Cullen

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

 

[ID:1210] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Anonymous (Patient) / 1775? / (Outgoing)

Incomplete directions for an unnamed adult male patient who has suffered from giddiness but has regular bowels. Cullen recommends that he shave and blister his head, and try sea-bathing at Holy Island (possibly Lindisfarne) after 1 June. He also tells the patient that he has ordered a bathing machine for him. Last pages, which include a Cephalic Electuary recipe, are missing from the letter.

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There are 4 images for this document.

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[Page 2]


 

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[Page 4]


 
 

Metadata

FieldData
DOC ID 1210
RCPE Catalogue Number CUL/1/2/310
Main Language English
Document Direction Outgoing
Date1775?
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Incomplete directions for an unnamed adult male patient who has suffered from giddiness but has regular bowels. Cullen recommends that he shave and blister his head, and try sea-bathing at Holy Island (possibly Lindisfarne) after 1 June. He also tells the patient that he has ordered a bathing machine for him. Last pages, which include a Cephalic Electuary recipe, are missing from the letter.
Manuscript Incomplete? Yes
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:618]
Case of an unnamed adult male patient with giddiness [possibly Grey of Northumberland].
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1381]Addressee
[PERS ID:1381]Patient
[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 North-East England Europe inferred
Therapeutic Recommendation Lindisfarne (Holy Island) North-East England Europe certain

Normalized Text

[Page 1]
Sir


Bad health and other interruptions have prevented
my writing to you ↑so↑ soon as I wished, but I write now after full
deliberation on every thing you was pleased to mention to me.


Your nerves appear to have received some shock which
has and may still expose you to some uneasiness, but at the
same time it is with circumstances which threaten no danger,
and I am persuaded that with some attention to your Regimen
you may be secured against any much trouble for the
time to come.


I think it very proper that in the first place you should
have your hair cut out and your head shaven, and that
hereafter you should continue to keep it close shaven.


A day after your head is first shaven let a blistering
plaister of about three inches diameter be applied
to the
crown of your head. Let the plaister be without any
loose flies and let it lye on constantly for several days
only lifting it once a day to dry up or wipe off any moisture
that may be discharged. It very often happens that
no blisteris raised on the crown of the head & in that case
let the blistering plaister lye on till the hair growing up
pushes it off, but if it happens that a blister is raised
the plaister may be taken away
and the part healed up in the



[Page 2]

ordinary way, for I should not think it proper to have
it kept open by any Issue
ointment applied.


From the application I have proposed you will be able
to judge whither it has any effect on your giddiness or other
symptoms & if it has you may now & then, have recourse to
such an application for eight or ten days, but this I mean
to be during the course of next winter, for during the sum¬
mer I depend upon cold bathing which would not be conve¬
nient with any blister on your head.


Against the first of June I think you should repair to
Holy Island or other place where you can have conveniency
for sea bathing and for a month you should practice
the sea bathing as you have formerly done. You should
take it always in the morning before breakfast and must
take care not to be in the least heated by any exercise
before you go into the sea.


A month of the sea bathing at the most proper Season
will I hope be enought to strengthen your nerves so much
that they may be afterwards kept in proper condition by the
chamber bath which you are to use at home. For this pur¬
pose I have ordered a machine which shall be sent to you
in due time with proper directions




[Page 3]


Cold bathing In one shape or other is a remedy that I
depend upon in your case and therefore it is to ↑be↑ practised very
constantly, but not so strictly but that you may frequently
omitt it for a day or even several days together, especially
when any recurrence of giddiness shall tempt you to repeat
the application of the blister.


At present I do not percieve that any internal medicine
can be usefull to you as I think none can so effectually
strengthen your nerves as the cold bathing. and (↑The Chamomile & Valerian tea should not be continued. I think that↑) especially
during the Summer season when you can be much in the
fresh air & in gentle exercise, medicines are less necessary,
but towards the approach of winter, or during the course of
it, when you must be more confined, you may be the better
for taking for a week or two at one time the Cephalic
Electuary
ordered below. You must not however take this
medicine for above a fortnight at one time and must not not
either return to it again but after an interval of some
weeks.


For the rest you must depend upon your regimen
in avoiding every thing that may any way disorder your
nerves
. It would be very proper for you to be often on horse¬
back, but your motion should be always gentle & never very
long continued. It will also be proper for you to walk



[Page 4]

out very often, but this requires still more caution as
your past experience shews that nothing is more liable (↑ready to↑)
bring on your disorder than violent exercise.


In diet I do not see it necessary for you to be confined
to any particular foods. A very low diet of vegetables alone
would I think be hurtfull; but on the other hand a full
diet of much animal food would more certainly hurt you (↑prove so↑)
Your diet therefore should be as commonly it is of a mixed
kind, only avoiding, meat suppers & at dinner keeping the
stomach always light by avoiding the heavier kinds & of
animal food or a full meal of animal food alone.


In drink you may For ordinary drink you may take
water or bear as most agreable to you and every day
both at dinner & supper you should take a few glasses
of wine, but it should be a few only, for such a quantity
as would in the least heat you would be very hurtfull
When a person takes but a few glasses only there is no occa¬
sion for any nicety in the choice of it


I think you told me that you were regular in your
stools & thereforethat no Laxative is necessary to you, but I
must observe that it is very necessary that your belly conti¬
nues regular, for any degree of costiveness will be very hurt¬
full to you & if any such thing should happen you should

Diplomatic Text

[Page 1]
Sir


Bad health and other interruptions have prevented
my writing to you ↑so↑ soon as I wished, but I write now after full
deliberation on every thing you was pleased to mention to me.


Your nerves appear to have received some shock which
has and may still expose you to some uneasiness, but at the
same time it is with circumstances which threaten no danger,
and I am persuaded that with some attention to your Regimen
you may be secured against any much trouble for the
time to come.


I think it very proper that in the first place you should
have your hair cut out and your head shaven, and that
hereafter you should continue to keep it close shaven.


A day after your head is first shaven let a blistering
plaister of about three inches diameter be applied
to the
crown of your head. Let the plaister be without any
loose flies and let it lye on constantly for several days
only lifting it once a day to dry up or wipe off any moisture
that may be discharged. It very often happens that
no blisteris raised on the crown of the head & in that case
let the blistering plaister lye on till the hair growing up
pushes it off, but if it happens that a blister is raised
the plaister may be taken away
and the part healed up in the



[Page 2]

ordinary way, for I should not think it proper to have
it kept open by any Issue
ointment applied.


From the application I have proposed you will be able
to judge whither it has any effect on your giddiness or other
symptoms & if it has you may now & then, have recourse to
such an application for eight or ten days, but this I mean
to be during the course of next winter, for during the sum¬
mer I depend upon cold bathing which would not be conve¬
nient with any blister on your head.


Against the first of June I think you should repair to
Holy Island or other place where you can have conveniency
for sea bathing and for a month you should practice
the sea bathing as you have formerly done. You should
take it always in the morning before breakfast and must
take care not to be in the least heated by any exercise
before you go into the sea.


A month of the sea bathing at the most proper Season
will I hope be enought to strengthen your nerves so much
that they may be afterwards kept in proper condition by the
chamber bath which you are to use at home. For this pur¬
pose I have ordered a machine which shall be sent to you
in due time with proper directions




[Page 3]


Cold bathing In one shape or other is a remedy that I
depend upon in your case and therefore it is to ↑be↑ practised very
constantly, but not so strictly but that you may frequently
omitt it for a day or even several days together, especially
when any recurrence of giddiness shall tempt you to repeat
the application of the blister.


At present I do not percieve that any internal medicine
can be usefull to you as I think none can so effectually
strengthen your nerves as the cold bathing. and (↑The Chamomile & Valerian tea should not be continued. I think that↑) especially
during the Summer season when you can be much in the
fresh air & in gentle exercise, medicines are less necessary,
but towards the approach of winter, or during the course of
it, when you must be more confined, you may be the better
for taking for a week or two at one time the Cephalic
Electuary
ordered below. You must not however take this
medicine for above a fortnight at one time and must not not
either return to it again but after an interval of some
weeks.


For the rest you must depend upon your regimen
in avoiding every thing that may any way disorder your
nerves
. It would be very proper for you to be often on horse¬
back, but your motion should be always gentle & never very
long continued. It will also be proper for you to walk



[Page 4]

out very often, but this requires still more caution as
your past experience shews that nothing is more liable (↑ready to↑)
bring on your disorder than violent exercise.


In diet I do not see it necessary for you to be confined
to any particular foods. A very low diet of vegetables alone
would I think be hurtfull; but on the other hand a full
diet of much animal food would more certainly hurt you (↑prove so↑)
Your diet therefore should be as commonly it is of a mixed
kind, only avoiding, meat suppers & at dinner keeping the
stomach always light by avoiding the heavier kinds & of
animal food or a full meal of animal food alone.


In drink you may For ordinary drink you may take
water or bear as most agreable to you and every day
both at dinner & supper you should take a few glasses
of wine, but it should be a few only, for such a quantity
as would in the least heat you would be very hurtfull
When a person takes but a few glasses only there is no occa¬
sion for any nicety in the choice of it


I think you told me that you were regular in your
stools & thereforethat no Laxative is necessary to you, but I
must observe that it is very necessary that your belly conti¬
nues regular, for any degree of costiveness will be very hurt¬
full to you & if any such thing should happen you should

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