Cullen

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

 

[ID:485] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr David Mitchell (Patient) / 16 April 1773 / (Outgoing)

Reply 'For Mr David Mitchell', who was to be the bearer of the letter after consulting Cullen in person. With no incoming letter the addressee, Mitchell's local practitoner, is unidentified.

Facsimile

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[Page 1]


 
 

Metadata

FieldData
DOC ID 485
RCPE Catalogue Number CUL/1/1/3/62
Main Language English
Document Direction Outgoing
Date16 April 1773
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 David Mitchell', who was to be the bearer of the letter after consulting Cullen in person. With no incoming letter the addressee, Mitchell's local practitoner, is unidentified.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:413]
Cases of David Mitchell who has a lung disorder.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1263]PatientMr David Mitchell
[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

Normalized Text

[Page 1]
For Mr David Mitchell
Sir


This will be delivered to you by Mr David Mitchell
who has consulted me & tells me he is to be in your neighbourhood
& under your care. I at his Desire therefore address my advice to
you & tho a great deal of it may be superfluous to you I must say
what I can. I think he is threatened with a Phthisis but I hope
it has not yet gone far. As soon as he is in a settled place I would
take a few ℥s of blood 1 from his arm not above ℥viij 2 till you see
the state of it & the effects of that quantity. I would in the next
place put a blister between his shoulders but would not turn any
part of it into an Issue for if he gets any sensible relief from the
blister I would prefer a pea Issue in his arm
back. To moderate his cough in the night time I would give him
such a mixture as on the other page. You will repeat the small
bleedings & the blistering as the symptoms you think may require
but my chief dependance will be upon his Diet & Exercise. I
would have him abstain from all animal food except it may be
once a day a little chicken broth or a weak beef broth. Mutton broth
is commonly too fat. For the rest of his Diet he must live very much
upon the farinacea & sometimes roots & greens. He tells me he does
not agree with milk but I would have him him try it at least for a
part of his Diet. As soon as he can get any Mares milk & I hope he
may get it very soon I would have him take some of it every morning
from ½ mutchkin to a mutchkin as his stomach bears it. With all this
Let him be on horseback as much as the weather & his strength will
permit & let it be especially in the forenoon. At all times Let him take
care to guard against all cold & moisture & for this a flannel shirt
next his skin will be a proper measure. I leave the rest &cccccccc

W. C.
For Mr David Mitchell

Take one and a half ounces of Gum Arabic and one ounce of lump Sugar. Pour over eight ounces of boiling water to dissolve, then sieve and add one ounce of Syrup of lemon. Mix. Label: Pectoral Mixture, a table spoonfull to be taken frequently when the cough is troublesome.

April 16. 1773

Notes:

1: '...a few ounces...'.

2: '...eight ounces...'.

Diplomatic Text

[Page 1]
For Mr David Mitchell
Sir


This will be delivered to you by Mr David Mitchell
who has consulted me & tells me he is to be in your neighbourhood
& under your care. I at his Desire therefore address my advice to
you & tho a great deal of it may be superfluous to you I must say
what I can. I think he is threatened with a Phthisis but I hope
it has not yet gone far. As soon as he is in a settled place I would
take a few ℥s of blood 1 from his arm not above ℥viij 2 till you see
the state of it & the effects of that quantity. I would in the next
place put a blister between his shoulders but would not turn any
part of it into an Issue for if he gets any sensible relief from ye
blister I would prefer a pea Issue in his arm
back. To moderate his cough in the night time I would give him
such a mixture as on the other page. You will repeat the small
bleedings & the blistering as the symptoms you think may require
but my chief dependance will be upon his Diet & Exercise. I
would have him abstain from all animal food except it may be
once a day a little chicken broth or a weak beef broth. Mutton broth
is commonly too fat. For the rest of his Diet he must live very much
upon the farinacea & sometimes roots & greens. He tells me he does
not agree with milk but I would have him him try it at least for a
part of his Diet. As soon as he can get any Mares milk & I hope he
may get it very soon I would have him take some of it every morning
from ½ mutchkin to a mutchkin as his stom. bears it. With all this
Let him be on horseback as much as the weather & his strength will
permit & let it be especially in the forenoon. At all times Let him take
care to guard against all cold & moisture & for this a flannel shirt
next his skin will be a proper measure. I leave the rest &cccccccc

W. C.
For Mr David Mitchell


Gum. Arabic ℥jſs Sacchar. caud. ℥j Affund. aq. bull. ℥viij
solve & colaturæ adde Syr. limon. ℥j ℳ Signa Pectoral ℳ a table
spoonfull to be taken frequently when the cough is troublesome.

April 16. 1773

Notes:

1: '...a few ounces...'.

2: '...eight ounces...'.

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