Cullen

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

 

[ID:1768] Cover Letter and Case Note / Regarding: Mrs Janet MacLean (MacLeod or McLeod?) (McLean; of Coll) (Patient) / 10 December 1779 / (Incoming)

Letter from William Chalmers concerning the case of Mrs McLean, referred by Mr McLean of Coll (her husband). Consists of a covering letter and case note; the latter is signed by Chalmers and Thomas Livingston. She is a 56-year-old woman who has borne several children, and is suffering from menstrual problems, sickness and debility.

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Metadata

FieldData
DOC ID 1768
RCPE Catalogue Number CUL/1/2/855
Main Language English
Document Direction Incoming
Date10 December 1779
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 William Chalmers concerning the case of Mrs McLean, referred by Mr McLean of Coll (her husband). Consists of a covering letter and case note; the latter is signed by Chalmers and Thomas Livingston. She is a 56-year-old woman who has borne several children, and is suffering from menstrual problems, sickness and debility.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1143]
Case of Mrs Maclean of Coll, who has a menstrual disorder that Cullen attributes to a serious uterine condition.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:934]AuthorDr William Chalmers (Chambers)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3116]PatientMrs Janet MacLean (McLean; of Coll)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:852]Patient's Physician / Surgeon / ApothecaryDr Thomas Livingston
[PERS ID:934]Patient's Physician / Surgeon / ApothecaryDr William Chalmers (Chambers)
[PERS ID:3115]Patient's Relative / Spouse / FriendMr Hugh MacLean (McLean; of Coll)
[PERS ID:852]Supplemental AuthorDr Thomas Livingston

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 certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Aberdeen East Highlands Scotland Europe certain
Mentioned / Other Coll West Highlands Scotland Europe certain

Normalized Text

[Page 1]
Dear Sir
Aberdeen 10th December 1779.


Mr. Mc.lean of Coll desires me to transmit
you The inclosed case for your Opinion and Advice ––
I have attended The Patient from her first illness, and
for several months past Dr. Livingston has likewise seen
her –– We have endeavoured to give you as particular a state
as we could, of her past & present situation, and as soon as
you can have leisure to consider the case fully, we beg
to hear from you –– You will be so good as direct to
Doctor Livingston –––– or to Hugh Mclean Esqr of Coll at Aberdeen.
I will be happy to hear you long enjoy good Health, in which
thousands will join me, for I am with great Respect

Dear Sir
Your Obliged & Obedient Servant
William Chalmers.



[Page 2]


To
Doctor William Cullen
Physician
Edinburgh


Livingston & Chalmers
Query
Mrs Maclean.
December 1779.
X. p. 132.


[Page 3]


Mrs Mclean aged 56, formerly extremely Healthy &
robust, the mother of several children, continued untill
about two years ago, to have her menstrual periods
regular, easy & natural –– About the age of 54 however
the menses became irregular –– She complained of uneasy¬
ness, pretty deeply seated, near the left Ileum, and extending
at times, more or less over the whole Hypogastric region,
particularly towards the Pubis, and in the direction of the
Uterus
Her Stomach likewise was a good deal disordered,
–– her general Health affected –––– During the flux of the
Menses, the pain in the bottom of the Belly was little
altered, but at this time, the uneasyness in this part, was neither
constant nor very severe –– She continued pretty much as
already discribed, till March 1779, when the symtoms
just now mentioned, became considerably more troublesome.



[Page 4]

She now complain'd of Vertigo, but this generally went en¬
tirely off on the free flow of the Menses, which still hap¬
pened at particular times, but irregularly, and in too great
quantity
–– The Uterine discharges about this time and for
some months in The Spring & Summer were frequent and consi¬
derable –– The Pain in left flank, and about the bottom of the
Belly
grow more constant & acute –– The Stomach & Bowels
much disordered –– frequent fits of sickness, with oppression and
general debility –– She enjoyed hardly any natural rest, but
found from the beginning great relief from opiates, which
during their operation, never failed to remove her pains, and made
her pass the night pretty comfortably –– For three months
viz from the middle of August till ↑about↑ the middle of November
she had no return of uterine hemorrhage –– but about two weeks
ago, it again recurred, and continued four or five days, but not
very considerable in quantity ––––




[Page 5]


She continued much distressed with severe pain in the
lower parts of the Belly
, particularly in the left flank
both in the Interval and during the Uterine discharge, and
for some time, the pain in these parts, has been constant,
unless during the night, after her opiate ––––


The sick fits, an irregular state of the Bellylanguor and
oppression, and bad nights, added to general uneasyness and
pain about the Uterus & its appendages, and neighbouring
parts, constitute the present symtoms of her case ––


She feels considerable Debility, but is not greatly reduced
in flesh
–– Her Pulse is seldom much quicker than in health,
but generally weak and oppressed
–– Her Urine commonly
high coloured & thick, but in natural quantity – She hardly
ever Sweats
–– No particular hardness nor enlargement can
be perceived in any part of the Belly, nor is the pain much
encreased by pressure – but she feels difficulty in lying on the



[Page 6]

on the left side, and thinks it easier after gentle friction with
the hand ––


the Principle medicines she has taken, has been Restringents
Corroborants, & Opiates –– a particular irretability of the sto¬
mach
and Intestinal canal prevented the two first class of
medicines being pushed so far as could have been wished –
and indeed her bowels rejects almost every medecine except
the opiate, and of late it has been rather difficult to get
her stomach to retain even this ––––

Thos. Livingston
William Chalmers.
Aberdeen 8th December 1779


The discharge from The Uterus is never in any degree purulent
nor is Their any Flor AlbusThe Blood which passes this way
is generally pure and unmixed, without coagula, and [seen?] to seem
to pass immediately from The uterine vessels ––––


Some external anodine & Emollient applications have been
tryed, but with little benefit –––– Since writing the above there
has occurred a slight return of the Menses, by which she feels lighter
& easier –– they still flow ––

Diplomatic Text

[Page 1]
Dear Sir
Aberdeen 10th December 1779.


Mr. Mc.lean of Coll desires me to transmit
you The inclosed case for your Opinion and Advice ––
I have attended The Patient from her first illness, and
for several months past Dr. Livingston has likewise seen
her –– We have endeavoured to give you as particular a state
as we could, of her past & present situation, and as soon as
you can have leisure to consider the case fully, we beg
to hear from you –– You will be so good as direct to
Doctor Livingston –––– or to Hugh Mclean Esqr of Coll at Abn.
I will be happy to hear you long enjoy good Health, in which
thousands will join me, for I am with great Respect

Dear Sir
Your Obliged & Obedt Servt
William Chalmers.



[Page 2]


To
Doctor William Cullen
Physician
Edinburgh


Livingston & Chalmers
Q
Mrs Maclean.
Decr. 1779.
X. p. 132.


[Page 3]


Mrs Mclean aged 56, formerly extremely Healthy &
robust, the mother of several children, continued untill
about two years ago, to have her menstrual periods
regular, easy & natural –– About the age of 54 however
the menses became irregular –– She complained of uneasy¬
ness, pretty deeply seated, near the left Ileum, and extending
at times, more or less over the whole Hypogastric region,
particularly towards the Pubis, and in the direction of the
Uterus
Her Stomach likewise was a good deal disordered,
–– her general Health affected –––– During the flux of the
Menses, the pain in the bottom of the Belly was little
altered, but at this time, the uneasyness in this part, was neither
constant nor very severe –– She continued pretty much as
already discribed, till March 1779, when the symtoms
just now mentioned, became considerably more troublesome.



[Page 4]

She now complain'd of Vertigo, but this generally went en¬
tirely off on the free flow of the Menses, which still hap¬
pened at particular times, but irregularly, and in too great
quantity
–– The Uterine discharges about this time and for
some months in The Spring & Summer were frequent and consi¬
derable –– The Pain in left flank, and about the bottom of the
Belly
grow more constant & acute –– The Stomach & Bowels
much disordered –– frequent fits of sickness, with oppression and
general debility –– She enjoyed hardly any natural rest, but
found from the beginning great relief from opiates, which
during their operation, never failed to remove her pains, and made
her pass the night pretty comfortably –– For three months
viz from the middle of August till ↑about↑ the middle of November
she had no return of uterine hemorrhage –– but about two weeks
ago, it again recurred, and continued four or five days, but not
very considerable in quantity ––––




[Page 5]


She continued much distressed with severe pain in the
lower parts of the Belly
, particularly in the left flank
both in the Interval and during the Uterine discharge, and
for some time, the pain in these parts, has been constant,
unless during the night, after her opiate ––––


The sick fits, an irregular state of the Bellylanguor and
oppression, and bad nights, added to general uneasyness and
pain about the Uterus & its appendages, and neighbouring
parts, constitute the present symtoms of her case ––


She feels considerable Debility, but is not greatly reduced
in flesh
–– Her Pulse is seldom much quicker than in health,
but generally weak and oppressed
–– Her Urine commonly
high coloured & thick, but in natural quantity – She hardly
ever Sweats
–– No particular hardness nor enlargement can
be perceived in any part of the Belly, nor is the pain much
encreased by pressure – but she feels difficulty in lying on the



[Page 6]

on the left side, and thinks it easier after gentle friction with
the hand ––


the Principle medicines she has taken, has been Restringents
Corroborants, & Opiates –– a particular irretability of the sto¬
mach
and Intestinal canal prevented the two first class of
medicines being pushed so far as could have been wished –
and indeed her bowels rejects almost every medecine except
the opiate, and of late it has been rather difficult to get
her stomach to retain even this ––––

Thos. Livingston
William Chalmers.
Aberdeen 8th December 1779


The discharge from The Uterus is never in any degree purulent
nor is Their any Flor AlbusThe Blood which passes this way
is generally pure and unmixed, without coagula, and [seen?] to seem
to pass immediately from The uterine vessels ––––


Some external anodine & Emollient applications have been
tryed, but with little benefit –––– Since writing the above there
has occurred a slight return of ye Menses, by which she feels lighter
& easier –– they still flow ––

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