Cullen

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

 

[ID:4492] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Aitoun (Patient) / 24 August 1779 / (Outgoing)

Reply headed 'For Mr Aitoun'. Cullen advises the patient to take a long journey by coach and by horseback when possible. He suggests the patient might want to go to Buxton to take the waters but believes travel will be of more benefit.

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Metadata

FieldData
DOC ID 4492
RCPE Catalogue Number CUL/1/1/12/59
Main Language English
Document Direction Outgoing
Date24 August 1779
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply headed 'For Mr Aitoun'. Cullen advises the patient to take a long journey by coach and by horseback when possible. He suggests the patient might want to go to Buxton to take the waters but believes travel will be of more benefit.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1183]
Case of Mr Aitoun who is advised to travel to Buxton to gain strength and mend a stomach and bowel disorder.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3780]PatientMr Aitoun
[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
Therapeutic Recommendation Buxton Midlands England Europe certain

Normalized Text

[Page 1]
For Mr Aitoun


The most effectual remedy a Journey steadily pursued 2 or 3
stages a day resting during the heat of the day & c. He should travel
in a carriage but have a horse also to ride a stage or half a stage when
his strength & the weather permit


If he finds his strength increase & his ailments abate as we expect
he should travel for three weeks without intermission; but against that
time he may direct his course to Buxton, where especially if his complaints
remain he may try the drinking and bathing - and if he finds any
sensible effect (benefit) from them; he may continue them for a fortnight
or longer; but we do not value them so much as to allow them to
supersede Exercise & therefore while at Buxton he should be out every
day in his carriage & otherw take as much exercise as he conveniently can


If the weather at Buxton proves wet or if he does not feel much
benefit from the waters & especially if he was in good plight when
he went there, in all these circumstances he should leave{illeg} Buxton
immediately - As to drinking & bathing, let him begin both in great
moderation increase as he finds he bears them & never take them largely.


We are averse to give Mr A. many medicines; but he may
↑perhaps↑ with advantage take the drops he has been taking, but must
lay them aside entirely when he is taking the Buxton water


Tho we do not expect there will be occasion, yet in case of
necessity we give along with him a medicine of the nature of
the Draughts he has been in use to take either for pains of his
Stomach or Looseness; but we have turned it into a more portable
form, to be taken in drops - One hundred Drops to be taken in a
little water is nearly equal to one of his former Draughts In
case if any attack therefore in his Stomach and Bowels, he may
take a 100 Drops & in case of pain and purging continuing, in an
hour after he may take from 50 to an 100 more according to the
urgency of pain or purging - If Mr A. should be {illeg} so unlucky



[Page 2]

as to be obliged to have recourse to this remedy several times
it may bring on costiveness & if that should come on either from
the use of the Medicine or from any other cause let him take care to
remove it by taking one or two of the Laxative Pills at bedtime.


During the journey his Diet should be very much the same as it
is at present - Cocoa Tea the best breakfast he can take especially
if taken with a large proportion of fresh drawn cows milk


At Dinner, a bit of any plain meat he likes best; but he should
always keep his Stomach light with respect to animal food
& should commonly fill up his meal with Pudding or Pancake.
Vegetables he should hardly venture upon, except in may be
a little tender Collyflower or a dry mealy Potato.


At supper he should always take some kind of milk meal
A small [quantity?] of strong drink after dinner might be proper for
his Stomach & if he meets with very good red Port Sherry or
Madeira he make take two or three glasses of it, but if the wines
he meets with are not perfectly sound or if even the best of them
are ready to turn sour on his Stomach, he should avoid wine
altogether and take two or three glasses of Toddy either of
Brandy or Rum as he likes best - He should take no kind
of Malt Liquor ---

August 24 th 1779

Diplomatic Text

[Page 1]
For Mr Aitoun


The most effectual remedy a Journey steadily pursued 2 or 3
stages a day resting during the heat of the day & c. He should travel
in a carriage but have a horse also to ride a stage or half a stage when
his strength & the weather permit


If he finds his strength increase & his ailments abate as we expect
he should travel for three weeks without intermission; but against that
time he may direct his course to Buxton, where especially if his compts
remain he may try the drinking and bathing - and if he finds any
sensible effect (benefit) from them; he may continue them for a fortnight
or longer; but we do not value them so much as to allow them to
supersede Exercise & therefore while at Buxton he should be out every
day in his carriage & otherw take as much exercise as he conveniently can


If the weather at Buxton proves wet or if he does not feel much
benefit from the waters & especially if he was in good plight when
he went there, in all these circumstances he should leave{illeg} Buxton
immediately - As to drinking & bathing, let him begin both in great
moderation increase as he finds he bears them & never take them largely.


We are averse to give Mr A. many meds; but he may
↑perhaps↑ with advantage take the drops he has been taking, but must
lay them aside entirely when he is taking the Buxton water


Tho we do not expect there will be occasion, yet in case of
necessity we give along with him a medicine of the nature of
the Draughts he has been in use to take either for pains of his
Stomach or Looseness; but we have turned it into a more portable
form, to be taken in drops - One hundred Drops to be taken in a
little water is nearly equal to one of his former Draughts In
case if any attack therefore in his Stomach and Bowels, he may
take a 100 Drops & in case of pain and purging continuing, in an
hour after he may take from 50 to an 100 more according to the
urgency of pain or purging - If Mr A. should be {illeg} so unlucky



[Page 2]

as to be obliged to have recourse to this remedy several times
it may bring on costiveness & if that should come on either from
the use of the Med or from any other cause let him take care to
remove it by taking one or two of the Laxative Pills at bedtime.


During the journey his Diet should be very much the same as it
is at present - Cocoa Tea the best breakfast he can take especially
if taken with a large proportion of fresh drawn cows milk


At Dinner, a bit of any plain meat he likes best; but he should
always keep his Stomach light with respect to animal food
& should commonly fill up his meal with Pudding or Pancake.
Vegetables he should hardly venture upon, except in may be
a little tender Collyflower or a dry mealy Potato.


At supper he should always take some kind of milk meal
A small [qty?] of strong drink after dinner might be proper for
his Stomach & if he meets with very good red Port Sherry or
Madeira he make take two or three glasses of it, but if the wines
he meets with are not perfectly sound or if even the best of them
are ready to turn sour on his Stomach, he should avoid wine
altogether and take two or three glasses of Toddy either of
Brandy or Rum as he likes best - He should take no kind
of Malt Liquor ---

Aug 24 th 1779

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