Cullen

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

 

[ID:4544] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss Amelia Clephane (Clephan) (Patient) / 28 November 1779 / (Outgoing)

Reply 'For Miss Amelia Clephane', signed by Cullen and 'Sir S. T.'.

Facsimile

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Metadata

FieldData
DOC ID 4544
RCPE Catalogue Number CUL/1/1/12/111
Main Language English
Document Direction Outgoing
Date28 November 1779
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 'For Miss Amelia Clephane', signed by Cullen and 'Sir S. T.'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1222]
Case of Miss Amelia Clephane who in late-1779 is thought to have a temporary 'affection of the stomach and nerves'; in 1783 Cullen detects no particular disorder, but provides a regimen to manage her 'weak nerves'.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2859]PatientMiss Amelia Clephane (Clephan)
[PERS ID:2839]Patient's Physician / Surgeon / ApothecarySir Stuart Thriepland
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2839]Supplemental AuthorSir Stuart Thriepland

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 Miss Amelia Clephane


An affection of her Stomach & Nerves, from which
she will entirely recover but such complaints are tedious.


Exercise in a carriage; but in a better season it would
be best on horseback behind a man.


As the circulation seems weak in her feet, her legs and
feet should every morning be rubbed with flannel or a flesh
brush
.


Avoid cold; especially in her feet & legs; & when these do
become cold it will be proper to bring them to heat again
sometimes by chafing them & sometimes by holding them
near the fire; but in doing this last she should have a Screen
to protect her face & the rest of her body. If her feet
are apt to become cold in lying down at night they



[Page 2]

should be wrapped in warm flannel & covered with
an additional blanket.


In her Diet we wish by degrees to introduce some
animal food & therefore every day at dinner a little of
any kind she likes: But she will hardly make a tolerable
meal in this way & she should therefore take a little broth
about two hours before she is to take her solid meat.
At any rate vegetables will also be proper, but we
prefer bread & grain to Greens or Roots. She may take
fruit with safety.


No tea or coffee: but for breakfast she may have
weak chocolate, cocoa or porridge. At the supper
the same or apple prepared to her taste.


Drink plain or toast water & if she like with
a little Red Port or Sherry in it, or with as much safe¬
ty, a little burnt brandy: tho if they appear to heat
her they must be used with more reserve.


While she has cough in the night time she
may continue the Paregoric every second night. 30 for
a dose in three or four tea spoonfuls of the balsamic
syrup
& two table spoonfuls of water. Alternate the
use of these drops with the Laxative pills; as the
drops may find the belly.


To remove more speedily her cough & to strengthen
her stomach she should take three of the Stomachic
pills
ordered, every night about an hour before Supper
washing them down with a glass of the Hartfell Spa.


To strengthen her stomach, she should take a glass¬
ful of Hartfell Spa every forenoon about an hour before
her broth, & again about an hour or two after dinner



[Page 3]

when she finds any tightness at stomach: & she may
add a teaspoonful or two of boiling water to it if it is
too cold.


Whenever her Cough is gone we Would have her to
return to her Strengthening drops. From 10 to 20 of
them in a glass of Hartfell Spa instead of plain water.


For a Cordial, have given her Eau de luce to be
smelled to or 20 drops taken in a spoonful or two of water.
She will perhaps find it better for bringing up wind
from her stomach than any thing she has taken.

W.C. & Sir S.T.
Edinburgh November 28. 1779.

Diplomatic Text

[Page 1]
For Miss Amelia Clephane


An affection of her Stomach & Nerves, from which
she will entirely recover but such complaints are tedious.


Exercise in a carriage; but in a better season it would
be best on horseback behind a man.


As the circulation seems weak in her feet, her legs and
feet should every morning be rubbed with flannel or a flesh
brush
.


Avoid cold; especially in her feet & legs; & when these do
become cold it will be proper to bring them to heat again
sometimes by chafing them & sometimes by holding them
near the fire; but in doing this last she should have a Screen
to protect her face & the rest of her body. If her feet
are apt to become cold in lying down at night they



[Page 2]

should be wrapped in warm flannel & covered with
an additional blanket.


In her Diet we wish by degrees to introduce some
animal food & therefore every day at dinner a little of
any kind she likes: But she will hardly make a tolerable
meal in this way & she should therefore take a little broth
about two hours before she is to take her solid meat.
At any rate vegetables will also be proper, but we
prefer bread & grain to Greens or Roots. She may take
fruit with safety.


No tea or coffee: but for breakfast she may have
weak chocolate, cocoa or porridge. At the supper
the same or apple prepared to her taste.


Drink plain or toast water & if she like with
a little Red Port or Sherry in it, or with as much safe¬
ty, a little burnt brandy: tho if they appear to heat
her they must be used with more reserve.


While she has cough in the night time she
may continue the Paregoric every second night. 30 for
a dose in three or four tea spoonfuls of the balsamic
syrup
& two table spoonfuls of water. Alternate the
use of these drops with the Laxative pills; as the
drops may find the belly.


To remove more speedily her cough & to strengthen
her stomach she should take three of the Stomachic
pills
ordered, every night about an hour before Supper
washing them down with a glass of the Hartfell Spa.


To strengthen her stomach, she should take a glass¬
ful of Hartfell Spa every forenoon about an hour before
her broth, & again about an hour or two after dinner



[Page 3]

when she finds any tightness at stomach: & she may
add a teaspoonful or two of boiling water to it if it is
too cold.


Whenever her Cough is gone we Would have her to
return to her Strengthening drops. From 10 to 20 of
them in a glass of Hartfell Spa instead of plain water.


For a Cordial, have given her Eau de luce to be
smelled to or 20 drops taken in a spoonful or two of water.
She will perhaps find it better for bringing up wind
from her stomach than any thing she has taken.

W.C. & Sir S.T.
Edr Novr 28. 1779.

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