Cullen

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

 

[ID:3279] From: Dr John Smith / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Elizabeth Deans (Smith) (Patient) / 10 December 1787 / (Incoming)

Letter from John Smith, a former student, thanking Cullen and saying that he would have 'expressed my gratitude in a public manner by dedicating my thesis to you had I not thought that such a step would have been looked upon by others as a piece of too great forewardness'. He encloses a case note, 'The Case of Mrs Deans' (his aunt), for whose repiratory ailment he seeks advice.

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Metadata

FieldData
DOC ID 3279
RCPE Catalogue Number CUL/1/2/2175
Main Language English
Document Direction Incoming
Date10 December 1787
Annotation None
TypeAuthorial original
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from John Smith, a former student, thanking Cullen and saying that he would have 'expressed my gratitude in a public manner by dedicating my thesis to you had I not thought that such a step would have been looked upon by others as a piece of too great forewardness'. He encloses a case note, 'The Case of Mrs Deans' (his aunt), for whose repiratory ailment he seeks advice.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1121]
Case of Elizabeth, wife of Rev. Robert Deans of Crailing, who has a chronic sore throat from 1779, and later suffers respiratory ailments.
11


People linked to this document

Person IDRole in documentPerson
[PERS ID:5041]AuthorDr John Smith
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:5027]PatientMrs Elizabeth Deans
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:5041]Patient's Physician / Surgeon / ApothecaryDr John Smith
[PERS ID:5041]Patient's Relative / Spouse / FriendDr John Smith
[PERS ID:5026]Patient's Relative / Spouse / FriendReverend Robert Deans (of Crailing)

Places linked to this document

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

Normalized Text

[Page 1]
Crailing December 10th
Sir


Not to express my sensibility of the kind attention which
you have all along shewed towards me, but especially when I was of late a
candidate for the degree of Doctor in your university; would be a peice
of conduct for which I should never forgive myself. Indeed I would have
requested permission to have express my gratitude in a public manner
by dedicating my thesis to you, had I not thought that such a step
would have been looked upon by others as a piece of too great forewardness,
and knew that it could be no way usefull to you. I hope then you
will accept of my present acknowledgements, which I am sure areas
sincere as if it had been in my power to do you any real service.


It will give me pleasure to take every opportunity of show¬
ing forth your private character virtues in a part of the world where
your learning & genius have long been admired, & I shall always
think myself bound, should any occasion occur, to do all I can to imi¬
tate you in doing good offices to others.


I beg leave to send you the inclosed case of Mrs Deans, on which
she and Mr Deans will be much indebted to you for your advice

I am Sir
With great Respect
Your much obliged Servant
John Smith



[Page 2]


D r Cullen
Edinburgh


Dr. Smith
C. Mrs. Deans
December 1787
No XIX p.


[Page 3]
The case of MrsDeans


About the beginning of July she was seized with a severe cold, for which
he used the peruvian bark without taking advice upon the subject,
and continued to do so till towards the middle of September, when I came
hither. Her pulse was then quick, strong, full & a little hard; she
had all the symptoms of a Catarrh, attended with much difficulty of breath¬
ing
frequent warm flushings, & slight nausea. There was a slight
[pain?] in her breast at times, a severe cough, & the expectoration attend¬
ing it, free and pretty copious
. The bark was then discontinued
and a cooling vegetable diet recommended, but which was not so ex¬
actly followed, as could have been wished. With a good deal of difficul¬
ty she was persuaded to take a vomit, to have a blister applied, & to
lose a little blood
. By these the breathing was was somewhat reliev¬
ed, but in a day or two, again became strong high, & soon after symp¬
toms of Hectic fever began to appear; & the matter expectorated had
all the appearance of pus, mixed with clear serum. A vegetable
diet was then more particularly inforced, she was again vomited
& blistered upon the breast, to the part an issue was applied, which still
continues open. As an expectorant, she to used a solution of Tartar
Emetic
, in nauseating doses, and upon a suspicion of tubercles
was put upon a course of the Cicuta, but this was discontinued after
it had been used about a week, upon my expressing suspicions of its effi¬
acy to the Physician who proposed it, and in its stead, by way of
making a determination to the surface, as her skin was very dry
she took a table spoonfull of the Decoction Seneka twice or



[Page 4]

thrice a day. She continued the use of these two medecines, and fol¬
lowing the antephlogistic method
, as far as we could persuade her,
by which the spitting was increased and the breathing a little relie¬
ed. The spitting at present is much diminished, but for these
2 or 3 nights her skin has been rather hotter than before, tho' at
the time she herself feels often cold, especially in her lower extremeties;
but what seems to be her most obstinate complaint is the hardness
of her pulse but which is not quicker than about 80
. She sleeps very
little
, for which she has occasionally got opiates, her appetite is small
but she is not more weakened than one would expect from the little
nourishment she recieves. ––




[Page 4]

Mrs. Deans
December 1787
No. XIX. p. 366

Diplomatic Text

[Page 1]
Crailing Decbr 10th
Sir


Not to express my sensibility of the kind attention wh.
you have all along shewed towards me, but especially when I was of late a
candidate for the degree of Doctor in your university; would be a peice
of conduct for which I should never forgive myself. Indeed I would have
requested permission to have express my gratitude in a public manner
by dedicating my thesis to you, had I not thought that such a step
would have been looked upon by others as a piece of too great forewardness,
and knew that it could be no way usefull to you. I hope then you
will accept of my present acknowledgements, which I am sure areas
sincere as if it had been in my power to do you any real service.


It will give me pleasure to take every opportunity of show¬
ing forth your private character virtues in a part of the world where
your learning & genius have long been admired, & I shall always
think myself bound, should any occasion occur, to do all I can to imi¬
tate you in doing good offices to others.


I beg leave to send you the inclosed case of Mrs Deans, on which
she and Mr Deans will be much indebted to you for your advice

I am Sir
With great Respect
Your much obliged Obt. Servt.
John Smith



[Page 2]


D r Cullen
Edinburgh


Dr. Smith
C. Mrs. Deans
Decr 1787
No XIX p.


[Page 3]
The case of MrsDeans


About ye beginning of July she was seized with a severe cold, for wh.
he used the peruvian bark without taking advice upon the subject,
and continued to do so till towards the middle of September, when I came
hither. Her pulse was then quick, strong, full & a little hard; she
had all the symptoms of a Catarrh, attended with much difficulty of breath¬
ing
frequent warm flushings, & slight nausea. There was a slight
[pain?] in her breast at times, a severe cough, & the expectoration attend¬
ing it, free and pretty copious
. The bark was then discontinued
and a cooling vegetable diet recommended, but which was not so ex¬
actly followed, as could have been wished. With a good deal of difficul¬
ty she was persuaded to take a vomit, to have a blister applied, & to
lose a little blood
. By these the breathing was was somewhat reliev¬
ed, but in a day or two, again became strong high, & soon after symp¬
toms of Hectic fever began to appear; & the matter expectorated had
all the appearance of pus, mixed with clear serum. A vegetable
diet was then more particularly inforced, she was again vomited
& blistered upon the breast, to the part an issue was applied, which still
continues open. As an expectorant, she to used a solution of Tartar
Emetic
, in nauseating doses, and upon a suspicion of tubercles
was put upon a course of the Cicuta, but this was discontinued after
it had been used about a week, upon my expressing suspicions of its effi¬
acy to the Physician who proposed it, and in its stead, by way of
making a determination to the surface, as her skin was very dry
she took a table spoonfull of the Decoction Seneka twice or



[Page 4]

thrice a day. She continued the use of these two medecines, and fol¬
lowing the antephlogistic method
, as far as we could persuade her,
by which the spitting was increased and the breathing a little relie¬
ed. The spitting at present is much diminished, but for these
2 or 3 nights her skin has been rather hotter than before, tho' at
the time she herself feels often cold, especially in her lower extremeties;
but what seems to be her most obstinate complaint is the hardness
of her pulse but which is not quicker than about 80
. She sleeps very
little
, for wh. she has occasionally got opiates, her appetite is small
but she is not more weakened than one would expect from the little
nourishment she recieves. ––




[Page 4]

Mrs. Deans
Decr. 1787
No. XIX. p. 366

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