Cullen

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

 

[ID:4282] From: Dr William Cullen (Professor Cullen) / To: Mrs Porteous / Regarding: Mrs Porteous (Patient) / 29 July 1778 / (Outgoing)

Reply 'For Mrs Porteous'. A recipe is mentioned but not copied.

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4282
RCPE Catalogue Number CUL/1/1/11/20
Main Language English
Document Direction Outgoing
Date29 July 1778
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) Enclosure(s) mentioned, but missing
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply 'For Mrs Porteous'. A recipe is mentioned but not copied.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1009]
Case of Mrs Porteous whose disorder is attributed to sharp blood and weak solids.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2395]AddresseeMrs Porteous
[PERS ID:2395]PatientMrs Porteous
[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

Normalized Text

[Page 1]
For Mrs Porteous


Mrs Porteous ailments depend on a sharpness of her blood &
a weakness of her solids, & as such a state has subsisted a long time
it cannot be immediately cured but I expect it will be much mended
by the following measures.


1 Let her take the bigness of a horsebean 1 of the strengthening
Electuary
ordered below, three times a day. If this dose sits
easy on her stomach, it may be increased to the bigness of
a hazelnut & by degrees to the bigness of a nutmeg.


2. After every dose of the Electuary let her take half a gill
of the Decoction also ordered below, & if this dose also agrees
with her, it may be increased to a gill at each time.


N.B. If these medicines any ways disagree with her
stomach, it may be uncertain which of them disagrees, more
especially while they are taken together. In that case
therefore let them be taken together separately that it may
be known which of them is particularly to be blamed.


3. With these medicines let her take almost entirely to a
milk and vegetable diet. Let her take half a muchkin
of Cows Milk warm from the Cow, & sleep after it. For the rest
let her take milk and grain that is bread, Rice, Barley, Sago
or oatmeal, & these kinds of grain may either be taken with
milk in the morning & Evening or made into Pudding or pancake
at Dinner. If plain milk shall not be found to agree with (↑digest↑)
easily, let her mix with the milk an equal part of water gruel
& sweaten the mixture very well with water sugar, & take this
instead of plain milk with bread or grain. ----



[Page 2]


For ordinary drink let her take toast water by itself or with a fourth
part of milk in it. Sometimes she may take fresh butter milk, but
should avoid all kinds of fermented liquors.


4. If either the medicines or diet advised bring on any Costive¬
ness
let it be removed by a tea spoonfull or two of flowers of
Sulphur
taken in the morning.


5. It would be of great service to Mrs Porteous to take a cold Bath every
morning. She should not take it in the river or in water taken
from the river but should take it within doors in water
taken from a Well or Spring. If she can find conveniency
for this in the Country it is well, but if not she should have a
shower Bath machine sent her from the town.


6. Nothing is more necessary for her than being much in
the fresh air & in gentle exercise. Walking but very little
& in the gentlest manner, is not proper for her, but every day that
is tolerably fair, she should spend a great part of the forenoon
& some part of the Evening in a single horsechaise or Whiskie. 2

Edinburgh 29 July 1778
W.m C.

Notes:

1: Seed-pod of '...a leguminous plant grown as food for cattle, as Vicia faba, Canavalia ensiformis, Parkinsonia aculeata...' (OED).

2: A light, two-wheeled carriage.

Diplomatic Text

[Page 1]
For Mrs Porteous


Mrs Porteous ailments depend on a sharpness of her blood &
a weakness of her solids, & as such a state has subsisted a long time
it cannot be immediately cured but I expect it will be much mended
by the following measures.


1 Let her take the bigness of a horsebean 1 of the strengthening
Electuary
ordered below, three times a day. If this dose sits
easy on her stomach, it may be increased to the bigness of
a hazelnut & by degrees to the bigness of a nutmeg.


2. After every dose of the Electuary let her take half a gill
of the Decoction also ordered below, & if this dose also agrees
with her, it may be increased to a gill at each time.


N.B. If these medicines any ways disagree with her
stomach, it may be uncertain which of them disagrees, more
especially while they are taken together. In that case
therefore let them be taken together separately that it may
be known wc of them is particularly to be blamed.


3. With these medicines let her take almost entirely to a
milk and vegetable diet. Let her take half a muchkin
of Cows Milk warm from the Cow, & sleep after it. For the rest
let her take milk and grain that is bread, Rice, Barley, Sago
or oatmeal, & these kinds of grain may either be taken wt
milk in the Morng & Eveng. or made into Pudding or pancake
at Dinner. If plain milk shall not be found to agree wt (↑digest↑)
easily, let her mix wt ye milk an equal part of water gruel
& sweaten the mixture very well wt water sugar, & take this
instead of plain milk wt bread or grain. ----



[Page 2]


For ordinary drink let her take toast water by itself or with a fourth
part of milk in it. Sometimes she may take fresh butter milk, but
should avoid all kinds of fermented liquors.


4. If either the medicines or diet advised bring on any Costive¬
ness
let it be removed by a tea spoonfull or two of flowers of
Sulphur
taken in the Morng.


5. It would be of great service to Mrs P. to take a cold Bath every
morng. She should not take it in the river or in water taken
from the river but should take it within doors in water
taken from a Well or Spring. If she can find conveniency
for this in ye Country it is well, but if not she should have a
shower Bath machine sent her from the town.


6. Nothing is more necessary for her than being much in
the fresh air & in gentle exercise. Walking but very little
& in the gentlest manner, is not proper for her, but every day that
is tolerably fair, she should spend a great part of the forenoon
& some part of the Eveng in a single horsechaise or Whiskie. 2

Edinr 29 July 1778
W.m C.

Notes:

1: Seed-pod of '...a leguminous plant grown as food for cattle, as Vicia faba, Canavalia ensiformis, Parkinsonia aculeata...' (OED).

2: A light, two-wheeled carriage.

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