Cullen

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

 

[ID:312] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Sligo ((possibly) of Aldham or Auldhame, E Lothian) (Patient) / July? 1775? / (Outgoing)

Reply with directions 'For Mr Sligo', whose complaints Cullen believes to arise from the stomach and bowels rather than the breast. He recommends a long journey, preferably on horseback, and gives detailed dietary advice along with a recipe for laxative pills and stomachic powders. No incoming letter traced so possibly directions given after a consultation visit.

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Metadata

FieldData
DOC ID 312
RCPE Catalogue Number CUL/1/1/6/13
Main Language English
Document Direction Outgoing
DateJuly? 1775?
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 with directions 'For Mr Sligo', whose complaints Cullen believes to arise from the stomach and bowels rather than the breast. He recommends a long journey, preferably on horseback, and gives detailed dietary advice along with a recipe for laxative pills and stomachic powders. No incoming letter traced so possibly directions given after a consultation visit.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:552]
Case of Mr Sligo whose symptoms, Cullen thinks are rooted his stomach rather than his breast.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1436]PatientMr Sligo ((possibly) of Aldham or Auldhame, E Lothian)
[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 Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]
For Mr Sligo


I am of opinion that M.r Sligo has no ailment of his Breast, but that
all his Complaints arise from his Stomach and Bowels. To remedy these
the first measure I would recommend is a Journey of some length, mode¬
rate every day, but steadily pursued for two or three weeks at least. It would
be of most benefit taken on Horseback, but if he is not prepared for that
it may be taken in a Carriage. In the Course of this Journey he
must give attention to his Diet. Chocolate will be his best breakfast, &
neither Tea nor Coffee are proper for him. At dinner every day he should
take some meat, but it should be of the lighter kinds, if convenient to be
had, at least he should avoid the heavier as Bacon, Pork or other meats very
fat. He should be sparing of fish and take only the lighter kinds plain
drest. He should never make a full meal of Animal food, but fill it up
with some kind of pudding, and at times with some garden things of the
lightest and least windy kind but in general he must be very sparing of
all garden things. At supper he must abstain from meat, and take
bread, Rice, Barley or Sago with a little wine & water. For ordinary drink
let him toast water; avoiding all kinds of malt liquors. After dinner &
supper every day he must take two or three Glasses of wine, but never more
and even these should be diluted with water. If at any time he perceives that
wine proves sour or windy on his stomach have him avoid this as long as he
can. It is very necessary that his belly be kept regular & all Costiveness
avoided. As this however is likely to be encreased on travelling I have
ordered some laxative pills which he may take one or two at Bedtime
when occasion requires. I hope that upon the Journey he will need
no other medicines, but if at any time his stomach should become
uneasy or his appetite fall of he may take about an hour before
dinner and supper one of the Stomachic Powders ordered below in a
little water. In the course of his Journey he should avoid the heat
of the sun and more carefully still any cold or dampness in his bed
or otherwise.

Take 2 drachms of the Aloetic Pills from the new Pharmacopœia. Divide into 24 pills. Label: Laxative Pills one or two to be taken for a dose at bedtime

Take 7 grains of ground Columbo Root and 15 grains of powdered White Magnesia. Mix to make a powder, and in this way make 24 doses. Label: Stomachic Powders one to be taken in a little water an hour before dinner & supper.

Diplomatic Text

[Page 1]
For Mr Sligo


I am of opinion that M.r Sligo has no ailment of his Breast, but that
all his Complaints arise from his Stomach and Bowels. To remedy these
the first measure I would recommend is a Journey of some length, mode¬
rate every day, but steadily pursued for two or three weeks at least. It would
be of most benefit taken on Horseback, but if he is not prepared for that
it may be taken in a Carriage. In the Course of this Journey he
must give attention to his Diet. Chocolate will be his best breakfast, &
neither Tea nor Coffee are proper for him. At dinner every day he should
take some meat, but it should be of the lighter kinds, if convenient to be
had, at least he should avoid the heavier as Bacon, Pork or other meats very
fat. He should be sparing of fish and take only the lighter kinds plain
drest. He should never make a full meal of Animal food, but fill it up
with some kind of pudding, and at times with some garden things of the
lightest and least windy kind but in general he must be very sparing of
all garden things. At supper he must abstain from meat, and take
bread, Rice, Barley or Sago with a little wine & water. For ordinary drink
let him toast water; avoiding all kinds of malt liquors. After dinner &
supper every day he must take two or three Glasses of wine, but never more
and even these should be diluted with water. If at any time he perceives that
wine proves sour or windy on his stomach have him avoid this as long as he
can. It is very necessary that his belly be kept regular & all Costiveness
avoided. As this however is likely to be encreased on travelling I have
ordered some laxative pills which he may take one or two at Bedtime
when occasion requires. I hope that upon the Journey he will need
no other medicines, but if at any time his stomach should become
uneasy or his appetite fall of he may take about an hour before
dinner and supper one of the Stomachic Powders ordered below in a
little water. In the course of his Journey he should avoid the heat
of the sun and more carefully still any cold or dampness in his bed
or otherwise.


pil. aloetic. Ph nov ʒij divide in pil. № xxiv Sig. Laxative Pills one or
two to be taken for a dose at bedtime


rad. Colomb. pulv. gr. vii Magnes. alb. pulv. gr. xv ℳ. f. pulvis et f. h. m.
dos. № xxiv Sig Stomachic Powders one to be taken in a little water an hour before
dinner & supper.

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