Cullen

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

 

[ID:569] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss Clarkson (Patient) / 5 June 1782 / (Outgoing)

Reply for Miss Clarkson, whose ailments are 'of a threatening kind'. Cullen recommends a course of goat whey in the Highlands, and the use of thick shoes and warm stockings to keep her feet and legs warm and dry. Recipe enclosed.

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[Page 2]


 

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[Page 5]


 
 

Metadata

FieldData
DOC ID 569
RCPE Catalogue Number CUL/1/1/15/51
Main Language English
Document Direction Outgoing
Date5 June 1782
Annotation None
TypeMachine copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply for Miss Clarkson, whose ailments are 'of a threatening kind'. Cullen recommends a course of goat whey in the Highlands, and the use of thick shoes and warm stockings to keep her feet and legs warm and dry. Recipe enclosed.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1457]
Case of Miss Clarkson who is prescribed a course of goat whey for her pectoral disorder.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3025]PatientMiss Clarkson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr 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
Therapeutic Recommendation North Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Miss Clarkson


Miss Clarksons ailments are of a threatening kind
and therefore require every precaution that can be immedi¬
ately taken, but as the ailment is yet little advanced, I hope
measures may be taken that shall entirely remove it.


The first measure that I would advise is a course of
Goat whey which is just now in best condition. Let
a lodging therefore sufficiently warm and dry be procured
in the highlands and as near to the goat pasture as pos¬
sible and let Miss go there about eight days after this.


She should drink the whey only in the morning and
should begin by degrees taken for the first two days only
a gill but every second day afterwards increasing by a
gill till it comes to what her stomach easily bears, but
however well her stomach bears it she should never ex¬
ceed a chopin in any morning. What she takes is
always to be taken in divided draughts at the interval of
half an hour between each draught. The first draught
may be taken before she comes out of bed but she should




[Page 2]


be out of bed before she takes the second and between the
third & fourth she should walk about ↑a↑ little in the open
air but this only on condition that the air is tolerably
mild and warm.


About an hour or at least half an hour after finishing
the whey she may take her ordinary breakfast which may
be Cocoa tea with dry toast. If she is fond of common
tea she may have it if she takes it very weak and with
a good deal of plain milk.


The use of the goat whey shall I hope be of service
but I don't think it will be of much unless at the same
time she has a great deal of riding on horseback either
single or behind a man as shall be found most convenient.
Therefore about an hour after breakfast every day that
is tolerably fair let her get on horseback and ride gen¬
tly for two or three hours more or less as she bears
it without fatigue or as the weather is more or less
favourable. In every situation there is nothing more




[Page 3]


to be studied by Miss Clarkson than avoiding cold
Let her therefore be continue the flannel shirt next
her skin
and let her be otherwise always rather warmly
cloathed and particularly let her take care by thick shoes
and warm stockings to keep her feet and legs always warm
& dry. Whatever cloathing she once puts on she must
never change them for any thinner however ↑warm↑ the weather
may be. She may frequently walk out for the sake
of being much in the fresh Air but she must observe
that the exercise of walking is not to do her much good
and unless properly managed may do much harm, let
her therefore take care never to walk fast nor much
uphill nor in any shape so much either to heat or
fatigue her.


During the whole course of the goat whey her
diet should be without animal food and without any
fermented or spiritous liquors. She should live upon
milk and grain, that is, bread, rice, barley, sago {illeg} 1
prepared and dressed in any way most to her mind.




[Page 4]


If the neighbourhood can afford her a little broccoli,
asparagus or young pease she may take them.


It is by all this management that I expect Miss
Clarksons recover rather than by any medicines and
therefore I shall prescribe none at present and at most
only one which I have here inclosed. It is in case the
goat whey does not keep her regular in her belly and
that costiveness comes on. In this case she is to take
a tea spoonfull or two of the Electuary prescribed in
the inclosed paper at bedtime.

William Cullen

Edinburgh 5th June
1782.



[Page 5]
For Miss Clarkson

Take one ounce each of powdered Crystal Tartar, Sulphur and lenitive Electuary and a sufficient quantity of Simple Syrup to make a thin Electuary or Linctus. Label: Laxative Electuary. A teaspoonful or two to be taken at bedtime when occasion requires.

W. C.

5th June
1782.

Notes:

1: A conjectural reading is 'and oatmeal'.

Diplomatic Text

[Page 1]
For Miss Clarkson


Miss Clarksons ailments are of a threatening kind
and therefore require every precaution that can be immedi¬
ately taken, but as the ailment is yet little advanced, I hope
measures may be taken that shall entirely remove it.


The first measure that I would advise is a course of
Goat whey which is just now in best condition. Let
a lodging therefore sufficiently warm and dry be procured
in the highlands and as near to the goat pasture as pos¬
sible and let Miss go there about eight days after this.


She should drink the whey only in the morning and
should begin by degrees taken for the first two days only
a gill but every second day afterwards increasing by a
gill till it comes to what her stomach easily bears, but
however well her stomach bears it she should never ex¬
ceed a chopin in any morning. What she takes is
always to be taken in divided draughts at the interval of
half an hour between each draught. The first draught
may be taken before she comes out of bed but she should




[Page 2]


be out of bed before she takes the second and between the
third & fourth she should walk about ↑a↑ little in the open
air but this only on condition that the air is tolerably
mild and warm.


About an hour or at least half an hour after finishing
the whey she may take her ordinary breakfast which may
be Cocoa tea with dry toast. If she is fond of common
tea she may have it if she takes it very weak and with
a good deal of plain milk.


The use of the goat whey shall I hope be of service
but I don't think it will be of much unless at the same
time she has a great deal of riding on horseback either
single or behind a man as shall be found most convenient.
Therefore about an hour after breakfast every day that
is tolerably fair let her get on horseback and ride gen¬
tly for two or three hours more or less as she bears
it without fatigue or as the weather is more or less
favourable. In every situation there is nothing more




[Page 3]


to be studied by Miss Clarkson than avoiding cold
Let her therefore be continue the flannel shirt next
her skin
and let her be otherwise always rather warmly
cloathed and particularly let her take care by thick shoes
and warm stockings to keep her feet and legs always warm
& dry. Whatever cloathing she once puts on she must
never change them for any thinner however ↑warm↑ the weather
may be. She may frequently walk out for the sake
of being much in the fresh Air but she must observe
that the exercise of walking is not to do her much good
and unless properly managed may do much harm, let
her therefore take care never to walk fast nor much
uphill nor in any shape so much either to heat or
fatigue her.


During the whole course of the goat whey her
diet should be without animal food and without any
fermented or spiritous liquors. She should live upon
milk and grain, that is, bread, rice, barley, sago {illeg} 1
prepared and dressed in any way most to her mind.




[Page 4]


If the neighbourhood can afford her a little broccoli,
asparagus or young pease she may take them.


It is by all this management that I expect Miss
Clarksons recover rather than by any medicines and
therefore I shall prescribe none at present and at most
only one which I have here inclosed. It is in case the
goat whey does not keep her regular in her belly and
that costiveness comes on. In this case she is to take
a tea spoonfull or two of the Electuary prescribed in
the inclosed paper at bedtime.

William Cullen

Edinr. 5th June
1782.



[Page 5]
For Miss Clarkson


Crystall. Tartar. pulv.
Flor. Sulphur.
Elect. lenitiv. @ ℥j
Syr. Simplic. q. s. ut f.
Electuarium tenue sive Lochoch
Signa Laxative Electuary a
tea Spoonfull or two to be taken
at bedtime when occasion requires.

W. C.

5th June
1782.

Notes:

1: A conjectural reading is 'and oatmeal'.

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