Cullen

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

 

[ID:72] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mrs Lindsay (Patient) / August? 1769? / (Outgoing)

Advice and 2 recipes for Mrs Lindsay, responding to an account of her treatment by James Fea of Clestrain..

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 72
RCPE Catalogue Number CUL/1/1/1/67
Main Language English
Document Direction Outgoing
DateAugust? 1769?
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Advice and 2 recipes for Mrs Lindsay, responding to an account of her treatment by James Fea of Clestrain..
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:258]
Case of Mrs Lindsay who is advised on regimen and given prescriptions for a strengthener and a laxative.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:40]PatientMrs Lindsay
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:447]Patient's Physician / Surgeon / ApothecaryMr James Fea (of Clestrain)

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 Kirkwall Orkneys Scotland Europe inferred

Normalized Text

[Page 1]
For Mrs Lindsay


I I have carefully considered the whole of Mr Fea's account of what
has happened to Mrs Lindsay, & tho' plainly I believe it to be very accurately
delivered, & more to our purpose than if it had been in a more scientifick form.


The Accident as having such Effects I have met with before in
several Instances, and hope it shall truly prove a Crisis to Mrs Lind¬
say's Ailments. But it will be still proper to be on our Guard, & to se¬
cure her entire Recovery by a proper Regimen.

What has been hitherto done seems to have been very proper and
particularly the Medicines are so. But as the Quantities, and Composition
are not exactly specified I sh shall here give my Opinion on that Subject.


Let her take the Bark in the form prescribed below, and after taking
the Quantity there ordered let her intermit the use of it for a fortnight
After that she may take the same Quantity as before and again lay it
aside for a Month or longer as Circumstances shall direct, that is if she
recovers her Strength to any tolerable Degree, and has no Returns of her
DDisease, I would have her take no more Bark than the two Quanti¬
ties above ordered, but if she does not recover her Strength some Time
in Winter another Course of the Bark and Steel may be necessary.

If her Urine continues to flow freely she will be secure against any
Return of her Disease, and will hardly need to disturb her Stomach with
with the Diuretic Pills, but if her Urine is not clear and plentiful she
must employ these Pills very diligently, even at the Time of taking the
Bark
, and more especially in the Intervals of the Bark, and more espe¬
cially in the Intervals. When she takes the Pills during the Inter¬
vals of the Bark, let her wash them down with the Infusion prescribed
below.


These are the only Mede Medecines I would advise just now,



[Page 2]

only take care that her Belly be kept regular by a gentle Laxati{illeg}ve
when necessary; and when her Appetite falls of off, or she is troubled
with Indigestion, let her take a gentle Vomit which is otherwise a very
proper Remedy to obviate the Stagnation about the Liver, which by the
late Event she seems to have been liable to. Ther


There is nothing more proper or more necessary for her, than her
taking what Exercise either in a Carriage or on Horseback she can easily
bear, or conveniently procure. Excercise taken in the open A air wil al¬
ways do most Service, but when the Weather does not allow of that she
must employ the Hobby Horse as well as she can. Bodily Exercise I
do not expect she will bear for some Time.

Her Diet seems to have been very well managed. Let it be nou¬
rishing, but very light, and let her have no more liquid food, than
is just necessary. If all the Symptoms are of her Disease keep off, some
of the lighter Fishes may be properly employed as a restorative food.
For ordinary Drink which should be as little as possible, the Toast Water
with a little Wine in it is as proper as any, & she may frequently take
a glass of Claret by itself.

For Mrs Lindsay

Take two ounces of powdered Peruvian Bark, half an ounce each of Cinnamon and Green Vitriol, one and a half ounces of Rose conserve, and enough Clove syrup to make an electuary. Label: the Strengthening Electary, the Biggness of a Nutmeg more or less to be taken two three ↑or↑ four times a Day as the Stomach bears it.

Take one drachm of Gentian root, half a drachm of Orange Peel, and two drachms each of tops of Roman Wormwood and of the leaves of Blessed Thistle. Having crushed and cut them up, pour on one pint, two ounces of boiling water. Steep for twelve hours, and strain. Add half an ounce of Salts of Tartar. After it has settled, strain again through paper. Label: The Diuretic Infusion, two Tablespoonfuls to be taken with every dose of the Diuretic Pills, or by itself three Times a Day.

Diplomatic Text

[Page 1]
For Mrs Lindsay


I I have carefully considered the whole of Mr Fea's account of what
has happened to Mrs Lindsay, & tho' plainly I believe it to be very accurately
delivered, & more to our purpose than if it had been in a more scientifick form.


The Accident as having such Effects I have met with before in
several Instances, and hope it shall truly prove a Crisis to Mrs Lind¬
say's Ailments. But it will be still proper to be on our Guard, & to se¬
cure her entire Recovery by a proper Regimen.

What has been hitherto done seems to have been very proper and
particularly the Meds. are so. But as the Quantities, and Composition
are not exactly specified I sh shall here give my Opinion on that Subject.


Let her take the Bark in the form prescribed below, and after taking
the Quantity there ordered let her intermit the use of it for a fortnight
After that she may take the same Quantity as before and again lay it
aside for a Month or longer as Circumstances shall direct, that is if she
recovers her Strength to any tolerable Degree, and has no Returns of her
DDisease, I would have her take no more Bark than the two Quanti¬
ties above ordered, but if she does not recover her Strength some Time
in Winter another Course of the Bark and Steel may be necessary.

If her Urine continues to flow freely she will be secure against any
Return of her Disease, and will hardly need to disturb her Stomach with
with the Diuretic Pills, but if her Urine is not clear and plentiful she
must employ these Pills very diligently, even at the Time of taking the
Bark
, and more especially in the Intervals of the Bark, and more espe¬
cially in the Intervals. When she takes the Pills during the Inter¬
vals of the Bark, let her wash them down with the Infusion prescribed
below.


These are the only Mede Medecines I would advise just now,



[Page 2]

only take care that her Belly be kept regular by a gentle Laxati{illeg}ve
when necessary; and when her Appetite falls of off, or she is troubled
with Indigestion, let her take a gentle Vomit which is otherwise a very
proper Remedy to obviate the Stagnation about the Liver, which by the
late Event she seems to have been liable to. Ther


There is nothing more proper or more necessary for her, than her
taking what Exercise either in a Carriage or on Horseback she can easily
bear, or conveniently procure. Excercise taken in the open A air wil al¬
ways do most Service, but when the Weather does not allow of that she
must employ the Hobby Horse as well as she can. Bodily Exercise I
do not expect she will bear for some Time.

Her Diet seems to have been very well managed. Let it be nou¬
rishing, but very light, and let her have no more liquid food, than
is just necessary. If all the Symptoms are of her Disease keep off, some
of the lighter Fishes may be properly employed as a restorative food.
For ordinary Drink which should be as little as possible, the Toast Water
with a little Wine in it is as proper as any, & she may frequently take
a glass of Claret by itself.

For Mrs Lindsay

℞: Pulv. Cort. Peruv. ℥ii Cinnamon. Sal. Mart. @ ℥ſs
Conserv. Rosarum. ℥iſs. Syrup. Caryophill. q. s. ut fiat Elect.
Signa. the Strengthening Electary, the Biggness of a Nutmeg
more or less to be taken two three ↑or↑ four times a Day as the Stomach
bears it.

℞. Rad. Gentian. ʒi Cort. Aurant. ʒſs Summ. Absinth.
Roman..
Folior Card. Benedict. @ ʒii. Contusis & concisis affunde
Aq. bullient lbi ℥ii. Digere per Horas duodecim, et Colatur. adde
Sal. Tartar. ℥ſs post Subsidentiam iterum per Chartam cola.
Signa. The Diuretic Infusion, two Tablespoonfuls to be taken with every
dose of the Diuretic Pills, or by itself three Times a Day.

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