Cullen

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

 

[ID:1923] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss E Fraser (Miss Fraser of Inverallochy) (Patient) / November? 1780? / (Outgoing)

Directions, in the form of a retained draft in Cullen's own hand with editorial marks, for Miss Fraser of Inverallochy who is given some detailed advice on taking a boat trip for her health. Undated but presumably around November 1780, Cullen mentions also writing to her local physician Dr Skene who, based on date, has been assumed to be Cullen's from pupil, Dr George Skene of Aberdeen.

Facsimile

There are 4 images for this document.

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[Page 2]


 

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Metadata

FieldData
DOC ID 1923
RCPE Catalogue Number CUL/1/2/1002
Main Language English
Document Direction Outgoing
DateNovember? 1780?
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Directions, in the form of a retained draft in Cullen's own hand with editorial marks, for Miss Fraser of Inverallochy who is given some detailed advice on taking a boat trip for her health. Undated but presumably around November 1780, Cullen mentions also writing to her local physician Dr Skene who, based on date, has been assumed to be Cullen's from pupil, Dr George Skene of Aberdeen.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1239]
Case of Miss Fraser of Inverallochy who is weakened and has a shooting pain from her breast to her shoulder.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:953]PatientMiss E Fraser (Miss Fraser of Inverallochy)
[PERS ID:64]Patient's Physician / Surgeon / ApothecaryDr George Skene
[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 Inverallochy East Highlands Scotland Europe inferred
Therapeutic Recommendation Scotland Europe certain
Mentioned / Other Inverallochy East Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Miss Fraser of Inverallochy


There is an unlucky combination in Miss
Frasers Complaints that has interrupted the
use of Remedies which might have been applied
to either of them singly but at same time this
combination accounts for the exhaustion & weak¬
ness
that appears that (↑without↑) inferring so much danger
as if they had been ↑in↑ consequence of one complaint
alone only


For the complaints of the Breast frequent
gentle motion & fresh Air are very necessary
but am perswaded that Miss Fraser cannot
bear any motion on land that would ↑be↑ of service
to her & that the motion & change Air necessary
can only be obtained by going to Sea Now is
the season most convenient for attempting that &
I hope therefore that measures ate taken ↑for↑ doing
it immediately. It is not of much consequence



[Page 2]

how the Course is directed if it be long enough. It may
be ↑a↑ cruise upon the Coast of Scotland or a voyage to the
South but it must be observed that being a few days
at sea can be of little service & to expect much
benefit Miss Fraser must sail for several weeks
with as little interruption as possible. If she can
spend the most part of the summer & beginning
of Autumn in sailing I am very confident of
her recovery & her being on shore but let it be
observed that her being long ashore especially
in a warm Climate will certainly do harm


While I thus inculcate a long voyage or very
frequent sialing I have no objection to it her
going to sea in the first place for a trial &
if it shall be found that the sea sickness is very
severe & continues long or that contrary to what
commonly happens it shall aggravate her
symptoms particularly the spitting of blood. I
shall doubt if the Remedy is to be pushed, or ↑I shall think↑ that



[Page 3]

it is to be carried on by degrees ↑only↑ & therefore with some
interruptions till she can be brought to beat it easily


Tho the season is now warm, the Air st sea
will be sufficiently cool & at times may be both
cold & moist. It is proper therefore to guard against
fresh Colds & the best security will be in a flannel
smock & thick worsted stockings. At all ties to
avoid moisture or at any time sitting in a stream
of Air.


It is difficult to keep a choice of Diet at sea
& particularly to such as ↑is↑ most fit for Miss Fraser.
For the sake of a little Milk I have known both
Goats & Ewes kept at sea for sometime. Whether
the Vessel Miss Fraser goes in will admit of this I
cannot judge. For the rest I would advise some
portable soup or a stock of live chickens to be carried
along. But a little fresh Broth & that not strong
is the only kind of Animal Food I would propose
& her Diet must be abr besides that of Bread, Rice 1
Sago, Salep, Barley or Oatmeal drest & diversified



[Page 4]

to her taste. If greased Eggs are carried along she
may have tolerable pudding & a Caudle will be a
good Variety. It is almost only in this form I
would indulge a little Wine for otherwise it is
hardly safe. Malt Liquor of any kind is very bad
for her. Her ordeinary drink must be Toast & Water
or if her stomach does not bear plain water a very
small proportion of Brandy may be added to it.
Tea & Coffee are both very bad for her but a weak
Chacolate if it digests easily is very proper.


For Medicines I have few propose & depend
very much upon sailing & the regimen mentiond
I propose one Remedy to Dr Skene designed
to obviate looseness & other evacuations &
I suppose by this time a trial is made of it
& according to that trial Dr Skene wwill direct
both the dose & the repetition of it. Any other
Medicines I can propose are mentioned in the
letter that accompanied this to Dr Skene & [Start of margin text]
I hope my earnest wishes for Miss Frasers recovery shall soon
have their effect. [End of margin text]

Notes:

1: The lines and numbers added above this line suggest Cullen's marks to indicate where he wants to make revisions (a translation of phrases?).

Diplomatic Text

[Page 1]
For Miss Fraser of Inverallochy


There is an unlucky combination in Miss
Frasers Complaints that has interrupted the
use of Remedies which might have been applied
to either of them singly but at same time this
combination accounts for the exhaustion & weak¬
ness
that appears that (↑without↑) inferring so much danger
as if they had been ↑in↑ consequence of one complaint
alone only


For the complaints of the Breast frequent
gentle motion & fresh Air are very necessary
but am perswaded that Miss Fraser cannot
bear any motion on land that would ↑be↑ of service
to her & that the motion & change Air necessary
can only be obtained by going to Sea Now is
the season most convenient for attempting that &
I hope therefore that measures ate taken ↑for↑ doing
it immediately. It is not of much consequence



[Page 2]

how the Course is directed if it be long enough. It may
be ↑a↑ cruise upon the Coast of Scotland or a voyage to the
South but it must be observed that being a few days
at sea can be of little service & to expect much
benefit Miss Fraser must sail for several weeks
with as little interruption as possible. If she can
spend the most part of the summer & beginning
of Autumn in sailing I am very confident of
her recovery & her being on shore but let it be
observed that her being long ashore especially
in a warm Climate will certainly do harm


While I thus inculcate a long voyage or very
frequent sialing I have no objection to it her
going to sea in the first place for a trial &
if it shall be found that the sea sickness is very
severe & continues long or that contrary to what
commonly happens it shall aggravate her
symptoms particularly the spitting of blood. I
shall doubt if the Remedy is to be pushed, or ↑I shall think↑ that



[Page 3]

it is to be carried on by degrees ↑only↑ & therefore with some
interruptions till she can be brought to beat it easily


Tho the season is now warm, the Air st sea
will be sufficiently cool & at times may be both
cold & moist. It is proper therefore to guard against
fresh Colds & the best security will be in a flannel
smock & thick worsted stockings. At all ties to
avoid moisture or at any time sitting in a stream
of Air.


It is difficult to keep a choice of Diet at sea
& particularly to such as ↑is↑ most fit for Miss Fraser.
For the sake of a little Milk I have known both
Goats & Ewes kept at sea for sometime. Whether
the Vessel Miss Fraser goes in will admit of this I
cannot judge. For the rest I would advise some
portable soup or a stock of live chickens to be carried
along. But a little fresh Broth & that not strong
is the only kind of Animal Food I would propose
& her Diet must be abr besides that of Bread, Rice 1
Sago, Salep, Barley or Oatmeal drest & diversified



[Page 4]

to her taste. If greased Eggs are carried along she
may have tolerable pudding & a Caudle will be a
good Variety. It is almost only in this form I
would indulge a little Wine for otherwise it is
hardly safe. Malt Liquor of any kind is very bad
for her. Her ordeinary drink must be Toast & Water
or if her stomach does not bear plain water a very
small proportion of Brandy may be added to it.
Tea & Coffee are both very bad for her but a weak
Chacolate if it digests easily is very proper.


For Medicines I have few propose & depend
very much upon sailing & the regimen mentiond
I propose one Remedy to Dr Skene designed
to obviate looseness & other evacuations &
I suppose by this time a trial is made of it
& according to that trial Dr Skene wwill direct
both the dose & the repetition of it. Any other
Medicines I can propose are mentioned in the
letter that accompanied this to Dr Skene & [Start of margin text]
I hope my earnest wishes for Miss Frasers recovery shall soon
have their effect. [End of margin text]

Notes:

1: The lines and numbers added above this line suggest Cullen's marks to indicate where he wants to make revisions (a translation of phrases?).

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