The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:155] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Lowndes (Patient) / 29 June 1781 / (Outgoing)
Reply with directions for Mr Lowndes regaring a swelling which Cullen suggests is related to the stomach. Probably addressed to an unnamed physician since Cullen also mentions writing to a Mr Stewart about Lowdnes. Stewart was presumably the local surgeon involved in the case. Sent with cover letter which is Doc: 156.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.
[Page 1]
[Page 2]
[Page 3]
Metadata
| Field | Data |
|---|---|
| DOC ID | 155 |
| RCPE Catalogue Number | CUL/1/1/14/41 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 29 June 1781 |
| Annotation | None |
| Type | Machine copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | Yes |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply with directions for Mr Lowndes regaring a swelling which Cullen suggests is related to the stomach. Probably addressed to an unnamed physician since Cullen also mentions writing to a Mr Stewart about Lowdnes. Stewart was presumably the local surgeon involved in the case. Sent with cover letter which is Doc: 156. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1383] |
Case of Mr Lowdnes who has an abdominal swelling. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:123] | Patient | Mr Lowndes |
| [PERS ID:5793] | Patient's Physician / Surgeon / Apothecary | Mr Stewert |
| [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 |
Normalized Text
For Mr Lowndes
Having considered the whole of his complaints I am of
opinion that the little swelling which appears has been and [is still?]
more in the teguments than in any internal part. It seems in¬
deed now connected but more with the stomach than the liver.
As it has now had so long a seat it will be difficult to resolve
but even this may be attempted and at least I think any bad
consequences may be prevented. For these purposes I would
propose the following measures.
1. Let half a dram of the discutient ointment ↑prescribed below↑ be rubbed in
about ↑the↑ prominent part at bedtime and let this be repeated
every second night for five or six times, keeping the part
constantly covered with a double fold of this flannel.
2. Every night at bedtime let him take the aperient -
draught also prescribed below and another of the same kind
may be taken also in the forenoon.
3. These are the only medicines I would propose at present
to be continued for a longer or shorted time according to the
direction I have given in my letter to Mr Stewart.
4. At the same time much will depend on Mr Lowndes
[Page 2]
Regimen which should be very exact. Every day at dinner
he may take some meat but he should prefer the lighter kinds
and never make a full meal of any kind particularly of animal
food. A light soup, light pudding and garden things should
always make a great part of his dinner. He may take a
little light white fish but plain drest and these both
seldom & sparingly. He should avoid all baked or fried
meats all salted meats, eggs or cheese. In short his study
should be to keep his stomach always light.
He should take no supper or only a draught of fresh
drawn Cow milk whey with a bit of dry toast.
His breakfast may be of tea with bread & butter as usual
but his tea should be always very weak.
For ordinary drink water is the only proper and all kinds
of Malt liquor are to be avoided. A glass or two of good sherry
or Madeira may be taken at dinner but it will be safer
if taken with water. The wine taken should be very little
for nothing can be more hurtfull to Mr Lowndes than the
smallest excess in strong drink.
Nothing will contribute more to discussing 1 Mr Lowndes
[Page 3]
ailment or preventing the consequences of it than frequent
gentle exercise in a carriage
1781
Take Mecurial Ungent as per the Edinburgh Pharmacœpia without turpentine [prepared with?] pig fat [as given at p. 8?] rub together so as to make a Liniment Label: Discutient Ointment.
Take an ounce each of simple cinnamon water and rose water two drachms of simple syrup a drachm of soluble Tartar half a drachm of regenerat Tartar. Mix. Label: Aperient Draught.
1781
Notes:
1: Meaning 'dispersing' or 'destroying'.
Diplomatic Text
For Mr Lowndes
Having considered the whole of his complaints I am of
opinion that the little swelling which appears has been and [is still?]
more in the teguments than in any internal part. It seems in¬
deed now connected but more with the stomach than the liver.
As it has now had so long a seat it will be difficult to resolve
but even this may be attempted and at least I think any bad
consequences may be prevented. For these purposes I would
propose the following measures.
1. Let half a dram of the discutient ointment ↑prescribed below↑ be rubbed in
about ↑the↑ prominent part at bedtime and let this be repeated
every second night for five or six times, keeping the part
constantly covered with a double fold of this flannel.
2. Every night at bedtime let him take the aperient -
draught also prescribed below and another of the same kind
may be taken also in the forenoon.
3. These are the only medicines I would propose at present
to be continued for a longer or shorted time according to the
direction I have given in my letter to Mr Stewart.
4. At the same time much will depend on Mr Lowndes
[Page 2]
Regimen which should be very exact. Every day at dinner
he may take some meat but he should prefer the lighter kinds
and never make a full meal of any kind particularly of animal
food. A light soup, light pudding and garden things should
always make a great part of his dinner. He may take a
little light white fish but plain drest and these both
seldom & sparingly. He should avoid all baked or fried
meats all salted meats, eggs or cheese. In short his study
should be to keep his stomach always light.
He should take no supper or only a draught of fresh
drawn Cow milk whey with a bit of dry toast.
His breakfast may be of tea with bread & butter as usual
but his tea should be always very weak.
For ordinary drink water is the only proper and all kinds
of Malt liquor are to be avoided. A glass or two of good sherry
or Madeira may be taken at dinner but it will be safer
if taken with water. The wine taken should be very little
for nothing can be more hurtfull to Mr Lowndes than the
smallest excess in strong drink.
Nothing will contribute more to discussing 1 Mr Lowndes
[Page 3]
ailment or preventing the consequences of it than frequent
gentle exercise in a carriage
1781
℞ Ung. Mercur. Ph. Ed. sine terebinthina
parat.
Axung. porcin. @ [p. 8?]
Terito simul ut f. Linimentum
Signa Discutient Ointment.
℞ Aq. cinnam. simpl.
- rosar @ ℥j
Syr. simpl. ʒij
Tartar. Solub. ʒj
- regenerat. ʒſs
ℳ Signa Aperient Draught
1781
Notes:
1: Meaning 'dispersing' or 'destroying'.
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