Cullen

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

 

[ID:196] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Mrs Ward (Patient), Mr Maxwell (Patient) / 17 September 1781 / (Outgoing)

Reply to an unnamed physician [identifiable as William Ingham at Newcastle] regarding Mr Maxwell, who has water on the breast, and Mrs Ward. Cullen is concerned about Mr Lambert {Vol.14, pp.162-4].

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Metadata

FieldData
DOC ID 196
RCPE Catalogue Number CUL/1/1/14/82
Main Language English
Document Direction Outgoing
Date17 September 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 to an unnamed physician [identifiable as William Ingham at Newcastle] regarding Mr Maxwell, who has water on the breast, and Mrs Ward. Cullen is concerned about Mr Lambert {Vol.14, pp.162-4].
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:2267]
Case of Mr Maxwell who has water on the breast.
2


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:3569]PatientMr Maxwell
[PERS ID:133]PatientMrs 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: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]

Mr. Maxwell & Mrs. Ward.

Dear Sir


I am favoured with yours of the
11th. current by Mr. Maxwell whom I find in a very bad way
with water in his breast.


I am sorry to find I have ↑not↑ had all success I wished
for with Mrs. Ward but I still hope we may be better I do
not remember that Mrs. Ward told me of the irregularity of
her Menses
or that she had marked the connection of that
with the eruption. It is however probable enough that they are
connected but even on that supposition the medicines advised
were no ways improper. The sea bathing might have been
proper enough in view of her rhumatism but I am doubtfull
of its being so proper in her present circumstances and if you
perceive the least increase of the eruptions I would have her lay
it aside and if, us it may be found of service to her general health
she chuses to continue it pray let care be taken that the cold
of the water comes sufficiently at her head which I hope is kept
shaven. Till she finishes her course of sea bathing I would
not have her take any medicines but when that is over let



[Page 2]

her take the powders and Infusion prescribed on the other
page for a fortnight and if she can any ways judge when
period is to be expected the ↑se↑ medicines will be especially pro¬
per at such a time, and if they produce a proper discharge
I don't doubt of her finding the good effects of it on her face.
But if these medicines do not all you would wish I do advise
her to another course of the Antimonials & with respect to
these I must observe that I am not surprized that the --
Æthiops had no Sensible effect for I know that in some persons
it will have no effect in any dose but I never knew any person
on whom the solution in a certain dose will not have some effect.
If therefore Mrs. Ward shall take another course of the Antimo¬
nial
I beg you will go on gradually increasing the dose of the
solution till it produces at least some degree of Sickness or Nausea.
With Compliments to Mr. Lambert for whose indisposition I am
much concerned. I am with great regard Dear Sir


your most obedient Servant

William Cullen -

Edinburgh 17th. September
1781



[Page 3]

For Mrs. Ward

Take ten grains of Red chalybeate, ten grains of very hard white Sugar and five grains of Cinnamon powder. Mix in order to let there be made a powder, and let there be in this way twenty-eight doses. Label: Strengthening Powders; one to be taken in a little currant jelly ↑twice a day↑, washing it down with two ↑table↑spoons of the following.

Take two drachms of black Hellebore Root, half an ounce of Valerian root, one drachms of Rue leaves and half a drachm of coriander Seeds. After having crushed them, cover with one pound of boiling water. Let it digest for one night and add, to the strained liquid, two ounces of Water Juniper. Mix and Label: Aperient Infusion; two tablespoons to be taken with every dose of the powders.


W.C.

17th. September
1781

Diplomatic Text

[Page 1]

Mr. Maxwell & Mrs. Ward.

Dear Sir


I am favoured with yours of the
11th. currt. by Mr. Maxwell whom I find in a very bad way
with water in his breast.


I am sorry to find I have ↑not↑ had all success I wished
for with Mrs. Ward but I still hope we may be better I do
not remember that Mrs. Ward told me of the irregularity of
her Menses
or that she had marked the connection of that
with the eruption. It is however probable enough that they are
connected but even on that supposition the medicines advised
were no ways improper. The sea bathing might have been
proper enough in view of her rhumatism but I am doubtfull
of its being so proper in her present circumstances and if you
perceive the least increase of the eruptions I would have her lay
it aside and if, us it may be found of service to her general health
she chuses to continue it pray let care be taken that the cold
of the water comes sufficiently at her head which I hope is kept
shaven. Till she finishes her course of sea bathing I would
not have her take any medicines but when that is over let



[Page 2]

her take the powders and Infusion prescribed on the other
page for a fortnight and if she can any ways judge when
period is to be expected the ↑se↑ medicines will be especially pro¬
per at such a time, and if they produce a proper discharge
I don't doubt of her finding the good effects of it on her face.
But if these medicines do not all you would wish I do advise
her to another course of the Antimonials & with respect to
these I must observe that I am not surprized that the --
Æthiops had no Sensible effect for I know that in some persons
it will have no effect in any dose but I never knew any person
on whom the solution in a certain dose will not have some effect.
If therefore Mrs. Ward shall take another course of the Antimo¬
nial
I beg you will go on gradually increasing the dose of the
solution till it produces at least some degree of Sickness or Nausea.
With Compliments to Mr. Lambert for whose indisposition I am
much concerned. I am with great regard Dear Sir


your most obedient Servant

William Cullen -

Edr. 17th. Septr.
1781



[Page 3]

For Mrs. Ward


Rubig. chalyb. ppt.
Sacchar. alb. duriss. @ gr.x
Cinnamon. pulv. gr. v
ℳ. f. pulvis et f. h. m. dos. №.xxviij
Sig. Strengthening Powders one to be taken in a
little Currant Jelly ↑twice a day↑ washing it down with --
two ↑table↑ Spoonfulls of the following


Rad. Hellebor. nigr. ʒij
--- Valerian. Silv. ℥fs
Fol. Rutæ ʒj
Sem. coriandr. ʒfs
Contusis affunde Aq. bullient. ℔j
Digere per noctem et colato adde
Aq. Juniper. comp. ℥ij
ℳ. Aperient Infusion two table Spoonfulls
to be taken with every dose of the powders --


W.C.

17th. Septr.
1781

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