The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:287] From: Dr William Cullen (Professor Cullen) / To: Earl Dunbar Douglas (Hamilton) (Lord Selkirk, 4th Earl of Selkirk) / Regarding: [A matter not directly regarding a patient] / 6 March 1780 / (Outgoing)
Letter for Lord Selkirk giving directions on treatment of measles giving general advice on how to manage possible after-effects, such as cough and respiratory problems, or eye inflammation. Could have been sent to Selkirk either at his Edinburgh home (where he was Cullen's neighbour), or at the family seat of St Mary's Isle, Kirkudbright.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
[Page 3]
Metadata
Field | Data |
---|---|
DOC ID | 287 |
RCPE Catalogue Number | CUL/1/1/14/176 |
Main Language | English |
Document Direction | Outgoing |
Date | 6 March 1780 |
Annotation | None |
Type | Machine copy |
Enclosure(s) | No enclosure(s) |
Autopsy | No |
Recipe | No |
Regimen | No |
Letter of Introduction | No |
Case Note | No |
Summary | Letter for Lord Selkirk giving directions on treatment of measles giving general advice on how to manage possible after-effects, such as cough and respiratory problems, or eye inflammation. Could have been sent to Selkirk either at his Edinburgh home (where he was Cullen's neighbour), or at the family seat of St Mary's Isle, Kirkudbright. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:367] |
Case of Alexander Douglas, younger son of the Earl of Selkirk, with measles. Includes an earlier, isolated letter advising Selkirk on how to treat measles. |
2 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
[PERS ID:886] | Addressee | Earl Dunbar Douglas (Lord Selkirk, 4th Earl of Selkirk) |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:886] | Patient's Relative / Spouse / Friend | Earl Dunbar Douglas (Lord Selkirk, 4th Earl of Selkirk) |
Places linked to this document
Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
---|---|---|---|---|---|---|
Place of Writing | Cullen's House / Mint Close | Edinburgh | Edinburgh and East | Scotland | Europe | certain |
Destination of Letter | St Mary's Isle | Borders | Scotland | Europe | inferred |
Normalized Text
Lord Selkirk Concerning the Measles
For the treatment of the Measles after the eruption
is gone off the skin and for obviating the Dregs as they are
called that is the morbid consequences of the disease no
general Rule or rules can be given and the treatment must
be according to the circumstances which may be various.
If when the Measles are gone off the cough which
so constantly attends them is gone off also and there is no
affection of either the breast or eyes, I think bleeding is
not at all necessary and perhaps no other remedy but
if any it is only some gentle doses of physic repeated
at the interval of two or three days for two or three times
If when the eruption is gone off, if as commonly hap¬
pens some cough & difficulty of breathing remains the
doses of physic mentioned will be still more necessary
and if the cough and affection of the breast are slight and
very little troublesome the physic is still all that will
be necessary
But if after the eruption is gone these symptoms
[Page 2]
of cough and breathing are considerable if the cough is dry
and with pains of the breast and (↑or↑) sides then bleeding is
the remedy to be depended on but with respect to the
quantity of blood to be drawn or the frequency of bleeding
I can give no positive advice and the remedy must be pro¬
portioned to the urgency of the symptoms.
If any fixed pains happen to appear any where above
the chest it may be very proper to join blistering with
the bleeding or purging, applying the blisters as near as
possible to the seat of the pain
With these remedies every part of the antiphlogis[tic]
regimen is to be employed and particularly an abstinence
from every kind of animal food and from wine or any
other strong drink.
In the case we speak of, that is, of Cough &c remai¬
ning after the measles it is extremely improper to keep
the patient warm, he should be kept cool while great
care is taken to avoid any sudden application of con¬
siderable cold and particularly any sudden transition
from heat to cold
[Page 3]
Besides the affections of the breast the other common
consequence of Measles is an inflammation of the eyes
This will require more or less of pur bleeding and pur¬
ging according to the degree of the affection.
If this is considerable a bleeding at the Arm or
Neck may be necessary but it is commonly enough after
one general bleeding to apply leeches round the eyes.
Diplomatic Text
Lord Selkirk C the Measles
For the treatment of the Measles after the eruption
is gone off the skin and for obviating the Dregs as they are
called that is the morbid consequences of the disease no
general Rule or rules can be given and the treatment must
be according to the circumstances which may be various.
If when the Measles are gone off the cough which
so constantly attends them is gone off also and there is no
affection of either the breast or eyes, I think bleeding is
not at all necessary and perhaps no other remedy but
if any it is only some gentle doses of physic repeated
at the interval of two or three days for two or three times
If when the eruption is gone off, if as commonly hap¬
pens some cough & difficulty of breathing remains the
doses of physic mentioned will be still more necessary
and if the cough and affection of the breast are slight and
very little troublesome the physic is still all that will
be necessary
But if after the eruption is gone these symptoms
[Page 2]
of cough and breathing are considerable if the cough is dry
and with pains of the breast and (↑or↑) sides then bleeding is
the remedy to be depended on but with respect to the
quantity of blood to be drawn or the frequency of bleeding
I can give no positive advice and the remedy must be pro¬
portioned to the urgency of the symptoms.
If any fixed pains happen to appear any where above
the chest it may be very proper to join blistering with
the bleeding or purging, applying the blisters as near as
possible to the seat of the pain
With these remedies every part of the antiphlogis[tic]
regimen is to be employed and particularly an abstinence
from every kind of animal food and from wine or any
other strong drink.
In the case we speak of, that is, of Cough &c remai¬
ning after the measles it is extremely improper to keep
the patient warm, he should be kept cool while great
care is taken to avoid any sudden application of con¬
siderable cold and particularly any sudden transition
from heat to cold
[Page 3]
Besides the affections of the breast the other common
consequence of Measles is an inflammation of the eyes
This will require more or less of pur bleeding and pur¬
ging according to the degree of the affection.
If this is considerable a bleeding at the Arm or
Neck may be necessary but it is commonly enough after
one general bleeding to apply leeches round the eyes.
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