Cullen

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

 

[ID:65] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Somerville (Somervil) (Patient) / 30 August 1769 / (Outgoing)

Reply 'For Mr Somervil'

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 65
RCPE Catalogue Number CUL/1/1/1/60
Main Language English
Document Direction Outgoing
Date30 August 1769
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mr Somervil'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:265]
Case of Mr Somervil who has a chest disorder.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:68]PatientMr Somerville (Somervil)
[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 Somervil


Tho Mr Somervil at present Labours under no disease
yet he has had frequent attacks of an ailment in one part
it is to be suspected that this part is ↑not↑ quite sound & that he may
be liable to the returns of the same disease in it. In this situa¬
tion it will be prudent and perhaps very necessary for him
to take all the pains he can to t restore the part & all the precau¬
tions he can employ to avoid everything that might affect the
weak part.


For removing any obstruction that may remain I advise
a Goat whey course & I am still of opinion it would be of
service, & if the proper measures for this Season have been ne¬
glected I still think he should pass some part of the Summer
in the Country and live much on a Milk and whey diet.


Wherever he is to be I think he should take advantage
of the good Season to go very frequently on horseback or in a Car¬
riage & in either way to take a great deal of gentle exercise as the sur¬
est way means both of removing the remains of obstructions and of res¬
toring stren↑g↑th to the weak part.


The Last effect I may be in part Obtained but it cannot
be so perfect as to put him of his guard against every thing that
might hurt a weak and unsound part.


For that purpose it is proper for him to avoid all full living.
It is not necessary he should take to vegetables alone but he should
take very moderately of Flesh or fish. He should avoid them entire¬
ly at Supper, and at dinner prefer the lightest kinds and never to
make a full meal of any kind of meat but to fill it up with broth pud¬
ding and vegetables.


Moderation in drinking is still more necessary



[Page 2]

Strong drink taken to the Length of even heating him is always likely
to do mischief. If he observes moderation there is little occasion for
nicety in the choice of his drink, but I would always prefer Wine to
Punch or Spirits in any form


Next to moderation in Diet it is of consequence for Mr So¬
mervil to avoid Cold & I think he should a Flannel Shirt next to his
skin both in Summer and Winter and should in no weather
change his cloaths from thicker to thinner.


Tho Mr Somervil will be the better for riding on horseback
or going in a carriage he will always be in danger from bodily
exercise that may in the least heat him. He should therefore avoid this
and if he does he will be have no occasion for light Cloaths, & both by
warm Cloathing and by avoided (↑ing↑) being heated by exercise he will
be in much less danger of Cold


The only other advice I find necessary for Mr Somervil
is to keep his belly always regular. If it can be done by diet it is the best
way but if not he ought to have recourse to Medicine so as never to be
two days without a Stool.

W: Cullen

Diplomatic Text

[Page 1]
For Mr Somervil


Tho Mr Somervil at present Labours under no disease
yet he has had frequent attacks of an ailment in one part
it is to be suspected that this part is ↑not↑ quite sound & that he may
be liable to the returns of the same disease in it. In this situa¬
tion it will be prudent and perhaps very necessary for him
to take all the pains he can to t restore the part & all the precau¬
tions he can employ to avoid everything that might affect the
weak part.


For removing any obstruction that may remain I advise
a Goat whey course & I am still of opinion it would be of
service, & if the proper measures for this Season have been ne¬
glected I still think he should pass some part of the Summer
in the Country and live much on a Milk and whey diet.


Wherever he is to be I think he should take advantage
of the good Season to go very frequently on horseback or in a Car¬
riage & in either way to take a great deal of gentle exercise as the sur¬
est way means both of removing the remains of obstructions and of res¬
toring stren↑g↑th to the weak part.


The Last effect I may be in part Obtained but it cannot
be so perfect as to put him of his guard against every thing that
might hurt a weak and unsound part.


For that purpose it is proper for him to avoid all full living.
It is not necessary he should take to vegetables alone but he should
take very moderately of Flesh or fish. He should avoid them entire¬
ly at Supper, and at dinner prefer the lightest kinds and never to
make a full meal of any kind of meat but to fill it up with broth pud¬
ding and vegetables.


Moderation in drinking is still more necessary



[Page 2]

Strong drink taken to the Length of even heating him is always likely
to do mischief. If he observes moderation there is little occasion for
nicety in the choice of his drink, but I would always prefer Wine to
Punch or Spirits in any form


Next to moderation in Diet it is of consequence for Mr So¬
mervil to avoid Cold & I think he should a Flannel Shirt next to his
skin both in Summer and Winter and should in no weather
change his cloaths from thicker to thinner.


Tho Mr Somervil will be the better for riding on horseback
or going in a carriage he will always be in danger from bodily
exercise that may in the least heat him. He should therefore avoid this
and if he does he will be have no occasion for light Cloaths, & both by
warm Cloathing and by avoided (↑ing↑) being heated by exercise he will
be in much less danger of Cold


The only other advice I find necessary for Mr Somervil
is to keep his belly always regular. If it can be done by diet it is the best
way but if not he ought to have recourse to Medicine so as never to be
two days without a Stool.

W: Cullen

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