Cullen

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

 

[ID:1335] From: Dr William Cullen (Professor Cullen) / To: Dr Richard Story / Regarding: Mrs Wyvil (Wyvill) (Patient) / 19? June? 1781? / (Outgoing)

Directions for Mrs Wyvill. Includes a recipe for a poultice and directions on the preparation of hemlock. Was dated 1776 but now identified as an earlier version of the letter of which [DOC ID:152] is the machine copy. It is 3 pages shorter than letter 152, uses some different line and page breaks, capitalisation, and punctuation, and is marked up with revisions that are incorporated into 152. Pages 1-4 of letter 152 are very clearly a fair copy of letter 1335 with minor changes of presentation. Letter 1335 is probably a now incomplete draft. It is mistakenly annotated 'Mr Wyvill' rather than Mrs Wyvill.

Facsimile

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Metadata

FieldData
DOC ID 1335
RCPE Catalogue Number CUL/1/2/433
Main Language English
Document Direction Outgoing
Date19? June? 1781?
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Directions for Mrs Wyvill. Includes a recipe for a poultice and directions on the preparation of hemlock. Was dated 1776 but now identified as an earlier version of the letter of which [DOC ID:152] is the machine copy. It is 3 pages shorter than letter 152, uses some different line and page breaks, capitalisation, and punctuation, and is marked up with revisions that are incorporated into 152. Pages 1-4 of letter 152 are very clearly a fair copy of letter 1335 with minor changes of presentation. Letter 1335 is probably a now incomplete draft. It is mistakenly annotated 'Mr Wyvill' rather than Mrs Wyvill.
Manuscript Incomplete? No
Evidence of Commercial Posting No

This is the draft of:

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:301]
Case of Mrs Wyvill who has a disease of the breast.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:118]AddresseeDr Richard Story
[PERS ID:119]PatientMrs Wyvil (Wyvill)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:118]Patient's Physician / Surgeon / ApothecaryDr Richard Story

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 Penrith North-West England Europe inferred

Normalized Text

[Page 1]
For Mrs Wyvill.


The ailment in Mrs Wyvills breast had formerly
a very untoward appearance, but since the discharge
from about the
Nipple has come on, it seems to be in a much
better way, the pains are relieved the hardness is in part
dissolved, and the rest seems to follow the same Course.
We are therefore in hopes, that the whole ailment may
in time be discussed and for favouring this, we propose
the following measures


1. Let the places excoriated be dressed with the White Liniment spread on a bit of linnen, twice a day.
If this melts and runs off, so as to allow the Cloth to
stick in the parts, you must apply a Cloth dipped in
the
White Cerate. - If the parts should become more
tender and inflamed, you must anoint them with a
fourth part of Unguentum Saturninum to three parts
of the White Liniment. If this proportion of



[Page 2]

the Unguentum Saturninum, gives any ↑much↑ pain or smarting it must be omitted
but if it gives no pain or smarting it may be increased to
one third, or one half, but no more.


2. These directions proceed upon the Supposition that no
Pultice is applied, and at present we are of opinion, that its
application may be delayed, while the discharge about the
Nipple continues to dissolve the hardness, and while the Excori¬
ation
does not spread. But if the Excoriation spreads or be¬
comes more inflamed, let a Carrot Pultice be applied. It is
to be made by grating down some fresh Carrot and putting
that into a wooden or Marble Mortar. Let it ↑be↑ well rubb
bruised with a timber pestle till it is a smooth Pastl
pulp, adding a little water to it if necessary, to make it of
a soft consistence. Let a Pultice of this be applied round the
Nipple, so as to cover the whole of the excoriated part and -
let the Pultice be changed twice a day. At first ↑it↑ will not be
necessary to add anything to this Pultice, but if it should
happen that the breast or sores should become painful, a
small quantity of the fresh leaves of the Cicuta, boiled till
they are soft and tender may be pounded with the Carrot, or
if the fresh leaves are not to be had, a small quantity of the
powder may be used for the same purpose.




[Page 3]


3. While these applications are made, Mrs Wyvill should
continue the use of the Hemlock inwardly. While the fresh
leaves
are to be got, we think she takes it very properly
but we are of opinion that she does not take quite enough
and we would wish her to increase the Dose gradually
till she finds it affect her head and nerves a little with
some giddiness and Tremor. --- The fresh leaves will
do for some time; but when the plants grow rank and
proceed to flower, they grow much weaker and at last
become quite inert. -- It will be necessary therefore
to prepare a quantity of the leaves dried, so as to be
used in Powder. - Here follows the method of pre¬
paring the dried leaves ---


She is to begin with a small Dose, of not more
than two (↑five↑) grains twice a day, and increasing the Dose
by five grains every day till it affects her head.
Even after the Dose affects her head it will by repetition
fail to Do so; and if it does {illeg} she should again
increase it till it does affect her head &c.




[Page 4]


4. Mrs Wyvill should still continue to {illeg}take the
Malt Infusion every day, and if it keep her belly regu¬
lar it is the fittest Medicine for this purpose she can
employ, but if it fails to do this, she must employ
some other Medicine, so as to give her one stool every
day and for this purpose she may take Magnesia
Flowers of Sulphur or Cream of Tartar. ---


These should keep her belly regular to one Stool
a day, but it may be proper ↑once a week↑ to go a little further
by giving a table Spoonful or two of the Medici[ne]
prescribed on the part paper apart. To be taken i[n]
ahalf a pint or more of new drawn Cow milk Whe[y.]
On the days she takes this she should omit
the Malt Infusion.

✍ Mr Wyvill

Diplomatic Text

[Page 1]
For Mrs Wyvill.


The ailment in Mrs Wyvills breast had formerly
a very untoward appearance, but since the discharge
from about the
Nipple has come on, it seems to be in a much
better way, the pains are relieved the hardness is in part
dissolved, and the rest seems to follow the same Course.
We are therefore in hopes, that the whole ailment may
in time be discussed and for favouring this, we propose
the following measures


1. Let the places excoriated be dressed with the Linim¬
entum Album
spread on a bit of linnen, twice a day.
If this melts and runs off, so as to allow the Cloth to
stick in the parts, you must apply a Cloth dipped in
the
Ceratum Album. - If the parts should become more
tender and inflamed, you must anoint them with a
fourth part of Ungt. Saturninum to three parts
of the Linimentum Album. If this proportion of



[Page 2]

the Ungt Sat, gives any ↑much↑ pain or smarting it must be omitted
but if it gives no pain or smarting it may be increased to
one third, or one half, but no more.


2. These directions proceed upon the Supposition that no
Pultice is applied, and at present we are of opinion, that its
application may be delayed, while the discharge about the
Nipple continues to dissolve the hardness, and while the Excori¬
ation
does not spread. But if the Excoriation spreads or be¬
comes more inflamed, let a Carrot Pultice be applied. It is
to be made by grating down some fresh Carrot and putting
that into a wooden or Marble Mortar. Let it ↑be↑ well rubb
bruised with a timber pestle till it is a smooth Pastl
pulp, adding a little water to it if necessary, to make it of
a soft consistence. Let a Pultice of this be applied round the
Nipple, so as to cover the whole of the excoriated part and -
let the Pultice be changed twice a day. At first ↑it↑ will not be
necessary to add anything to this Pultice, but if it should
happen that the breast or sores should become painful, a
small quantity of the fresh leaves of the Cicuta, boiled till
they are soft and tender may be pounded with the Carrot, or
if the fresh leaves are not to be had, a small quantity of the
powder may be used for the same purpose.




[Page 3]


3. While these applications are made, Mrs Wyvill should
continue the use of the Hemlock inwardly. While the fresh
leaves
are to be got, we think she takes it very properly
but we are of opinion that she does not take quite enough
and we would wish her to increase the Dose gradually
till she finds it affect her head and nerves a little with
some giddiness and Tremor. --- The fresh leaves will
do for some time; but when the plants grow rank and
proceed to flower, they grow much weaker and at last
become quite inert. -- It will be necessary therefore
to prepare a quantity of the leaves dried, so as to be
used in Powder. - Here follows the method of pre¬
paring the dried leaves ---


She is to begin with a small Dose, of not more
than two (↑five↑) grains twice a day, and increasing the Dose
by five grains every day till it affects her head.
Even after the Dose affects her head it will by repetition
fail to Do so; and if it does {illeg} she should again
increase it till it does affect her head &c.




[Page 4]


4. Mrs Wyvill should still continue to {illeg}take the
Malt Infusion every day, and if it keep her belly regu¬
lar it is the fittest Medicine for this purpose she can
employ, but if it fails to do this, she must employ
some other Medicine, so as to give her one stool every
day and for this purpose she may take Magnesia
Flowers of Sulphur or Cream of Tartar. ---


These should keep her belly regular to one Stool
a day, but it may be proper ↑once a week↑ to go a little further
by giving a table Spoonful or two of the Medici[ne]
prescribed on the part paper apart. To be taken i[n]
ahalf a pint or more of new drawn Cow milk Whe[y.]
On the days she takes this she should omit
the Malt Infusion.

✍ Mr Wyvill

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