Cullen

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

 

[ID:5813] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Kirkpatrick (Patient) / 30 April 1789 / (Outgoing)

Reply, 'Kirkpatrick Esqr'. The patient previously suffered from 'night fevers and sweatings'.

Facsimile

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Metadata

FieldData
DOC ID 5813
RCPE Catalogue Number CUL/1/1/21/85
Main Language English
Document Direction Outgoing
Date30 April 1789
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, 'Kirkpatrick Esqr'. The patient previously suffered from 'night fevers and sweatings'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2348]
Case simply headed 'Kirkpatrick Case' which may refer to the place rather than a person. Cullen's reply discusses regimen.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:5812]PatientMr Kirkpatrick
[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 Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Kirkpatrick Esqr..
Sir


After fully considering the history of his
complaints and after having upon the opinion we
had formed of them employed some remedies we
are determined to propose the following measures
for his further management.


We are clearly of opinion that there is
no measure to be more properly employed
than a journey of some length, providing always
that he manages it so, as to avoid fatigue
and cold, and both to be studied, so as to
render his journeys as far as possible comĀ¬
patible with good accommodation.


In diet he may take any ordinary fare
that his former experience has found amicable
to his stomach. He may and shoul[d] take a
portion of animal food every day at dinner
but at Supper the less of it the better.




[Page 2]


He may take a part of any kind of fish at
dinner, but it should always be in {illeg}
quantity and not every day. Garden things
as they come in season in the course of
Summer he should always take a part of
them, but always moderately, and especiall[y]
this with respect to the colder things as
Lettuce and Cucumber, and the more wind[y]
things as Cabbage he should avoid altogether.
Fruit as Strawberry (ies) and Gooseberries he
may take pretty freely, but the Stone frui[t]
that comes afterwards, he should take [very?]
sparingly. Melon if quite ripe he may
take a part of, but it should be always
with great caution. If Grapes are very
fully ripened, and not taken largely, they
are tolerably safe. With any kind of frui[t]
he may take some Cream, but it should
not be strong or in large quantity. Light



[Page 3]

Puddings will always make a proper part
of his Dinners, and if he digests milk easily
some kind of milk meat will make his most
proper Suppers.


For ordinary drink Water with a little
white wine in it will be the best, and all
kinds of Malt liquor should be avoided. At
dinner and after it he should take a few
glasses of wine, but it ought always to be in
moderate quantity, and we think a Pint of
Claret, or half a pint of Port will be a
proper measure, and if hospitality should
ever press him to go further, it will always
be with much hazard. He may take other
kinds of wine than these we have mentioned
but he is to take care that they do not
carry him much further than the measures
we have set down.




[Page 4]


With respect to medicine we hope he shall
have occasion for very little, but we judge it
proper for him to carry along with him a
quantity of the same medicine he has [found?]
so much benefit from here. They are put
up in such doses, as he has taken lately
and if he should be threatened with any
relapse into his night fevers and sweatings
he may take two, three or four doses of an
Evening as the circumstances of his threatning
complaints shall seem to require. Even
upon slight threatnings, he may take two
doses of an Evening, and repeat them for
two - three following nights, but we must
trust and recommend it to his discretion
to take no more medicine than is quite necessary.

William Cullen

Edinburgh 30th.. April
1789/

Diplomatic Text

[Page 1]
Kirkpatrick Esqr..
Sir


After fully considering the history of his
complaints and after having upon the opinion we
had formed of them employed some remedies we
are determined to propose the following measures
for his further management.


We are clearly of opinion that there is
no measure to be more properly employed
than a journey of some length, providing always
that he manages it so, as to avoid fatigue
and cold, and both to be studied, so as to
render his journeys as far as possible comĀ¬
patible with good accommodation.


In diet he may take any ordinary fare
that his former experience has found amicable
to his stomach. He may and shoul[d] take a
portion of animal food every day at dinner
but at Supper the less of it the better.




[Page 2]


He may take a part of any kind of fish at
dinner, but it should always be in {illeg}
quantity and not every day. Garden things
as they come in season in the course of
Summer he should always take a part of
them, but always moderately, and especiall[y]
this with respect to the colder things as
Lettuce and Cucumber, and the more wind[y]
things as Cabbage he should avoid altogether.
Fruit as Strawberry (ies) and Gooseberries he
may take pretty freely, but the Stone frui[t]
that comes afterwards, he should take [very?]
sparingly. Melon if quite ripe he may
take a part of, but it should be always
with great caution. If Grapes are very
fully ripened, and not taken largely, they
are tolerably safe. With any kind of frui[t]
he may take some Cream, but it should
not be strong or in large quantity. Light



[Page 3]

Puddings will always make a proper part
of his Dinners, and if he digests milk easily
some kind of milk meat will make his most
proper Suppers.


For ordinary drink Water with a little
white wine in it will be the best, and all
kinds of Malt liquor should be avoided. At
dinner and after it he should take a few
glasses of wine, but it ought always to be in
moderate quantity, and we think a Pint of
Claret, or half a pint of Port will be a
proper measure, and if hospitality should
ever press him to go further, it will always
be with much hazard. He may take other
kinds of wine than these we have mentioned
but he is to take care that they do not
carry him much further than the measures
we have set down.




[Page 4]


With respect to medicine we hope he shall
have occasion for very little, but we judge it
proper for him to carry along with him a
quantity of the same medicine he has [found?]
so much benefit from here. They are put
up in such doses, as he has taken lately
and if he should be threatened with any
relapse into his night fevers and sweatings
he may take two, three or four doses of an
Evening as the circumstances of his threatning
complaints shall seem to require. Even
upon slight threatnings, he may take two
doses of an Evening, and repeat them for
two - three following nights, but we must
trust and recommend it to his discretion
to take no more medicine than is quite necessary.

William Cullen

Edinr. 30th.. April
1789/

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