Cullen

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

 

[ID:4124] From: Dr William Cullen (Professor Cullen) / To: Lord (Judge) Francis Garden (Lord Gardenston(e)) / Regarding: Lord (Judge) Francis Garden (Lord Gardenston(e)) (Patient) / August? 1777? / (Outgoing)

Reply 'For Lord Gardenston' [pp.113-5]. Advice on taking Hartfell water and bathing.

Facsimile

There are 3 images for this document.

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[Page 2]


 

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Metadata

FieldData
DOC ID 4124
RCPE Catalogue Number CUL/1/1/9/97
Main Language English
Document Direction Outgoing
DateAugust? 1777?
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 Lord Gardenston' [pp.113-5]. Advice on taking Hartfell water and bathing.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:864]
Case of Francis Garden, Lord Gardenstone who, after recounting his long struggles with ill health which he associates with 'bad living' when younger, is advised on cold water bathing and drinking Hartfell Spa water.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2039]AddresseeLord (Judge) Francis Garden (Lord Gardenston(e))
[PERS ID:2039]PatientLord (Judge) Francis Garden (Lord Gardenston(e))
[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 St Katherines East Highlands Scotland Europe inferred

Normalized Text

[Page 1]
For Lord Gardenston


I take up his Lordships Case in the view of a
nervous system considerably weakened by the many shocks
which it has recieved. ––


This not to be entirely restored, but may be in a
great measure by the following measures.


For strengthening there is nothing more effectual
than cold bathing & that method to which his Lordship
is accustomed may answer as well as any –– By being
practised very constantly it may become familiar & of
less effect, but this is to be prevented by frequently inter¬
rupting it & by having recourse to it only when weakness
seems to require it or if that is frequent by rendering the
water employed a little colder than before, by throwing a
handfull or two of salt into the water before using it


Much fresh air and exercise, not to the length of
fatigue & avoiding all cold & wet.


These measures commonly sufficient to keep the body
in all the Vigour it is capable of – & few medicines
necessary – Bark & Bitters are frequently employed
with advantage; but loose their effect or do harm by being
long employed & the only Medicines I can recommend
with confidence are the Chalybeates




[Page 2]


I have prescribed below a medicine which I hope may
be of use. The Chalybeate Powder mixed with
a little Currant Jelly, & washed down with a
glass of Hartfell Spaw Water –– Only to be
taken for a week at first & if they agree well
with the stomach they may be renewed with
the addition mentioned. Never to be used above
a fortnight alone & repeated as required &c..
The Hartfell water may be employed longer
but not very long without some intermission


Besides the ordinary two glasses to be taken with
the Powders a glass of the same siz size is to
be taken at several other times, especially at
the morning & forenoon beginning by degrees &
increasing till so much is taken as amounts to a muchkin
in a day When bathing is practised no water is to be
taken till after bathing; but after that & at all other
times a glass is to be taken before breakfast.
It would be convenient if it could be got, to
have the Hartfell Water in muchkin bottles



[Page 3]

but if not let care be taken when a Chopin Bottle
is opened to have one half of it immediately poured
out into a muchkin bottle to be close corked & set
by in a cool place for being used next day & let
what remains in the Chopin bottle be kept also
in a cool place & close corked


The only other medicines I have also prescribed,
for obviating Costiveness


All other precautions necessary needless
to be said to Lord Gardenstone

Take 5 grains of prepared Powdered Steel, 10 grains of ground Cinnamon, 15 grains of White lump sugar. Mix to make a powder and in this way make 14 doses. Label: Chalybeate Powder one to be taken twice a day N. B. If the powders are to be repeated, increase the dose of Powdered Steel to 10 grains, the rest remaining as above.

Take 2 ounces of best Castor Oil and half an ounce of best Jamaica Rum. Mix. Label: Laxative Oil.

Diplomatic Text

[Page 1]
For Lord Gardenston


I take up his Lordships Case in the view of a
nervous system considerably weakened by the many shocks
which it has recieved. ––


This not to be entirely restored, but may be in a
great measure by the following measures.


For strengthening there is nothing more effectual
than cold bathing & that method to which his Lordship
is accustomed may answer as well as any –– By being
practised very constantly it may become familiar & of
less effect, but this is to be prevented by frequently inter¬
rupting it & by having recourse to it only when weakness
seems to require it or if that is frequent by rendering the
water employed a little colder than before, by throwing a
handfull or two of salt into the water before using it


Much fresh air and exercise, not to the length of
fatigue & avoiding all cold & wet.


These measures commonly sufficient to keep the body
in all the Vigour it is capable of – & few medicines
necessary – Bark & Bitters are frequently employed
with advantage; but loose their effect or do harm by being
long employed & the only Meds. I can recommend
with confidence are the Chalybeates




[Page 2]


I have prescribed below a med wc I hope may
be of use. The Chalybeate Powder mixed with
a little Currant Jelly, & washed down with a
glass of Hartfell Spaw Water –– Only to be
taken for a week at first & if they agree well
with the stomach they may be renewed with
the addition mentioned. Never to be used above
a fortnight alone & repeated pro re nata &c..
The Hartfell water may be employed longer
but not very long without some intermission


Besides the ordinary two glasses to be taken with
the Powders a glass of the same siz size is to
be taken at several other times, especially at
the morning & forenoon beginning by degrees &
increasing till so much is taken as amounts to a muchkin
in a day When bathing is practised no water is to be
taken till after bathing; but after that & at all other
times a glass is to be taken before breakfast.
It would be convenient if it could be got, to
have the Hartfell Water in muchkin bottles



[Page 3]

but if not let care be taken when a Chopin Bottle
is opened to have one half of it immediately poured
out into a muchkin bottle to be close corked & set
by in a cool place for being used next day & let
what remains in the Chopin bottle be kept also
in a cool place & close corked


The only other meds I have also prescribed,
for obviating Costiveness


All other precautions necessary needless
to be said to Lord Gardenstone


Limat. Mart. pptt. gr v
Cin. pulv. gr x
S. a. duriss gr xv
ℳ. f. P. et f. h. m. dos № xiv
S. Chalybeate Powder one to be taken twice a day
N. B. Si pulveres repetendi sint dosis Limat M.
in unoquoque ad gr x cæteris manentibus ut supra


Ol. ricin opt. ℥ii
Spirt. Sacchar. Jamaicens. opt. ℥ſs
ℳ. S. Laxative Oil

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