Cullen

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

 

[ID:63] From: Dr William Cullen (Professor Cullen) / To: Dr Joseph Foster (Forster) / Regarding: Miss Burrell (Patient) / 19 June 1769 / (Outgoing)

Reply 'To Dr Foster at Alnwick concerning Miss Burrell'.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 63
RCPE Catalogue Number CUL/1/1/1/58
Main Language English
Document Direction Outgoing
Date19 June 1769
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'To Dr Foster at Alnwick concerning Miss Burrell'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:273]
Case of Miss Burrell who Cullen must have treated earlier, but which he considers 'entirely nervous'; advises a regimen and moving to southern France or Italy for the winter.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:24]AddresseeDr Joseph Foster (Forster)
[PERS ID:871]PatientMiss Burrell
[PERS ID:24]Patient's Physician / Surgeon / ApothecaryDr Joseph Foster (Forster)
[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 Alnwick North-East England Europe certain
Therapeutic Recommendation Italy Europe certain
Therapeutic Recommendation South of France France Europe certain
Mentioned / Other Lisbon Portugal Portugal Europe certain

Normalized Text

[Page 1]
To Dr Foster at Alnwick concerning Miss Burrel


I should not of myself recollected Miss Burrells Case but your
accurate account sufficiently supplies all my defects. The Case is a
difficult one for whither owing to the original constitution or to an ill
discussed intermittent the disease must be in its own nature be obsti
obstinate & is rendered still more so by long continuance. I am
well perswaded that the disease is entirely in the Nervous system
& that this must be very much changed to give any durable relief but
this requires more exertion & attention than the young lady seems dis¬
posed to bestow, for you have proposed and employed so many proper
remedies that if the Ladys own will had concurred she would have been
much better before now. I am perswaded she is in the wrong in her
opinion of Exercise for if it is brought on by degrees so as to avoid all
fatigue & due care is taken to avoid Cold I am certain she might be
the better for Exercise especially in the summer time. I think a
warm climate will be of great service to her but it may be time enough
for her to seek it against the month of September for it is escaping our
winter that is the principal matter. While the Lady remains in
brit Brittain I would have her take pains, but at the same time
Caution, to reconcile herself to the fresh air & attempt some exercise
at first in a Carriage & afterwards on horseback. Towards the
end of September Summer I would have her try the bath waters both
in drinking & bathing
, but to practise both sparingly especially the
last. Whatever relief she may find by these she must not trust to it
but consider it only as a preparation for the going immediately
to a warmer climate. Nothing short of Italy or to southernmost
Coast of France will answer & either of these are fitter for Miss
B____ than Lisbon. These are the remedies to be depended upon for an
entire Cure & I can conseder Medicines as capable of being palliative
only but even as such some Nervous Medecines may be necessary & the
choise of them I may leave to you & her former experience. If care be



[Page 2]

taken to keep her belly regular I dare say she might be often re¬
lieved by Anodynes & if at present her pains are troublesome I would
recommend some doses of Dovers powder. She may take a scruple
for a dose in the morning & encourage a gentle sweat while she
lyes abed in a flannel shift & in blankets for the whole day.
This practise repeated at proper intervals tow or three times is likely
to set her up for the whole summer. If what I have here suggested gives
occasion to your remarks or farther questions I shall be ready to
shew how much

I am Dear Sir & c____
WC
Edinburgh 19th. June.
1769

Diplomatic Text

[Page 1]
To Dr Foster at Alnwick concerning Miss Burrel


I should not of myself recollected Miss Burrells Case but your
accurate account sufficiently supplies all my defects. The Case is a
difficult one for whither owing to the original constitution or to an ill
discussed intermittent the disease must be in its own nature be obsti
obstinate & is rendered still more so by long continuance. I am
well perswaded that the disease is entirely in the Nervous system
& that this must be very much changed to give any durable relief but
this requires more exertion & attention than the young lady seems dis¬
posed to bestow, for you have proposed and employed so many proper
remedies that if the Ladys own will had concurred she would have been
much better before now. I am perswaded she is in the wrong in her
opinion of Exercise for if it is brought on by degrees so as to avoid all
fatigue & due care is taken to avoid Cold I am certain she might be
the better for Exercise especially in the summer time. I think a
warm climate will be of great service to her but it may be time enough
for her to seek it against the month of September for it is escaping our
winter that is the principal matter. While the Lady remains in
brit Brittain I would have her take pains, but at the same time
Caution, to reconcile herself to the fresh air & attempt some exercise
at first in a Carriage & afterwards on horseback. Towards the
end of September Summer I would have her try the bath waters both
in drinking & bathing
, but to practise both sparingly especially the
last. Whatever relief she may find by these she must not trust to it
but consider it only as a preparation for the going immediately
to a warmer climate. Nothing short of Italy or to southernmost
Coast of France will answer & either of these are fitter for Miss
B____ than Lisbon. These are the remedies to be depended upon for an
entire Cure & I can conseder Medicines as capable of being palliative
only but even as such some Nervous Medecines may be necessary & the
choise of them I may leave to you & her former experience. If care be



[Page 2]

taken to keep her belly regular I dare say she might be often re¬
lieved by Anodynes & if at present her pains are troublesome I would
recommend some doses of Dovers powder. She may take a scruple
for a dose in the morning & encourage a gentle sweat while she
lyes abed in a flannel shift & in blankets for the whole day.
This practise repeated at proper intervals tow or three times is likely
to set her up for the whole summer. If what I have here suggested gives
occasion to your remarks or farther questions I shall be ready to
shew how much

I am Dr Sir & c____
WC
Edr. 19th. June.
1769

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