Cullen

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

 

[ID:4964] From: Dr William Cullen (Professor Cullen) / To: Mr S J / Regarding: Mr S J (Patient), Anonymous (Patient) / 4 January 1785 / (Outgoing)

Reply 'For S. J.'

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

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Metadata

FieldData
DOC ID 4964
RCPE Catalogue Number CUL/1/1/17/158
Main Language English
Document Direction Outgoing
Date4 January 1785
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 S. J.'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:650]
Case of the anonymised "S .J.", who is being treated for a swollen testicle.
8
[Case ID:2519]
Case of a 'female friend' of S.J.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3101]AddresseeMr S J
[PERS ID:3101]PatientMr S J
[PERS ID:3102]Patient
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3102]Patient's Relative / Spouse / Friend
[PERS ID:3101]Patient's Relative / Spouse / FriendMr S J

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 Alloa Mid Scotland Scotland Europe inferred

Normalized Text

[Page 1]
For S. J.


In the Packet delivered today will be found
inclosed 24 Papers of Powder. One of these is to be
taken in t dissolved in half a Mutckin of Spring
water three times every day. This is the only me¬
dicine necessary at present but I have taken
the opportunity of delivering the Packet inclosing
in it a small Syringe which may be hereafter
necessary.


In such a Case a proper regimen is of much
consequence and you will please to observe the
following. Your Breakfast may be of Tea as
usual but with dry toast without butter, if it
is agreeable to put over your Bread to Spread
it with Currant Jelly you may take this freely
but for the same purpose Marmalade is not
proper.


At dinner you may take Broth of any




[Page 2]


kind as largely as you please. You may also {illeg}
take a bit of any plain meat you please but the more
Sparing you are in this Article the better and you
should fill up your Meal with Broth, Pudding
and Vegetables. You must take no Salted meats
and no pepper or other Spiceries to any thing you
take. You will do well also to abstain from fish
altogether or at least to take them seldom and
very sparingly. If milk digests with you easily
and does not make you Costive you may take it
either at Breakfast or Supper very freely.


At Supper you must take no kind of meat and
not even an Egg. If you do not take milk with
Bread, Rice, or Barley, you must be satisfied with
a piece of dry toast with a draught of Small beer
or weak Negus.


Your ordinary drink should be plain water and
the more water or watery liquor you take it will
be the better but if you are disposed to be Costive




[Page 3]


you may take Small beer for a great part of your drink
All kinds of Strong drink, whether Wine, Beer or
Punch must be avoided as much as possible but if
decency requires it two or three glasses at times may
be taken.


All kinds of Exercise must be carefully avoided
Walking much will do great ↑the most↑ harm, Riding might
do a great deal and if Travelling is any ways
necessary it must be in a Carriage, avoiding however
rough roads and fast driving.


Cold in general should be avoided but especially
its coming at the Privy parts.


These are all the advices I think necessary
at present nor can I give any other till I shall
know how the Symptoms proceed and which I would
beg to be informed of about Eight days after this.
At that time I would beg to know particularly what is
the State of the heat of the Urine and of the inflam¬
mation
at the Orifice of the passage and if




[Page 4]


any Night Erections or Chordee have come on and {illeg}
all this what changes have happened in the appea¬
rance of the matter discharged

For the Female Friend


Let her live low in point of Eating and drinking
as much as possible.


Let her also drink very largely of water and
watery liquors.


Let her avoid as much as possible all bodily
labour and fatigue


Let her take care to keep the parts very clean
by washing with luke warm water or nearly cool
two three times a day.


Let her by means of the Syringe delivered in
the packet today inject one full of it into the
Birth and with what force the Syringe will
allow of every night and morning.


I have only to add for both Parties that if Costive¬
ness comes on
to any degree it should be relieved by a mode¬
rate dose of Glauber Salt taken once or twice a week

William Cullen
Edinburgh 4th. January 1785.

Diplomatic Text

[Page 1]
For S. J.


In the Packet delivered today will be found
inclosed 24 Papers of Powder. One of these is to be
taken in t dissolved in half a Mutckin of Spring
water three times every day. This is the only me¬
dicine necessary at present but I have taken
the opportunity of delivering the Packet inclosing
in it a small Syringe which may be hereafter
necessary.


In such a Case a proper regimen is of much
consequence and you will please to observe the
following. Your Breakfast may be of Tea as
usual but with dry toast without butter, if it
is agreeable to put over your Bread to Spread
it with Currant Jelly you may take this freely
but for the same purpose Marmalade is not
proper.


At dinner you may take Broth of any




[Page 2]


kind as largely as you please. You may also {illeg}
take a bit of any plain meat you please but the more
Sparing you are in this Article the better and you
should fill up your Meal with Broth, Pudding
and Vegetables. You must take no Salted meats
and no pepper or other Spiceries to any thing you
take. You will do well also to abstain from fish
altogether or at least to take them seldom and
very sparingly. If milk digests with you easily
and does not make you Costive you may take it
either at Breakfast or Supper very freely.


At Supper you must take no kind of meat and
not even an Egg. If you do not take milk with
Bread, Rice, or Barley, you must be satisfied with
a piece of dry toast with a draught of Small beer
or weak Negus.


Your ordinary drink should be plain water and
the more water or watery liquor you take it will
be the better but if you are disposed to be Costive




[Page 3]


you may take Small beer for a great part of your drink
All kinds of Strong drink, whether Wine, Beer or
Punch must be avoided as much as possible but if
decency requires it two or three glasses at times may
be taken.


All kinds of Exercise must be carefully avoided
Walking much will do great ↑the most↑ harm, Riding might
do a great deal and if Travelling is any ways
necessary it must be in a Carriage, avoiding however
rough roads and fast driving.


Cold in general should be avoided but especially
its coming at the Privy parts.


These are all the advices I think necessary
at present nor can I give any other till I shall
know how the Symptoms proceed and which I would
beg to be informed of about Eight days after this.
At that time I would beg to know particularly what is
the State of the heat of the Urine and of the inflam¬
mation
at the Orifice of the passage and if




[Page 4]


any Night Erections or Chordee have come on and {illeg}
all this what changes have happened in the appea¬
rance of the matter discharged

For the Female Friend


Let her live low in point of Eating and drinking
as much as possible.


Let her also drink very largely of water and
watery liquors.


Let her avoid as much as possible all bodily
labour and fatigue


Let her take care to keep the parts very clean
by washing with luke warm water or nearly cool
two three times a day.


Let her by means of the Syringe delivered in
the packet today inject one full of it into the
Birth and with what force the Syringe will
allow of every night and morning.


I have only to add for both Parties that if Costive¬
ness comes on
to any degree it should be relieved by a mode¬
rate dose of Glauber Salt taken once or twice a week

William Cullen
Edinr. 4th. Janry. 1785.

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