The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:146] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Earl William Maule (1st Earl of Panmure of Forth, Viscount Maule of Whitechurch; Lord Panmure, General Lord Panmure) (Patient) / 15 June 1781 / (Outgoing)
Reply, in the form of an ordered regimen, for the Earl of Panmure to manage his rheumatism. Refers to a balsamic tincture detailed on a paper apart but copy of this is not present.
- Facsimile
- Normalized Text
- Diplomatic Text
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Facsimile
There are 4 images for this document.
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Metadata
| Field | Data |
|---|---|
| DOC ID | 146 |
| RCPE Catalogue Number | CUL/1/1/14/32 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 15 June 1781 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | Enclosure(s) mentioned, but missing |
| Autopsy | No |
| Recipe | No |
| Regimen | Yes |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, in the form of an ordered regimen, for the Earl of Panmure to manage his rheumatism. Refers to a balsamic tincture detailed on a paper apart but copy of this is not present. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1345] |
Case of the Earl of Panmure whose compaints are considered 'entirely rheumatic'. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:110] | Patient | Earl William Maule (1st Earl of Panmure of Forth, Viscount Maule of Whitechurch; Lord Panmure, General Lord Panmure) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 |
| Mentioned / Other | Panmure House | Carnoustie | East Highlands | Scotland | Europe | certain |
Normalized Text
For The Right Honourable The Earl of Panmure
After considering attentively the history of his
Lordships former and present complaints we are of opinion
that they have been very entirely rheumatic and that the
rheumatic disposition is not yet entirely eradicated, but
hope it may soon be so by the help of the season and
the following measures.
His Lordship should now go ↑to↑ the country as soon as
possible & when there should be as much in the fresh air
as the weather and other circumstances will allow. He
may walk out very often but exercise in this way should
always be moderate and never to the degree of being
in the least either heated or fatigued by it. In walking,
this is especially to be observed that wet ground & wet grass
be carefully avoided as any damp coming at the feet or
legs will readily bring back some rheumatism.
When the weather is wet or damp His Lordships
[Page 2]
exercise should be taken in a carriage but when the weather
is quite dry the going on horseback so far as his Lordship
bears it easily will be of still more benefit for discus¬
sing all remains of rheumatism.
In every situation, the utmost care is to be taken to
avoid cold and therefore his Lordship should not lay off
his flannel waistcoat perhaps at any time and at least
while any degree of pain or stiffness remains in any
part of his body.
By air and gentle exercise it is to be hoped that
every ailment will be discussed but ↑it↑ will also be proper at
the same time to give attention to diet.
Every morning His Lordship may take ↑a↑ draught or
two of fresh drawn Cow milk whey so that upon the whole
about an english pint is taken. Half a pint of it [may?]
be taken pretty early and His Lordship may sleep [after it?]
providing it does not occasion any sweating but if it does
the whey must not be taken till His Lordship is out of bed.
If a part of the whey is taken abed the other part of it
[Page 3]
may be taken when he gets up. But if no part of it is
taken abed the whole may be taken after getting up only
leaving half an hour of interval between the two half pint
draughts
Breakfast should not be taken for an hour after
finishing the whey and then his Lordships ordinary
breakfast of tea & bread may be taken but tea in the
least strong we think very improper and if his Lordship
could in place of it take a bason of new milk we think it
may be usefull in the present state of things
At dinner His Lordship may take soup and a bit of
any plain light meat he likes best but till every thing
rheumatic is entirely gone we would wish to avoid a
full meal of meat and would have always a great part
of it made up with pudding and vegetables.
For ordinary drink we think sherry with a good deal
water will be the best and that all sort of Malt liquors should
be avoided.
Every day at dinner His Lordship may take two or
three
[Page 4]
glasses of Claret or of white wine and water but we need not
say to his Lordship that the quantity of either should be
very moderate.
A dish of coffee in the afternoon if not very strong
we think very allowable.
At supper for some time we think His Lordship
should hardly take any solid food and that some kind of
milk meat or vegetables are the most proper.
By Air Exercise and the above regimen we expect
that his Lordship will get perfectly well and we have but
one medicine to propose to assist in the business. This
a balsamick Tincture prescribed on a paper apart and to
be taken as follows. Put a little powdered sugar [into a?]
tea cup & upon it drop forty drops of the tincture. [Stir it?]
well among the sugar with the back of ↑a↑ teaspoon then [pour?]
on two or three table spoonfulls of water stir the whole and
drink it off washing it down with a glass of white wine whey
Edinburgh 15th June
1781
Diplomatic Text
For The Right Honourable The Earl of Panmure
After considering attentively the history of his
Lordships former and present complaints we are of opinion
that they have been very entirely rheumatic and that the
rheumatic disposition is not yet entirely eradicated, but
hope it may soon be so by the help of the season and
the following measures.
His Lordship should now go ↑to↑ the country as soon as
possible & when there should be as much in the fresh air
as the weather and other circumstances will allow. He
may walk out very often but exercise in this way should
always be moderate and never to the degree of being
in the least either heated or fatigued by it. In walking,
this is especially to be observed that wet ground & wet grass
be carefully avoided as any damp coming at the feet or
legs will readily bring back some rheumatism.
When the weather is wet or damp His Lordships
[Page 2]
exercise should be taken in a carriage but when the weather
is quite dry the going on horseback so far as his Lordship
bears it easily will be of still more benefit for discus¬
sing all remains of rheumatism.
In every situation, the utmost care is to be taken to
avoid cold and therefore his Lordship should not lay off
his flannel waistcoat perhaps at any time and at least
while any degree of pain or stiffness remains in any
part of his body.
By air and gentle exercise it is to be hoped that
every ailment will be discussed but ↑it↑ will also be proper at
the same time to give attention to diet.
Every morning His Lordship may take ↑a↑ draught or
two of fresh drawn Cow milk whey so that upon the whole
about an english pint is taken. Half a pint of it [may?]
be taken pretty early and His Lordship may sleep [after it?]
providing it does not occasion any sweating but if it does
the whey must not be taken till His Lordship is out of bed.
If a part of the whey is taken abed the other part of it
[Page 3]
may be taken when he gets up. But if no part of it is
taken abed the whole may be taken after getting up only
leaving half an hour of interval between the two half pint
draughts
Breakfast should not be taken for an hour after
finishing the whey and then his Lordships ordinary
breakfast of tea & bread may be taken but tea in the
least strong we think very improper and if his Lordship
could in place of it take a bason of new milk we think it
may be usefull in the present state of things
At dinner His Lordship may take soup and a bit of
any plain light meat he likes best but till every thing
rheumatic is entirely gone we would wish to avoid a
full meal of meat and would have always a great part
of it made up with pudding and vegetables.
For ordinary drink we think sherry with a good deal
water will be the best and that all sort of Malt liquors should
be avoided.
Every day at dinner His Lordship may take two or
three
[Page 4]
glasses of Claret or of white wine and water but we need not
say to his Lordship that the quantity of either should be
very moderate.
A dish of coffee in the afternoon if not very strong
we think very allowable.
At supper for some time we think His Lordship
should hardly take any solid food and that some kind of
milk meat or vegetables are the most proper.
By Air Exercise and the above regimen we expect
that his Lordship will get perfectly well and we have but
one medicine to propose to assist in the business. This
a balsamick Tincture prescribed on a paper apart and to
be taken as follows. Put a little powdered sugar [into a?]
tea cup & upon it drop forty drops of the tincture. [Stir it?]
well among the sugar with the back of ↑a↑ teaspoon then [pour?]
on two or three table spoonfulls of water stir the whole and
drink it off washing it down with a glass of white wine whey
Eding. 15th June
1781
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