Cullen

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

 

[ID:5122] From: Dr William Cullen (Professor Cullen) / To: Mrs Elizabeth Douglas / Regarding: Miss Joanna Douglas (Patient) / 12 August 1785 / (Outgoing)

Reply, 'Miss Douglas'

Facsimile

There are 5 images for this document.

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Metadata

FieldData
DOC ID 5122
RCPE Catalogue Number CUL/1/1/18/105
Main Language English
Document Direction Outgoing
Date12 August 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, 'Miss Douglas'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1809]
Case of Joanna Douglas who was well in London but has been feeling unwell since arriving in Boulogne sur Mer.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3804]AddresseeMrs Elizabeth Douglas
[PERS ID:3805]PatientMiss Joanna Douglas
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3807]Other Physician / SurgeonDr Des Mers
[PERS ID:3804]Patient's Relative / Spouse / FriendMrs Elizabeth Douglas

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 Boulogne-sur-Mer North of France France Europe inferred
Therapeutic Recommendation Burgundy France Europe certain
Therapeutic Recommendation Champagne France Europe certain
Mentioned / Other Boulogne-sur-Mer North of France France Europe certain

Normalized Text

[Page 1]

Miss Douglas

Madam


I have the honour of yours of the 5th.
current and as I enter into the Subject of it with
great concern I answer you in course of Post
without communication or Consultation with any¬
body here.


I am heartily concerned for any ailment affec¬
ting Miss Douglas, but I must say that the
present tho' sufficiently disagreeable, is, much
safer than any breast Complaint and I hope
we shall get the better of this very soon. Its
coming on so long before the usual time
, with
what followed after it, shows a weakness in
certain parts that I hope may be mended and
I have here inclosed a Prescription which I
suppose you may get properly enough dispen¬
sed at Boulogne, only desiring that they may
be governed by the London or Edinburgh Dispensatory



[Page 2]

The medicine are an Electuary and an infusion. Of
the Electuary Miss Douglas is to take the bigness of a
filbert wrapped in a wafer twice a day an hour before
dinner and Supper washing down each dose with a
small Cupful of the infusion.


There is certainly nothing better for Miss Douglas
health than much fresh air and gentle exercise but
it happens unluckily that much walking is bad
for her present complaint and that exercise in
a Carriage if it was not a French Carriage would
be much safer. I would not have her lay aside
her walking altogether but desire it may be
always gentle and never long at one time, and both
with respect to degree and duration that it be
absolutely without fatigue and that this be par¬
ticularly observed towards the end of a month.


The times of your diet after being a little
accustomed to it is of no consequence but the qua¬
lity of it may be of much and I suspect that the
pains and Cramp of the stomach which Miss
Douglas has complained of may be owing to a greater
quantity of fruit than Miss Douglas had been
accustomed to and tho' I would not forbid them after



[Page 3]

dinner I would have them let alone entirely after Supper
and at the same time the legumes or any thing from the
garden. I suspect it was Meat at Supper that gave the
frightful dream you mention and therefore I would have
every thing solid avoided and her Suppers made of barley
Rice, or Sago with or without milk as she finds this agree
with her. If She takes the grain without milk let it
be also without wine and with a little Cinnamon and
Sugar only. In the enclosed paper I have added the Pre¬
scription of a powder which if the pains of the Stomach
or heart burn continue She may take once or
twice a day when the Stomach is uneasy. You
give me an account of your Dinners and
Suppers but none of your breakfast and if
that happens to be your former one of Tea I hold it
to be at present very improper and the french one of
Raisins and wine is no less so. Let it be of milk with
a good deal of water; or if Miss pleases Gruel with
a little milk. I think I have been hitherto right in
avoiding Cold bathing and I would do so for a little still
tho' if the present complaints should continue I may
think of it. I understand your situation at Boulogne
very well as I have had particular accounts of it from
the writings of Des Mers a Physician of Boulogne and have
only to observe that the lower town is a damp place and
much exposed to rains from the West. I dont know


[Page 4]

what attachment you may have to Boulogne but for health I
would have preferred some place in Champaigne or Burgundy
and that also for the language. Wherever you are let me know
how you go on and if I can get Miss Douglas well I shall be
anxious about no other reward for my labour.


Make my affectionate compliments to Miss Douglas and believe
me most sincerely and respectfully ↑to be↑ hers and Madam


Your most Obedient humble Servant

William Cullen

Edinburgh 12th. August
1785



[Page 5]

For Miss Douglas

Take one ounce of Peruvian Bark Powder, one drachm of Cinnamon Powder, two drachms of Alum Rupeum Powder, one and a half ounces of Conserve of roses and a sufficient quantity of Simple Syrup in order to obtain an Electuarium, of which she takes may the bigness of a big filbert twice a day, washing it down with two ounces of the following infusion.

Take one ounce of Peruvian Bark Powder, two drachms of Dry Orange Peel and one drachm of Cinnamon. After having crushed the Cinnamon and the Orange Peel, pour over them one and libbre and a half of boiling water. Let it digest for one night and add to the liquid you will strain with the paper two ounces of Tincture of Peruvian Bark. Mix. Let her take two ounces of this after one dose of the electuary.

Take one scruple of prepared crab's Eyes. Let it there be in this way six doses. Label: Powders for the stomach.


W.C.

12th. August 1785

Diplomatic Text

[Page 1]

Miss Douglas

Madam


I have the honour of yours of the 5th.
currt. and as I enter into the Subject of it with
great concern I answer you in course of Post
without communication or Consultation with any¬
body here.


I am heartily concerned for any ailment affec¬
ting Miss Douglas, but I must say that the
present tho' sufficiently disagreeable, is, much
safer than any breast Complaint and I hope
we shall get the better of this very soon. Its
coming on so long before the usual time
, with
what followed after it, shows a weakness in
certain parts that I hope may be mended and
I have here inclosed a Prescription which I
suppose you may get properly enough dispen¬
sed at Boulogne, only desiring that they may
be governed by the London or Edinr. Dispensatory



[Page 2]

The medicine are an Electuary and an infusion. Of
the Electuary Miss Douglas is to take the bigness of a
filbert wrapped in a wafer twice a day an hour before
dinner and Supper washing down each dose with a
small Cupful of the infusion.


There is certainly nothing better for Miss Douglas
health than much fresh air and gentle exercise but
it happens unluckily that much walking is bad
for her present complaint and that exercise in
a Carriage if it was not a French Carriage would
be much safer. I would not have her lay aside
her walking altogether but desire it may be
always gentle and never long at one time, and both
with respect to degree and duration that it be
absolutely without fatigue and that this be par¬
ticularly observed towards the end of a month.


The times of your diet after being a little
accustomed to it is of no consequence but the qua¬
lity of it may be of much and I suspect that the
pains and Cramp of the stomach which Miss
Douglas has complained of may be owing to a greater
quantity of fruit than Miss Douglas had been
accustomed to and tho' I would not forbid them after



[Page 3]

dinner I would have them let alone entirely after Supper
and at the same time the legumes or any thing from the
garden. I suspect it was Meat at Supper that gave the
frightful dream you mention and therefore I would have
every thing solid avoided and her Suppers made of barley
Rice, or Sago with or without milk as she finds this agree
with her. If She takes the grain without milk let it
be also without wine and with a little Cinnamon and
Sugar only. In the enclosed paper I have added the Pre¬
scription of a powder which if the pains of the Stomach
or heart burn continue She may take once or
twice a day when the Stomach is uneasy. You
give me an account of your Dinners and
Suppers but none of your breakfast and if
that happens to be your former one of Tea I hold it
to be at present very improper and the french one of
Raisins and wine is no less so. Let it be of milk with
a good deal of water; or if Miss pleases Gruel with
a little milk. I think I have been hitherto right in
avoiding Cold bathing and I would do so for a little still
tho' if the present complaints should continue I may
think of it. I understand your situation at Boulogne
very well as I have had particular accounts of it from
the writings of Des Mers a Physician of Boulogne and have
only to observe that the lower town is a damp place and
much exposed to rains from the West. I dont know


[Page 4]

what attachment you may have to Boulogne but for health I
would have preferred some place in Champaigne or Burgundy
and that also for the language. Wherever you are let me know
how you go on and if I can get Miss Douglas well I shall be
anxious about no other reward for my labour.


Make my affectionate compliments to Miss Douglas and believe
me most sincerely and respectfully ↑to be↑ hers and Madam


Your most Obedient humble Servant

William Cullen

Edinr. 12th. Augt.
1785



[Page 5]

For Miss Douglas


Pulv. Cort. Peruv. ℥j
Cinnamom. ʒj
Alum. Rup. ʒij
Conserv. rosar. ℥iſs
Syr. Simpl. q. s. ut f. Electuarium
cujus Cap. may molem nucis avellanæ
majoris bis in die superbibendo infusi
sequentis Uncias duas.


Pulv. Cort. Peruv. ℥j
Cort. Aurantior. Siccat. ʒij
Cinnamom. ʒj
Contusis Cinnamomo et Cortice Aurantiorum
affunde aquæ bullientis Sesqui libram
Digere per noctem et colaturæ per chartam
adde Tinct. Cort. Peruv. ℥ij Misce et
post Singulas dosis Electuarii Capiat hujus
Uncias duas


Ocul. canc. præp. ℈j f. h. m. dos.
№. vi
Sig. Powders pour l'estomach


W.C.

12th. Augt. 1785

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