Cullen

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

 

[ID:4772] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mrs Vans Agnew (Patient) / 17 January 1784 / (Outgoing)

Reply, 'For Mrs Vans Agnew'

Facsimile

There are 3 images for this document.

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Metadata

FieldData
DOC ID 4772
RCPE Catalogue Number CUL/1/1/16/176
Main Language English
Document Direction Outgoing
Date17 January 1784
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For Mrs Vans Agnew'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:889]
Case of Mrs Vans Agnew, a 23 year old woman with a post-natal illness following the birth of her fifth child.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2930]PatientMrs Vans Agnew
[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 Dunlop Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
For Mrs. Vans Agnew
Edinburgh 17th. January 1784


The Case of this Lady communicated to me
is truly singular but as it has not affected her health
in any sensible degree I think it is not at all
likely to be attended with any danger. However
as the circumstances are unnatural I think for
several reasons we should endeavour to bring
things into their natural [courses?] For this purpose
as her monthly period is very well known I
would have her at the approach of that time
take care to have her belly quite regular and
if any costiveness takes place it should be removed
by a gentle laxative.


For several days before the expected period
let her limbs from the haunches downwards be
very well rubbed with a flannel or flesh brush




[Page 2]


and especially with the latter if she can bear it easily.


At the same time every Evening let her her feet and
legs
be set in warm water and kept in it
for at least half an hour taking care however not
to let it cool but preventing this by pouring in from
time to time a little hot water by the side of the tub.


If immediately, that is, the Evening before her
period, if she can conveniently be set to the waist
in a warm bath it may be of service to her.


At all times and [especially?] {illeg}
of bathing let care be taken to keep her feet and
legs
warm and dry and an additional pair of
stockings may be of service.


To all these measures there is another that
I would especially trust to if it can be conveniently
executed and that is the application of Electricity.
If it can be done let the shock be thrown into




[Page 3]


her back and the course of it directed downwards
moderate shocks are only necessary or proper
but they should be several times repeated every
forenoon for four or five days before the expected
period.


Some exercise in walking should be taken
frequently and it is the exercise that will have
a better effect than any other but care must be
taken at this season that there is no hazard
of cold.


These are the measures I can propose for obtai¬
ning our principal purpose and I dont think
that the small worms mentioned could have
any effect in producing her present state but if
they are otherwise very troublesome they may be
removed by the following remedy

Take one drachm of Juniper leaves. Cook down from one pound of water to ten ounces and into a strainer. Dissolve one drachm of the best Asafoetida strain again, and add half an ounce of Sea salt and one ounce of the best Olive Oil. Mix [for ???] inject on the expectation of the menstrual period.

William Cullen

Diplomatic Text

[Page 1]
For Mrs. Vans Agnew
Edinr. 17th. Jany. 1784


The Case of this Lady communicated to me
is truly singular but as it has not affected her health
in any sensible degree I think it is not at all
likely to be attended with any danger. However
as the circumstances are unnatural I think for
several reasons we should endeavour to bring
things into their natural [courses?] For this purpose
as her monthly period is very well known I
would have her at the approach of that time
take care to have her belly quite regular and
if any costiveness takes place it should be removed
by a gentle laxative.


For several days before the expected period
let her limbs from the haunches downwards be
very well rubbed with a flannel or flesh brush




[Page 2]


and especially with the latter if she can bear it easily.


At the same time every Evening let her her feet and
legs
be set in warm water and kept in it
for at least half an hour taking care however not
to let it cool but preventing this by pouring in from
time to time a little hot water by the side of the tub.


If immediately, that is, the Evening before her
period, if she can conveniently be set to the waist
in a warm bath it may be of service to her.


At all times and [especially?] {illeg}
of bathing let care be taken to keep her feet and
legs
warm and dry and an additional pair of
stockings may be of service.


To all these measures there is another that
I would especially trust to if it can be conveniently
executed and that is the application of Electricity.
If it can be done let the shock be thrown into




[Page 3]


her back and the course of it directed downwards
moderate shocks are only necessary or proper
but they should be several times repeated every
forenoon for four or five days before the expected
period.


Some exercise in walking should be taken
frequently and it is the exercise that will have
a better effect than any other but care must be
taken at this season that there is no hazard
of cold.


These are the measures I can propose for obtai¬
ning our principal purpose and I dont think
that the small worms mentioned could have
any effect in producing her present state but if
they are otherwise very troublesome they may be
removed by the following remedy


fol. rut. Sabin. @ ʒj Coque ex aq. lbj ad ℥x et in colatura-
Dissolve Asæfoœtid. opt. ʒj [et in iterum?] cola et adde Sal marin. ℥ſs
Ol. Olivar opt. ℥j. ℳ. [pre --ernata sesper-ante?] expectatum men¬
sium periodum injectionas.

William Cullen

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