Cullen

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

 

[ID:4102] From: Dr William Cullen (Professor Cullen) / To: Mr Andrew Erskine / Regarding: Mr Andrew Erskine (Patient) / 11 August 1777 / (Outgoing)

Reply, 'For the Honble Andrew Erskine Esqr'

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Metadata

FieldData
DOC ID 4102
RCPE Catalogue Number CUL/1/1/9/75
Main Language English
Document Direction Outgoing
Date11 August 1777
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For the Honble Andrew Erskine Esqr'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:911]
Case of the Honourable Andrew Erskine who has a disordered stomach and 'depression of spirits'.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2038]AddresseeMr Andrew Erskine
[PERS ID:2038]PatientMr Andrew Erskine
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1150]Patient's Physician / Surgeon / ApothecaryMr Inglis

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 the Honble Andrew Erskine Eqsr.


Mr E ailments seem to be chiefly N{illeg} Nervous giving
a depression of Spirits & some disorder of the Stomach which
complaints altho very distressing are not dangerous &
I think it more necessary to attend to the Ailments which
have threatened his breast -----


Go to the Country & reside there for a month or two.
Every tolerable forenoon ride gently for 3 hours &
also in the afternoon for an hour or more; but
not till an hour or more after dinner & should
always be in before the Cool of the Evening & always
some time before Sunset.


Gaurd particularly against cold & wet &
should therefore wear a flannel Shirt next his Skin
& if he be liable to Sweatings in the Night or morning
he should wear his flannel Shirt night & day.


Every morning sometime before getting out of bed
he should take about half a muchkin of Cow milk
warm from the Cow. He may take a Sleep after this
if he does not find himself liable to sweat after it
& in that Case too he may take the milk pretty
early: but if he be liable to sweat after it, he
must not sleep & must take the milk only a
little before he is to get out of bed.



[Page 2]


Breakfast of Cocoa Tea rather than green or
Bohea.


At Dinner he may take a little of any kind of
plain Meat but it should be very moderately & he
should introduce into his Diet, as much Pudding {illeg}
and Vegetables as he conveniently can - No salted
or Seasoned Meats - Fish only of a little of the
lighter kinds. Fruits of all kinds in moderation
are very proper for him.


Ordinary Drink Water rather than Beer.
At Dinner he may take one glass of Wine, &
hardly at any time more


Continue this Practice of no Supper. at all;
but in the afternoon he may take a dish of
weak green with a Bit of Bread.


Go early to bed & not lye long in the mornings
this last especially if liable to sweating at that time


Walking gently on level level ground very allow¬
able, but walking up hill or much at a time improper.


In the way of Medicine he should continue continue
to take the Antimonial Wine advised by Mr
Inglis; but the Dose of it should be increased by 5
drops at every day till he finds the morning dose



[Page 3]

gives some sickness of Stomach & at such
a Dose he may continue - the proper time for
taking the Morning Dose is about an hour or
half an hour at least before breakfast. The
Evening Dose is to be taken immediately before
going to Bed


It will be proper for him also to take
some Hartfell Spaw Water every forenoon.


A Glass of it when he goes out to ride & one
when he comes in & if there is an hour before
between that time and dinner he may take another
Glass of it immediately before Dinner; or if that
Space is not allowed, he may take his third Glass
between Tea & Supper. In entering upon drinking
this water, each Glass of it may be about half a gill
or a little more; but this quantity may be increased
by degrees till he shall take a muchkin of it
every day. As the Hartfell Water is only to
be got in Choppin Bottles when one of these
is opened, one half of it should be immediately poured
into a Muchkin bottle to be close corked, to be kept
for the Service of next day. Even the Choppin Bottle that



[Page 4]

that contains the remainder should be kept always
close corked.


Besides these I have hardly any other medicines
to advise, as I depend much more upon Regimen than
Medicine in this Case; but I have still one Medicine
to advise which is prescribed on the Paper apart, A Tea
spoonfull of the Mixture prescribed is to be taken
in every glass of Hartfell Water and if the whole
Muchkin of Hartfell Water is taken before
Dinner a Dose or two of the Acid Mixture is
to be taken between Tea & Supper Time
that is a Tea Spoonfull of it in an ordinary Wine
Glassfull of water.


Aq. rosar. ℥iij
Syr e ros. sicc.
Spitt vitriol ten @ ℥ſs.
ℳ. S. Acid Mixture ----- Take three ounces of rose water; syrup of dried rose and oil of Vitriol, of each half an ounce. Mix and label Acid Mixture.

August 11th 1777

Diplomatic Text

[Page 1]
For the Honble Andrew Erskine Eqsr.


Mr E ailments seem to be chiefly N{illeg} Nervous giving
a depression of Spirits & some disorder of the Stomach wc
complaints altho very distressing are not dangerous &
I think it more necessary to attend to the Ailments wc
have threatened his breast -----


Go to the Country & reside there for a month or two.
Every tolerable forenoon ride gently for 3 hours &
also in the afternoon for an hour or more; but
not till an hour or more after dinner & should
always be in before the Cool of the Eveng. & always
some time before Sunset.


Gaurd particularly against cold & wet &
should therefore wear a flannel Shirt next his Skin
& if he be liable to Sweatings in the Night or morning
he should wear his flannel Shirt night & day.


Every morng sometime before getting out of bed
he should take about half a muchkin of Cow milk
warm from the Cow. He may take a Sleep after this
if he does not find himself liable to sweat after it
& in that Case too he may take the milk pretty
early: but if he be liable to sweat after it, he
must not sleep & must take the milk only a
little before he is to get out of bed.



[Page 2]


Breakfast of Cocoa Tea rather than green or
Bohea.


At Dinner he may take a little of any kind of
plain Meat but it should be very moderately & he
should introduce into his Diet, as much Pudding {illeg}
and Vegetables as he conveniently can - No salted
or Seasoned Meats - Fish only of a little of the
lighter kinds. Fruits of all kinds in moderation
are very proper for him.


Ordinary Drink Water rather than Beer.
At Dinner he may take one glass of Wine, &
hardly at any time more


Continue this Practice of no Supper. at all;
but in the afternoon he may take a dish of
weak green with a Bit of Bread.


Go early to bed & not lye long in the mornings
this last especially if liable to sweating at that time


Walking gently on level level ground very allow¬
able, but walking up hill or much at a time improper.


In the way of Medicine he should continue continue
to take the Antimonial Wine advised by Mr
Inglis; but the Dose of it should be increased by 5
drops at every day till he finds the morning dose



[Page 3]

gives some sickness of Stomach & at such
a Dose he may continue - the proper time for
taking the Morning Dose is about an hour or
half an hour at least before breakfast. The
Evening Dose is to be taken immediately before
going to Bed


It will be proper for him also to take
some Hartfell Spaw Water every forenoon.


A Glass of it when he goes out to ride & one
when he comes in & if there is an hour before
between that time and dinner he may take another
Glass of it immediately before Dinner; or if that
Space is not allowed, he may take his third Glass
between Tea & Supper. In entering upon drinking
this water, each Glass of it may be about half a gill
or a little more; but this quantity may be increased
by degrees till he shall take a muchkin of it
every day. As the Hartfell Water is only to
be got in Choppin Bottles when one of these
is opened, one half of it should be immediately poured
into a Muchkin bottle to be close corked, to be kept
for the Service of next day. Even the Choppin Bottle that



[Page 4]

that contains the remainder should be kept always
close corked.


Besides these I have hardly any other medicines
to advise, as I depend much more upon Regimen than
Medicine in this Case; but I have still one Medicine
to advise which is prescribed on the Paper apart, A Tea
spoonfull of the Mixture prescribed is to be taken
in every glass of Hartfell Water and if the whole
Muchkin of Hartfell Water is taken before
Dinner a Dose or two of the Acid Mixture is
to be taken between Tea & Supper Time
that is a Tea Spoonfull of it in an ordinary Wine
Glassfull of water.


Aq. rosar. ℥iij
Syr e ros. sicc.
Spitt vitriol ten @ ℥ſs.
ℳ. S. Acid Mixture ----- Take three ounces of rose water; syrup of dried rose and oil of Vitriol, of each half an ounce. Mix and label Acid Mixture.

Augst. 11th 1777

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