Cullen

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

 

[ID:334] From: Dr William Cullen (Professor Cullen) / To: Mr Alexander Dunlop (Sanders, Saunders) / Regarding: Mrs Fisher (Patient) / 18 September 1775 / (Outgoing)

Reply 'To Mr Dunlop concerning Mrs Fisher', who has had a 'heat in her blood', but 'of the feverish, rather than scorbutic kind', in Cullen's opinion. She also has sore lips on which she has been using poultices. He recommends antimonials. He gives dietary advice, and suggestions about cold bathing. He advises against travelling from Glasgow to Prestonpans for sea-bathing, and prescribes diaphoretic and aperient medicines, and an ointment for her lips.

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Metadata

FieldData
DOC ID 334
RCPE Catalogue Number CUL/1/1/6/34
Main Language English
Document Direction Outgoing
Date18 September 1775
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'To Mr Dunlop concerning Mrs Fisher', who has had a 'heat in her blood', but 'of the feverish, rather than scorbutic kind', in Cullen's opinion. She also has sore lips on which she has been using poultices. He recommends antimonials. He gives dietary advice, and suggestions about cold bathing. He advises against travelling from Glasgow to Prestonpans for sea-bathing, and prescribes diaphoretic and aperient medicines, and an ointment for her lips.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:600]
Case of Mrs Fisher who has a feverish condition and sore lips.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:591]AddresseeMr Alexander Dunlop (Sanders, Saunders)
[PERS ID:1542]PatientMrs Fisher
[PERS ID:591]Patient's Physician / Surgeon / ApothecaryMr Alexander Dunlop (Sanders, Saunders)
[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 Glasgow Glasgow and West Scotland Europe inferred
Mentioned / Other Edinburgh and East Scotland Europe certain
Mentioned / Other Prestonpans Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
To Mr Dunlop concerning Mrs Fisher.


I have seen Mrs Fisher & attentively considered her
complaints. There has certainly been a heat in her blood but I
think of the feverish rather than Scorbutic kind. She has
been better of sea bathing but doubt if she has got much
benefit by the Salt water. At any rate she should intermit
this for some time & instead of that I would put her on an Anti¬
monial
as below. She has tried the Tinctura or vin.
antimonial
before but observe the difference. Must take
my medicine to the length of some nausea, & no farther.
This medicine taken every night will keep her Belly regular but if not, must
take 2 or perhaps 3 times a weak as much of the Aperient solution
below as will move her once. These the only medicines just now
except ointment for the lips which I hope will do better with the poultices



[Page 2]

she employs now, & which keep her lips tender. Under this course, some
attention to Diet. At dinner every day may take some meat of any
kind but pork & must abstain from all fish. She should be rather
sparing of animal food & always take vegetables with it & as much
of these as can digest without acidity or flatulency. Broths &
puddings of any kind will be proper for dinner. All spiceries
to be avoided. Must abstain from all strong drink but small
beer rather than water at meals. No meat at supper not even egg
but take some milk meat rather even than vegetables. At
breakfast tea & cc as usual. Tho she has been the better of cold
bathing she must intermit it till she has taken some weeks
of the Antimonial course but after that she may return to it when she
pleases. As ↑the difference↑ to ↓the↓ bathing in sea or common water I would
not come from Glasgow to Prestonpans. Desirous to serve & cc.

For Mrs Fisher

Take 4 ounces of Rosewater, 3 ounces of plain Cinnamon, a drachm of Clove Syrup and 4 grains of Tartar Emetic. Mix. Label: Diaphoretic Mixture a tablespoonful more or less to be taken every night about a quarter of an hour before bed.

Take an ounce of Soluble Tartar, 2 ounces of Glauber’s Salts, 2 drachms each of Spanish Sea Salt and Polychrest Salts, and 8 ounces of spring water. Dissolve, strain and label: Aperient solution 2 tablespoonfulls to be taken in ½ a mutchkin of spring water in the morning when occasion &c.

Take an ounce of Wax Liniment, Cinnabar [made up?] with a little Olive Oil, the former less than a scruple. Mix. Label: Ointment to be applied to the lips being warmed and softened every night & morning & in case of that driping much, at any other time thro the day.

WC
September 18. 1775.

Diplomatic Text

[Page 1]
To Mr Dunlop concerning Mrs Fisher.


I have seen Mrs Fish. & attentively considered her
compts. There has certainly been a heat in her blood but I
think of ye feverish rather yn Scorbutic kind. She has
been better of sea bathg. but doubt if she has got mc
befit by ye Salt water. At any rate she should intermit
ys for some time & instead of yt I wd put her on an Anti¬
monial
as below. She has tried ye Tinctura or vin.
antimonial
before but observe ye difference. Must take
my medic. to ye length of some nausea, & no farther.
This med. takn ev. nt will keep her B. regr. but if not, must
take 2 or perhaps 3 times a weak as mc of ye Aper.t solut.
below as will move her once. These ye only med.s just now
except ointmt for ye lips wc I hope will do better wth ye poultices



[Page 2]

she employs now, & wc keep her lips tender. Under ys course, some
attentn to Diet. At dinnr ev. day may take some meat of any
kind but pork & must abstain from all fish. She shd be rather
sparing of animal food & always take veget. w it & as much
of yse as can digest wout acidity or flatulency. Broths &
puddings of any kind will be proper for dinner. All spiceries
to be avoided. Must abstain from all strong drink but small
beer rather yn wat. at meals. No meat at supper not even egg
but take some milk meat rather even yn vegetables. At
breakf. tea & cc as usual. Tho she has bn ye better of cold
bathing she must intermit it till she has taken some weeks
of ye Antimonial course but aft. yt she may return to it wn she
pleases. As ↑ye difference↑ to ↓ye↓ bathg. in sea or comm. wat. I would
not come fm Glasg. to Prest.pans. Desirous to serve & cc.

For Mrs Fisher


Aq. rosar. ℥iiii. Cinnam. simpl. ℥iii
Syr. caryophyll. ʒi Tart. Emet. gr. IV.
ℳ. S. Diaphor. ℳ. a tablespfull more or less
to be taken every nt. abt a quart. of an hour before bed.


Tart. solub. ℥i Sal Glaub. ℥ii
Sal. marin. Hisp. -– Polychr. ana @ ʒii
Aq. font. ℥viij
Solve cola et Sign. Aper.t solutn. 2 tablesp.fulls to be
taken in ½ a mutchkin of aq. font. in ye morng. wn occasn &c.


Liniment. cer. ℥i Cinnabar. [factit.?] cum pauxille
Ol. oliv. prius intrit. ℈i
ℳ. Signi. Ointmt. to be applied to ye lips being warmed
& softened evy nt & morng. & in case of yt [driping?] mc, at any
other time thro ye day.

WC
Septr. 18. 1775.

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