Cullen

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

 

[ID:4582] From: Dr William Cullen (Professor Cullen) / To: Dr Alexander Stevenson (Professor; of Dalgairn ) / Regarding: Mr Alexander Craig (Patient) / 3 March 1780 / (Outgoing)

Reply, 'Dr Stevenson C(oncerning) Mr A. Craig', whose condition Cullen believes to be 'a Species of Dr Heberdens Angina Pectoris'. He suggests using Æther.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4582
RCPE Catalogue Number CUL/1/1/12/149
Main Language English
Document Direction Outgoing
Date3 March 1780
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, 'Dr Stevenson C(oncerning) Mr A. Craig', whose condition Cullen believes to be 'a Species of Dr Heberdens Angina Pectoris'. He suggests using Æther.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:471]
Case of Mr Alexander Craig who has swollen legs.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:563]AddresseeDr Alexander Stevenson (Professor; of Dalgairn )
[PERS ID:3013]PatientMr Alexander Craig
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:563]Patient's Physician / Surgeon / ApothecaryDr Alexander Stevenson (Professor; of Dalgairn )
[PERS ID:997]Other Physician / SurgeonDr William Heberden

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 Glasgow Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
Dr Stevenson Concerning Mr A. Craig


The Nature of the ailment not quite clear – In spite of the
frequency of Pulse
I think there is no symptom that shows it to
be either febrile or Inflammatory – I must therefore consider
it as Spasmodic in part perhaps in the Lungs, but more certainly
in the Diaphragm –– I take it to be a Species of Dr Heberdens
Angina Pectoris which now in more than one instance I have
found relieved by Antispasmodics & particularly by Æther &
especially when that produced flatulent Eructations –– Has




[Page 2]


Mr Craig flatulent eructations & what effect have they on his
feelings & if you approve of it I wish you would try the Æther
& take notice if it diminishes the ordinary frequency of Pulse. -
I think the bleeding was properly tried, but I cannot advise a repetition
of it. I have no doubt that the state of his Stomach has a share in the
ailment & yet the frequent vomits he has taken have had no effect
in relieving his breathing & I doubt if they can be repeated with safety
After trying the Æther we may have further light, but I am
disposed to expect some benefit from an Opiate and the present
state of his belly seems to admit of it – I have no account of,
the present state of his nights – If he be still liable to hot
fits
in the night the use of the Opiate will be more doubtfull
Blistering was I think a probable remedy and tho it did
little Service, I think still it may be tried again, but upon
the breast & pit of the Stomach – Altho he bears no bodily motion I
should still expect some ↑benefit↑ relief from Gestation, but at first it must
be of the most smooth kind & if on horseback the horse must only walk.

W.C.
Edinburgh March. 13. 1780.

Diplomatic Text

[Page 1]
Dr Stevenson C Mr A. Craig


The Nature of the ailment not quite clear – In spite of the
frequency of Pulse
I think there is no symptom that shows it to
be either febrile or Inflammatory – I must therefore consider
it as Spasmodic in part perhaps in the Lungs, but more certainly
in the Diaphragm –– I take it to be a Species of Dr Heberdens
Angina Pectoris wc now in more than one instance I have
found relieved by Antispasmodics & particularly by Æther &
especially when that produced flatulent Eructations –– Has




[Page 2]


Mr Craig flatulent eructations & what effect have they on his
feelings & if you approve of it I wish you would try the Æther
& take notice if it diminishes the ordinary frequency of Pulse. -
I think the bleeding was properly tried, but I cannot advise a repetition
of it. I have no doubt that the state of his Stomach has a share in the
ailment & yet the frequent vomits he has taken have had no effect
in relieving his breathing & I doubt if they can be repeated with safety
After trying the Æther we may have further light, but I am
disposed to expect some benefit from an Opiate and the present
state of his belly seems to admit of it – I have no account of,
the present state of his nights – If he be still liable to hot
fits
in the night the use of the Opiate will be more doubtfull
Blistering was I think a probable remedy and tho it did
little Service, I think still it may be tried again, but upon
the breast & pit of the Stomach – Altho he bears no bodily motion I
should still expect some ↑benefit↑ relief from Gestation, but at first it must
be of the most smooth kind & if on horseback the horse must only walk.

W.C.
Edinr March. 13. 1780.

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