Cullen

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

 

[ID:4722] From: Dr William Cullen (Professor Cullen) / To: Dr McKinlay (McInlay) / Regarding: Henry Steuart Barclay (of Coltness) (Patient) / 6 October 1780 / (Outgoing)

Reply concerning the 'Management of Dovers Powder for Mr Barclay' to undergo a sweating treatment, possibly for his physician Dr McKinlay. Includes advice on keeping up a sweat with blankets, warm water, and hot bricks.

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[Page 2]


 

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Metadata

FieldData
DOC ID 4722
RCPE Catalogue Number CUL/1/1/16/126
Main Language English
Document Direction Outgoing
Date6 October 1780
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply concerning the 'Management of Dovers Powder for Mr Barclay' to undergo a sweating treatment, possibly for his physician Dr McKinlay. Includes advice on keeping up a sweat with blankets, warm water, and hot bricks.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1253]
Case of Henry Barclay of Coltness, and elderly man suffering a severe attack of gout.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3729]AddresseeDr McKinlay (McInlay)
[PERS ID:682]PatientMr Henry Steuart Barclay (of Coltness)
[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

Normalized Text

[Page 1]
Management of Dovers Powder
For Mr. Barclay


The Powder is to be taken in the morning after his
ordinary sleep is over. It will be taken most properly
when made into a bolus and swallowed in a wafer.


His bed linnen is to be removed, he must put on a
flannel shirt and be laid in Blankets. The blankets
upon his body may be only the usual number, or per¬
haps a little more than he has been accustomed to
sleep in, but some addition should always be laid on
his feet and legs.


As the powder sometimes occasions a little squea¬
mishness
he must avoid drinking any thing till the
sweat begins to break out; as drinking may occasion
the Powders being thrown up by Vomiting.


When the sweat begins to break out he may
then take frequently a little of some warm drink such
as water Gruel or weak Sage or Bohea Tea.




[Page 2]


When the sweat breaks out, if it does not [seem?]
to extend downwards to his feet & legs an additional blanke[t]
may be laid over his feet and legs, or if necessary bottles
with warm water or boiled bricks
may be laid to th[e]
soles of his feet
.


As the sweat should be carried on with as little
heat and uneasiness to the person as possible; if he
finds himself very hot and restless, an additional
blanket that was put upon the body may be
taken off and even the additional blanket may
be removed from his feet; but as it is absolutely
necessary that the sweat should extend to
his feet
and legs they should be wrapt in flannels or some
additional covering kept upon them.


If the sweat flows easily it is to be continued
for ten or twelve hours; or if it is moderate and he
is not much exhausted and weakened he may
be allowed to continue in the blankets till next
morning.




[Page 3]


During the sweating he is to take Drink as we
have said above, and he may about his usual time of
Dining take a little warm weak Beef Tea or Chicken
broth with a bit of bread or if he finds himself exhausted
he may at any time take a little of the beef tea or
perhaps a glass of weak Negus or white wine whey.


When the sweat ceases his body should be
dried with warm Towels and he should put on a dry
and well toasted flannel shirt.


If he does not continue during the night in
blankets he should be taken out of bed and wrapt
in blankets till his bed Clothes are shifted and
bed linnen put on.


If he continues in blankets till the morning
he may then on coming out of bed put on his ordinary
Clothes or perhaps a little warmer and it will be
very proper for him to keep his bed Chamber all
that day and for a day or two after he should



[Page 4]

be particularly cautious of exposing himself to cold.


If the headach or flying pains which give occasion
for this remedy are not entirely removed by one sweat ––
another may be taken in five or six days after.


I have caused put up some doses of the Dovers
powder
but they are rather small because I would
wish to execute the business with as small a dose as
possible but if it shall be found that these doses
are really too small they may be increased by one
fourth part taken from another paper.

William Cullen
6th October
1783.

Diplomatic Text

[Page 1]
Management of Dovers Powder
For Mr. Barclay


The Powder is to be taken in the morning after his
ordinary sleep is over. It will be taken most properly
when made into a bolus and swallowed in a wafer.


His bed linnen is to be removed, he must put on a
flannel shirt and be laid in Blankets. The blankets
upon his body may be only the usual number, or per¬
haps a little more than he has been accustomed to
sleep in, but some addition should always be laid on
his feet and legs.


As the powder sometimes occasions a little squea¬
mishness
he must avoid drinking any thing till the
sweat begins to break out; as drinking may occasion
the Powders being thrown up by Vomiting.


When the sweat begins to break out he may
then take frequently a little of some warm drink such
as water Gruel or weak Sage or Bohea Tea.




[Page 2]


When the sweat breaks out, if it does not [seem?]
to extend downwards to his feet & legs an additional blanke[t]
may be laid over his feet and legs, or if necessary bottles
with warm water or boiled bricks
may be laid to th[e]
soles of his feet
.


As the sweat should be carried on with as little
heat and uneasiness to the person as possible; if he
finds himself very hot and restless, an additional
blanket that was put upon the body may be
taken off and even the additional blanket may
be removed from his feet; but as it is absolutely
necessary that the sweat should extend to
his feet
and legs they should be wrapt in flannels or some
additional covering kept upon them.


If the sweat flows easily it is to be continued
for ten or twelve hours; or if it is moderate and he
is not much exhausted and weakened he may
be allowed to continue in the blankets till next
morning.




[Page 3]


During the sweating he is to take Drink as we
have said above, and he may about his usual time of
Dining take a little warm weak Beef Tea or Chicken
broth with a bit of bread or if he finds himself exhausted
he may at any time take a little of the beef tea or
perhaps a glass of weak Negus or white wine whey.


When the sweat ceases his body should be
dried with warm Towels and he should put on a dry
and well toasted flannel shirt.


If he does not continue during the night in
blankets he should be taken out of bed and wrapt
in blankets till his bed Clothes are shifted and
bed linnen put on.


If he continues in blankets till the morning
he may then on coming out of bed put on his ordinary
Clothes or perhaps a little warmer and it will be
very proper for him to keep his bed Chamber all
that day and for a day or two after he should



[Page 4]

be particularly cautious of exposing himself to cold.


If the headach or flying pains which give occasion
for this remedy are not entirely removed by one sweat ––
another may be taken in five or six days after.


I have caused put up some doses of the Dovers
powder
but they are rather small because I would
wish to execute the business with as small a dose as
possible but if it shall be found that these doses
are really too small they may be increased by one
fourth part taken from another paper.

William Cullen
6th Octor.
1783.

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