Cullen

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

 

[ID:4230] From: Dr William Cullen (Professor Cullen) / To: Dr Thomas Stephen / Regarding: Miss Jean Innes (Jane) (Patient) / 11 March 1778 / (Outgoing)

Reply to 'Dr Stephen C[oncering] Miss J[ean also known as Jane] Innes' concerning how to continue various treatments for her cough.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4230
RCPE Catalogue Number CUL/1/1/10/87
Main Language English
Document Direction Outgoing
Date11 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 to 'Dr Stephen C[oncering] Miss J[ean also known as Jane] Innes' concerning how to continue various treatments for her cough.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:455]
Case of Miss Jane Innes who has a long-term cough (consumption) which eventually proves fatal.
10


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:820]AddresseeDr Thomas Stephen
[PERS ID:1899]PatientMiss Jean Innes (Jane)
[PERS ID:820]Patient's Physician / Surgeon / ApothecaryDr Thomas Stephen
[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
Destination of Letter Elgin East Highlands Scotland Europe inferred

Normalized Text

[Page 1]
Dr. Stephan Concerning Miss J. Innes.
Dear Sir


I have received your account of Miss ↑Jean↑ Innes's case and am very
much of the same opinion I was before. Her breast is pretty deeply
affected, but I hope there is no confirmed ulcer there. I take it to
be impossible for any body to get the better of such complaints at
this season. but if we can keep matters easy till we the season
is more advanced we may hope for more relief.- I had the honour
to write to Miss Innes last post & have to offer what I had chiefly
to advise, & have little to add to it now. It is necessary to relieve her
cough & to give her better nights, by the use of Opiates. The doses
& repetition of which must be left to your discretion. I think
you may use what Demulcents & Expectorants her stomach
easily bears. I cannot think it safe to push the Squills to any
degree of sickness or purging. Her Breathing may be
relieved by ↑a↑ Blister between her Shoulders. For supporting
her Appetite and moderating fever I would recommend the Acid
Mixture prescribed in my last to Miss J. -- I am now the
Clear the Bark in any shape would be improper. Among the
other Pectorals I would still recommend the Decoction of Coltsfoot as
soon as the Season can afford the fresh leaves, agreeable to the
direction I gave for it last year.- As soon as Strength &
weather will allow I believe Miss J. might be the better of
air & exercise, but I am persuaded that she cannot attempt
it with Safety for some time to come. I need say little about




[Page 2]


Miss J.s Diet. If I would be particular I would say it should be
chiefly of Milk & farinacea, avoiding Roots greens & other
garden things, & to be very sparing of animal food. Her
drink chiefly water or watery liquors, but upon occasion
a little wine may be allowed.

I am &c
W C.

Edinburgh March 11th.
1778

Diplomatic Text

[Page 1]
Dr. Stephan C Miss J. Innes.
Dr Sir


I have received your account of Miss ↑Jean↑ Innes's case and am v
much of ye same opinion I was before. Her breast is pretty deeply
affected, but I hope there is no confirmed ulcer there. I take it to
be impossible for any body to get ye better of such complaints at
this season. but if we can keep matters easy till we the season
is more advanced we may hope for more relief.- I had ye honour
to write to Miss Innes last post & have to offer what I had chiefly
to advise, & have little to add to it now. It is necessary to relieve her
cough & to give her better nights, by ye use of Opiates. The doses
& repetition of which must be left to your discretion. I think
you may use what Demulcents & Expectorants her stomach
easily bears. I cannot think it safe to push ye Squills to any
degree of sickness or purging. Her Breathing may be
relieved by ↑a↑ Blister between her Shoulders. For supporting
her Appetite and moderating fever I would recommend ye Acid
Mixture prescribed in my last to Miss J. -- I am now ye
Clear ye Bark in any shape would be improper. Among ye
other Pectorals I wd still recomd. ye Decoction of Coltsfoot as
soon as ye Season can afford ye fresh leaves, agreeable to ye
direction I gave for it last year.- As soon as Strength &
weather will allow I believe Miss J. might be ye better of
air & exercise, but I am persuaded that she cannot attempt
it wt Safety for some time to come. I need say little about




[Page 2]


Miss J.s Diet. If I wd be particular I wd say it should be
chiefly of Milk & farinacea, avoiding Roots greens & other
garden things, & to be very sparing of animal food. Her
drink chiefly water or watery liquors, but upon occasion
a little wine may be allowed.

I am &c
W C.

Edinr March 11th.
1778

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