Cullen

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

 

[ID:410] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Campbell of Airds (Patient), Mr Muirhead (Patient) / 18 October 1768 / (Outgoing)

Reply, headed 'For Mr Campbell of Airds' [but 'Mr Muirhead has been added as a correction in the body of the text].

Facsimile

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 410
RCPE Catalogue Number CUL/1/1/2/31
Main Language English
Document Direction Outgoing
Date18 October 1768
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply, headed 'For Mr Campbell of Airds' [but 'Mr Muirhead has been added as a correction in the body of the text].
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:177]
Case of Mr Campbell of Airds who is given a regimen.
1
[Case ID:2077]
Case of Mr Muirhead - mistakenly labelled, but corrected in the text.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3988]PatientMr Muirhead
[PERS ID:1309]PatientMr Campbell of Airds
[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 Edinburgh Edinburgh and East Scotland Europe inferred
Destination of Letter Airds Bay West Highlands Scotland Europe inferred
Mentioned / Other Aird North Ireland Ireland Europe certain

Normalized Text

[Page 1]
For Mr Campbell of Airds


The only medicine to be proposed is the solution
which is to be taken every Day for two or three months if his the symptoms
are not relieved sooner.


It is to be taken always in broth which may be made of - -
Beef, Mutton Veal, Lamb, or fowl. It may be made as strong as his
stomach easily bears but it must alwise be free of fat by taking care
that it is either made of Lean meat or that the broth after it is first
made be allowed to cool so that the fat may be Separated from it.
Their should not be more broth made at one time than is to serve
for one day


Of this broth he is to begin with half a Mutchkin for a Dose
Let him put into it a tea spoon ful of the solution & if the taste
of that is not perceived in the broth he is to add one or two teaspoonfulls
more & in short as much as the broth will cover the taste of.


This Dose is to be taken twice a day for eight Days & the most
proper times are immediatly before Dinner & Supper


If this Dose seems to give any Sharpness to the urine it is
not to be increased till that Effect wears of but if it has no such
effect he may after eight Days increase the Dose or if it has some
effects at first when these wear of he is to increase by taking the
dose three times a day that is before breachfast as well as before -
Dinner & supper.


The Dose at three times a day he is to continue for a fortnight
& if in that ↑time↑ he perceives a relief of his symptoms he may continue
another fortnight at the same rate but if in the first fortnight
↑he↑ perceives no relief he may than increase the Dose by increasing the
broth to three gills & adding the solution in proportion, that is to
what the broth will cover the taste of.


After a fortnight or three weeks at this quantity if he
does not find the expected relief he may then increase the broth
to a mutch kin at a time & the the solution in proportion
Broth fortnight



[Page 2]

If taking this quantity for a month together does not give relief I cannot
promise it from this Remedy. But if it gives the relief that I
Expect at whatever dose that happens it may be enough to continue
for a month after the relief happens at the same [time?] & then lay
it aside for a fortnight. After that interval let it be again taken
for three Weeks. Then intermmit for a fortnight, take it for a fortnight
longer & interm it for some months or at Last till some return of his complaints seem again to require
it.

I should have said that the Broth in which the Solution
is taken is alwise to be a little warmed


During this Course Mr ↑Muirheid↑ Campbell must abstain
from all kind of fermented Liquors wither Wine or Malt Liquors
For ordinary drink he may take toast Water or any other pure
Watry Liquor. If he choses a Little strong Drink it must be Spir¬
its & Water without any kind of sowring. He may put a little sugar
to it but the Less the Better. The quantity of Spirits must alwise be
very moderate. Tea or Coffee taken moderately are not bad for him


In Diet he may take any kind of meat he pleases only avoi¬
ding salted meat & taking Fish very moderatly. He must avoid
all kinds of pickles & Vinegar or other sowring in Sauces


He must also take Fruit, Roots or Greens very sparingly & only
a little potatoe or other Root along with his Meat. Any kind
of Grain he may take with Milk or otherwise.


Let him take great care to avoid any Violent Excercise
much walking at one time will do harm & especialy up & down hill
Riding will still require more caution. Going in an easy Carriage
is the safest but even that must be as Gentle & smooth as
possibly & never continued long at one time


Let him at all times gaurd against Cold & most espec¬
ialy of his feet & Legs

W Cullen
Edinburgh 18. October
1768

Diplomatic Text

[Page 1]
For Mr Campbell of Airds


The only medicine to be proposed is the solution
which is to be taken every Day for two or three months if his the symptoms
are not relieved sooner.


It is to be taken always in broth which may be made of - -
Beef, Mutton Veal, Lamb, or fowl. It may be made as strong as his
stomach easily bears but it must alwise be free of fat by taking care
that it is either made of Lean meat or that the broth after it is first
made be allowed to cool so that the fat may be Separated from it.
Their should not be more broth made at one time than is to serve
for one day


Of this broth he is to begin with half a Mutchkin for a Dose
Let him put into it a tea spoon ful of the solution & if the taste
of that is not perceived in the broth he is to add one or two teaspoonfulls
more & in short as much as the broth will cover the taste of.


This Dose is to be taken twice a day for eight Days & the most
proper times are immediatly before Dinner & Supper


If this Dose seems to give any Sharpness to the urine it is
not to be increased till that Effect wears of but if it has no such
effect he may after eight Days increase the Dose or if it has some
effects at first when these wear of he is to increase by taking the
dose three times a day that is before breachfast as well as before -
Dinner & supper.


The Dose at three times a day he is to continue for a fortnight
& if in that ↑time↑ he perceives a relief of his symptoms he may continue
another fortnight at the same rate but if in the first fortnight
↑he↑ perceives no relief he may than increase the Dose by increasing the
broth to three gills & adding the solution in proportion, that is to
what the broth will cover the taste of.


After a fortnight or three weeks at this quantity if he
does not find the expected relief he may then increase the broth
to a mutch kin at a time & the the solution in proportion
Broth fortnight



[Page 2]

If taking this quantity for a month together does not give relief I cannot
promise it from this Remedy. But if it gives the relief that I
Expect at whatever dose that happens it may be enough to continue
for a month after the relief happens at the same [time?] & then lay
it aside for a fortnight. After that interval let it be again taken
for three Weeks. Then intermmit for a fortnight, take it for a fortnight
longer & interm it for some months or at Last till some return of his complaints seem again to require
it.

I should have said that the Broth in which the Solution
is taken is alwise to be a little warmed


During this Course Mr ↑Muirheid↑ Campbell must abstain
from all kind of fermented Liquors wither Wine or Malt Liquors
For ordinary drink he may take toast Water or any other pure
Watry Liquor. If he choses a Little strong Drink it must be Spir¬
its & Water without any kind of sowring. He may put a little sugar
to it but the Less the Better. The quantity of Spirits must alwise be
very moderate. Tea or Coffee taken moderately are not bad for him


In Diet he may take any kind of meat he pleases only avoi¬
ding salted meat & taking Fish very moderatly. He must avoid
all kinds of pickles & Vinegar or other sowring in Sauces


He must also take Fruit, Roots or Greens very sparingly & only
a little potatoe or other Root along with his Meat. Any kind
of Grain he may take with Milk or otherwise.


Let him take great care to avoid any Violent Excercise
much walking at one time will do harm & especialy up & down hill
Riding will still require more caution. Going in an easy Carriage
is the safest but even that must be as Gentle & smooth as
possibly & never continued long at one time


Let him at all times gaurd against Cold & most espec¬
ialy of his feet & Legs

W Cullen
Edinr 18. October
1768

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