Cullen

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

 

[ID:3743] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Captain Moncrief (Moncreif) (Patient) / 13 July 1773 / (Outgoing)

Reply 'For Captn Moncreif' [Moncrief] with very detailed advice on diet and other regimen for managing his stomach disorder.

Facsimile

There are 5 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 

[Page 5]


 
 

Metadata

FieldData
DOC ID 3743
RCPE Catalogue Number CUL/1/1/5/6
Main Language English
Document Direction Outgoing
Date13 July 1773
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 Captn Moncreif' [Moncrief] with very detailed advice on diet and other regimen for managing his stomach disorder.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:351]
Case of Captain Moncrief who has a weak stomach and bowels.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1999]Addressee
[PERS ID:1213]PatientCaptain Moncrief (Moncreif)
[PERS ID:1999]Patient's Physician / Surgeon / Apothecary
[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 Captain Moncreif


His ailment consists entirely in a weakness of his
stomach and bowels sometimes difficult to mend
but by a strict attention to a proper Regimen and
a few medicines it may be much releived. In Diet
he must avoid all cold and windy vegetables as let¬
tuce, Cucumber, Melon, or Cabbage, but at this season
He may take moderately of such garden things as are
young and tender as pease, turnip or Colliflower
and even of young beans but when either the pease
or beans grow older they will not be so safe for
him. In Winter he must avoid more entirely garden
things and there is only a little Dry mealy potatoe
that will be tolerably safe for him. At present He
make (y) take a few strawberries with wine and water
but there is hardly any other fruit that will be safe
for him. If he takes any gooseberries they should be
very ripe and he should avoid the husks Currants
are not ripe enough at any time in this Country



[Page 2]

Cherries and all other stone fruit are improper
a very ripe and mellow pear he may take but rare
apples will hardly ever be safe. Ripe apples baked
he make (y) take of moderately. He should take every
Day at Dinner a peice of Solid meat but the lightest
and tenderest are to be preferred abstaining entirely
from pork, bacon or any fat meat or heavy sauces
and from every thing baked or fried. Duck goose or any
water fowl are too heavy for him and pigeons or wild
fowl are to be taken sparingly. Some of the lighter
fishes as Haddock whiting or flownder served
with a plain sauce he may take of sometimes
but very frequently tho he is to take solid meat it
must always be in small quantity and never to a full
meal of that alone. But when his appetite is sharp
He should take take care to fill up his meal with
some plain soup and bread with light pudding
or some of the vegetables mentioned above and he
will always receive most nourishement from those


[Page 3]

meals that are lightest upon his Stomach. Along with
his meat he may take spiceries and mustard pretty
freely but pickles of all kinds must be avoided


Eggs except in so far as necessary to aid puddings are
improper and cheese except a single mouthfull after
fruit. Cows milk he will hardly Digest but he might
bear a little asses or mares milke taken in the morning
at least if a mare in milk is at hand it might be tried
beginning with a gill and never exceeding half
a mutchkin while Captain Monc: continues to Digest
it will answer for breakfast or supper as well as any
thing for ordinary Drink water with a little madera
or good sherry is most proper, and every day at Dinner
he may take two or three glasses of strong Drink.
While he does not feel any uneasiness or sourness
arising from them he take madeira red port
or sherry. But if he does he may take a little punch
without all kinds of malt liquors are improper



[Page 4]

also all small bodied wines and cyder. Both
Tea and Coffee are bad for him. With this regimen
he must observe good hours going to bed betimes
and getting up pretty early in the morning he
should be on horseback more or less every day and
especially in the morning and forenoon and never
soon after eating. He should take great care to avoid
cold and a flannel shirt next to his skin night and
day would probably be of Service to him it is especia¬
lly proper to keep his feet always warm and dry it
may be of service to bathe his feet and legs in
warm water before going to bed at night. Taking
care to have them them very well Dried afterwards this
Bathing should be frequent and every morning
his feet and legs should be well rubbed with a
flesh brush. Moderate walking is very proper
but without fatigue and carefully avoiding damp
ground. Nothing is more necessary to avoid than
Costiveness if he can find but the diet that will


[Page 5]

obviate this it will be of great consequence but if
[that?] wont answer he must have recourse to Medicine
and for that purpose I ↑have↑ ordered a medicine. The dose
may be one two or three pills such as may keep the
belly regular without purging. At first these pills
must be taken constantly but afterwards they
may be taken seldomer and in smaller quantity


Besides these pills there is but one medicine I have
to advise and that is the stomachic powder ordered
also below. A Dose is to be taken in a little water
twice a day an hour before dinner and supper.

WC
Edinburgh 13th July
1773
For Captain Moncreif

Take one drachm each of Socotrine aloes and Extract Gentian , one scruple of Polychrest Salts, a sufficient quantity of Simple Syrup sufficient to make a mass to be divided into single pills of five grains. Label: Laxative pills one two; ↑or↑ three for a Dose at bedtime.

Take ten grains each of Root of Columbo powder and prepared Crab's Eyes, Mix to make into twenty-four doses of powder for use as required. Label: Stomachic Powders one to to be taken twice a Day

13 July 1773.

Diplomatic Text

[Page 1]
For Captn Moncreif


His ailment consists entirely in a weakness of his
stomach and bowels sometimes difficult to mend
but by a strict attention to a proper Regimen and
a few medicines it may be much releived. In Diet
he must avoid all cold and windy vegetables as let¬
tuce, Cucumber, Melon, or Cabbage, but at this season
He may take moderately of such garden things as are
young and tender as pease, turnip or Colliflower
and even of young beans but when either the pease
or beans grow older they will not be so safe for
him. In Winter he must avoid more entirely garden
things and there is only a little Dry mealy potatoe
that will be tolerably safe for him. At present He
make (y) take a few strawberries with wine and water
but there is hardly any other fruit that will be safe
for him. If he takes any gooseberries they should be
very ripe and he should avoid the husks Currants
are not ripe enough at any time in this Country



[Page 2]

Cherries and all other stone fruit are improper
a very ripe and mellow pear he may take but rare
apples will hardly ever be safe. Ripe apples baked
he make (y) take of moderately. He should take every
Day at Dinner a peice of Solid meat but the lightest
and tenderest are to be preferred abstaining entirely
from pork, bacon or any fat meat or heavy sauces
and from every thing baked or fried. Duck goose or any
water fowl are too heavy for him and pigeons or wild
fowl are to be taken sparingly. Some of the lighter
fishes as Haddock whiting or flownder served
with a plain sauce he may take of sometimes
but very frequently tho he is to take solid meat it
must always be in small quantity and never to a full
meal of that alone. But when his appetite is sharp
He should take take care to fill up his meal with
some plain soup and bread with light pudding
or some of the vegetables mentioned above and he
will always receive most nourishement from those


[Page 3]

meals that are lightest upon his Stomach. Along with
his meat he may take spiceries and mustard pretty
freely but pickles of all kinds must be avoided


Eggs except in so far as necessary to aid puddings are
improper and cheese except a single mouthfull after
fruit. Cows milk he will hardly Digest but he might
bear a little asses or mares milke taken in the morning
at least if a mare in milk is at hand it might be tried
beginning with a gill and never exceeding half
a mutchkin while Capt Monc: continues to Digest
it will answer for breakfast or supper as well as any
thing for ordinary Drink water with a little madera
or good sherry is most proper, and every day at Dinner
he may take two or three glasses of strong Drink.
While he does not feel any uneasiness or sourness
arising from them he take madeira red port
or sherry. But if he does he may take a little punch
without all kinds of malt liquors are improper



[Page 4]

also all small bodied wines and cyder. Both
Tea and Coffee are bad for him. With this regimen
he must observe good hours going to bed betimes
and getting up pretty early in the morning he
should be on horseback more or less every day and
especially in the morning and forenoon and never
soon after eating. He should take great care to avoid
cold and a flannel shirt next to his skin night and
day would probably be of Service to him it is especia¬
lly proper to keep his feet always warm and dry it
may be of service to bathe his feet and legs in
warm water before going to bed at night. Taking
care to have them them very well Dried afterwards this
Bathing should be frequent and every morning
his feet and legs should be well rubbed with a
flesh brush. Moderate walking is very proper
but without fatigue and carefully avoiding damp
ground. Nothing is more necessary to avoid than
Costiveness if he can find but the diet that will


[Page 5]

obviate this it will be of great consequence but if
[that?] wont answer he must have recourse to Medicine
and for that purpose I ↑have↑ ordered a medicine. The dose
may be one two or three pills such as may keep the
belly regular without purging. At first these pills
must be taken constantly but afterwards they
may be taken seldomer and in smaller quantity


Besides these pills there is but one medicine I have
to advise and that is the stomachic powder ordered
also below. A Dose is to be taken in a little water
twice a day an hour before dinner and supper.

WC
Ed 13th July
1773
For Capt Moncreif


aloes Socotorin
Extract Gentian ad ʒi
Sal polychrest ℈i
Syr Commun q.s. ut f. massa dividenda
in pil sing gr v Sig. Laxative pills one two; ↑or↑ three for
a Dose at bedtime.


Rad Columb pulv
Ocul Cancr pp ad gr X
ℳ f. Pulvis et f h.m. Dos № XXIV
Sig Stomachic Powders one to to be taken twice
a Day

13 July 1773.

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:3743]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...