Cullen

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

 

[ID:2144] From: Mr / To: Dr William Cullen (Professor Cullen) / Regarding: Mr (Patient) / January 1782 / (Incoming)

Letter from an unnamed correspondent concerning his own case, written in the form of a series of numbered questions and answers concerning his symptoms and habits. The patient is aged twenty-eight, 'Gross' but 'alert and active' on his limbs. He suffered from small pox twelve years prior, to which he attributes the origin of his pain.

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Metadata

FieldData
DOC ID 2144
RCPE Catalogue Number CUL/1/2/1219
Main Language English
Document Direction Incoming
DateJanuary 1782
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 an unnamed correspondent concerning his own case, written in the form of a series of numbered questions and answers concerning his symptoms and habits. The patient is aged twenty-eight, 'Gross' but 'alert and active' on his limbs. He suffered from small pox twelve years prior, to which he attributes the origin of his pain.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1550]
Case of an unnamed correspondent concerning his own case, written in the form of a series of numbered questions and answers concerning his symptoms and habits; smallpox mentioned.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:4848]AuthorMr
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:4848]PatientMr
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

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No places linked to this Document.

Normalized Text

[Page 1]
Question


1 is there any hardness to felt externally at the pained part
----------------------------


2 is there any considerable pain produced from touching the part externally
----------------------------


3 is the pain always fixed to one part or does it change Situation
-----------------------------


4 is the pain constant in some degree or have you ever any
intervalls entirely free from it -------------------------


5 When you are most free from it have you any sense of
weight at the part which is generally pained ---------


6 Are you always oblidged to lye on the left Side or is it only
when the pain is Severe --------------------------------------


7 Does the pain affect your appetite for food and is it
ever excited after a full ↑meal↑ of solids as well as by
drinking cold fluids ------------------------------


8 are you ever much affected with wind in your Stomach
or bowells


9 Have you any Considerable Relief from the discharge of---
wind upwards or downwards --------


10 is the pain ever attended with vomiting if it is what
appearance has the matter that is vomited --------


11 doe you ever complain of sowerness at the Stomach




[Page 2]


12 do you ever find the pain to be excited by anything except
drinking cold liquors


13 How long is it since you had the Small pox when this pain
commenced -------------------




[Page 3]
Answer


1 I doe not feel any hardness externally at the pained part
---------------------------


2 By touching the part externally it does cause ↑pain↑ but not very considerable
---------------------------


3 The pain is always fixed to one part does not Change Situation
in the left side Videlicet
----------------------------


4 The pain is rather constant this year past than before
but there are few intervalls free from it
-------------------------


5 When I am most free from it perceive no weight at the
affected part ----------------------------


6 I am always obliged to lye on the left Side with or
without the pain, as lying on the right Side would Cause
the pain to come on and found when I wanted to sleep on the
right Side could not untill I turned on the left ------------


7 I cannot say that a meal of Solids brings it on but
have experienced that taking Salads and much vinegar
with Cold meat brings it on -- When I have the
pain violently which is generally after drinking hearty
cannot eat or drink (except whey) untill I am better ---------


8 I am not much afflicted with wind whenever I am it is in
the bowells -----------------


9 On the Discharge of wind which is generally downwards Some
Small relief is obtained but the pain is no Degree Removed ----
---------------------------------


10 when the pain is brought on by Drinking, a vomiting always
ensues, the matter vomited is a gross phlegmatic Substance
not yellow ---------------------------


11 I doe continually these twelve months past find a sowrness
at Stomach -----------------------------




[Page 4]


12 an answer to this part See № 7
if abroad a Cold day without plenty of body Clothes it would
cause the pain, or getting cold in the feet would bring it on


13 it is twelve years Since I had the Small pox had the
pain but Seldom for five or Six years - I then found it
generally proceeded from cold in the feet -- but Since
have kept myself tolerably warm -- after that 5 or 6
years it has troubld me very often more particularly
these two years past ----------------


Please to Observe that the pain is always very Cold
must Sometimes in bed keep my hands on it to warm
it --


The following us an account of my age habit
Habit of body and manner of living &c --


I am present about 28 years of age Gross and Inclined to
but alert and active on my limbs - that is when without the pain
I shall first mention how I lived these three or four Years past
{illeg} in a Ware Room - Seldom out except
at night and on Sunday was in the country twice a year
a fortnight or three weeks at each time - always lived well
at present much in the same manner - But if necessary
can devote some time abroad to exercise and have at
command a horse to Ride - I am an Indifferent
breakfast man - I dine tolerably well but no supper

Diplomatic Text

[Page 1]
Question


1 is there any hardness to felt externally at the pained part
----------------------------


2 is there any considerable pain produced from touching the part externally
----------------------------


3 is the pain always fixed to one part or does it change Situation
-----------------------------


4 is the pain constant in some degree or have you ever any
intervalls entirely free from it -------------------------


5 When you are most free from it have you any sense of
weight at the part which is generally pained ---------


6 Are you always oblidged to lye on the left Side or is it only
when the pain is Severe --------------------------------------


7 Does the pain affect your appetite for food and is it
ever excited after a full ↑meal↑ of solids as well as by
drinking cold fluids ------------------------------


8 are you ever much affected with wind in your Stomach
or bowells


9 Have you any Considerable Relief from the discharge of---
wind upwards or downwards --------


10 is the pain ever attended with vomiting if it is what
appearance has the matter that is vomited --------


11 doe you ever complain of sowerness at the Stomach




[Page 2]


12 do you ever find the pain to be excited by anything except
drinking cold liquors


13 How long is it since you had the Small pox when this pain
commenced -------------------




[Page 3]
Answer


1 I doe not feel any hardness externally at the pained part
---------------------------


2 By touching the part externally it does cause ↑pain↑ but not very considerable
---------------------------


3 The pain is always fixd. to one part does not Change Situation
in the left side Vizt
----------------------------


4 The pain is rather constant this year past than before
but there are few intervalls free from it
-------------------------


5 When I am most free from it perceive no weight at the
affected part ----------------------------


6 I am always obliged to lye on the left Side with or
without the pain, as lying on the right Side would Cause
the pain to come on and found when I wanted to sleep on the
right Side could not untill I turned on the left ------------


7 I cannot say that a meal of Solids brings it on but
have experienced that taking Salads and much vinegar
with Cold meat brings it on -- When I have the
pain violently which is generally after drinking hearty
cannot eat or drink (except whey) untill I am better ---------


8 I am not much afflicted with wind whenever I am it is in
the bowells -----------------


9 On the Discharge of wind which is generally downwards Some
Small relief is obtained but the pain is no Degree Removed ----
---------------------------------


10 when the pain is brought on by Drinking, a vomiting always
ensues, the matter vomited is a gross phlegmatic Substance
not yellow ---------------------------


11 I doe continually these twelve months past find a sowrness
at Stomach -----------------------------




[Page 4]


12 an answer to this part See № 7
if abroad a Cold day without plenty of body Clothes it would
cause the pain, or getting cold in the feet would bring it on


13 it is twelve years Since I had the Small pox had the
pain but Seldom for five or Six years - I then found it
generally proceeded from cold in the feet -- but Since
have kept myself tolerably warm -- after that 5 or 6
years it has troubld me very often more particularly
these two years past ----------------


Please to Observe that the pain is always very Cold
must Sometimes in bed keep my hands on it to warm
it --


The following us an account of my age habit
Habit of body and manner of living &c --


I am present about 28 years of age Gross and Inclined to
but alert and active on my limbs - that is when without ye. pain
I shall first mention how I lived these three or four Years past
{illeg} in a Ware Room - Seldom out except
at night and on Sunday was in the country twice a year
a fortnight or three weeks at each time - always lived well
at present much in the same manner - But if necessary
can devote some time abroad to exercise and have at
command a horse to Ride - I am an Indifferent
breakfast man - I dine tolerably well but no supper

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