The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:355] From: Dr William Cullen (Professor Cullen) / To: Lady Catherine Lockhart (Porterfield) (Lady Lockhart of Carstairs) / Regarding: Miss Jean Lockhart (Patient) / 30 October 1775 / (Outgoing)
Reply, 'To Lady Lochart', with directions for her elder daughter Miss Lockhart, who is suffering from blood-spitting and whose menses have ceased. Cullen recommends bleeding from the ankles, bathing, and rubbing her feet and legs with flannel or a flesh brush. He gives a recipe for a decoction. He sends greetings to the Misses Porterfield, presumably some of Lady Lockhart's nieces.
- 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 | 355 |
| RCPE Catalogue Number | CUL/1/1/6/54 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 30 October 1775 |
| 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, 'To Lady Lochart', with directions for her elder daughter Miss Lockhart, who is suffering from blood-spitting and whose menses have ceased. Cullen recommends bleeding from the ankles, bathing, and rubbing her feet and legs with flannel or a flesh brush. He gives a recipe for a decoction. He sends greetings to the Misses Porterfield, presumably some of Lady Lockhart's nieces. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:637] |
Case of Miss Lockhart, elder daughter of Catherine, dowager Lady Lockhart of Carstairs, who is spitting blood and has menstrual problems. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1573] | Addressee | Lady Catherine Lockhart (Lady Lockhart of Carstairs) |
| [PERS ID:1574] | Patient | Miss Jean Lockhart |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:1573] | Patient's Relative / Spouse / Friend | Lady Catherine Lockhart (Lady Lockhart of Carstairs) |
| [PERS ID:1584] | Patient's Relative / Spouse / Friend | Miss Porterfield ('the Miss Porterfields') |
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 | Glasgow and West | Scotland | Europe | inferred |
Normalized Text
To Lady Lochart
Your letter has come to me late when I
am a good deal engaged & therefore [&?] not to miss your
servant I must write shortly
Let some blood be taken from the ankles to eight or
ten ounces as soon as it can be conveniently done.
Let her avoid all walking or other bodily exercise but as
often as the weather is tolerable riding will be of
service if not too violent
Let her take very little animal food, & live almost en¬
tirely on milk greens & vegetables tho I wou'd not desire
her to take much of the first at present.
After the bleeding, she may take a warm bath to
above her haunches but it should not be very warm &
so I would wish to employ it ↑especially↑ about the time that an
[Page 2]
an alteration is expected. If it shall be observed that the
spitting of blood is any ways increased by the bathing it
must be let alone & indeed I would avoid it at any time
that the blood spitting seems to be fresh.
Nothing is said to me about ↑the state of↑ her belly but it should be
kept easy but by gentle means without purging. I shou'd
wish to do it by Manna & Cream of Tartar.
For the time I would have the powders for which I gave
your Ladyship a receipt laid aside & I would have Miss
Lockhart make use of the decoction ordered on the other
Page. –– Let care be taken to avoid cold & particularly
in the feet & Legs which should be rubbed every day with flannel
or a flesh brush & kept always warm & dry.
Miss Lockhart should take no wine or other
strong drink. Her ordinary drink should be gruel
Barley water or Emulsion. She may take a little Tea if
neither strong nor warm.
I think I understand Miss Lockharts case so very well
that there is no occasion for her coming to town but I shall
be glad to wait upon any of the Miss Porterfields when
they are coming this way & I shall desire to know from
time to time how Miss Lockhart goes on. Your Ladyship
may depend on my anxious attention to her case being
with great regard Madam
Take 2 ounces of dried Coltsfoot leaves, half an ounce of Lichwort and a drachm of Mallow flowers. Mix, making a [paste?]. Cook down from 2 pints to 1 pint of water, at the end adding half a drachm of Aniseed and an ounce of Liquorice root. Strain. An ounce four times a day per dose.
Diplomatic Text
To Lady Lochart
Your letter has come to me late when I
am a good deal engaged & therefore [&?] not to miss your
servant I must write shortly
Let some blood be taken from the ankles to eight or
ten ounces as soon as it can be conveniently done.
Let her avoid all walking or other bodily exercise but as
often as the weather is tolerable riding will be of
service if not too violent
Let her take very little animal food, & live almost en¬
tirely on milk greens & vegetables tho I wou'd not desire
her to take much of the first at present.
After the bleeding, she may take a warm bath to
above her haunches but it should not be very warm &
so I would wish to employ it ↑especially↑ about the time that an
[Page 2]
an alteration is expected. If it shall be observed that the
spitting of blood is any ways increased by the bathing it
must be let alone & indeed I would avoid it at any time
that the blood spitting seems to be fresh.
Nothing is said to me about ↑the state of↑ her belly but it should be
kept easy but by gentle means without purging. I shou'd
wish to do it by Manna & Cream of Tartar.
For the time I would have the powders for wc. I gave
your Ladyship a receipt laid aside & I would have Miss
Lockhart make use of the decoction ordered on the other
Page. –– Let care be taken to avoid cold & particularly
in the feet & Legs wc. should be rubbed every day wt flannel
or a flesh brush & kept always warm & dry.
Miss Lockhart should take no wine or other
strong drink. Her ordinary drink should be gruel
Barley water or Emulsion. She may take a little Tea if
neither strong nor warm.
I think I understand Miss Lockharts case so very well
that there is no occasion for her coming to town but I shall
be glad to wait upon any of the Miss Porterfields when
they are coming this way & I shall desire to know from
time to time how Miss Lockhart goes on. Your Ladyship
may depend on my anxious attention to her case being
with great regard Madam
℞ fol. Tussilag. sicc. ℥ii parietar. ℥ſs flor. Malv. ʒi ℳ f. [Mucilia?]
Coque ex aq. lbii ad lbi sub finem addens Sem. Anis. ʒſs Rad. liquirit. ℥i Cola
℥i quator in die p dosi
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