The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1013] From: Dr William Cullen (Professor Cullen) / To: Mr William Ingham / Regarding: Miss Mary Clutterbuck (Patient) / 26 August 1780 / (Outgoing)
Reply 'For Miss Clutterbuck', whose complaints 'seem entirely spasmodic'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 1013 |
| RCPE Catalogue Number | CUL/1/1/13/68 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 26 August 1780 |
| Annotation | None |
| Type | Scribal 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 Clutterbuck', whose complaints 'seem entirely spasmodic'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:193] |
Case of Miss Mary Clutterbuck whose cough and other breathing problems are diagnosed as signs of 'hysteria'. |
6 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:82] | Addressee | Mr William Ingham |
| [PERS ID:83] | Patient | Miss Mary Clutterbuck |
| [PERS ID:82] | Patient's Physician / Surgeon / Apothecary | Mr William Ingham |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 | Newcastle upon Tyne | North-East | England | Europe | inferred |
Normalized Text
For Miss Clutterbuck
Her complaints have been long and obstinate; & they may
still prove tedious not without much danger.
They seem entirely spasmodic; but connected with, if not
dependent upon a tumescence of
blood rendering them more violent
& dangerous. The last circumstance has directed her temporary
relief but has not I believe contributed to cure. I mean the
large and frequent blood lettings.
They have been unavoidable
but will increase the
anasarca & probably render it fatal.
Every time blood is let,
diminish the quantity taken &
thus by degrees get quit of the necessity
of bleeding so largely.
I would rather allow a fit
to continue, than persist in such
profusion of blood ---
I have little confidence in
Antispasmodics. I expect
[Page 2]
more from a dose of pure æther than from any thing else
but it cannot be often repeated. Opiates have I sup¬
pose been tried, & I leave it to you to determine how
far it will be proper to try them again, but if you shall
think so, give them in a large dose, by glyster.
To give effectual relief we must try to mend the
System in general. Travelling. If this suceeds
as I expect, I would advise no more medicine upon the road,
but when she returns home I recommend the tonic
medicines prescribed below: both of which I have found useful
& especially the latter. Her Diet is very proper & I
am sure she will not do with a full one. She should
take nothing but Bristol water for drink, or any
soft spring water boiled & cooled. All her drink should
be quite cold. She must avoid bodily exercise & cold
& even her carriage exercise should be almost be given
up upon the approach of winter, when she should
keep much at home.
Take Steel powders - three grains for a dose ----
Take five grains of Roman Vitriol, a scruple of White Sugar; and four scruples Licorice extract; extracts cut and divided into the smallest pieces; add sufficient quantity of spring Water in the same manner to bruise and soften the extracts {illeg}; add vitriol and double refined sugar and grind all together. Mix. Make into a mass to be divided into twenty pills; Label: Tonic pills. One very night at bed time.
if the pill does not agree with
her stomach
; the dose may
be increased to 5 grains
& after a fortnight such a dose may
be taken twice a day.
If the pill does not agree with her
stomach diminish the
dose to perhaps one half, but if it does not affect the
stomach
at all; double the dose after some days.
Diplomatic Text
For Miss Clutterbuck
Her complaints have been long and obstinate; & they may
still prove tedious not without much danger.
They seem entirely spasmodic; but connected with, if not
dependent upon a tumescence of
blood rendering them more violent
& dangerous. The last circumstance has directed her temporary
relief but has not I believe contributed to cure. I mean the
large and frequent blood lettings.
They have been unavoidable
but will increase the
anasarca & probably render it fatal.
Every time blood is let,
diminish the quantity taken &
thus by degrees get quit of the necessity
of bleeding so largely.
I would rather allow a fit
to continue, than persist in such
profusion of blood ---
I have little confidence in
Antispasmodics. I expect
[Page 2]
more from a dose of pure æther than from any thing else
but it cannot be often repeated. Opiates have I sup¬
pose been tried, & I leave it to you to determine how
far it will be proper to try them again, but if you shall
think so, give them in a large dose, by glyster.
To give effectual relief we must try to mend the
System in general. Travelling. If this suceeds
as I expect, I would advise no more medicine upon the road,
but when she returns home I recommend the tonic
meds. prescribed below: both of wc I have found useful
& especially the latter. Her Diet is very proper & I
am sure she will not do with a full one. She should
take nothing but Bristol water for drink, or any
soft spring water boiled & cooled. All her drink should
be quite cold. She must avoid bodily exercise & cold
& even her carriage exercise should be almost be given
up upon the approach of winter, when she should
keep much at home.
℞ Steel powders - three grains for a dose -----
℞ Vitriol Roman. gr. v.
Sacch, alb. ℈i Extract.
glychirrh. ℈iv Extracto in frust. minut. conciso assunde
Aq. ferv. q.s. ut moll. extr. et cont in pulv. {illeg} adde
vitriol &
sacch. puris simul in pulv. trit. ℳ. f. maſse
div. in pil. 20. S. Tonic pills. One every night at bed time.
if the pill does not agree with
her stom.
; the dose may
be increased to gr. v.
& after a fortnight such a dose may
be taken twice a day.
If the pill does not agree with her
stom. diminish the
dose to perhaps one half, but if it does not affect the
stomach
at all; double the dose after some days.
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