Cullen

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

 

[ID:3828] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Miss Juliana Creswell (Patient) / 9 June 1776 / (Outgoing)

Reply, 'For Miss Juliana Creswell'

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Metadata

FieldData
DOC ID 3828
RCPE Catalogue Number CUL/1/1/7/49
Main Language English
Document Direction Outgoing
Date9 June 1776
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, 'For Miss Juliana Creswell'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:778]
Case of Miss Juliana Creswell whose long-standing ill health is attributed to 'irritability', and who is advised to continue with goat whey and other regimen.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2532]Addressee
[PERS ID:2531]PatientMiss Juliana Creswell
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2532]Patient's Physician / Surgeon / Apothecary

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 Juliana Cresswell


This Ladys ailments have now subsisted so long, or have
Recurred so often that they must be difficult to cure; but I
must observe that this does not arise from any thing
desparate in the nature of her complaints, but from this
that in persons of great delicacy & singular irritability,
which I take to be the case here, it is difficult to engage
them in such a strict attention to their manner of
Living as is however absolutely necessary to prevent a
Return of their complaints. It is however to be supposed that
this Ladys dear bought Experience has prepared her for an
exact Regimen & a close attention to it & therefore that
she may at length be greatly Relieved of all her ailments,
and I shall now give my opinion with Respect to the great
[lines?] of her conduct. She should continue to drink
the goat whey for a month longer, taking it to the quantity
of a quart every day. This quantity should, if her
stomach will bear it, be taken in the morning before
breakfast, begining before she gets out of her bed & taking
a draught every half hour, till she has taken down the quantity
her stomach easily bears. About an hour after the whey is
finished she may take her usual breakfast. Taking the whey
at any other time of day I consider as of very little use Excepting
that a basen of new drawn whey with a little dry toast may
be taken for Supper


During this [course?] & so long as any uneasy feelings
Remain in her breast continue, she should abstain
[from?] all animal food Except it may be a little calves
feet gelly. Her diet must be of milk & Grain with garden
things as they come in Season & particularly all kind
of fruit if rather moderately. --




[Page 2]


As often as the state of her ailments will allow & the weather is
tolerable, she should employ the most part of the forenoon in
gentle Exercise in a carriage. All bodily Exercise except
it is of the most gentle & moderate kind may do very
much harm.


Whether she is within Doors or abroad there is
nothing more necessary than guarding against cold
but at the same time very warm chambers or being
heated by a crowd of company are very bad for her.


For the Present the Lady must trust to the Goat whey
& a proper Regimen for her Relief & the most part
of medicines are to be laid aside.


I shall only propose one which I have found of great
benefit both in [easing?] & preventing the Returns of all
kinds of Rash. It is to be taken at first by a tea
spoonful in an ordinary wine glass full of water
but if that dose in not found to be disagreeable, & it by
its sourness it may be increased to two teaspoonfulls,
or to what her taste & stomach easily bears.


It is to be taken twice a day about two hours before
dinner time & supper & it may be easily contrived to be taken
tho she is for the time in the carriage. This medicine is to
laid aside from some days at the end of the Month.


It may be imagined that such a medicine will not agree
with a milk diet but from much experience I know that
it in no way disagrees with it.

William Cullen

Edinburgh 9th June
1776

Take three ounces of rose Water, half an ounce each of Spirit vitriol tenuis and syrup of dried roses and Mix. Label: Stomachic Mixture

Diplomatic Text

[Page 1]
For Miss Juliana Cresswell


This Ladys ailments have now subsisted so long, or have
Recurred so often that they must be difficult to cure; but I
must observe that this does not arise from any thing
desparate in ye nature of her complaints, but from this
that in persons of great delicacy & singular irritability,
wc I take to be ye case here, it is difficult to engage
them in such a strict attention to their manner of
Living as is however absolutely necessary to prevent a
Return of their complaints. It is however to be supposed that
this Ladys dear bought Experience has prepared her for an
exact Regimen & a close attention to it & therefore that
she may at length be greatly Relieved of all her ailments,
and I shall now give my opinion wt Respect to ye great
[lines?] of her conduct. She should continue to drink
ye goat whey for a month longer, taking it to ye quantity
of a quart every day. This quantity should, if her
stomach will bear it, be taken in ye morning before
breakfast, begining before she gets out of her bed & taking
a draught every half hour, till she has taken down ye quantity
her stomach easily bears. About an hour after ye whey is
finished she may take her usual breakfast. Taking ye whey
at any other time of day I consider as of very little use Excepting
that a basen of new drawn whey wt a little dry toast may
be taken for Supper


During this [course?] & so long as any uneasy feelings
Remain in her breast continue, she should abstain
[fm?] all animal food Except it may be a little calves
feet gelly. Her diet must be of milk & Grain wt garden
things as they come in Season & particularly all kind
of fruit if rather moderately. --




[Page 2]


As often as ye state of her ailments will allow & ye weather is
tolerable, she should employ ye most part of ye forenoon in
gentle Exercise in a carriage. All bodily Exercise except
it is of ye most gentle & moderate kind may do very
much harm.


Whether she is within Doors or abroad there is
nothing more necessary than guarding against cold
but at ye same time very warm chambers or being
heated by a crowd of company are very bad for her.


For the Present ye Lady must trust to ye Goat whey
& a proper Regimen for her Relief & ye most part
of medicines are to be laid aside.


I shall only propose one wc I have found of great
benefit both in [easing?] & preventing ye Returns of all
kinds of Rash. It is to be taken at first by a tea
spoonful in an ordinary wine glass full of water
but if that dose in not found to be disagreeable, & it by
its sourness it may be increased to two teaspoonfulls,
or to what her taste & stomach easily bears.


It is to be taken twice a day about two hours before
dinner time & supper & it may be easily contrived to be taken
tho she is for ye time in ye carriage. This medicine is to
laid aside from some days at ye end of ye Month.


It may be imagined that such a medicine will not agree
wt a milk diet but from much experience I know that
it in no way disagrees wt it.

William Cullen

Edinr 9th June
1776


Aq. rosar ℥iij Spir vitriol ten
Syr.e rosis sicc @ ℥sſ ℳ Sig. Stomachic Mixture

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