Cullen

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

 

[ID:4268] From: Dr William Cullen (Professor Cullen) / To: Mr Brown / Regarding: Mr Brown (Patient) / 29 June 1778 / (Outgoing)

Reply headed 'For Mr Brown Surgeon Hadington'.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4268
RCPE Catalogue Number CUL/1/1/11/6
Main Language English
Document Direction Outgoing
Date29 June 1778
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 headed 'For Mr Brown Surgeon Hadington'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1020]
Case of Mr Brown, a ship's surgeon, who came down with a delerious fever while at sea, was then hospitalised and now suffers from paralytic spasms.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2359]AddresseeMr Brown
[PERS ID:2359]PatientMr Brown
[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 Haddington Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]
For Mr Brown Surgeon Hadington

Sir


I have considered the whole of your his History & am of opinion
that however the disease may have begun it is now entirely in
the Nervous System; & it must be our endeavour to obviate the weakness
that has taken place, & the obstruction that may happen there


For strengthening your nerves I have prescribed below an
Electuary, of which I hope you will be pleased to take a dose
two or three times a day, as you find your stomach bear it washing
it down with the Infusion also ordered below. For preventing
any obstruction affecting the origin of the Nerves I would advise a
Seton or pea Issue put into your neck. If you find that the Pil. e
Styrace
cum Gum Ammon gives you sleep & prevents the return
of spasm, I have no objection to your Continuing but I should be
afraid that the frequent use of an Opiate would rather do harm


If either from the use of the Opiate or other cause you are liable
to Costiveness it ought to be carefully prevented or removed & I
know no medicine so proper in your case, as the unbruised
Mustard
which you formerly employed. Upon the threatening
of Spasm you may still continue the tincture of Castor and
Volatile Valerian, if you find them answer, but these Volatile[s]
upon being often repeated lose their effect, & for a change you
may sometimes take a Mxture of two parts spirit of Lavender
& one part Caustic Spirit of Sal Ammoniac, & of this mixture
you may take thirty or forty drops in a little water.


I have little to offer with respect to your Diet, it should be of
the middle kind, not too low, but carefully avoiding every
thing heavy. - You may take a Glass of wine more or less
according to your former habits, but in general it must be



[Page 2]

with very great moderation. Tho you have been of opinion that
Exercise in a Carriage was ready to ↑occasion a↑ return of your Spasm, I
doubt if you would find that to be the case now, I am of opinion
that you should take as much fresh air & gentle exercise as
you can bear. These are the advices which occur to me
as necessary at present, and when anything new happens
I shall be ready to advise farther as well as I can


I am &c.

Edinburgh June 29.th
1778
W C.


For Mr Brown


R. V. S. p. ℥j
[C?] ℥ſs
[Rad S.?] Ʒij
Lim. mart. pp.tt
Zinzeb. pulv @ Ʒj
Conserva et cort. aurant. ℥j
Syr. simpl. q. s. ut. fiat Elect.
Sig. Cephalic Elect.y. The bigness of a Nutmeg
two or three times a day [was?] Take an ounce of the powdered Root of Wild Valerian, half an ounce of [Castor?], two drachms of [Mustard Root?]; prepare steel and powdered ginger, of each one drachm; an ounce of orange Conserve and rind, enough Simple Syrup to make an Electuary. Label: Cephalic Electuary. The bigness of a Nutmeg two or three times a day [was?] 1


Rad. valerian sylvest. contus Ʒij
Cort. aurant. contus. Ʒj
Zinziber. contus. Ʒſs.
ℳ. fiant. Ma[T?]alia et f. h. m. Chartae No vj
Sig. Materials for a Cephalic Infusion each parcel
to be infused in a muchkin of boiling water and after
standing for 12 hours to be strained - After straining
add an ounce of Tinct. Aromatica two drachms of Root of wild valerian, a drachm of crushed orange rind, half a drachm of crushed ginger. Mix and divide into six Papers. Label: Materials for a Cephalic Infusion each parcel to be infused in a muchkin of boiling water and after standing for 12 hours to be strained - After straining add an ounce of Aromatic Tincture

29th June 1778
W C

Notes:

1: Probably an abandoned conclusion which was to begin 'wash down with..'.

Diplomatic Text

[Page 1]
For Mr Brown Surgeon Hadington

Sir


I have considered the whole of your his History & am of opinion
that however ye disease may have begun it is now entirely in
the Nervous System; & it must be our endeavour to obviate ye weakness
that has taken place, & the obstruction that may happen there


For strengthening your nerves I have prescribed below an
Electuary, of which I hope you will be pleased to take a dose
two or three times a day, as you find your stomach bear it washing
it down with the Infusion also ordered below. For preventing
any obstruction affecting the origin of ye Nerves I would advise a
Seton or pea Issue put into your neck. If you find that the Pil. e
Styrace
cum Gum Ammon gives you sleep & prevents ye return
of spasm, I have no objection to your Continuing but I should be
afraid that the frequent use of an Opiate would rather do harm


If either from the use of the Opiate or other cause you are liable
to Costiveness it ought to be carefully prevented or removed & I
know no medicine so proper in your case, as the unbruised
Mustard
which you formerly employed. Upon the threatening
of Spasm you may still continue the tincture of Castor and
Volatile Valerian, if you find them answer, but these Volatile[s]
upon being often repeated lose their effect, & for a change you
may sometimes take a Mxture of two parts spirit of Lavender
& one part Caustic Spirit of Sal Ammoniac, & of this mixture
you may take thirty or forty drops in a little water.


I have little to offer wt respect to your Diet, it should be of
the middle kind, not too low, but carefully avoiding every
thing heavy. - You may take a Glass of wine more or less
according to your former habits, but in general it must be



[Page 2]

with very great moderation. Tho you have been of opinion that
Exercise in a Carriage was ready to ↑occasion a↑ return of your Spasm, I
doubt if you would find that to be the case now, I am of opinion
that you should take as much fresh air & gentle exercise as
you can bear. These are the advices which occur to me
as necessary at present, and when anything new happens
I shall be ready to advise farther as well as I can


I am &c.

Edinr June 29.th
1778
W C.


For Mr Brown


R. V. S. p. ℥j
[C?] ℥ſs
[Rad S.?] Ʒij
Lim. mart. pp.tt
Zinzeb. pulv @ Ʒj
Conserva et cort. aurant. ℥j
Syr. simpl. q. s. ut. fiat Elect.
Sig. Cephalic Elect.y. The bigness of a Nutmeg
two or three times a day [was?] Take an ounce of the powdered Root of Wild Valerian, half an ounce of [Castor?], two drachms of [Mustard Root?]; prepare steel and powdered ginger, of each one drachm; an ounce of orange Conserve and rind, enough Simple Syrup to make an Electuary. Label: Cephalic Electuary. The bigness of a Nutmeg two or three times a day [was?] 1


Rad. valerian sylvest. contus Ʒij
Cort. aurant. contus. Ʒj
Zinziber. contus. Ʒſs.
ℳ. fiant. Ma[T?]alia et f. h. m. Chartae No vj
Sig. Materials for a Cephalic Infusion each parcel
to be infused in a muchkin of boiling water and after
standing for 12 hours to be strained - After straining
add an ounce of Tinct. Aromatica two drachms of Root of wild valerian, a drachm of crushed orange rind, half a drachm of crushed ginger. Mix and divide into six Papers. Label: Materials for a Cephalic Infusion each parcel to be infused in a muchkin of boiling water and after standing for 12 hours to be strained - After straining add an ounce of Aromatic Tincture

29th June 1778
W C

Notes:

1: Probably an abandoned conclusion which was to begin 'wash down with..'.

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