Cullen

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

 

[ID:3798] From: Dr William Cullen (Professor Cullen) / To: Dr James Kenneth Saunders / Regarding: Anonymous (Patient), Alexander Dirom (Sandie) (Patient) / 12 April 1776 / (Outgoing)

Reply, 'To Dr Saunders q Genl. Abercrombie's Neice'

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 3798
RCPE Catalogue Number CUL/1/1/7/19
Main Language English
Document Direction Outgoing
Date12 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, 'To Dr Saunders q Genl. Abercrombie's Neice'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:661]
Case of the eight-year-old niece of General Abercrombie who has involuntary movements and weakness in her face and left side diagnosed as Chorea.
4
[Case ID:2504]
Case of Alexander 'Sandie' Diron (Dirom).
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:596]AddresseeDr James Kenneth Saunders
[PERS ID:597]Patient
[PERS ID:1158]Patient Alexander Dirom (Sandie)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:596]Patient's Physician / Surgeon / ApothecaryDr James Kenneth Saunders
[PERS ID:598]Patient's Relative / Spouse / FriendGeneral Abercrombie (Abercromby)

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 Banff (Bamf) East Highlands Scotland Europe inferred

Normalized Text

[Page 1]

To Dr Saunders. query General Abercrombie's Neice


I agree with you entirely in thinking the Case a chorea
which I haue treated a hundred times. The symptoms of worms
& Chorea somewhat agree, but in most instances the Chorea
is without worms, but there is no reason to suspect them
here & therefore no occasion for drastic purgatives, altho
it will be very proper to keep the Belly open with such
Antispasmodic Glysters as you have employed.


The Blisters were properly tried but I have always
found what you observe that they giue no durable
relief & the reason is obvious, that they do not touch the
state of the Nervous system -- My dependence in such
cases is on Tonic medicines which seldom miss in time to giue
Relief- Upon this plan I approve very much of your
trial of Cold bathing & if it operate properly in producing
immediately after it a due heat of the skin and an [alacrity?]
in motion it will certainly have good effects I also
think the Mars praeparatus a promising remedy & I
now know that the doses may be carried a great way .
Six drams in one day have been taken. I have not
found ↑any↑ patients fit to bear such a dose, but I haue
carried it the length of two drams. Even this will
be a great deal more than your patient can bear
but you may increase your doses by degrees &c


If she does not mend I depend upon the Cuprum Am
moniacum
& more than upon Flores Zinci



[Page 2]

you may give the C.A. in the way you think best
at first to the quantity of 1/8 grain but increasing it to what
the patient bears without vomits or purging


This last minds me to take notice of the unbruised
Mustard
which I think is as proper a Laxative as you
can employ - Your orders about Exercise & Diet proper


I think Sandie Dirom in great hazard. The goat's whey
may be of service but it cannot do much. At
present it is far off & not comparable to a sea Voyage

Edinburgh 12th April 1776

Diplomatic Text

[Page 1]

To Dr Saunders. q. Genl Abercrombie's Neice


I agree with you entirely in thinking the Case a chorea
wc I haue treated a hundred times. The symptoms of worms
& Chorea somewhat agree, but in most instances the Ch.
is without worms, but there is no reason to suspect them
here & therefore no occasion for drastic purgatives, altho
it will be very proper to keep the Belly open with such
Antispasmodic Glysters as you have employed.


The Blisters were properly tried but I have always
found what you observe that they giue no durable
relief & the reason is obvious, that they do not touch the
state of the Nervous system -- My dependence in such
cases is on Tonic meds wc seldom miss in time to giue
Relief- Upon this plan I approve very much of your
trial of Cold bathing & if it operate properly in producing
immediately after it a due heat of the skin and an [alacrity?]
in motion it will certainly have good effects I also
think the Mars praeparatus a promising remedy & I
now know that the doses may be carried a great way .
Six drams in one day have been taken. I have not
found ↑any↑ patients fit to bear such a dose, but I haue
carried it the length of two drams. Even this will
be a great deal more than your patient can bear
but you may increase your doses by degrees &c


If she does not mend I depend upon the Cuprum Am
moniacum
& more than upon Flores Zinci



[Page 2]

you may give the C.A. in the way you think best
at first to the qty of 1/8 gr. but increasing it to what
the patient bears without vomg or purging


This last minds me to take notice of the unbruised
Mustard
wc I think is as proper a Laxative as you
can employ - Your orders about Exercise & Diet proper


I think Sandie Dirom in great hazard. The g whey
may be of service but it cannot do much. At
present it is far off & not comparable to a sea Voyage

Edinr 12th April 1776

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