Cullen

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

 

[ID:4254] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: William Kerr (Lord Ancram/5th Marquis of Lothian) (Patient) / 9 June 1778 / (Outgoing)

Reply giving detailed 'Directions for Lord Ancram', on how to take a course of goat whey while staying at his Borders seat, "Mount Teviot" (i.e. Monteviot House, near Jedburgh). . Letter signed William Cullen and and J. Younge.

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Metadata

FieldData
DOC ID 4254
RCPE Catalogue Number CUL/1/1/10/111
Main Language English
Document Direction Outgoing
Date9 June 1778
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply giving detailed 'Directions for Lord Ancram', on how to take a course of goat whey while staying at his Borders seat, "Mount Teviot" (i.e. Monteviot House, near Jedburgh). . Letter signed William Cullen and and J. Younge.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1038]
Case of Lord Ancram (the 5th Marquess of Lothian) who is given detailed instructions for undertaking a course of goat whey.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2422]Patient William Kerr (Lord Ancram/5th Marquis of Lothian)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:269]Patient's Physician / Surgeon / ApothecaryMr Young (Younge)

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 Monteviot House Jedburgh Borders Scotland Europe inferred
Mentioned / Other Monteviot House Jedburgh Borders Scotland Europe certain

Normalized Text

[Page 1]

Directions
for Lord Ancram's drinking Goat whey.


It will be convenient to have the Goats when they are to
be milked brought as near to Mount Teviot house as possible, but
this must not be attempted if their pasture is at any great
distance, as it would not be proper to drive them to any length.


If the Goats can be brought very near let the rennet be
put in the milk as soon as it is taken from the Goat and
let the curdled milk in a stone or china bowl just large
enough to contain it, be set in a vessel of warm water
so that it may be kept warm while Lord A. drinks it.


When the Goats are necessarily at a distance the milk
must be brought home & warmed again over the fire before
the rennet is put to it, & must be kept warm in the same
manner while his Lordship is drinking it.




[Page 2]


When the milk is firmly curdled it is to be cut with a
spoon & the whey only that runs off freely is to be taken &
none must be taken that is got by pressing the curd.


Lord Ancram should begin to drink the whey about half an
hour after 7am., & therefore all the operations mentioned
should be adjusted to that time as nearly as possible.


He need not be awakened till the time mentioned and
then he may take his first draught of whey as he lyes
a bed, but immediately after he should get up & put on his
ordinary cloaths before he takes his second draught
which however at longest should be in half an hour after
the first. When more draughts are to be taken the
third & 4th may be taken at the intervals of a quarter
of an hour or more as agreable, but between these last
draughts he should walk out a little when the morning
is fine & the ground dry, but in a less favourable state
of the ground or weather he must keep within doors
but between his draughts should keep walking about
in a large room. When his Lordship has finished the
whole whey, in tolerable weather he should get on
horseback and ride out for half an hour or more &
then return to take his ordinary breakfast.


The draughts of whey to be taken may at first
be about a quarter of a pint or less & for the first or
second day two such draughts may be enough; but
every day after the draughts are to be gradually
increased both in quantity & number, till in six or
seven days his Lordship can take to the quantity
of a Pint or perhaps a little more.


The quantity to be taken upon the whole is to be
according to the stomach's bearing it. If it sit light
& do not occasion any sour or flatulent belching, or do
not prevent his taking a tolerable breakfast after it
the quantity may be to a pint & a half or perhaps a
little more. But if it feel heavy on the stomach



[Page 3]

& the taking a quantity proves very disagreeable, or if it prove
flatulent, & take away all appetite for breakfast, the quan¬
tity taken must not exceed a pint or perhaps three quarters of
it.


Another circumstance to determine the quantity of whey
that may be taken is the manner of its passing. If it
pass pretty quickly by urine it will be a sign of its being
easily digested. It will be also a sign of this, if it pass
soon by stool but its operation this way must be a very mo¬
derate & if it does more than move him easily once a day the
quantity taken must be lessened. Or if it should even in
small quantity purge him we shall not think it proper
to continue the drinking of it. It frequently however hap¬
pens that the whey does not move the belly at all and
sometimes has a contrary effect. In this last ease the
costiveness must be prevented either by a dose of the salts
which of late he has been used to take or by a dose
of the powders herewith sent.


It will not be necessary to take any Goat whey in
the Evening as it does not answer as well after other food
has been in the stomach, but if his Lordship chuse to
take a bason of the whey with a dry toast for his break¬
fast
supper it may be very proper.


During this course nothing more necessary than fresh
air & exercise. Every day about an hour after breakfast he should
get on horseback & continue riding gently as long as his strength ea¬
sily bears. In the afternoon also, but not sooner than an hour
after dinner, nor so long as in the forenoon & never late abroad in
the Evening. Diet as of late milk grain garden things, & fruit
of any kind. Every day at dinner he may have not very strong broth
with bread, rice, barley, sago or vermicelli, boiled separate & put to
the broth in the way he chuses. Either forenoon or afternoon he may
have a glass of hartshort or calves feet jelly, but no other animal food
till he is stouter & free of cough or feverishness. Avoid wet grass &
even damp air. Need not fear an accidental shower in riding only
never get wet without getting quit of his wet cloaths as quickly
as possible.

Edinburgh June 9th 1778
W.C. & J. Younge

Diplomatic Text

[Page 1]

Directions
for Lord Ancram's drinking Goat whey.


It will be convenient to have the Goats when they are to
be milked brought as near to Mt Teviot house as possible, but
this must not be attempted if their pasture is at any great
distance, as it would not be proper to drive them to any length.


If the Goats can be brought very near let the rennet be
put in the milk as soon as it is taken from the Goat and
let the curdled milk in a stone or china bowl just large
enough to contain it, be set in a vessel of warm water
so that it may be kept warm while Lord A. drinks it.


When the Goats are necessarily at a distance the milk
must be brought home & warmed again over the fire before
the rennet is put to it, & must be kept warm in the same
manner while his Lp is drinking it.




[Page 2]


When the milk is firmly curdled it is to be cut with a
spoon & the whey only that runs off freely is to be taken &
none must be taken that is got by pressing the curd.


Ld Am should begin to drink the whey about half an
hour after 7am., & therefore all the operations mentioned
should be adjusted to that time as nearly as possible.


He need not be awakened till the time mentioned and
then he may take his first draught of whey as he lyes
a bed, but immediately after he should get up & put on his
ordinary cloaths before he takes his second draught
which however at longest should be in half an hour after
the first. When more draughts are to be taken the
third & 4th may be taken at the intervals of a quarter
of an hour or more as agreable, but between these last
draughts he should walk out a little when the morng
is fine & the ground dry, but in a less favourable state
of the ground or weather he must keep within doors
but between his draughts should keep walking about
in a large room. When his Lodp has finished the
whole whey, in tolerable weather he should get on
horseback and ride out for half an hour or more &
then return to take his ordinary breakfast.


The draughts of whey to be taken may at first
be about a quarter of a pint or less & for the first or
second day two such draughts may be enough; but
every day after the draughts are to be gradually
increased both in quantity & number, till in six or
seven days his Lordship can take to the quantity
of a Pint or perhaps a little more.


The quantity to be taken upon the whole is to be
according to the stomach's bearing it. If it sit light
& do not occasion any sour or flatulent belching, or do
not prevent his taking a tolerable breakfast after it
the quantity may be to a pint & a half or perhaps a
little more. But if it feel heavy on the stomach



[Page 3]

& the taking a quantity proves very disagreeable, or if it prove
flatulent, & take away all appetite for breakfast, the quan¬
tity taken must not exceed a pint or perhaps three quarters of
it.


Another circumstance to determine the quantity of whey
that may be taken is the manner of its passing. If it
pass pretty quickly by urine it will be a sign of its being
easily digested. It will be also a sign of this, if it pass
soon by stool but its operation this way must be a very mo¬
derate & if it does more than move him easily once a day the
quantity taken must be lessened. Or if it should even in
small quantity purge him we shall not think it proper
to continue the drinking of it. It frequently however hap¬
pens that the whey does not move the belly at all and
sometimes has a contrary effect. In this last ease the
costiveness must be prevented either by a dose of the salts
which of late he has been used to take or by a dose
of the powders herewith sent.


It will not be necessary to take any Goat whey in
the Evening as it does not answer as well after other food
has been in the stomach, but if his Lordship chuse to
take a bason of the whey with a dry toast for his break¬
fast
supper it may be very proper.


During this course nothing more necessary than fresh
air & exercise. Every day about an hour after breakfast he should
get on horseback & continue rdg gently as long as his strength ea¬
sily bears. In the afternoon also, but not sooner than an hour
after dinner, nor so long as in the forenoon & never late abroad in
the Eveng. Diet as of late milk grain garden things, & fruit
of any kind. Every day at dinner he may have not very strong broth
with bread, rice, barley, sago or vermicelli, boiled separate & put to
the broth in the way he chuses. Either forenoon or afternoon he may
have a glass of hartshort or calves feet jelly, but no other animal food
till he is stouter & free of cough or feverishness. Avoid wet grass &
even damp air. Need not fear an accidental shower in riding only
never get wet without getting quit of his wet cloaths as quickly
as possible.

Edr June 9th 1778
W.C. & J. Younge

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