Cullen

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

 

[ID:1649] Case Note / Regarding: Mr Alexander Dingwall (Dingwal) (Patient) / March? 1779? / (Incoming)

Case note of Mr Dingwall, written in third person but in his handwriting. Unsigned and undated, but probably from March 1779.

Facsimile

There are 4 images for this document.

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[Page 2]


 

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Metadata

FieldData
DOC ID 1649
RCPE Catalogue Number CUL/1/2/736
Main Language English
Document Direction Incoming
DateMarch? 1779?
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Case note of Mr Dingwall, written in third person but in his handwriting. Unsigned and undated, but probably from March 1779.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:922]
Case of Alexander Dingwall who reports a cough, numbness, coldness, painful flatulence and other symptoms over several years.
8


People linked to this document

Person IDRole in documentPerson
[PERS ID:192]AuthorMr Alexander Dingwall (Dingwal)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:192]PatientMr Alexander Dingwall (Dingwal)
[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 Aberdeen East Highlands Scotland Europe inferred
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]


Mr Dingwalls Complaints since the End of December that
he received the favour of a letter from Doctor Cullen
have been Many & changeable; He will here
narrate the Most Material of them for receiving
the Doctors opinion.


He put an Issue into his Side, which rendered a
litle. - It filled up some Weeks since & has opened
it again, but it is with difficulty he can keep it open
the pain in the place where the Issue was put in
is removed, but he feel it further up especially within
these few days & particularly when he rides on Horseback
there is a heat in it, which comes up below his Arm
sometimes he feels a pain in his other side, but
then it does not continue & there is no heat with
it as in the other left side.


Some Weeks ↑since↑ he had a Coldness in the back of his
Head
, afterwards a heat & pain with a confused¬
ness
all over his Head. - To endeavour to remove
that, he got his Head shaved & had a Blister
put to the back of his Head, which removed
the Pain for a litle; but it has since frequently



[Page 2]

recurred in different parts of his Head, sometimes it is
a slow pain attended with a confusedness especially
in the Morning. --


His Legs swell in the Afternoon, & he has frequently
pain in his Feet, sometimes a Coldness in his Toes
which comes up to the back part of his Legs. -


His Stomach & Belly has been swelled or a kind
of fulness in them for some Weeks, which is always
Most after eating: - When he passes Wind he is
a litle easier. His Breathing is sometimes
affected
with it even in the Night time. --


He does not feel his Breast but seldom uneasy
unlesss he were hanging his Head writing or walking
uphill or even a small ascent, in which case his
Breast is pained & his Breathing much affected.


He has had no Cough for sometime, but often
a Tickling in his Throat & an inclination to Cough
which he endeavours to prevent by eating a litle
Sugar Candy - He is inclined to be Costive; to
prevent Which he eats a litle Rhubard Once or
twice a day.- He passes litle Urine, much
less than when he was in perfect health.




[Page 3]


He followed the Regimen as to Diet prescribed to
him, sometimes he ↑has↑ a litle Sickness after eating
which occasioned his taking a Vomit twice of
late; he had frequently a litle Squeamishness after
taking the Bark Infusion; with which he sometimes
took a Tea Cupfull of Valerian, he has of late
omitted taking the Bark, & by a Friends Advice
thinking his complaints has taken a Turn, he
took half an English Pint of Tar Water twice a
day & two Glasses of White Lisbon wine, infused
with Bitters. - He thought himself the better of
the Tar Water - as after he bagun to drink it he
got free of Sweatings in the Morning, had his
Stomach rather better & passed more Urine.


He has strictly abstained from Malt Liquor, & all
kind of spiritous Liquors unless a Glass or Two of
Reed Wine diluted with Water at Dinner,
sometimes One Glass at Night; this but
very seldom.




[Page 4]


Mr Dingwall
March 1779
Vol 9th p.146

Diplomatic Text

[Page 1]


Mr Dingwalls Complaints since the End of December that
he received the favour of a letter from Doctor Cullen
have been Many & changeable; He will here
narrate the Most Material of them for receiving
the Doctors opinion.


He put an Issue into his Side, which rendered a
litle. - It filled up some Weeks since & has opened
it again, but it is with difficulty he can keep it open
the pain in the place where the Issue was put in
is removed, but he feel it further up especially within
these few days & particularly when he rides on Horseback
there is a heat in it, which comes up below his Arm
sometimes he feels a pain in his other side, but
then it does not continue & there is no heat with
it as in the other left side.


Some Weeks ↑since↑ he had a Coldness in the back of his
Head
, afterwards a heat & pain with a confused¬
ness
all over his Head. - To endeavour to remove
that, he got his Head shaved & had a Blister
put to the back of his Head, which removed
the Pain for a litle; but it has since frequently



[Page 2]

recurred in different parts of his Head, sometimes it is
a slow pain attended with a confusedness especially
in the Morning. --


His Legs swell in the Afternoon, & he has frequently
pain in his Feet, sometimes a Coldness in his Toes
which comes up to the back part of his Legs. -


His Stomach & Belly has been swelled or a kind
of fulness in them for some Weeks, which is always
Most after eating: - When he passes Wind he is
a litle easier. His Breathing is sometimes
affected
with it even in the Night time. --


He does not feel his Breast but seldom uneasy
unlesss he were hanging his Head writing or walking
uphill or even a small ascent, in which case his
Breast is pained & his Breathing much affected.


He has had no Cough for sometime, but often
a Tickling in his Throat & an inclination to Cough
which he endeavours to prevent by eating a litle
Sugar Candy - He is inclined to be Costive; to
prevent Which he eats a litle Rhubard Once or
twice a day.- He passes litle Urine, much
less than when he was in perfect health.




[Page 3]


He followed the Regimen as to Diet prescribed to
him, sometimes he ↑has↑ a litle Sickness after eating
which occasioned his taking a Vomit twice of
late; he had frequently a litle Squeamishness after
taking the Bark Infusion; with which he sometimes
took a Tea Cupfull of Valerian, he has of late
omitted taking the Bark, & by a Friends Advice
thinking his complaints has taken a Turn, he
took half an English Pint of Tar Water twice a
day & two Glasses of White Lisbon wine, infused
with Bitters. - He thought himself the better of
the Tar Water - as after he bagun to drink it he
got free of Sweatings in the Morning, had his
Stomach rather better & passed more Urine.


He has strictly abstained from Malt Liquor, & all
kind of spiritous Liquors unless a Glass or Two of
Reed Wine diluted with Water at Dinner,
sometimes One Glass at Night; this but
very seldom.




[Page 4]


Mr Dingwall
March 1779
Vol 9th p.146

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