Cullen

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

 

[ID:4312] From: Dr William Cullen (Professor Cullen) / To: Mrs Lucy Maxwell (Gage) (of Munchies, Munches) / Regarding: Mrs Lucy Maxwell (Gage) (of Munchies, Munches) (Patient) / 11 September 1778 / (Outgoing)

Reply headed 'Mrs Maxwell of Monchies'.

Facsimile

There are 3 images for this document.

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Metadata

FieldData
DOC ID 4312
RCPE Catalogue Number CUL/1/1/11/50
Main Language English
Document Direction Outgoing
Date11 September 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 headed 'Mrs Maxwell of Monchies'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:780]
Case of Mrs Maxwell of Munches [Munchies] whose symptoms are attributed to 'a weakness of the womb'; she is later considered a 'nervous' case. Cullen's replies refer to a number of incoming letters which are untraced.
9


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2415]AddresseeMrs Lucy Maxwell (of Munchies, Munches)
[PERS ID:2415]PatientMrs Lucy Maxwell (of Munchies, Munches)
[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 Munchies / Monchies / Munches / Muches Dalbeattie Borders Scotland Europe certain

Normalized Text

[Page 1]
Mrs Maxwell of Monchies


She seems to have no particular disease. and with some
original delicacy of constitution some accidents have concurred
to weaken still farther and to induce the present complaint.
They may be mended with time and pains.


Take the powders and infusion below, for two or three weeks
together & then lay them aside for as long or indeed
return to them only upon the continuance or recurrence
of her complaints. At the same time be much in
fresh air & gentle exercise on horseback. Moderate wal¬
king maybe allowed but any degree of fatigue improper.
& she should never stand long on her feet. Towards the
end of a month she should move very little & rather lye
upon a bed or couch.


In diet consult her stomach. Much animal food will
increase her disorder & much vegetable hurt her stomach.
so that she should steer a middle course. Avoid malt
liquors & take plain water or with a little wine in it
& at meals a glass or two of wine but no more.


Keep her belly regular & if she knows any diet which
does this, well. but if not, have recourse to medicine.
If any laxative she perhaps may have been in the use of
employing should fail upon repetition, try the one ord¬
ered below.


For the pain of her side when very uneasy, anoint it
with the oil below, at night going to bed, & after anoin¬
ting cover it with a piece of flannel.


Cold bathing might be useful but it does not ap¬
pear that it has hitherto agreed with her. Perhaps this
may be owing to its being distant from her & this must
become more inconvenient as the weather grows worse
& therefore I cannot advise it. but if it shall appear
hereafter to be necessary I shall direct how to take it
at home. Avoid cold, particularly in feet & legs.

Take prepared powdered steel, powdered Cinnamon, very hard white sugar; ten grams of each. Mix to make into powder and from this mass make fourteen doses. Label Strengthening powders one to be taken in a little currant jelly twice a day washing it down with a small teacupful of the Strengthening Infusion.

Take half an ounce of crushed Peruvian Bark -- a drachm each of orange and cinnamon, two pounds of boiling water. Leave to set for twelve hours, stirring occasionally, then add two ounces of Tincture of Peruvian bark, then strain through paper. Label Strengthening Infusion.

Edinburgh September 11. 1778
W. C.


See Page 51 for
the other receipts.




[Page 3]


See Page 49 where the two following receipts should have
been placed for Mrs Maxwell.

Take two ounces of very good castor oil, an ounce of very good Jamaican Rum; mix and label Laxative oil, a tablespoonful or two in the morning; shaking the phial well before pouring it out.

Take two ounces of very good olive oil, two drachms each of amber oil and caustic spirit of ammoniac salt. Mix and label Anodyne oil. ------

W. C.

Diplomatic Text

[Page 1]
Mrs Maxwell of Monchies


She seems to have no particular disease. and with some
original delicacy of constitution some accidents have concurred
to weaken still farther and to induce the present complaint.
They may be mended with time and pains.


Take the powders and infusion below, for two or three weeks
together & then lay them aside for as long or indeed
return to them only upon the continuance or recurrence
of her complaints. At the same time be much in
fresh air & gentle exercise on horseback. Moderate wal¬
king maybe allowed but any degree of fatigue improper.
& she should never stand long on her feet. Towards the
end of a month she should move very little & rather lye
upon a bed or couch.


In diet consult her stomach. Much animal food will
increase her disorder & much vegetable hurt her stomach.
so that she should steer a middle course. Avoid malt
liquors & take plain water or with a little wine in it
& at meals a glass or two of wine but no more.


Keep her belly regular & if she knows any diet which
does this, well. but if not, have recourse to medicine.
If any laxative she perhaps may have been in the use of
employing should fail upon repetition, try the one ord¬
ered below.


For the pain of her side when very uneasy, anoint it
with the oil below, at night going to bed, & after anoin¬
ting cover it with a piece of flannel.


Cold bathing might be useful but it does not ap¬
pear that it has hitherto agreed with her. Perhaps this
may be owing to its being distant from her & this must
become more inconvenient as the weather grows worse
& therefore I cannot advise it. but if it shall appear
hereafter to be necessary I shall direct how to take it
at home. Avoid cold, particularly in feet & legs.


Limat. mart. pp.t Cinnam. pulv. Sacch. alb.



[Page 2]

duriss.
@ gr. X. ℳ. f. pulv. et f. huy. m. dos. N.o xiv
S. Strengtheng powders one to be taken in a little currant
jelly twice a day washing it down with a small teacupfull
of the Strengthening Infusion.


Cort. Peruv. contus. ℥ſs. -- aurant. ---- cinna¬
mom.
@ Ʒj. Aq. bull. ℔ij. Degere subinde agitans
horas duodecim et adde Tinct cort. Peruv. ℥ij dein
per chartam cola. S. Strengthening Infusion.

Ed.r Sep.r
W. C.


See Page 51 for
the other receipts.




[Page 3]


See Page 49 where the two following receipts should have
been placed for Mrs Maxwell.


Ol. ricin. opt ℥ij Sp. sacch. Jamaic. opt. ℥j ℳ
S. Laxative oil a table spoonful or two in the morning;
shaking the phial well before pouring it out.


Ol. oliv. opt. ℥ij --- succin. Sp. sal. amm. caust. @ Ʒij
ℳ. Signa Anodyne oil. ------

W. C.

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