Cullen

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

 

[ID:4710] From: Dr William Cullen (Professor Cullen) / To: Mr David Gregory (Gregorie) / Regarding: Mr Benard (Patient) / 15 September 1783 / (Outgoing)

Reply, 'For Mr Gregory'

Facsimile

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Metadata

FieldData
DOC ID 4710
RCPE Catalogue Number CUL/1/1/16/114
Main Language English
Document Direction Outgoing
Date15 September 1783
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For Mr Gregory'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1656]
Case of Mons. Benard at Dunkirk who has a susceptibility to coughs and cold a 'bastard peripneumonary'. In 1786 he is having 'fits'. The letters were mistakenly associated with Gregory as the patient.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3344]AddresseeMr David Gregory (Gregorie)
[PERS ID:3345]PatientMr Benard
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3344]Patient's Physician / Surgeon / ApothecaryMr David Gregory (Gregorie)

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 South of France France Europe certain
Mentioned / Other Dunkirk (Dunkerque) France France Europe certain

Normalized Text

[Page 1]
For Mr. Gregory


I have very carefully considered the whole circumstances
of his Complaint and I am of opinion that he is for the
present free from any disease but that he has a
fault in his constitution that puts him in some
hazard of one every day. He seems very liable
to be affected with Cold which acts by throwing
an unusual quantity of fleme↑Phlegm↑ upon his lungs
and in that manner produces a disease we
call a bastard Peripneumony.


For relieving this when he happened to
be attacked with it in June last he seems
to have been very properly treated by bleeding
blistering, the use of Squills and low living
and I have only to add to it that I think
he could have been sooner relieved if




[Page 2]


immediately after the bleeding he had taken a
gentle Vomit
and perhaps once or twice more
after the Blistering.


Mr. Gregory seems to be pretty entirely
delivered from that attack but the fault in his
constitution may still continue and it ↑is↑ of great
consequence to him to know how it may be
mended and the only certain means are Cold
Bathing and Exercise. He has found the great
benefit of the latter in discussing the remains
of his great complaint and it will be ne¬
cessary for him to give up very much of his
former confined and sedentary life and to
take a good deal of exercise as often as the
weather will allow. He may walk a good
deal but it must always be very moderately




[Page 3]


and never to the degree of heating or fatiguing
him. He is indeed always to consider walking
as in his case a precarious measure and the
exercise most proper for him and only to be
depended upon ↑will↑ to be going on horseback or in
a Carriage.


Cold Bathing is one of the best means of
enabling a person to resist cold but it cannot
be employed but when a person is settled in
one place and though Mr. Gregory was just
now at home it is now too late in the Season
for him to attempt it. I must also observe that
he must not at any time attempt it but when
his breast is perfectly free and even then
must bring it on by degrees by employing at
first a tempered water and gradually bringing
up to a greater coldness.




[Page 4]


As before the ensuing winter Mr. Gregory cannot
possibly do much to mend his general constitution
his security must depend on his taking great care
to avoid cold. For this the first and most effectual
means is Warm Cloathing, he should I think now
resolve on wearing a flannel Shirt next his
skin and in Summer as well as in Winter.
He should also be otherwise warmly cloathed and
to take care that whatever he puts on before
winter should be strictly continued till the be¬
ginning of next Summer. These are necessary
measures but they may not alone be sufficient
unless he also avoids being exposed to cold when
his body is any how open. He must take parti¬
cular care never to be heated by exercise {illeg}
Chambers for in that condition a very slight
degree of cold may affect him. Even with




[Page 5]


the precaution he should never sit or stand
still in any stream of air and he must take
particular care to avoid moisture coming into
or remaining in any part of his Cloathing.


These measures with a good deal of
Exercise may I hope be sufficient in any Climate
but in a Climate explosed to much cold and mois¬
ture during the winter it will be difficult to
avoid the effects of them especially in persons
already presdisposed to be affected by them.


Therefore after what has happened to
Mr. Gregory I shall think it very proper for
him to seek a better Climate than Dunkirk
for the ensuing Winter: but He may certainly
find such a better Climate in the South of
France but even there the nearer he goes to
the Coast of the Mediterranean he will be




[Page 6]


the safer. Wherever he goes in the South of
France he will find at times a considerable degree
of cold and the Rise in Spring is always dan¬
gerous and therefore the whole of the precaution
mentioned above are never to be neglected. In
almost all Climates the Evening and Night Air
is particularly to be avoided.


In the care of Mr. Gregorys health {illeg}
attention is to be given to diet but with reg{illeg}
to him any nice choice does not seem to be {illeg}
It will be enough for him to avoid any gross or
heavy food and particularly the heavier kinds
fish and indeed much fish of any kind.
Should always be moderate in the quantity {illeg}
his Animal food and at Supper he should take
none at all.


I think it will be very proper for Mr




[Page 7]


Gregory to take a few glasses of wine every day
both at Dinner and Supper and I need hardly
say that they ought to be a few only and when
that is to be the case his wine may be of any
kind he likes best but I believe the French
wines to which I suppose he has been ac¬
customed will be always safter than the Spa¬
nish or Portuguese.


Edinburgh 15th. September
1783

Diplomatic Text

[Page 1]
For Mr. Gregory


I have very carefully considered the whole circumstances
of his Complaint and I am of opinion that he is for the
present free from any disease but that he has a
fault in his constitution that puts him in some
hazard of one every day. He seems very liable
to be affected with Cold which acts by throwing
an unusual quantity of fleme↑Phlegm↑ upon his lungs
and in that manner produces a disease we
call a bastard Peripneumony.


For relieving this when he happened to
be attacked with it in June last he seems
to have been very properly treated by bleeding
blistering, the use of Squills and low living
and I have only to add to it that I think
he could have been sooner relieved if




[Page 2]


immediately after the bleeding he had taken a
gentle Vomit
and perhaps once or twice more
after the Blistering.


Mr. Gregory seems to be pretty entirely
delivered from that attack but the fault in his
constitution may still continue and it ↑is↑ of great
consequence to him to know how it may be
mended and the only certain means are Cold
Bathing and Exercise. He has found the great
benefit of the latter in discussing the remains
of his great complaint and it will be ne¬
cessary for him to give up very much of his
former confined and sedentary life and to
take a good deal of exercise as often as the
weather will allow. He may walk a good
deal but it must always be very moderately




[Page 3]


and never to the degree of heating or fatiguing
him. He is indeed always to consider walking
as in his case a precarious measure and the
exercise most proper for him and only to be
depended upon ↑will↑ to be going on horseback or in
a Carriage.


Cold Bathing is one of the best means of
enabling a person to resist cold but it cannot
be employed but when a person is settled in
one place and though Mr. Gregory was just
now at home it is now too late in the Season
for him to attempt it. I must also observe that
he must not at any time attempt it but when
his breast is perfectly free and even then
must bring it on by degrees by employing at
first a tempered water and gradually bringing
up to a greater coldness.




[Page 4]


As before the ensuing winter Mr. Gregory cannot
possibly do much to mend his general constitution
his security must depend on his taking great care
to avoid cold. For this the first and most effectual
means is Warm Cloathing, he should I think now
resolve on wearing a flannel Shirt next his
skin and in Summer as well as in Winter.
He should also be otherwise warmly cloathed and
to take care that whatever he puts on before
winter should be strictly continued till the be¬
ginning of next Summer. These are necessary
measures but they may not alone be sufficient
unless he also avoids being exposed to cold when
his body is any how open. He must take parti¬
cular care never to be heated by exercise {illeg}
Chambers for in that condition a very slight
degree of cold may affect him. Even with




[Page 5]


the precaution he should never sit or stand
still in any stream of air and he must take
particular care to avoid moisture coming into
or remaining in any part of his Cloathing.


These measures with a good deal of
Exercise may I hope be sufficient in any Climate
but in a Climate explosed to much cold and mois¬
ture during the winter it will be difficult to
avoid the effects of them especially in persons
already presdisposed to be affected by them.


Therefore after what has happened to
Mr. Gregory I shall think it very proper for
him to seek a better Climate than Dunkirk
for the ensuing Winter: but He may certainly
find such a better Climate in the South of
France but even there the nearer he goes to
the Coast of the Mediterranean he will be




[Page 6]


the safer. Wherever he goes in the South of
France he will find at times a considerable degree
of cold and the Rise in Spring is always dan¬
gerous and therefore the whole of the precaution
mentioned above are never to be neglected. In
almost all Climates the Evening and Night Air
is particularly to be avoided.


In the care of Mr. Gregorys health {illeg}
attention is to be given to diet but with reg{illeg}
to him any nice choice does not seem to be {illeg}
It will be enough for him to avoid any gross or
heavy food and particularly the heavier kinds
fish and indeed much fish of any kind.
Should always be moderate in the quantity {illeg}
his Animal food and at Supper he should take
none at all.


I think it will be very proper for Mr




[Page 7]


Gregory to take a few glasses of wine every day
both at Dinner and Supper and I need hardly
say that they ought to be a few only and when
that is to be the case his wine may be of any
kind he likes best but I believe the French
wines to which I suppose he has been ac¬
customed will be always safter than the Spa¬
nish or Portuguese.


Edinr. 15th. Septr.
1783

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