Cullen

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

 

[ID:849] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Russel (Russell) (Patient) / 24 June 1773 / (Outgoing)

Reply, giving directions for Mr Russell [or Russel]. Two draft copies of the same response. The first is a very neat copy in Cullen's own hand. The second is a heavily contracted version of the same document; since this second-verison simply repeats the same text it has not been transcribed. However, the contracted version does include a prescription which is appended to the available transcription.

Facsimile

There are 6 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 

[Page 5]


 

[Page 6]


 
 

Metadata

FieldData
DOC ID 849
RCPE Catalogue Number CUL/1/2/116
Main Language English
Document Direction Outgoing
Date24 June 1773
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, giving directions for Mr Russell [or Russel]. Two draft copies of the same response. The first is a very neat copy in Cullen's own hand. The second is a heavily contracted version of the same document; since this second-verison simply repeats the same text it has not been transcribed. However, the contracted version does include a prescription which is appended to the available transcription.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Draft versions for this document exist:

1. [DOC ID:6298]

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:408]
Case of Mr Russell whose long-standing complaints include asthma and skin eruptions.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1296]PatientMr Russel (Russell)
[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
Therapeutic Recommendation North America certain
Therapeutic Recommendation Cadiz Spain Spain Europe certain
Therapeutic Recommendation Lisbon Portugal Portugal Europe certain
Therapeutic Recommendation Philadelphia Pennsylvania USA North America certain
Therapeutic Recommendation St Lucar (San Lucar) Spain Spain Europe certain

Normalized Text

[Page 1]
For MrRussell 1


Mr Russels ailments are of such a nature as
to be of very difficult cure and they have now been
in him of such long standing as to make that dif¬
ficulty still greater. We cannot therefore propose
to make an entire cure but some attention and
pains properly bestowed can always make them much
easier.


The attention that is necessary with respect
to diet, exercise, avoiding cold and keeping the belly
regular, our former advice and Mr Russels own
experience have sufficiently instructed him in, and
we have only now to add what we are directed to
by his own late observation and Experience.


From the observations he has made on the effects
of eruptions on his skin we are certain that if the



[Page 2]

determination of the circulation to the surface of the
body was sufficiently kept up his asthmatic complaints
would be much easier. We propose therefore that
he should use a medicine which from much experience
we know to be usefull to his purpose. It is a mixture
ordered below of which he must take a table spoon¬
full at bedtime. This dose may give him a little
sickness at stomach and it is proper that it should
do so but to a certain degree but not so far as to
make him ready to vomit
. According therefore to
the effects on the stomach the dose is to be regula¬
ted. If the dose makes him very sick and
ready to vomit it must be diminished but if it has
no sensible effects or when the effects it has at first
are by repetition prevented, it is necessary to increase
the dose by half a spoonful at a time till he can
perceive its effects. This Medicine is not to con not


[Page 3]

to be constantly employed but for several weeks at a
time and again after some intermission for a like time
more or less as ↑the↑ relief obtained by it shall direct. The
times when it will be more especially necessary are
in Winter and in easterly weather and then too it is
when warm cloathing and every other means of avoiding
cold are to be employed.


Another remedy which Mr Russell's late expe¬
rience has suggested we can also recommend with
great confidence and that is a voyage which if of
some length may be of very great service not only
in relieving him for the time but in keeping him
easier for the winter after. If he could have set
out about the beginning of May I should have advised
him to go to Philadelphia or some other place on the
Coast of North America and to have returned again
immediately but it is now too late for such a voyage



[Page 4]

as I think it necessary for him to finish such a
Course and return to his own home before the very
cold weather sets in and that is before the end of
September or rather sooner. For this reason he
must be satisfied with a shorter voyage for this
season and must go to some place to the South of
Europe from whence he may have an opportunity
of returning in due time. Lisbon, St Lucar or
Cadiz are the places most likely to answer.
When he has returned from such a voyage he
must take care not to sit down all at once but
should for some time after go in a carriage every
day so that his exercise may be given up by degrees


In going being at Sea he must avoid the Ships
provisions but need not otherwise be nice in his choice
taking very moderately of Solid animal food and living
very much upon grains

William Cullen
Edinburgh June 1773.



[Page 5]

Take three and a half ounces of Rose Water & six drachms of Syrup of Cloves, four grains of Tartar Emetic Mix and Label: Diaphoretic Mixture. A table spoonfull for a dose.




[Page 6]


Mr. Rupell
24th. June 1773

Notes:

1: See the main Description for an explanation of the unique status of this transcription.

Diplomatic Text

[Page 1]
For MrRussell 1


Mr Russels ailments are of such a nature as
to be of very difficult cure and they have now been
in him of such long standing as to make that dif¬
ficulty still greater. We cannot therefore propose
to make an entire cure but some attention and
pains properly bestowed can always make them much
easier.


The attention that is necessary with respect
to diet, exercise, avoiding cold and keeping the belly
regular, our former advice and Mr Russels own
experience have sufficiently instructed him in, and
we have only now to add what we are directed to
by his own late observation and Experience.


From the observations he has made on the effects
of eruptions on his skin we are certain that if the



[Page 2]

determination of the circulation to the surface of the
body was sufficiently kept up his asthmatic complaints
would be much easier. We propose therefore that
he should use a medicine which from much experience
we know to be usefull to his purpose. It is a mixture
ordered below of which he must take a table spoon¬
full at bedtime. This dose may give him a little
sickness at stomach and it is proper that it should
do so but to a certain degree but not so far as to
make him ready to vomit
. According therefore to
the effects on the stomach the dose is to be regula¬
ted. If the dose makes him very sick and
ready to vomit it must be diminished but if it has
no sensible effects or when the effects it has at first
are by repetition prevented, it is necessary to increase
the dose by half a spoonful at a time till he can
perceive its effects. This Medicine is not to con not


[Page 3]

to be constantly employed but for several weeks at a
time and again after some intermission for a like time
more or less as ↑the↑ relief obtained by it shall direct. The
times when it will be more especially necessary are
in Winter and in easterly weather and then too it is
when warm cloathing and every other means of avoiding
cold are to be employed.


Another remedy which Mr Russell's late expe¬
rience has suggested we can also recommend with
great confidence and that is a voyage which if of
some length may be of very great service not only
in relieving him for the time but in keeping him
easier for the winter after. If he could have set
out about the beginning of May I should have advised
him to go to Philadelphia or some other place on the
Coast of North America and to have returned again
immediately but it is now too late for such a voyage



[Page 4]

as I think it necessary for him to finish such a
Course and return to his own home before the very
cold weather sets in and that is before the end of
September or rather sooner. For this reason he
must be satisfied with a shorter voyage for this
season and must go to some place to the South of
Europe from whence he may have an opportunity
of returning in due time. Lisbon, St Lucar or
Cadiz are the places most likely to answer.
When he has returned from such a voyage he
must take care not to sit down all at once but
should for some time after go in a carriage every
day so that his exercise may be given up by degrees


In going being at Sea he must avoid the Ships
provisions but need not otherwise be nice in his choice
taking very moderately of Solid animal food and living
very much upon grains

William Cullen
Edinr. June 1773.



[Page 5]


Aq. ros. ℥iij ſs
Syr. caryoph. ʒvj
T. Em. gr. iv
ℳ Sig. Diaphor.ℳ. a. t. sp. f. for a dose.




[Page 6]


Mr. Rupell
24th. June 1773

Notes:

1: See the main Description for an explanation of the unique status of this transcription.

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:849]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...