Cullen

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

 

[ID:779] From: Dr William Cullen (Professor Cullen) / To: Lord Moray / Regarding: Lord Moray (Patient) / March 1766 / (Outgoing)

Reply, in the form of a retained loose draft from Cullen to the Earl of Moray regarding his case which is ne of 'relaxed nerves'. Mentions a 'full conversation' (joint-consultation) with the other practitioners Dr [Alexander] Monro, Stedman and the surgeon [John] Rathay about the case, and gives directions.

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Metadata

FieldData
DOC ID 779
RCPE Catalogue Number CUL/1/2/47
Main Language English
Document Direction Outgoing
DateMarch 1766
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply, in the form of a retained loose draft from Cullen to the Earl of Moray regarding his case which is ne of 'relaxed nerves'. Mentions a 'full conversation' (joint-consultation) with the other practitioners Dr [Alexander] Monro, Stedman and the surgeon [John] Rathay about the case, and gives directions.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:208]
Case of the Earl of Moray whose condition Cullen attributes to a 'relaxed' nerves.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1270]AddresseeLord Moray
[PERS ID:1270]PatientLord Moray
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1272]Patient's Physician / Surgeon / ApothecaryMr John Rathay
[PERS ID:1389]Patient's Physician / Surgeon / ApothecaryDr Alexander Monro (primus; Munro)
[PERS ID:1271]OtherMr Stedman

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

Normalized Text

[Page 1]
My Lord,


After giving all the attention I could
to My Lord Moray's Case I have since had full
conversation with Messrs Monro, Stedman & Rattray
& give your Lordship the best opinion & advice I
possibly can.

I think it is plain that My Lord Moray's Nerves
are in a very relaxed state & probably have been
so for a good while. This formerly gave occasion to
his Lordships being threatned with some Stagnation
in the vessels of Brain. But I think there is little dan¬
ger of any thing of that kind now, they whole of
the present symptoms seem to depend upon the
relaxed state of the Nerves & particularly upon
this giving occasion to wind breeding in the stomach
distending it & affecting the head with the [glake?] 1
My Lord speaks of, & To remedy this intirely is
difficult & more so so while My Lord Moray is so
very unable to & & so little disposed to exert him¬
self I am very sensible that both from want of
strength as well as from the Nature of the



[Page 2]

Symptoms My Lord cannot take Much exercise
& at this season cannot go much abroad but
at sametime our Machine must go far wrong
if it is allowed to stand still & I wish My Lord
would stir a little more than he does I can
give no patricular dir direction for it must be
regulated by His Lordships own feeling & therefore
left to His Lordships own discreation to think of
going abroad when he can or may when he
cannot to attempt some motion within doors
I have found benefit from even carraying alarge
about a large room in an elb elbow chair to which
chairmens poles or rather shorter ones were applied
with regard to His Lordships Diet I would have it
as nourishing as maybe without being heavy,
when the appetite is very bad one must take what
the can best weak stomachs get very little good
from from strong & heavy meats & sometimes much
harm & I wish My Lord would heavy meats
whenever he can reconcile his stomach to what is ligh¬
ter I think the measure for His Lordship at pre¬
sent is to take alittle & often I would have broth
of an old fowl or of a [trundle?] of veal som calves


[Page 3]

feet or Harsthorn Jelly some Sago or Jalup
one or more of these always ready at hand to be
taken sometimes between meales If they should
sometimes spoil the set meals there is no harm in
it as I think it greatly better for My Lord Moray
to take many small meals than any one heave or
full, ↑&↑ for His Lordships drink I think it is very
well ordered at present Ibelieve I believe it is
all necessary & considering what My Lord for
life has been accustomed to I think withdrawing any
part part of it might do harm. So much for Regimen
& now for some means that may relieve My Lords very
distressing complaints I am perswaded that they depend
very much on the weakness of the stomach & if we could
strengthen this we should both moderate My Lord
ailments & strengthen the whole body. For this pur¬
pose by my advice & the approbation of the Gentlemen
I have consulted with Mr Rathay is preparing a medi¬
cine which shall come over with directions as soon
{illeg} as ready. This is the only Drug I would
trouble my Lord with at present but as I observe that
what ever delivers the stomach from wind releives
the head a little I think it may be [necesser?] to


[Page 4]

employ some means of think that kind frquen¬
tly the Brandy at present is found very effective
& tho a small quantity answers now I know
that repetition will soon require an increase but
increasing the brandy will certainly prove other
ways hurtfull I would avoid it by substituting pep¬
perment
water or something of that kind as
often as we may. For this purpose I propose
to send a little Cordial that I hope his Lordship will
find agreable I have now only to add with regard
to the Issue that ↑tho↑ I am sensible the drain of it is
more than necessary & perhaps too much for his
Lordships present circumstances circumstances yet
it also certain that it could not be stopt without
very great danger & especially at this season
However I think it may {illeg} safely moderated & for
purpose anointment shall come over with the
other Medicines & with particular directions.

Lord of Moray
March 1766

Notes:

1: Hard to decipher due to fold in paper, but possibly a variant spelling of 'glaike', which had connotations of 'dizziness' or 'thoughtlessness'.

Diplomatic Text

[Page 1]
My Lord,


After giving all the attention I could
to My Lord Moray's Case I have since had full
conversation with Messrs Monro, Stedman & Rattray
& give your Lordship the best opinion & advice I
possibly can.

I think it is plain that My Lord Moray's Nerves
are in a very relaxed state & probably have been
so for a good while. This formerly gave occasion to
his Lordships being threatned with some Stagnation
in the vessels of Brain. But I think there is little dan¬
ger of any thing of that kind now, they whole of
the present symptoms seem to depend upon the
relaxed state of the Nerves & particularly upon
this giving occasion to wind breeding in the stomach
distending it & affecting the head with the [glake?] 1
My Lord speaks of, & To remedy this intirely is
difficult & more so so while My Lord Moray is so
very unable to & & so little disposed to exert him¬
self I am very sensible that both from want of
strength as well as from the Nature of the



[Page 2]

Symptoms My Lord cannot take Much exercise
& at this season cannot go much abroad but
at sametime our Machine must go far wrong
if it is allowed to stand still & I wish My Lord
would stir a little more than he does I can
give no patricular dir direction for it must be
regulated by His Lordships own feeling & therefore
left to His Lordships own discreation to think of
going abroad when he can or may when he
cannot to attempt some motion within doors
I have found benefit from even carraying alarge
about a large room in an elb elbow chair to which
chairmens poles or rather shorter ones were applied
with regard to His Lordships Diet I would have it
as nourishing as maybe without being heavy,
when the appetite is very bad one must take what
the can best weak stomachs get very little good
from from strong & heavy meats & sometimes much
harm & I wish My Lord would heavy meats
whenever he can reconcile his stomach to what is ligh¬
ter I think the measure for His Lordship at pre¬
sent is to take alittle & often I would have broth
of an old fowl or of a [trundle?] of veal som calves


[Page 3]

feet or Harsthorn Jelly some Sago or Jalup
one or more of these always ready at hand to be
taken sometimes between meales If they should
sometimes spoil the set meals there is no harm in
it as I think it greatly better for My Lord Moray
to take many small meals than any one heave or
full, ↑&↑ for His Lordships drink I think it is very
well ordered at present Ibelieve I believe it is
all necessary & considering what My Lord for
life has been accustomed to I think withdrawing any
part part of it might do harm. So much for Regimen
& now for some means that may relieve My Lords very
distressing complaints I am perswaded that they depend
very much on the weakness of the stomach & if we could
strengthen this we should both moderate My Lord
ailments & strengthen the whole body. For this pur¬
pose by my advice & the approbation of the Gentlemen
I have consulted with Mr Rathay is preparing a medi¬
cine which shall come over with directions as soon
{illeg} as ready. This is the only Drug I would
trouble my Lord with at present but as I observe that
what ever delivers the stomach from wind releives
the head a little I think it may be [necesser?] to


[Page 4]

employ some means of think that kind frquen¬
tly the Brandy at present is found very effective
& tho a small quantity answers now I know
that repetition will soon require an increase but
increasing the brandy will certainly prove other
ways hurtfull I would avoid it by substituting pep¬
perment
water or something of that kind as
often as we may. For this purpose I propose
to send a little Cordial that I hope his Lordship will
find agreable I have now only to add with regard
to the Issue that ↑tho↑ I am sensible the drain of it is
more than necessary & perhaps too much for his
Lordships present circumstances circumstances yet
it also certain that it could not be stopt without
very great danger & especially at this season
However I think it may {illeg} safely moderated & for
purpose anointment shall come over with the
other Medicines & with particular directions.

L. of Moray
March 1766

Notes:

1: Hard to decipher due to fold in paper, but possibly a variant spelling of 'glaike', which had connotations of 'dizziness' or 'thoughtlessness'.

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