Cullen

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

 

[ID:4256] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Miss B. Robertson (Patient) / 15 June 1778 / (Outgoing)

Reply 'For Miss Robertson'

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4256
RCPE Catalogue Number CUL/1/1/10/113
Main Language English
Document Direction Outgoing
Date15 June 1778
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 Robertson'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1067]
Case of Miss Robertson who is advised on regimen for a stomach disorder.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1929]PatientMiss B. Robertson
[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 Eyemouth (Eymouth) Borders Scotland Europe inferred

Normalized Text

[Page 1]
For Miss Robertson.


Her ailments entirely in her stomach, which are tedious & obstinate
but never dangerous - Medicines not to be depended upon if not
accompanied with a proper regimen.


Fresh air & exercise. Walking must be very gentle, never to
heat or fatigue & never much up hill. The best exercise for her is
on horseback or an open chaise & in the one or other way she
should be constantly & daily employed thro all the summer,



[Page 2]

but never to fatigue. The way will be to take journies which
renders the exercise more steady & with more change of air.


Guard against cold, & therefore against wet and damp. Be
always well cloathed & never change her accustomed cloaths for
any warmth of season.


Diet may be of ordinary fare; but avoiding the windy greens or
roots & much animal food or any thing heavy; & take as much
of the grain kind as she can easily digest. At breakfast avoid tea
& coffee & instead of them she may take Cocoa.


No meat at supper but sometimes a soft boiled egg if it
agree with her. I wish she could eat milk in one shape or other at
supper. Altho she may not digest plain milk she may if when
she takes it fresh from the cow she mixes an equal part of
water gruel with it & sweeten the whole very well with sugar &
take it with bread, rice, barley, &cc as she would do plain milk.


Water should be her ordinary drink, & abstain entirely from
malt liquors especially small beer. A little porter maybe allowed.
If any wine, the stronger as Red port, Madeira, &c diluted with
water.


In the summer she may try sea bathing but always avoiding
it when from it or from other accidents she has taken any cold.
For medicines I have ordered below stomachic pills.


If her sulphur fail in its operation I have prescrived a
laxative to supply its place. I have also ordered a Tincture
for her morning sickness - For her afternoon headach I would
have her try a draught of lime water soon after dinner. She may
begin by a gill but gradually bring it to half a mutchkin: but
when she is to take this she should have taken no wine nor
malt liquor at dinner.

Take half an ounce of Spanish soap, one drachm each of Extract of gentian and powdered root of colombo, and a sufficient quantity of Simple syrup. Make a mass to be divided into single pills of five grains. Label: Stomachic pills: two or three to be taken twice a day.

Take six drachms of Flowers of sulphur, two drachms of finely powdered Crystal tartar and lenitive Electuary, one drachm of powdered compound of jalappa and a sufficient quantity of simple Syrup to make a [tenue?] Electuary. Label: Laxative Electuary. a teaspoonful or two in the morning when occasion requires.

Take half an ounce of Tincture of volatile valerian, six drachms of spirit of hartshorn and two drachms of Caustic Spirit of Ammoniac Salt. Mix. Label: Stomachic Tincture. A teaspoonful or two in a little water when the morning sickness is severe.

W.C.
Edinburgh June 15 1778.

Diplomatic Text

[Page 1]
For Miss Robertson.


Her ailments entirely in her stomach, which are tedious & obstinate
but never dangerous - Medicines not to be depended upon if not
accompanied with a proper regimen.


Fresh air & exercise. Walking must be very gentle, never to
heat or fatigue & never much up hill. The best exercise for her is
on horseback or an open chaise & in the one or other way she
should be constantly & daily employed thro all the summer,



[Page 2]

but never to fatigue. The way will be to take journies wc
renders the exercise more steady & with more change of air.


Guard against cold, & therefore against wet and damp. Be
always well cloathed & never change her accustomed cloaths for
any warmth of season.


Diet may be of ordinary fare; but avoidg the windy greens or
roots & much animal food or any thing heavy; & take as much
of the grain kind as she can easily digest. At breakfast avoid tea
& coffee & instead of them she may take Cocoa.


No meat at supper but sometimes a soft boiled egg if it
agree with her. I wish she could eat milk in one shape or other at
supper. Altho she may not digest plain milk she may if when
she takes it fresh from the cow she mixes an equal part of
water gruel with it & sweeten the whole very well with sugar &
take it with bread, rice, barley, &cc as she would do plain milk.


Water should be her ordinary drink, & abstain entirely from
malt liquors especially small beer. A little porter maybe allowed.
If any wine, the stronger as Red port, Madeira, &c diluted with
water.


In the summer she may try sea bathing but always avoidg
it when from it or from other accidents she has taken any cold.
For medicines I have ordered below stomachic pills.


If her sulphur fail in its operation I have prescrived a
laxative to supply its place. I have also ordered a Tincture
for her morning sickness - For her afternoon headach I would
have her try a draught of lime water soon after dinner. She may
begin by a gill but gradually bring it to half a mutchkin: but
when she is to take this she should have taken no wine nor
malt liquor at dinner.


Sapon. hisp. ℥ſs. Extr. gentian. Pulv. rad. colomb. @ʒj Syr. simpl.
q.s. ut f. m. div. in pil. s. gr. V. S. Stomachic pills: two or three to
be taken twice a day.


Flor. sulph. ʒvj Cryst. tart. pulv. subtil. Elect. lenit. @ ʒij Pulv.
jalapp. comp. ʒj Syr. simpl. q.s. ut. f. Elect [tenue?].
S. Laxat. Elect. a teasp:ful or two in the morning when occasion requires


Tinc. valer. volat. ℥ſs Spt corn. cerv. ʒvj Spt sal. amm. caust. ʒij
ℳ. S. Stomachic Tincture a tea spoonful or two, in a little water
when the morning sickness is severe.

W.C.
Edr June 15 1778.

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