Cullen

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

 

[ID:4213] From: Dr William Cullen (Professor Cullen) / To: Mrs Maccullock (Macculloch) / Regarding: Mrs Maccullock (Macculloch) (Patient), Mrs Katharine MacNab (McNab) (Patient) / February? 1778? / (Outgoing)

Reply 'For Mrs Macculloch'

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4213
RCPE Catalogue Number CUL/1/1/10/70
Main Language English
Document Direction Outgoing
DateFebruary? 1778?
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mrs Macculloch'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1010]
Case of Katherine McNab, mother of twenty children, who has become extremely weak from a cough, diaorrhea and jaundice but who has hitherto avoided seeking medication out of fear. Cullen diagnoses gall stones.
4
[Case ID:1092]
Case of Mrs Macculloch who has a colic and inflammation.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:153]AddresseeMrs Maccullock (Macculloch)
[PERS ID:153]PatientMrs Maccullock (Macculloch)
[PERS ID:2179]PatientMrs Katharine MacNab (McNab)
[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 Thurso North Highlands Scotland Europe inferred

Normalized Text

[Page 1]
For Mrs Macculloch


Her complaint a pure Colic without inflammation
If it is attended as common to such ailments with
Costiveness - the first thing to be done is to open
the Belly by a Glyster or if these do not answer
by Medicines by the mouth ----- see below.


While measures are taken to open the Belly the
pain is to be relieved by warm cloths applied to
the Belly or by cloths wrung out of boiling Water &
applied as hot as they can be born. - The Disease
frequently comes on & is commonly attended with a coldness
of the
feet, & this is to be removed as soon as possible
by warm Cloths boiled bricks or Bottles of hot water
When the Belly is sufficiently opened it will be
proper to give thirty Drops of L. L. & if that does
not give entire relief, thirty or at least twenty drops
more maybe given in an hour or two after.


If after these remedies the pain should in some
degree remain or return next or in some day soon
after the same course of Purging & L. L. is to be repeated.
In some more obstinate Cases it is of great service to
put the Patient up to the waist in a warm Bath or
if that is not easily to be had, a fomentation of
the Belly for an hour or two - see directions for Mrs
McNab. -


One of the most troublesome circumstances which



[Page 2]

occurs in such ailments is a frequent vomiting &
if it is necessary to remove {illeg} that Medicines may
be kept in the Stomach - If it should be the Case
that every thing is rejected by the Stomach a large
Dose of L. L. must be given & if even that be
thrown up sixty Drops of L. L. must be given by
injection in three or four Ounces of water.


It sometimes happens that at first there is not
inflammation attending Colic; but when the Disease
proves both violent & obstinate some inflammation
often comes on & maybe suspected when a consi¬
derable degree of Fever arises & in that Case it is
necessary to take blood from the arm more or less
according to the Urgency of Symptoms & the
date of the Strength of the Patient --


These are the measures I can advise; but in the
case of any future Colics; but for the present it is
probable that the Disease has taken a Turn one way
or other before this comes to hand; but by considering the
above it may be percieved how far one, or other of the
Remedies above proposed may be proper.

Formula Enematis


Flor. chamom. mass parv. Semin. Carvi
Coque ex Aq. ℔j ad ℥xii liq. colato adde ol. oliv. ℥j vel
Butyr. cochl. maj.j. Sal. commun. cochl. maj. j. Si hoc
non
Si alvus non resp. repetat.a Enem. cum duplice Sal. com.
et hoc modo rep.r donec alv. resp. vel pro re nata

Take a small amount of Flowers of chamomile and Caraway Seed. Cool in a pound of water until it boils down to twelve ounces; to the drained liquid add an ounce of olive oil or a big spoonful of butter. A big spoonful of common Salts. If the belly does not respond, repeat the Enematic Formula with double the amount of common Salts and thus repeat until it responds, or according to the circumstance.


Cryst. tart. pulv. ℥j Pulv. comp. Jalap. Ʒij. Nuc mosch. ras Ʒj
Elect. lenitiv. ℥ſs. Syr. rosar. pallid q. s. ut. f. Elect. tenue.
Cant. cochl. min om. hor. donec Take an ounce of powdered Crystal tartar, two drachms of powdered composite Jallop, an ounce of grated nutmeg, half an ounce of lenitive Electuary, and enough syrup of white rose to make a light Electuary. Take a small spoonful every hour.

Diplomatic Text

[Page 1]
For Mrs Macculloch


Her compt a pure Colic without inflammation
If it is attended as common to such ailments with
Costiveness - the first thing to be done is to open
the Belly by a Glyster or if these do not answer
by Medicines by the mouth ----- see below.


While measures are taken to open the Belly the
pain is to be relieved by warm cloths applied to
the Belly or by cloths wrung out of boiling Water &
applied as hot as they can be born. - The Disease
frequently comes on & is commonly attended with a coldness
of the
feet, & this is to be removed as soon as possible
by warm Cloths boiled bricks or Bottles of hot water
When the Belly is sufficiently opened it will be
proper to give thirty Drops of L. L. & if that does
not give entire relief, thirty or at least twenty drops
more maybe given in an hour or two after.


If after these remedies the pain should in some
degree remain or return next or in some day soon
after the same course of Purging & L. L. is to be repeated.
In some more obstinate Cases it is of great service to
put the Patient up to the waist in a warm Bath or
if that is not easily to be had, a fomentation of
the Belly for an hour or two - see directions for Mrs
McNab. -


One of the most troublesome circumstances wc



[Page 2]

occurs in such ailments is a frequent vomiting &
if it is necessary to remove {illeg} that Medicines may
be kept in the Stomach - If it should be the Case
that every thing is rejected by the Stomach a large
Dose of L. L. must be given & if even that be
thrown up sixty Drops of L. L. must be given by
injection in three or four Ounces of water.


It sometimes happens that at first there is not
inflammation attending Colic; but when the Disease
proves both violent & obstinate some inflammtn
often comes on & maybe suspected when a consi¬
derable degree of Fever arises & in that Case it is
necessary to take blood from the arm more or less
according to the Urgency of Symptoms & the
date of the Strength of the Patient --


These are the measures I can advise; but in the
case of any future Colics; but for the present it is
probable that the Disease has taken a Turn one way
or other before this comes to hand; but by considering the
above it may be percieved how far one, or other of the
Remedies above proposed may be proper.

Formula Enematis


Flor. chamom. mass parv. Semin. Carvi
Coque ex Aq. ℔j ad ℥xii liq. colato adde ol. oliv. ℥j vel
Butyr. cochl. maj.j. Sal. commun. cochl. maj. j. Si hoc
non
Si alvus non resp. repetat.a Enem. cum duplice Sal. com.
et hoc modo rep.r donec alv. resp. vel pro re nata

Take a small amount of Flowers of chamomile and Caraway Seed. Cool in a pound of water until it boils down to twelve ounces; to the drained liquid add an ounce of olive oil or a big spoonful of butter. A big spoonful of common Salts. If the belly does not respond, repeat the Enematic Formula with double the amount of common Salts and thus repeat until it responds, or according to the circumstance.


Cryst. tart. pulv. ℥j Pulv. comp. Jalap. Ʒij. Nuc mosch. ras Ʒj
Elect. lenitiv. ℥ſs. Syr. rosar. pallid q. s. ut. f. Elect. tenue.
Cant. cochl. min om. hor. donec Take an ounce of powdered Crystal tartar, two drachms of powdered composite Jallop, an ounce of grated nutmeg, half an ounce of lenitive Electuary, and enough syrup of white rose to make a light Electuary. Take a small spoonful every hour.

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