Cullen

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

 

[ID:3853] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Mrs Seton (Patient) / 3 July 1776 / (Outgoing)

Reply 'For Mrs Seton'. with advice on goat whey treatment (presumably for phthisis), including the care and milking of the goats. Cullen suggests she may need to winter in another climate.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 3853
RCPE Catalogue Number CUL/1/1/7/74
Main Language English
Document Direction Outgoing
Date3 July 1776
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mrs Seton'. with advice on goat whey treatment (presumably for phthisis), including the care and milking of the goats. Cullen suggests she may need to winter in another climate.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:700]
Case of Mrs Seton, who is given advice in taking a course of goat whey.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1821]Addressee
[PERS ID:1820]PatientMrs Seton
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1821]Patient's Physician / Surgeon / Apothecary

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

Normalized Text

[Page 1]
For Mrs Seton.


For the Goat whey courses.


Chuse those which have the most lately had kids.


Keep them on their native pasture i.e. on ground somewhat roc¬
ky & hilly, avoiding the rich pasture of any plain.


Milk them only, just before the whey is to be drunk, & put
the Rennet to the milk, while of the natural warmth as
it comes from the goat, & if the goats be distant carry the



[Page 2]

Rennet to the place, for, better carry the curdled milk
than to carry the milk to be afterwards curdled; but keep
the curdled milk in a vessel of warm water, while the
whey is a drinking.


Draw the whey by only cutting the curd with the edge of a
spoon & take none by pressing.


Only one gill the first day, but every day afterwards in¬
crease the dose by half a gill every day till she can
take a muchkin or more. When on the 2d or afterwards
she is to take more than a gill, divide it into separate
draughts, at the interval of half an hour or a little less
as her stomach &c.


Take the first draught about 7, or if that encroach on her
morning sleep, at 8. The whey may be commonly finished
in an hour or so & if she do it early & be inclined to sleep
after it, she may if it be sound & refreshing & without any
sweating
, but if the contrary, avoid it, & get out of
bed soon after.


No breakfast till an hour after finishing the whey, & the
best sign of its agreeing will be its not taking away
her appetite for breakfast
. She must judge of its agreeing
by its not being windy or heavy, by its going easily by
urine & not too much by stool. By this she may judge
how much may be taken. By beginning in the way
above



[Page 3]

by degrees, I have no doubt of her going the length of a
muchkin every morning but if agree well, may go farther,
tho not beyond a choppin if so far. If windy on her
stomach she may chew cinnamon or cannella while drinking it.


Little benefit from it taken in the Evening but if she
chuse a cup full with a little dry toast for supper, it
may be very proper.


During this fresh air & gentle exercise, in permitting
weather, neither very warm nor wet, in the carriage for
2 or 3 hours every forenoon & more or less also of the same to¬
wards Evening.


Diet much the same as for some time past, little or no
animal food, with a very little of the lightest kind at dinner.
For the rest, milk & vegetables. Sparing of garden things,
provided her stomach will allow her to take what is more
nourishing & not heating, i.e. Cows milk with bread, rice,
sago, or barley, or these grains alone dressed ad libitum. 1
Take the milk as from the cow, & never long kept. If
not loose may take a little butter milk, but very fresh
& that made by churning new milk in a bottle. If there
should be any doubt of her bearing the fresh cow milk, she will
probably bear much better the churned made in the way above,
when the butter is taken from it.


No wine or malt liquor, but may take Barley water or



[Page 4]

thin gruel.


Continue frequently the Paregor. elixir, & in case of
asthmatic & restless nights or in case of looseness, increase
the dose to a tea spoonful & a half.


From all this I expect &cc. but she has been redu¬
ced so low, that it will require time & c. & if she do not
recover entirely during this & next month, she will be in
great danger from another winter in this climate: & I
[&?] so keep in view another Climate &ccc.

W. C
Edinburgh July 3 1776.

Notes:

1: "optional"

Diplomatic Text

[Page 1]
For Mrs Seton.


For ye Goat whey courses.


Chuse those wc have the most lately had kids.


Keep them on their native pasture i.e. on ground somewt roc¬
ky & hilly, avoidg ye rich pasture of any plain.


Milk them only, just before the whey is to be drunk, & put
the Rennet to the milk, while of the natural warmth as
it comes fm ye goat, & if the goats be distant carry the



[Page 2]

Rennet to ye place, for, better carry ye curdled milk
yn to carry the milk to be afterwds curdled; but keep
the curdled milk in a vess. of warm water, while the
whey is a drinking.


Draw ye whey by only cutting ye curd with ye edge of a
spoon & take none by pressing.


Only one gill ye first day, but ev. day afterwds in¬
crease ye dose by half a gill ev. day till she can
take a muchkin or more. Wn on ye 2d or aft.wds
she is to take more yn a gill, divide it into separate
draughts, at ye interval of half an hour or a little less
as her stom. &c.


Take ye first drt about 7, or if that encroach on her
morng sleep, at 8. The whey m. b. commonly finished
in an hour or so & if she do it early & be inclined to sleep
after it, she may if it be sound & refresh.g & wout any
sweating
, but if the contrary, avoid it, & get out of
bed soon after.


No breakf. till an hour after finishing ye whey, & ye
best sign of its agreeing will be its not taking away
her appet. for breakf.
. She must judge of its agreeing
by its not being windy or heavy, by its going easily by
urine & not too much by stool. By this she m. judge
how mc m. b. taken. By beginning in the way
above



[Page 3]

by degrees, I have no doubt of her going ye length of a
muchkin ev. morng. but if agree well, may go farther,
tho not beyond a choppin if so far. If windy on her
stom. she may chew cinnam. or cann while drinking it.


Little benefit from it taken in ye Eveng. but if she
chuse a cup full with a little dry toast for supper, it
m. b. very proper.


Durg. ys. fresh air & gentle exercise, in permitt.g
weather, neither very warm nor wet, in ye carriage for
2 or 3 h. ev. foren. & more or less also of ye same to¬
wards Eveng.


Diet mc ye same as for some time past, little or no
an. food, w a very little of ye lightest kind at dinner.
For ye rest, milk & veget.. Sparing of garden things,
provided her stom. will allow her to take wt is more
nourishg. & not heating, i.e. Cows milk w bread, rice,
sago, or barley, or these grains alone dressed ad libitum. 1
Take ye milk as from ye cow, & never long kept. If
not loose may take a little butter milk, but very fresh
& yt made by churning new milk in a bottle. If there
shd be any doubt of her bearg ye fresh cow milk, she will
probably bear mc better the churned made in ye way above,
wn ye butter is taken fm it.


No wine or malt liq., but may take Barley water or



[Page 4]

thin gruel.


Continue frequently the Paregor. elixir, & in case of
asthmat. & restless nights or in case of looseness, increase
ye dose to a tea spoonf. & a half.


From all this I expect &cc. but she has been redu¬
ced so low, yt it will require time & c. & if she do not
recover entirely durg ys & next month, she will be in
great danger fm another winter in this climate: & I
[&?] so keep in view another Climate &ccc.

W. C
Ed.r July 3 1776.

Notes:

1: "optional"

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