Cullen

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

 

[ID:795] From: Dr William Cullen (Professor Cullen) / To: Mr Bell / Regarding: Mr Bell (Patient) / 29 April 1767 / (Outgoing)

Reply, in the form of a loose retained autograph copy, consisting of a numbered regimen 'For Mr Bell' who has a 'little stone'.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 795
RCPE Catalogue Number CUL/1/2/64
Main Language English
Document Direction Outgoing
Date29 April 1767
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply, in the form of a loose retained autograph copy, consisting of a numbered regimen 'For Mr Bell' who has a 'little stone'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:205]
Case of Mr Bell who is being treated to ease the natural passing of 'a little stone'.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:316]AddresseeMr Bell
[PERS ID:316]PatientMr Bell
[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]
For MrBell


As we must chiefly depend upon nature for the voiding
the little stone that occasions Mr Bells distress so my advice
at present must turn upon the means of avoiding all irritation
or whatever might aggravate his uneasiness, and for this purpose


1. Let him take frequently of some softening drinks such
as Lintseed teas or if this does not sit light on his stomach
Marshmallows deoction made as follows. Take an ounce
or Marshmallow Roots, either fresh or moderatley dried.
Boil in three muchkins of water into a chopin and when it
nearly boiled add an ounce of Liquorise root and half an
ounce of Gum Arabic. Strain through a table napkin
and take a small cupfull frequently.


2. Let care be taken to keep his belly always easy and
the most convenient remedy while he is under complaints
while he is under complaints 1 of his breast is flower
of Sulphur
, of which he may take a tea spoonfull
mixed with honey or if honey does not agree with
him he may take it in syrup made by pouring
on a bit of Sugar as much boiling water will dis¬
solve it. If one teaspoonfull of Sulphur is not e¬
noug he may take two & he may take the dose
eithert at night or at morning as he finds to an¬
swer best. When he is troubled wt much
pain & passing of blood, it will be proper for
him to take an ounce of Manna with 2 drains of
Cream of Tartar or with ℥ſs of Glauber's Salt-
Sharper purgatives he should never take-




[Page 2]


3. He must take very great care to avoid any but
the most gentle motion. Even walking, except in
the smoothest & slowest manner may do harm & going
in a machine 2 must be in the most cautious
manner. Was it not for the Complaints of his breast
I should forbid altogether his attempting a machine,
but as he may be much the better for being
Carried a little, in the fresh air, I can only bid it be
managed in the most smooth & gentle manner-


4. When he sits at home let him not be kept too
warm either by day or night as heat is bad both
for his breast & other complaints-


5. Let his diet be kept light but not too low
he may take at dinner a little broth without roots
or greens & may take also a bit of Chicken, boiled
lamb or even boiled mutton & any kind of pudding
but let him avoid fish and all kind of Salt meat-
Let him also be very sparing in taking any kind
of garden thing worse especially Cabbage, Sallad
or cucumber- An egg he may take sometimes, but
not often. Milk if he digests it well & it does not make
him Costive is otherwise very proper for him-


6. In drink let him taste [any?] kind of wine, at least this
is the safest course for him. At dinner he may take
water with a 12th part of rum or an 8th part of brandy or



[Page 3]

dutch Gin in it, but I suppose he is not to take
much of this as all kind of strong drink to any
quantity be would hurt him- Malt liquor of any
kind he should not taste. Green tea taken
moderately may be of service but much of it may do
harm-


7. He may continue to take Lime water at pleasure
taking care however that is does not make him
Costive, for if it does, I would lay it aside.
On a paper apart, I have ordered a medicine
some powder, which if his Stomach bear it will
be of service to him.


8. I have also ordered some pills for his
Asthmatic Complaint which he should take now
& then when these Complaint are most
trouble some to him-

W.C.

Edinburgh 23 July
1767
For Mr Bell

Take half a dram of crushed Bearberry leaves and let it be made in an emergency into 24 doses. Label: Nephritic powder one to be taken in a glass of water 3 times a day that is in the morning before breakfast, an hour before dinner and at seven in the Evening.

Take half a drachm each of Asafoetida and crushed millipede, along with one drachm of Elderberry Rob. Add a sufficient quantity of Saponaceous Balsam sap, and let it be made. Divide the mass into pills of five grains. Label: pectoral pills, three to be taken at bedtime for 2 or 3 nights together.

W.C.
23 July 1767



[Page 4]
1761


For
Mr Bell
July {illeg} 23 1767.

Notes:

1: Repetition in the original.

2: Contemporary general term for a horse-drawn vehicle.

Diplomatic Text

[Page 1]
For MrBell


As we must chiefly depend upon nature for the voiding
the little stone that occasions Mr Bells distress so my advice
at present must turn upon the means of avoiding all irritation
or whatever might aggravate his uneasiness, and for this purpose


1. Let him take frequently of some softening drinks such
as Lintseed teas or if this does not sit light on his stomach
Marshmallows deoction made as follows. Take an ounce
or Marshmallow Roots, either fresh or moderatley dried.
Boil in three muchkins of water into a chopin and when it
nearly boiled add an ounce of Liquorise root and half an
ounce of Gum Arabic. Strain through a table napkin
and take a small cupfull frequently.


2. Let care be taken to keep his belly always easy and
the most convenient remedy while he is under complaints
while he is under complaints 1 of his breast is flower
of Sulphur
, of which he may take a tea spoonfull
mixed with honey or if honey does not agree with
him he may take it in syrup made by pouring
on a bit of Sugar as much boiling water will dis¬
solve it. If one teaspoonfull of Sulphur is not e¬
noug he may take two & he may take the dose
eithert at night or at morning as he finds to an¬
swer best. When he is troubled wt much
pain & passing of blood, it will be proper for
him to take an ounce of Manna wt 2 drains of
Cream of Tartar or with ℥ſs of Glauber's Salt-
Sharper purgatives he should never take-




[Page 2]


3. He must take very great care to avoid any but
the most gentle motion. Even walking, except in
the smoothest & slowest manner may do harm & going
in a machine 2 must be in the most cautious
manner. Was it not for the Complaints of his breast
I should forbid altogether his attempting a machine,
but as he may be much the better for being
Carried a little, in the fresh air, I can only bid it be
managed in the most smooth & gentle manner-


4. When he sits at home let him not be kept too
warm either by day or night as heat is bad both
for his breast & other complaints-


5. Let his diet be kept light but not too low
he may take at dinner a little broth without roots
or greens & may take also a bit of Chicken, boiled
lamb or even boiled mutton & any kind of pudding
but let him avoid fish and all kind of Salt meat-
Let him also be very sparing in taking any kind
of garden thing worse especially Cabbage, Sallad
or cucumber- An egg he may take sometimes, but
not often. Milk if he digests it well & it does not make
him Costive is otherwise very proper for him-


6. In drink let him taste [any?] kind of wine, at least this
is the safest course for him. At dinner he may take
water wt a 12th part of rum or an 8th part of brandy or



[Page 3]

dutch Gin in it, but I suppose he is not to take
much of this as all kind of strong drink to any
quantity be would hurt him- Malt liquor of any
kind he should not taste. Green tea taken
moderately may be of service but much of it may do
harm-


7. He may continue to take Lime water at pleasure
taking care however that is does not make him
Costive, for if it does, I would lay it aside.
On a paper apart, I have ordered a medicine
some powder, which if his Stomach bear it will
be of service to him.


8. I have also ordered some pills for his
Asthmatic Complt wc. he should take now
& then when these Complaint are most
trouble some to him-

W.C.

Edr. 23 July
1767
For Mr Bell


℞ Fol Uva Ursi pulv. ʒſs-
f. h.m. dos. № xxiv- Signa Nephritic powder
one to be taken in a glass of water 3 times a day that
is in the morning before breakfast, an hour before
dinner and at seven in the Evening.


Asæfœted. - milliped. pulv. @ ʒſs
Rob. Sambuc. ʒi Sap. Balsam. q.s. ut f.
maſsa dividend in pil. gran. v- Signa pectoral pills
three to be taken at bedtime for 2 or 3 nights together

W.C.
23 July 1767



[Page 4]
1761


For
Mr Bell
July {illeg} 23 1767.

Notes:

1: Repetition in the original.

2: Contemporary general term for a horse-drawn vehicle.

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