Cullen

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

 

[ID:378] From: Dr William Cullen (Professor Cullen) / To: Mr Bruce / Regarding: Captain W R Wilson (Patient) / 8 January 1776 / (Outgoing)

Reply 'For Captn Wilson', whose ailments Cullen says are entirely a disorder of the nervous system. He should 'study tranquillity of mind & avoid any emotion or flurry'. He advises a perpetual blister on the crown of the head, or else a pea issue in the neck, and gives cephalic recipes. Cold bathing may be useful, but not at this time of year.

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Metadata

FieldData
DOC ID 378
RCPE Catalogue Number CUL/1/1/6/77
Main Language English
Document Direction Outgoing
Date8 January 1776
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 Captn Wilson', whose ailments Cullen says are entirely a disorder of the nervous system. He should 'study tranquillity of mind & avoid any emotion or flurry'. He advises a perpetual blister on the crown of the head, or else a pea issue in the neck, and gives cephalic recipes. Cold bathing may be useful, but not at this time of year.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:57]
Case of Captain W. R. Wilson whose 'seizures' Cullen attributes to 'nervous weakness'.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:501]AddresseeMr Bruce
[PERS ID:500]PatientCaptain W R Wilson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:501]Patient's Physician / Surgeon / ApothecaryMr Bruce

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 Solihull Midlands England Europe inferred

Normalized Text

[Page 1]
For Captain Wilson to Mr Bruce.


I think formerly knew a little of this gentlemans constitution ----
his ailments entirely a disorder of the Nervous System. No grounds for supposing a Hy¬
drocephalus
, nor evidence of any fault of the Circulation of the Blood


The disorder of the Nervous System probably owing to an original delicacy of it
& therefore difficult to correct entirely – but attention & pains may ob¬
viate the present inconveniences. & for this purpose I offer the following.


Little animal food & that of the lighter kinds & only at dinner,
filling up with pudding or vegetables


Ordinary drink wine & water – no malt liquors – a few glasses of
wine after dinner is very allowable, but if he takes of the stronger kinds
they should be diluted with water. ––––


No Indian tea at breakfast except it is very weak, Cocoa or rosemary
tea
is much fitter


No animal food at Supper – milk if can digest it will make
a better supper. ––


Gentle exercise & fresh air – Belly to be kept regular.
Should go early to be & not lye abed in the morning. ––––


Should avoid warm chambers –– use no more bedcloaths than what are
absolutely necessary – but in the day time go warmly cloathed.


Should study tranquility of mind & avoid any emotion or flurry ––
All play to the lenght of interesting him much dangerous.




[Page 2]


This regimen steadily observed may do a great deal & unless
th it be observed medicines will be of little service, but some remedies
may be usefull


Let a perpetual blister be made upon the crown of the head
& if this discharges well & is not very uneasy it will be enough
but if it does not answer in both respects, it may be dried up
while a pea Issue is put into the neck on one or both sides of the spine


Let the Gentleman take frequently at bedtime the Cephalic
Bolus
ordered below not constantly but when giddiness & headach
are most troublesome.


Let the Bolus be washed down with two or three table
Spoonfulls of the Cephalic Tincture ordered below & the same
quantity of the Tincture may be taken by itself about an hour
or two before dinner.


Cold bathing may be usefull but this not the season for it
but if symptoms are urgent, by tempering the water it may
be employed at any time

Take 3-7 grains of Camphor, 7 grains of Russian Castor, and 3 10 grains of powdered Nitre. Add a little drop of Rectified Alcohol, and mix in the Camphor. Then add the Castor, and with as much Simple Syrup as is needed, make a bolus of one obol's weight. Label: Cephalic Bolus.

Take 2 drachms of ground Peruvian Bark. Blend in a glass or marble mortar with a little water for an hour, then add up to 8 ounces of water. Replace in the vessel and steep for 8 hours, then strain through paper and add to the strained liquid 2 drachms of Volatile Valerian Tincture. Label: Cephalic Tincture

WC.
8 January 1776.

Diplomatic Text

[Page 1]
For Captn Wilson to Mr Bruce.


I think formerly knew a little of this gentlemans constitution ----
his ailments entirely a disorder of the N.S. No grounds for supposing a Hy¬
drocephalus
, nor evidence of any fault of the Circulation of the Blood


The disorder of the N.S probably owing to an original delicacy of it
& therefore difficult to correct entirely – but attention & pains may ob¬
viate the present inconveniences. & for this purpose I offer the following.


Little animal food & that of the lighter kinds & only at dinner,
filling up with pudding or vegetables


Ordinary drink wine & water – no malt liquors – a few glasses of
wine after dinner is very allowable, but if he takes of the stronger kinds
they should be diluted with water. ––––


No Indian tea at breakfast except it is very weak, Cocoa or rosemary
tea
is much fitter


No animal food at Supper – milk if can digest it will make
a better supper. ––


Gentle exercise & fresh air – Belly to be kept regular.
Should go early to be & not lye abed in the morng. ––––


Should avoid warm chambers –– use no more bedcloaths than what are
absolutely necessary – but in the day time go warmly cloathed.


Should study tranquility of mind & avoid any emotion or flurry ––
All play to the lenght of interesting him much dangerous.




[Page 2]


This regimen steadily observed may do a great deal & unless
th it be observed meds will be of little service, but some remedies
may be usefull


Let a perpetual blister be made upon the crown of the head
& if this discharges well & is not very uneasy it will be enough
but if it does not answer in both respects, it may be dried up
while a pea Issue is put into the neck on one or both sides of the spine


Let the Gentleman take frequently at bedtime the Cephalic
Bolus
ordered below not constantly but when giddiness & headach
are most troublesome.


Let the Bolus be washed down with two or three table
Spoonfulls of the Cephalic Tincture ordered below & the same
quantity of the Tincture may be taken by itself about an hour
or two before dinner.


Cold bathing may be usefull but this not the season for it
but if symptoms are urgent, by tempering the water it may
be employed at any time


Camphor. a gr iij ad vij
Castor. Russic. gr. vij
Nitr. pulv. gr iij x
Adjecta spirt vin. rectif.t guttula Tincto terito Camphoram
dein adde Castoreum et cum Syr. simpl. q. s. ut f. Bolus ex obolo[sum?].
Signa Cephalic Bolus.


℞ Pulv. Cort. Peruv. ʒii in mortare vitreo vel marm.
cum pauxillo aquæ terito per horam dein adde aquam ad ℥viii
[repone?] Phiala et macera per horas octo dein per chartam
cola et liquore colato adde Tincturiæ valeriana volat. ʒii
Signa Cephalic Tincture

WC.
8 Janry. 1776.

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