The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:2311] Case Note / Regarding: Mrs (Patient) / August 1783 / (Incoming)
Case note describing the case of an unnamed female patient, suffering from 'an excessive head-ach' which recurs during her menstrual periods. Annotated as answered at Vol. 15, p. 220, but the reply may be found at Vol. 16, p. 220-222.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
[Page 3]
[Page 4]
Metadata
| Field | Data |
|---|---|
| DOC ID | 2311 |
| RCPE Catalogue Number | CUL/1/2/1368 |
| Main Language | English |
| Document Direction | Incoming |
| Date | August 1783 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Case note describing the case of an unnamed female patient, suffering from 'an excessive head-ach' which recurs during her menstrual periods. Annotated as answered at Vol. 15, p. 220, but the reply may be found at Vol. 16, p. 220-222. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1671] |
Case of an unnamed female patient with headaches. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:5846] | Patient | Mrs |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
Places linked to this document
No places linked to this Document.
Normalized Text
Consultation.
A married woman, aged forty one, has at the return of every menstrual
period an excessive head-ach, both before and after the evacuation, that has
hitherto baffled all remedies and regimen.
She was, while a maid, stout and strong; had her customs re¬
gular, copious and unattended with any sort of pain, from the
age of 19 to 22; when, on her drinking something cold, they
ceased for nearly a whole year, and did not return 'till forced
by medecines.
They continued, after that, to flow regularly every month,
for 7 or 8 days at a time, and rather more plentifully than
before, 'till she was married, which was at the age of 34.
In less than three weeks she fell with child, and was
in good health during all the time of her pregnancy (only)
pregnancy; but had a very difficult and dangerous la¬
bor.
[Page 2]
She suckled her boy for 8 months; during which,
tho' she had a super abundance of milk, the menses
flowed most copiously every three weeks, attended now
for the first time with head-achs and an acute pain
across the loins.
On weaning her child, her milk turned quite Se¬
rous, and she flooded in great quantity for 8 days:
then fell into a pleurisy, for which she was so
excessively bleeded, that she has never since been
strong.
It is now seven years since that happened,
during which her periods have been irregular, from
3 to 6 weeks; but always preceeded and followed
by the most violent head-achs, which last between
one and two days, both before and after them.
When the preceeding head-ach is over, they flow in the
ordinary manner for two or three days; then com¬
monly stop for from 12 to 24 hours; but recom¬
[Page 3]
mence, after that, in coagulated lumps which come away with
inexpressible pain resembling that of labor.
In this situation she continues for 5 or 6 days, at the
end of which the head-ach returns, as violent as before, and
of much the same duration.
To the menses, (ever since her delivery) has succeeded a
copious Fluor albus, which continues, more or less, 'till
the commencement of a new period.
She has, at other times, most violent hysterical headachs,
during which the urinary passages are totally obstructed; and,
on such occasions, as soon as she urines freely, the head¬
achs cease.
She is of a rather cool temperament, but of a cheer¬
ful and lively disposition -- Not costive, except when
feverish -- nor liable to perspire, unless overheated with
exercise.
Doctor Cullen is requested to consider her case,
[Page 4]
and to prescribe for her accordinly accordingly. ---- ✍
Case of
----
August 1783.
V. XV. p. 220.
Diplomatic Text
Consultation.
A married woman, aged forty one, has at the return of every menstrual
period an excessive head-ach, both before and after the evacuation, that has
hitherto baffled all remedies and regimen.
She was, while a maid, stout and strong; had her customs re¬
gular, copious and unattended with any sort of pain, from the
age of 19 to 22; when, on her drinking something cold, they
ceased for nearly a whole year, and did not return 'till forced
by medecines.
They continued, after that, to flow regularly every month,
for 7 or 8 days at a time, and rather more plentifully than
before, 'till she was married, which was at the age of 34.
In less than three weeks she fell with child, and was
in good health during all the time of her pregnancy (only)
pregnancy; but had a very difficult and dangerous la¬
bor.
[Page 2]
She suckled her boy for 8 months; during which,
tho' she had a super abundance of milk, the menses
flowed most copiously every three weeks, attended now
for the first time with head-achs and an acute pain
across the loins.
On weaning her child, her milk turned quite Se¬
rous, and she flooded in great quantity for 8 days:
then fell into a pleurisy, for which she was so
excessively bleeded, that she has never since been
strong.
It is now seven years since that happened,
during which her periods have been irregular, from
3 to 6 weeks; but always preceeded and followed
by the most violent head-achs, which last between
one and two days, both before and after them.
When the preceeding head-ach is over, they flow in the
ordinary manner for two or three days; then com¬
monly stop for from 12 to 24 hours; but recom¬
[Page 3]
mence, after that, in coagulated lumps which come away with
inexpressible pain resembling that of labor.
In this situation she continues for 5 or 6 days, at the
end of which the head-ach returns, as violent as before, and
of much the same duration.
To the menses, (ever since her delivery) has succeeded a
copious Fluor albus, which continues, more or less, 'till
the commencement of a new period.
She has, at other times, most violent hysterical headachs,
during which the urinary passages are totally obstructed; and,
on such occasions, as soon as she urines freely, the head¬
achs cease.
She is of a rather cool temperament, but of a cheer¬
ful and lively disposition -- Not costive, except when
feverish -- nor liable to perspire, unless overheated with
exercise.
Doctor Cullen is requested to consider her case,
[Page 4]
and to prescribe for her accordinly accordingly. ---- ✍
Case of
----
Aug. 1783.
V. XV. p. 220.
XML
XML file not yet available.
Feedback
Send us specfic feeback about this document [DOC ID:2311]
Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...
