Cullen

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

 

[ID:4205] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Kennedy (Patient) / 28 January 1778? / (Outgoing)

Reply headed to 'Mr Logan C. Mr Kennedy of Penmore's son' who has severe developmental problems.

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4205
RCPE Catalogue Number CUL/1/1/10/62
Main Language English
Document Direction Outgoing
Date28 January 1778?
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply headed to 'Mr Logan C. Mr Kennedy of Penmore's son' who has severe developmental problems.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:976]
Case of the two-year-old son of Mr Kennedy of Pinmore who has shown severe developmental problems since birth.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2230]Patient Kennedy
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2228]Patient's Physician / Surgeon / Apothecary Thomas Logan
[PERS ID:2229]Patient's Relative / Spouse / FriendMr Kennedy (of Pinmore)

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 Ayr (Air) Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
Mr Logan Concerning Mr Kennedy of Penmore's Son'


Some days ago was favored with your
account of Mr K--'s child, but perceived the case was
not urgent but soon perceived the case was difficult & requi¬
red deliberation therefore have been so long in giving an
answer. Now I have considered the Case attentively must
say my Prognostic is unfavorable. I doubt if the [recovery?]
case will admit of recovery or if it does it must be in a great
length of time only as the Child advances in years For at best the
body must be somewhat advanced before the mental powers
are acquired. However I hold no case to be deserted while any
probable & safe attempts can be made for its relief. In the pre¬
sent case you have done I believe all that could be done & I
doubt not but the sea bathing has been of advantage & the enlarge¬
ment of the head & the faster growth of the body gives an encou¬
ragement for further trial but would not advise till the sea¬
son is considerably advanced & may in some measure con¬
cur in such good effects. I would join with if ↑[possible?]↑ friction with dry
flannel immediately after the bathing & in the Evening before
the Child is put to bed & would not use in the morning before
the Child is put in the sea. The friction over the whole
body gentle but long continued. Tho the Aromatic Pills
formerly used had little effect, they may have more when
the child is further advanced & therefore they may upon oc¬
casion for a week or two together be tried again. The Oil
Succini
is properly applied employed & tho what you have
under that head is chiefly [rb. Tinct:?] it may not be less fit
for purpose. In the mean time frequently employ for
the friction I have mentioned flannel fumigated with the
steam of burning Amber, Benzoin & common Rosin. Elec¬
tricity
I dont expect much from in a Case of this kind, but
think it should by all means be tried with proper caution
but not till the season is further advanced & not till the
month of April [are?] soonest. But not necessing to [bring?]
him to Edinburgh for this. An Apparatus may be got for three
Guineas & I [may?] get the loan of one much cheaper &
at any rate the sending one to the country less expensive
than the bringing the child to Edinburgh -- & there will be



[Page 2]

be no difficulty in giving directions for the application of
Electricity. --- Have mentioned all external remedies ne¬
cessary, & [there are?] are few internal [useful?] - The Limatura
Martis
may be employed in the formula inclosed. It
may be employed for a fortnight or three weeks at one time
but then intermitted for a week or two before taken again
but it will probably require several courses of it before
it produces much effect. Would have it delayed alto¬
gether till in the Summer when it may have other re¬
medies to concur with it. Given at this season He
should be carried abroad every day, so as in some measure
to answer the purpose of a cold bath but the Airing
be for a short time only & care taken that he be
never much chilled by cold; & that therefore the continu¬
ance of airings should be proportioned to the state
of the wind & weather for the time. While the win¬
ter & cold part of the spring continues he should
be kept warm by cloathing rather than by the fires
& warm chambers. In Diet employ a great [deal?]
of Milk but would also follow the childs own taste
in qiving frequently perhaps once a day some strong
soup pretty warmly seasoned -- but would hardly
attempt any solid food. You dont say that the
slowness of the childs belly still continues; but if
it does it is proper to take care costiveness
never continues long, but to give a little warm
laxative
when occasion seems to require it. Have
given everything which relates to the practice &
tho something curios in Theory ought arise from
this Case have neither disposition nor leisure to en¬
ter into it.

Take three grains of prepared Steel five grains of powdered Cinnamon ten grains of pure white sugar. Mix and let there be 28 doses of the powder. Label: Strengthening Powders. One to be taken in a little currant Jelly or Panada.

28 January
WC --

Diplomatic Text

[Page 1]
Mr Logan C. Mr Kennedy of Penmore's Son'


Some days ago was favored with your
account of Mr K--'s child, but perceived ye case was
not urgent but soon perceived the case was difficult & requi¬
red deliberation therefore have been so long in giving an
answer. Now I have considered the Case attentively must
say my Prognostic is unfavorable. I doubt if ye [recovery?]
case will admit of recovery or if it does it must be in a great
length of time only as ye Child advances in yrs. For at best the
body must be somewhat advanced before ye mental powers
are acquired. However I hold no case to be deserted while any
probable & safe attempts can be made for its relief. In the pre¬
sent case you have done I believe all that could be done & I
doubt not but the sea bathing has been of advantage & ye enlarge¬
ment of ye head & ye faster growth of ye body gives an encou¬
ragement for further trial but would not advise till ye sea¬
son is considerably advanced & may in some measure con¬
cur in such good effects. I would join with if ↑[possible?]↑ friction with dry
flannel immediately after the bathing & in the Eveng before
the Child is put to bed & would not use in ye morning before
the Child is put in ye sea. The friction over the whole
body gentle but long continued. Tho the Aromatic Pills
formerly used had little effect, they may have more wn
the child is further advanced & therefore they may upon oc¬
casion for a week or two together be tried again. The Oil
Succini
is properly applied employed & tho what you have
under that head is chiefly [rb. Tinct:?] it may not be less fit
for purpose. In the mean time frequently employ for
the friction I have mentioned flannel fumigated with the
steam of burning Amber, Benzoin & common Rosin. Elec¬
tricity
I dont expect much from in a Case of this kind, but
think it should by all means be tried with proper caution
but not till ye season is further advanced & not till ye
month of April [are?] soonest. But not necessing to [bring?]
him to Edinr for this. An Apparatus may be got for three
Guineas & I [may?] get the loan of one much cheaper &
at any rate the sending one to ye country less expensive
than the bringing the child to Edinr. -- & there will be



[Page 2]

be no difficulty in giving directions for the application of
Electricity. --- Have mentioned all external remedies ne¬
cessary, & [there are?] are few internal [useful?] - The Limatura
Martis
may be employed in ye formula inclosed. It
may be employed for a fortnight or three weeks at one time
but then intermitted for a week or two before taken again
but it will probably require several courses of it before
it produces much effect. Would have it delayed alto¬
gether till in ye Summer when it may have other re¬
medies to concur with it. Given at this season He
should be carried abroad every day, so as in some measure
to answer the purpose of a cold bath but the Airing
be for a short time only & care taken that he be
never much chilled by cold; & that therefore the continu¬
ance of airings should be proportioned to the state
of the wind & weather for the time. While the win¬
ter & cold part of the spring continues he should
be kept warm by cloathing rather than by the fires
& warm chambers. In Diet employ a great [deal?]
of Milk but would also follow the childs own taste
in qiving frequently perhaps once a day some strong
soup pretty warmly seasoned -- but would hardly
attempt any solid food. You dont say that the
slowness of the childs belly still continues; but if
it does it is proper to take care costiveness
never continues long, but to give a little warm
laxative
when occasion seems to require it. Have
given everything which relates to the practice &
tho something curios in Theory ought arise from
this Case have neither disposition nor leisure to en¬
ter into it.


Lematur Mart p.p. gr iij Cinnam. pulv. gr. v
Sach. alb. puriss gr X. ℳ fiat Pulvis et fiant
h. m. dos. No XX VIII. Sig. Strengthening Powders
One to be taken in a little currant Jelly or Panada.

28 Jany.
WC --

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