Cullen

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

 

[ID:763] From: [AUTHOR UNKNOWN] / To: Mr Pratt / Regarding: Mr Pratt (Patient), Mrs Pratt (Patient) / 28 May 1764 / (Incoming)

Reply to [Mr Pratt] concerning the case of Mrs Pratt, giving detailed advice on regimen. Addresee inferred from related letters, including a previous letter concerning Pratt's son in which Cullen had promised to write another letter specifically regarding Mrs Pratt.

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Metadata

FieldData
DOC ID 763
RCPE Catalogue Number CUL/1/2/31
Main Language English
Document Direction Incoming
Date28 May 1764
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply to [Mr Pratt] concerning the case of Mrs Pratt, giving detailed advice on regimen. Addresee inferred from related letters, including a previous letter concerning Pratt's son in which Cullen had promised to write another letter specifically regarding Mrs Pratt.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:14]
Case of Mrs Pratt who has a 'broken constitution'.
3
[Case ID:15]
Case of Mr Pratt (Junior), who is 'liable to a Consumption'.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1173]AddresseeMr Pratt
[PERS ID:1174]PatientMrs Pratt
[PERS ID:1172]PatientMr Pratt
[PERS ID:1173]Patient's Relative / Spouse / FriendMr Pratt

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 Cheviot Hills North-East England Europe certain

Normalized Text

[Page 1]
Sir


I am very liable to meet with un¬
foreseen interruptions ↑&↑ I have done (↑met↑) with such within
these few days that have delayed this letter too long,
but I hope you will excuse it. I am very desirous
to be of service to Mrs Pratt but on considering the
matter find it will be difficult to repair a constitu¬
tion originally weak & now much broken by the long
continuance of ailments. However by care and
attention I think a good deal may be done both
to preserve ↑her↑ very long & to keep her very right (↑pretty easy↑) in the
mean time.


I find she is in a train of taking Exercise in
a Chaise & I know nothing more likely to be of
service to her but I think she would do well to
take it ↑in↑ the forenoons rather than in the afternoon
& not to be satisfied with a short curing but by
degrees to draw it out to some length of Journey.




[Page 2]


If Mrs Pratt's weakly state would (↑ill↑) allow her to
leave her own house I would {illeg} advise her to go
along with her son to the neighbourhood of the
Cheviot Hills not for the sake of Goat Whey which
I doubt is not very fit for her but for the change of
Air which I am perswaded will be of great service
to her. I have little hopes of her going abroad
in Winter but she should therefore think of em¬
ploying her summers to the best advantage.


It is possible I may advise Mrs Pratt to
use the Cold Bath but she must first be strength¬
ened somewhat (↑a good deal↑) by being much in the fresh air


It is certainly of consequence for Mrs Pratt
to study her Diet but I cannot pretend to offer very
particular Rules for she must take these from her
own particular Experience. I can only say in general
that the more solid & nourishing her diet the better
but withall it must be always such as she can di¬



[Page 3]

gest very easily. On one hand Greens Roots & Fruit
& especially the Colder kinds as Melon, Cucumber
& Lettuce should be carefully avoided & on the other
hand whatever lies heavy on her stomach or leaves
↑her↑ warm & thirsty may do as much harm.


Let her ordinary drink be toast & Water or
that with a small proportion of Brandy or Rum
& with the same Water with a larger proportion
of the spirits is ↑the↑ only strong drink I would have
her take as I am perswaded that Malt Liquors
& Wine are bad for her.


I am perswaded that Mrs Pratt by taking Exer¬
cise & fresh air, by studying her diet, by keeping
regular hours, by avoiding Cold & by keeping her
mind easy may have tolerable health & I would
have her depend on a Regimen more than upon
Medicines. However she may also receive benefit
from these particularly of the strengthening kind



[Page 4]

& of this kind I have prescribed two medicines
below. She may take a course of them immediately
but needs ↑not↑ persist in them during the summer
& the proper time to take them for some length
of time is towards the approach of Winter.


Besides the Medicines here ordered I shall
send you by this weeks Carriers a vial of my
own preparation which she is ↑to↑ take occasionally
when her Nervous or windy
any time troublesome. She may begin with a
tea spoonfull for a dose to be mixed with a small
glassfull of Water & washing ↑it↑ down with a
little of the same. Let her take care to swallow
the medicine the minute it is mixed with the
water for it is very volatile & soon flies away.
She must reserve this medicine for particular
occasions of uneasiness as by frequent repetition
it is apt to lose its Effects. After she has had



[Page 5]

occasion to repeat several times the dose may
be increased to two tea spoonfulls. If there is


If there is any thing in this or my former
that requires explanations if you have any
question to put further either with regard
to Mrs Pratt or your son I beg you'll freely
command

Sir ~ &c

Take half an ounce of Peruvian Bark, two drachms of Tormentil Root, one drachm each of {illeg} and Green Vitriol, one drachm of Conserve of Roses, and a sufficient quantity of white Syrup, and make an Electuary. [Label:] Strengthening Electuary of which the bigness of a filberd [is] to be taken in a wafer twice a day, washing it down with a small glass of the stomachic Infusion.

Take half an ounce of aromatic Calamus Root, one and a half drachms each of Blessed Thistle and Peppermint, and one drachm of Coriander Seeds. Cut and crush, then pour over one-and-a-half pints of spring water and half-a-pint of French Brandy. Macerate without heat for three days, then sieve. Label: The Stomachic Infusion.


For Mrs Prat

28th May 1764

Diplomatic Text

[Page 1]
Sir


I am very liable to meet with un¬
foreseen interruptions ↑&↑ I have done (↑met↑) with such within
these few days that have delayed this letter too long,
but I hope you will excuse it. I am very desirous
to be of service to Mrs Pratt but on considering the
matter find it will be difficult to repair a constitu¬
tion originally weak & now much broken by the long
continuance of ailments. However by care and
attention I think a good deal may be done both
to preserve ↑her↑ very long & to keep her very right (↑pretty easy↑) in the
mean time.


I find she is in a train of taking Exercise in
a Chaise & I know nothing more likely to be of
service to her but I think she would do well to
take it ↑in↑ the forenoons rather than in the afternoon
& not to be satisfied with a short curing but by
degrees to draw it out to some length of Journey.




[Page 2]


If Mrs Pratt's weakly state would (↑ill↑) allow her to
leave her own house I would {illeg} advise her to go
along with her son to the neighbourhood of the
Cheviot Hills not for the sake of Goat Whey which
I doubt is not very fit for her but for the change of
Air which I am perswaded will be of great service
to her. I have little hopes of her going abroad
in Winter but she should therefore think of em¬
ploying her summers to the best advantage.


It is possible I may advise Mrs Pratt to
use the Cold Bath but she must first be strength¬
ened somewhat (↑a good deal↑) by being much in the fresh air


It is certainly of consequence for Mrs Pratt
to study her Diet but I cannot pretend to offer very
particular Rules for she must take these from her
own particular Experience. I can only say in general
that the more solid & nourishing her diet the better
but withall it must be always such as she can di¬



[Page 3]

gest very easily. On one hand Greens Roots & Fruit
& especially the Colder kinds as Melon, Cucumber
& Lettuce should be carefully avoided & on the other
hand whatever lies heavy on her stomach or leaves
↑her↑ warm & thirsty may do as much harm.


Let her ordinary drink be toast & Water or
that with a small proportion of Brandy or Rum
& with the same Water with a larger proportion
of the spirits is ↑the↑ only strong drink I would have
her take as I am perswaded that Malt Liquors
& Wine are bad for her.


I am perswaded that Mrs Pratt by taking Exer¬
cise & fresh air, by studying her diet, by keeping
regular hours, by avoiding Cold & by keeping her
mind easy may have tolerable health & I would
have her depend on a Regimen more than upon
Medicines. However she may also receive benefit
from these particularly of the strengthening kind



[Page 4]

& of this kind I have prescribed two medicines
below. She may take a course of them immediately
but needs ↑not↑ persist in them during the summer
& the proper time to take them for some length
of time is towards the approach of Winter.


Besides the Medicines here ordered I shall
send you by this weeks Carriers a vial of my
own preparation which she is ↑to↑ take occasionally
when her Nervous or windy
any time troublesome. She may begin with a
tea spoonfull for a dose to be mixed with a small
glassfull of Water & washing ↑it↑ down with a
little of the same. Let her take care to swallow
the medicine the minute it is mixed with the
water for it is very volatile & soon flies away.
She must reserve this medicine for particular
occasions of uneasiness as by frequent repetition
it is apt to lose its Effects. After she has had



[Page 5]

occasion to repeat several times the dose may
be increased to two tea spoonfulls. If there is


If there is any thing in this or my former
that requires explanations if you have any
question to put further either with regard
to Mrs Pratt or your son I beg you'll freely
command

Sir ~ &c


Cort. Peruv. p. ℥ſs
Rad. Tormentill. p. ʒij
-- [Liniib.?] p.
Sal. Martis @ ʒj
Cons. Rosar. ℥ſs
Syr. alb. q. s. ut f. Elect.
strengthening Electuary of wch
the bigness of a filberd to be taken
in a wafer twice a day washing
it down wth a small glass of
the stomachic Infusion


Rad. Calam. arom. ℥ſs
Fol. Card. Bened.
-- Menth. piper @ ʒiſs
Sem. Coriandr. ʒj
Incisis & contusis affunde
Aq. Font. lb iſs
Sp. Vin. Gall. lb ſs
Macera sine calore per triduum
& cola
Signa The Stomachic Infusion


For Mrs Prat

28th May 1764

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