The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4373] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr James Waugh (Patient) / 3 February 1779 / (Outgoing)
Reply 'For Mr. James Waugh', who suffers from cough and looseness, which 'require immediate attention otherwise they will soon be beyond the reach of our skill'. Cullen recommends that he 'reside in the Country'. He advises on diet and exercise, and provides strengthening and anodyne prescriptions. The absence of a surviving incoming letter may suggest an Edinburgh consultation.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
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Metadata
| Field | Data |
|---|---|
| DOC ID | 4373 |
| RCPE Catalogue Number | CUL/1/1/11/111 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 3 February 1779 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'For Mr. James Waugh', who suffers from cough and looseness, which 'require immediate attention otherwise they will soon be beyond the reach of our skill'. Cullen recommends that he 'reside in the Country'. He advises on diet and exercise, and provides strengthening and anodyne prescriptions. The absence of a surviving incoming letter may suggest an Edinburgh consultation. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1182] |
Case of Mr James Waugh, who has a cough and looseness, and is prescribed a regimen, strengthener and anodyne. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:5638] | Patient | Mr James Waugh |
| [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 |
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | inferred |
Normalized Text
For Mr James Waugh.
His ailments require immediate attention otherwise they
will soon be beyond the reach of our skill. If he can have a
warm & dry lodging & guard as I shall advise against cold, I
would have him reside in the Country. & there let him
Ride on horseback every day unless the weather be very bad,
that is either hard frost or very rainy. On such days he had better
stay at home but every day that is tolerably mild & fair he should
ride from eleven till two or as long as he easily bears. He should
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be always well covered. wear two pair of stockings and thick
boots or strong shoes & thick hose. Keep warm also about
his head & neck, using a trotcosie. A flannel shirt con¬
stantly next his skin. Till the season advance he should
not be out after dinner nor walk much in the morning
or forenoon & at all times avoid getting wet feet.
Diet almost entirely of milk & grain or potatoes. The
grain or potatoes may be after taken by themselves either
boiled or baked into light pudding & with his boiled
grain he may take raisins or currants. He may also
sometimes take some beef tea or chicken broth & if his
appetite desire it a bit of chicken either boiled or roa¬
sted: he may sometimes tho seldom have a new laid egg
soft boiled. His drink water, or with a little milk
in it but never quite cold - No malt liquor, wine or spi¬
rits.
Every morning pretty early he may take a gill of
milk warm from the cow & sleep after it if he does
not sweat; for if he does sweat after it he must give it
up till he is out of bed when he may take it with some
bread for breakfast. Or if this milk taken in bed
do not digest easily or takes away his appetite for break¬
fast he should let it alone till breakfast time.
If he should be liable to no looseness he may frequent¬
ly take very fresh butter milk or if he will churn milk
in a bottle till it part with its butter he may at any time
take this butter milk with safety.
He should take to the country two medicines. One is
Pills to quiet his cough; such as he has already been in
use of at bed time. 3 for a dose. Upon his first going
to the Country he may take such a dose every night but
when he gets a good deal of exercise he may sometimes
lay them aside & if he can, lay them aside altogether.
The other is such a mixture as he uses at present for
moderating any tendency to looseness. He should take
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one or two spoonfuls as the looseness or tendency to it may seem
to require. He will seldom need it during the night when
he takes the pills at bedtime & I would have him take it in
the day time no farther than is absolutely necessary.
Take two drachms of Thebaic Pill dough and one drachm of Liquorice Extract, with enough hot water to make a mass to be divided into five single grain pills. Label: Anodyne pills, three for a dose at bed time.
Take two drachms of Japonic Confection, three ounces each of rose Water and simple cinnamon Water, one ounce each of spirit of cinnamon Water, and diacodium Syrup and one hundred and twenty drops of Thebaic Tincture. Label: Strengthening Mixture, a tablespoonful or two when the looseness is troublesome.
Diplomatic Text
For Mr James Waugh.
His ailments require immediate attention otherwise they
will soon be beyond the reach of our skill. If he can have a
warm & dry lodging & guard as I shall advise against cold, I
would have him reside in the Country. & there let him
Ride on horseback every day unless the weather be very bad,
that is either hard frost or very rainy. On such days he had better
stay at home but every day that is tolerably mild & fair he should
ride from eleven till two or as long as he easily bears. He should
[Page 2]
be always well covered. wear two pair of stockings and thick
boots or strong shoes & thick hose. Keep warm also about
his head & neck, using a trotcosie. A flannel shirt con¬
stantly next his skin. Till the season advance he should
not be out after dinner nor walk much in the morning
or forenoon & at all times avoid getting wet feet.
Diet almost entirely of milk & grain or potatoes. The
grain or potatoes may be after taken by themselves either
boiled or baked into light pudding & with his boiled
grain he may take raisins or currants. He may also
sometimes take some beef tea or chicken broth & if his
appetite desire it a bit of chicken either boiled or roa¬
sted: he may sometimes tho seldom have a new laid egg
soft boiled. His drink water, or with a little milk
in it but never quite cold - No malt liquor, wine or spi¬
rits.
Every morning pretty early he may take a gill of
milk warm from the cow & sleep after it if he does
not sweat; for if he does sweat after it he must give it
up till he is out of bed when he may take it with some
bread for breakfast. Or if this milk taken in bed
do not digest easily or takes away his appetite for break¬
fast he should let it alone till breakfast time.
If he should be liable to no looseness he may frequent¬
ly take very fresh butter milk or if he will churn milk
in a bottle till it part with its butter he may at any time
take this butter milk with safety.
He should take to the country two medicines. One is
Pills to quiet his cough; such as he has already been in
use of at bed time. 3 for a dose. Upon his first going
to the Country he may take such a dose every night but
when he gets a good deal of exercise he may sometimes
lay them aside & if he can, lay them aside altogether.
The other is such a mixture as he uses at present for
moderating any tendency to looseness. He should take
[Page 3]
one or two spoonfuls as the looseness or tendency to it may seem
to require. He will seldom need it during the night when
he takes the pills at bedtime & I would have him take it in
the day time no farther than is absolutely necessary.
℞ Mass. pil. Thebaic. ʒij Extr: glycirrh. ʒj Cum aq. calidæ
q. s. f. s: a. mass. div. in pil. sing. gr. V.
Signa Anodyne pills 3 for a dose at bed time.
℞ Conf. Japon. ʒij Aq. ros. --- cinnam. simpl. @ ℥iij
Aq- cinnam. spir. Syr. diacod. @ ℥j Tinct. Theb. gtt. 120.
S. Strengthening Mixture a tablespoonful or two when the
looseness is troublesome.
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