Cullen

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

 

[ID:1012] From: Dr William Cullen (Professor Cullen) / To: Mr Patrick Duguid Leslie / Regarding: Miss J Campbell (Patient) / 24 August 1780 / (Outgoing)

Reply 'For a Lady, case sent from Dr D. Leslie'.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 1012
RCPE Catalogue Number CUL/1/1/13/67
Main Language English
Document Direction Outgoing
Date24 August 1780
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 a Lady, case sent from Dr D. Leslie'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1289]
Case of Miss J. Campbell who has a persistent stomach disorder.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2815]AddresseeMr Patrick Duguid Leslie
[PERS ID:2742]PatientMiss J Campbell
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2815]Patient's Physician / Surgeon / ApothecaryMr Patrick Duguid Leslie

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 Durham North-East England Europe inferred

Normalized Text

[Page 1]
For a Lady, case sent from Dr. D. Leslie


Begin to take Chalybeates; the Rubigo ppt. with
a little cinnamon & sugar. See that the cinnamon sit
well on her Stomach --------


Begin with one grain once a day; increasing every day
by a grain till she can take ten grains twice a day &
if this sit well on her Stomach I would go on to give
double the quantity. I have found nothing more effect¬
ual in vomitings of bile like this Lady's. -----
The best vehicle for the Steel is a little panada.
While she takes these powders let her drink Seltzer
water
in the same quantity she used to do the Buxton
the Buxton water
. Daily exercise. Belly regular by
the Anderson's pill


Diet must be left to her own experience.
Till she can mend the tone of her Stomach it will
hardly be possible to prevent her throwing up of her food
but this I have found prevented by 50 or 60 drops of the
Elix. propr. vitriolicum of our last edition, 1 taken
dropt on a bit of sugar & washed down with plain or
Seltzer water. Let it be given at such time after the
taking of food, as approaches near to the time when the
vomiting is expected. Sometimes with good effect I have
added 15 or 20 drops of Tinct. Theb. to the Elixir, but
this you will adopt or not accordingly as you may have had
experience of opiates with regard to stopping her rejection
of food
& I think it should be used cautiously upon ac¬
count of her costiveness. If these measures do not
prevent the returns of headach &c accompanying
the vomitings of bile & when the fits approach



[Page 2]

I would give a dose of the Elixir & a laxative
glyster & according to their effects you will judge afterwards
how far to push them, but if they do not prevent the
vomiting coming on you may allow it to go on for a little.


As I suspect the bile is forced up by the strainings
to vomit & not by its redundancy I would check these
efforts by an anodyne glyster 60 or 60 drops of Tinct. Theb.
in very small bulk of glyster; after having cleared the
rectum by the Laxative glyster above mentioned.


The checking these strainings to vomit will serve
to restore the tone of her stomach in general.


A habitual disease is very troublesome & only by in
length of time can we expect to break the habits.


See that the Elixir be made of very pure Aether.

W.C.
Edinburgh 24th. August 1780.

Notes:

1: See Pharmacopoeia Collegii Regii Medicorum Edinburgensis (Edinburgh: 1774), p. 109; 111.

Diplomatic Text

[Page 1]
For a Lady, case sent from Dr. D. Leslie


Begin to take Chalybeates; the Rubigo ppt. with
a little cinnamon & sugar. See that the cinnamon sit
well on her Stomach --------


Begin with one grain once a day; increasing every day
by a grain till she can take ten grains twice a day &
if this sit well on her Stomach I would go on to give
double the quantity. I have found nothing more effect¬
ual in vomitings of bile like this Lady's. -----
The best vehicle for the Steel is a little panada.
While she takes these powders let her drink Seltzer
water
in the same quantity she used to do the Buxton
the Buxton water
. Daily exercise. Belly regular by
the Anderson's pill


Diet must be left to her own experience.
Till she can mend the tone of her Stomach it will
hardly be possible to prevent her throwing up of her food
but this I have found prevented by 50 or 60 gtt of the
Elix. propr. vitriolicum of our last edition, 1 taken
dropt on a bit of sugar & washed down with plain or
Seltzer water. Let it be given at such time after the
taking of food, as approaches near to the time when the
vomiting is expected. Sometimes with good effect I have
added 15 or 20 drops of Tinct. Theb. to the Elixir, but
this you will adopt or not accordingly as you may have had
experience of opiates with regard to stopping her rejection
of food
& I think it should be used cautiously upon ac¬
count of her costiveness. If these measures do not
prevent the returns of headach &c accompanying
the vomitings of bile & when the fits approach



[Page 2]

I would give a dose of the Elixir & a laxative
glyster & according to their effects you will judge afterwards
how far to push them, but if they do not prevent the
vomiting coming on you may allow it to go on for a little.


As I suspect the bile is forced up by the strainings
to vomit & not by its redundancy I would check these
efforts by an anodyne glyster 60 or 60 gtt Tinct. Theb.
in very small bulk of glyster; after having cleared the
rectum by the Laxative glyster above mentioned.


The checking these strainings to vomit will serve
to restore the tone of her stomach in general.


A habitual disease is very troublesome & only by in
length of time can we expect to break the habits.


See that the Elixir be made of very pure Aether.

W.C.
Edinr. 24th. Augst. 1780.

Notes:

1: See Pharmacopoeia Collegii Regii Medicorum Edinburgensis (Edinburgh: 1774), p. 109; 111.

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