ gum, to
the middle of the mouth.
This spring leeches have been twice
applyed to the gums, first time with
relief, but last without success.
Soon after the last bleeding, I mean
the day following, a diffused swelling
appeared over the left cheek, without
relief of the pain: - it has never sub¬
sided, tho' not entirely removed. --
He is now taking the Elix. Guajac.
in small doses
[Page 3]
Last spring he was confined about a
month, & this year about 6 days.
I request at your convenience, your
opinion of this case.
Inclosed I have sent you a Guinea. --
Doctor
I am respectfully
your obedient humble servant
John Scruton
PS. By the patient I have had so much
{illeg}, and gnashing of teeth here ↑from this complaint↑, that I
hope to be excused hereafter.
[Page 4]
William Cullen Esqr.
Physician
Edinburgh
Mr. Scruton
April 1787
V.xix. P.118
Diplomatic Text
Doctor
A patient of mine, a gentleman aged
38, fair complexioned, & a full habit of body,
was seized last spring in April after expos¬
sure to the north & east winds which then pre¬
vailed with great pain in both Jaws, on the
left particularly on the upper, extending
to the Crown very often.
The complaint was particularly severe
in the night time, & found no relief from
topical bleedings, blistering & the Bark. ---
The farthest upper grinder was down, which
gave relief, but the disease has never been
entirely removed, twitches of pain being
occasionally felt, upon the application of
hot or cold liquors, or upon a cold wind.
This disease took place when he had
been taking mercury, & his mouth was
slightly affected by it, at the time of the
exposure to cold.
He was troubled with the Toothache
in a slight degree 15 years ago, which
soon went off, but returning about three
years ago, a carious tooth was extracted.
[Page 2]
Since the east & north winds sett in this
spring, has been attacked in a less (↑similar↑) mann¬
er tho' with less pain
Last year the pain was daily worse
about bed time, this year in the morning.
His pulse & appetite are good, belly open,
with occasional looseness, & at first ↑a slight↑ heat of
↑skin↑. The two upper grinders on the left
are somewhat loose, & have been so since
the attack last year, tho' in a greater deg¬
ree since the present attack; the basis
of the furthest, & of the corresponding one
below somewhat bluish, & on this side
the pain is extended along the ↑lower↑ gum, to
the middle of the mouth.
This spring leeches have been twice
applyed to the gums, first time with
relief, but last without success.
Soon after the last bleeding, I mean
the day following, a diffused swelling
appeared over the left cheek, without
relief of the pain: - it has never sub¬
sided, tho' not entirely removed. --
He is now taking the Elix. Guajac.
in small doses
[Page 3]
Last spring he was confined about a
month, & this year about 6 days.
I request at your convenience, your
opinion of this case.
Inclosed I have sent you a Guinea. --
Doctor
I am respectfully
your obedt humble servt.
John Scruton
PS. By the patient I have had so much
{illeg}, and gnashing of teeth here ↑from this complaint↑, that I
hope to be excused hereafter.
[Page 4]
William Cullen Esqr.
Physician
Edinburgh
Mr. Scruton
Apl. 1787
V.xix. P.118
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