Cullen

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

 

[ID:4375] From: Dr William Cullen (Professor Cullen) / To: Mr Charles Addison / Regarding: Mr Charles Addison (Patient) / 8 February 1779 / (Outgoing)

Reply, 'For Mr Charles Addison'. Cullen provides diet and lifestyle advice for treating Addison's gout-related ailments, with laxative prescriptions.

Facsimile

There are 3 images for this document.

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Metadata

FieldData
DOC ID 4375
RCPE Catalogue Number CUL/1/1/11/113
Main Language English
Document Direction Outgoing
Date8 February 1779
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, 'For Mr Charles Addison'. Cullen provides diet and lifestyle advice for treating Addison's gout-related ailments, with laxative prescriptions.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1008]
Case of Mr Charles Addison (patient of John Short), whose various chest, bladder, and other complaints may or may not be gouty.
11


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2568]AddresseeMr Charles Addison
[PERS ID:2568]PatientMr Charles Addison
[PERS ID:671]Patient's Physician / Surgeon / ApothecaryMr John Short
[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
Destination of Letter Bo'ness (Borness / Borrowstouneness) Mid Scotland Scotland Europe inferred

Normalized Text

[Page 1]
For Mr Charles Addison.


Gout not to be cured by medicines without inducing a
worse disease –– but a certain regimen will ––.


Avoid indolence & sedentary life: but much exercise
on foot, & especially when threatened with pains in them, is
very bad for you. At other times walk every day a good
deal. Ride on horseback summer & winter as much as you can.


Every day, especially in winter & spring rub your feet
& legs with a flesh brush for half an hour every morning im¬
mediately before you are to get out of bed. The
rubbing should be gentle ––




[Page 2]


Guard carefully against cold –– warm cloathing at all seasons.
A flannel shirt next your skin the whole year through.
Thick shoes & warm stockings. The streets & quays of
Bo:ness particularly require this.


No indian tea or coffee at breakfast, but you may
if you please take Cocoa tea or tea made of some herbs
of home growth, balm, ground ivy &c. or weak choco¬
late, or still better than all, some bread & milk.


At dinner avoid heavy meats, & of any animal food
take moderately, filling up with broth pudding or ve¬
getables. But of these last be sparing especially during
winter & spring. Avoid those which are apt to prove
windy
, cold or sour upon your stomach.


No animal food at supper & if possible take no sup¬
per at all – but some boild barley, rice or sago &c with a
spoonful of wine in them or you may take dry toast with a
little negus or weak toddy.


Abstain from all malt liquors & take water alone or with
a little spirits or wine in it


At dinner & supper you may take a little strong drink but
moderately – avoiding the weak bodied wines, & the strong ones
should be taken diluted with water. Wine strong & sound is
better than spirits, unless they sour upon your stomach, when
you must avoid wines altogether, taking to spirits & water, taking
however still more care to avoid exceding in quantity. You
may take what kind of spirit you like best.


Avoid costiveness – & if necessary take a medicine such
as set below.


Avoid medicines as much as you can. Must not have
recourse to bark or bitters for any stomach disorder but must
be more assiduous in exercise.


Much continued business improper. Intrupt it by
much air & exercise.


When you feel any pains threatening your feet, you



[Page 3]

should avoid walking, & have cause to rest, ease, & gentle
frictions


If at any time wandering pains trouble you without settling
in your feet you may for a night or two take such a draught as
I prescribed when at Bo:ness, taking after it a little weak
negus or warm toddy to procure a gentle perspiration
by taking a cup of balm or sage tea with perhaps a little
mixture spirit of hartshorn in it –– but when you have had
any sweat either in the night or morning
you should not
go abroad but guard against cold, for the day after.

Take half a drachm of guaiacum Gum and 15 grains of polychrest Salt. Grind together into a fine powder, then add a drachm of ground socotrine Aloes and half a drachm of cardamom seeds, finely ground. Grind all together thoroughly then add a drachm of gentian Extract and enough Mucilage of gum Arabic to make a mass to be divided into pills of five grains each. Label: Laxative pills one, two, or three for a dose at bedtime when occasion requires.

W.C.
Edinburgh February 8th 1779

Diplomatic Text

[Page 1]
For Mr Charles Addison.


Gout not to be cured by medicines without inducing a
worse disease –– but a certain regimen will ––.


Avoid indolence & sedentary life: but much exercise
on foot, & especially when threatened with pains in them, is
very bad for you. At other times walk every day a good
deal. Ride on horseback summer & winter as mc as you can.


Every day, especially in winter & spring rub your feet
& legs w a flesh brush for half an hour every morning im¬
mediately before you are to get out of bed. The
rubbing should be gentle ––




[Page 2]


Guard carefully against cold –– warm cloathing at all seasons.
A flannel shirt next your skin the whole year through.
Thick shoes & warm stockings. The streets & quays of
Bo:ness particularly require this.


No indian tea or coffee at breakfast, but you may
if you please take Cocoa tea or tea made of some herbs
of home growth, balm, ground ivy &c. or weak choco¬
late, or still better than all, some bread & milk.


At dinner avoid heavy meats, & of any animal food
take moderately, filling up w broth puddg or ve¬
getables. But of these last be sparing especially during
winter & spring. Avoid those which are apt to prove
windy
, cold or sour upon your stomach.


No animal food at supper & if possible take no sup¬
per at all – but some boild barley, rice or sago &c with a
spoonful of wine in them or you may take dry toast with a
little negus or weak toddy.


Abstain from all malt liquors & take water alone or with
a little spirits or wine in it


At dinner & supper you may take a little strong drink but
moderately – avoiding the weak bodied wines, & the strong ones
should be taken diluted with water. Wine strong & sound is
better than spirits, unless they sour upon your stomach, when
you must avoid wines altogether, taking to spirits & water, taking
however still more care to avoid exceding in quantity. You
may take what kind of spirit you like best.


Avoid costiveness – & if necessary take a medicine such
as set below.


Avoid medicines as much as you can. Must not have
recourse to bark or bitters for any stomach disorder but must
be more assiduous in exercise.


Much continued business improper. Intrupt it by
much air & exercise.


When you feel any pains threatening your feet, you



[Page 3]

should avoid walking, & have cause to rest, ease, & gentle
frictions


If at any time wandering pains trouble you without settling
in your feet you may for a night or two take such a draught as
I prescribed when at Bo:ness, taking after it a little weak
negus or warm toddy to procure a gentle perspiration
by taking a cup of balm or sage tea with perhaps a little
mixture spirit of hartshorn in it –– but when you have had
any sweat either in the night or morning
you should not
go abroad but guard against cold, for the day after.


Gumm. guaiac. ʒſs. Sal. polychr. gr XV. Terito simul
in pulv. subtil. dein adde Aloes socotor. pulv. ʒi sem. card¬
amom. min. pulv.
ʒſs. Terito omnia simul probe dein
adde Extr. gentian ʒi Muc. g. Arab. q. s. ut f. m. d. in p.
s. gr. V. S. Laxative pills 1, 2, or 3 for a dose at bed¬
time when occasion requires.

W.C.
Edinr. Feb. 8th 1779

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