Cullen

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

 

[ID:4518] From: Dr William Cullen (Professor Cullen) / To: William Kerr / Regarding: William Kerr (Patient) / 21? September? 1779 / (Outgoing)

Reply 'For Mr Kerr'. Day of month inferred from dating of incoming report on Kerr.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4518
RCPE Catalogue Number CUL/1/1/12/85
Main Language English
Document Direction Outgoing
Date21? September? 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 'For Mr Kerr'. Day of month inferred from dating of incoming report on Kerr.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1176]
Case of Mr William Kerr who spits blood from an advanced cosumptive condition and who is advised to not spend the winter in Scotland but move to a warmer climate.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3764]Addressee William Kerr
[PERS ID:3764]Patient William Kerr
[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 Wright's House(s) Edinburgh Edinburgh and East Scotland Europe inferred
Mentioned / Other Portugal Europe certain

Normalized Text

[Page 1]
For Mr Kerr


He must repair to a warmer climate ↑for the winter↑ & that as soon as possible
He may travel a tolerable days journey, but must carefully avoid
much fatigue or travelling in the night.


Whether on land or water, his chief care is to avoid Cold and
this by warm clothing rather than avoiding the fresh air, but
at all times {illeg} carefully avoid damp & moisture.


Diet on the road - some solid meat at Dinner, but rather
the lighter kinds & particularly light suppers, and these of
milk when he can get it.


At all times plain water his safest drink; but on the
road he may take a very little wine in his water, or
if disposed to be costive - a little porter, with two or three
parts water.


In a warm Climate he may take lemonade or sherbert
for ordinary drink - Plain wine will hardly ever be allow¬
able - & should also lay aside almost entirely Anim¬
al food or take of the lighter kinds only, and his Diet



[Page 2]

should consist of milk grain & fruit, avoiding Animal
food on the one hand & too much greens or roots on the other


In the warm climate he should be a good deal in the fresh
air, avoiding always the extremes of heat and cold - Bodily
exercise always very gently; and should ride out daily avoid¬
ing extremes of heat & cold.


This Regimen I expect will preserve him from all ailment,
but in case it should not he must take the following measures.


When [setled?] at the end of his Journey, if he be threatend
with any return of the complaints of his breast let a
Pea Issue be put into one of his arms & kept open till
he returns to this Country.


If any Hӕmoptysis returns it may be necessary to take
a little blood from his
arm, but I leave it to his own
discretion & former experience how far it is to be pushed
with this Caution, that the Portuguese Physicians are disposed
to bleed largely.


His belly should be always regular & if costiveness
should come on it must be removed by the Medicine №


If he be troubled with cough catarrh or Dyspnœa & these
without spitting of blood let him by the Medicine №
which he has formerly found of service to him. As it may
not be got p it so properly every where as here, there is a
parcel sent along with him, put up in Doses, one two or
three of them to be taken in the course of twenty four hours
as his stomach & bowels bear them

Diplomatic Text

[Page 1]
For Mr Kerr


He must repair to a warmer climate ↑for the winter↑ & that as soon as possible
He may travel a tolerable days journey, but must carefully avoid
much fatigue or travelling in the night.


Whether on land or water, his chief care is to avoid Cold and
this by warm clothing rather than avoiding the fresh air, but
at all times {illeg} carefully avoid damp & moisture.


Diet on the road - some solid meat at Dinner, but rather
the lighter kinds & particularly light suppers, and these of
milk when he can get it.


At all times plain water his safest drink; but on the
road he may take a very little wine in his water, or
if disposed to be costive - a little porter, with two or three
parts water.


In a warm Climate he may take lemonade or sherbert
for ordinary drink - Plain wine will hardly ever be allow¬
able - & should also lay aside almost entirely Anim¬
al food or take of the lighter kinds only, and his Diet



[Page 2]

should consist of milk grain & fruit, avoiding Animal
food on the one hand & too much greens or roots on the other


In the warm climate he should be a good deal in the fresh
air, avoiding always the extremes of heat and cold - Bodily
exercise always very gently; and should ride out daily avoid¬
ing extremes of heat & cold.


This Regimen I expect will preserve him from all ailment,
but in case it should not he must take the following measures.


When [setled?] at the end of his Journey, if he be threatend
with any return of the complaints of his breast let a
Pea Issue be put into one of his arms & kept open till
he returns to this Country.


If any Hӕmoptysis returns it may be necessary to take
a little blood from his
arm, but I leave it to his own
discretion & former experience how far it is to be pushed
with this Caution, that the Portuguese Physicians are disposed
to bleed largely.


His belly should be always regular & if costiveness
should come on it must be removed by the Medicine №


If he be troubled with cough catarrh or Dyspnœa & these
without spitting of blood let him by the Medicine №
wc he has formerly found of service to him. As it may
not be got p it so properly every where as here, there is a
parcel sent along with him, put up in Doses, one two or
three of them to be taken in the course of twenty four hours
as his stomach & bowels bear them

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