Cullen

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

 

[ID:46] From: Dr William Cullen (Professor Cullen) / To: Bishop John Oswald (of Raphoe) / Regarding: Mrs Ann Oswald (of Raphoe) (Patient) / January? 1769? / (Outgoing)

Reply, 'For Mrs Oswald of Raphoe', addressed to her husband John Oswald, Bishop of Rathoe.

Facsimile

There are 3 images for this document.

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[Page 2]


 

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Metadata

FieldData
DOC ID 46
RCPE Catalogue Number CUL/1/1/1/41
Main Language English
Document Direction Outgoing
DateJanuary? 1769?
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 Mrs Oswald of Raphoe', addressed to her husband John Oswald, Bishop of Rathoe.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:230]
Case of Mrs Ann Oswald who is to undergo a mercurial treatment.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2061]AddresseeBishop John Oswald (of Raphoe)
[PERS ID:56]PatientMrs Ann Oswald (of Raphoe)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2061]Patient's Relative / Spouse / FriendBishop John Oswald (of Raphoe)

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 Raphoe North Ireland Ireland Europe inferred

Normalized Text

[Page 1]
For Mrs Oswald of Raphoe


It was only yesterday that I recieved your Lordships
Letter of the 12th current & by the Postage it appears to have gone
a good way about. This is the first post day in Course & I am
sorry it is so late after yours. By Your Lordship's & the
Journal Inclosed I have a very distinct notion of the Condict
of the medicine. It has had more tendency to the Bowels & more
power in the mouth than I expected but I think you have
conducted both extremely well & if it has been continued as
I believe it would continue itself for a week after the 12th or 13th
when the Journal seems to have been finished I hope it is enough
for one Course, especially as its effects upon the Skin have
been considerable -- Tho there has been no Sweating
as we expected there can be no doubt that it has gone
freely by the Skin & no doubt the frequent bathing has contr¬
buted a great deal to this. I I was afraid that the
bathing might encourage the Sweating too much & therfore
avised a particular management but as no Sweating
happened I have no fault to find with the manner that was
followed - Tho the Use of the Mercury should be continued
till now I believe there is no harm in it - the Cure will be
rendered more certain & it does not appear that Mrs Oswalds
Strength or Spirits are much affected by it -- I should not have
been concerned to find that her body was taken down a little
more than it seems to be by your Lordships account - However
all that may be I have no fault to find with the Conduct of her diet



[Page 2]

& I shall always acknowledge that Mrs Oswald is no Slave to
her palate when her health is concerned - However you have
manged Since the 12th or 13th it is certainly time now to give up the
Mercurial Course entirely & I have only to Speak of what follow
it -- In the first place I must observe that Mrs Oswalds consti¬
tution is certainly disposed to make much blood & such constituti¬
ons do not commonly make it of the purest kind & this must
be forther observed that after a little exhaustion by Mercury the
body is liable to fill very fast From all these considerations
I must now earnestly recommend the keeping Mrs Oswalds
diet as low asit has been for some time to come & at least
till the Mercury is so entirely gone & the Spring so far
advanced that she can go abroad to take up a a great deal of
Exercise- I am perswaded this is necessary to the a Cure for
the Disease is of an obstinate kind & very liable to return
With this management of Diet I would recommend the continuance
of the Bathing but so as to wear it of by degrees going from twice
a week to three times in a fortnight then to once a week &
give it ↑up↑ for good when she is to be in Daily Exercise - Let her
now also enter upon a Decoction of Sarsaparilla making ↑it↑ with
three ounces of Sarsaparilla boiled with four pints of water in two {illeg}
& this may be sweetened with Liquorice or Raisins as she likes best
Of this [either?] take a bottle fresh made every twenty four hours
dividing it into such draughts and timing these draughts as most
agreeable to her let this Course be continued for a fortnight and


[Page 3]

for a fortnight longer at one pint per day -- Along with this
course of Sarsaparilla let her take the Antimonial ordered below
also for a month the Dose is to be a table spoonfull at bed¬
time this may possibly make her Stomach Sick and it is
right it should do so a little but if it goes so far as to make
her vomit it is too much & the dose it is to be taken done a
little but if it does not make her a little sick the Dose should
be increased a little & observe that the dose that occasions
sickness at first after being repeated some days will not have
that effect when this is observed that let the dose be increased a
little [it?] does go on to what the stomach easily bears.
I have nothing farther to say but when she mends her diet let
it be according to the directions given her last summer & as soon
as she gets into Exercise let her take as much as she convenient↑ly↑
can both in the Carriage & in walking

For Mrs Oswald of Raphoe>

Take three ounces of Rose Water, one ounce of Cinnamon, two grains of Tartar Emetic. and iij drachms of Syrup of Cloves. Mix. Label: the Antimonial Mixture.

Diplomatic Text

[Page 1]
For Mrs Oswald of Raphoe


It was only yesterday that I recieved your Lordships
Letter of the 12th currt & by the Postage it appears to have gone
a good way about. This is the first post day in Course & I am
sorry it is so late after yours. By Your Lordship's & the
Journal Inclosed I have a very distinct notion of the Condict
of the medicine. It has had more tendency to the Bowels & more
power in the mouth than I expected but I think you have
conducted both extremely well & if it has been continued as
I believe it would continue itself for a week after the 12th or 13th
when the Journal seems to have been finished I hope it is enough
for one Course, especially as its effects upon the Skin have
been considerable -- Tho there has been no Sweating
as we expected there can be no doubt that it has gone
freely by the Skin & no doubt the frequent bathing has contr¬
buted a great deal to this. I I was afraid that the
bathing might encourage the Sweating too much & therfore
avised a particular management but as no Sweating
happened I have no fault to find with the manner that was
followed - Tho the Use of the Mercury should be continued
till now I believe there is no harm in it - the Cure will be
rendered more certain & it does not appear that Mrs Oswalds
Strength or Spirits are much affected by it -- I should not have
been concerned to find that her body was taken down a little
more than it seems to be by your Lordships account - However
all that may be I have no fault to find with the Conduct of her diet



[Page 2]

& I shall always acknowledge that Mrs Oswald is no Slave to
her palate when her health is concerned - However you have
manged Since the 12th or 13th it is certainly time now to give up the
Mercurial Course entirely & I have only to Speak of what follow
it -- In the first place I must observe that Mrs Oswalds consti¬
tution is certainly disposed to make much blood & such constituti¬
ons do not commonly make it of the purest kind & this must
be forther observed that after a little exhaustion by Mercury the
body is liable to fill very fast From all these considerations
I must now earnestly recommend the keeping Mrs Oswalds
diet as low asit has been for some time to come & at least
till the Mercury is so entirely gone & the Spring so far
advanced that she can go abroad to take up a a great deal of
Exercise- I am perswaded this is necessary to the a Cure for
the Disease is of an obstinate kind & very liable to return
With this management of Diet I would recommend the continuance
of the Bathing but so as to wear it of by degrees going from twice
a week to three times in a fortnight then to once a week &
give it ↑up↑ for good when she is to be in Daily Exercise - Let her
now also enter upon a Decoction of Sarsaparilla making ↑it↑ with
three ounces of Sarsa boiled with four pints of water in two {illeg}
& this may be sweetened with Liquorice or Raisins as she likes best
Of this [either?] take a bottle fresh made every twenty four hours
dividing it into such draughts and timing these draughts as most
agreeable to her let this Course be continued for a fortnight and


[Page 3]

for a fortnight longer at one pint per day -- Along with this
course of Sarsa let her take the Antimonial ordered below
also for a month the Dose is to be a table spoonfull at bed¬
time this may possibly make her Stomach Sick and it is
right it should do so a little but if it goes so far as to make
her vomit it is too much & the dose it is to be taken done a
little but if it does not make her a little sick the Dose should
be increased a little & observe that the dose that occasions
sickness at first after being repeated some days will not have
that effect when this is observed that let the dose be increased a
little [it?] does go on to what the stomach easily bears.
I have nothing farther to say but when she mends her diet let
it be according to the directions given her last summer & as soon
as she gets into Exercise let her take as much as she convenient↑ly↑
can both in the Carriage & in walking

For Mrs Oswald of Raphoe>


Aq. Rosar: ℥iij
Cinnam. ten ℥i
Tartar. Emiet. gr. ij
Syr: Carrophyll. ʒiij
ℳ Signa the Antimonial Mixture.

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