Cullen

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

 

[ID:4066] From: Dr William Cullen (Professor Cullen) / To: Mr William Dougall (Dougal) / Regarding: Miss B Gordon (Patient) / 21 May 1777 / (Outgoing)

Reply 'To Mr Dougal C. Miss Gordon'. Cullen discusses a wide range of treatments for her 'convulsive startings' and palsy. It is unclear whether the surgeon is William or Alexander Dougall. Both work in the same geographical area.

Facsimile

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4066
RCPE Catalogue Number CUL/1/1/9/39
Main Language English
Document Direction Outgoing
Date21 May 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'To Mr Dougal C. Miss Gordon'. Cullen discusses a wide range of treatments for her 'convulsive startings' and palsy. It is unclear whether the surgeon is William or Alexander Dougall. Both work in the same geographical area.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:932]
Case of Miss Gordon under the care of Mr Dougal for a palsy and apoplexy. One of several letters and entries concerning a "Miss Gordon" who cannot be postively identified as being the same patient across several cases.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:814]AddresseeMr William Dougall (Dougal)
[PERS ID:1986]PatientMiss B Gordon
[PERS ID:814]Patient's Physician / Surgeon / ApothecaryMr William Dougall (Dougal)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Elgin East Highlands Scotland Europe inferred

Normalized Text

[Page 1]
To Mr Dougal Concerning Miss Gordon.


Account accurate and management judicious


A tendency to Apoplexy or Palsy & this in Miss Gordons
habit – and age dangerous & of difficult cure


While the convulsive startings are the urgent symptom
nothing can be more proper to relieve these, than the
& otherwise obviate the tendency of her disease than
the frequent rubbing & chafing her limbs in warm
flannels & it will be proper to apply the same to
her right arm –– These startings may also be
relieved by some internal Antispasmodics and the
Solution of Asafœtid & Spirit of Hartshorn was very
proper – If the Symptom continues Musk if to be
had genuine
will be a more powerfull remedy


With a view to her Principal disease – the Blisters
& Sinapisms were very proper – but a perpetual drain
by Seton
or Issue will now be proper. Necessary to
keep her belly regular, & sometimes purging –– Use
Use the Electuary ordered below as a Laxative or
Purgative as Mr Dougals discretion &c c


I do not think bleeding can be employed with
any freedom in this disease, but in case of any fresh
attack of Apoplexy
some blood may be taken from



[Page 2]

the Temples by Leeches & even when after a slight
attack as on the 25th some confusion & giddiness
remains the Leeches may be applied


The vomiting depends more upon the head than
the stomach and I dont think vomiting suited to this disease


Stimulants – ambiguous; but Mr Dougals discretion
must determine the necessity –– Mustard & Horsera¬
dish
most safe & safer than Wine or any form of
Volatile Alkali
– But I would allow some wine
in her bread [berry?] & a moderate use of Volatile Tincture of Valerian


When her symptoms will allow it frequent
fresh air & gentle exercise in a carriage or on
horseback – & if she cannot allow of these try
the Chamber horse ––


Diet light – not very low – I suspect the large
use of Acids
have been hurtfull.

Take two ounces of Tartar Crystals, two drachms of Composite Jalap Powder, and ounce and a half of Lenitive Electuary, and enough Simple Syrup to make a thin Electuary. Label: Laxative electuary one two or three teaspoonfulls for a dose in the Morning

Edinburgh 21. May 1777.

Diplomatic Text

[Page 1]
To Mr Dougal C. Miss Gordon.


Account accurate and management judicious


A tendency to Apoplexy or Palsy & this in Miss Gordons
habit – and age dangerous & of difficult cure


While the convulsive startings are the urgent symptom
nothing can be more proper to relieve these, than the
& otherwise obviate the tendency of her disease than
the frequent rubbing & chafing her limbs in warm
flannels & it will be proper to apply the same to
her right arm –– These startings may also be
relieved by some internal Antispasmodics and the
Solution of Asafœtid & Spirt C. C. was very
proper – If the Symptom continues Musk if to be
had genuine
will be a more powerfull remedy


With a view to her Principal disease – the Blisters
& Sinapisms were very proper – but a perpetual drain
by Seton
or Issue will now be proper. Necessary to
keep her belly regular, & sometimes purging –– Use
Use the Electuary ordered below as a Laxative or
Purgative as Mr Dougals discretion &c c


I do not think bleeding can be employed with
any freedom in this disease, but in case of any fresh
attack of Apoplexy
some blood may be taken from



[Page 2]

the Temples by Leeches & even when after a slight
attack as on the 25th some confusion & giddiness
remains the Leeches may be applied


The vomiting depends more upon the head than
the stomach and I dont think vomiting suited to this disease


Stimulants – ambiguous; but Mr Dougals discretion
must determine the necessity –– Mustard & Horsera¬
dish
most safe & safer than Wine or any form of
Volatile Alkali
– But I would allow some wine
in her bread [berry?] & a moderate use of Tinct. Valer. Vol.


When her symptoms will allow it frequent
fresh air & gentle exercise in a carriage or on
horseback – & if she cannot allow of these try
the Chamber horse ––


Diet light – not very low – I suspect the large
use of Acids
have been hurtfull.


Crystall. tart. ℥ii
Pulv e jal. compt. ʒii
Elect. lenitiv ℥ſs
Syr. simpl. q. s. ut f. Elect. tenue
S. Laxative electuary one two or three tea
spoonfulls for a dose in the Morning

Edinr 21. May 1777.

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