Cullen

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

 

[ID:141] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss Mansfield (Patient) / 9 June 1781 / (Outgoing)

Directions for Miss Mansfield recommending a course of goat whey in the Scottish Highlands, and giving detailed directions for how this should be managed. Possibly handed to the patient in person as no incoming letter traced.

Facsimile

There are 4 images for this document.

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[Page 2]


 

[Page 3]


 

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Metadata

FieldData
DOC ID 141
RCPE Catalogue Number CUL/1/1/14/27
Main Language English
Document Direction Outgoing
Date9 June 1781
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Directions for Miss Mansfield recommending a course of goat whey in the Scottish Highlands, and giving detailed directions for how this should be managed. Possibly handed to the patient in person as no incoming letter traced.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1334]
Case of Miss Mansfield who is given detailed directions on taking a course of goat's whey.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:104]PatientMiss Mansfield
[PERS ID:588]Patient's Physician / Surgeon / ApothecaryMr Alexander Wood
[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
Therapeutic Recommendation Highlands East Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Miss Mansfield


The next week is the most proper time for beginning a
Course of Goat whey but if the present cold easterly weather
should continue it will be proper to put off the journey till
the weather mends.


In going to the highlands the first care is to provide a
proper lodging. Let it be perfectly dry and therefore not upon
a ground floor. Let it also be warm if possible but close-
chambers are not easily to be had and their not being very
warm is of little consequence for the time that people -
commonly reside there. It will be a great recommenda¬
tion of a lodging that it is near the goats whey pasture -


It is much to be wished that the goats could be - -
brought to the door or very near to the house where the
patient lives as the milk is always hurt by being car¬
ried from any distance.


If the goats can be brought near let the milk be
curdled with the natural heat as it comes from the goat
and therefore as soon as the quantity required is milked.




[Page 2]


If the goats are necessarily at some distance it will al¬
ways be better to carry the runnet to the field and put it to
the milk as soon as milked than to carry the milk to be after¬
wards heated upon the fire.


Whether the milk is curdled in the field or at home let
there be always so much curdled as will give the quantity
of whey required without pressing the Curd.


It will always be proper to prepare the whey just
when it is ↑to be↑ taken and as it is to be taken by repeated
draughts it is proper to keep the whey warm for the whole
time either by keeping ↑it↑ near the fire or what is better by
setting a vessel of warm water.


Miss Mansfield should always begin to take the whey
about seven o'clock of the morning and to take ↑a↑ small -
draught of it every half hour after till she has taken it
three or four times.


She may take the first and even the second draught as
she lies abed but if she is any ways able she should be out
of bed before she takes the other draughts.




[Page 3]


For the first day that Miss Mansfield drinks the whey the
draughts need be no more than half a gill but by degrees they may
be every day increased to a gill each and four such draughts -
every morning will be as much as her bowels will bear.


While she is drinking the whey she should during the
intervals walk about either without or within doors as -
the weather may direct.


If the whey proves windy on her stomach or in her bowels
she may eat a little Carraway in the intervals or take a
little Aniseed sugar in the draught of whey.


In an hour and hardly sooner after finishing the
whey she may take breakfast which may be dry toast with
water gruel, with milk tea or with common tea very weak.


About half an hour or an hour after breakfast every
day that is tolerably dry she should be put on horseback
to ride gently for two or three hours more or less as she
bears it easily. When the weather is fine she may also
ride for an hour or two towards the evening. If a car¬
riage goes with her to the highlands and is kept there she
may take her exercise in that when the weather is uncertain,



[Page 4]


Her diet is to be continued much of the same kind as it
has been for some time past. She may every day at dinner
have a little beef tea not very strong & with this she may
take either dry toast or have put into it some barley or -
Rice separately boiled. Besides these she may have some
light bread pudding or pudding made of rice or flower of
Rice. She may also have some very young turnips, green
pease or Colly flower all of them very well boiled. When
strawberries are to be had the may have a few if quite ripe
but care is to be taken that neither these nor the garden
things mentioned open her belly too much for in that case
all of them must be avoided. Her Supper may be any kind of Milk meat


It is probable that the goats whey will keep her belly open
but if it does not she may take a little Magnesia in the first
draught of whey and on the other hand if the whey proves
laxative she must take some Crabs Eyes with it.


The Bark as she now takes it is to be continued with
the goat whey but no other medicine is now necessary. -


Edinburgh 9th June
1781
William Cullen

Diplomatic Text

[Page 1]
For Miss Mansfield


The next week is the most proper time for beginning a
Course of Goat whey but if the present cold easterly weather
should continue it will be proper to put off the journey till
the weather mends.


In going to the highlands the first care is to provide a
proper lodging. Let it be perfectly dry and therefore not upon
a ground floor. Let it also be warm if possible but close-
chambers are not easily to be had and their not being very
warm is of little consequence for the time that people -
commonly reside there. It will be a great recommenda¬
tion of a lodging that it is near the goats whey pasture -


It is much to be wished that the goats could be - -
brought to the door or very near to the house where the
patient lives as the milk is always hurt by being car¬
ried from any distance.


If the goats can be brought near let the milk be
curdled with the natural heat as it comes from the goat
and therefore as soon as the quantity required is milked.




[Page 2]


If the goats are necessarily at some distance it will al¬
ways be better to carry the runnet to the field and put it to
the milk as soon as milked than to carry the milk to be after¬
wards heated upon the fire.


Whether the milk is curdled in the field or at home let
there be always so much curdled as will give the quantity
of whey required without pressing the Curd.


It will always be proper to prepare the whey just
when it is ↑to be↑ taken and as it is to be taken by repeated
draughts it is proper to keep the whey warm for the whole
time either by keeping ↑it↑ near the fire or what is better by
setting a vessel of warm water.


Miss Mansfield should always begin to take the whey
about seven o'clock of the morning and to take ↑a↑ small -
draught of it every half hour after till she has taken it
three or four times.


She may take the first and even the second draught as
she lies abed but if she is any ways able she should be out
of bed before she takes the other draughts.




[Page 3]


For the first day that Miss Mansfield drinks the whey the
draughts need be no more than half a gill but by degrees they may
be every day increased to a gill each and four such draughts -
every morning will be as much as her bowels will bear.


While she is drinking the whey she should during the
intervals walk about either without or within doors as -
the weather may direct.


If the whey proves windy on her stomach or in her bowels
she may eat a little Carraway in the intervals or take a
little Aniseed sugar in the draught of whey.


In an hour and hardly sooner after finishing the
whey she may take breakfast which may be dry toast with
water gruel, with milk tea or with common tea very weak.


About half an hour or an hour after breakfast every
day that is tolerably dry she should be put on horseback
to ride gently for two or three hours more or less as she
bears it easily. When the weather is fine she may also
ride for an hour or two towards the evening. If a car¬
riage goes with her to the highlands and is kept there she
may take her exercise in that when the weather is uncertain,



[Page 4]


Her diet is to be continued much of the same kind as it
has been for some time past. She may every day at dinner
have a little beef tea not very strong & with this she may
take either dry toast or have put into it some barley or -
Rice separately boiled. Besides these she may have some
light bread pudding or pudding made of rice or flower of
Rice. She may also have some very young turnips, green
pease or Colly flower all of them very well boiled. When
strawberries are to be had the may have a few if quite ripe
but care is to be taken that neither these nor the garden
things mentioned open her belly too much for in that case
all of them must be avoided. Her Supper may be any kind of Milk meat


It is probable that the goats whey will keep her belly open
but if it does not she may take a little Magnesia in the first
draught of whey and on the other hand if the whey proves
laxative she must take some Crabs Eyes with it.


The Bark as she now takes it is to be continued with
the goat whey but no other medicine is now necessary. -


Edinr. 9th June
1781
William Cullen

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