Cullen

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

 

[ID:4273] From: Dr William Cullen (Professor Cullen) / To: Countess Isabella Hay (Carr) (Lady Erroll, Lady Hay) / Regarding: Countess Isabella Hay (Carr) (Lady Erroll, Lady Hay) (Patient) / 4 July 1778 / (Outgoing)

Reply headed 'For Lady Isabella Hay' with detailed instructions on taking a course of goat whey in the Scottish Highlands.

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Metadata

FieldData
DOC ID 4273
RCPE Catalogue Number CUL/1/1/11/11
Main Language English
Document Direction Outgoing
Date4 July 1778
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 headed 'For Lady Isabella Hay' with detailed instructions on taking a course of goat whey in the Scottish Highlands.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1072]
Case of Lady Isabelle Hay who is instructed to go immediately to the Highlands and undertake a goat whey cure for her chest complaint.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:931]AddresseeCountess Isabella Hay (Lady Erroll, Lady Hay)
[PERS ID:931]PatientCountess Isabella Hay (Lady Erroll, Lady Hay)
[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
Therapeutic Recommendation Highlands East Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Lady Isabella Hay


The present ailment may be a little tedious but a change to be ex¬
pected in her Constitution will probably put an end to it entirely,
and if in the meantime the ailment does not fall upon the breast
there can be no danger. To prevent this accident it is necessary
that her Ladyship repair immediately to the highlands. & goat whey.


- Whey to be taken only in the Mornings beginning about 7 o' Clock.
The first Draught. may be taken abed but she should get up
before she take the second. If the Weather allows she should
walk abroad in the intervals of drinking the whey. The first day
or two the Draught should be a Gill, or somewhat less. and
two such Draughts may be taken at the interval of half
an hour for the two first days. Afterwards by degrees increased
to the number & quantity her Stomach can bear.


The quantity upon the whole from a muchkin to a Chopin
never more. The quantity must be determined by the
stomach bearing it easily or passing it readily, by stool or
urine. particularly by its not hurting appetite for breakfast
The same circumstances must determine how long she
should continue the Whey which accordingly may be from
four to {illeg} six weeks. It is possible the whey may not
continue good for six weeks after this & in case it falls
of her Ladyship must give it up the sooner.


In the whole course ↑let↑ care be taken that the whey ↑is↑ only
only to be used which parts easily from the curd without any



[Page 2]

pressing or squeazing. If the Whey proves windy
a tea spoonfull anise & sugar may be taken in the first
or second draught. If it purges, it must be taken in less
quantity or let alone altogether. & a Gill or two of fresh
milk taken in place of it. If it be Costive. does not
pass by stoo and Costiveness be troublesome, a dose or two
of Salts will be necessary once or twice a week.


During the course it will be proper to abstain almost
entirely from animal food. She may have every day
a little broth, not too strong. & once or twice a week
a little boiled Chicken, or boiled lamb. ---
At Breakfast Bohea tea weak but would prefer Cocoa
Tea: along with it she may have a little dry toast with a
little butter but by no means butter toast. Breakfast
not to be taken till an hour after finishing the Whey.
At Dinner besides broth. & bread. any kind of Pudding
and any young & tender garden (↑Garden↑) things. . Strawberrys or
Gooseberrys moderately. In the mornings with or without Jelly
Marmalade &.c but no sweet things to be taken in the
morning. In the Evening she is not to drink goat Whey. but she
may have a muchkin of fresh drawn whey, with a bit of dry
toast for Supper. or some kind of milk meat with that is
Cows milk with bread Rice Barley Sago, or if accus¬
tomed to it oat meal Porridge. The Cows milk should
not be boiled with any of these things - only Warmed and
poured upon the grain Separately boiled. If agreeable



[Page 3]

the fresh Cows milk may be taken with bread without being
warmed. If it shall appear or be suspected that Cows milk
is heavy on her stomach, it should be mixed with an equal
part of thin water gruel, & this mixture is to be employed
with milk or grain, instead of plain milk & it should
always be well sweatened with sugar. At no time she should
have any Eggs or Cheese, except a little of the first is necessary
in Pudding. Her drink. plain water or Barley water
or thin water Gruel. During the Course of the Whey
avoid all wine or Malt Liquors. During the course
of the whey she should be very much in the fresh air. while
in the weather is tolerably dry. She may frequently walk
but always gently. always on level Ground & never
long alone time. taking particular care never to be either
heated or fatigued by it. It will be of great service if
she can ride out for an hour or two every forenoon
when the weather is fine she may also ride out
for an hour towards the Evening but must neither
ride nor walk out late in the Evening. At all times
she must avoid cold. & therefore not to walk out
on wet ground.

Edinburgh July 4th 1778
WC.

Diplomatic Text

[Page 1]
For Lady Isabella Hay


The present ailment may be a little tedious but a change to be ex¬
pected in her Constitution will probably put an end to it entirely,
and if in the meantime the ailment does not fall upon the breast
there can be no danger. To prevent this accident it is necessary
that her Lad.p repair immediately to ye highlands. & goat whey.


- Whey to be taken only in ye Morngs beginning about 7 oC.
The first Draught. may be taken abed but she should get up
before she take the second. If the Weather allows she should
walk abroad in ye intervals of drinkg ye whey. The first day
or two the Draught should be a Gill, or somewhat less. and
two such Draughts may be taken at the interval of half
an hour for ye two first days. Afterwards by degrees increas.d
to ye number & quantity her Stomach can bear.


The quantity upon ye whole from a muchkin to a Chopin
never more. The quantity must be determined by ye
stomach bearing it easily or passing it readily, by stool or
urine. particularly by its not hurting appetite for break.t
The same circumstances must determine how long she
should continue ye Whey wc accordingly may be from
four to {illeg} six weeks. It is possible the whey may not
continue good for six weeks after this & in case it falls
of her Lad.p must give it up ye sooner.


In ye whole course ↑let↑ care be taken that the whey ↑is↑ only
only to be used wc parts easily from ye curd wtout any



[Page 2]

pressing or squeazing. If the Whey proves windy
a tea spoonfull anise & sugar may be taken in ye first
or second draught. If it purges, it must be taken in less
quantity or let alone altogether. & a Gill or two of fresh
milk taken in place of it. If it be Costive. does not
pass by stoo and Costiveness be troublesome, a dose or two
of Salts will be necessary once or twice a week.


During ye course it will be proper to abstain almost
entirely from animal food. She may have every day
a little broth, not too strong. & once or twice a week
a little boiled Chicken, or boiled lamb. ---
At Breakfast Bohea tea weak but wd prefer Cocoa
Tea: along wt it she may have a little dry toast wt a
little butter but by no means butter toast. Breakfast
not to be taken till an hour after finishing ye Whey.
At Dinner besides broth. & bread. any kind of Pudding
and any young & tender garden (↑Garden↑) things. . Strawberrys or
Gooseberrys moderately. In ye morngs wt or wtout Jelly
Marmalade &.c but no sweet things to be taken in ye
morng. In ye Eveng. she is not to drink goat Whey. but she
may have a muchkin of fresh drawn whey, wt a bit of dry
toast for Supper. or some kind of milk meat wt that is
Cows milk with bread Rice Barley Sago, or if accus¬
tomed to it oat meal Porridge. The Cows milk should
not be boiled wt any of these things - only Warmed and
poured upon ye grain Separately boiled. If agreeable



[Page 3]

the fresh Cows milk may be taken wt bread wtout being
warmed. If it shall appear or be suspected yt Cows milk
is heavy on her stomach, it should be mixed wt an equal
part of thin water gruel, & this mixture is to be employd
wt milk or grain, instead of plain milk & it should
always be well sweatened wt sugar. At no time she sd
have any Eggs or Cheese, except a little of ye first is necessary
in Pudding. Her drink. plain water or Barley water
or thin water Gruel. During ye Course of ye Whey
avoid all wine or Malt Liquors. During ye course
of ye whey she should be very mc in ye fresh air. while
in ye weather is tolerably dry. She may frequently walk
but always gently. always on level Ground & never
long alone time. tak.g particular care never to be either
heated or fatigued by it. It will be of great service if
she can ride out for an hour or two every forenoon
when ye weather is fine she may also ride out
for an hour towards ye Even.g but must neither
ride nor walk out late in ye Eveng. At all times
she must avoid cold. & therefore not to walk out
on wet ground.

Edinr July 4th 1778
WC.

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