The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:53] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mrs Elizabeth Campbell (Campbell) (Mrs Elizabeth Campbell of Carwhin) (Patient), Anonymous (Patient) / 28 March 1769 / (Outgoing)
Reply, 'For Mrs Campbell of Carwhin'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
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[Page 2]
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Metadata
| Field | Data |
|---|---|
| DOC ID | 53 |
| RCPE Catalogue Number | CUL/1/1/1/48 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 28 March 1769 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, 'For Mrs Campbell of Carwhin' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:36] |
Case of Mrs Campbell, diagnosed with 'a weakness in her stomach'. |
1 |
| [Case ID:2457] |
Case of an unnamed male patient troubled with worms. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:14] | Patient | Mrs Elizabeth Campbell (Mrs Elizabeth Campbell of Carwhin) |
| [PERS ID:1128] | Patient | |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 |
| Mentioned / Other | Carwhin | Mid Scotland | Scotland | Europe | certain |
Normalized Text
For Mrs Campbell of Carwhin
It appears to me that Mrs C. has a weakness in her stomach
that makes her liable to flatulency & Pains in it but these are a dif¬
ferent ailment from the two violent fits of Pain which she suffered
about the beginning of last winter & thirteen months before and
which were owing to a stoppage of the Gall & had a tendency to
bring on the Jaundice
These ailments require a somewhat different treatment
but what I am to advise for the Weakness of stomach is at the same
time very proper to prevent the bilous ailment
I have prescribed below some stomachic Pills which I would have
her Use pretty frequently both for for strengthening the stomach & for
preventing Costiveness - The Dose at first may be three pills one
Dose to be taken about an hour before dinner & another at bed time
[Page 2]
If this Dose proves purgative it must be diminished to two or even
one Pill & that Dose is to be Continued which keeps the belly regular
without Purging -- On this footing these Pills should be continued for
two or three weeks but after that they may be laid aside & only
taken at times when costiveness or a recurrence of the stomach
Disorder seems to require them
For the first two or three Pills Weeks that the Pills are taken
constantly it will be Proper to take along with every Dose
of Pills a Dose of the stomachic Tincture also ordered below
The Dose of this is half a table spoonfull in two spoonfulls
of Water ~ If at any time a return of the Disease of
the stomach renders it proper to take the Pills for some Days
together it will be proper also to take the tincture along with
them but when the Pills are only taken occasionally on
account of Costiveness the tincture will not be necessary
Along with these medicines it would be of singular service
to take frequent exercise in a Carriage or on horseback
& especially the latter. Walking cannot go far but being frequent¬
ly in fresh Air will be of service
Mrs Campbells own Experience has already instructed her
in the Article of Diet & she should continue to be guided by that
Experience in avoiding all windy food Roots Greens and raw
fruit & at the same time Malt Liquors - & tea --
By this management I hope Mrs C. shall keep free from
the Ordinary Disorder of her stomach & be also less liable
to any returns of the stoppage of the Gall but if this should
[Page 3]
happen & the pains violent it will be safest first to let a
little blood from her Arm & then have recourse to Lauda¬
num which should be taken to 30 or 40 Drops but
But it will be proper to observe that when the Pain from the
stoppage of the Gall Comes on if at that time the belly is Costive
it will be very proper to employ an injection befor the Laudanum
is taken ~
These are my advices for Mrs C. and I must add for
Directions for the young Gentlemen who is troubled with small
Worms - these I expect are to be removed by proper Glyst↑ers↑
The Materials for these I've orderd in the Papers
apart. The management of these Materials is as follows
Upon a Paper of Materials Pour a Muchkin of Water
boil the whole till the more than one half is boiled away --
When taken from the fire add the bigness of a large Pea of
the gum previously rubbed with a bit of loaf sugar - Add at
the same time tow or three tea spoonfulls of Common Salt
strain throu a Cloth & to the strained liquor add two table
spoonfulls of florence oil & use it for a Glyster --
These Glysters are to be repeated several times at longer & longer
intervals - the first after four - the 2d after 6. - and the 3d & 4th
after an interval of Eight Days ---
[Page 4]
Take one drachm of each of Peruvian Bark, Gentian and Aloes, half an ounce of green vitriol and a sufficient quantity of Syrup of Balsam and let a mass be made and divide into pills of five grains each. Label. Stomachic Pills --
Take four ounces of Tincture of Peruvian Bark, an ounce and a half of stomachic, half an ounce of aromatic tincture. Mix. Label: Stomachic Tincture
Diplomatic Text
For Mrs Campbell of Carwhin
It appears to me that Mrs C. has a weakness in her stomach
that makes her liable to flatulency & Pains in it but these are a dif¬
ferent ailment from the two violent fits of Pain which she suffered
about the beginning of last winter & thirteen months before and
which were owing to a stoppage of the Gall & had a tendency to
bring on the Jaundice
These ailments require a somewhat different treatment
but what I am to advise for the Weakness of stomach is at the same
time very proper to prevent the bilous ailment
I have prescribed below some stomachic Pills which I would have
her Use pretty frequently both for for strengthening the stomach & for
preventing Costiveness - The Dose at first may be three pills one
Dose to be taken about an hour before dinner & another at bed time
[Page 2]
If this Dose proves purgative it must be diminished to two or even
one Pill & that Dose is to be Continued which keeps the belly regular
without Purging -- On this footing these Pills should be continued for
two or three weeks but after that they may be laid aside & only
taken at times when costiveness or a recurrence of the stomach
Disorder seems to require them
For the first two or three Pills Weeks that the Pills are taken
constantly it will be Proper to take along with every Dose
of Pills a Dose of the stomachic Tincture also ordered below
The Dose of this is half a table spoonfull in two spoonfulls
of Water ~ If at any time a return of the Disease of
the stomach renders it proper to take the Pills for some Days
together it will be proper also to take the tincture along with
them but when the Pills are only taken occasionally on
account of Costiveness the tincture will not be necessary
Along with these medicines it would be of singular service
to take frequent exercise in a Carriage or on horseback
& especially the latter. Walking cannot go far but being frequent¬
ly in fresh Air will be of service
Mrs Campbells own Experience has already instructed her
in the Article of Diet & she should continue to be guided by that
Experience in avoiding all windy food Roots Greens and raw
fruit & at the same time Malt Liquors - & tea --
By this management I hope Mrs C. shall keep free from
the Ordinary Disorder of her stomach & be also less liable
to any returns of the stoppage of the Gall but if this should
[Page 3]
happen & the pains violent it will be safest first to let a
little blood from her Arm & then have recourse to Lauda¬
num which should be taken to 30 or 40 Drops but
But it will be proper to observe that when the Pain from the
stoppage of the Gall Comes on if at that time the belly is Costive
it will be very proper to employ an injection befor the Laud:
is taken ~
These are my advices for Mrs C. and I must add for
Directions for the young Gentlemen who is troubled with small
Worms - these I expect are to be removed by proper Glyst↑ers↑
The Materials for these I've orderd in the Papers
apart. The management of these Materials is as follows
Upon a Paper of Materials Pour a Muchkin of Water
boil the whole till the more than one half is boiled away --
When taken from the fire add the bigness of a large Pea of
the gum previously rubbed with a bit of loaf sugar - Add at
the same time tow or three tea spoonfulls of Common Salt
strain throu a Cloth & to the strained liquor add two table
spoonfulls of florence oil & use it for a Glyster --
These Glysters are to be repeated several times at longer & longer
intervals - the first after four - the 2d after 6. - and the 3d & 4th
after an interval of Eight Days ---
[Page 4]
℞ Extract. Cort. Peruv. --- Gentian -- Aloes Soccotorin @ ʒj
Sal Mart. ʒſs. -- Syr Balsam. q.s.ut f. Massa dividenda in
pil. sing. gr. v. Signa. Stomachic Pills --
℞ Tinct Cort Peruv ℥iv
stomachic ℥jſs Tinct Aromat - ℥ſs - ℳ Sig: Stomachic Tincture
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