Cullen

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

 

[ID:4155] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Colonel Grant (Patient) / 1 October 1777 / (Outgoing)

Reply 'For Colonel Grant', who 'has no particular or formed disease', but whose constitution has been harmed by 'the climate and other accidents'. Cullen advises that he winter in the South of France or in Nice (then in the Italian kingdom of Piedmont). He briefly advises on diet, and encloses strengthening prescriptions.

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Metadata

FieldData
DOC ID 4155
RCPE Catalogue Number CUL/1/1/10/12
Main Language English
Document Direction Outgoing
Date1 October 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Colonel Grant', who 'has no particular or formed disease', but whose constitution has been harmed by 'the climate and other accidents'. Cullen advises that he winter in the South of France or in Nice (then in the Italian kingdom of Piedmont). He briefly advises on diet, and encloses strengthening prescriptions.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:933]
Case of Colonel Grant who Cullen thinks is merely debilitated through exposure to the climate and who is advised to travel south for his health.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2394]PatientColonel Grant
[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
Therapeutic Recommendation South of France France Europe certain
Therapeutic Recommendation Mediterranean coast South of France France Europe certain
Therapeutic Recommendation Nice France France Europe certain
Mentioned / Other Britain Europe certain
Mentioned / Other Bath South-West England Europe certain

Normalized Text

[Page 1]

For Colonel Grant


After considering attentively the past history and present state of
Coll Grants complaints we are of opinion that he has no particular
or formed disease but that merely from the climate and other
accidents to which he has formerly been exposed, his constitution
has been so much hurt as to render him, liable now to various
disorders.


To obviate these it is only necessary to avoid those things
which might further weaken him, and to take some mea¬
sures for supporting an original good constitution.


For the present we think it necessary for him to avoid
the winter of Great Brittain. We are of opinion that he
is not likely to receive any benefit from Bath waters in
any shape and we rather think they would do him harm
and we are more certain that the climate of Bath would
not at all be secure for the Winter. We are of opinion
that he should pass the Winter somewhere in the South
of France or at Nice. He may take a view of different
places and may take any one that is not far from
the Mediterranean and otherways appears agreable
and convenient.


As travelling has always agreed with Colonel Grant
and cold weather is very bad for him we think he should
set out for the south as soon as he conveniently can.


In the present state of the Colonel's appetite
we cannot prescribe any particular diet. He must take
what light diet he can bear or likes best but we should
be glad he could bear somewhat more nourishing than
he does at present. We think it is equally proper for
him to take a few Glasses of any wine he likes best
and if bears a little Porter or strong beer we think
in the present state of his bowels they are very allowable.




[Page 2]


The want of sleep is certainly a very great distress and must
if possible be relieved and even Opium must be employed
when absolutely necessary but we should wish to avoid it
as much as may be and for this purpose we have prescribed
on the paper apart a Medicine which we hope will answer.
If travelling has any tolerable effects in procuring sleep
we would have neither ours nor any other remedy employ'd
on the Journey.


It is necessary at all times but especially when Medicines
are employed to procure sleep to keep the Belly regular
and therefore whenever two days pass without a stool
the Colonel should take a laxative Medicine. There is
none better than the Castor oil, the dose of which will be
easily adjusted by a few Trials.


To strengthen the Colonel's Constitution we have prescribed
a Medicine on the paper apart. It will not be convenient
and as we hope will not be necessary upon the road but
when settled in any place he may take it for a
week or two together and after some interval he may again
repeat it and this for several times.

For Colonel Grant

Take five grains of prepared powdered Steel, seven grains of ground Cinnamon, and ten grains of refined White Sugar Mix to make a powder and in this way make twenty-eight doses. Label: Strengthening Powders one to be taken twice a day washing it down with a small cupfull of the following Infusion

Take half an ounce of ground Peruvian Bark In a glass or stone mortar, add enough water to make a semiliquid mass. Rub these together thoroughly for half an hour and steep for eight hours hour, then gradually add up to two pints of water. Place in a flask and steep for eight hours, then add two ounces of Tincture of Peruvian Bark and strain through paper. Label: Strengthening Infusion a small cupfull to be taken with every dose of the powders.

W.C.

1st. October
1777

Diplomatic Text

[Page 1]

For Colonel Grant


After considering attentively the past history and present state of
Coll Grants complaints we are of opinion that he has no particular
or formed disease but that merely from the climate and other
accidents to which he has formerly been exposed, his constitution
has been so much hurt as to render him, liable now to various
disorders.


To obviate these it is only necessary to avoid those things
which might further weaken him, and to take some mea¬
sures for supporting an original good constitution.


For the present we think it necessary for him to avoid
the winter of Great Brittain. We are of opinion that he
is not likely to receive any benefit from Bath waters in
any shape and we rather think they would do him harm
and we are more certain that the climate of Bath would
not at all be secure for the Winter. We are of opinion
that he should pass the Winter somewhere in the South
of France or at Nice. He may take a view of different
places and may take any one that is not far from
the Mediterranean and otherways appears agreable
and convenient.


As travelling has always agreed with Colonel Grant
and cold weather is very bad for him we think he should
set out for the south as soon as he conveniently can.


In the present state of the Colonel's appetite
we cannot prescribe any particular diet. He must take
what light diet he can bear or likes best but we should
be glad he could bear somewhat more nourishing than
he does at present. We think it is equally proper for
him to take a few Glasses of any wine he likes best
and if bears a little Porter or strong beer we think
in the present state of his bowels they are very allowable.




[Page 2]


The want of sleep is certainly a very great distress and must
if possible be relieved and even Opium must be employed
when absolutely necessary but we should wish to avoid it
as much as may be and for this purpose we have prescribed
on the paper apart a Medicine which we hope will answer.
If travelling has any tolerable effects in procuring sleep
we would have neither ours nor any other remedy employ'd
on the Journey.


It is necessary at all times but especially when Medicines
are employed to procure sleep to keep the Belly regular
and therefore whenever two days pass without a stool
the Colonel should take a laxative Medicine. There is
none better than the Castor oil, the dose of which will be
easily adjusted by a few Trials.


To strengthen the Colonel's Constitution we have prescribed
a Medicine on the paper apart. It will not be convenient
and as we hope will not be necessary upon the road but
when settled in any place he may take it for a
week or two together and after some interval he may again
repeat it and this for several times.

For Colonel Grant


Limatur. mart. ppt. gr. v.
cinnamom. pulv. gr. vij
sacchar. alb. puriss. gr. x. ℳ. f. pulvis et f.h.m.
dos. № xxviii. Sig. Strengthening Powders one to be taken twice
a day washing it down with a small cupfull of the followg. Infusion


pulv. cort. Peruvian. ℥ſs
In mortario vitreo vel lapideo adde aquæ q.s. ut f. Massa semiliqui¬
da. Hanc terito diligenter per dimidiam horæ et macera horas
octo
horæ dein adde paulatim aquæ ad lbij. Repone in lagena
et macera horas octo dein Tinct. cort. Peruvian. ℥ij et per chartam cola.
Sig. Strengthening Infusion a small cupfull to be taken with
every dose of the powders.

W.C.

1st. October
1777

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