Cullen

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

 

[ID:4289] From: Dr William Cullen (Professor Cullen) / To: Dr John Mudie (Moodie) / Regarding: Miss Swan (Patient), Mr Robert Thomson (Thompson) (Patient) / 11 August 1778 / (Outgoing)

Reply headed 'Dr Mudie C Miss Swan and Mr Thompson [Robert Thomson]'.

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Metadata

FieldData
DOC ID 4289
RCPE Catalogue Number CUL/1/1/11/27
Main Language English
Document Direction Outgoing
Date11 August 1778
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 headed 'Dr Mudie C Miss Swan and Mr Thompson [Robert Thomson]'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:564]
Case of Miss Swan, whose symptoms Cullen suspects indicate a phthisis.
2
[Case ID:984]
Case of Robert Thomson, a Montrose shopkeeper with a long history of 'plethora' and 'hydroptick' symptoms, including swollen legs and suppressed urine.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1646]AddresseeDr John Mudie (Moodie)
[PERS ID:2117]PatientMiss Swan
[PERS ID:2310]PatientMr Robert Thomson (Thompson)
[PERS ID:1646]Patient's Physician / Surgeon / ApothecaryDr John Mudie (Moodie)
[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 Edinburgh Edinburgh and East Scotland Europe inferred
Destination of Letter Montrose East Highlands Scotland Europe inferred

Normalized Text

[Page 1]
Dr Mudie C Miss Swan and Mr Thompson

Dear Sir


I have several times visited Miss Swan & find her symptoms very
exactly as you represent them. These with the hereditary taint give the
strongest grounds to apprehend a Phthisis & which it may be very difficult to
prevent, but I hope it is possible & at least we ought to act in every respect as
if it were so.


Her milk & vegetable diet must be continued & so strictly that
except a little broth at dinner, I would not allow of any other animal
food, & her only drink must be water whey or butter milk, without
any fermented or spiritous Liquors. While the season continues
mild she should live in the Country but when Winter sets in, it
will be indifferent whether she lives in the Town or Country &
perhaps the former will be the safest. While she continues in the
Country, she should be much in the fresh air and in gentle ex¬
cercise, but walking is hazardous & she should do it gently & little
alone time. Riding will be safer & of more service but even this
should be gently & on a smooth going horse taking care that it
is never so much as to increase her spitting of blood. Going in a
Carriage will be still more secure & if she could go on a journay
for two or three weeks, it is likely to be of more service than any
remedy whatever. Wherever she is it will be of the utmost con¬
sequence to guard against cold. She should wear a flannel shirt
next her skin & be otherwise warmly Cloathed, especially toward
Winter. She should take care not to walk out upon damp ground
to keep her feet & Legs always warm & dry, & take every other
precaution against damp & moisture.- As soon as she is settled




[Page 2]


at home let a blister of a moderate size be applied between her
shoulders & let a part of it be turned in to a perpetual Issue. If this
proves very painfull or troublesome, it may be dried up and a
pea Issue put in to her arm. If her spitting ofblood continues
in any quantity & especially withany pain in her breast or side
or with any difficulty of breathing, let a few ounces of blood be
taken from her arm & this may be repeated as occasion may
seem to require with out much regard to her monthly evacu¬
ations - It will be very proper to keep her belly regular & if
necessary by the Laxatives you have experience of. To moderate
the Hamoptoe & prevent its consequences, let her take the cooling
mixture prescribed on a paper a part two or three times a day & I
expect it will be particularly useful in mending her appetite.


This is all I have to say of Miss Swan & I shall very willingly
give Mr Thompson my best advice without expecting any sort
of Fee. -- I think it favourable that his Hydropic symptoms
shift their place & that in general they have not increased.
However they are still so great as to require the same attention
as before. I am disappointed in the effects ofthe Calchicum &
cannot insist upon it, but atthe same time his feeling himself
relieved by his purging pills is to me a proof that he will bear
some more evacuation than I though of. & I would have him
take a medicine which I expect will be more Diuretic than his
purging pills. The Medicine I mean is the Electuary pre¬
scribed on the paper apart, which he may take two or three
times a week to the quantity that gives him two or three
stools. -- Take care that your Compound powder is well




[Page 3]


tritrated. Tho I think he will be in no security till his
urine is increased, I think he will be much the better of employing
some of the Tonic Medicines. I formerly advised and I still ear¬
nestly recommend them.

For Miss Swan

Take four ounces of Rose water and a half-ounce each of syrup of dried roses and soft Oil of Vitriol. Mix and Label

For Mr Thomson

Take two ounces of Tartar crystals, a half-ounce of powdered compound of jallop , one ounce of lenitive Electuary and sufficient quantity of Simple syrup

11th Aug. 1778.

Diplomatic Text

[Page 1]
Dr Mudie C Miss Swan and Mr Thompson

Dr


I have several times visited Miss Swan & find her symptoms very
exactly as you represent them. These with ye hereditary taint give the
strongest grounds to apprehend a Phthisis & wc it may be very difficult to
prevent, but I hope it is possible & at least we ought to act in every respect as
if it were so.


Her milk & vegetable diet must be continued & so strictly that
except a little broth at dinner, I would not allow of any other animal
food, & her only drink must be water whey or butter milk, wtout
any fermented or spiritous Liquors. While ye season continues
mild she should live in the Country but when Winter sets in, it
will be indifferent whether she lives in the Town or Country &
perhaps the former will be the safest. While she continues in ye
Country, she should be much in the fresh air and in gentle ex¬
cercise, but walking is hazardous & she should do it gently & little
alone time. Riding will be safer & of more service but even this
should be gently & on a smooth going horse taking care that it
is never so much as to increase her spitting of blood. Going in a
Carriage will be still more secure & if she could go on a journay
for two or three weeks, it is likely to be of more service than any
remedy whatever. Wherever she is it will be of the utmost con¬
sequence to guard against cold. She should wear a flannel shirt
next her skin & be otherwise warmly Cloathed, especially toward
Winter. She should take care not to walk out upon damp ground
to keep her feet & Legs always warm & dry, & take every other
precaution against damp & moisture.- As soon as she is settled




[Page 2]


at home let a blister of a moderate size be applied between her
shoulders & let a part of it be turned in to a perpetual Issue. If this
proves very painfull or troublesome, it may be dried up and a
pea Issue put in to her arm. If her spitting ofblood continues
in any quantity & especially wtany pain in her breast or side
or with any difficulty of breathing, let a few ounces of blood be
taken from her arm & this may be repeated as occasion may
seem to require with out much regard to her monthly evacu¬
ations - It will be very proper to keep her belly regular & if
necessary by the Laxatives you have experience of. To moderate
the Hamoptoe & prevent its consequences, let her take the cooling
mixture prescribed on a paper a part two or three times a day & I
expect it will be particularly useful in mending her appetite.


This is all I have to say of Miss Swan & I shall very willingly
give Mr Thompson my best advice without expecting any sort
of Fee. -- I think it favourable that his Hydropic symptoms
shift their place & that in general they have not increased.
However they are still so great as to require the same attention
as before. I am disappointed in ye effects ofthe Calchicum &
cannot insist upon it, but atye same time his feeling himself
relieved by his purging pills is to me a proof that he will bear
some more evacuation than I though of. & I wd have him
take a medicine wc I expect will be more Diuretic than his
purging pills. The Medicine I mean is the Electuary pre¬
scribed on the paper apart, wc he may take two or three
times a week to the quantity that gives him two or three
stools. -- Take care that your Compound powder is well




[Page 3]


tritrated. Tho I think he will be in no security till his
urine is increased, I think he will be much the better of employing
some of the Tonic Medicines. I formerly advised and I still ear¬
nestly recommend them.

For Miss Swan


Aq. rosar. ℥jv
Syr. e ros. sicc.
Spirt. vitr. ten. @ ℥ſs
ℳ. Sig.

For Mr Thomson


Cryst. tart. ℥ij
P. e jal. compt. ℥ſs.
Elect. Lenitiv. ℥j
Syr. simpl. q. s.ut

11th Aug. 1778.

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