The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:427] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mrs Richmond (Patient) / 8 December 1770 / (Outgoing)
Reply 'For Mrs Richmond'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
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[Page 2]
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Metadata
| Field | Data |
|---|---|
| DOC ID | 427 |
| RCPE Catalogue Number | CUL/1/1/3/10 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 8 December 1770 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | Yes |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mrs Richmond' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:297] |
Case of Mrs Richmond who is given a regimen after being weakened by miscarriages. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:221] | Patient | Mrs Richmond |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 |
| Mentioned / Other | Britain | Europe | certain | |||
| Mentioned / Other | Jamaica | West Indies | certain | |||
| Mentioned / Other | Scotland | Europe | certain | |||
| Mentioned / Other | London | London and South-East | England | Europe | certain |
Normalized Text
For Mrs Richmond
After so many miscarriages and great weakness produced by them,
the restoring Mrs Richmond must be a matter of some difficulty and it
can be done only by some length of time and a great deal of attention during
the course of it. It is hoped that the following measures may be of service
to her.
1. Bodily exercise is always in danger of hurting her. It should therefore
always be very gentle and moderate & never go the length of the last fatigue.
But it is especially at her monthly periods that she must caution.
For a day or two before that time, during the course of it and for a day or
two after she must avoid motion of any kind as much as possible and for
the most part should lie upon her bed as the moderating the discharge
at sometimes will be of great service in recovering the strength that is
necessary. At other times Mrs Richmond may be much the better for some
exercise in a carriage but it must be always as gentle and smooth as
possible and never carried to any degree of fatigue.
2. In the intervals of a month she should every morning take
a cold bath. Where she has the conveniency of a spring that may be
drawn into a proper cistern she may dip her whole body but I believe
it will be best for her to use a bathing machine as it can be tempered
more exactly and employed with more conveniency.
3. For some time to come she should every day except at the end of a
month drink more or less of some chalybeate water. While she
[Page 2]
continues in Scotland she may take the Hartfell Spaw from half a pint to
a pint every day. When she is at London she may take a
Wine glass full of the Shadwell Water in the morning
& if it sits well upon her stomach she may take ano¬
ther an hour before dinner. When she goes to sea let her
carry some of Hartfell or Shadwell Water along with her
& take a part of them every day except as I have said before
at the time of her mensis I dont doubt but there are
Chalybeate Waters in the Island of Jamaica tho I dont
know them & if there are let her use them more or less
as the Physicians on the spot shall direct --
4. Two or three days after her Mensis is over let her begin
to take the strengthening Electuary ordered below taking
the bigness of a Filbert twice a day & continuing it for a
fortnight & this she is to do for three or four times --
5. Her Diet may be nourishing, but should be light -
She should take nothing that may be heavy on her stomach
or heating to her Blood. The Young & White Meats
are the most proper with a little of the lighter
kinds of fish. All kind of grain is very fit for her
& she should take something of this kind at supper
without any Meat. For Drink a little Red Port
& Water is the fittest at all Times but the Wine must
be taken moderately & always with Water. She should
avoid both Tea & Coffee but Chocolate of such
strength as she can easily digest is very proper --
[Page 3]
6. Costiveness will always do harm & therefore to be
obviated by a Medicine when necessary. If she can
take Oil, the castor oil from half a spoonful to a spoonful or just so much as
moves her once will be one of the best medicines she can take the Oil she may
take the Electuary prescribed.
7. When she returns to Jamaica let her keep out of the sun or the power
of it as she possibly can and while she is in Britain let her avoid warm cham¬
bers and sitting too near the fire.
8. In case of another Conception she ought to continue the cold bathing
till she is four months gone, then leaving it of by degrees. She must also
in this situation more carefully avoid all Exercise and when she is eight
weeks gone she should then be almost constantly upon her bed and not con¬
tinue to do so till she is past thirteen weeks. At the same time her
diet should be lighter and cooler and almost without animal food &
then too she must take more than usual care to avoid Costiveness.
Edinburgh 8th December
1770
Diplomatic Text
For Mrs Richmond
After so many miscarriages and great weakness produced by them,
the restoring Mrs Richmond must be a matter of some difficulty and it
can be done only by some length of time and a great deal of attention during
the course of it. It is hoped that the following measures may be of service
to her.
1. Bodily exercise is always in danger of hurting her. It should therefore
always be very gentle and moderate & never go the length of the last fatigue.
But it is especially at her monthly periods that she must caution.
For a day or two before that time, during the course of it and for a day or
two after she must avoid motion of any kind as much as possible and for
the most part should lie upon her bed as the moderating the discharge
at sometimes will be of great service in recovering the strength that is
necessary. At other times Mrs Richmond may be much the better for some
exercise in a carriage but it must be always as gentle and smooth as
possible and never carried to any degree of fatigue.
2. In the intervals of a month she should every morning take
a cold bath. Where she has the conveniency of a spring that may be
drawn into a proper cistern she may dip her whole body but I believe
it will be best for her to use a bathing machine as it can be tempered
more exactly and employed with more conveniency.
3. For some time to come she should every day except at the end of a
month drink more or less of some chalybeate water. While she
[Page 2]
continues in Scotland she may take the Hartfell Spaw from half a pint to
a pint every day. When she is at London she may take a
Wine glass full of the Shadwell Water in the morning
& if it sits well upon her stomach she may take ano¬
ther an hour before dinner. When she goes to sea let her
carry some of Hartfell or Shadwell Water along with her
& take a part of them every day except as I have said before
at the time of her mensis I dont doubt but there are
Chalybeate Waters in the Island of Jamaica tho I dont
know them & if there are let her use them more or less
as the Physicians on the spot shall direct --
4. Two or three days after her Mensis is over let her begin
to take the strengthening Electuary ordered below taking
the bigness of a Filbert twice a day & continuing it for a
fortnight & this she is to do for three or four times --
5. Her Diet may be nourishing, but should be light -
She should take nothing that may be heavy on her stomach
or heating to her Blood. The Young & White Meats
are the most proper with a little of the lighter
kinds of fish. All kind of grain is very fit for her
& she should take something of this kind at supper
without any Meat. For Drink a little Red Port
& Water is the fittest at all Times but the Wine must
be taken moderately & always with Water. She should
avoid both Tea & Coffee but Chocolate of such
strength as she can easily digest is very proper --
[Page 3]
6. Costiveness will always do harm & therefore to be
obviated by a Medicine when necessary. If she can
take Oil, the castor oil from half a spoonful to a spoonful or just so much as
moves her once will be one of the best medicines she can take the Oil she may
take the Electuary prescribed.
7. When she returns to Jamaica let her keep out of the sun or the power
of it as she possibly can and while she is in Britain let her avoid warm cham¬
bers and sitting too near the fire.
8. In case of another Conception she ought to continue the cold bathing
till she is four months gone, then leaving it of by degrees. She must also
in this situation more carefully avoid all Exercise and when she is eight
weeks gone she should then be almost constantly upon her bed and not con¬
tinue to do so till she is past thirteen weeks. At the same time her
diet should be lighter and cooler and almost without animal food &
then too she must take more than usual care to avoid Costiveness.
Edinr 8 Decr
1770
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