Cullen

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

 

[ID:4370] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Sir Adolphus (James) Oughton (Dickenson) (Patient) / 28 January 1779 / (Outgoing)

Reply headed 'For Sir Adolphus Oughton', giving advice on taking medicines to increase his perspiration, signed by Cullen and J. Hope.

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Metadata

FieldData
DOC ID 4370
RCPE Catalogue Number CUL/1/1/11/108
Main Language English
Document Direction Outgoing
Date28 January 1779
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 'For Sir Adolphus Oughton', giving advice on taking medicines to increase his perspiration, signed by Cullen and J. Hope.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1124]
Case of Sir Adolphous Oughton, who is given directions on increasing his perspiration.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1422]PatientSir Adolphus (James) Oughton
[PERS ID:312]Patient's Physician / Surgeon / ApothecaryDr John Hope
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3049]OtherMr Anderson
[PERS ID:312]Supplemental AuthorDr John Hope

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
For Sir Adolphus Oughton.


He is at present but little affected; but from its
threatening about ten days ago & from what has hap¬
pened in former spring seasons, precautions are
necessary


Have a little blood taken from the arm, against
the weather becomes open & mild.


Continue his usual doses of Rhubarb tho it may
be of more service if sometimes intermitted.


To restore a little of that free perspiration which
in the former part of his life he used to have, he knows
nothing better than the Antimonial wine already
prescribed, but we have to observe that it was not
meant that he should continue at the small dose first
prescribed. He should increase the dose by five drops
every night till it have sensible effects, in sicken¬
ing his
stomach, moving his belly or giving some
gentle perspiration thro the night but when these
effects appear the dose is to be encreased no farther.


Besides these we offer no other medicine - which
may favor digestion, keep the belly regular, & thus re¬
lieve the head. A solution ordered below - of which
he should take a table spoonful every morning, It
is to be mixed with about a gill of spring water not quite
cold & this to be taken at one or two draughts about an
hour before breakfast. It should assist both the
Rhubarb & Antimony in keeping the belly regular
to one stool every day: otherwise it may be increased
to a spoonful & a half to two spoonfuls - but if it
gives a loose stool or has any tendency to purge him
the dose must be diminished to half a spoonful or as
that is an inconvenient measure, let Mr Anderson make
it weaker. Of more consequence than medi¬
cines are the following. Sir Adolphus does



[Page 2]

not use heavy diet but at present he should keep below
his ordinary standard. Should supply the little quan¬
tity of animal food, with pudding, pancake and
vegetables. These rules especially to be observed at
supper.


In drinking Sir Adolphus has already made a great
reform in avoiding most kinds of malt liquors & he
should continue so. He is generally temperate in
wine enough, but we would have him at least lean
to the side of abstemiouness at this season.


Do no more business than is absolutely necessary.
Interrupt it by exercise in the forenoon & perhaps
thus here the quickest dispatch for sitting long at
one time jades & fatigues. Use walking, riding,
& going in a carriage, more than he has done.

Take an ounce and a half of soluble tartar, three ounces of rose water, , four ounces of simple cinnamon water, an ounce of spirit of cinnamon, a drachm of composite spirit of lavender Dissolve and strain. Label: Aperient Solution

Edinburgh January 28. 1779
W. C. & J. Hope.

Diplomatic Text

[Page 1]
For Sir Adolphus Oughton.


He is at present but little affected; but from its
threateng about ten days ago & from what has hap¬
pened in former spring seasons, precautions are
necessary


Have a little blood taken from the arm, against
the weather becomes open & mild.


Continue his usual doses of Rhubarb tho it may
be of more service if sometimes intermitted.


To restore a little of that free perspiration which
in the former part of his life he used to have, he knows
nothing better than the Antimonial wine already
prescribed, but we have to observe that it was not
meant that he should continue at the small dose first
prescribed. He should increase the dose by five drops
every night till it have sensible effects, in sicken¬
ing his
stomach, moving his belly or giving some
gentle perspiration thro the night but when these
effects appear the dose is to be encreased no farther.


Besides these we offer no other medicine - which
may favor digestion, keep the belly regr, & thus re¬
lieve the head. A solution ordered below - of which
he should take a table spoonful every morning, It
is to be mixed with about a gill of spring water not quite
cold & this to be taken at one or two draughts about an
hour before breakfast. It should assist both the
Rhubarb & Antimony in keeping the belly regular
to one stool every day: otherwise it may be increased
to a spoonful & a half to two spoonfuls - but if it
gives a loose stool or has any tendency to purge him
the dose must be diminished to half a spoonful or as
that is an inconvenient measure, let Mr Anderson make
it weaker. Of more consequence than medi¬
cines are the following. Sir Adolphus does



[Page 2]

not use heavy diet but at present he should keep below
his ordinary standard. Should supply the little quan¬
tity of animal food, with pudding, pancake and
vegetables. These rules especially to be observed at
supper.


In drinking Sir A. has already made a great
reform in avoiding most kinds of malt liquors & he
should continue so. He is generally temperate in
wine enough, but we would have him at least lean
to the side of abstemiouness at this season.


Do no more business than is absolutely necessary.
Interrupt it by exercise in the forenoon & perhaps
thus here the quickest dispatch for sitting long at
one time jades & fatigues. Use walking, ridg,
& going in a carriage, more than he has done.

Edinr. Jany. 28. 1779
W. C. & J. Hope.

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