Cullen

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

 

[ID:3710] From: Dr William Cullen (Professor Cullen) / To: Mr James Fea (of Clestrain) / Regarding: Mr Andrew Ross (Patient) / March? 1776? / (Outgoing)

Reply probably to James Fea, headed 'For Andrew Ross Esqr.'. Annotated '4th page inclusive from this' with 'vide p. 78 p. 1774-75 /Andrew Ross' added in what appears to be a later hand.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 3710
RCPE Catalogue Number CUL/1/1/4/35
Main Language English
Document Direction Outgoing
DateMarch? 1776?
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply probably to James Fea, headed 'For Andrew Ross Esqr.'. Annotated '4th page inclusive from this' with 'vide p. 78 p. 1774-75 /Andrew Ross' added in what appears to be a later hand.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:139]
Case of Mr Andrew Ross suffering from abdominal discomforts and interrupted sleep which eventually leave him delirious. Cullen considers it 'hypochondriasis'.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:447]AddresseeMr James Fea (of Clestrain)
[PERS ID:266]PatientMr Andrew Ross
[PERS ID:447]Patient's Physician / Surgeon / ApothecaryMr James Fea (of Clestrain)
[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 Orkneys Scotland Europe inferred

Normalized Text

[Page 1]
For Andrew Ross Esquire


Tho subject to infirmities from his time of life
yet his life in no danger.


Many persons tho liable to such fits of anxiety &c
yet have lived comfortably to a great age.


His present diet very proper, excipt he is to
take no wine at supper, in place of it Rum &
water or Brandy, to wash down his supper of
Bread Sago &c&c.


When his fit comes on in the morning. he
should get out of bed, put on some loose cloathes.
& walk about his chamber. - if this does not
dispell his wind he must take a large bowl of
Tea - neither [g.?] 1 nor Bohea, butt Sage Balm &c.
if this answers . nothing else to be tried. --
but if not he must add to his tea a little
Syrup of Ginger - aka spoonfull or two to a dish of
Tea. Instead of sugar. -- if the fits are very
oppressive let him take a tea spoonfull of



[Page 2]

Spirit of C. C. in a little water neither hot nor
cold. -- All these means may be assisted by
walking about & gently rubbing with a piece
of warm flannel between the point of the Ster¬
num
& the navel. - if the fits by these means
are discussed he may lue lie down & have some
comfortable Sleep. -


Difficult to prevent their return by Medicines
Walking necessary altho in bad weather only
keeping himself dry.


Exercise on horseback will do him great.
Service -


Vomits may be sometimes of service but
not to be frequently repeated - to begin with
10 or 15 gr. of Ipecacauanha & work it off with Chamo¬
mile tea


Soluble Tartar better than Rhubarb for
removing Costiveness. - to be taken in half
a muchkin of Spring water every morning. -
every day for some time time. & the dose more or less
as it operates. - once a day enough

✍4th page inclusive from this 2


[Page 3]


If the Bark purges as said. not to be tried
but. this doubtfull.


if he can bear it never so well. it is not
to be considered above two or three weeks. at
once. but he may take his dose of ʒss.
3-times a day. & when he is going to
leave of the use of it - he may for a day
or two take two ℈ for a dose 3ice a day.


:the two or three glasses of Port at dinner very
proper. - but it should be two or three glasses
only & that of Strong wines & never of weak wines
Abstaining from Malt liquor also very proper.

November 5 1774

Notes:

1: Probably 'g' as in 'green' (tea).

2: This early cross-reference is rather obscure. A later hand has also added a note here which is carried over onto the next page and reads 'vide p.1774-75 / Andw Ross'. This is possibly a nineteenth-century annotation, added to clarify the original annotation.

Diplomatic Text

[Page 1]
For Andrew Ross Esqr.


Tho subject to infirmities from his time of life
yet his life in no danger.


Many persons tho liable to such fits of anxiety &c
yet have lived comfortably to a great age.


His present diet very proper, excipt he is to
take no wine at supper, in place of it Rum &
water or Brandy, to wash down his supper of
Bread Sago &c&c.


When his fit comes on in the morng. he
should get out of bed, put on some loose cloathes.
& walk about his chamber. - if this does not
dispell his wind he must take a large bowl of
Tea - neither [g.?] 1 nor Bohea, butt Sage Balm &c.
if this answers . nothing else to be tried. --
but if not he must add to his tea a little
Syrup of Ginger - aka spoonfull or two to a dish of
Tea. Instead of sugar. -- if the fits are very
oppressive let him take a tea spoonfull of



[Page 2]

Spirit of C. C. in a little water neither hot nor
cold. -- All these means may be assisted by
walking about & gently rubbing with a piece
of warm flannel between the point of the Ster¬
num
& the navel. - if the fits by these means
are discussed he may lue lie down & have some
comfortable Sleep. -


Difficult to prevent their return by Meds.
Walking necessary altho in bad weather only
keeping himself dry.


Exercise on horseback will do him great.
Service -


Vomits may be sometimes of service but
not to be frequently repeated - to begin with
10 or 15 gr. of Ipec. & work it off with Chamo¬
mile tea


Soluble Tart. better than Rhubarb for
removing Costiveness. - to be taken in half
a muchkin of Spring water every morng. -
every day for some time time. & the dose more or less
as it operates. - once a day enough

✍4th page inclusive from this 2


[Page 3]


If the Bark purges as said. not to be tried
but. this doubtfull.


if he can bear it never so well. it is not
to be consd above two or three weeks. at
once. but he may take his dose of ʒss.
3-times a day. & when he is going to
leave of the use of it - he may for a day
or two take two ℈ for a dose 3ice a day.


:the two or three glasses of Port at dinner very
proper. - but it should be two or three glasses
only & that of Strong wines & never of weak wines
Abstaining from Malt liquor also very proper.

Novr 5 1774

Notes:

1: Probably 'g' as in 'green' (tea).

2: This early cross-reference is rather obscure. A later hand has also added a note here which is carried over onto the next page and reads 'vide p.1774-75 / Andw Ross'. This is possibly a nineteenth-century annotation, added to clarify the original annotation.

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