Cullen

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

 

[ID:3683] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss Margaret Campbell (Peggy) (Patient) / 29 June 1773 / (Outgoing)

Reply 'For Miss Peggy Campbell': instructions for treatment of a young lady with consumption, including bleeding and blistering, with two pectoral recipes.

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Metadata

FieldData
DOC ID 3683
RCPE Catalogue Number CUL/1/1/4/8
Main Language English
Document Direction Outgoing
Date29 June 1773
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Miss Peggy Campbell': instructions for treatment of a young lady with consumption, including bleeding and blistering, with two pectoral recipes.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:393]
Case of Peggy Campbell with consumption.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1281]PatientMiss Margaret Campbell (Peggy)
[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 Miss Peggy Campbell


It appears very plainly from the account of the Case
that this young lady has a tendency to Consumption
but there is at the same time no circumstance which
shews this to be confirmed. & there is reason to hope
that remedies may still be employed with advantage.
The following are to me the most probable.


1. Let a little blood be taken from her arm more
or less as the state of the Pulse & of the spitting of
blood
shall direct. After a little time this bleeding
should be repeated
sooner or later as the same
circumstances & the pain of her breast may require.


2. Let a blister be applied on the pained part of her
breast & let a part of it be kept open as a perpe¬
tual Issue


3. Let her continue at the use of the Goat whey as long
as it is in good condition & the state of her Stom
the weather is suitable.


4. At the same time Let her have gentle exercise
on horseback especially when she has no spitting
of blood
at all times let the motion be as smooth
& easy as possible.


5. She should be very much in the fresh Air but
much walking is very bad for her & especially
fast or any ways up hill.


6. Warm chambers or many bedcloaths in the night



[Page 2]

are very bad for her but at the same time she must
take great care to avoid any fresh Cold. For this
a flannel shirt next her skin both day &
night will be of great service. The flannel employed
should be very fine & thin.


7. In diet she must abstain from all kind of
Animal food & take entirely to Milk. The different kinds
of grain or what is made of it & a moderate share of
Roots or Greens. Fruit of all kinds are very pro¬
per for her. In drink she must abstain from
every thing strong whether wine Malt liquors
or any thing spirituous. Her ordinary drink
may be plain water, water gruel Barley water
or Almond Emulsion.


8. The medecines proper for her are ordered below.
The pills are to be taken regularly twice a day, about ½ or an
Hour before dinner & supper. But the Electuary is to
be taken at any time when the Cough or tickling which
raises it are troublesome and especially at bedtime
or on first lying down.

For _______

Take a scruple of Balsam of Tolu and two scruples of white lump-sugar. Rub together, try, then add a drachm each of prepared millipedes and Gum Ammoniac; half an ounce of Liquorice Extract, and enough Gum Arabic paste to make a mass to be divided into pills of four grains each. Label: Pectoral Pills. Three to be taken twice a day, washing them down with a cup of Lintseed Tea.

Take two ounces of Spermaceti Decoction and half an ounce of white lump-sugar. Rub together, try, then add an ounce of Gum Arabic paste, and half an ounce each of Elderberry juice and Liquorice Extract, and enough hot water as to soften. Strain the extract and make an Electuary. Label: Pectoral Electuary. The bigness of a bean or small hazelnut to be swallowed leisurely when the Cough is troublesome.

W. C.
Edinburgh 29. June. 1779

Diplomatic Text

[Page 1]
For Miss Peggy Campbell


It appears very plainly fm ye account of ye Case
yt ys young lady has a tendency to Consumption
bt yre is at ye same time no circumstance which
shews ys to be confirmed. & yre is reason to hope
yt remedies may still be employed with advantage.
The following are to me ye most probable.


1. Let a little blood be taken fm her arm more
or less as ye state of ye Pulse & of ye spitting of
blood
shall direct. After a little time ys bleeding
should be repeated
sooner or later as ye same
circumstances & ye pn of her breast may require.


2. Let a blister be appld on ye pned pt of her
breast & let a pt of it be kept open as a perpe¬
tual Issue


3. Let her cont. at ye use of ye Goat whey as long
as it is in good condition & ye state of her Stom
ye weather is suitable.


4. At ye same time Let her have gentle exercise
on horseback especially when she has no spitting
of blood
at all times let ye motion be as smooth
& easy as possible.


5. She should be very much in ye fresh Air but
much walking is very bad for her & especially
fast or any ways up hill.


6. Warm chambers or many bedcloaths in ye nt



[Page 2]

are very bad for her but at ye same time she must
take great care to avoid any fresh Cold. For ys
a flannel shirt next her skin both day &
night will be of gt service. The flannel employed
should be very fine & thin.


7. In diet she must abstain from all kind of
Animal food & take entirely to Milk. Ye difft kinds
of gr. or wt is made of it & a moderate share of
Roots or Greens. Fruit of all kinds are very pro¬
per for her. In drink she must abstain from
every thing strong whether wine Malt liquors
or any thing spirituous. Her ordinary drink
may be plain water, water gruel Barley water
or Almond Emulsion.


8. Ye medecines proper for her are ordd below.
Ye pills are to be t. reguly 2ce a day, abt ½ or an
Hour before dinner & supper. Bt ye Elect. is to
be t. at any t. wn ye Cough or tickling wch
raises it are troublesome and especially at bedt.
or on first lying down.

For _______

Bals. Tolut. ℈i sacch. alb. duriss. ℈ij Terit sim. prob
dein add. milleped ppt. Gum. ammon. @ ʒi Ext. Glycirrh. ʒiſs
Mucil. G. Arab. q. s. ut f. mass. divid. in P. sing. gr. iv.
Sig. Pector. P. 3 to be t. 2ce a day, washg ym down wth a cup of Lintseed
Tea
.

Sperm Coct ʒii sacch. alb. duriss. ℥ſs Terit sim. prob.
dein adde. Mucil. G. arab ℥i Rob. samb. Extr. Glycyrrh @ ℥iſs
Aq. ferv. q. s. ut molles col Extr. & f. S. A. Electuar.
Sig. Pect. Electuary. ye bigness of a bean or small hazel
Nut to be swallowed leisurely wn ye Cough is troublesome.

W. C.
Ed.r 29. June. 1779

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