Cullen

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

 

[ID:3730] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss McLachlan (Patient) / 15 April 1775 / (Outgoing)

Reply, mentioning the surgeon Ivie Campbell, with directions 'For Miss McLachlan' who is being treated for a menstrual irregularity. A joint consultation co-signed with 'A.W.' [unidentified].

Facsimile

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[Page 2]


 

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Metadata

FieldData
DOC ID 3730
RCPE Catalogue Number CUL/1/1/4/55
Main Language English
Document Direction Outgoing
Date15 April 1775
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, mentioning the surgeon Ivie Campbell, with directions 'For Miss McLachlan' who is being treated for a menstrual irregularity. A joint consultation co-signed with 'A.W.' [unidentified].
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:500]
Case of Miss McLachlan who has menstrual problems.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1931]PatientMiss McLachlan
[PERS ID:1932]Patient's Physician / Surgeon / Apothecary A W
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:336]Patient's Physician / Surgeon / ApothecaryDr Ivie Campbell

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

Normalized Text

[Page 1]

For Miss McLachlan


Miss McL's ailment is commonly a tedious &
obstinate one & it appears particularly in this case in
which so many proper measures & medicines have
been employed by Mr Ivie Campbell. We can¬
not do better than advise the continuance of
several of his remedies & for the whole of Miss
McL.'s conduct we offer the following plan.


When her monthly period is over & she has
got as much as to allow her to be set upon
a horse, let her be carried by the gentlest motion
in the fresh air, for what length of time & dis¬
tance she can easily bear. It is probable that she
will bear but very little at one time, but this
ought to be made up, by her going abroad very
frequently, & if she cannot bear being set upon
a horse, let her be set or laid on a sledge or
car, for her being much & frequently in the open air, so often
as the weather is dry, we take to be a very necessary
measure.


When she is within doors, let her always be kept
cool, whether with respect to her chamber or her cloathing.


As her stomach does not seem to bear the bark
well & no quantity of any consequence can be given we
would have laid it aside entirely, & that in place
of it, she should take every day two doses of the powder



[Page 2]

of the leaves of the Uva ursi. The dose at first may
be half a dram but if her stomach bear it well the
dose may be gradually increased till she can bear a
dram twice a day. These doses are to be taken in a
glass of cold water & to be washed down, with another
glass of water in which is put 15 or rather 20 drops
of the Elixir Vitrioli & we think she has hither to
been sparing enough, of this last medicine & that
she would do well to take a 3d dose of it every day.


Very necessary that costiveness should be avoided
& for this purpose the cream of Tartar should be
employed in due quantity as often as seems neces¬
sary. It would be of advantage if her stomach
could bear ten grains of nitre with every dose of the
cream of Tartar.


when from any circumstances she can judge of
the approach of a menstruation, she should for some
days before, let alone going abroad should ly cons¬
tantly on her bed, but take care to be there as
cool as possible. At the same time Uva Ursi is
to be laid aside, but the Elix. Vitriol to be continued
& let her take once or 2ce a day as her stomach bears,
the following Bolus.

Take from five to ten grains of [rupeum?]Alum. powder and a sufficient quantity of Conserve of rose to make the Bolus.


This Bolus may be continued as well as the Elixir



[Page 3]

Vitrioli
during the time of the menstruation.


When the menstruation approaches nearer or is
actually come on let her take the Anodyne Pill
as formerly employed & it may be repeated every
night & at least for the two first nights. The
cordial mixture we suspect to be too warm & we
have even some doubts, if any wine be safe,
but in case of great lowness, we would admit of a
spoonfull of cold claret.


During thr whole interval of her menstruation
we would allow her loins behind to be washed every
morning with cold water but would still delay the
bathing of the whole body.


Diet entirely of milk & grain without any animal
food. During the period, the milk may be used
more sparingly.


W.C.
A.W. 1
Edinburgh 15 April 1775

Notes:

1: Unidentified

Diplomatic Text

[Page 1]

For Miss McLachlan


Miss McL's ailment is commonly a tedious &
obstinate one & it appears particularly in this case in
which so many proper measures & medicines have
been employed by Mr Ivie Campbell. We can¬
not do better than advise the continuance of
several of his remedies & for the whole of Miss
McL.'s conduct we offer the following plan.


Wn her monthly period is over & she has
got as mc as to allow her to be set upon
a horse, let her be carried by the gentlest motion
in the fresh air, for what length of time & dis¬
tance she can easily bear. It is probable that she
will bear but very little at one time, but this
ought to be made up, by her going abroad very
frequently, & if she cannot bear being set upon
a horse, let her be set or laid on a sledge or
car, for her being mc & freqy in ye open air, so often
as the weather is dry, we take to be a very necessary
measure.


Wn she is within doors, let her always be kept
cool, whether w respect to her chamber or her cloathing.


As her stomach does not seem to bear the bark
well & no qty of any consequence can be given we
would have laid it aside entirely, & that in place
of it, she should take every day two doses of the powder



[Page 2]

of the leaves of the Uva ursi. The dose at first may
be half a dram but if her stomach bear it well the
dose may be gradually increased till she can bear a
dram twice a day. These doses are to be taken in a
glass of cold water & to be washed down, w another
glass of water in which is put 15 or rather 20 gtt
of ye Elixir Vitrioli & we think she has hither to
been sparing enough, of this last medicine & that
she would do well to take a 3d dose of it every day.


Very necessary yt costiven should be avoided
& for ys purpose ye cream of Tartar should be
employed in due quantity as often as seems neces¬
sary. It would be of advantage if her stomach
could bear ten grains of nitre w every dose of the
cream of Tartar.


Wn from any circumstances she can judge of
ye approach of a menstruation, she should for some
days before, let alone going abroad should ly cons¬
tantly on her bed, but take care to be there as
cool as possible. At ye same time Uva Ursi is
to be laid aside, but ye Elix. Vitriol to be contd
& let her take once or 2ce a day as her stom bears,
the following Bolus.


Alum. [rup.?] pulv. a gr. V ad X
Conserv. rosar. q.s. ut f. Bolus


Ys Bolus may be continued as well as the Elixir



[Page 3]

Vitrioli
during ye time of the menstruation.


Wn ye menstruatn approaches nearer or is
actually come on let her take the Anodyne Pill
as formerly employed & it may be repeated every
night & at least for the two first nights. The
cordial mixture we suspect to be too warm & we
have even some doubts, if any wine be safe,
but in case of great lowness, we would admit of a
spoonfull of cold claret.


During thr whole interval of her menstruatn
we would allow her loins behind to be washed every
morning w cold water but would still delay the
bathing of the whole body.


Diet entirely of milk & grain w out any animal
food. During ye period, ye milk may be used
more sparingly.


W.C.
A.W. 1
Edinr 15 April 1775

Notes:

1: Unidentified

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