Cullen

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

 

[ID:10] From: Dr William Cullen (Professor Cullen) / To: Mr David Scrimgeour (Scrymgeour; (probably) of Birkhill) / Regarding: Mr David Scrimgeour (Scrymgeour; (probably) of Birkhill) (Patient) / 15 July 1764 / (Outgoing)

Reply, 'For David Scrimgeour Esqr.' Cullen is of the opinion that his 'complaints seem to be entirely Nervous affecting chiefly his Spirits & Stomach', and recommends a long journey.

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Metadata

FieldData
DOC ID 10
RCPE Catalogue Number CUL/1/1/1/7
Main Language English
Document Direction Outgoing
Date15 July 1764
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 David Scrimgeour Esqr.' Cullen is of the opinion that his 'complaints seem to be entirely Nervous affecting chiefly his Spirits & Stomach', and recommends a long journey.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:242]
Case of Mr Scrimgeour whose 'complaints seem to be entirely Nervous affecting chiefly his Spirits & Stomach'. may be same patient as in Case 1014.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1034]AddresseeMr David Scrimgeour (Scrymgeour; (probably) of Birkhill)
[PERS ID:1034]PatientMr David Scrimgeour (Scrymgeour; (probably) of Birkhill)
[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

Normalized Text

[Page 1]
For David Scrimgeour Esqr


Mr Scrimgoeur;s ailments seem to be entirely ner¬
vous
affecting chiefly his Spirits & Stomach - To remove
this ailment nothing can be more effectual than
abstaining from business & persisting steadily in Exercise
for some time - This I am persuaded can only be obtained
by entering upon a journey of some length frequent
airings may be of service till it may be convenient
to enter upon such a journey but both because
the Exercise is inconsiderable, because they will
not be steadily pursued & because they are mixed
with business such airings can give as considerable
relief & I think it will be absolutely necessary for
Mr Scrimgeour to enter upon a long Journey as soon
as possible --


This journey should be upon a Road that affords
good accomodation & will at same time present
some variety of entertaining objects & amusements
for it is to be considered that on such a Journey
not only the motion is usefull but a relaxation
from business & substituting amusement in place
of it is very necessary




[Page 2]


On this journey Mr Scrimgeour should not
travel less than 24 or more than 36 computed
miles per day but may for any bad weather
& for some amusement lay by for half a day
now and then - One of his Stages he should
always take in the morning before Break¬
fast the other or others may be as the
weather or amusement directs, but it would
be always best if the whole of his Journey
was over before Dinner making this a
little late so that it may pass also for
a Supper. It will be of use if he goes
always early to bed & gets up betimes
in the morning.


As Mr Scrimgeour's ailments disposes him
to be dull, inattentive amd irresolute it will
be of great service to him to have a Companion
that can rouse his attention & direct his
Resolution & keep both his Body and mind in
motion.


It will be proper for him frequently to
mix some Bodily Exercise with his riding
in the Machine 1 - to come out to walk
when any considerable descent occurs
upon the Road or when he gets in soon
to his Inn in the afternoon that he takes
a walk in the Evening -


In Diet it will not be so necessary to
be strict upon the Road as if he was to
remain at home however even then there is
a Joice for breakfast a weak chocolate
is better than either Tea or Coffee.



[Page 3]

At Dinner he may take beef, mutton, ↑Veal↑ Lamb or
Whitefowl- He had better avoid bacon, pork,
water fowl or Wild fowl. Fish he should take sparely
of the lighter kinds only & without heavy Sauce -


Of garden stuff he may take a little with his meat
but should not take them largely & the windy kinds
as cabbage & the colder as Sallad & Cucumber he should
avoid altogether he should be sparing also poulter
& hardly take Cheese at all. If he takes supper
at all it should be light & without meat. If his
stomach digests milk, let his supper be of this
with some kind of grain [&?] Rice Barley
Sago or Bread - If he does not bear milk
the grain may be dressed without that --


For ordinary drink he should take water
with a little Red Port or madeira in it. All
kinds of Malt Liquor I hold to be bad for him
except it may be a little Good Porter.


He should every day at Dinner & Supper
take two or three Glasses of Good Red Port
& madeira but he should not at any time
go farther than a few Glasses & if it shall
happen in some occasions that he can not get
these wines good, he may take a little punch
without souring and that rather than any
other wines.


When Mr Scrimgeour is upon the Road
he needs take no Medecines but the Sacrid
Elixr
& of this he may take from one sponfull
to two as the State of his belly shall [regulise?].




[Page 4]


If Mr Scrimgeour is not soon to enter upon
his Journey he should take the medecines
ordered in the annexed Receipt.


The Strengthning drops are to be taken
30 for a Dose in a Gill of water twice
a day the best time is a little before
breakfast & Dinner.


The Stomachic Tincture is to be taken by
a small Wine Glass full, also twice a day
that is before Dinner, a little before
taking the Drops & again between 7 & 8 at night.

W.C.

15 July
1764

Take half an ounce apiece of gentian and orange peel, a drachm apiece of chamomile flowers with wormwood,and a half drachm apiece of ginger root and fennel seeds. Mix, and let that which is made be added to two pints of white Spanish wine. Stir for three days and strain, then add four ounces of Peruvian bark tincture. Label: The Stomachic Tincture a small wine glassfull for a dose twice a day.

Take an ounce and a half of Tincture of Mars, and a half ounce of aromatics. Mix, and label: The Strengthening Drops, Thirty for a dose twice a day.

W.C.

Notes:

1: A commonly used, general term for any horse-drawn vehicle.

Diplomatic Text

[Page 1]
For David Scrimgeour Esqr


Mr Scrimgoeur;s ailments seem to be entirely ner¬
vous
affecting chiefly his Spirits & Stomach - To remove
this ailment nothing can be more effectual than
abstaining from business & persisting steadily in Exercise
for some time - This I am persuaded can only be obtained
by entering upon a journey of some length frequent
airings may be of service till it may be convenient
to enter upon such a journey but both because
the Exercise is inconsiderable, because they will
not be steadily pursued & because they are mixed
with business such airings can give as considerable
relief & I think it will be absolutely necessary for
Mr Scrimgeour to enter upon a long Journey as soon
as possible --


This journey should be upon a Road that affords
good accomodation & will at same time present
some variety of entertaining objects & amusements
for it is to be considered that on such a Journey
not only the motion is usefull but a relaxation
from business & substituting amusement in place
of it is very necessary




[Page 2]


On this journey Mr Scrimgeour should not
travel less than 24 or more than 36 computed
miles per day but may for any bad weather
& for some amusement lay by for half a day
now and then - One of his Stages he should
always take in the morning before Break¬
fast the other or others may be as the
weather or amusement directs, but it would
be always best if the whole of his Journey
was over before Dinner making this a
little late so that it may pass also for
a Supper. It will be of use if he goes
always early to bed & gets up betimes
in the morning.


As Mr Scrimgeour's ailments disposes him
to be dull, inattentive amd irresolute it will
be of great service to him to have a Companion
that can rouse his attention & direct his
Resolution & keep both his Body and mind in
motion.


It will be proper for him frequently to
mix some Bodily Exercise wt his riding
in the Machine 1 - to come out to walk
when any considerable descent occurs
upon the Road or when he gets in soon
to his Inn in the afternoon that he takes
a walk in the Evening -


In Diet it will not be so necessary to
be strict upon the Road as if he was to
remain at home however even then there is
a Joice for breakfast a weak chocolate
is better than either Tea or Coffee.



[Page 3]

At Dinner he may take beef, mutton, ↑Veal↑ Lamb or
Whitefowl- He had better avoid bacon, pork,
water fowl or Wild fowl. Fish he should take sparely
of the lighter kinds only & without heavy Sauce -


Of garden stuff he may take a little with his meat
but should not take them largely & the windy kinds
as cabbage & the colder as Sallad & Cucumber he should
avoid altogether he should be sparing also poulter
& hardly take Cheese at all. If he takes supper
at all it should be light & without meat. If his
stomach digests milk, let his supper be of this
with some kind of grain [&?] Rice Barley
Sago or Bread - If he does not bear milk
the grain may be dressed without that --


For ordinary drink he should take water
with a little Red Port or madeira in it. All
kinds of Malt Liquor I hold to be bad for him
except it may be a little Good Porter.


He should every day at Dinner & Supper
take two or three Glasses of Good Red Port
& madeira but he should not at any time
go farther than a few Glasses & if it shall
happen in some occasions that he can not get
these wines good, he may take a little punch
without souring and that rather than any
other wines.


When Mr Scrimgeour is upon the Road
he needs take no Medecines but the Sacrid
Elixr
& of this he may take from one sponfull
to two as the State of his belly shall [regulise?].




[Page 4]


If Mr Scrimgeour is not soon to enter upon
his Journey he should take the medecines
ordered in the annexed Receipt.


The Strengthning drops are to be taken
30 for a Dose in a Gill of water twice
a day the best time is a little before
breakfast & Dinner.


The Stomachic Tincture is to be taken by
a small Wine Glass full, also twice a day
that is before Dinner, a little before
taking the Drops & again between 7 & 8 at night.

W.C.

15 July
1764


℞ Rad Gentian
Cort. Aurant. @ ℥ſs
Flor. Chamamel
Summ Absinth Rom @ ʒi
Rad Zinziber
Sem. fœnecul D. @ʒſs
ℳ f. Ma↑H↑alia quibus affume Vin Alb
Hispan lib ij.
Macera per triduum & colature addre
Tinct. Cort. Peruv. ℥iv
S. The Stomachic Tincture a small
wine glassfull for a dose twice a
day.


Tinct. Mart ℥iſs
--- Aromat ℥ſs
ℳ & Signa The Strengthning Drops
Thirty for a Dose twice a day

W.C.

Notes:

1: A commonly used, general term for any horse-drawn vehicle.

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