Cullen

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

 

[ID:987] From: Dr William Cullen (Professor Cullen) / To: Dr John Gilchrist (of Speddoch) / Regarding: Mr George Mackenzie (McKenzie) (Patient) / 12 July 1780 / (Outgoing)

Reply 'For Mr Mackenzie', addressed to John Gilchrist at Dumfries. Cullen advises that the patient's 'ailments at present [are] inconsiderable but unless soon remedied may have bad consequence'.

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Metadata

FieldData
DOC ID 987
RCPE Catalogue Number CUL/1/1/13/42
Main Language English
Document Direction Outgoing
Date12 July 1780
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mr Mackenzie', addressed to John Gilchrist at Dumfries. Cullen advises that the patient's 'ailments at present [are] inconsiderable but unless soon remedied may have bad consequence'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1279]
Case of Mr George Mackenzie staying near Dumfries, who has a cough and spits blood. He travels abroad where he dies.
12


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:115]AddresseeDr John Gilchrist (of Speddoch)
[PERS ID:790]PatientMr George Mackenzie (McKenzie)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:115]Patient's Physician / Surgeon / ApothecaryDr John Gilchrist (of Speddoch)

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 Dumfries Borders Scotland Europe inferred
Therapeutic Recommendation Mull of Galloway Stranraer Borders Scotland Europe certain
Therapeutic Recommendation Mull of Kintire Campbeltown (Campbelltown) West Highlands Scotland Europe certain

Normalized Text

[Page 1]
For Mr Mackenzie.


His ailments at present inconsiderable but unless soon remed¬
died may have bad consequences.


His measures hitherto proper, especially his abstinence from
animal food which must be continued: as also the avoidance of all
fermented & spirituous liqours except small beer which will be
favourable for his bowels in their present costive disposition.


In vegetable food I particularly recommend ripe fruits
& when not certainly ripe add much sugar.


Milk with water gruel &c.


Fresh air, exercise on horse back, but gentle & without fatigue
or overheating. All bodily exercise hurtful; & therefore walking
must be gentle, level & short at one time.


A voyage at sea; but as it is time of war, a cruise for
some weeks within the Mulls of Galloway & Kintire.


Keep cool in warm, & warm in cold weather and at all
times guard against Cold. Continue his flannels, never throw
off accustomed cloathing, avoid streams of air, evening air,
dampness &c. especially in feet & legs.


As upon repetition Laxatives often become useless & nau¬
seous
I have proposed two new medicines The dose prescribed
may be too little or too much & his own experience must regulate
it afterwards. The dose should give one stool & no more. He
should never go more than two days without a stool.

Take an ounce of Tincture of compounded of Senna --- two drachms of Jalappa, three ounces of Castor Oil. Mix. Label: Laxative Mixture. a table spoonful &c. shaking the Phial &c.

Take an ounce of Crystal Tartar, three drachms of powdered compound of Jalap, half-an-ounce of Lenitive Electuary; make up with sufficient quantity of Simple Syrup into make Lochoch [Linctus]. Label: Laxative Electuary, a tablespoonful or two in the morning. Note: To be taken semiliquid, (to make the doses equal,) by adding Syrup at the appropriate rate ---

W.C.
Edinburgh 12th. August 1780 ---

Diplomatic Text

[Page 1]
For Mr Mackenzie.


His ailments at present inconsiderable but unless soon remed¬
died may have bad consequences.


His measures hitherto proper, especially his abstinence from
animal food which must be continued: as also the avoids of all
fermented & spirituous liqours except small beer wc will be
favourable for his bowels in their present costive disposition.


In vegetable food I particularly recommend ripe fruits
& when not certainly ripe add much sugar.


Milk with water gruel &c.


Fresh air, exercise on horse back, but gentle & without fatigue
or overheating. All bodily exercise hurtful; & therefore walking
must be gentle, level & short at one time.


A voyage at sea; but as it is time of war, a cruise for
some weeks within the Mulls of Galloway & Kintire.


Keep cool in warm, & warm in cold weather and at all
times guard against Cold. Continue his flannels, never throw
off accustomed cloathing, avoid streams of air, evening air,
dampness &c. especially in feet & legs.


As upon repetition Laxatives often become useless & nau¬
seous
I have proposed two new meds. The dose prescribed
may be too little or too much & his own experience must regulate
it afterwards. The dose should give one stool & no more. He
should never go more than two days without a stool.


℞ Tinct. Sen. comp. ℥i --- jalapp. ʒij Ol. ricin. ℥iij
ℳ S.Laxative ℳ. a table spoonful &c shaking the Phial &c.


Crystall. tart. ℥i. Pulv. e jal. comp. ʒiij Elect. lenit. ℥fs
Syr. simpl. q.s. ut f E. ten sive Lochloch
S. Lax. Elect. a tablespoonful or two in the morning.
N. B. To be kept semiliquid, (to make the doses equal,) by
adding Syrup pro re rata ----

W.C.
Edbr. 12th. August 1780 ---

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