Cullen

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

 

[ID:3823] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Captain Frederick Lewis Maitland (Hon. Captain Maitland, Capt Maitland of Rankeillour ) (Patient) / 31 May 1776 / (Outgoing)

Reply, 'For the Honble Captain Frederick Maitland'. Divided into 'Case' and 'Advice'. Appears to be Cullen's notes from a personal visit rather then the transcript of a reply to an incoming letter (none present).

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[Page 2]


 
 

Metadata

FieldData
DOC ID 3823
RCPE Catalogue Number CUL/1/1/7/44
Main Language English
Document Direction Outgoing
Date31 May 1776
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For the Honble Captain Frederick Maitland'. Divided into 'Case' and 'Advice'. Appears to be Cullen's notes from a personal visit rather then the transcript of a reply to an incoming letter (none present).
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:822]
Case of the Honourable Captain Frederick Maitland, whose muscular pains are treated as rheumatic. In 1786 he has become very feeble and is in danger of a stroke.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:935]PatientCaptain Frederick Lewis Maitland (Hon. Captain Maitland, Capt Maitland of Rankeillour )
[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 Nether-Rankeillor Estate Hillend Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]
For the Honorable Captain Frederick Maitland
Case


By violent exercise in the Muirs about the beginn¬
ing of August last, had his whole Muscles overstrained
and were therefore very easily affected by cold, Being
exposed to this about the beginning of winter, his neck
and upper part of his back was affected with
some Rheumatic complaints (pains), which spread upwards
on his head, gave him pain in the crown of it & pretty
smart pains in both temples. He was also several
times affected with fits of giddiness & frequently
with fits of deafness. Many of these symptoms
have frequently recurred in the winter especially
on his being affected with fresh cold ---

--- Advice ---


Complaints entirely Rheumatic & owing to cold. I hope
they may be removed by the following measures
1st Avoid fresh cold, being heated by exercise, the
sun or warm chambers, the night air, moist or cold air
Avoid exposing his head neck & shoulders to any
stream of air, these parts should be always well
covered & he should not quit his flannel [Callot?]
before Midsummer & only then cutting it away by
degrees, & again renew it by the end of September -


To restore the perspiration of the parts affected
they should be rubbed every morning with a flannel
or flesh brush, gently but it should be continued for
several minutes upon every par[t?]. -




[Page 2]


To promote & support the perspiration of the
whole body I have ordered below two Medicines


The first is a parcel of Pills, of which he is to take three
for a dose at bedtime for a fortnight together. They some¬
times open the belly, & if they should do more than
keep the belly regular the dose must be diminished &
keeped within that bounds & make them go more
entirely by the Skin - After a fortnight trial, they
are to be intermitted for a fortnight or longer & then
renewed


The 2d medicine is a liquid to be taken in drops ↑fifty for a dose↑, on
a little powdered sugar, dissolved in a little white wine
whey not very warm & they may be washed down
with a little more of the same a little warmer ---


The does is to be taken at bed time & is to be taken
twice a week when he is not taking the pills & especially
at any time he suspects fresh cold or any threatening
of any return of his Complaints & at such times
they may be taken for two or three nights following
at all times he will be the better for riding on horseback and other gentle exercise.

Take one drachm each of Gum Guaiacum and white sugar, one and a half drachms powdered peppermint, one drachm Extract of gentian, a sufficient quantity of Mucilago of gum Arabic, rub the guaiacum well with the sugar then add the other things in the same manner to make a mass to be divided into single pills of five grains. Label: Diaphoretic mixture Pills 3, 4 or 5 for a dose

Take one ounce volatile Elixir of guaiacin Label: Diaphoretic Drops 50 for a dose

Edinburgh 31st May 1776
WC

Diplomatic Text

[Page 1]
For the Honble Captain Frederick Maitland
Case


By violent exercise in the Muirs about the beginn¬
ing of August last, had his whole Muscles overstrained
and were therefore very easily affected by cold, Being
exposed to this about the beginning of winter, his neck
and upper part of his back was affected with
some Rheumatic complaints (pains), wc spread upwards
on his head, gave him pain in the crown of it & pretty
smart pains in both temples. He was also several
times affected with fits of giddiness & frequently
with fits of deafness. Many of these symptoms
have frequently recurred in the winter especially
on his being affected with fresh cold ---

--- Advice ---


Compts entirely Rheumatic & owing to cold. I hope
they may be removed by the following measures
1st Avoid fresh cold, being heated by exercise, the
sun or warm chambers, the night air, moist or cold air
Avoid exposing his head neck & shoulders to any
stream of air, these parts should be always well
covered & he should not quit his flannel [Callot?]
before Midsummer & only then cutting it away by
degrees, & again renew it by the end of Septr -


To restore the perspiration of the parts affected
they should be rubbed every morning with a flannel
or flesh brush, gently but it should be continued for
several minutes upon every par[t?]. -




[Page 2]


To promote & support the perspiration of the
whole body I have ordered below two Meds


The first is a parcel of Pills, of wc he is to take three
for a dose at bedtime for a fortnight together. They some¬
times open the belly, & if they should do more than
keep the belly regr the dose must be diminished &
keeped within that bounds & make them go more
entirely by the Skin - After a fortnight trial, they
are to be intermitted for a fortnight or longer & then
renewed


The 2d med is a liquid to be taken in drops ↑fifty for a dose↑, on
a little powdered sugar, dissolved in a little white wine
whey not very warm & they may be washed down
with a little more of the same a little warmer ---


The does is to be taken at bed time & is to be taken
twice a week when he is not taking the pills & especially
at any time he suspects fresh cold or any threatening
of any return of his Complaints & at such times
they may be taken for two or three nights following
at all times he will be the better for riding on h.
back and other gentle exercise.


Gum. guaiac, Sacch. alb. d aa ʒi, Piper [farm?] pulv. ʒſs,
Extr. gentian. ʒi, Muc. g. Ar. q.s., Terito p↑r↑obe guaiac. cum sacch
dein adde cetera ut. f. M. div. in. pil sing. gr. V
S. Diaph. ℳ Pills 3, 4 or 5 for a dose


Elix. guaiacin vol ℥i
S. Diaph Drops 50 for a dose

Edr 31st May 1776
WC

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