Cullen

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

 

[ID:1057] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss E Fraser (Miss Fraser of Inverallochy) (Patient) / December 1780 / (Outgoing)

Reply with directions for Miss Fraser of Inverallochy

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Metadata

FieldData
DOC ID 1057
RCPE Catalogue Number CUL/1/1/13/111
Main Language English
Document Direction Outgoing
DateDecember 1780
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply with directions for Miss Fraser of Inverallochy
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1239]
Case of Miss Fraser of Inverallochy who is weakened and has a shooting pain from her breast to her shoulder.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:953]PatientMiss E Fraser (Miss Fraser of Inverallochy)
[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 Inverallochy East Highlands Scotland Europe inferred
Mentioned / Other Aberdeen East Highlands Scotland Europe certain
Mentioned / Other Inverallochy East Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Miss Fraser of Inverallochy


Tho' I am persuaded that the several circumstances of
pain of the Back, want of sleep, weakness & appression of
spirits
depend entirely upon the Evacuation mentioned. I ob¬
serve there is another symptom not connected with it which
from my acquaintance formerly with Miss Frasers
constitution I would take notice of in the first place
This is the pain of her Breast shooting to her shoulder
for which I advise a Blister to be immediately applied
upon the pained part of her Breast & if one blister should
remove it entirely I would in eight or ten days after apply
a second blister to the samepart. Tho' Miss Frasers
breast for a long time past has been very well I think
from what she formerly suffered no ailment should be
allowed to fasten there.


Were it not for my caution with respect to her breast
for the other complaints distressing her I should advise
cold Bathing but I cannot at present & I hope we may
cure her Ailment by other means. For this purpose I
have ordered a medicine to be prepared here because I am
not certain that it can be got at Aberdeen. But I
have inclosed here a prescription for another medicine
which will be more conveniently got at Aberdeen and
the two medicines are to be get (↑taken↑) at the same time. The
medicine sent from hence is pills of which three are
to be taken every night at bed time washing them down
with two Table spoonfuls of the infusion to be prepared



[Page 2]

at Aberdeen. If the Pills & infusion sit well upon her
stomach each of them may be taken in the above doses twice
a day; that is once in the forenoon & again at bed time
These Medicines are to be continued for a fortnight but no
longer, till I shall be informed of their effects.


My information does not say whether the looseness
which had formerly been so very troublesome, be now entirely
gone, but I presume that it is, & I think now that care
should be taken no costiveness should come on or be allowed
to continue, and if it does she should take either a little castor
Oil
, some Cream of Tartar or some Flowers of sulphur
to keep her constantly regular in her belly for sometime past


Let it be observed that tho' she should at present
be liable to any returns of looseness the medicines just now
prescribed will not therefore be less proper. But if on
the other hand she is liable to be costive the medicines
now prescribed will rather increase that & therefore
render the discreet use of Laxatives more necessary


As I would judge from what is said about
the effect of riding on the pain of her Breast that she
is in some use of that exercise. I think it is extremely
proper for I advise the continuance of it as often as the
weather shall properly allow


In diet I find little occasion for Miss Fraser's
observing much nicity. It should be neither full
nor low & may therefore be of ordinary fare unless in



[Page 3]

so far as her experience may have pointed out some
thing as not suited to her stomach her ordinary
drink should be red Port & water avoiding all malt
liquors & especially Tea & coffee.

Take Pomegranate Flowers, dried [and rubbed?], one drachm of each, two drachms of crushed Pomegranate bark and one pound of boiling water. Digest for six hours and add a sufficient quantity of [soft ?]Spirit of Vitriol. Add two ounces of spirit of cinnamon water and two drachms of white sugar. Mix. Label: strengthening Infusion two table spoonfuls to be taken with every dose of the Pills

Diplomatic Text

[Page 1]
For Miss Fraser of Inverallochy


Tho' I am persuaded that the several circumstances of
pain of the Back, want of sleep, weakness & appression of
spirits
depend entirely upon the Evacuation mentioned. I ob¬
serve there is another symptom not connected with it which
from my acquaintance formerly with Miss Frasers
constitution I would take notice of in the first place
This is the pain of her Breast shooting to her shoulder
for which I advise a Blister to be immediately applied
upon the pained part of her Breast & if one blister should
remove it entirely I would in eight or ten days after apply
a second blister to the samepart. Tho' Miss Frasers
breast for a long time past has been very well I think
from what she formerly suffered no ailment should be
allowed to fasten there.


Were it not for my caution with respect to her breast
for the other complaints distressing her I should advise
cold Bathing but I cannot at present & I hope we may
cure her Ailment by other means. For this purpose I
have ordered a medicine to be prepared here because I am
not certain that it can be got at Aberdeen. But I
have inclosed here a prescription for another medicine
which will be more conveniently got at Aberdeen and
the two medicines are to be get (↑taken↑) at the same time. The
medicine sent from hence is pills of which three are
to be taken every night at bed time washing them down
with two Table spoonfuls of the infusion to be prepared



[Page 2]

at Aberdeen. If the Pills & infusion sit well upon her
stomach each of them may be taken in the above doses twice
a day; that is once in the forenoon & again at bed time
These Medicines are to be continued for a fortnight but no
longer, till I shall be informed of their effects.


My information does not say whether the looseness
which had formerly been so very troublesome, be now entirely
gone, but I presume that it is, & I think now that care
should be taken no costiveness should come on or be allowed
to continue, and if it does she should take either a little castor
Oil
, some Cream of Tartar or some Flowers of sulphur
to keep her constantly regular in her belly for sometime past


Let it be observed that tho' she should at present
be liable to any returns of looseness the medicines just now
prescribed will not therefore be less proper. But if on
the other hand she is liable to be costive the medicines
now prescribed will rather increase that & therefore
render the discreet use of Laxatives more necessary


As I would judge from what is said about
the effect of riding on the pain of her Breast that she
is in some use of that exercise. I think it is extremely
proper for I advise the continuance of it as often as the
weather shall properly allow


In diet I find little occasion for Miss Fraser's
observing much nicity. It should be neither full
nor low & may therefore be of ordinary fare unless in



[Page 3]

so far as her experience may have pointed out some
thing as not suited to her stomach her ordinary
drink should be red Port & water avoiding all malt
liquors & especially Tea & coffee.


Balaust Flor. [pes. ruber.?] sicct. @ ʒI Cort. granat.
contus. ʒij aq. bullient. lbI Digere horas sex et adde
Spir. Vitriol [tenu?] q.s. ad lenem acidatem Aq. Cinnam.
Spirit
℥ij Sacch. alb. ʒij
ℳ. S. strengthening Infusion two table spoonfuls
to be taken with every dose of the Pills

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