The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:5683] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mrs Hamilton (Patient) / 15 July 1788 / (Outgoing)
Rely, 'For Mrs Hamilton of Wishaw'. Cullen confirms his opinion of Mrs Hamilton's complaint as proceeding from a gouty disposition and again advises on diet and exercise. As she found benefit from bitters given to her by Mr Lata Cullen advises she continue using them. Cullen also encloses a recipe for an aperient solution.
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- Normalized Text
- Diplomatic Text
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Facsimile
There are 5 images for this document.
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Metadata
| Field | Data |
|---|---|
| DOC ID | 5683 |
| RCPE Catalogue Number | CUL/1/1/20/302 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 15 July 1788 |
| Annotation | None |
| Type | Machine scribal copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Rely, 'For Mrs Hamilton of Wishaw'. Cullen confirms his opinion of Mrs Hamilton's complaint as proceeding from a gouty disposition and again advises on diet and exercise. As she found benefit from bitters given to her by Mr Lata Cullen advises she continue using them. Cullen also encloses a recipe for an aperient solution. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1866] |
Case of Mrs Hamilton of Wishaw who is thought to have no disease, just the effects of a 'nervous shock'. |
5 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:3630] | Addressee | Dr |
| [PERS ID:3624] | Patient | Mrs Hamilton |
| [PERS ID:3630] | Patient's Physician / Surgeon / Apothecary | Dr |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:3629] | Patient's Physician / Surgeon / Apothecary | Mr James Lata |
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 | Wishaw | Glasgow and West | Scotland | Europe | inferred | |
| Mentioned / Other | Wishaw | Glasgow and West | Scotland | Europe | certain |
Normalized Text
For Mrs. Hamilton of Wishaw
I have considered the whole of her complaints
with the utmost attention, and am of opinion as I
have been before that they all proceed from a
Gouty disposition not taking its proper course.
This is not to be eradicated, but it may be ma¬
naged, so as to be rendered safe, and tolerably easy
What I think will be of most service
at the season, is a Journey steadily pursued for
Eight or ten days, avoiding however very wet
weather. Wherever She is, she may take some
short walks, but never to make these long
at one time.
Every morning, before She gets out of bed
her feet and legs, should be rubbed for a quarter
of an hour ↑with warm flannel↑ and She should wear warm worsted
stockings, and pretty thick Shoes during
[Page 2]
the whole day, and if at any time any coldness or
clamminess comes upon the feet, they ought to be
brought to the fire, and chaffed with warm
flannel till the coldness is gone.
Her diet should be light and plain, but
inclining to the solid. She may take a little
of some young and tender garden things as they
are just now in season, but I dare not be
very particular, as Mrs. Hamilton should
be directed by her own late experience of what
agrees best, or is most easily digested by her
stomach.
I would say the same of her Drinks. I
think it would be proper for her to take two
or three glasses of Wine every day, but both
for the kind and quantity, I would consult
her own experience, but as in such strong
Wine of all kinds is often precarious I
believe that either Rum, Brandy or
[Page 3]
very good Gin with a proper proportion
of water will more certainly agree with her
than any Wine.
Both Tea and Coffee I am certain
are nor bad for her, and instead of any of them
at Breakfast she should take Beef tea
or Cocoa.
She may if She likes it, take some
fresh drawn Cow milk whey pretty early
in the morning, but I suspect it may prove
too windy, and if that is perceived, it should
be let alone.
Knowing well the power of habit
I am clear that upon the journey proposed
she should every night take her two Anodyne
pills, and about her leaving them off, we
shall speak hereafter.
There is only one medicine I have to
propose at present, and I have given
[Page 4]
a prescription for it upon a separate paper.
It is to be taken by a Tablespoonful for a dose
twice every day an hour or half an hour before
breakfast and a full hour before dinner. It
is intended to keep the belly regular, but not to
purge, and if it has any purgative effect
One dose only is to be taken in a day, but if
it falls short of keeping the belly regular
the dose or doses may be increased.
If Mrs. Hamilton should be liable
to such uneasiness of stomach as she formerly
found to be relieved by the Bitters formerly
given to her by Mr. Lata, she may take
some of these along with her upon the journey
and take a dose of them when occasion seems
to require
William Cullen
Edinburgh 15th. July
1788
[Page 5]
For Mrs. Hamilton of Wishaw
Take two ounces each of Regenerated Tartar, Sal Rupellensis and Daffy's Elixir, three ounces each of simple cinnamon Water and rose Water. Mix. Label: Aperient Solution; a Tablespoonful to be taken twice every day.
W.C.-
15th. July
1788
Diplomatic Text
For Mrs. Hamilton of Wishaw
I have considered the whole of her complaints
with the utmost attention, and am of opinion as I
have been before that they all proceed from a
Gouty disposition not taking its proper course.
This is not to be eradicated, but it may be ma¬
naged, so as to be rendered safe, and tolerably easy
What I think will be of most service
at the season, is a Journey steadily pursued for
Eight or ten days, avoiding however very wet
weather. Wherever She is, she may take some
short walks, but never to make these long
at one time.
Every morning, before She gets out of bed
her feet and legs, should be rubbed for a quarter
of an hour ↑with warm flannel↑ and She should wear warm worsted
stockings, and pretty thick Shoes during
[Page 2]
the whole day, and if at any time any coldness or
clamminess comes upon the feet, they ought to be
brought to the fire, and chaffed with warm
flannel till the coldness is gone.
Her diet should be light and plain, but
inclining to the solid. She may take a little
of some young and tender garden things as they
are just now in season, but I dare not be
very particular, as Mrs. Hamilton should
be directed by her own late experience of what
agrees best, or is most easily digested by her
stomach.
I would say the same of her Drinks. I
think it would be proper for her to take two
or three glasses of Wine every day, but both
for the kind and quantity, I would consult
her own experience, but as in such strong
Wine of all kinds is often precarious I
believe that either Rum, Brandy or
[Page 3]
very good Gin with a proper proportion
of water will more certainly agree with her
than any Wine.
Both Tea and Coffee I am certain
are nor bad for her, and instead of any of them
at Breakfast she should take Beef tea
or Cocoa.
She may if She likes it, take some
fresh drawn Cow milk whey pretty early
in the morning, but I suspect it may prove
too windy, and if that is perceived, it should
be let alone.
Knowing well the power of habit
I am clear that upon the journey proposed
she should every night take her two Anodyne
pills, and about her leaving them off, we
shall speak hereafter.
There is only one medicine I have to
propose at present, and I have given
[Page 4]
a prescription for it upon a separate paper.
It is to be taken by a Tablespoonful for a dose
twice every day an hour or half an hour before
breakfast and a full hour before dinner. It
is intended to keep the belly regular, but not to
purge, and if it has any purgative effect
One dose only is to be taken in a day, but if
it falls short of keeping the belly regular
the dose or doses may be increased.
If Mrs. Hamilton should be liable
to such uneasiness of stomach as she formerly
found to be relieved by the Bitters formerly
given to her by Mr. Lata, she may take
some of these along with her upon the journey
and take a dose of them when occasion seems
to require
William Cullen
Edinr. 15th. July
1788
[Page 5]
For Mrs. Hamilton of Wishaw
℞ Tart. regenerat.
Sal. Rupell
Tinct. Sen. comp. @ ℥ij
Aq. cinnam. simpl.
--- rosar. @. ℥iij
ℳ. Sig. Aperient Solution
a Table spoonful to be taken
twice every day
W.C.-
15th. July
1788
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