Cullen

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

 

[ID:4504] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mrs Stevenson (Stephenson) (Patient) / 8 September 1779 / (Outgoing)

Reply headed 'For Mrs Stephenson', discussing medicines, diet and suggesting that her cure is more likely now that she has stopped travelling and undertaking business,.

Facsimile

There are 3 images for this document.

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Metadata

FieldData
DOC ID 4504
RCPE Catalogue Number CUL/1/1/12/71
Main Language English
Document Direction Outgoing
Date8 September 1779
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply headed 'For Mrs Stephenson', discussing medicines, diet and suggesting that her cure is more likely now that she has stopped travelling and undertaking business,.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1195]
Case of Mrs Stephenson (Stevenson) who has a sore throat, breathing and other chronic complaints.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3054]PatientMrs Stevenson (Stephenson)
[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 Newcastle upon Tyne North-East England Europe inferred
Therapeutic Recommendation London London and South-East England Europe certain

Normalized Text

[Page 1]
For Mrs Stephenson

Take aloetic pill mass as per the Pharmacopoeia


From a pretty long acquaintance with Ms Stephenson-s complaints it
appears to me that they have been chefly owing to a weakness of
her
stomach & bowels. While she continued exposed to much
Motion & fatiguein business these complaints were difficultly
removed but leisure & ease with a few medicines have I hope re¬
moved them very entirely & I dont doubt that an easy journey to
London will be great service in confirming her health ---


However in case her ailments should in any measure return



[Page 2]

I give here my opinion how they should be managed & in the meantime
how they may be prevented.


Her diet should be of a middle kind. At dinner a little light meat or
fish but animal food always moderately filling up her meal with
a light soup, light pudding or what vegetables she can easily digest --


No meat at supper, but somewhat of Rice Barley or sago
sometimes with milk if she digests it easily & sometimes with a little
wine only . . -- At Breakfast cocoa tea or Chocolate are more
proper than common tea or Coffee, but if she takes either of
the two last, they should be weak & with a great deal of milk. -----


Her ordinary drink must be plain water. Malt Liquors of
all kinds are very improper. - Every day at dinner she may take
a glass or two of wine, but it should be of the stronger kinds as Madeira
strong sherry or red port taking little water with them. --


Ms Stephenson will always be the better of fresh air & gentle exer¬
cise but should never be heated or fatigued with any exercise & should always
take care to avoid cold. - It is necessary she should avoid costiveness
& for that purpose whenever it is necessary she should employ the laxative
pills
prescribe on 't other page taking one for a dose at bedtime.


If in spite of all she should have any return of her ailments, if the
complaints should be heat or & uneasiness in her right side let her
emply the stomachic mixture ordered also on t' other page taking
two tablespoonfulls at going to bed & once or twice again in the
course of the night if she does not sleep.


If her complaints should be the windy pains & stirrings in her left
side
let her take the aperient powder ordered in the morning & this may be
repeated twice a week. -----



[Page 3]


These medicines shall I hope soon remove her complaints but if her
appetite or digestion should at any time fall off while the flatulent
complaints
should ↑threaten↑ frequently to return, let her take to the stomachic
tincture
taking a teaspoonfull in an ordinary wine glassfull
of water an hour or two before dinner & supper.

Edinburgh September 8th 1779
WC.
For Mrs Stephenson.

Take a drachm of Aloetic pill mass as per the Edinburgh Pharmacopoeia. Divide into twelve pills. Label: Laxative Pills, one to be taken for a dose at bedtime

Take a drachm of volatile Salts of Hartshorn, an ounce and a half of freshly squeezed Lemon juice, or as necessary. Once the effervescence has happened add an ounce and a half each of Simple Cinnamon water and rose water, half an ounce each of Nutmeg water and Simple syrup. Mix and Label: Stomachic Mixture.

Take ten grams each of powdered Rhubarb and electuary of Crab's Eyes, three grams of powdered Cinnamon; mix to make a powder. Label: Aperient Powder.

Take an ounce and a half of Tincture of Mars as per the Edinburgh Pharmacopoeia, two drachms of composite Spirit of Lavender. Mix and Label: Stomachic Tincture.

Diplomatic Text

[Page 1]
For Mrs Stephenson


From a pretty long acquaintance with Ms S.-s complaints it
appears to me that they have been chefly owing to a weakness of
her
stomach & bowels. While she contind exposed to much
Motion & fatiguein business these complaints were difficultly
removed but leisure & ease wt a few medicines have I hope re¬
moved them very entirely & I dont doubt that an easy journey to
London will be gt service in confirming her health ---


However in case her ailments sd in any measure return



[Page 2]

I give here my opinion how they should be mand & in ye meantime
how they may be prevented.


Her diet sd be of a middle kind. At dinner a little light meat or
fish but animal food alws moderately filling up her meal with
a light soup, light pudding or what vegetables she can easily digest --


No meat at supper, but somewhat of Rice Barley or sago
sometimes with milk if she digests it easily & sometimes wt a little
wine only . . -- At Breakfast cocoa tea or Chocolate are more
proper than common tea or Coffee, but if she takes either of
ye two last, they sd be weak & wt a gt deal of milk. -----


Her ordinary drink must be plain water. Malt liqs of
all kinds are very improper. - Every day at dinner she may take
a glass or two of wine, but it sd be of ye stronger kinds as Madeira
strong sherry or red port taking little water with them. --


Ms S. will always be ye better of fresh air & gentle exer¬
cise but sd never be heated or fatigued wt any exercise & sd alws
take care to avoid cold. - It is necessary she sd avoid costiveness
& for yt purpose whenever it is necessary she sd employ ye laxative
pills
prescribe on 't other page taking one for a dose at bedtime.


If in spite of all she sd have any return of her ailments, if ye
complaints shd. be heat or & uneasiness in her right side let her
emply ye stomachic mixture ordered also on t' other page taking
two tablespoonfulls at going to bed & once or twice again in ye
course of ye night if she does not sleep.


If her complaints shd be ye windy pains & stirrings in her left
side
let her take ye aperient powder ordered in ye morng & ys may be
repeated twice a week. -----



[Page 3]


These medicines sl I hope soon remove her complaints but if her
appetite or digestion shd at any time fall off while ye flatulent
complaints
shd ↑threaten↑ frequently to return, let her take to ye stomachic
tincture
taking a teaspoonfull in an ordinary wine glassfull
of water an hour or two before dinner & supper.

Edinr. Septr. 8th 1779
WC.
For Mrs Stephenson.


Mass. pil. aloetic. Ph. Edin. Ʒj
Divide in pil. No xij
Sig. Laxative Pills one to be taken for a dose at bedtime


Sal. vol. c. c. Ʒj Succ. limon. rec. ℥jβ vel q. s.
Effervescentia peracta adde
Aq. cinnam. Simpl. rosar @ ℥jβ
--- nuc. moschat Syr Simpl. @ ℥ſs
ℳ Signa Stomachic Mixture.


pulv. rhei elect. Ocul. cancr. pp.t. @ gr. x
Cinnam. pulv. gr. iij ℳ f. pulvis
Signa Aperient Powder.


Tinct. Mart. Ph. Edin. ℥jβ
Spir. lavend. comp. Ʒij
ℳ Sig. Stomachic Tincture.

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