Cullen

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

 

[ID:4226] From: Dr William Cullen (Professor Cullen) / To: Mr Andrew Liddell (Liddle) / Regarding: Mrs Sinclair (Patient) / 7 March 1778? / (Outgoing)

Reply, responding to Andrew Liddell's account of 'Mrs Sinclair' and probably addressed to Liddell directly (Cullen's formal mode of address does not preclude this supposition).

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4226
RCPE Catalogue Number CUL/1/1/10/83
Main Language English
Document Direction Outgoing
Date7 March 1778?
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, responding to Andrew Liddell's account of 'Mrs Sinclair' and probably addressed to Liddell directly (Cullen's formal mode of address does not preclude this supposition).
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1015]
Case of Mrs Sinclair who for fear of medicines has not sought help before becoming emaciated and weak with looseness (diarrhoea).
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:339]AddresseeMr Andrew Liddell (Liddle)
[PERS ID:2244]PatientMrs Sinclair
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:339]Patient's Physician / Surgeon / ApothecaryMr Andrew Liddell (Liddle)

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 Thurso North Highlands Scotland Europe inferred

Normalized Text

[Page 1]
Mrs Sinclair


Sorry to observe from Mr Liddells account of
her case that her ailments have been allowed to go too
far; but hope notwithstanding her great weakness, that
they are not yet desperate, & the following measures may
be useful. Diet at present well ordered & ought to be con¬
tinued on the same plan, consisting chiefly of Milk & Grain
avoiding Roots, Greens &c & abstaining from all animal
food except a little broth at Dinner. Tho I consider Egg as a
part of Animal food, not necessary to take it away from
Mrs Sinclairs breakfast. Her Drink water, Gruel,
Barley water, or Almond Emulsion; & while her dis¬
position to looseness continues, one of the best drinks for
her, will be milk tea, made by pouring 3 parts of boiling
water upon one of new milk. She should not at any
time take any drink quite cold. The Medecine will
be useful to quench thirst, restore appetite, & keep
down fever. A tea spoonful to be taken in a wine glass¬
ful of tepid water two or three times a day avoiding
only the times of cold fit. Tho' her Stomach seems
disordered, I cannot advise Vomiting, as the Effects of it
are uncertain & tho' they were good they would be of short
duration. I have ordered some pills wh to relieve her
breast; but it will be still more so by a Blister there
but if that pain is entirely gone, apply it between the
Shoulders. The Strengthening Mixture may be employ'd




[Page 2]


to moderate the Diarrhœa & if at any time considerable
proper for checking looseness & relieveing cough to give
a full dose of Opiate at bed time. Tho' the Dose of
Rhubarb seems to have a good effect upon her Diarrhœa
the frequent repetition will be by no means safe.
I have said nothing about Exercise, because nei¬
ther her present state of her weakness nor of
the season can allow of it, but if both these cir¬
cumstances were mended fresh & gentle exercise
may be of service. ---

March 7th
W C----

Diplomatic Text

[Page 1]
Mrs Sinclair


Sorry to observe from Mr Liddells account of
her case that her ailmts have been allowed to go too
far; but hope notwithstanding her great weakness, that
they are not yet desperate, & the following measures may
be useful. Diet at present well ordered & ought to be con¬
tinued on the same plan, consisting chiefly of Milk & Grain
avoiding Roots, Greens &c & abstaining from all animal
food except a little broth at Dinner. Tho I consider Egg as a
part of Animal food, not necessary to take it away fm
Mrs Sinclairs breakfast. Her Drink water, Gruel,
Barley water, or Almond Emulsion; & while her dis¬
position to looseness continues, one of the best drinks for
her, will be milk tea, made by pouring 3 parts of boiling
water upon one of new milk. She should not at any
time take any drink quite cold. The Medecine will
be useful to quench thirst, restore appetite, & keep
down fever. A tea spoonful to be taken in a wine glass¬
ful of tepid water two or three times a day avoiding
only the times of cold fit. Tho' her Stomach seems
disordered, I cannot advise Vomiting, as the Effects of it
are uncertain & tho' they were good they would be of short
duration. I have ordered some pills wh to relieve her
breast; but it will be still more so by a Blister there
but if that pain is entirely gone, apply it between the
Shoulders. The Strengtheng Mixture may be employ'd




[Page 2]


to moderate the Diarrhœa & if at any time considerable
proper for checking looseness & relieveing cough to give
a full dose of Opiate at bed time. Tho' the Dose of
Rhubarb seems to have a good effect upon her Diarrhœa
the frequent repetition will be by no means safe.
I have said nothing about Exercise, because nei¬
ther her present state of her weakness nor of
the season can allow of it, but if both these cir¬
cumstances were mended fresh & gentle exercise
may be of service. ---

March 7th
W C----

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