The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3745] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Lady McKenzie [Mackenzie] (Lady McKenzie of Scatwell) (Patient) / 19 July 1773 / (Outgoing)
Reply 'For Lady McKenzie of Scatwell' in which Cullen determines that her symptoms stem from the menopause. Addressee is probably the unnamed practitioner who drew up her 'case history' (see other document linked to this Case ID).
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
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[Page 4]
Metadata
| Field | Data |
|---|---|
| DOC ID | 3745 |
| RCPE Catalogue Number | CUL/1/1/5/8 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 19 July 1773 |
| Annotation | None |
| Type | Scribal 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 Lady McKenzie of Scatwell' in which Cullen determines that her symptoms stem from the menopause. Addressee is probably the unnamed practitioner who drew up her 'case history' (see other document linked to this Case ID). |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:141] |
Case of the Dowager Lady McKenzie [Mackenzie] of Scatwell who complaints of 'want of sleep and swimming in her head'. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:2021] | Patient | Lady McKenzie [Mackenzie] (Lady McKenzie of Scatwell) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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
For Lady McKenzie of Scatwell
It is very probable that L. Mc.s complaints are
owing to too great fulness which is apt to occur
at her time of life after a certain natural evacuat¬
ion has ceased. As this fulness seems to be not
blood but of other houmours I cannot advise
blood letting without other informations. The
head should be kept constantly close shaved
and a blister should ↑be↑ put over the whole head, and
when the Blister has risen a part of the crown
of the head little broader than a crown piece should
[Page 2]
be kept open as perpetual issue. At the same time
she should be purged several times at the interval
of two or three Days by the cooling physic ordered
below. I have order'd three tea spoonfulls for a dose
but that must be increased or diminished according to
the operation which should be only to two or three
motions and if it is either more or less the dose
should be Diminish or increased. The repetition of
the purging should be Determined by its effects on
the Complaints and by my Ladyship's bearing it well or ill
Every night at bedtime Let her Ladyship take the
bigness of a nutmeg of the Cephalic Electuary wash¬
ing it down by a cupfull of Valerian Tea. With
these medicines my Lady should take some exercise
everyday that she does not take the physic. Walking
so far as she can easily bear it will be of service es¬
pecially if my Lady walks a little at first only
and by slow Degrees increases it every day. However
as the execution of this is a little precarious
[Page 3]
I would have her Ladyship go in a carriage more or less every
Day. While L. M:s appetite is so very bad there must
be no (↑as↑) great nicety in the choice of her Diet but still
the lighter it is the better. The Drink she takes ought
to be plain water but she may take two or three glasses
of Claret every day. Every kind of Malt Liquor is bad
Indian Tea also very improper but in place of it
Valerian Tea may be of service. I must conclude
observing that upon my getting a more exact
account of the case I shall be able to advise
further
Take 2 ounces Crystalline Tartar, powdered Jallop Root, up to 1 drachm nutmeg [ground?], 1 ounce pulped French prune, use a sufficient quantity of simple syrup to make a thin Lenitive Electuary or [Lochoch?] Label: Laxative Electuary 3 teaspoonfulls for a dose to be taken in the morning
[Page 4]
Take 1 and a half ounces of powdered Root of Wild Valerian, 2 drachms of powdered Russian Castor, 1 ounce Conserve of Rose, use a sufficient quantity of simple syrup to make an Electuary Label: Cephalic Electuary the bigness of a Nutmeg to be taken every night at bedtime.
Diplomatic Text
For Lady McKenzie of Scatwell
It is very probable that L. Mc.s complaints are
owing to too great fulness which is apt to occur
at her time of life after a certain natural evacuat¬
ion has ceased. As this fulness seems to be not
blood but of other houmours I cannot advise
blood letting without other informations. The
head should be kept constantly close shaved
and a blister should ↑be↑ put over the whole head, and
when the Blister has risen a part of the crown
of the head little broader than a crown piece should
[Page 2]
be kept open as perpetual issue. At the same time
she should be purged several times at the interval
of two or three Days by the cooling physic ordered
below. I have order'd three tea spoonfulls for a dose
but that must be increased or diminished according to
the operation which should be only to two or three
motions and if it is either more or less the dose
should be Diminish or increased. The repetition of
the purging should be Determined by its effects on
the Complaints and by my La.s bearing it well or ill
Every night at bedtime Let her Ladp take the
bigness of a nutmeg of the Cephalic Electuary wash¬
ing it down by a cupfull of Valerian Tea. With
these medicines my Lady should take some exercise
everyday that she does not take the physic. Walking
so far as she can easily bear it will be of service es¬
pecially if my Lady walks a little at first only
and by slow Degrees increases it every day. However
as the execution of this is a little precarious
[Page 3]
I would have her Ladp go in a carriage more or less every
Day. While L. M:s appetite is so very bad there must
be no (↑as↑) great nicety in the choice of her Diet but still
the lighter it is the better. The Drink she takes ought
to be plain water but she may take two or three glasses
of Claret every day. Every kind of Malt Liquor is bad
Indian Tea also very improper but in place of it
Valerian Tea may be of service. I must conclude
observing that upon my getting a more exact
account of the case I shall be able to advise
further
℞ Crystalline Tartar ℥ij
Rad Jalap pulv.
Nuc moschat [ros?] ad ʒi
pulp prunor Gall ℥i
Syr. Commun q.s. ut f Electuar. tenue
sive [Lochoc?] Sig Laxative Electuary 3 teaspoonfulls for a dose
to be taken in the morning
[Page 4]
℞ Rad Valerian Slyv pulveres ℥iſs
Castor Russie pulv ʒij
Cons Rosar ℥j
Syr Commum q.s. ut fa: Electuarium
Sig Cephalic Electuary the bigness of a Nutmeg to
be taken every night at bedtime.
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