Cullen

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

 

[ID:2983] From: Dr Charles Keith / To: Dr William Cullen (Professor Cullen) / Regarding: Mr John Cook (Cooke; of Gallowhill; of Ogle. ) (Patient), Miss Marr (Patient) / 6 February 1787 / (Incoming)

Letter from Charles Keith, concerning the cases of John Cook, who 'is rather better, but I fear will never allow himself to be well', and of Miss Marr, who has been 'threatened with Phthisis & is yet far from well'. He includes copies of the medicines he has been prescribing for Miss Marr.

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Metadata

FieldData
DOC ID 2983
RCPE Catalogue Number CUL/1/2/2015
Main Language English
Document Direction Incoming
Date6 February 1787
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Charles Keith, concerning the cases of John Cook, who 'is rather better, but I fear will never allow himself to be well', and of Miss Marr, who has been 'threatened with Phthisis & is yet far from well'. He includes copies of the medicines he has been prescribing for Miss Marr.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:909]
Case of John Cook of Gallowhill, who suffers from phlegm and other ailments exacerbated by excessive drinking.
20
[Case ID:2499]
Case of Miss Marr, who has a cough and a knee ailment.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:3387]AuthorDr Charles Keith
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3698]PatientMiss Marr
[PERS ID:3495]PatientMr John Cook (Cooke; of Gallowhill; of Ogle. )
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3387]Patient's Physician / Surgeon / ApothecaryDr Charles Keith
[PERS ID:4705]Other Physician / SurgeonDr John Brown (Browne)
[PERS ID:5218]Patient's Relative / Spouse / FriendMr

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Morpeth North-East England Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Place of Handstamp Morpeth North-East England Europe certain

Normalized Text

[Page 1]
Dear Sir


I received your obliging
Letter yesterday & this Day I have been with
John Cook who I think is rather better, but
I fear will never allow himself to ↑be↑ well


He has long put in practice the
Brunonian Doctrine 1 & if he goes on he will
soon produce its sedative Effects ––


I read your Letter to him; he said
I might send you two Guineas which I very
cheerfully do –– You will remember that
the Evening you arrived here I sent for
a Miss Marr to get your advice; She was
threatened with Phthisis & is yet far from
well; you bade me write if she did not get
well & you would do what farther you
could for her ; which I know you will
most readily do as you thought her Father
in law 2 behaved genteelly & to be honest
with you as I happen to writing I offered



[Page 2]

to mention her situation to you –– She has at
times pain of her ↑left↑ side & her cough is pretty
frequent attended at times with an Expectoration
of a whitish viscid matter
–– Occasionally when
she goes to Bed she ↑has↑ some little shivering
but does not sweat – The cough is generally
very troublesome
in ↑the↑ night; she does not
waste, her appetite is tolerable & Belly
pretty regular – Pulse not above eighty sometimes under The Catamenia keep their
periodical returns, but are in small
quantity & of a paler colour than formerly;
before they appear the cough is worse but
during their flow &c a Week after it is much
less frequent –– When you saw her you proposed
a Blister to her side to be kept open; an
Antimonial Mixture, & a quieting one when
the cough was troublesome –– The Blister gave
temporary relief to the cough & pain – she felt no
effect from the Antimonial, & the Anodyne
Mixture
generally quieted the Cough but she did
not sleep for several hours
after taking it


About two Months ago she had
pain of Breast this was relieved by a Blister;
she occasionally takes your quieting Mixture
& when the cough is very frequent & her nights



[Page 3]

restless she takes a Pill with a grain of Opium


I have sometimes been obliged to have
recourse to small Doses of Ipeca. which relieves
the cough & which seems in her to produce
the effects of nausea & some little retching
much more effectually than small Doses
of Antimonials – I shall subjoin the Prescriptions
of the of the Medicines you ordered for her –– When
you have a leisure moment, (I know they
are not many) please say what farther should
be done

I am with due Esteem
Yours most Respect[fully]
Charles Ke[ith]
Morpeth February 6th
1787
For Miss Marr

Take three ounces each of simple Cinnamon Water and Rosewater, and one ounce each of Syrup of Cloves and Antimonial Wine. Label: A tablespoon or two to be taken an hour before bedtime.

Take three ounces each of Peppermint Water and Rosewater, two ounces of Poppyhead Syrup and one hundred and twenty drops of Laudanum. Label: Quieting Mixture; two tablespoons to be taken when ↑the↑ cough is troublesome.




[Page 4]


Doctor William Cullen
Physician
Edinburgh


Dr. Keith Concerning
Mr. Cook, Miss
Marr. February 1787
V. XIX. P.48

Notes:

1: A reference to the theories of Cullen's former pupil and opponent, Dr John Brown (1735-88), on the role of excitation in causing ailments.

2: As Miss Marr seems to be unmarried, the term 'father-in-law' may refer to her stepfather.

Diplomatic Text

[Page 1]
Dear Sir


I received your obliging
Letter yesterday & this Day I have been with
John Cook who I think is rather better, but
I fear will never allow himself to ↑be↑ well


He has long put in practice the
Brunonian Doctrine 1 & if he goes on he will
soon produce its sedative Effects ––


I read your Letter to him; he said
I might send you two Guineas which I very
cheerfully do –– You will remember that
the Evening you arrived here I sent for
a Miss Marr to get your advice; She was
threatened with Phthisis & is yet far from
well; you bade me write if she did not get
well & you would do what farther you
could for her ; which I know you will
most readily do as you thought her Father
in law 2 behaved genteelly & to be honest
with you as I happen to writing I offered



[Page 2]

to mention her situation to you –– She has at
times pain of her ↑left↑ side & her cough is pretty
frequent attended at times with an Expectoration
of a whitish viscid matter
–– Occasionally when
she goes to Bed she ↑has↑ some little shivering
but does not sweat – The cough is generally
very troublesome
in ↑the↑ night; she does not
waste, her appetite is tolerable & Belly
pretty regular – Pulse not above eighty sometimes under The Catamenia keep their
periodical returns, but are in small
quantity & of a paler colour than formerly;
before they appear the cough is worse but
during their flow &c a Week after it is much
less frequent –– When you saw her you proposed
a Blister to her side to be kept open; an
Antimonial Mixture, & a quieting one when
the cough was troublesome –– The Blister gave
temporary relief to the cough & pain – she felt no
effect from the Antimonial, & the Anodyne
Mixture
generally quieted the Cough but she did
not sleep for several hours
after taking it


About two Months ago she had
pain of Breast this was relieved by a Blister;
she occasionally takes your quieting Mixture
& when the cough is very frequent & her nights



[Page 3]

restless she takes a Pill with a grain of Opium


I have sometimes been obliged to have
recourse to small Doses of Ipeca. which relieves
the cough & which seems in her to produce
the effects of nausea & some little retching
much more effectually than small Doses
of Antimonials – I shall subjoin the Prescriptions
of the of the Medicines you ordered for her –– When
you have a leisure moment, (I know they
are not many) please say what farther should
be done

I am with due Esteem
Yours most Respect[fully]
Charles Ke[ith]
Morpeth Febry. 6th
1787
For Miss Marr


Aq. Cin semp
–– Rosar @℥iij
Syr. Caryoph.
Vin. Antim. @℥j
Sig. A tablespoonful or two to be taken an hour
before bedtime


Aq. Menth
–– Rosar @℥iij
Syr. Diacod ℥ij
L.L. gtt. CXX
Sig Quietg Mixture two tablespoonful to be
taken when ↑the↑ cough is troublesome




[Page 4]


Doctor William Cullen
Physician
Edinburgh


Dr. Keith C.
Mr. Cook, Miss
Marr. Feby. 1787
V. XIX. P.48

Notes:

1: A reference to the theories of Cullen's former pupil and opponent, Dr John Brown (1735-88), on the role of excitation in causing ailments.

2: As Miss Marr seems to be unmarried, the term 'father-in-law' may refer to her stepfather.

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