Cullen

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

 

[ID:3992] From: Dr William Cullen (Professor Cullen) / To: Quintin Thomson / Regarding: Mr John Caldwell (Patient) / 4 February 1777 / (Outgoing)

Reply [to Quintin Thomson] concerning 'Mr John Caldwell ---- a ☾tic' (i.e. 'lunatic'). Recommendations for the care of John Caldwell (identified as a pupil of Cullen, in later correspondence) once he is taken to the country. Upstairs windows are to be screwed down and weapons kept out of reach. Cullen advises when he may need a 'waistcoat' (straitjacket).

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[Page 2]


 
 

Metadata

FieldData
DOC ID 3992
RCPE Catalogue Number CUL/1/1/8/104
Main Language English
Document Direction Outgoing
Date4 February 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply [to Quintin Thomson] concerning 'Mr John Caldwell ---- a ☾tic' (i.e. 'lunatic'). Recommendations for the care of John Caldwell (identified as a pupil of Cullen, in later correspondence) once he is taken to the country. Upstairs windows are to be screwed down and weapons kept out of reach. Cullen advises when he may need a 'waistcoat' (straitjacket).
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:583]
Case of John Caldwell, 'a lunatic'.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1706]Addressee Quintin Thomson
[PERS ID:666]PatientMr John Caldwell
[PERS ID:1706]Patient's Physician / Surgeon / Apothecary Quintin Thomson
[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 Maybole Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
Mr John Caldwell ---- a lunatic


When he goes to the country if his chamber is up stairs
the windows must be screwed down & every offensive
weapon taken out of his way.


If he is tolerably calm the waistcoat not necessary
& only a man of sufficient strength always about him,
& if this man can acquire some authority over him more
violent restraint will not be necessary --


If outrageous he must get on the waistcoat, &
this will prevent him from doing any harm either to
himself or others & will soon render him manageable
After he has been a day or two at home M Mr S. ad ℥xii 1
or as the fullness & frequency of his pulse seems to require.


If notwiths If notwithstanding the bleeding his pulse continues
full & frequent
Applicr. Empl. Episp. capite raso et pars
servetur aperta
. 2 --


At the same time let him be purged for several
times every second or third day. The most proper Purgative
would be the Tartar Emetic dissolved in water & he
should take half a grain every hour till ↑it↑ either
make him sick or begin to purge him. After being
purged
by the Tart. Em. for two or three times I would
try & get him to take from half an ounce to an
ounce of Soluble Tartar dissolved in water or whey



[Page 2]

every morning. – The dose of the Sol. Tart. should
keep his belly easy but not purge him.


The repetition of the bleeding & blistering must
be left to the discretion of some practitioner on the
spot. Diet no animal food; -- but milk
grain & vegetables – No fermented or spirituous
liquors – Water or watery liquors alone ----


If he is brought very low by these measures &
seems to be recovering his Diet may be gradually
mended.


If his Delirium continues - fresh air & Exercise will
do no good – but if he grows calmer – he may be the
better for going abroad a little, but care must be
taken not to let him be affected by any particu¬
lar objects &.cc


If notwithstanding repeated Evacuations his
Delirium continues, it may be proper to try
Cold bathing

Edinburgh February 4
1777

Notes:

1: Cullen's abbreviations are rather cryptic, but would seem to translate as 'blood [i.e. bleed him] , by measure up to twelve ounces.'

2: This translates as '...apply a severe blister (or plaster) to the shaven head, keeping the [resulting issue] open'.

Diplomatic Text

[Page 1]
Mr John Caldwell ---- a ☾tic


When he goes to the country if his chamber is up stairs
the windows must be screwed down & every offensive
weapon taken out of his way.


If he is tolerably calm the waistcoat not necessary
& only a man of sufficient strength always about him,
& if this man can acquire some authority over him more
violent restraint will not be necessary --


If outrageous he must get on the waistcoat, &
this will prevent him from doing any harm either to
himself or others & will soon render him manageable
After he has been a day or two at home M Mr S. ad ℥xii 1
or as the fullness & frequency of his pulse seems to require.


If notwiths If notwithstanding the bleedg his pulse conts
full & freqt.
Applicr. Empl. Episp. capite raso et pars
servetur aperta
. 2 --


At the same time let him be purged for several
times every second or third day. The most proper Purgat.
would be the Tartar Emetic dissolved in water & he
should take half a grain every hour till ↑it↑ either
make him sick or begin to purge him. After being
purged
by the Tart. Em. for two or three times I would
try & get him to take from half an ounce to an
ounce of Soluble Tartar dissolved in water or whey



[Page 2]

every morng. – The dose of the Sol. Tart. should
keep his belly easy but not purge him.


The repetition of the bleeding & blistering must
be left to the discretion of some practitioner on the
spot. Diet no animal food; -- but milk
grain & vegetables – No fermented or spirituous
liquors – Water or watery liquors alone ----


If he is brought very low by these measures &
seems to be recovering his Diet may be gradually
mended.


If his Delirium conts - fresh air & Exercise will
do no good – but if he grows calmer – he may be the
better for going abroad a little, but care must be
taken not to let him be affected by any particu¬
lar objects &.cc


If notwithstanding repeated Evacuations his
Delirium continues, it may be proper to try
Cold bathing

Edinr Febry 4
1777

Notes:

1: Cullen's abbreviations are rather cryptic, but would seem to translate as 'blood [i.e. bleed him] , by measure up to twelve ounces.'

2: This translates as '...apply a severe blister (or plaster) to the shaven head, keeping the [resulting issue] open'.

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