Cullen

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

 

[ID:999] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Captain Burden (Patient) / 3 August 1780 / (Outgoing)

Reply 'Captain Burden'; the patient has a 'constitutional weakness of stomach, increased by accidents in his manner of living'.

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Metadata

FieldData
DOC ID 999
RCPE Catalogue Number CUL/1/1/13/54
Main Language English
Document Direction Outgoing
Date3 August 1780
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'Captain Burden'; the patient has a 'constitutional weakness of stomach, increased by accidents in his manner of living'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1275]
Case of Captain Burden who has suffered from fearful ''fits" of feverish dyspepsia since a bout of excessive drinking.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:796]AddresseeDr
[PERS ID:795]PatientCaptain Burden
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:796]Patient's Physician / Surgeon / ApothecaryDr

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]
Captain Burden


Constitutional weakness of stomach, increased by
accidents in his manner of living.


Cure hardly possible; and relief to be expected only from
a constant attention to Diet & regimen.


His Diet already very properly ordered but I may add
a few observations.


A little light animal food at dinner but never a
full meal of it but make up &c. taking care that
any vegetables he take be tender & well boiled. Dry &
mealy potatoes are very good.


No tea or Coffee nor Chocolate. The two first are bad
for his nerves the last may be heavy on his Stomach. [Page 1]

But he may take Cocoa or balm, sage, rosemary &c.
With these a little dry toast with butter, but no sweets.


Supper small & light. A fresh egg soft boiled &
milk if he digest it easily.


Drink plain or toast water. No malt liquor.
Temperance in strong drink. Spirits & water may be
allowable when actually troubled with indigestion but
I would avoid this remedy, especially as long as he can
bear any a few glasses of any strong ↑soured↑ wine after dinner.


Fresh air; moderate walking; carriages; but
horseback by far the best but it must be taken stea¬
dily & to considerable extent. Every forenoon, two or
three hours -- Twice a year between April & October
take a journey of some weeks; riding 30 or 40 miles
a day; avoiding morning & evening cold, or midday heat.


Upon a journey avoid all medicine except to keep
his belly open. For this his Asafoetida pill may
be proper but he should use it as seldom as possible.
When it fails, take cream tartar or the oil ordered below.


When at home, secluded from exercise, & his com¬
plaints troublesome, employ medicines.


Bark & bitters may have been useful but I
dont like their long continued employment. He
should now lay them aside & use the Powders ordered below
which however is not to be continued for longer than a fortnight
at a time.

Castor Oil etc. etc.

Take Powdered Steel etc.

W.C.
Edinburgh 3. August 1780

Diplomatic Text

[Page 1]
Captain Burden


Constitutional weakness of stomach, increased by
accidents in his manner of living.


Cure hardly possible; and relief to be expected only from
a constant attention to Diet & regimen.


His Diet already very properly ordered but I may add
a few observations.


A little light animal food at dinner but never a
full meal of it but make up &c. taking care that
any vegetables he take be tender & well boiled. Dry &
mealy potatoes are very good.


No tea or Coffee nor Chocolate. The two first are bad
for his nerves the last may be heavy on his Stomach. [Page 1]

But he may take Cocoa or balm, sage, rosemary &c.
With these a little dry toast with butter, but no sweets.


Supper small & light. A fresh egg soft boiled &
milk if he digest it easily.


Drink plain or toast water. No malt liquor.
Temperance in strong drink. Spirits & water may be
allowable when actually troubled with indigestion but
I would avoid this remedy, especially as long as he can
bear any a few glasses of any strong ↑soured↑ wine after dinner.


Fresh air; moderate walking; carriages; but
horseback by far the best but it must be taken stea¬
dily & to considerable extent. Every forenoon, two or
three hours -- Twice a year between April & Octr
take a journey of some weeks; riding 30 or 40 miles
a day; avoiding morng & eveng cold, or midday heat.


Upon a journey avoid all medicine except to keep
his belly open. For this his Asafoetida pill may
be proper but he should use it as seldom as possible.
When it fails, take crem tartar or the oil ordered below.


When at home, secluded from exercise, & his com¬
plaints troublesome, employ medicines.


Bark & bitters may have been useful but I
dont like their long continued employment. He
should now lay them aside & use the Powders ord. below
which however is not to be continued for longer than a fortnight
at a time.


Ol. ricin. &cc.

Limat. Mart. & c.

W.C.
Edinr. 3. August 1780

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