Cullen

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

 

[ID:3734] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Mr Malcolm MacNeill (of Carskey) (Patient) / 25 April 1775 / (Outgoing)

Reply 'For Mr Macneil of Carskey'

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Metadata

FieldData
DOC ID 3734
RCPE Catalogue Number CUL/1/1/4/59
Main Language English
Document Direction Outgoing
Date25 April 1775
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply 'For Mr Macneil of Carskey'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:138]
Case of Malcolm Macneil [MacNeill] Esqr. at Carskey whose two-year disorder, first diagnosed in April 1774, is considered 'rheumatick'.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1357]Addressee
[PERS ID:451]PatientMr Malcolm MacNeill (of Carskey)
[PERS ID:1357]Patient's Physician / Surgeon / Apothecary

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Carskiey West Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Mr Macneil of Carskey


I have yours concerning Mr McNeil of
Carskey & am very sorry to observe that he is
in great danger of a consumption. However he
has so many good symptoms at present that I hope
his ailments has not yet gone far. The disease
is far insidious nature & often by slow approaches,
proceeds to the last extremity & the slightest approach¬
es of it lead me to advise every possible precaution that
can be taken. Your conduct of it hitherto seems to me
to have been extremely proper & has probably kept
matters in the moderate state they are in. I am of opinion
that he ought to continue very strictly his milk diet,
to take what exercise on Horse back the weather allows
of, to continue the use of Demulcent Pectorals & to have
recourse to bleeding & blistering as the recurring sympt¬
toms may require. I should not be against a seton
in his side but would not urge it because I suspect
that frequent application of fresh blisters will do as
much service. Nothing is more necessary for him than
obviating costiveness as it would be very proper to do it
by a cooling Laxative such as the Cream of Tartar
These are the measures to be pursued wherever
he is, but I think it will be further proper if




[Page 2]


even necessary for him either to take a Journey or
a Voyage. I would prefer the latter & at this
Season, it is indifferent what course he stears, but
I would prefer his going towards the south pro¬
viding he does not go to make any stay in a warm
climate which d might do him as much harm
as the cold of our winters. A little reflection
will lead you to perceive that a diet of farinacea
and fruit may be contrived for a voyage. If
you require more particular direction or have any
doubts, for your own part or his I shall be glad
to hear from you I am

W.C.
Edinburgh 25 April 1775}

Diplomatic Text

[Page 1]
For Mr Macneil of Carskey


I have yours concerning Mr McNeil of
Carskey & am very sorry to observe that he is
in great danger of a consumption. However he
has so many good symptoms at present that I hope
his ailments has not yet gone far. The disease
is far insidious nature & often by slow approaches,
proceeds to the last extremity & the slightest approach¬
es of it lead me to advise every possible precaution that
can be taken. Your conduct of it hitherto seems to me
to have been extremely proper & has probably kept
matters in the moderate state they are in. I am of opinion
that he ought to continue very strictly his milk diet,
to take what exercise on Horse back the weather allows
of, to continue the use of Demulcent Pectorals & to have
recourse to bleeding & blistering as the recurring sympt¬
toms may require. I should not be against a seton
in his side but would not urge it because I suspect
that frequent application of fresh blisters will do as
much service. Nothing is more necessary for him than
obviating costiveness as it would be very proper to do it
by a cooling Laxative such as the Cream of Tartar
These are the measures to be pursued wherever
he is, but I think it will be further proper if




[Page 2]


even necessary for him either to take a Journey or
a Voyage. I would prefer the latter & at this
Season, it is indifferent what course he stears, but
I would prefer his going towards the south pro¬
viding he does not go to make any stay in a warm
climate which d might do him as much harm
as the cold of our winters. A little reflection
will lead you to perceive that a diet of farinacea
and fruit may be contrived for a voyage. If
you require more particular direction or have any
doubts, for your own part or his I shall be glad
to hear from you I am

W.C.
Edin.r 25 April 1775}

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