Cullen

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

 

[ID:318] From: Dr William Cullen (Professor Cullen) / To: Colonel Robert or Philip? Skene (of Hallyards & Pitlour) / Regarding: Captain David Skene (Patient) / 22 July 1775 / (Outgoing)

Letter to Colonel Skene concerning the case of his brother, Captain David Skene. Medicines for the patient were sent to his house on Wednesday and this letter contains very detailed directions for preparing and taking them.

Facsimile

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[Page 2]


 
 

Metadata

FieldData
DOC ID 318
RCPE Catalogue Number CUL/1/1/6/19
Main Language English
Document Direction Outgoing
Date22 July 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 Letter to Colonel Skene concerning the case of his brother, Captain David Skene. Medicines for the patient were sent to his house on Wednesday and this letter contains very detailed directions for preparing and taking them.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:621]
Case of Colonel Skene's brother Captain David Skene, who is given detailed instructions on taking medicines sent to relieve him of his 'feverish fits'. This patient presents different symptoms in later years.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1524]AddresseeColonel Robert or Philip? Skene (of Hallyards & Pitlour)
[PERS ID:1190]PatientCaptain David Skene
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:312]Other Physician / SurgeonDr John Hope
[PERS ID:1524]Patient's Relative / Spouse / FriendColonel Robert or Philip? Skene (of Hallyards & Pitlour)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Hallyards Castle Auchertool Edinburgh and East Scotland Europe inferred
Therapeutic Recommendation East Highlands Scotland Europe certain

Normalized Text

[Page 1]

To Colonel Skene about his Brother. --

Dear Sir


The medicines intended for your Brother
were sent to your house on Wednesday & I now give you the trouble
of the directions which should go along with them. ----


Each of the parcels A. are to be put into a vessel with
two chopins of soft water & to be boiled over the fire till one half
of the water is boiled away, but when about a Muchkin is
boiled away one of the parcels marked B. is to be put into the
vessel & with that the rest of the boiling finished. When that
is done the liquor is to be strained by pouring it through a
close linnen cloth but without any pressing of the materials.


Of this liquor the Captain is to drink a muchkin for the first
or second day but if he finds his stomach bear it easily we
would have him drink a chopin every 24 hours. ----


He should take it par reprises 1 and therefore in such draughts
& at such times as he shall find to suit his stomach best. ---


The strained liquor is to be put into a bottle & kept corked,
in a cool place, especially when he drinks a little only
in two days. It is not necessary to drink it warm but
neither is it proper for him to take it very cold & therefore
the cup with his draught in it may be set for a minute
before the fire.


This medicine should have no sensible effect upon him that
to vomit purge or sweat him & if it has we shall
not think it fit for him. But it is possible he may feel
it somewhat warm on his stomach & if the heat is moderate
& without uneasiness we shall like it the better. --- It is
possible also that he may feel his whole body heated by
it but that we shall not think so proper & if the heat
brought on by it is any ways considerable or uneasy the




[Page 2]


medicine must be laid aside, or at least the strength of the
decoction must not be increased. But this heat of his body
we by no means expect & even the heat of the stomach from
the decoction as we have now ordered it we expect will hardly
be sensible & in that case we shall desire to increase the strength
of it by putting in two of the parcels B. into each bottle of decoction.


This we suppose may be certainly done by the time the Captain
has employed ten of the single parcels & then there will remain
ten of the parcels B. two of them to be employed with with ↑each↑ of the
remaining five of A. Before this happens we expect to have some
advice of the effects so that on Wednesday sennight a fresh quanti↑ty↑
properly adjusted may be sent by the Carrier. This medicine
requires no confinement or change of diet so that in every
respect the Captain may conduct himself as before as we believe he
is [instructed?] by much experience in what is best for him. We
have particularly no objection to his remaining in the high¬
lands as long as the weather is tolerable & drinking whey as
long as he finds it in good condition. The only things we are
afraid of is cold & fatigue which we suspect the Captain is not
always sufficiently on his guard against; --- If by these or any
other accident he should be attacked with one of these feverish
fits he has been so often affected with he must for the time
lay aside the deco↑c↑tion. I am for myself & Dr Hope at present
in the Country with great regard & best compliments to all at
Dalhunzie

Dear Colonel
Your Most Obedient humble Servant
William Cullen
Edinburgh 22d July
1775

Notes:

1: Meaning 'by or in staged doses'.

Diplomatic Text

[Page 1]

To Colonel Skene about his Brother. --

Dr Sir


The medicines intended for your Brother
were sent to your house on Wednesday & I now give you the trouble
of the directions which should go along with them. ----


Each of the parcels A. are to be put into a vessel with
two chopins of soft water & to be boiled over the fire till one half
of the water is boiled away, but when about a Muchkin is
boiled away one of the parcels marked B. is to be put into the
vessel & with that the rest of the boiling finished. When that
is done the liquor is to be strained by pouring it through a
close linnen cloth but without any pressing of the materials.


Of this liquor the Captn is to drink a muchkin for the first
or second day but if he finds his stomach bear it easily we
would have him drink a chopin every 24 hours. ----


He should take it par reprises 1 and therefore in such draughts
& at such times as he shall find to suit his stomach best. ---


The strained liquor is to be put into a bottle & kept corked,
in a cool place, especially when he drinks a little only
in two days. It is not necessary to drink it warm but
neither is it proper for him to take it very cold & therefore
the cup with his draught in it may be set for a minute
before the fire.


This medicine should have no sensible effect upon him that
to vomit purge or sweat him & if it has we shall
not think it fit for him. But it is possible he may feel
it somewhat warm on his stomach & if the heat is moderate
& without uneasiness we shall like it the better. --- It is
possible also that he may feel his whole body heated by
it but that we shall not think so proper & if the heat
brought on by it is any ways considerable or uneasy the




[Page 2]


medicine must be laid aside, or at least the strength of the
decoction must not be increased. But this heat of his body
we by no means expect & even the heat of the stomach from
the decoction as we have now ordered it we expect will hardly
be sensible & in that case we shall desire to increase the strength
of it by putting in two of the parcels B. into each bottle of decoction.


This we suppose may be certainly done by the time the Captn
has employed ten of the single parcels & then there will remain
ten of the parcels B. two of them to be employed with with ↑each↑ of the
remaining five of A. Before this happens we expect to have some
advice of the effects so that on Wednesday sennight a fresh quanti↑ty↑
properly adjusted may be sent by the Carrier. This medicine
requires no confinement or change of diet so that in every
respect the Captn may conduct himself as before as we believe he
is [instructed?] by much experience in what is best for him. We
have particularly no objection to his remaining in the high¬
lands as long as the weather is tolerable & drinking whey as
long as he finds it in good condition. The only things we are
afraid of is cold & fatigue which we suspect the Captn is not
always sufficiently on his guard against; --- If by these or any
other accident he should be attacked with one of these feverish
fits he has been so often affected with he must for the time
lay aside the deco↑c↑tion. I am for myself & Dr Hope at present
in the Country with great regard & best compts to all at
Dalhunzie

Dear Colonel
Your Most Obedient humble Servant
William Cullen
Edinr 22d July
1775

Notes:

1: Meaning 'by or in staged doses'.

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