Cullen

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

 

[ID:4200] From: Dr William Cullen (Professor Cullen) / To: Dr (Mr Charles Innes' physician) / Regarding: Mr Charles Innes (Patient) / January? 1778? / (Outgoing)

Reply headed 'For Mr Charles Innes',

Facsimile

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4200
RCPE Catalogue Number CUL/1/1/10/57
Main Language English
Document Direction Outgoing
DateJanuary? 1778?
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 headed 'For Mr Charles Innes',
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1003]
Case of Mr Charles Innes whose scorbutic problem with his mouth and gums is exacerbated by a more general weakness.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2223]AddresseeDr (Mr Charles Innes' physician)
[PERS ID:1681]PatientMr Charles Innes
[PERS ID:2223]Patient's Physician / Surgeon / ApothecaryDr (Mr Charles Innes' physician)
[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

Normalized Text

[Page 1]

For Mr Charles Innes


We are confident Mr I -- late ailments are entirely dis¬
cussed & not necessary for him to take more medicines for
that purpose but the decoction he is now taking may be use¬
ful for that purpose for washing out any remains of the medi¬
cines lately employ'd & otherwise mending his blood which
from the state of his mouth & gums has not been in so
good condition as were to be wished. Therefore the De¬
coction may be continued a week or two, & we have
prescribed a liquor for gargling his mouth & throat
every night & morning. If the scorbutic appearances in
his mouth & gums should in spite of these remedies
continue to be troublesome there are some other
remedies to be employed, but they can not be prescribed &
properly employed at this season. After his long confinement it will require great care to bring him to bear the
cold (↑open↑) air & he should not attempt it till the weather is mil¬
der; but if business requires it, take care to be well cove¬
red to go abroad only in the middle of the day & not to
be abroad after dinner; these precautions should be obser¬
ved many days after his first going abroad. Serviceable
when business permits to take two or three hours exercise
in a carriage or when the weather season is further advan¬
ced he may get more benefit by being on horseback. His constitu¬
tion seems lax & weak
& his late illness has rendered it worse
so that for a long time he will require a great deal of fresh
air & exercise at the same time avoiding cold. For some time



[Page 2]

his diet must be simple & mild, a great deal of milk parti¬
cularly proper & for some time for supper & breakfast. For
Dinner, some weak broth & after it any plain meat or a little
light white fish but either taken moderately & should fill up
his meal with pudding or vegetables. He should not for some time
taste a fresh egg & sometimes make it part of his dinner
but should not take eggs often. Ordinary drink, plain
water but for some time not quite cold & the Cold of it should
be taken off either by a toast or a spoonful of hot water put
into it. By degrees he may come to take small beer or a little
wine in his water, but for a long time to come he should be
sparing of all fermented or spirituous & his constitution
will never bear much freedom in taking strong drink
He should quite the opiates he has been using of late, as
soon as he can get any tolerable sleep without them.
While he continues to take them in any degree he must
from time to time take some purgatives as costiveness
should never be allowed to continue long upon him, but he
should be purged no more than necessity requires.

Take one drachm of Cortex Granator, half a drachm of Balaustria, half a drachm of red rose and one and a half pound of spring water. Cook a little and let it stay for one night. Then add half a drachm of Aluminium and to the strained liquid add syrup obtained from dried roses.

Diplomatic Text

[Page 1]

For Mr Charles Innes


We are confident Mr I -- late ailmts are entirely dis¬
cussed & not necessary for him to take more medicines for
that purpose but the decoction he is now taking may be use¬
ful for that purpose for washg out any remains of the medi¬
cines lately employ'd & otherwise mendg his blood which
fm the state of his mouth & gums has not been in so
good condition as were to be wished. Therefore the De¬
coction may be continued a week or two, & we have
prescribed a liquor for gargling his mouth & throat
every night & morng. If the scorbutic appearances in
his mouth & gums should in spite of these remedies
continue to be troublesome there are some other
remedies to be employed, but they can not be prescribed &
properly employed at this season. After his long confin
mt it will require great care to bring him to bear the
cold (↑open↑) air & he should not attempt it till the weather is mil¬
der; but if business requires it, take care to be well cove¬
red to go abroad only in the middle of ye day & not to
be abroad after dinner; these precautions sd be obser¬
ved many days after his first going abroad. Serviceable
when business permits to take two or three hours exercise
in a carriage or when the weather season is further advan¬
ced he may get more benefit by being on horseback. His constitu¬
tion seems lax & weak
& his late illness has rendered it worse
so that for a long time he will require a great deal of fresh
air & exercise at the same time avoiding cold. For some time



[Page 2]

his diet must be simple & mild, a great deal of milk parti¬
cularly proper & for some time for supper & breakfast. For
Dinner, some weak broth & after it any plain meat or a little
light white fish but either taken moderately & should fill up
his meal with pudding or vegetables. He should not for some time
taste a fresh egg & sometimes make it part of his dinner
but should not take eggs often. Ordinary drink, plain
water but for some time not quite cold & the Cold of it should
be taken off either by a toast or a spoonful of hot water put
into it. By degrees he may come to take small beer or a little
wine in his water, but for a long time to come he should be
sparing of all fermented or spirituous & his constitution
will never bear much freedom in taking strong drink
He should quite the opiates he has been using of late, as
soon as he can get any tolerable sleep without them.
While he continues to take them in any degree he must
from time to time take some purgatives as costiveness
sd never be allowed to continue long upon him, but he
should be purged no more than necessity requires.


Cort. Granat. ʒi --
Flor. balaust. --
rosar. rubr. aa ʒss
Aq. font. ℔ iss
Coque parum & digere per noctem dein adde Alum.
rup.
ʒss. ut colat. adde Syr. e Ros. siccis ℥i.

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