Cullen

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

 

[ID:765] From: Dr William Cullen (Professor Cullen) / To: Thomas Hall / Regarding: Mrs Mary Grey (Patient), Mr Moody (Moodie) (Patient), Miss Thorpe (Patient), Mr Rutherford (Patient) / 22? May? 1764 / (Outgoing)

Letter by Cullen to Thomas Hall in Berwick, concerning several patients: Mrs Grey, Mr Moodie (Moody), Mr Rutherford and Miss Thorpe. The date is approximated from Hall's reply, which refers to receiving Cullen's letter by last Friday's post.

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Metadata

FieldData
DOC ID 765
RCPE Catalogue Number CUL/1/2/33
Main Language English
Document Direction Outgoing
Date22? May? 1764
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Letter by Cullen to Thomas Hall in Berwick, concerning several patients: Mrs Grey, Mr Moodie (Moody), Mr Rutherford and Miss Thorpe. The date is approximated from Hall's reply, which refers to receiving Cullen's letter by last Friday's post.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:77]
Case of Mr Moodie (Moody) who has asthma.
3
[Case ID:127]
Case of Miss Thorpe who is being treated with warm baths and an aperient for an unstated condition.
2
[Case ID:201]
Case of Mrs Mary Grey who is prescribed an emetic and pectoral mixture.
5
[Case ID:1920]
Case of Mr Rutherford who is prescribed medicines and treated with dry dressings.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1139]Addressee Thomas Hall
[PERS ID:961]PatientMrs Mary Grey
[PERS ID:1141]PatientMr Moody (Moodie)
[PERS ID:1142]PatientMiss Thorpe
[PERS ID:1143]PatientMr Rutherford
[PERS ID:1139]Patient's Physician / Surgeon / Apothecary Thomas Hall
[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 Berwick-upon-Tweed (Berwick) North-East England Europe inferred
Mentioned / Other Berwick-upon-Tweed (Berwick) North-East England Europe certain

Normalized Text

[Page 1]
Dear Sir


When I returned here from Berwick I
found some calls from the Country which I was obliged to obey
& have been so much abroad & so much hurried when at home
that I could not easily find the time I wished to write concerning
Mrs Grey. I am however extreamly anxious to be of use to her
& hope I shall, tho the particular you mention gives me some
disturbance. I was from her accounts disposed to think the
swelling of her Belly solely a flatulent disorder but the swelling
of her legs gives a further suspicion & I must desire you to
inquire into the state of her Urine & take notice of the quan¬
tity of it from time to time. Please let her try the following
Medicine prescribed below. Let her take it by two ounces at
once beginning at six or seven in the morning & repeating
the dose every hour till either the whole is finished or the
medicine has moved her belly. When this happens she
should stop whether she has taken more or less of the Infusion.
I think the dose Medicine as ordered may be too weak but
my intention is that it should purge little & go much by
Urine, but if you find it does not purge at all you
must increase the quantity of Jalap, to 45 grains or a
dram. If it operates moderately by stool, you may re¬
peat this medicine for two or three days together but if
more smartly you must intermit a day between the doses.
The proper operation will be by discharging a great deal
of Wind & Water to take down the swelling of the Belly



[Page 2]

& legs but if this medicine operates so I hope she will need no
other but please write me soon & I shall advise further.
In the mean time if Mrs Grey does not bear this medicine
but at Intervals let her during these Intervals take the
strengthening Electuary ordered below.


For Mr Moody I am glad to find that his pulse is
settled
as that was the only dangerous symptom about him
His Asthma may continue in spite of all we can do but
while his pulse is not frequent the asthma will not be dan¬
gerous & it will also admit of remedies to relieve it.
I fancy the close & warm weather such as we had the end
of last week will always trouble his breathing & at such
times I think he may take the Bolus & Draught with
advantage ↑making the Bolus with double quantity of sal succin at other times he may take the Draught (↑Bark↑) as
ordered below. For his Regimen He may take meat at
Dinner but it should be of the lighter kinds & very sparingly
of any kind of fish. At supper he should take no meat
& if he can bear it no supper at all but if somewhat is
necessary to his stomach let it some kind ↑of↑ Grain as Rice
Barley or Sago or any kind of Roots or Greens that do not
prove windy. In the morning he may take milk or Cocoa
Tea. Observing this Diet he should ride as often as he
can but always gently & within the bounds of fatigue.
What is of most consequence to him is the avoiding Cold
His Cloathing should be warm & he should avoid Moisture
with great Care & the North East Winds when they blow



[Page 3]

in the Evening. The heat of the sun is also very bad for him
& therefore in warm weather he should take his ride early in
the morning.


Tho Mr Rutherfords Medecines have not yet answered
I hope in time they will & would advise them to be continued &
particularly the dry dressings unless you find particular reason
to change them. As the Julep agrees with him the Dose should
be increased to a spoonfull & half or two spoonsfull.


I hope Miss Thorpes Pills repeated in a moderate dose
will in time have the wished effects but the more certainly if
in the Intervals she uses the flesh brush in the mornings
& the Bath in the Evening. For this I think nothing
more than plain water is necessary. Let it be warmed by pouring
boiling water into a double quantity of Cold so that the tempera¬
ture may be such as you can bear your hand in it. This is to
be put into such a Tub as that Miss when sitting upon a stool
in it may have the water come to her Waste, She may have
some gown upon her shoulders & Arms & the Tub is to be covered
with a blanket ↑drawn round her body↑ while she sits in the water for fifteen minutes.
After that, her body & limbs are to be very well dried & she is to
put on her ordinary cloaths but keep her chamber for the
rest of the Evening. If you perceive that I have here ommitted
any thing please write me & in what I can be further usefull
to any of your patients you may freely command

Dear Sir &c.



[Page 4]
For Mrs Grey

Take half an drachm each of crushed jallop root and crushed oriander seeds, and one drachm each of soluble tartar and cream of tartar Pour over one pound of boiling water and let it digest overnight, then sieve. Label: The Laxative Infusion.

Take one ounce of powdered Peruvian bark, half an ounce of powdered cinnamon, one and a half drachms of green vitriol, half an ounce of Conf. Cardiac, and a sufficient quantity of white syrup, and make an electuary. Label: The Strengthening Electuary.

For Mr Moody

Take one ounce of crushed Peruvian bark, boil in one to one and a half pounds of spring water, sieve and add four ounces of tincture of Peruvian bark, and mix. Label: The Bark Infusion, two spoonfulls for a dose two or three times a day.


P. S. I forgot above to say anything of Mr Moodies drink, the
chief direction is that it should be moderate in quantity & if so
there is not occasion for much nicety in the quality. However Malt
Liquor is not proper & the best is Red Port & Water.


By this days Carriers I have sent to Mr Wood six Bottles of
Hartfell Spaw & desired him to send you three of them. I think
it will be good medicine for Mrs White. She may take two or three
glasses every day & if it agrees she may go the length of half a Bottle.

Diplomatic Text

[Page 1]
Dr Sir


When I returned here from Berwick I
found some calls from the Country which I was obliged to obey
& have been so much abroad & so much hurried when at home
that I could not easily find the time I wished to write concerning
Mrs Grey. I am however extreamly anxious to be of use to her
& hope I shall, tho the particular you mention gives me some
disturbance. I was from her accounts disposed to think the
swelling of her Belly solely a flatulent disorder but the swelling
of her legs gives a further suspicion & I must desire you to
inquire into the state of her Urine & take notice of the quan¬
tity of it from time to time. Please let her try the following
Medicine prescribed below. Let her take it by two ounces at
once beginning at six or seven in the morning & repeating
the dose every hour till either the whole is finished or the
medicine has moved her belly. When this happens she
should stop whether she has taken more or less of the Infusion.
I think the dose Medicine as ordered may be too weak but
my intention is that it should purge little & go much by
Urine, but if you find it does not purge at all you
must increase the quantity of Jalap, to 45 grains or a
dram. If it operates moderately by stool, you may re¬
peat this medicine for two or three days together but if
more smartly you must intermit a day between the doses.
The proper operation will be by discharging a great deal
of Wind & Water to take down the swelling of the Belly



[Page 2]

& legs but if this medicine operates so I hope she will need no
other but please write me soon & I shall advise further.
In the mean time if Mrs Grey does not bear this medicine
but at Intervals let her during these Intervals take the
strengthening Electuary ordered below.


For Mr Moody I am glad to find that his pulse is
settled
as that was the only dangerous symptom about him
His Asthma may continue in spite of all we can do but
while his pulse is not frequent the asthma will not be dan¬
gerous & it will also admit of remedies to relieve it.
I fancy the close & warm weather such as we had the end
of last week will always trouble his breathing & at such
times I think he may take the Bolus & Draught with
advantage ↑making the Bolus wth double quantity of sal succin at other times he may take the Draught (↑Bark↑) as
ordered below. For his Regimen He may take meat at
Dinner but it should be of the lighter kinds & very sparingly
of any kind of fish. At supper he should take no meat
& if he can bear it no supper at all but if somewhat is
necessary to his stomach let it some kind ↑of↑ Grain as Rice
Barley or Sago or any kind of Roots or Greens that do not
prove windy. In the morning he may take milk or Cocoa
Tea. Observing this Diet he should ride as often as he
can but always gently & within the bounds of fatigue.
What is of most consequence to him is the avoiding Cold
His Cloathing should be warm & he should avoid Moisture
with great Care & the North East Winds when they blow



[Page 3]

in the Evening. The heat of the sun is also very bad for him
& therefore in warm weather he should take his ride early in
the morning.


Tho Mr Rutherfords Medecines have not yet answered
I hope in time they will & would advise them to be continued &
particularly the dry dressings unless you find particular reason
to change them. As the Julep agrees with him the Dose should
be increased to a spoonfull & half or two spoonsfull.


I hope Miss Thorpes Pills repeated in a moderate dose
will in time have the wished effects but the more certainly if
in the Intervals she uses the flesh brush in the mornings
& the Bath in the Evening. For this I think nothing
more than plain water is necessary. Let it be warmed by pouring
boiling water into a double quantity of Cold so that the tempera¬
ture may be such as you can bear your hand in it. This is to
be put into such a Tub as that Miss when sitting upon a stool
in it may have the water come to her Waste, She may have
some gown upon her shoulders & Arms & the Tub is to be covered
with a blanket ↑drawn round her body↑ while she sits in the water for fifteen minutes.
After that, her body & limbs are to be very well dried & she is to
put on her ordinary cloaths but keep her chamber for the
rest of the Evening. If you perceive that I have here ommitted
any thing please write me & in what I can be further usefull
to any of your patients you may freely command

Dr Sir &c.



[Page 4]
For Mrs Grey


Rad. Jalapp. cont. ʒſs
Sem. Coriand. cont. @ ʒſs
Tartar. Solub.
Crem. Tartar. @ ʒj
Affunde Aq. bullient. lbj
Digere per noctem & cola
Signa The Laxative Infusion


Cort. Peruvian. pulv. ℥j
Cinnamon. pulv. ℥ſs
Sal. Mart. ʒiſs
Conf. Cardiac. ℥ſs
Syr. alb. q. s. ut f. Electurium
Signa The Strengthening Electuary

For Mr Moody


Cort. Peruvian. Cont. ℥j
Coque ex Aq. font. lb ij ad lbj
Colature adde
Tinct. Cort. Peruv. ℥iv
ℳ Signa The The Bark Infusion
two spoonfulls for a dose two
or three times a day


P. S. I forgot above to say anything of Mr Moodies drink, the
chief direction is that it should be moderate in quantity & if so
there is not occasion for much nicety in the quality. However Malt
Liquor is not proper & the best is Red Port & Water.


By this days Carriers I have sent to Mr Wood six Bottles of
Hartfell Spaw & desired him to send you three of them. I think
it will be good medicine for Mrs White. She may take two or three
glasses every day & if it agrees she may go the length of half a Bottle.

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