The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:426] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Dinwiddie (Patient) / 3 December 1770 / (Outgoing)
Reply 'For Mr Dinwiddie'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 426 |
| RCPE Catalogue Number | CUL/1/1/3/9 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 3 December 1770 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | Yes |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mr Dinwiddie' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:58] |
Case of Mr Dinwiddie given directions for managing a pectoral complaint. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1125] | Patient | Mr Dinwiddie |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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
For Mr Dinwiddie
Having considered all the Circumstances of his com¬
plaints I am of opinion that they cannot be suddenly relieved but that
by some pains and constant attention they may in time be removed and
for this purpose the following measures seem to me the most probable
1. He must carefully avoid all violent motion and every degree of
bodily fatigue His walking must always be slow & upon level
ground only. Walking fast, walking up hill or walking up stairs
so as in any degree to affect his breathing may do much harm.
When he has occasion to travel he may go either on horseback or
in a Carriage but in either case his motion should be gentle and
smooth [&?] he should never make longe journeys in either way way
When he has occasion to write he should keep his posture as erect
as possible & should never sit long at one time.
2. He should at all times keep his [bodly?] body cool. He
should not sit near or opposite to the fire and must avoid chambers
warmed much either by fires or much Company. In the night time
his chamber should be cool and he should use no more bedcloaths
than are necessary to keep him from the Cold. If he is liable to
be Cold on lying down it is better for him to have his bed a little
warmed before lying down than to use many bed cloaths and so
many as to make him sweat will always do harm. With all
this he must also take pains to avoid Cold and therefore to avoid
all moisture coming near him.
3. He must avoid everything that can increase either
the quantity of his blood & therefore his diet must be light & cooling
He must now by degrees quit all animal food & take entirely
to milk and Vegetables & upon the same plan he must abstain
from all Wines & spirits and also all malt liquors except
a little well brewed small Beer: For ordinary drank drink
[Page 2]
he may take this but rather toast water, water gruel
or at times fresh drawn Cow milk Whey. He must take no food or
drink very warm but with this Caution he may drink tea &
coffee. Even of the lightest food he should never make a full meal
at supper.
4. He should always go soon to bed and get up pretty early in
the morning. He may sometimes lie upon his left side but never
long at one time & it will always be safer for him to lie upon
his right side with his left side pretty much raised up.
5. A bound belly will always do him harm and therefore
if it does not answer regularly he must take a gentle laxative
such as I have ordered on a paper apart.
6. By the above management I expect ↑that↑ Mr Dinwiddies
Complaints will in time be removed and it is upon this
Management I chiefly depend but I hope he may also be
the better of the Pectoral pills ordered also on the paper apart
He may take these pills for a fourthnight and at one time
and after intermitting them for a week He may take them
again for a forthnight and so he may do for two or three times --
During the week that he intermitts the pills he may take the
cooling powders ordered also below on the paper apart, three
times a day dissolved in a glass of water
Take one ounce of powdered crystal tartar, half an ounce of pulp of French prunces, and a sufficient quantity of simple syrup, and make a thin electuary. Label: Laxative Electuary, a tea spoonfull to be taken in the morning and repeated at the interval of half an hour once or twice as occasion requires.
Take half a drachm of camphor, one drachm of powdered nitre, and one and a half drachms of extract of liquorice. Pound together the camphor and nitre, add the extract of liquorice, and with mucilaginous Gum Arabic make a mass [of?] half a drachm [and divide into?] six pills. Label: Pectoral Pills, three to be taken every night at bed time.
Take fifteen grains [each?] of nitrous salt and white sugar. Mix, powder and make into twelve doses. Label: Cooling Powders to be taken three times a day in a glass of water.
Diplomatic Text
For Mr Dinwiddie
Having considered all the Circumstances of his com¬
plaints I am of opinion that they cannot be suddenly relieved but that
by some pains and constant attention they may in time be removed and
for this purpose the following measures seem to me the most probable
1. He must carefully avoid all violent motion and every degree of
bodily fatigue His walking must always be slow & upon level
ground only. Walking fast, walking up hill or walking up stairs
so as in any degree to affect his breathing may do much harm.
When he has occasion to travel he may go either on horseback or
in a Carriage but in either case his motion should be gentle and
smooth [&?] he should never make longe journeys in either way way
When he has occasion to write he should keep his posture as erect
as possible & should never sit long at one time.
2. He should at all times keep his [bodly?] body cool. He
should not sit near or opposite to the fire and must avoid chambers
warmed much either by fires or much Company. In the night time
his chamber should be cool and he should use no more bedcloaths
than are necessary to keep him from the Cold. If he is liable to
be Cold on lying down it is better for him to have his bed a little
warmed before lying down than to use many bed cloaths and so
many as to make him sweat will always do harm. With all
this he must also take pains to avoid Cold and therefore to avoid
all moisture coming near him.
3. He must avoid everything that can increase either
the qty of his blood & therefore his diet must be light & cooling
He must now by degrees quit all animal food & take entirely
to milk and Vegetables & upon the same plan he must abstain
from all Wines & spirits and also all malt liquors except
a little well brewed small Beer: For ordinary drank drink
[Page 2]
he may take this but rather toast water, water gruel
or at times fresh drawn Cow milk Whey. He must take no food or
drink very warm but with this Caution he may drink tea &
coffee. Even of ye lightest food he should never make a full meal
at supper.
4. He should always go soon to bed and get up pretty early in
the morning. He may sometimes lie upon his left side but never
long at one time & it will always be safer for him to lie upon
his right side with his left side pretty much raised up.
5. A bound belly will always do him harm and therefore
if it does not answer regularly he must take a gentle laxative
such as I have ordered on a paper apart.
6. By the above management I expect ↑that↑ Mr Dinwiddies
Complaints will in time be removed and it is upon this
Management I chiefly depend but I hope he may also be
the better of the Pectoral pills ordered also on the paper apart
He may take these pills for a fourthnight and at one time
and after intermitting them for a week He may take them
again for a forthnight and so he may do for two or three times --
During the week that he intermitts the pills he may take the
cooling powders ordered also below on the paper apart, three
times a day dissolved in a glass of water
℞ Chrystall Tartar. pulv. ℥i -- Pulp. Prunor. Gall. ℥ſs
syr. simplic. q. s. ut. f. Electuarium tenue - sig. Lax. Elect a tea
spoonfull to be taken in ye morning and repeated at the interval of 1/2
an hour once or twice as occasion requires.
℞ Camphor ʒſs - Nitr. pulv. ʒi - Extract. Glycyrrh. ʒiſs
Camphra & Nitro simul tritis adde Extr. et cum Mucilag. Gum. Arab.
q. s. f. Massa [ex cupr singulis?] semidrachms formentur. pil № vi. sig.
Pectoral Pills 3 to be taken every night a bed time --
℞ sal. Nitr. -- Sacchar. alb. ad gr. xv. ℳ f. pulvis et fiant. L. m.
Dos. № xij Sig. Cooling Powders to be taken three times a day in glass of water
XML
XML file not yet available.
Feedback
Send us specfic feeback about this document [DOC ID:426]
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...
