Cullen

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

 

[ID:3773] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Sir William Murray (Sir William Murray of Ochtertyre, 5th Bt.) (Patient) / February? 1775 / (Outgoing)

Reply 'For Sir Wm Murray Baronet' (William Murray of Ochtertyre). Cullen recommends stomachic powders, for which he gives a recipe, Hartfell Spa water, and cold bathing, with the use of the bathing machine, which he believes will be more effective if Sir William shaves his hair. Date late February - early March inferred from place in casebook.

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Metadata

FieldData
DOC ID 3773
RCPE Catalogue Number CUL/1/1/5/36
Main Language English
Document Direction Outgoing
DateFebruary? 1775
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 Reply 'For Sir Wm Murray Baronet' (William Murray of Ochtertyre). Cullen recommends stomachic powders, for which he gives a recipe, Hartfell Spa water, and cold bathing, with the use of the bathing machine, which he believes will be more effective if Sir William shaves his hair. Date late February - early March inferred from place in casebook.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:199]
Case of Sir William Murray [of Ochtertyre], prescribed the use of bathing machine, Hartfell spa water and stomachic powders.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1372]PatientSir William Murray (Sir William Murray of Ochtertyre, 5th Bt.)
[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

Normalized Text

[Page 1]
For Sir William Murray Baronet.


After considering every circumstance of Sir William’s case
I can find nothing still at bottom, but a weakness of Stomach
It is true that a weakness at Stomach is sometimes founded
in an original weakness of the Nervous System & sometimes it is confined
to the Stomach itself, but there is little room in the present
case to suppose the first & tho the ailment has arisen in the
stomach itself this is very often communicated to the whole
of the Nerves
so as to produce an endless variety of feelings
& disorders over the whole body.


The weakness of a particular part is always of difficult
cure & still more as it becomes general, but I am perswaded
that at Sir William’s time of life, a great deal can be done and
tho the system should not be entirely restored, that by regi¬
men & remedies, a great deal may be done to obviate and
relieve the disorders it is liable to.


With respect to Regimen, my former directions & his own
experience sufficient. It is only to be observed that there is
one fallacy in such cases that we are very much exposed to
The condition of the worst stomachs is very variable, in so much
that at some times, the stomach will digest & bear with impu¬
nity what at other times, would occasion a great deal of disorder
In the latter case we are ready to impute the disorder to



[Page 2]

some other cause than the meat or drink we have
taken & therefore with respect to these, to be negli¬
gent & innatentive – But we must gaurd against this
fallacy & be very constant & steady in avoiding all
these things, which we know to have a tendency or which we
know from ↑former↑ experience to produce disorders in the Stomach
or the parts connected with it.


With respect to remedies, I am averse to the
employing of more medicines than are absolutely necessary
because I am perswaded that many of the medicines com¬
monly employed for disorders of the stomach, do by
frequent & long continued use, become very hurtfull to it
There is therefore one Medicine only, which I am to advise
at present, as some late experience, has shewn it to
be very usefull & it is one which as far as I know, Sir William
has not before employed --


This medicine ordered below is a powder of which a dose is to
be taken at first once a day & afterwards twice a day,
as it shall be found to agree. The proper times are an
hour before dinner & supper. It may be either taken by
itself or it may be mixed with a little currant Jelly, but
cannot be taken conveniently in any liquid. It may how¬
ever, be washed down with a liquid & I what I would advise



[Page 3]

think best, is a glass of Hartfell Spaw water &
of this Sir William would do well to take a glass or two
at some other times of the day


Besides this medicine I have another remedy tor to recom¬
mend & this is Cold bathing – the most convenient way
of employing it is by the bathing machine & this again will
be most effectual if Sir William takes out so much of his
hair
as to render it safe to receive the fall of water on
his naked head, the most proper time is in the morning, imme¬
diately or soon after getting out of bed.

WC.
For Sir William Murray.

Take 5 grains of prepared powdered Steel, 10 grains of ground Cinnamon, and a scruple of refined White Sugar. Mix to make a powder, and in this way make 12 doses. Label: Stomachic Powders.

Diplomatic Text

[Page 1]
For Sir Wm Murray Baronet.


After considering every circumstance of Sir Wms case
I can find nothing still at bottom, but a weakness of Stomach
It is true that a weakness at Stomach is sometimes founded
in an original weakness of the N.S. & sometimes it is confined
to the Stomach itself, but there is little room in the present
case to suppose the first & tho the ailment has arisen in the
stomach itself this is very often communicated to the whole
of the Nerves
so as to produce an endless variety of feelings
& disorders over the whole body.


The weakness of a particular part is always of difficult
cure & still more as it becomes general, but I am perswaded
that at Sir Wms time of life, a great deal can be done and
tho the system should not be entirely restored, that by regi¬
men & remedies, a great deal may be done to obviate and
relieve the disorders it is liable to.


With respect to Regimen, my former directions & his own
experience sufficient. It is only to be observed that there is
one fallacy in such cases that we are very much exposed to
The condition of the worst stomachs is very variable, in so much
that at some times, the stomach will digest & bear with impu¬
nity what at other times, would occasion a great deal of disorder
In the latter case we are ready to impute the disorder to



[Page 2]

some other cause than the meat or drink we have
taken & therefore with respect to these, to be negli¬
gent & innatentive – But we must gaurd against this
fallacy & be very constant & steady in avoiding all
these things, wc we know to have a tendency or wc we
know from ↑former↑ experience to produce disorders in the Stomach
or the parts connected with it.


With respect to remedies, I am averse to the
employing of more meds than are absolutely necessary
because I am perswaded that many of the meds com¬
monly employed for disorders of the stomach, do by
freqt & long contd use, become very hurtfull to it
There is therefore one Mede only, wc I am to advise
at present, as some late experience, has shewn it to
be very usefull & it is one wc as far as I know, Sir Wm
has not before employed --


This med ordered below is a powder of wc a dose is to
be taken at first once a day & afterwards twice a day,
as it shall be found to agree. The proper times are an
hour before dinner & supper. It may be either taken by
itself or it may be mixed with a little currant Jelly, but
cannot be taken conveniently in any liquid. It may how¬
ever, be washed down with a liquid & I what I would advise



[Page 3]

think best, is a glass of Hartfell Spaw water &
of this Sir Wm would do well to take a glass or two
at some other times of the day


Besides this med I have another remedy tor to recom¬
mend & this is Cold bathing – the most convenient way
of employing it is by the bathing machine & this again will
be most effectual if Sir Wm takes out so much of his
hair
as to render it safe to receive the fall of water on
his naked head, the most proper time is in the morng, imme¬
diately or soon after getting out of bed.

WC.
For Sir Wm Murray.


℞. Ferr. limat. præp. gr. V
Cinnamom. pulv. gr X
Sacchar. alb. puriss. ℈i
ℳ. fiat Pulvis, et fiant. h. m. doses № XII
S. Stomachic Powders.

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