Cullen

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

 

[ID:5028] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mrs Hamilton (Patient) / 10 April 1785 / (Outgoing)

Reply, 'For Mrs Hamilton of Wishaw'.

Facsimile

There are 5 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 

[Page 5]


 
 

Metadata

FieldData
DOC ID 5028
RCPE Catalogue Number CUL/1/1/18/13
Main Language English
Document Direction Outgoing
Date10 April 1785
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For Mrs Hamilton of Wishaw'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1866]
Case of Mrs Hamilton of Wishaw who is thought to have no disease, just the effects of a 'nervous shock'.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3630]AddresseeDr
[PERS ID:3624]PatientMrs Hamilton
[PERS ID:3630]Patient's Physician / Surgeon / ApothecaryDr
[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 Wishaw Glasgow and West Scotland Europe inferred
Mentioned / Other Wishaw Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]

For Mrs. Hamilton of Wishaw


After attentively considering the whole of Mrs.
Hamiltons complaints I can find no formed disease
{illeg} Symptoms which show that her Nerves
in general had received some Shock and ↑I↑ have no
doubt but that a little time and pains will {illeg}
recover them to their former State.


For this purpose I depend a good deal upon
a change of Air and Situation and which I re¬
commend to be done as soon as it conveniently can
be.


In the mean time I advise her taking as
much Air, Exercise and Amusement as She pro¬
perly can.


To Strengthen her Nerves I have prescribed
on the Paper inclosed two medicines which I
hope shall answer the purpose. One of them



[Page 2]

for {illeg} the conveniency of taking is in pills {illeg}
She will please take three for a dose twice a day and
if they agree very well with her Stomach I would
wish to make the dose five, or that She would
take a dose of three three times a day. If two doses
are only taken the best times are an hour or
two before dinner and About Eight in the Evening
but if three doses are to be taken one of them may
be taken an hour or half an hour before breakfast


The other medicine is a Strengthening
Tincture
of which twenty drops are to be taken
in an ordinary wine glassful of water and with
such a dose, every dose of the pills is to be washed
down.


If Mrs. Hamilton shall be frequently
troubled with want of Sleep it will be very
proper for her to take sometimes at bed time
a quieting dose but instead of Laudanum I



[Page 3]

advise her to take the paregoric Elixir which is
also prescribed on the paper inclosed. The dose of it
may be Sixty or Seventy drops in a little water.
If She should at any time be threatened with any
looseness the use of the Paregoric will be the
more proper but if on the contrary She shall
be troubled with Costiveness this must be correc¬
ted by a dose of Magnesia, or of flowers of
Sulphur
, or if neither of these Answer, by
the laxative pill also prescribed on the inclosed.
With these medicines her diet may be a bit of
any plain meat that She knows to agree with
her Stomach, avoiding however, Greens, roots, or
other windy things except in very moderate
quantity. Tea. I think bad for her and Coffee
not very good. At breakfast [therefore?] rather
than any of these I would have her take a
weak Chocolate or Cocoa Tea. I think all kinds


[Page 4]

of {illeg} [liquor?] improper and for ordinary drink
should be either plain water or with a little wine
on it and every day both at dinner and Supper
She should take two or three glasses of any wine
She likes best. Her Suppers should be little and
light and an Egg is not improper.


If She should continue to be troubled with
any fullness or Swelling of her Ancles at night
they should be rubbed from below upwards with
a flannel or flesh Brush every morning.


William Cullen -

Edinburgh 10th. April
1785



[Page 5]

For Mrs. Hamilton of Wishaw

Take two drachms of Peruvian Bark Extract, one drachm of Peruvian Bark Powder and a sufficient quantity of Gum Arabic Mucilage in order to let there be a mass to be divided into pills of five grains each. Label:s Strengthening pills; three to be taken for a dose, two or three times a day.

Take two ounces of Powdered Steel. Label: Strengthening tincture; twenty drops to be taken in a glass of water every dose of the pills.

Take two ounces of Paeregoric Elixir. Label: Anodyne Elixir.

Take one drachm an a half of Mass for Aloetic Pills, to be divided into eighteen pills. Label: Laxative Pills; one or two to be taken for a dose at bed time.


W.C.

10th April
1785

Diplomatic Text

[Page 1]

For Mrs. Hamilton of Wishaw


After attentively considering the whole of Mrs.
Hamiltons complaints I can find no formed disease
{illeg} Symptoms which show that her Nerves
in general had received some Shock and ↑I↑ have no
doubt but that a little time and pains will {illeg}
recover them to their former State.


For this purpose I depend a good deal upon
a change of Air and Situation and which I re¬
commend to be done as soon as it conveniently can
be.


In the mean time I advise her taking as
much Air, Exercise and Amusement as She pro¬
perly can.


To Strengthen her Nerves I have prescribed
on the Paper inclosed two medicines which I
hope shall answer the purpose. One of them



[Page 2]

for {illeg} the conveniency of taking is in pills {illeg}
She will please take three for a dose twice a day and
if they agree very well with her Stomach I would
wish to make the dose five, or that She would
take a dose of three three times a day. If two doses
are only taken the best times are an hour or
two before dinner and About Eight in the Evening
but if three doses are to be taken one of them may
be taken an hour or half an hour before breakfast


The other medicine is a Strengthening
Tincture
of which twenty drops are to be taken
in an ordinary wine glassful of water and with
such a dose, every dose of the pills is to be washed
down.


If Mrs. Hamilton shall be frequently
troubled with want of Sleep it will be very
proper for her to take sometimes at bed time
a quieting dose but instead of Laudanum I



[Page 3]

advise her to take the paregoric Elixir which is
also prescribed on the paper inclosed. The dose of it
may be Sixty or Seventy drops in a little water.
If She should at any time be threatened with any
looseness the use of the Paregoric will be the
more proper but if on the contrary She shall
be troubled with Costiveness this must be correc¬
ted by a dose of Magnesia, or of flowers of
Sulphur
, or if neither of these Answer, by
the laxative pill also prescribed on the inclosed.
With these medicines her diet may be a bit of
any plain meat that She knows to agree with
her Stomach, avoiding however, Greens, roots, or
other windy things except in very moderate
quantity. Tea. I think bad for her and Coffee
not very good. At breakfast [therefore?] rather
than any of these I would have her take a
weak Chocolate or Cocoa Tea. I think all kinds


[Page 4]

of {illeg} [liquor?] improper and for ordinary drink
should be either plain water or with a little wine
on it and every day both at dinner and Supper
She should take two or three glasses of any wine
She likes best. Her Suppers should be little and
light and an Egg is not improper.


If She should continue to be troubled with
any fullness or Swelling of her Ancles at night
they should be rubbed from below upwards with
a flannel or flesh Brush every morning.


William Cullen -

Edinr. 10th. April
1785



[Page 5]

For Mrs. Hamilton of Wishaw


Extract. Cort. Peruvian. ʒij
Pulv. Cort. Peruvian ʒj
Mucilag G. Arab. q. s. ut fiat massa dividenda
in pil. Sing. gr. V.
Sig. Strengthening pills three to be taken for a dose
two or three times a day.


Tinct. Mart. ℥ij
Sig. Strengthening tincture twenty drops to be taken
in a glass of water after every dose of the pills


Elix. Paregoric ℥ij
Sig. Anodyne Elixir Sixty drops to be taken in a
little water for a dose at bed time


Mass. Pil. Aloetic. ʒjfs divid. in pil. №.xviij
Sig. Laxative Pill. one or two to be taken for
a dose at bed time


W.C.

10th April
1785

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