Cullen

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

 

[ID:458] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: [A matter not directly regarding a patient] / 7 February 1772 / (Outgoing)

Reply 'To Mr John Muir'

Facsimile

There are 3 images for this document.

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[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 458
RCPE Catalogue Number CUL/1/1/3/41
Main Language English
Document Direction Outgoing
Date7 February 1772
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 'To Mr John Muir'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:427]
Case of J. Muir being sweated by taking Dover's Powders.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1212]Patient's Physician / Surgeon / ApothecaryMr John Muir

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]

To M.r John. Muir

Dear Sir


I am glad you have given me an opportunity of wri¬
ting to you again for my last was in too great haste. I am [clear?]
for your repeating the Dovers Powder but I find that I differ from
you in the execution. I never give such large doses as that you
have taken because I dont think profuse sweats necessary nor so
effectual as long continued sweats. I always give the dose about
8 in the morning after my patient has had some sleep which
they commonly have sometime between four + 8. I dont encourage
sleeping after taking the dose or during the day because ↑in↑ most persons



[Page 2]

sleeping stops or diminishes the sweat. I avoid giving drink
soon after the dose as it is apt to cause vomiting and wish
to have out some sweat before I give drink but after that allow
it at pleasure. I allow some additional bed cloaths to bring
out the sweat but after that take them away as much heat is
to be avoided. I find it useful load the feat a little more
than the body and to the pains to bring the sweat soon to the feet
by warm bottles or bricks if necessary. If the sweat continues
on the feet I am pretty certain it is [universal?] and while it
is so it is neither necessary to be profuse nor can this be easi¬
ly supported for the time required which I hold to be at least
24 hours and better still for 48. If after tw 12 hours the sweat
seems to sink in I give another dose commonly half the
former if it has been anything large. If under this 2 dose
that is during the night especially towards the morning if
sleep comes on I indulge it. If a person cannot nor willnot
bear the sweat longer than 24 hours I insist on their lying abed
for 48 more. But at all times and particularly after the first
12 hours I allow a change of flannel shirt and even of blankets
if necessary, but enjoin much care in avoiding cold & in re¬
newing this sweat as soon as they are changed especially if in the
first 24 hours. Your Cream of Tartar dose is most proper & I
frequently give it the secong (d)day but without allowing the person
to rise out of bed. Your drinks are very proper and in point
of nourishment you need go no farther than weak broth &
bread for the two first days. If on the second or 3d night you find


[Page 3]

any return of pain I would have you next morning repeat the
whole course again. {illeg} thus

I am &cc
Edinburgh 7th February 1772
William Cullen

Diplomatic Text

[Page 1]

To M.r John. Muir

Dr Sir


I am glad you have given me an opportunity of wri¬
ting to you again for my last was in too great haste. I am [clear?]
for your repeating the Dovers Powder but I find that I differ from
you in the execution. I never give such large doses as that you
have taken because I dont think profuse sweats necessary nor so
effectual as long continued sweats. I always give the dose about
8 in the morning after my patient has had some sleep which
they commonly have sometime between four + 8. I dont encourage
sleeping after taking the dose or during the day because ↑in↑ most persons



[Page 2]

sleeping stops or diminishes the sweat. I avoid giving drink
soon after the dose as it is apt to cause vomiting and wish
to have out some sweat before I give drink but after that allow
it at pleasure. I allow some additional bed cloaths to bring
out the sweat but after that take them away as much heat is
to be avoided. I find it useful load the feat a little more
than the body and to the pains to bring the sweat soon to the feet
by warm bottles or bricks if necessary. If the sweat continues
on the feet I am pretty certain it is [universal?] and while it
is so it is neither necessary to be profuse nor can this be easi¬
ly supported for the time required which I hold to be at least
24 hours and better still for 48. If after tw 12 hours the sweat
seems to sink in I give another dose commonly half the
former if it has been anything large. If under this 2 dose
that is during the night especially towards the morning if
sleep comes on I indulge it. If a person cannot nor willnot
bear the sweat longer than 24 hours I insist on their lying abed
for 48 more. But at all times and particularly after the first
12 hours I allow a change of flannel shirt and even of blankets
if necessary, but enjoin much care in avoiding cold & in re¬
newing this sweat as soon as they are changed especially if in the
first 24 hours. Your Cream of Tartar dose is most proper & I
frequently give it the secong (d)day but without allowing the person
to rise out of bed. Your drinks are very proper and in point
of nourishment you need go no farther than weak broth &
bread for the two first days. If on the second or 3d night you find


[Page 3]

any return of pain I would have you next morning repeat the
whole course again. {illeg} thus

I am &cc
Edin.r 7th Febr.y 1772
William Cullen

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