Cullen

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

 

[ID:2758] From: Dr John Aird / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Aird (Patient) / 31 January 1786 / (Incoming)

Letter from John Aird, concerning the case of Mrs Aird. He had written to Cullen on her case before, but since she has 'been laid up for most part of this Winter with Complaints very different from the former', he writes again to outline their nature.

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Metadata

FieldData
DOC ID 2758
RCPE Catalogue Number CUL/1/2/1797
Main Language English
Document Direction Incoming
Date31 January 1786
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 John Aird, concerning the case of Mrs Aird. He had written to Cullen on her case before, but since she has 'been laid up for most part of this Winter with Complaints very different from the former', he writes again to outline their nature.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:698]
Case of Mrs Aird, who saw Cullen, last September but now has new symptoms of fever following a severe haemorrhage which may have been a miscarriage. She also suffers from swollen parts.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:3079]AuthorDr John Aird
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3076]PatientMrs Aird
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2181]Patient's Physician / Surgeon / ApothecaryDr Graham (at Stirling)
[PERS ID:3079]Patient's Relative / Spouse / FriendDr John Aird

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Stirling Mid Scotland Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Stirling 31st. Janry. 1786
My Dear Sir


I hope you will forgive me for again trouble¬
ling you on the old Subject of Mrs. Aird's Ailments; But as
She has been laid up for most part of this Winter with Com¬
plaints very different for (↑from↑) the former, and as they seem of a
complicated kind, and difficult reference, I wish much to
beg the favour of your opinion and advice. For this pur¬
pose I intended to have been in Edinburgh about this time, but She
is Still so poorly, that I am unwilling to leave her; And
besides that, a troublesome Cough, which I believe, I contracted
from confinement, and changeable weather makes me afraid
of undertaking a Journey till the Season is a little farther ad¬
vanced. - I have therefore taken the liberty to Subjoin a Short
History of her State of health, and of the different Symptoms
which accompanyed her Complaints Since we had the pleasure of
Seeing you in the beginning of September; and Shall be much
oblidged, if you will favour me with your opinion and Ad¬
vice, when you can make it convenient. --


From the middle of September that we returned here from Edinburgh She
enjoyed perfect good health till the beginning of November tho'
we had reason to think She was breeding. Early in November
She complained much of headach, and was feverish in the nights;
She was bled about the Middle of the month, which relieved the for¬
mer, but the feverish habit continued. -- On the 25th of the same
Month She was Seized with profuse Hemorrhage from the Uterus,
which continued for three days, and an immense quantity was
discharged, both in a liquid and coagulated state, without any pain



[Page 2]

except when some large Coagula was about to pass. On the two
last days, She became exceeding weak and low, and had frequent fitts
of deliquium. There was no appearance of a Foetus on the most
Minute examination of what was discharged


On the 28th. after the Hemorrhage had nearly disappeared, She was in
the evening, attacked with fever and violent headach; the last so very
Acute, that she could not bear the smallest motion of the part. She
continued with very little alteration of the above Symptoms, till about
the 12th. of December when in consequence of Blistering her Temples and
Back, her head became easier, and the fever abated; tho' neither quit¬
ted her entierly. On the 15th. She got out of Bed a little, and Seemed to
Mend Slowly, till on the 20th. when she Complained of such pains as She
usually felt before the Eruption of the Catamenia. No Eruption
however took place; but on the 22d. She was, in the morning, Seized
with Smart fever, And violent Acute pain of the left Leg & Thigh,
extending from the Hip to the Toes; and in the course of Six hours
the whole Limb was Swelled to twice it's ordinary Size. The
pain was not confined to the Joints, but was most Acute, in the
Muscular and fleshy parts, between them. There was no discolour¬
ation of the
Skin, tho' it was exceedingly hot and tense: The Pulse
not hard, tho' very quick
; and respiration at times difficult.


A Blister was applyed to the Leg and warm fomentations to the Thigh,
which was afterwards rubbed with Spirit and Oil of Camphor The fev[er]
run very high, till about the 8 day, and went off entierly by the
12th. of the disease. The pain observed nearly the same course; but
the Swelling continued much longer, tho' it gradually fell onto
the lower part of the Limb, a little above and below the Ankle



[Page 3]

By the 8th. of January she was again able to get out of Bed for
two or three hours a day, but did not recover the use, or Sufficient
Strength on the affected Limb to walk about her Room without
assistance. On the 15th she was again attacked with those pains,
which indicated An Approach of the Menses; And it was not about
four weeks Since the last Effort of the kind happened. On the 15th
and 17th. She had a Show, but it was so pale in colour & small in
quantity, that it was hardly perceptible; and was accompanyed
with any considerable pain of the Back, Belly & Hips. - In the morning
of the 18th. She was Seized with fever and an affection of the right
Leg
and Thigh of the same kind and in the Same manner as She
had before in the left. In this fitt, the fever was, if any thing, more hot,
The Pulse more full, The Pain more acute, And the Swelling & Tension
full as considerable, and more rapid in it's progress to the same height.
A Blister was now applyed to her Thigh, and the Same course follow'd
as before. The fever again abated by the 8th. day, and quitted her entier¬
ly by the 12th. of the disease, but the other Symptoms of Pain and
Swelling do not appear to go off so soon as before. This is the 14th.
day of this last disease, And the Pain, swelling, And stiffness are still
so considerable ↑in the whole Limb that it is with difficulty she can sit up in her
Bed, or move it when she turns herself. -- She think her appetite
better than after the last fitt; and her health in general; But I dread
a recurrence when the Menstrual Period comes round. --


Doctor Graham of this Town has visited her, & we have considered
her Complaint as Rheumatic. I must again earnestly beg
you will be so good as write me on this Subject And Am


with the greatest Regard & Esteem
My Dear Sir
Your much oblidged & most faithfull
humble Servant
John Aird



[Page 4]

Mr. Aird
Concerning Mrs. Aird
January 1786
V. XVIII. p. 22.

Diplomatic Text

[Page 1]
Stirling 31st. Janry. 1786
My Dear Sir


I hope you will forgive me for again trouble¬
ling you on the old Subject of Mrs. Aird's Ailments; But as
She has been laid up for most part of this Winter with Com¬
plaints very different for (↑from↑) the former, and as they seem of a
complicated kind, and difficult reference, I wish much to
beg the favour of your opinion and advice. For this pur¬
pose I intended to have been in Edinr. about this time, but She
is Still so poorly, that I am unwilling to leave her; And
besides that, a troublesome Cough, which I believe, I contracted
from confinement, and changeable weather makes me afraid
of undertaking a Journey till the Season is a little farther ad¬
vanced. - I have therefore taken the liberty to Subjoin a Short
History of her State of health, and of the different Symptoms
which accompanyed her Complaints Since we had the pleasure of
Seeing you in the beginning of September; and Shall be much
oblidged, if you will favour me with your opinion and Ad¬
vice, when you can make it convenient. --


From the middle of Septr. that we returned here from Edinr. She
enjoyed perfect good health till the beginning of Novemr. tho'
we had reason to think She was breeding. Early in Novemr.
She complained much of headach, and was feverish in the nights;
She was bled about the Middle of the month, which relieved the for¬
mer, but the feverish habit continued. -- On the 25th of the same
Month She was Seized with profuse Hemorrhage from the Uterus,
which continued for three days, and an immense quantity was
discharged, both in a liquid and coagulated state, without any pain



[Page 2]

except when some large Coagula was about to pass. On the two
last days, She became exceeding weak and low, and had frequent fitts
of deliquium. There was no appearance of a Foetus on the most
Minute examination of what was discharged


On the 28th. after the Hemorrhage had nearly disappeared, She was in
the evening, attacked with fever and violent headach; the last so very
Acute, that she could not bear the smallest motion of the part. She
continued with very little alteration of the above Symptoms, till about
the 12th. of Decemr. when in consequence of Blistering her Temples and
Back, her head became easier, and the fever abated; tho' neither quit¬
ted her entierly. On the 15th. She got out of Bed a little, and Seemed to
Mend Slowly, till on the 20th. when she Complained of such pains as She
usually felt before the Eruption of the Catamenia. No Eruption
however took place; but on the 22d. She was, in the morning, Seized
with Smart fever, And violent Acute pain of the left Leg & Thigh,
extending from the Hip to the Toes; and in the course of Six hours
the whole Limb was Swelled to twice it's ordinary Size. The
pain was not confined to the Joints, but was most Acute, in the
Muscular and fleshy parts, between them. There was no discolour¬
ation of the
Skin, tho' it was exceedingly hot and tense: The Pulse
not hard, tho' very quick
; and respiration at times difficult.


A Blister was applyed to the Leg and warm fomentations to the Thigh,
which was afterwards rubbed with Stt: & Ol Camphorat. The fev[er]
run very high, till about the 8 day, and went off entierly by the
12th. of the disease. The pain observed nearly the same course; but
the Swelling continued much longer, tho' it gradually fell onto
the lower part of the Limb, a little above and below the Ankle



[Page 3]

By the 8th. of January she was again able to get out of Bed for
two or three hours a day, but did not recover the use, or Sufficient
Strength on the affected Limb to walk about her Room without
assistance. On the 15th she was again attacked with those pains,
which indicated An Approach of the Menses; And it was not about
four weeks Since the last Effort of the kind happened. On the 15th
and 17th. She had a Show, but it was so pale in colour & small in
quantity, that it was hardly perceptible; and was accompanyed
with any considerable pain of the Back, Belly & Hips. - In the morning
of the 18th. She was Seized with fever and an affection of the right
Leg
and Thigh of the same kind and in the Same manner as She
had before in the left. In this fitt, the fever was, if any thing, more hot,
The Pulse more full, The Pain more acute, And the Swelling & Tension
full as considerable, and more rapid in it's progress to the same height.
A Blister was now applyed to her Thigh, and the Same course follow'd
as before. The fever again abated by the 8th. day, and quitted her entier¬
ly by the 12th. of the disease, but the other Symptoms of Pain and
Swelling do not appear to go off so soon as before. This is the 14th.
day of this last disease, And the Pain, swelling, And stiffness are still
so considerable ↑in the whole Limb that it is with difficulty she can sit up in her
Bed, or move it when she turns herself. -- She think her appetite
better than after the last fitt; and her health in general; But I dread
a recurrence when the Menstrual Period comes round. --


Doctor Graham of this Town has visited her, & we have considered
her Complaint as Rheumatic. I must again earnestly beg
you will be so good as write me on this Subject And Am


with the greatest Regard & Esteem
My Dear Sir
Your much oblidged & most faithfull
hble Servt.
John Aird



[Page 4]

Mr. Aird
C. Mrs. Aird
Jany. 1786
V. XVIII. p. 22.

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