Cullen

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

 

[ID:4764] From: Dr William Cullen (Professor Cullen) / To: Mr Robert Wallace / Regarding: Mr David Hamilton (Patient) / 24 December 1783 / (Outgoing)

Reply, 'For Mr David Hamilton'. Likely addressed to Robert Wallace, giving detailed instructions on the use of fomentations and electricity for treating Mr Hamilton's lameness. A prescription in Cullen's hand is also enclosed.

Facsimile

There are 5 images for this document.

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Metadata

FieldData
DOC ID 4764
RCPE Catalogue Number CUL/1/1/16/168
Main Language English
Document Direction Outgoing
Date24 December 1783
Annotation None
TypeMachine scribal copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For Mr David Hamilton'. Likely addressed to Robert Wallace, giving detailed instructions on the use of fomentations and electricity for treating Mr Hamilton's lameness. A prescription in Cullen's hand is also enclosed.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1660]
Case of David Hamilton who has a sore hip and leg which is being treated with fomentations and electricity.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:216]AddresseeMr Robert Wallace
[PERS ID:5285]PatientMr David Hamilton
[PERS ID:216]Patient's Physician / Surgeon / ApothecaryMr Robert Wallace
[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 Glasgow Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
For Mr. David Hamilton


Every night about two hours before bed time
let the right hip joint be fomented for an hour.
For this purpose he must employ a flannel of four
ply and of a size sufficient fully to cover the
joint
. Two such flannels are to be kept in boiling
or nearly boiling water and one of them taken
out from thence and thrown into a strong Touel
to have the water wrung out from it by hands
on either end of it and by strong hands to have
the moisture wrung out as entirely as possible.
In this condition it is to be applied to the joint
as warm as he can easily bear it and observe
that the drier the flannels are wrung the
warmer he will beat them. When the flannel
is applied let that and the whole of his



[Page 2]

limb
be covered with a double blanket. In this way
the flannel will retain its heat for a time from
six to ten minutes; but against it begins to cool
the other flannel must be taken from the boiling
water wrung out and applied in the same
manner as above directed and in this manner
the flannels are to be shifted five or six times.
When the fomentation has been thus carried on
for about an hour the moist flannel are to be
taken away and a double ply of dry and
warm flannel is to be put in their place and
kept there constantly till next evening that the
fomentation
is to be renewed.


The fomentation is to be renewed for four or
five days every evening and for ten or twelve days
afterwards every second evening. If in that time
the motion and power of the joint is not recovered



[Page 3]

I would push the fomentation no further but if the
joint
shall be considerably recovered I would have
him continue it enough at longer intervals for
some time longer.


During the whole time of practising fomenta¬
tion
the joint must be kept constantly warm by
the double flannel applied upon it and in the
day time by flannel drawers above the flannel
and by his ordinary Breeches above all. For the
first eight days he should keep entirely within
doors and should keep constantly in view the
defending the whole of his right limb from cold
When the fomentation has been practiced as
directed for four or five days he may then begin
to have Electricity applied every forenoon and
may have from ten to twenty shocks driven
from the haunch to the foot of the right



[Page 4]

limb
. The shocks may be at first of very moderate
force and rather frequently repeated. By degrees
they may be rendered ↑somewhat↑ stronger but it will never
be proper to make them very strong. The benefit
is to be expected from the daily application for
some weeks together. While these remedies of
fomenting and Electrifying are employed his
recovery will be much assisted by the use of
the medicine prescribed in the inclosed paper.

William Cullen –
Edinburgh 24th. December
1783



[Page 5]
For Mr David Hamilton

Take two drachms of Guaiac Gum and three drachms of white lump Sugar. Rub together into a fine powder and add an ounce of thick Gum Arabic Mucilage. Rub together again thoroughly and gradually pour over two drachms of volatile guaiac Elixir and four ounces each of peppermint Water and Rosewater. Mix. Label: Diaphoretic solution a tablespoonful to be taken every night at bedtime, shaking the vial always very well before pouring out.

W.C.
24 December
1783.

Diplomatic Text

[Page 1]
For Mr. David Hamilton


Every night about two hours before bed time
let the right hip joint be fomented for an hour.
For this purpose he must employ a flannel of four
ply and of a size sufficient fully to cover the
joint
. Two such flannels are to be kept in boiling
or nearly boiling water and one of them taken
out from thence and thrown into a strong Touel
to have the water wrung out from it by hands
on either end of it and by strong hands to have
the moisture wrung out as entirely as possible.
In this condition it is to be applied to the joint
as warm as he can easily bear it and observe
that the drier the flannels are wrung the
warmer he will beat them. When the flannel
is applied let that and the whole of his



[Page 2]

limb
be covered with a double blanket. In this way
the flannel will retain its heat for a time from
six to ten minutes; but against it begins to cool
the other flannel must be taken from the boiling
water wrung out and applied in the same
manner as above directed and in this manner
the flannels are to be shifted five or six times.
When the fomentation has been thus carried on
for about an hour the moist flannel are to be
taken away and a double ply of dry and
warm flannel is to be put in their place and
kept there constantly till next evening that the
fomentation
is to be renewed.


The fomentation is to be renewed for four or
five days every evening and for ten or twelve days
afterwards every second evening. If in that time
the motion and power of the joint is not recovered



[Page 3]

I would push the fomentation no further but if the
joint
shall be considerably recovered I would have
him continue it enough at longer intervals for
some time longer.


During the whole time of practising fomenta¬
tion
the joint must be kept constantly warm by
the double flannel applied upon it and in the
day time by flannel drawers above the flannel
and by his ordinary Breeches above all. For the
first eight days he should keep entirely within
doors and should keep constantly in view the
defending the whole of his right limb from cold
When the fomentation has been practiced as
directed for four or five days he may then begin
to have Electricity applied every forenoon and
may have from ten to twenty shocks driven
from the haunch to the foot of the right



[Page 4]

limb
. The shocks may be at first of very moderate
force and rather frequently repeated. By degrees
they may be rendered ↑somewhat↑ stronger but it will never
be proper to make them very strong. The benefit
is to be expected from the daily application for
some weeks together. While these remedies of
fomenting and Electrifying are employed his
recovery will be much assisted by the use of
the medicine prescribed in the inclosed paper.

William Cullen –
Edinr. 24th. Decr.
1783



[Page 5]
For Mr David Hamilton


Gum guajac. ʒij
Sacchar. alb. duriss. ʒiij
Terito simul in pulverem tenuem
et adde Mucilag. G. Arab. crass. ℥j
Terito iterum diligenter et sensim
affunde Elix. guajac. vol. ʒij
Aq. menth. pip.
rosar. @ ℥iv
ℳ. Sig. Diaphoretic solution a table
spoonfull to be taken every night
at bedtime, shaking the vial always
very well before pouring out

W.C.
24 Decr.
1783.

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