Cullen

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

 

[ID:3793] From: Dr William Cullen (Professor Cullen) / To: Reverend William Gordon (of Urquhart ) / Regarding: Reverend Thomas Macfarlane (of Lonbride (Lanbride, Lhanbryd)) (Patient) / 3 April 1776 / (Outgoing)

Reply 'For Mr Macfarlane to Mr Gordon' giving further advice of managing the Revd. Macfarlane's 'Mania'. Cullen considers the case a 'bad one but by no means desperate'.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 3793
RCPE Catalogue Number CUL/1/1/7/14
Main Language English
Document Direction Outgoing
Date3 April 1776
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mr Macfarlane to Mr Gordon' giving further advice of managing the Revd. Macfarlane's 'Mania'. Cullen considers the case a 'bad one but by no means desperate'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:738]
Case of Mr [Thomas] Macfarlane [Minister of Lonbride] who is mentally disordered and eventually has to be restrained with a 'waistcoat'.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:593]AddresseeReverend William Gordon (of Urquhart )
[PERS ID:594]PatientReverend Thomas Macfarlane (of Lonbride (Lanbride, Lhanbryd))
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

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 Urquhart East Highlands Scotland Europe inferred

Normalized Text

[Page 1]

For Mr Macfarlane to Mr Gordon


I wish you had marked his pulse . By the Bleedings which have been
practised I would judge his Pulse had been frequent as it was last year
{illeg} and if it continue to be either fuller or frequent tho with the last
it may be soft and feeble I would still employ more bleeding; for I
would expect that the pulse would become fuller & Stronger upon
it. If the Pulse is tolerably settled & the patient seems to fall into a
Chronical Maniacal State; the bleeding may be omitted & blistering
and purging must be insisted upon. For purging I would employ
only the Solubil Tartar & give that every day to the quantity that may keep
the belly open without much purging- Other internal medicines I have
little faith in; but if Camphire is found to give any quiet, it maybe
employed & should be given very largely. It is probably that he may .
be the better of being some times set into a halfbath or by having
his feet & legs for some time fomented &c------ Continue the thin
& low diet - If necessary a strait waistcoat ------




[Page 2]


The case is a bad one but afterwhat happened in 1774 1
it is not by no means to be considered as desperate - I hope
it will not be necessary to remove him to the Infirmary [and it?]
it is very expensive ---


I omitted to say above that the Tartar Solubil should be taken ↑with↑ as
large a proportion of water as you can easily get him to to take.

Edinburgh 3d April. 1776
W. C.

Notes:

1: No record of this prior episode traced in the archive.

Diplomatic Text

[Page 1]

For Mr Macfarlane to Mr Gordon


I wish you had marked his pulse . By the Bleedings wc have been
practised I would judge his Pulse had been frequent as it was last year
{illeg} and if it continue to be either fuller or frequent tho with the last
it may be soft and feeble I would still employ more bleeding; for I
would expect that the pulse would become fuller & Stronger upon
it. If the Pulse is tolerably settled & the patient seems to fall into a
Chronical Maniacal State; the bleeding may be omitted & blistering
and purging must be insisted upon. For purging I would employ
only the Sol. Tartar & give that every day to the qty that may keep
the belly open without much purging- Other internal medicines I have
little faith in; but if Camphire is found to give any quiet, it maybe
employed & should be given very largely. It is probably that he may .
be the better of being some times set into a halfbath or by having
his feet & legs for some time fomented &c------ Continue the thin
& low diet - If necessary a strait waistcoat ------




[Page 2]


The case is a bad one but afterwhat happened in 1774 1
it is not by no means to be considered as desperate - I hope
it will not be necessary to remove him to the Infirmary [and it?]
it is very expensive ---


I omitted to say above that the Tartar Sol. should be taken ↑with↑ as
large a proportion of water as you can easily get him to to take.

Edinr. 3d April. 1776
W. C.

Notes:

1: No record of this prior episode traced in the archive.

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