Cullen

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

 

[ID:5783] From: Dr William Cullen (Professor Cullen) / To: Dr George Skene / Regarding: Mrs Mary Leith (Forbes) (of Leith Hall) (Patient) / 15 February 1789 / (Outgoing)

Reply, 'For Mrs Leith of Leithhall'.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 5783
RCPE Catalogue Number CUL/1/1/21/55
Main Language English
Document Direction Outgoing
Date15 February 1789
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply, 'For Mrs Leith of Leithhall'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1282]
Case of Mrs Leith, mother of four children, who has been sick since she last gave birth.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:64]AddresseeDr George Skene
[PERS ID:3669]PatientMrs Mary Leith (of Leith Hall)
[PERS ID:64]Patient's Physician / Surgeon / ApothecaryDr George Skene
[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 Aberdeen East Highlands Scotland Europe inferred
Mentioned / Other Leith Hall Huntly East Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Mrs Leith of Leithhall


I have considered the Case with the utmost
attention, but do not find the information as complete
as I could wish. There is no account of any [flooding?]
happening after her third lying in that [might?]
account for the weakness that came on soon [after?],
nor is there any account of what happened when
the placenta was long in coming off, and She had
the alarming faint of long duration. I am also dis¬
appointed in not having any account of the
present state of her pulse either with [respect?]
to its strength or frequency, nor is there any
account of the state of the Menses. I would wish
to have these parts of information supplied
and in the meantime I have nothing to [en¬
gage?] my consideration, but a general account
of debility, and the costiveness.




[Page 2]


For the first I have no doubt, but that {illeg}
kind of light nourishment, and what wine She
could bear have been employed, and unless her
pulse forbid I should have no objection to the
latter. I am sorry to find that she does not bear
the bark, and I would have wished to know if
any other tonics had been employed. In the mean¬
time I would willingly have a Chalybeate tried
and what I think the best, is the Limitura
given with a little powdered Cinnamon. At
first in a small dose, and afterwards gradual[ly]
increased as the stomach and other symptom[s]
shall allow.


For the costiveness I am uncertain in
advising, as I don't know what has been tried
and should expect that Cream of tartar with
the additon of some compound powder that has
been {illeg} prepared by a diligent triture might
be brought to answer the purpose of a [certain?]



[Page 3]

though gentle laxative. There is no laxative I
have more favour for than the Oleum Ricini
and though a spoonful may be too much, half
the quantity my answer without griping.
But let it be observed that I never give it
alone, but always with the addition of a fourth
part of the Tincture Sennæ composita or
the Tincture jalappa, and either of these
well shaken with the oil in a phial makes
it swallowed easier, sit easy on the stomach
and to operate with less griping, and I wish
it to be tried in that manner. I have fre¬
quently found a pap or pudding spoonful prove
a very agreeable laxative, and sometimes a
lesser quantity will answer.


I should be very happy to be of service
to Mrs. Leith, but I cannot possibly give any
proper advice without a more exact and complete
information.

William Cullen

Edinburgh 15th. February
1789

Diplomatic Text

[Page 1]
For Mrs Leith of Leithhall


I have considered the Case with the utmost
attention, but do not find the information as complete
as I could wish. There is no account of any [flooding?]
happening after her third lying in that [might?]
account for the weakness that came on soon [after?],
nor is there any account of what happened when
the placenta was long in coming off, and She had
the alarming faint of long duration. I am also dis¬
appointed in not having any account of the
present state of her pulse either with [respect?]
to its strength or frequency, nor is there any
account of the state of the Menses. I would wish
to have these parts of information supplied
and in the meantime I have nothing to [en¬
gage?] my consideration, but a general account
of debility, and the costiveness.




[Page 2]


For the first I have no doubt, but that {illeg}
kind of light nourishment, and what wine She
could bear have been employed, and unless her
pulse forbid I should have no objection to the
latter. I am sorry to find that she does not bear
the bark, and I would have wished to know if
any other tonics had been employed. In the mean¬
time I would willingly have a Chalybeate tried
and what I think the best, is the Limitura
given with a little powdered Cinnamon. At
first in a small dose, and afterwards gradual[ly]
increased as the stomach and other symptom[s]
shall allow.


For the costiveness I am uncertain in
advising, as I don't know what has been tried
and should expect that Cream of tartar with
the additon of some compound powder that has
been {illeg} prepared by a diligent triture might
be brought to answer the purpose of a [certain?]



[Page 3]

though gentle laxative. There is no laxative I
have more favour for than the Oleum Ricini
and though a spoonful may be too much, half
the quantity my answer without griping.
But let it be observed that I never give it
alone, but always with the addition of a fourth
part of the Tincture Sennæ composita or
the Tincture jalappa, and either of these
well shaken with the oil in a phial makes
it swallowed easier, sit easy on the stomach
and to operate with less griping, and I wish
it to be tried in that manner. I have fre¬
quently found a pap or pudding spoonful prove
a very agreeable laxative, and sometimes a
lesser quantity will answer.


I should be very happy to be of service
to Mrs. Leith, but I cannot possibly give any
proper advice without a more exact and complete
information.

William Cullen

Edinr. 15th. Feby.
1789

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