Cullen

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

 

[ID:992] From: Dr William Cullen (Professor Cullen) / To: Dr George Hamilton / Regarding: Miss Isabella? Agnew (of Lochnaw) (Patient) / 22 July 1780 / (Outgoing)

Reply, 'For Miss Agnew', addressed to Dr George Hamilton.

Facsimile

There are 2 images for this document.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 992
RCPE Catalogue Number CUL/1/1/13/47
Main Language English
Document Direction Outgoing
Date22 July 1780
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For Miss Agnew', addressed to Dr George Hamilton.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:888]
Case of Miss Agnew (of Lochnaw), who is advised on regimen over several years; by 1780 she is weak and has a cough (Cullen's mention of the fate of her siblings implies he suspects consumption).
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:258]AddresseeDr George Hamilton
[PERS ID:791]PatientMiss Isabella? Agnew (of Lochnaw)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:258]Patient's Physician / Surgeon / ApothecaryDr George Hamilton

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 Lochnaw Castle Stranraer Borders Scotland Europe inferred

Normalized Text

[Page 1]
For Miss Agnew.


Go the the country at some distance; for the sake of the journey.
Travel in a carriage with the windows up or down as it is cold
& windy or warm & calm. Fore windows are better for letting
down than side ones.


Her day's journeys should be moderate avoiding cold mornings
evenings or the middle of hot days. Thirty miles will be enough
& a little more or less according to convenience of accommodation &c.


When settled in the country she should take gentle ex¬
excise every day. Safest in a carriage but best on horseback.
In ordinary weather she may take it in forenoon but if the
weather be hot, in the morning & evening.


Much in the fresh air but much walking, either fast
or uphill or long at a time, hurtful, and especially avoid
being heated by it.


Guard against cold. Never lay aside customary clo¬
thing. Against September put a flannel shift next her skin
& wear it the rest of the season & winter. Avoid the
damp & colds of Evening, keep her feet & legs always warm
&dry & therefore in the Country she should never walk about



[Page 2]

but in pretty thick shoes.


Diet of milk & vegetables, grain & ripe fruit.
Drink toast water, plain water, or with a small proportion
of milk, whey, fresh buttermilk; no wine or malt liquor.


Two days before she sets out, let a little blood be taken
from her arm & the day after this, a gentle vomit. If in
the country her appetite falls off & symptoms of indigestion
appear a vomit may be used & in case of pain of the breast
or side to any degree, take a little more blood.


Continue the issue in her back. If it be difficult to
keep it open, heal it up & put another elsewhere.


Remove costiveness by the Electuary advised below.

Take an ounce of Crystal Tartar, half-an-ounce of powdered compound of Jallapa and half-a-ounce of Lenitive Electuary with a sufficent quantity of Simple Syrup to make a Lenitive Electuary or Lochoch [Linctus].

Take a scruple of Balsam of Tolu, an drachm of refined white sugar and slowly thicken by adding two drachms of Spermicetti and and half-an-ounce of lump sugar; blend together well [etc *** ?], adding a drachm of Powdered Elecampagne root, blend all well together as before, adding an ounce of licorice. Mix. all together carefully and to kept aired in an open glass jar. Label: Pectoral powder, a teaspoonful in a little water gruel every night at bed time.

W. C.
Edinburgh 22. July 1780 ----

Diplomatic Text

[Page 1]
For Miss Agnew.


Go the the country at some distance; for the sake of the journey.
Travel in a carriage with the windows up or down as it is cold
& windy or warm & calm. Fore windows are better for letting
down than side ones.


Her day's journeys should be moderate avoiding cold mornings
evenings or the middle of hot days. Thirty miles will be enough
& a little more or less according to convenience of accommodation &c.


When settled in the country she should take gentle ex¬
excise every day. Safest in a carriage but best on horseback.
In ordinary weather she may take it in forenoon but if the
weather be hot, in the morning & evening.


Much in the fresh air but much walking, either fast
or uphill or long at a time, hurtful, and especially avoid
being heated by it.


Guard against cold. Never lay aside customary clo¬
thing. Against September put a flannel shift next her skin
& wear it the rest of the season & winter. Avoid the
damp & colds of Evening, keep her feet & legs always warm
&dry & therefore in the Country she should never walk about



[Page 2]

but in pretty thick shoes.


Diet of milk & vegetables, grain & ripe fruit.
Drink toast water, plain water, or with a small proportion
of milk, whey, fresh buttermilk; no wine or malt liquor.


Two days before she sets out, let a little blood be taken
from her arm & the day after this, a gentle vomit. If in
the country her appetite falls off & symptoms of indigestion
appear a vomit may be used & in case of pain of the breast
or side to any degree, take a little more blood.


Continue the issue in her back. If it be difficult to
keep it open, heal it up & put another elsewhere.


Remove costiveness by the Electuary advised below.


Crystall. Tart. ℥i Pulv. e jal. comp. ℥ifs Elect. lenit. ℥fs
Syr. simpl. q.s. ut f. Elect. Ten. sive Lochoch.
S. Laxative Electuary; a teaspoonful in the morngs..


Bals. Tolut ℈i Sacch. alb. duriss. ʒi Terito simul in
pulv. ten. d. adde. Sperm. aet. ʒij Sacch. caud. ℥fs. Lento iterum
bene [&c enique ?] adde Pulv. enul. camp. ʒi ---- glycrrh. ℥i
M. omnia accurated et serventer in vase viteo aris patuli.
S. Pectoral powder: a teaspoonful in a little water gruel every
night at bed time.

W. C.
Edbr. 22. July 1780 ----

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