Cullen

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

 

[ID:4241] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Captain Ogilvy (Patient) / 9 May 1778 / (Outgoing)

Reply 'For Captain Ogilvy', various recipes mentioned but not included in this casebook entry.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 4241
RCPE Catalogue Number CUL/1/1/10/98
Main Language English
Document Direction Outgoing
Date9 May 1778
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Captain Ogilvy', various recipes mentioned but not included in this casebook entry.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1000]
Case of Captain Ogilvy, Kinordie [Kinnordy], who is being further advised over costiveness and a bladder condition, both of which improve.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3761]PatientCaptain Ogilvy
[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 Kinnordy (Kinordie) East Highlands Scotland Europe inferred
Mentioned / Other Bath South-West England Europe certain

Normalized Text

[Page 1]
For Captain Ogilvy


Tho his recovery has been hitherto very slow, we are clearly of
opinion, that in respect of every circumstance of his ailments re¬
covery is a good deal advanced, that there is ground to expect, that
in time it will be completed, & that there is encouragement for him to
pursue every measure that is likely to be of service.


We believe that Captain Ogilvy is pretty well instructed by his experience
in the proper management of himself & of all his ailments, but
both for the his own more exact instruction & for the information of
any Gentlemen of the profession who may be advised about him
we offer the following directions.


A state of Costiveness from the inert state of his Bowels has
formerly been very troublesome, & tho it has not been so much
of late, yet it is still to be watched over, & care taken that
it never goes too far. So long as a dose of Magnesia can be
found to answer the purpose it is to be prefer↑r↑ed, but when it fails
he may have recourse to the Laxative Pill for which a receipt
accompanies this paper, but if a large dose of these seems to
be required, it would be better for him in that case to take
two table spoonfulls of the Castor Oil, or if that does not
answer or is disagreeable to his stomach, he may have
recourse to theLaxative Electuary for which a Receipt likewise
accompanies this.


The symptom which of all other, has been the most
troublesome, is the spasm of the neck of the bladder, & tho
this is now much relieved both with respect to its violence
and frequency, yet it is possible it may at times still return.



[Page 2]

Various remedies Bark, uva ursi, Camphire & musk an were
formerly employed, & not altogether without success, but we are
persuaded that the most certain & effectual is Opium or the Tinctum
Thebaica
employed in a large dose. For sometime past he has not
found occasion to have recourse to this remedy, & we shall be
glad that he abstains from it as much as possible, but if at any
time spasms, should become either frequent or violent it should>↑may↑
be emplyed & should be for the time employed in full doses, to save
its being employed too often. When it is employed the more
attention must be given to the state of the Belly, and Costiveness
must be obviated by one or other of the measures above mentioned.


It is manifest that with regard to pains & power of the back, &
with regard to the motion of the hips Joint and thighs Captain Ogilvy is much
mended, & this we impute in a great measure to the Electricity
employed. It will be therefore very proper to continue the
same remedy & that very diligently giving shocks to every
part from the back downwards & frequently taking sparks
from the feet. Gentle rubbing of the feet and Legs continued
for a long time together with flannel or a flesh brush maybe of
much service. The frequent moving of the ↑ancle↑ joints by another
persons hands will also be very proper.


In Diet Captain Ogilvy may take what he likes best, but as his appetite
is now pretty good, he should avoid a full meal of animal food
or any very heavy meats. He may also take a Glass of wine
but it should be very moderately.


As soon as Captain Ogilvy can be easily put into a posture proper
for the Purpose we think he may be the better for having a
fall of very warm water upon his back and Posterior parts
in imitation of the pumping Room at Bath, to be practised



[Page 3]

two or three times a week. In the meantime he may have it
Practised on his feet and Legs.


If Captain Ogilvys recovery should continue to be very slow, he
may now & then for a fortnight, take a course of the strength↑en↑ing
Electuary ordered below.

William Cullen
Edinburgh 9th May
1778

Diplomatic Text

[Page 1]
For Captain Ogilvy


Tho his recovery has been hitherto very slow, we are clearly of
opinion, that in respect of every circumstance of his ailments re¬
covery is a good deal advanced, that there is ground to expect, that
in time it will be completed, & that there is encouragement for him to
pursue every measure that is likely to be of service.


We believe tt C. Ogilvy is pretty well instructed by his experience
in the proper management of himself & of all his ailments, but
both for the his own more exact instruction & for ye information of
any Gentlemen of the profession who may be advised about him
we offer the following directions.


A state of Costiveness from ye inert state of his Bowels has
formerly been very troublesome, & tho it has not been so much
of late, yet it is still to be watched over, & care taken that
it never goes too far. So long as a dose of Magnesia can be
found to answer ye purpose it is to be prefer↑r↑ed, but when it fails
he may have recourse to the Laxative Pill for wc a receipt
accompanies this paper, but if a large dose of these seems to
be required, it would be better for him in that case to take
two table spoonfulls of the Castor Oil, or if that does not
answer or is disagreeable to his stomach, he may have
recourse to yeLaxative Electuary for wc a Receipt likewise
accompanies this.


The symptom wc of all other, has been the most
troublesome, is ye spasm of the neck of the bladder, & tho
this is now much relieved both wt respect to its violence
and frequency, yet it is possible it may at times still return.



[Page 2]

Various remedies Bark, uva ursi, Camphire & musk an were
formerly employed, & not altogether without success, but we are
persuaded that the most certain & effectual is Opium or the Tinctum
Thebaica
employed in a large dose. For sometime past he has not
found occasion to have recourse to this remedy, & we shall be
glad that he abstains from it as much as possible, but if at any
time spasms, should become either frequent or violent it should>↑may↑
be emplyed & should be for ye time employed in full doses, to save
its being employed too often. When it is employed the more
attention must be given to ye state of the Belly, and Costiveness
must be obviated by one or other of the measures above mentioned.


It is manifest that wt regard to pains & power of the back, &
wt regard to ye motion of ye hips Joint and thighs C. Ogilvy is much
mended, & this we impute in a great measure to the Electricity
employed. It will be therefore very proper to continue the
same remedy & that very diligently giving shocks to every
part from the back downwards & frequently taking sparks
from the feet. Gentle rubbing of the feet and Legs continued
for a long time together wt flannel or a flesh brush maybe of
much service. The frequent moving of the ↑ancle↑ joints by another
persons hands will also be very proper.


In Diet C. O. may take what he likes best, but as his appetite
is now pretty good, he should avoid a full meal of animal food
or any very heavy meats. He may also take a Glass of wine
but it should be very moderately.


As soon as C. Ogilvy can be easily put into a posture proper
for the Purpose we think he may be the better for having a
fall of very warm water upon his back and Posterior parts
in imitation of the pumping Room at Bath, to be practised



[Page 3]

two or three times a week. In the meantime he may have it
Practised on his feet and Legs.


If Captn Ogilvys recovery should continue to be very slow, he
may now & then for a fortnight, take a course of the strength↑en↑ing
Electuary ordered below.

William Cullen
Edinr 9th May
1778

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