Cullen

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

 

[ID:4946] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mr Hart (Patient) / 18 November 1784 / (Outgoing)

Reply, 'For Mr Hart'

Facsimile

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Metadata

FieldData
DOC ID 4946
RCPE Catalogue Number CUL/1/1/17/140
Main Language English
Document Direction Outgoing
Date18 November 1784
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply, 'For Mr Hart'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1753]
Case of Mr Hart whose complaints are all attributed to 'a gouty disposition'.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3776]AddresseeDr
[PERS ID:3774]PatientMr Hart
[PERS ID:3776]Patient's Physician / Surgeon / ApothecaryDr
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:408]Other Physician / SurgeonMr James Wood (of Berwick)

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. Hart


I have considered the whole of the circumstances
of his complaints and can have no doubt with regard
to the nature of them that they all depend upon
a Gouty disposition which does not take its
regular and proper course. To mend this matter
is often sufficiently difficult but I hope that
by proper attention it may be entirely mended
or at least greatly relieved and for these purposes
I would propose the following measures.


1. In diet he must avoid every thing that
may weaken the Stomach and therefore at
Breakfast or indeed at any other time he should
take no Tea. Coffee is safer but not much so



[Page 2]

{illeg} be seldom taken and only {illeg}
weak Chocolate or Coco tea is a safer breakfast
either Indian tea or Coffee.


At dinner he may take a little plain Soup
but he should take no Scotch Broth, that is with
barley and greens. For the rest of his dinner he
may take a little of any plain meat, as Beef,
Mutton, Veal, Lamb or white fowl roasted or
boiled but the former to be preferred. He should
take no very fat meat and therefore neither
Pork nor Bacon, nor much of the fat of any {illeg}
meat. Pidgeons are allowable but Duck, Goose
and other water fowl it will be proper to let alone.
The lighter kind of white fish or Haddock
Whiting, Codling and flounder plain dressed may
be taken frequently but not very often and



[Page 3]

{illeg} kinds of fish as Salmon, Herring,
Cod {illeg} Shell fish should be avoided altogether.
He should at all times avoid a full meal especially
of animal food and when his appetite puts him
in danger for this he should try to cheat it by
taking Soup and Bread at the beginning and to
conclude it with some light pudding of bread or
Rice. All Sorts of Garden things are hazardous
and even improper. They should therefore be
taken sparingly and always very well boiled
the more windy kinds such as Cabbage and
the colder kinds such as Lettuce and Cucumber
should be avoided altogether. Of Spiceries such
as pepper, Nutmeg, Mace and Ginger he may
take moderately and of Mustard very freely but
Pickles of all kinds must be abstained from


[Page 4]

{illeg} or Lemon juice Should {illeg}
simply be admitted into any Sauce.


In drinking hardly any thing is proper but
plain water. I hold all fermented liquors and
particularly all kind of Malt liquors to be improper
for Mr. Hart and if any kind of strong liquor
is to be allowed it is water with a small propor¬
tion of Spirits with a little Sugar but without
any lemon. The Spirit may be Rum, Brandy
or Malt Spirit as he likes best. Though I
think Wine in general hazardous he may per¬
haps safely at times take a little very good
Madeira or very good Old Port.


Mr. Harts Supper should always be
very light or none at all but if he {illeg}{illeg} is in↑ any
constant habit of taking Suppers he may



[Page 5]

take an Egg or little of any Milk meat that
he finds to digest with him easily


2d. Being much in the fresh Air and in some
Exercise might certainly be very useful to him.
He may walk out to any length that neither
heats him nor fatigues him and his walking
is the more necessary as either Riding or going
in a Carriage is ready to excite the disorder of
his Stomach. I hope however by means of the
Regimen above prescribed and the medicines
I am to advise for him that he will become
less liable to these disorders than he had
been and I would wish that he should try
Riding as often as he can but let him try
it only in the forenoon when his Stomach



[Page 6]

has very little upon it and let him walk
the horse only without trotting till he can bear
this better.


3 At all times let him take care to
avoid cold and moisture and for this purpose
let him be always warmly Cloathed and take
particular care to keep his feet and legs
very warm and dry. Woolen every where next
his Skin may be of great Service to him.


4. He should always go early to bed
and not lie too long in the morning except
when upon wakening he finds some moisture
upon his Skin and then he may favour
this by lying a little longer a bed than usual.


5 The above is all that I can recollect



[Page 7]

at present as necessary with respect to
Regimen and my directions for medicines
are delivered to Mr. Wood

Diplomatic Text

[Page 1]

For Mr. Hart


I have considered the whole of the circumstances
of his complaints and can have no doubt with regard
to the nature of them that they all depend upon
a Gouty disposition which does not take its
regular and proper course. To mend this matter
is often sufficiently difficult but I hope that
by proper attention it may be entirely mended
or at least greatly relieved and for these purposes
I would propose the following measures.


1. In diet he must avoid every thing that
may weaken the Stomach and therefore at
Breakfast or indeed at any other time he should
take no Tea. Coffee is safer but not much so



[Page 2]

{illeg} be seldom taken and only {illeg}
weak Chocolate or Coco tea is a safer breakfast
either Indian tea or Coffee.


At dinner he may take a little plain Soup
but he should take no Scotch Broth, that is with
barley and greens. For the rest of his dinner he
may take a little of any plain meat, as Beef,
Mutton, Veal, Lamb or white fowl roasted or
boiled but the former to be preferred. He should
take no very fat meat and therefore neither
Pork nor Bacon, nor much of the fat of any {illeg}
meat. Pidgeons are allowable but Duck, Goose
and other water fowl it will be proper to let alone.
The lighter kind of white fish or Haddock
Whiting, Codling and flounder plain dressed may
be taken frequently but not very often and



[Page 3]

{illeg} kinds of fish as Salmon, Herring,
Cod {illeg} Shell fish should be avoided altogether.
He should at all times avoid a full meal especially
of animal food and when his appetite puts him
in danger for this he should try to cheat it by
taking Soup and Bread at the beginning and to
conclude it with some light pudding of bread or
Rice. All Sorts of Garden things are hazardous
and even improper. They should therefore be
taken sparingly and always very well boiled
the more windy kinds such as Cabbage and
the colder kinds such as Lettuce and Cucumber
should be avoided altogether. Of Spiceries such
as pepper, Nutmeg, Mace and Ginger he may
take moderately and of Mustard very freely but
Pickles of all kinds must be abstained from


[Page 4]

{illeg} or Lemon juice Should {illeg}
simply be admitted into any Sauce.


In drinking hardly any thing is proper but
plain water. I hold all fermented liquors and
particularly all kind of Malt liquors to be improper
for Mr. Hart and if any kind of strong liquor
is to be allowed it is water with a small propor¬
tion of Spirits with a little Sugar but without
any lemon. The Spirit may be Rum, Brandy
or Malt Spirit as he likes best. Though I
think Wine in general hazardous he may per¬
haps safely at times take a little very good
Madeira or very good Old Port.


Mr. Harts Supper should always be
very light or none at all but if he {illeg}{illeg} is in↑ any
constant habit of taking Suppers he may



[Page 5]

take an Egg or little of any Milk meat that
he finds to digest with him easily


2d. Being much in the fresh Air and in some
Exercise might certainly be very useful to him.
He may walk out to any length that neither
heats him nor fatigues him and his walking
is the more necessary as either Riding or going
in a Carriage is ready to excite the disorder of
his Stomach. I hope however by means of the
Regimen above prescribed and the medicines
I am to advise for him that he will become
less liable to these disorders than he had
been and I would wish that he should try
Riding as often as he can but let him try
it only in the forenoon when his Stomach



[Page 6]

has very little upon it and let him walk
the horse only without trotting till he can bear
this better.


3 At all times let him take care to
avoid cold and moisture and for this purpose
let him be always warmly Cloathed and take
particular care to keep his feet and legs
very warm and dry. Woolen every where next
his Skin may be of great Service to him.


4. He should always go early to bed
and not lie too long in the morning except
when upon wakening he finds some moisture
upon his Skin and then he may favour
this by lying a little longer a bed than usual.


5 The above is all that I can recollect



[Page 7]

at present as necessary with respect to
Regimen and my directions for medicines
are delivered to Mr. Wood

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