Cullen

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

 

[ID:163] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Mrs Ward (Patient), Miss Ward (Patient) / 7 July 1781 / (Outgoing)

Reply, 'Mrs & Miss Ward'. Cullen gives some recommendations but suggests she is ultimately 'not a case for physic', and that while some measures may be taken to exercise her intellect, 'the proper measures are not suitable to the lenity of parents and who else could execute them I don't know'. Also includes directions for Mrs Ward's skin condition.

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Metadata

FieldData
DOC ID 163
RCPE Catalogue Number CUL/1/1/14/49
Main Language English
Document Direction Outgoing
Date7 July 1781
Annotation None
TypeMachine copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mrs & Miss Ward'. Cullen gives some recommendations but suggests she is ultimately 'not a case for physic', and that while some measures may be taken to exercise her intellect, 'the proper measures are not suitable to the lenity of parents and who else could execute them I don't know'. Also includes directions for Mrs Ward's skin condition.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1382]
Case of Mrs Ward who has a skin 'eruption' on her face.
3
[Case ID:2271]
Case of Miss Ward, a child with some kind of mental impairment.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:82]AddresseeMr William Ingham
[PERS ID:133]PatientMrs Ward
[PERS ID:134]PatientMiss Ward
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:82]Patient's Physician / Surgeon / ApothecaryMr William Ingham
[PERS ID:81]Other Physician / SurgeonMr Richard Lambert
[PERS ID:135]Patient's Relative / Spouse / FriendMr Ward
[PERS ID:133]Patient's Relative / Spouse / FriendMrs Ward

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 Newcastle upon Tyne North-East England Europe inferred

Normalized Text

[Page 1]

Mrs. & Miss Ward

Dear Sir


Since Mr. and Mrs. Ward came here
I have taken every opportunity I could have of examining
your little patient. I soon perceived that she was not a
subject for physic but I wished to find out what capability
there was of instruction. Her body has been and is still in
some respects weak but not so much so as to account for the
imperfection, that appears in her mind. Time may perhaps
do something for her and ↑the↑ only means that I can think of
for promoting that is by cold bathing to support the strength
of her body and by electricity to excite her nervous System
While these are applied some pains may be taken by degrees
to bring on some exercise of her intellect but the proper
measures are not very suitable to the lenity of parents and
who else could execute them I don't know.


Tho I do not find that I can be of any service to the Daugh¬
ter I flatter myself that I may be of some to the mother.




[Page 2]

She is troubled with a disagreeable eruption on her face and
is in danger of being more so unless we can find an effectual
remedy for it. My dependance would be upon Antimony both
in shape of an Æthiops as in the inclosed & in the shape of solu¬
tion as also prescribed in the inclosed. These ↑I↑ would alternate
giving the powders (↑Bolusses↑) for a fortnight and the antimonial draught for a --
week ↑after↑. Either of these medicines may affect her stomach but
if it is moderately I would have her bear it as a security for
their good effect her stomach because I have begun with a small
dose and if you find that they do not ↑at↑ all, you may increase
the dose especially in the second course to fifteen grains.
If you find the Antimonial draughts affet her much you must lessen
the dose. These medicines shall I hope be of service but
I cannot depend upon that unless her diet is regulated properly
at the same time. She must take no meat at night and but
the lightest and the least at dinner. She should taste no kind
of fish at any time & for these three months to come I would


[Page 3]

have her live almost entirely on vegetables. For ordinary drink
I think small beer is better for her than water, and at dinner a glass
or two of wine is very allowable and I believe I need not enjoin her
to go no further. Neither strong beer nor Punch so safe as wine.
I Shall be happy to hear of the success of this plan and if you
can at any time let me know wherein I can be further of service
to Mrs. Ward it will oblige me. With best Compliments to
Mr. Lambert I am with great regard


Dear Sir
Your most obedient servant

William Cullen

Edinburgh 7th. July
1781



[Page 4]

For Mrs. Ward

Take half an ounce of prepared raw Antimony and two drachms of pure Hyrdrargyrum. Add the Hyrdrargyrum to the Antimony little by little, diligently crushing it until the mercurial lumps will be completely disappeared. Let there be, in this way, the Æthiops.

Take ten grains of powder of [hujus?] and a sufficient quantity of orange peel Conserve in order to let there be made a bolus, and let there be in this way fourteen boluses. Label as Diaphoretic Volusses; one to be taken every morning washing it down with the following draught

Take ten grains of volatile salts of hartshorn, two drachms (or enough in order to saturate the preparation) of lemon Juice, one ounce of simple cinnamon Water and two drachms of Simple Syrup. Mix and let there be, in this way, fourteen sips. Label as Diaphoretic Draughts; one to be taken after every bolus.

Take one ounce of peppermint Water, two ounces of Syrup of cloves and a quarter of grain of Tartar emetic. Mix and let there be in this way seven sips; one to be taken every night after lying down abed.


W.C.

7th. July 1781.


N.B. Tho I have ordered as many bolusses &c. as may serve for one course
it will not be proper to make so many at one time but to Supply them
as they may be wanted. Four Antimonial Draughts may be made toge¬
ther but for exactiness of the dose to be again divided into separate phials. --

Diplomatic Text

[Page 1]

Mrs. & Miss Ward

Dear Sir


Since Mr. and Mrs. Ward came here
I have taken every opportunity I could have of examining
your little patient. I soon perceived that she was not a
subject for physic but I wished to find out what capability
there was of instruction. Her body has been and is still in
some respects weak but not so much so as to account for the
imperfection, that appears in her mind. Time may perhaps
do something for her and ↑the↑ only means that I can think of
for promoting that is by cold bathing to support the strength
of her body and by electricity to excite her nervous System
While these are applied some pains may be taken by degrees
to bring on some exercise of her intellect but the proper
measures are not very suitable to the lenity of parents and
who else could execute them I don't know.


Tho I do not find that I can be of any service to the Daugh¬
ter I flatter myself that I may be of some to the mother.




[Page 2]

She is troubled with a disagreeable eruption on her face and
is in danger of being more so unless we can find an effectual
remedy for it. My dependance would be upon Antimony both
in shape of an Æthiops as in the inclosed & in the shape of solu¬
tion as also prescribed in the inclosed. These ↑I↑ would alternate
giving the powders (↑Bolusses↑) for a fortnight and the antimonial draught for a --
week ↑after↑. Either of these medicines may affect her stomach but
if it is moderately I would have her bear it as a security for
their good effect her stomach because I have begun with a small
dose and if you find that they do not ↑at↑ all, you may increase
the dose especially in the second course to fifteen grains.
If you find the Antimonial draughts affet her much you must lessen
the dose. These medicines shall I hope be of service but
I cannot depend upon that unless her diet is regulated properly
at the same time. She must take no meat at night and but
the lightest and the least at dinner. She should taste no kind
of fish at any time & for these three months to come I would


[Page 3]

have her live almost entirely on vegetables. For ordinary drink
I think small beer is better for her than water, and at dinner a glass
or two of wine is very allowable and I believe I need not enjoin her
to go no further. Neither strong beer nor Punch so safe as wine.
I Shall be happy to hear of the success of this plan and if you
can at any time let me know wherein I can be further of service
to Mrs. Ward it will oblige me. With best Compliments to
Mr. Lambert I am with great regard


Dear Sir
Your most obedient servant

William Cullen

Edinr. 7th. July
1781



[Page 4]

For Mrs. Ward


Antimon. crud. præpt. ℥fs
Hydrargyr. pur. ʒij
Addens paulatim Hydrargyrum Antimonio terito diligenter donec
penitus dispareant globuli Mercuriales et f. Æthiops.


℞ [hujus?] pulveris gr. x.
cons. e cort. aurantior. q. s. ut f. Bolus et f. h. m. boli № xiv
Signa Diaphoretic Bolusses one to be taken every morning washing
it down with the following draught


Sal. col. corn. cerv. gr. x
Succ. limon. ʒij vel q. s. @ Saturationem
Aq. cinnam. Simpl. ℥j
Syr. Simpl. ʒij ℳ. et f. h. m. haust. № xiv
Sig. Diaphoretic Draughts one to be tajen after every Bolus


Aq. menth. pip. ℥j
Syr. Caryophyll. ʒij
Tart. emetic. grani quadrantim
ℳ. Signa et f. h. m. haustus № vii
Signa Antimonial Draughts one to be taken every night
after lying down abed.


W.C.

7th. July 1781.


N.B. Tho I have ordered as many bolusses &c. as may serve for one course
it will not be proper to make so many at one time but to Supply them
as they may be wanted. Four Antimonial Draughts may be made toge¬
ther but for exactiness of the dose to be again divided into separate phials. --

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