Cullen

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

 

[ID:308] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Mrs Montgomery (Montgomerie) (Patient) / 11 June 1775 / (Outgoing)

Reply with detailed directions 'For Mrs Montgomerie' Cullen recommends that she should go to the country as soon as possible and advises on diet etc. She should otherwise keep to a plan of regimen provided earlier and A 'Linctus and strengthening infusion' also prescribed previously.

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[Page 2]


 
 

Metadata

FieldData
DOC ID 308
RCPE Catalogue Number CUL/1/1/6/9
Main Language English
Document Direction Outgoing
Date11 June 1775
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 with detailed directions 'For Mrs Montgomerie' Cullen recommends that she should go to the country as soon as possible and advises on diet etc. She should otherwise keep to a plan of regimen provided earlier and A 'Linctus and strengthening infusion' also prescribed previously.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:537]
Case of Mrs Montgomerie [Montgomery] who is advised to travel and prescribed a linctus for her cough. It is assumed this is the same patient from inconclusive, but strong internal evidence.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1582]Addressee
[PERS ID:1500]PatientMrs Montgomery (Montgomerie)
[PERS ID:1582]Patient's Physician / Surgeon / Apothecary
[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

Normalized Text

[Page 1]
For Mrs Montgomerie


We are in the first place of opinion that she cannot expect
much recovery in her present situation & therefore that she shoud
go to the country & to her native air as soon as possible and if
she will do it by short & easy journeys we think she may
attemp it immediately. ––


Upon the journey we have no other advice to give but that great
care be taken to avoid fatigue & cold & by proper injections to
avoid costiveness. --


When Mrs Montgomerie gets to her own house she must follow
very much the same plan that has ↑been↑ hitherto proposed to her. 1
The substance of her diet must still be milk & vegetables, but
almost every day at dinner she may have a bit of chicken,
sweet bread, boiled lamb, or other such light meat providing
always that the quantity is moderate & that she does not
feel herself heated by it
. –––– In drink she must keep to water
& watry liquors as toast water, barley water water gruel, milk &
water or almond milk. She may also take tea if it is neither
strong nor taken warm. Coffie is not proper but even a tea or a
weak Chocolate may be taken safely. All strong drink must
prove hurtful but when she takes a bit of meat at dinner, she
may also take a little wine, after it, but it should be a little
only & well diluted with water.


If asses milk is to be had in good condition in the
country she must continue to take it but mares milk will
answer every purpose as well. She must continue to take
care to avoid costiveness & for that purpose we send a medi¬
cine along with her of which she may take from half
a table spoonful or two according to its effects. ––––



[Page 2]

It is to be taken in the morning milking for that day the
Asses or mares milk & the glass is always to be exceedingly well
shaken before the dose is poured out. --


The only other medicines we think necessary are the
Linctus & strengthening infusion already prescribed. – The first
is to be used more or less as the cough seems to require. –
The Infusion is intended to moderate her sweating & if it is
found to agree well with her stomach it may be taken
in large doses & three times a day. –


If any pain of her side should become troublesome we
would have a blister applied to the part & afterwards a part
of the blistered place
kept open as a perpetual Issue. –


Of all remedies there is none of more effect consequence to
Mrs M - than her daily exercise in a Carriage. This
should be taken every day that is tolerably fair & the length
of her journeys should be increased as her strength will
bear. The forenoon is always the best time for Exercise
but if any circumstances shall prevent her in the forenoon
she may take some exercise towards the Evening. –
The sweatings in the morning are not to be encour¬
aged & the she should rather encroach upon them by
degrees so that she may be able to get abroad in good
time in the forenoon. ––

WC: ––
Edinburgh 11th June
1775

Notes:

1: Untraced, and more probably a verbal communication either from Cullen or her local practitioner (?)

Diplomatic Text

[Page 1]
For Mrs Montgomerie


We are in the first place of opinion that she cannot expect
much recovery in her present situation & therefore that she shoud
go to the country & to her native air as soon as possible and if
she will do it by short & easy journeys we think she may
attemp it immediately. ––


Upon the journey we have no other advice to give but that great
care be taken to avoid fatigue & cold & by proper injections to
avoid costiveness. --


When Mrs Montgomerie gets to her own house she must follow
very much the same plan that has ↑been↑ hitherto proposed to her. 1
The substance of her diet must still be milk & vegetables, but
almost every day at dinner she may have a bit of chicken,
sweet bread, boiled lamb, or other such light meat providing
always that the quantity is moderate & that she does not
feel herself heated by it
. –––– In drink she must keep to water
& watry liquors as toast water, barley water water gruel, milk &
water or almond milk. She may also take tea if it is neither
strong nor taken warm. Coffie is not proper but even a tea or a
weak Chocolate may be taken safely. All strong drink must
prove hurtful but when she takes a bit of meat at dinner, she
may also take a little wine, after it, but it should be a little
only & well diluted with water.


If asses milk is to be had in good condition in the
country she must continue to take it but mares milk will
answer every purpose as well. She must continue to take
care to avoid costiveness & for that purpose we send a medi¬
cine along with her of which she may take from half
a table spoonful or two according to its effects. ––––



[Page 2]

It is to be taken in the morning milking for that day the
Asses or mares milk & the glass is always to be exceedingly well
shaken before the dose is poured out. --


The only other medicines we think necessary are the
Linctus & strengthening infusion already prescribed. – The first
is to be used more or less as the cough seems to require. –
The Infusion is intended to moderate her sweating & if it is
found to agree well with her stomach it may be taken
in large doses & three times a day. –


If any pain of her side should become troublesome we
would have a blister applied to the part & afterwards a part
of the blistered place
kept open as a perpetual Issue. –


Of all remedies there is none of more effect consequence to
Mrs M - than her daily exercise in a Carriage. This
should be taken every day that is tolerably fair & the length
of her journeys should be increased as her strength will
bear. The forenoon is always the best time for Exercise
but if any circumstances shall prevent her in the forenoon
she may take some exercise towards the Evening. –
The sweatings in the morning are not to be encour¬
aged & the she should rather encroach upon them by
degrees so that she may be able to get abroad in good
time in the forenoon. ––

WC: ––
Edinr 11th June
1775

Notes:

1: Untraced, and more probably a verbal communication either from Cullen or her local practitioner (?)

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