Cullen

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

 

[ID:296] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Lord Dalzell (Lord Dalziel Carnwath) (Patient), Anonymous (Patient), Anonymous (Patient) / 30 March 1782 / (Outgoing)

Reply 'For the Right Honorable The Lord Dalziel', who has been suffering from a fever for most of winter. Contains also recipes for his servant and his friend.

Facsimile

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Metadata

FieldData
DOC ID 296
RCPE Catalogue Number CUL/1/1/14/185
Main Language English
Document Direction Outgoing
Date30 March 1782
Annotation None
TypeMachine copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For the Right Honorable The Lord Dalziel', who has been suffering from a fever for most of winter. Contains also recipes for his servant and his friend.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:746]
Case of Lord Dalzell who has a protracted illness which includes pains in abdomen.
5
[Case ID:2135]
Case of Lord Dalziel's servant who is prescribed pectoral pills.
2
[Case ID:2465]
Case of Lord Dalzell's friend who is prescribed a strengthening electuary.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2760]Patient
[PERS ID:1052]PatientLord Dalzell (Lord Dalziel Carnwath)
[PERS ID:2759]Patient
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2760]Patient's Relative / Spouse / Friend
[PERS ID:2759]Patient's Relative / Spouse / Friend

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 Kirkmichael Glasgow and West Scotland Europe inferred
Mentioned / Other Kirkmichael Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]

For the Right Honourable
The Lord Dalziel


By what means the fever which his Lordship has
laboured under for a great part of this winter was bro[ught]
on it is difficult to say, but from the consequences we
can judge that it has given a considerable shock to the
constitution. We find that this has been and still [is]
considerably weakened but at the same time we are gla[d]
to find that there is ↑now↑ no other disease but weakness an[d]
though this may require both time and pains to be re[co]¬
vered, we have no doubt but that proper pains bestowe[d]
will in due time produce that effect and for the purp[ose]
we offer the following advice.


We think it necessary to say in the first place th[at for]
his Lordships recovery it is absolutely necessary that [he]
observe the strictest temperance with respect to eve[ry kind]
of strong drink. Very little depends upon the q[uantity]
so that His Lordship may take a little of any kin[d of]
Wine or Punch he likes best but it must be al[ways]



[Page 2]

little only for not only intoxications but every [approach?]
to it will be pernicious to Lord Dalziels constitution.


In diet His Lordship must also give some attention
He may take of any ordinary fare but a full diet of ani¬
mal food would be very hurtfull and therefore a great
of his dinner every day should be of broth, pudding or
vegetables; and he should take no heavy sauces and no¬
thing salted or highly seasoned. At supper he should
take no animal food at all or at most a soft boiled egg
For some time to come and especially during the sum¬
mer His Lordship would do properly in taking some
kind of milkmeat both for breakfast and supper. For
the former we think both Tea and Coffee very improper.


Nothing will be of more service to Lord Dalziels
constitution than his being ↑much↑ in the fresh Air and muc[h]
on horseback providing always that it is never carried
the length of fatigue and that he is always well de¬
fended against cold. A Journey of some length ei¬
ther on horseback or in a carriage is likely to be of service.




[Page 3]

There are the articles of regimen we would earnestly
recommend as we depend upon them more than we do
on any medicine and we are certain that without the
observance of the regimen proposed no medicine can be
of much service.


But with a proper regimen we have no doubt that
some medicines may be very usefull, and on this sup¬
position we have already prescribed what seems to agree
very well with his Lordship & to have been already
of service. This prescription we have given on a se¬
parate paper and would have it continued still for a
fortnight after My Lord goes home. Then it maybe
laid aside for a week or two but another course may
be taken if it shall be found that the return of symptoms
shall require it.


If his Lordships complaints should continue in
any degree or should recurr and particularly any
numbness, pains or general weakness appear we are of



[Page 4]

opinion that during the summer, seabathing will be
of great service in discussing all ailments and in
strengthening his Lordships constitution and for all
such events he has our most earnest wishes.

William Cullen

Edinburgh
31st March
1782.



[Page 5]

For the Right Honourable
The Lord Dalziel.

Take an ounce each of powdered Peruvian bark and powdered chamomile flowers, two drachms of powdered cinnamon, a drachm of powdered ginger, an ounce and a half of conserve of orange peel, enough Simple Syrup to make an Electuary. Label Strengthening Electuary the bigness of a nutmeg to be swallowed in a wafer twice a day that is an hour before dinner and supper washing down each dose with the following.

Take an ounce and a half of Tincture of Mars as per the Edinburgh Pharmacopoeia. Label Strengthening Drops twenty to be taken in an ordinary wine glass full of water after every dose of the Electuary.




[Page 6]
For Lord Dalziels servant

Take three drachms of liquorice extract In small pieces, pour enough boling water to soften it, and crush to a pulp. To this add a drachm of powdered myrrh, and with just enough water to make a mass to divide into individual pills of five grams each. Label Pectoral Pills two to be taken every night at bedtime


30 March
1782. ----
W. C.



[Page 7]
For Lord Ds friend

Take two ounces of powdered bearberry leaves, two drachms of prepared powdered steel, an ounce of conserve of rose, enough syrup of dried rose to make an Electuary. Label Strengthening Electuary the bigness of a hazel nut to be taken three times a day washing down each dose with a glass of the Kirk michael Mineral water


30th March
1782. ---
W. C.

Diplomatic Text

[Page 1]

For the Right Honourable
The Lord Dalziel


By what means the fever which his Lordship has
laboured under for a great part of this winter was bro[ught]
on it is difficult to say, but from the consequences we
can judge that it has given a considerable shock to the
constitution. We find that this has been and still [is]
considerably weakened but at the same time we are gla[d]
to find that there is ↑now↑ no other disease but weakness an[d]
though this may require both time and pains to be re[co]¬
vered, we have no doubt but that proper pains bestowe[d]
will in due time produce that effect and for the purp[ose]
we offer the following advice.


We think it necessary to say in the first place th[at for]
his Lordships recovery it is absolutely necessary that [he]
observe the strictest temperance with respect to eve[ry kind]
of strong drink. Very little depends upon the q[uantity]
so that His Lordship may take a little of any kin[d of]
Wine or Punch he likes best but it must be al[ways]



[Page 2]

little only for not only intoxications but every [approach?]
to it will be pernicious to Lord Dalziels constitution.


In diet His Lordship must also give some attention
He may take of any ordinary fare but a full diet of ani¬
mal food would be very hurtfull and therefore a great
of his dinner every day should be of broth, pudding or
vegetables; and he should take no heavy sauces and no¬
thing salted or highly seasoned. At supper he should
take no animal food at all or at most a soft boiled egg
For some time to come and especially during the sum¬
mer His Lordship would do properly in taking some
kind of milkmeat both for breakfast and supper. For
the former we think both Tea and Coffee very improper.


Nothing will be of more service to Lord Dalziels
constitution than his being ↑much↑ in the fresh Air and muc[h]
on horseback providing always that it is never carried
the length of fatigue and that he is always well de¬
fended against cold. A Journey of some length ei¬
ther on horseback or in a carriage is likely to be of service.




[Page 3]

There are the articles of regimen we would earnestly
recommend as we depend upon them more than we do
on any medicine and we are certain that without the
observance of the regimen proposed no medicine can be
of much service.


But with a proper regimen we have no doubt that
some medicines may be very usefull, and on this sup¬
position we have already prescribed what seems to agree
very well with his Lordship & to have been already
of service. This prescription we have given on a se¬
parate paper and would have it continued still for a
fortnight after My Lord goes home. Then it maybe
laid aside for a week or two but another course may
be taken if it shall be found that the return of symptoms
shall require it.


If his Lordships complaints should continue in
any degree or should recurr and particularly any
numbness, pains or general weakness appear we are of



[Page 4]

opinion that during the summer, seabathing will be
of great service in discussing all ailments and in
strengthening his Lordships constitution and for all
such events he has our most earnest wishes.

William Cullen

Edinr.
31st March
1782.



[Page 5]

For the Right Honourable
The Lord Dalziel.


pulv. cort. Peruvian.
---- flor. chamomel. @ ℥j
---- cinnamom. Ʒij
---- zingiber. Ʒj
Conserv. e cort. aurantior. ℥iſs
Syr. Simplic. q. s. ut f. Electuarium.
Signa Strengthening Electuary the bigness of a
nutmeg to be swallowed in a wafer twice a day that
is an hour before dinner and supper washing down
each dose with the following.


Tinct. Mart. Ph. Ed. ℥iſs
Signa Strengthening Drops twenty to be taken in
an ordinary wine glass full of water after every
dose of the Electuary.




[Page 6]
For Lord Dalziels servant


Extract. glycyrrhiz. Ʒiij
In frustula conciso affunde aqua
fervent. q. s. ut mollescat et in pulpam
contundatur cui adde
Myrrha in pulverem trita Ʒj
et cum aqua q. s. f. massa dividenda
in pil. sing. gr. v.
Signa Pectoral Pills two to be taken
every night at bedtime


30 March
1782. ----
W. C.



[Page 7]
For Lord Ds friend


pulv. folior. uva ursi ℥ij
Limatur. Mart. ppt. Ʒij
Conserv. rosar. ℥j
Syr. e ros. sicc. q. s. ut f.
Electuarium.
Signa Strengthening Electuary the
bigness of a hazel nut to be taken
three times a day washing down
each dose with a glass of the Kirk
michael Mineral water


30th March
1782. ---
W. C.

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