Cullen

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

 

[ID:1314] From: Ann Strachan / To: Mr James Coutts / Regarding: Mr James Strachan (Jamie) (Patient) / 12 July 1776 / (Incoming)

Letter from Ann Strachan to her uncle James Coutts, giving further details on the case of James Strachan in response to Cullen's request for further information. A handstamp is present, but illegible.

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Metadata

FieldData
DOC ID 1314
RCPE Catalogue Number CUL/1/2/411
Main Language English
Document Direction Incoming
Date12 July 1776
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 Ann Strachan to her uncle James Coutts, giving further details on the case of James Strachan in response to Cullen's request for further information. A handstamp is 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:534]
Case of James Strachan, suffering from melancholia, 'mania', and other symptoms.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:888]Author Ann Strachan
[PERS ID:1027]AddresseeMr James Coutts
[PERS ID:235]PatientMr James Strachan (Jamie)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1028]Patient's Physician / Surgeon / ApothecaryDr Ogilvy
[PERS ID:888]Patient's Relative / Spouse / Friend Ann Strachan
[PERS ID:1027]Patient's Relative / Spouse / FriendMr James Coutts

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Balgavies East Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Barcelona Spain Spain Europe certain
Mentioned / Other London London and South-East England Europe certain
Mentioned / Other Montpellier South of France France Europe certain
Mentioned / Other Paris France France Europe certain
Mentioned / Other Princes Street Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Dear Uncle


my Mother Receiv'd yours
this day, it gives us Pleasure to hear the Capt
is so much better, am very hopefull his
Disorder will soon wair of, & we would
still fain hope James would take a favour¬
able turn {illeg} (↑as↑) has not Continued for Long in
a settled way nor turnd low.


In regard to answring Doctor Cullon Queries
thought needless to send for Doctor Ogilvy
as he has not atended him could be
no judge of his Disorder any other ways
then by my information so have made
out a state of his case, as near as I can
in answer to the Queries as Likewise sent
a more full & Particular one which after
Perusing may show Doctor Cullon if thinks
Proper, & after Exemining which if thinks
Could be of use & wish to have him at
Edinburgh Mama will most Gladly send him



[Page 2]

along with the Servant & Bethy for his Dislike at
me Prevents the atendance I would wish to
give, you could advise what would be the
Properest way to have him in as Lodgings
in Edinburgh would be too Confind & being out
of it might be too Expencive to get the
Doctors atendance so cannot point out any
way as you only can be best judge the
[Servant?] is very carefull & does vastly well
here but I fear might not answer there
Especialy in giveing Medcins which think
Proper to Mention & when hearing from
you next will know better as Jamie
takes to some amusment are in hopes he
is geting better thinks it all depends on his
comeing to his sleeping as it now refreshess
him. I wrot the longest account ↑first,↑ but inceas
it might not been it Proper, Leavs it to you
either both or either as Pleases, Mama
& Bethy joins with me in Offering best
Compliments to all with you & most Earnest
wishes for the Capts Recovery & believe
I am Dear Uncle your affectionate Niece

Ann Strachan
Balgavies 12 July 1776



[Page 3]


James Coutts Eqr
at Capt Discury Princes Street
New town
Edinburgh


Case of Mr Strachan
July 12th 1776
Vol Vth p.12 ✍




[Page 4]
Answers to the Queries Concerning Mr Strachan

1 his age twenty two

2 his Temperament very sanguine

3 his Manner of Life before the atack of his Disease
was very temperate, gave very Closs Application to
Busness & as had no other time for study but when
should have sleept sat up almost whole nights read¬
ing. Was very earnest for improveing himself as
a Gentelman as Likewise to gain a most Compleat
thorough knowledge of trade.


In the Mounth of January 1775 haveing got aquanted
with a Gentilman from Barcalona, who wanted
him much to go their & spend some Mounths
which he being eager to see a Littl more of
the world & form new Connections readily Embraced
was much Elevate with the going dureing the
journey which was about one mounth he was
Chearfull & Happy as Likewise for a Mounth after
{illeg} & behaved so much to the Gentilmans Satis¬
faction, that he went over with that had
agreed to take him into Partership, which being
a very Respectable house & in great Busness was
a most agreebal offer & in which he was most
Sanguine & Earnest to get Settled, which appeared by
his Letters to his frends requesting their advice
but no sooner had he wrot of the whole Plan,
then his Letters turnd on a Diffrant Strain



[Page 5]

Complaind of a Melancholy that he found upon
him which daylay increasd inso much to use his
own Expressions his Life became a Burthen to him
but for his frinds sakes he would endeavour to
Preserv'd, the whole tennor of his Letters became
most mouving being so Sensable of his own Situation.


About the Middle of may the Gentilman with
whom he staid wrot to his frind of his case
that they had often inquird the caus of his Mel¬
ancholy
but he never had said any thing trubled
him the 17th of May he turned High when the
Physicians then said it was come the Lenth of
Madness, & they thought of sending him to [Montpelier?]
for further advice with a Servant to atend him
but with the traveling had turnd worse as then
took strange Notions & quite Flighty. Staid a few
days & set out for England, oftener as Postelian
then on the Chais, when arived at Paris was
Observd on the streets to be unfit to take care
of himself
was put in a Convent till his friends
was aquanted, & a Gentilman from London
went to bring him over. The opinion of the
Physicians in that Convent was that he had taken
Mercury which had got into his brain which gave
them small hopes of his Recovery, but was useing
the Cold Bath but as he staid so short time
cannot judge of the Effects.




[Page 6]


Upon his comeing to London it was advisd to put him
in a Private Mad house, & about the Middle
of July I went up & found him there quite
in a Low Dejected state which I atributed to his
Displeasure at being in such a house & was
very desirous to have him in Lodgings with
myself in hopes it would wair off by Paying
him Proper attention, but after trying it some
time was much Disapointed at finding no
attention nor pains was usefull. During that
time he sometimes Cry'd & sometimes Laughd
but Never spoke eat his Vituals Pretty well
was much for being alone & ran away from
evry body he knew before.


After applying to a Physician he was orderd
Nervous Draughts evening & morning frequently
Physick Pukes Vomits & Bleeding, for sometime
had no Effect the Nervous Draughts was given
over & the Others Continu'd, he begun & spoke
a great deal but no ways Senseable nor Partic¬
lar subjects, not furious but happy & Pleasd with
himself & Laughd a great deal, never turnd
more sociable always being senseable of his
own Distress, in this way Continued sometime
& then Varied more frequent somedays sulky
others good humourd, very Noisy & earnest in
his Discourse with himself, behaveing as if acting
{illeg} & repeating verses all of which mostly incoherant



[Page 7]

his Diet has always been Plain a bit of Meat
at Dinner with any sort of Garden Stuff or Light
Pudding whey in Place of tea in the Morning
with bread & butter tea in the afternoon &
very Little to supper he never asks for any
thing takes what he gets eats Moderatly
well sleep for three or four Nights Pretty
well & as Long scarsely shut an eye but
keep talking the whole night since came
to Scotland about two mounths ago has
Changd Much, when came those days of talking
in a very loud Manner overstraining his
Voice was very frequent & when sleept best
servd to make him Higher & more Unsetled
I applyed to Doctor Ogilvy for Physick & to Bleed
him but upon seeing the Doctor being his
aquantance it raisd him in such a High
Humour that it was impossable to atempt
it. Upon Nor could we get him to take Physick
the Doctor then orderd antimonie which made
up & sent us, haveing no tast & which would
answer the same end or might bring a
Perspireation which might Likewise be of service
have Continued to use it Evening & Morning
which has answerd vastly well in keeping
him Cool & easy as he is Naturaly Costive
& has observd his sleep now Refreshess him very
much & has not been but one day in that Loud
unsettled humour for four weeks takeing up Dressing himself




[Page 8]
An Answer to the Queries concerning Mr Strachan


1 his age 22


2 his Temperament very Sanguine


3 his Manner of Life before the atack of this
Disease very temperate. Gave great application
to Busness & much given to reading.


4 had not met with any thing to which could
atribute his Disorder, Unless Change of Climate
a Diffrant Manner of Life & over Earnest on
the Prospect of being Settled in Life,


5 his Disease came on very Gradualy for
sometime Melancholy never seen to smile
& Complaind much of a Nervous Disorder
which did not aparantly appear always
eating his Vituals well, but as to sleeping
at that time does not know, was very
Unhappy & senseable of his own situation
after sometime turnd high not Furious
but Flighty took false Notions
but did not
Continue on any Particular subject



[Page 9]

6 for some Mounths Continued in a Low
Dejected state never spoke nor took the
Least Notice of any thing seem'd at times
striving to throw it of Cry'd & Unhappy never
as'kd for any thing eat his Vituals Moderatly
always geting a Plain diet


7 Nervous Draughts Draughts was given him
for sometime without seeming to have
any Effect. Being naturally Costive Physick
was often us'd which required being very
strong Vomits & bleeding sometimes


8 for six Mounths has been in a very
talking humour often varying days sulky
others happy with himself Laughing thinking
himself a great man & many fals Notions

& when sleep best made him Higher
some days turnd as loud in his Discourse
that had Occasion for his hands being Confind
in a Waiscot to keep him more quiet
Generaly Continued a day & night together
till was quite wore out & for several nights
more would not sleep,



[Page 10]

9 his Situation for a Mounth Past has
been quite Diffrent. The only Medcine that
has been usd is Antimonie Disolv'd in Water
two spoonfulls Morning & evening which
keeps him Cool & easy, & when sleeps best
is always most Calm & Composd takeing
a great humour of Dressing himself Powdring
his Hair & dressing himself with Flowrs in
his hat which seems to Pleas him,
& has asked a few quistions as if something
to himself two days ago turnd in the
same High humour, told his servant he could
not help it & the best thing he could do
was to Confine him so Continued till was
quite wore out, & again became quiet &
Dressing himself with flowrs, & digging holes
in the Garden


10 it is about 16 Mounths since the Disorder
begun to come on. Could any thing be thought
of by Doctor Cullon that might be a means
to his Recovery his friends would Gladly have
it tryd.

Diplomatic Text

[Page 1]
Dear Uncle


my Mother Receiv'd yours
this day, it gives us Pleasure to hear the Capt
is so much better, am very hopefull his
Disorder will soon wair of, & we would
still fain hope James would take a favour¬
able turn {illeg} (↑as↑) has not Continued for Long in
a settled way nor turnd low.


In regard to answring Doctor Cullon Queries
thought needless to send for Doctor Ogilvy
as he has not atended him could be
no judge of his Disorder any other ways
then by my information so have made
out a state of his case, as near as I can
in answer to the Queries as Likewise sent
a more full & Particular one which after
Perusing may show Doctor Cullon if thinks
Proper, & after Exemining which if thinks
Could be of use & wish to have him at
Edinr Mama will most Gladly send him



[Page 2]

along with the Sert & Bethy for his Dislike at
me Prevents the atendance I would wish to
give, you could advise what would be the
Properest way to have him in as Lodgings
in Edinr would be too Confind & being out
of it might be too Expencive to get the
Doctors atendance so cannot point out any
way as you only can be best judge the
[Sert?] is very carefull & does vastly well
here but I fear might not answer there
Especialy in giveing Medcins which think
Proper to Mention & when hearing from
you next will know better as Jamie
takes to some amusment are in hopes he
is geting better thinks it all depends on his
comeing to his sleeping as it now refreshess
him. I wrot the longest account ↑first,↑ but inceas
it might not been it Proper, Leavs it to you
either both or either as Pleases, Mama
& Bethy joins with me in Offering best
Compts to all with you & most Earnest
wishes for the Capts Recovery & believe
I am Dear Uncle your affectt Niece

Ann Strachan
Balgavies 12 July 1776



[Page 3]


James Coutts Eqr
at Capt Discury Princes Street
New town
Edinr


Case of Mr Strachan
July 12th 1776
Vol Vth p.12 ✍




[Page 4]
Answers to the Queries Concerning Mr Strachan

1 his age twenty two

2 his Temperament very sanguine

3 his Manner of Life before the atack of his Disease
was very temperate, gave very Closs Application to
Busness & as had no other time for study but when
should have sleept sat up almost whole nights read¬
ing. Was very earnest for improveing himself as
a Gentelman as Likewise to gain a most Compleat
thorough knowledge of trade.


In the Mounth of January 1775 haveing got aquanted
with a Gentilman from Barcalona, who wanted
him much to go their & spend some Mounths
which he being eager to see a Littl more of
the world & form new Connections readily Embraced
was much Elevate with the going dureing the
journey which was about one mounth he was
Chearfull & Happy as Likewise for a Mounth after
{illeg} & behaved so much to the Gentilmans Satis¬
faction, that he went over with that had
agreed to take him into Partership, which being
a very Respectable house & in great Busness was
a most agreebal offer & in which he was most
Sanguine & Earnest to get Settled, which appeared by
his Letters to his frends requesting their advice
but no sooner had he wrot of the whole Plan,
then his Letters turnd on a Diffrant Strain



[Page 5]

Complaind of a Melancholy that he found upon
him which daylay increasd inso much to use his
own Expressions his Life became a Burthen to him
but for his frinds sakes he would endeavour to
Preserv'd, the whole tennor of his Letters became
most mouving being so Sensable of his own Situation.


About the Middle of may the Gentilman with
whom he staid wrot to his frind of his case
that they had often inquird the caus of his Mel¬
ancholy
but he never had said any thing trubled
him the 17th of May he turned High when the
Physicians then said it was come the Lenth of
Madness, & they thought of sending him to [Montpelier?]
for further advice with a Sert to atend him
but with the traveling had turnd worse as then
took strange Notions & quite Flighty. Staid a few
days & set out for England, oftener as Postelian
then on the Chais, when arived at Paris was
Observd on the streets to be unfit to take care
of himself
was put in a Convent till his friends
was aquanted, & a Gentilman from London
went to bring him over. The opinion of the
Physicians in that Convent was that he had taken
Mercury which had got into his brain which gave
them small hopes of his Recovery, but was useing
the Cold Bath but as he staid so short time
cannot judge of the Effects.




[Page 6]


Upon his comeing to London it was advisd to put him
in a Private Mad house, & about the Middle
of July I went up & found him there quite
in a Low Dejected state which I atributed to his
Displeasure at being in such a house & was
very desirous to have him in Lodgings with
myself in hopes it would wair off by Paying
him Proper attention, but after trying it some
time was much Disapointed at finding no
attention nor pains was usefull. During that
time he sometimes Cry'd & sometimes Laughd
but Never spoke eat his Vituals Pretty well
was much for being alone & ran away from
evry body he knew before.


After applying to a Physician he was orderd
Nervous Draughts evening & morning frequently
Physick Pukes Vomits & Bleeding, for sometime
had no Effect the Nervous Draughts was given
over & the Others Continu'd, he begun & spoke
a great deal but no ways Senseable nor Partic¬
lar subjects, not furious but happy & Pleasd with
himself & Laughd a great deal, never turnd
more sociable always being senseable of his
own Distress, in this way Continued sometime
& then Varied more frequent somedays sulky
others good humourd, very Noisy & earnest in
his Discourse with himself, behaveing as if acting
{illeg} & repeating verses all of which mostly incoherant



[Page 7]

his Diet has always been Plain a bit of Meat
at Dinner with any sort of Garden Stuff or Light
Pudding whey in Place of tea in the Morning
with bread & butter tea in the afternoon &
very Little to supper he never asks for any
thing takes what he gets eats Moderatly
well sleep for three or four Nights Pretty
well & as Long scarsely shut an eye but
keep talking the whole night since came
to Scotland about two mounths ago has
Changd Much, when came those days of talking
in a very loud Manner overstraining his
Voice was very frequent & when sleept best
servd to make him Higher & more Unsetled
I applyed to Doctor Ogilvy for Physick & to Bleed
him but upon seeing the Doctor being his
aquantance it raisd him in such a High
Humour that it was impossable to atempt
it. Upon Nor could we get him to take Physick
the Doctor then orderd antimonie which made
up & sent us, haveing no tast & which would
answer the same end or might bring a
Perspireation which might Likewise be of service
have Continued to use it Evening & Morning
which has answerd vastly well in keeping
him Cool & easy as he is Naturaly Costive
& has observd his sleep now Refreshess him very
much & has not been but one day in that Loud
unsettled humour for four weeks takeing up Dressing himself




[Page 8]
An Answer to the Queries concerning Mr Strachan


1 his age 22


2 his Temperament very Sanguine


3 his Manner of Life before the atack of this
Disease very temperate. Gave great application
to Busness & much given to reading.


4 had not met with any thing to which could
atribute his Disorder, Unless Change of Climate
a Diffrant Manner of Life & over Earnest on
the Prospect of being Settled in Life,


5 his Disease came on very Gradualy for
sometime Melancholy never seen to smile
& Complaind much of a Nervous Disorder
which did not aparantly appear always
eating his Vituals well, but as to sleeping
at that time does not know, was very
Unhappy & senseable of his own situation
after sometime turnd high not Furious
but Flighty took false Notions
but did not
Continue on any Particular subject



[Page 9]

6 for some Mounths Continued in a Low
Dejected state never spoke nor took the
Least Notice of any thing seem'd at times
striving to throw it of Cry'd & Unhappy never
as'kd for any thing eat his Vituals Moderatly
always geting a Plain diet


7 Nervous Draughts Draughts was given him
for sometime without seeming to have
any Effect. Being naturally Costive Physick
was often us'd which required being very
strong Vomits & bleeding sometimes


8 for six Mounths has been in a very
talking humour often varying days sulky
others happy with himself Laughing thinking
himself a great man & many fals Notions

& when sleep best made him Higher
some days turnd as loud in his Discourse
that had Occasion for his hands being Confind
in a Waiscot to keep him more quiet
Generaly Continued a day & night together
till was quite wore out & for several nights
more would not sleep,



[Page 10]

9 his Situation for a Mounth Past has
been quite Diffrent. The only Medcine that
has been usd is Antimonie Disolv'd in Water
two spoonfulls Morning & evening which
keeps him Cool & easy, & when sleeps best
is always most Calm & Composd takeing
a great humour of Dressing himself Powdring
his Hair & dressing himself with Flowrs in
his hat which seems to Pleas him,
& has asked a few quistions as if something
to himself two days ago turnd in the
same High humour, told his sert he could
not help it & the best thing he could do
was to Confine him so Continued till was
quite wore out, & again became quiet &
Dressing himself with flowrs, & digging holes
in the Garden


10 it is about 16 Mounths since the Disorder
begun to come on. Could any thing be thought
of by Doctor Cullon that might be a means
to his Recovery his friends would Gladly have
it tryd.

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