Cullen

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

 

[ID:4480] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mr John McKie (Junior) (Patient) / 22 July 1779 / (Outgoing)

Reply, 'For Mr McKie'.

Facsimile

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Metadata

FieldData
DOC ID 4480
RCPE Catalogue Number CUL/1/1/12/47
Main Language English
Document Direction Outgoing
Date22 July 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 McKie'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:792]
Case of John McKie [Mackie], Junior who undertakes cold bathing to treat a sore stomach and giddiness, but his abdominal troubles recur.
13


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2659]AddresseeDr
[PERS ID:114]PatientMr John McKie (Junior)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:114]Patient's Physician / Surgeon / ApothecaryMr John McKie (Junior)
[PERS ID:2659]Patient's Physician / Surgeon / ApothecaryDr

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 Stranraer Borders Scotland Europe inferred

Normalized Text

[Page 1]

For Mr Mc Kie --


Mr M.'s complaints seem all to depend upon a weakness of
his
stomach and guts, and are to be cured by restoring the tone of these
parts. -- For this purpose cold Bathing will be a principal
remedy but it will not be proper by applied, unless he cuts out



[Page 2]

his hair so that his head may be bathed with the rest of his body.
It will also strengthen him greatly to be much in the fresh air & in excercise
Walking gently is allowable, but much walking may irritate his
piles too much, & should be avoided. Riding will do more service
but it should be on a horse of a good walk, for trotting may both
hurt his bowels & piles. Sailing if he can avoid cold is one of the
most proper excercises for him. Whenever he has occasion for any
length of journey it should be in a Carriage. Besides cold bathing
fresh air and excercise, his bowels may be strengthened by the
medicines prescribed in the paper apart. The Chalybeate and
Infusion may be taken for two or three weeks at one time
& no longer but if he finds benefit from them he may after some
weeks intermission take a course of them again, and may dose
three or four times in the course of the winter. & especially when
he is precluded from excercise. -- At all times he must give
attention to the state of his belly, & must not allow any degree of
costiveness to prevail. When it is necessary a little medicine must
be taken and as long as it will answer a little magnesia will
be proper. -- I have not either any objection to the Senna &
Manna if it can be dosed so as to do enough without doing too
much, but tho a regular belly be necessary purging more is
by no means proper. --- In the paper apart I have given a
prescription which I hope may answer. In a case of this kind a
great deal of a Mention is to be given to diet. At dinner a plain
Soup with dry toast. A little mace or whole pepper will make
it safer, but there must be no vegetables in it. & broths after the
Scottish fashion are very improper. Every day at dinner he
May take some solid Meat, but should avoid very fat meat
& every thing baked & fried. - He should never make a full meal
of animal food but should make it up with pudding pancake &


[Page 3]

a little vegetables. In these last he must be cautious & moderate and
avoid entirely the colder kinds, as Lettuce & Cucumber, & the more
flatulent as Cabbage but in the summer season he may take
some young & tender things as pease turnip & Collyflower &
in winter a little dry mealy potatoe. - At breakfast he
must not either take tea or Coffee, but may take Cocoa tea or
weak Chacolate. - Milk however will be better than any of
them. The Milk should be fresh from the Cow. & always mixed
with an equal part of thin water gruel, barley water or Cocoa
tea & the mixture well sweatened with fine sugar & to the
whole a spoonfull of brandy may be added. At supper he may
take a soft boiled new laid egg but no other animal food, & he
may frequently the diluted milk boiled & poured upon bread
rice barley or Sago. -- He should for some time abstain from all
fermented Liquors whether wines or malt Liquor & should take
entirely to water & spirits, in different proportions as he takes it
for small or strong drink. - Let him take great care to avoid
cold particularly his feet & legs, & let him contrive to give
up Chewing tobacco altogether. --


W. C. ---

Edinburgh 22d July 1779. ----

For Mr McKie. ---

Take five grains each of prepared Powdered Steel and Cinnamon powder, and ten grains of the purest white Sugar. Mix to make a powder and let there be made from this twenty-eight doses. Label: Stomachic Powders. One to be taken in a little currant jelly twice a day, washing it down with a small cup of the following.

Take half an ounce of Peruvian bark powder and a sufficient quantity of spring Water in order to make a semiliquid mass. Crush it carefully in a glass or stone mortar, then slowly pour in up to two pounds of spring water. Pour it into a jar and macerate for twelve hours, then add two ounces of Peruvian bark Tincture. Finally, strain using the paper. Label: Stomachic Infusion. A small cup to be taken after every dose of the above powders.

Take one ounce of Crystal Tartar powder, one drachm of compound powder of Jallop, half an ounce of lenitive Electuary and a sufficient quantity of simple Syrup in order to let there be made a light electuary. Label: Laxative Electuary. A teaspoon or two to be taken for a dose in the morning.


July 22d. 1779

W C.

Diplomatic Text

[Page 1]

For Mr Mc Kie --


Mr M.'s complaints seem all to depend upon a weakness of
his
stomach and guts, and are to be cured by restoring the tone of these
parts. -- For this purpose cold Bathing will be a principal
remedy but it will not be proper by applied, unless he cuts out



[Page 2]

his hair so that his head may be bathed with the rest of his body.
It will also strengthen him greatly to be much in the fresh air & in excercise
Walking gently is allowable, but much walking may irritate his
piles too much, & should be avoided. Riding will do more service
but it should be on a horse of a good walk, for trotting may both
hurt his bowels & piles. Sailing if he can avoid cold is one of the
most proper excercises for him. Whenever he has occasion for any
length of journey it should be in a Carriage. Besides cold bathing
fresh air and excercise, his bowels may be strengthened by ye
medicines prescribed in the paper apart. The Chalybeate and
Infusion may be taken for two or three weeks at one time
& no longer but if he finds benefit from them he may after some
weeks intermission take a course of them again, and may dose
three or four times in the course of ye winter. & especially when
he is precluded from excercise. -- At all times he must give
attention to the state of his belly, & must not allow any degree of
costiveness to prevail. When it is necessary a little medicine must
be taken and as long as it will answer a little magnesia will
be proper. -- I have not either any objection to the Senna &
Manna if it can be dosed so as to do enough without doing too
much, but tho a regular belly be necessary purging more is
by no means proper. --- In the paper apart I have given a
prescription which I hope may answer. In a case of this kind a
great deal of a Mention is to be given to diet. At dinner a plain
Soup with dry toast. A little mace or whole pepper will make
it safer, but there must be no vegetables in it. & broths after ye
Scottish fashion are very improper. Every day at dinner he
May take some solid Meat, but should avoid very fat meat
& every thing baked & fried. - He should never make a full meal
of animal food but should make it up with pudding pancake &


[Page 3]

a little vegetables. In these last he must be cautious & moderate and
avoid entirely the colder kinds, as Lettuce & Cucumber, & ye more
flatulent as Cabbage but in the summer season he may take
some young & tender things as pease turnip & Collyflower &
in winter a little dry mealy potatoe. - At breakfast he
must not either take tea or Coffee, but may take Cocoa tea or
weak Chacolate. - Milk however will be better than any of
them. The Milk S.d be fresh from the Cow. & always mixed
wt an equal part of thin water gruel, barley water or Cocoa
tea & ye mixture well sweatened with fine sugar & to the
whole a spoonfull of brandy may be added. At supper he may
take a soft boiled new laid egg but no other animal food, & he
may frequently ye diluted milk boiled & poured upon bread
rice barley or Sago. -- He should for some time abstain from all
fermented Liquors whether wines or malt Liquor & Sd take
entirely to water & spirits, in different proportions as he takes it
for small or strong drink. - Let him take great care to avoid
cold particularly his feet & legs, & let him contrive to give
up Chewing tobacco altogether. --


W. C. ---

Edr. 22d July 1779. ----

For Mr McKie. ---


Limatur. Mart. pptt.
Cinnamom. pulv. @ gr. v.
Sacchar. alb. puriss. gr. x.
ℳ. f. pulvis et f. h. m. dos. № XXVIII
Sig. Stomachic Powders one to be taken in a little currant Jelly
twice a day, washing it down with a small cupfull of the
following. --


pulv. cort. Peruvian. ℥fs
Aq. font. q. s. ut f. massa Semiliquida



[Page 4]

In mortario vitreo vel lapideo terito diligenter per horam dimidiam
dein adde (↑dein paulatim affunde↑) Aq. font. ad ℔ij. Repone in lagena et macera
per horas duodecim dein adde Tinct. cort. Peruv. ℥ij et
denique per chartam cola.
Sig. Stomachic Infusion a small cupfull to be taken after
every dose of the above powders.


Crystall. Tartar. pulv. ℥j pulv. e Jalap. comp ʒj
Elect. lenitiv. ℥fs. Syr. simpl. q.s. ut f. Electuarium tenue
Sig. Laxative Electuary, a teaspoonful or two to be taken for a
dose in the morning. ---


July 22d. 1779

W C.

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