Cullen

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

 

[ID:396] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mrs Napier (Patient) / 12 July 1768 / (Outgoing)

Reply 'For Mrs Napier'. She is going to Moffat to take the waters there.

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 396
RCPE Catalogue Number CUL/1/1/2/17
Main Language English
Document Direction Outgoing
Date12 July 1768
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 Mrs Napier'. She is going to Moffat to take the waters there.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:246]
Case of Mrs Napier whose complaints Cullen attributes to 'a weakness of her nerves'; she is to visit Moffat to take the waters.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1243]PatientMrs Napier
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1160]Patient's Relative / Spouse / FriendColonel Napier

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
Mentioned / Other Moffat Borders Scotland Europe certain

Normalized Text

[Page 1]
For Mrs Napier


I am of opinion that Mrs Napier has no other disease but that
she is liable to disorder from some weakness of her Nerves from disposition
in her body to become full. I think it is of consequence for her to guard a¬
gainst both & the disorder that may arise from them.


As she is just now on the Colonels account going to Moffet I think
she may be the better from drinking that water. She should begin with a small
quantity & increase it by degrees & in every respect follow the rules given to the
Colonel only that if it sits tolerably on the stomach & does not purge Mrs Napier
may go to the lenght of a scotch pint before breakfast.


If the water purges it is not necessary to take a Medicine along with
it & on the contrary if it does any more than move the belly once a day the quan¬
tity of water must be diminished.


But I do not expect it will prove purgative & rather that it may do nothing
that way. In this case Mrs Napier will be pleased to take a dose of the
salts ordered below twice a day (↑week↑).


They are to be dissolved in the first draught of the water & usual quantity
of this to be taken at the usual intervals after them.


If these salts move the belly less than twice the dose is to be a little encrea¬
sed; But if they move the belly in tow or three times the dose is to be diminished --


Along with this course of Moffat water and salts it will be very necessary
for Mrs Napier to give attention to her diet. It need not be full low,
but it must be full. She may take a bit of plain meat every day at dinner
but the lighter the better; and the more plainly dressed. Instead of her making
a full meal of meat I would recommend as much pudding and vegetables
as her stomach easily bears only let her avoid vegetables on these days that
she takes the water.


Fish she should hardly at any time taste and if she does somtimes
it should be of the largest kind dressed in the most simple manner. Salted
meat be avoided altogether.


For drink wine and water is the most proper besides what is necessary
at table Mrs Napier should take very little wine and no punch at all ----




[Page 2]


The most proper wine for her is claret and if she should take any
stronger kind it ought always to be with water.


Much walking is bad for her but she ought to go every forenoon in
the carriage and it would be still better if it is on horseback -----

For Mrs Napier

Take [six?] ounces of Glauber's salts, one ounce of soluble tartar, half an ounce of Spanish sea-salt, and one and a half ounces of white sugar. [Put powders together?] in an open-mouthed vial. Take four or five doses. Label: Cooling Salts etcetera.

W C.

12th July
1768 ----

Diplomatic Text

[Page 1]
For Mrs Napier


I am of opinion that Mrs Napier has no other disease but that
she is liable to disorder from some weakness of her Nerves from disposition
in her body to become full. I think it is of consequence for her to guard a¬
gainst both & the disorder that may arise from them.


As she is just now on the Colonels account going to Moffet I think
she may be the better from drinking that water. She should begin with a small
quantity & increase it by degrees & in every respect follow the rules given to the
Colonel only that if it sits tolerably on the stomach & does not purge Mrs Napier
may go to the lenght of a scotch pint before breakfast.


If the water purges it is not necessary to take a Medicine along with
it & on the contrary if it does any more than move the belly once a day the quan¬
tity of water must be diminished.


But I do not expect it will prove purgative & rather that it may do nothing
that way. In this case Mrs Napier will be pleased to take a dose of the
salts ordered below twice a day (↑week↑).


They are to be dissolved in the first draught of the water & usual quantity
of this to be taken at the usual intervals after them.


If these salts move the belly less than twice the dose is to be a little encrea¬
sed; But if they move the belly in tow or three times the dose is to be diminished --


Along with this course of Moffat water and salts it will be very necessary
for Mrs Napier to give attention to her diet. It need not be full low,
but it must be full. She may take a bit of plain meat every day at dinner
but the lighter the better; and the more plainly dressed. Instead of her making
a full meal of meat I would recommend as much pudding and vegetables
as her stomach easily bears only let her avoid vegetables on these days that
she takes the water.


Fish she should hardly at any time taste and if she does somtimes
it should be of the largest kind dressed in the most simple manner. Salted
meat be avoided altogether.


For drink wine and water is the most proper besides what is necessary
at table Mrs Napier should take very little wine and no punch at all ----




[Page 2]


The most proper wine for her is claret and if she should take any
stronger kind it ought always to be with water.


Much walking is bad for her but she ought to go every forenoon in
the carriage and it would be still better if it is on horseback -----

For Mrs Napier


sal. Glauber. ℥[v?]j Tartar Solub. ℥j Sal marin.
Hisp.
℥ſs. Sacchar alb. ℥jſs
Terito simul in pulverem in phiala patuli oris Ser¬
vandam Capiat ℥iv vel v dosi signa Cooling Salts &c -

W C.

12th July
1768 ----

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