Cullen

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

 

[ID:4994] From: Dr William Cullen (Professor Cullen) / To: Captain Alexander Forrester Inglis Cochrane / Regarding: Mr James Gilchrist Cochrane (Jamie) (Patient) / 1 March 1785 / (Outgoing)

Reply 'For the Honble. Mr James Cochrane'

Facsimile

There are 5 images for this document.

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Metadata

FieldData
DOC ID 4994
RCPE Catalogue Number CUL/1/1/17/188
Main Language English
Document Direction Outgoing
Date1 March 1785
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply 'For the Honble. Mr James Cochrane'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:195]
Case of James [Jamie] Cochrane seriously ill with a hard, swollen abdomen and whose case proves fatal.
9


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2697]AddresseeCaptain Alexander Forrester Inglis Cochrane
[PERS ID:2692]PatientMr James Gilchrist Cochrane (Jamie)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2697]Patient's Relative / Spouse / FriendCaptain Alexander Forrester Inglis Cochrane

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 Culross Abbey House Culross Edinburgh and East Scotland Europe inferred
Mentioned / Other London London and South-East England Europe certain

Normalized Text

[Page 1]
The Honourable Mr James Cochrane


After {illeg} for some time very carefully
to all the circumstances of Mr. Cochrane's complaints, I
find no occasion for his remaining longer in Town
and hope he may be the better for the Air and
exercise which he can get more conveniently in
the Country. But as his complaints are far from
being yet removed I advise the following medicines
and Regimen to be employed for him in the Country.


1. Let him continue to take the Strengthening
drops
as he has done for some time past twice a day
that is about an hour before Dinner and Supper
The dose should now be twenty drops in about
half a gill of water not quite cold.


2. Let him take a dose of the purging
powder
in the morning every third day. When
the Castor Oil from London comes to hand let him
try a dose of that instead of the powder. I



[Page 2]

expect that three tea Spoonfuls {illeg} following {illeg}
if that quantity does not operate let him {illeg}
take four tea Spoonfuls and on the same condition
of not operating he may on the same third day take [four?]
and in this may find out the proper dose of the
oil which should give only one or two easy motions
and of the oil shall be found to sit easy on his
Stomach and to operate properly he may continue
to employ the Oil only every third day instead of
the powder.


3 Let his belly be anointed every night and
morning with a little of the Anodyne Oil and the
best manner of applying it will be by a finger
dipped in the oil carried gently over the whole
belly continuing the gentle friction always for
two three minutes


4. As soon as the weather will permit
let him be carried every forenoon into the open



[Page 3]

[air] [on horseback?] and the best manner will be by
[letting] him upon a Pillow before a Man. In this
Exercise for some time to come it will be necessary
to cover him warmly to defend him well against cold


5 His diet may be ordered as follows.
At Breakfast he must have no Indian tea or
Coffee but must take Cocoa tea or a very weak Chocolate
and with these he may take toasted bread with a
very Small portion of fresh butter. Currant jelly, honey
or other Sweet meat I hold to be improper.


Early in the morning he may have a little
warm milk ↑fresh↑ from the Cow. He may take a little
more than a gill but should not exceed half a
mutchkin. After this he must not take break¬
fast for two hours but if he chuses to let alone
milk in the morning and would rather take a
portion of it with bread for the whole of his
breakfast I think it may be very proper.


At Dinner he may always have for one



[Page 4]

part of it a little weak Broth {illeg}
beef or bit of fowl and if he likes it he may {illeg}
some fine barley boiled separately very well and may
put what portion of that he pleases ont his broth.


Besides his broth he may have a little boiled
Chicken two or at most three times a week but I
can hardly advise any other solid meat but beside
his broth he may have a light bread Pudding or,
a Rice Pudding with a few Currants in it, or,
he may have a little Potatoe pudding or some
times but not often a Pan Cake. He may some
times take some roasted or cooled apple Sweetened
with Sugar and mixed with crumb of bread
but if this seems to give him any griping it
must be let alone and it is my apprehension of
this that makes me averse to giving him any
kind of fruit but in the most sparing manner


At Supper he may take a little boiled barley, Rice or
Sago, sometimes by themselves and sometimes with a little
warm milk from the Cow.

1st March 1785
William Cullen



[Page 5]
For the Honourable Mr. James Cochrane

Take two ounces of tincture of mars as per the Edinburgh Pharmacopoeia. Label Strengthening drops

Take half a drachm of powdered composite jallop. Make in this way six doses. Label Laxative Powders

Take four ounces of very good olive oil, a drachm of Camphor, twenty drops of Sassafras oil. Mix and label Anodyne Oil.

1t March 1785
W. C.

Diplomatic Text

[Page 1]
The Honble Mr James Cochrane


After {illeg} for some time very carefully
to all the circumstances of Mr. Cochrane's complaints, I
find no occasion for his remaining longer in Town
and hope he may be the better for the Air and
exercise which he can get more conveniently in
the Country. But as his complaints are far from
being yet removed I advise the following medicines
and Regimen to be employed for him in the Country.


1. Let him continue to take the Strengthening
drops
as he has done for some time past twice a day
that is about an hour before Dinner and Supper
The dose should now be twenty drops in about
half a gill of water not quite cold.


2. Let him take a dose of the purging
powder
in the morning every third day. When
the Castor Oil from London comes to hand let him
try a dose of that instead of the powder. I



[Page 2]

expect that three tea Spoonfuls {illeg} following {illeg}
if that quantity does not operate let him {illeg}
take four tea Spoonfuls and on the same condition
of not operating he may on the same third day take [four?]
and in this may find out the proper dose of the
oil which should give only one or two easy motions
and of the oil shall be found to sit easy on his
Stomach and to operate properly he may continue
to employ the Oil only every third day instead of
the powder.


3 Let his belly be anointed every night and
morning with a little of the Anodyne Oil and the
best manner of applying it will be by a finger
dipped in the oil carried gently over the whole
belly continuing the gentle friction always for
two three minutes


4. As soon as the weather will permit
let him be carried every forenoon into the open



[Page 3]

[air] [on horseback?] and the best manner will be by
[letting] him upon a Pillow before a Man. In this
Exercise for some time to come it will be necessary
to cover him warmly to defend him well against cold


5 His diet may be ordered as follows.
At Breakfast he must have no Indian tea or
Coffee but must take Cocoa tea or a very weak Chocolate
and with these he may take toasted bread with a
very Small portion of fresh butter. Currant jelly, honey
or other Sweet meat I hold to be improper.


Early in the morning he may have a little
warm milk ↑fresh↑ from the Cow. He may take a little
more than a gill but should not exceed half a
mutchkin. After this he must not take break¬
fast for two hours but if he chuses to let alone
milk in the morning and would rather take a
portion of it with bread for the whole of his
breakfast I think it may be very proper.


At Dinner he may always have for one



[Page 4]

part of it a little weak Broth {illeg}
beef or bit of fowl and if he likes it he may {illeg}
some fine barley boiled separately very well and may
put what portion of that he pleases ont his broth.


Besides his broth he may have a little boiled
Chicken two or at most three times a week but I
can hardly advise any other solid meat but beside
his broth he may have a light bread Pudding or,
a Rice Pudding with a few Currants in it, or,
he may have a little Potatoe pudding or some
times but not often a Pan Cake. He may some
times take some roasted or cooled apple Sweetened
with Sugar and mixed with crumb of bread
but if this seems to give him any griping it
must be let alone and it is my apprehension of
this that makes me averse to giving him any
kind of fruit but in the most sparing manner


At Supper he may take a little boiled barley, Rice or
Sago, sometimes by themselves and sometimes with a little
warm milk from the Cow.

1st March 1785
William Cullen



[Page 5]
For the Honble Mr. James Cochrane


Tinct. mart. Ph. Ed. ℥ij
Sig. Strengthening drops


Pulv. e jalap. comp. Ʒſs
fiant h. m. dosis N.o 6
Sig. Laxative Powders

1t March 1785
W. C.

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