The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4453] From: Dr William Cullen (Professor Cullen) / To: Mr I. Taylor / Regarding: Miss Margaret Neilson (Peggy) (Patient) / 9 June 1779 / (Outgoing)
Reply headed 'To Mr I. Taylor C. Miss Neilson'. Cullen can give 'no comfortable prospect of the case', but discusses her further treatment using various medicines.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4453 |
| RCPE Catalogue Number | CUL/1/1/12/20 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 9 June 1779 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply headed 'To Mr I. Taylor C. Miss Neilson'. Cullen can give 'no comfortable prospect of the case', but discusses her further treatment using various medicines. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:363] |
Case of Miss Peggy Neilson seriously ill with sores, breathing problems and a 'hectic', which eventually proves fatal. |
7 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2909] | Addressee | Mr I. Taylor |
| [PERS ID:2092] | Patient | Miss Margaret Neilson (Peggy) |
| [PERS ID:2909] | Patient's Physician / Surgeon / Apothecary | Mr I. Taylor |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:2668] | Patient's Relative / Spouse / Friend | Mrs Jean Neilson (Nielson) |
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 | Paisley | Glasgow and West | Scotland | Europe | inferred |
Normalized Text
To Mr I. Taylor Concerning Miss Neilson
Can give no comfortable prospect of the Case - Many
such cases have recovered after lingering some years, but
of late her Pulse has become more frequent - is threatened
with Hectic & has got some Cough & what is worse a
Looseness of the Hectic & Colliquative kind. - In these cir¬
cumstances I could no longer approve of her bathing in
& drinking of Salt Water -- Few Medicines I have to advise
or her Care admit of. - She has taken a good deal
of Bark without very little benefit; but still if
you can percieve it to to support her Appetite & it does
not prove Laxative, you may give her at 2 or 3 [pieces?]
2 or 3 ℈ in a day., intrermitting it to mark its effects.
A Puke of Ipicacuanha from 9 to 10 grain's given now & then
maybe of use to all her complaints - If the Looseness should
continue to trouble her it must be kept in bounds by
Astringents & Opiates as below № 1. But if it be
very urgent a seperate Dose of an Anodyne maybe necessary
Rhubarb or other Laxatives will rather do harm. --
If her cough should increase it may be proposed to give
her Asses or Mares milk & they may be tried but not
continued if they prove Laxative. The only Medicine I can
advise is № 2. --
The effects of her journey upon her Cough & loosness
convince me that she might be the better of frequent fresh
air & gentle exercise -
Nothing to add concerning her Diet to what I said
to Mrs Neilson -- Animal food may seem to be
against her Cough and Hectic but in a moderate degree
[Page 2]
is not improper for the fundamental disease &
unless you can percieve it increase her Cough & Hectic
I would allow a little Animal food once a day. -
If she can take Milk & farinaceæ I would prefer
them to every thing else. But roots & greens except
in very small quantity are likely to do harm. Fresh fruits
I have sometimes found to moderate such a
Diarrhœa & therefore Strawberries & even
Gooseberries when ripe maybe tried - No
Marmalade nor Sweetmeats. Her drink Toast
Water or Milk Tea .i.e. two parts or three boiling
Water to one of milk from the Cow. - No Malt
Liquor - In case of faintishness a very little wine
wine with water may be allowed.
№1. Take one drachm each of Dried red rose petals and Pomegranate flowers, half a drachm of Ground cinnamon, half an ounce of Gum Arabic, and eight ounces of boiling water. Soak overnight and add to what has been strained half an ounce of Tincture of kino, one ounce of Diacodium, and one hundred and twenty drops of Laudanum. Mix. Label: Strengthening Mixture a table Spoonfull after every loose stool.----
№.2. Take two ounces of fresh Tussilago leaves. Boil two pounds of Spring water down to one pound and strain with firm pressure and to the strained liquid add one ounce each of Simple cinnamon water and Spirit of cinnamon and one drachm of Liquorice extract or whatever amount will make it pleasing to the taste. Mix and Label: Pectoral Decoction two table Spoon fulls to be taken two or three times aday -------
Diplomatic Text
To Mr I. Taylor C. Miss Neilson
Can give no comfortable prospect of the Case - Many
such cases have recovered after lingering some years, but
of late her Pulse has become more frequent - is threatened
with Hectic & has got some Cough & what is worse a
Looseness of the Hectic & Colliquative kind. - In these cir¬
cumstances I could no longer approve of her bathing in
& drinking of Salt Water -- Few Meds I have to advise
or her Care admit of. - She has taken a good deal
of Bark without very little benefit; but still if
you can percieve it to to support her Appetite & it does
not prove Laxative, you may give her at 2 or 3 [pieces?]
2 or 3 ℈ in a day., intrermitting it to mark its effects.
A Puke of Ipicac. from 9 to 10 grain's given now & then
maybe of use to all her compts. - If the Looseness should
continue to trouble her it must be kept in bounds by
Astringents & Opiates as below № 1. But if it be
very urgent a seperate Dose of an Anodyne maybe necessary
Rhubarb or other Laxatives will rather do harm. --
If her cough should increase it may be proposed to give
her Asses or Mares milk & they may be tried but not
continued if they prove Laxative. The only Med I can
advise is № 2. --
The effects of her journey upon her Cough & loosness
convince me that she might be the better of frequent fresh
air & gentle exercise -
Nothing to add concerning her Diet to what I said
to Mrs Neilson -- Animal food may seem to be
against her Cough and Hectic but in a moderate degree
[Page 2]
is not improper for the fundamental disease &
unless you can percieve it increase her Cough & Hectic
I would allow a little Animal food once a day. -
If she can take Milk & farinaceæ I would prefer
them to every thing else. But roots & greens except
in very small qty are likely to do harm. Fresh fruits
I have sometimes found to moderate such a
Diarrhœa & therefore Strawberries & even
Gooseberries when ripe maybe tried - No
Marmalade nor Sweetmeats. Her drink Toast
Water or Milk Tea .i.e. two parts or three boiling
Water to one of milk from the Cow. - No Malt
Liquor - In case of faintishness a very little wine
wine with water may be allowed.
№1. ℞ Flor. rosar. rubr. sicc. - Flor. balaust. @ ʒj
Cinnamom. contus. ʒſs. Gum. Arab. ℥ſs. Aq. bull. ℥viij Macera per
noctem et colaturæ adde Tinct. e kino ℥ſs. Syr. diacod. ℥j Tinct. thib. gutt. CXX ↓120.↓
ℳ. Sig. Strengthening Mixture a table Spoonfull after every loose
stool.----
№.2. ℞ Folior. tussilag. recent. ℥ij
Coquo ex Aq. font [lb?]ij ad [lb?]j et cum forti expressione cola
et liquori colato adde.
Aq. cinnam. simpl.
-- ----- spirit @ ℥j
Extract. glycynhiry. ʒi vel quantum sapori gratum
fuerit. ℳ et Sig. Pectoral Decoction two table Spoon
fulls to be taken two or three times aday -------
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