Cullen

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

 

[ID:17] From: Dr William Cullen (Professor Cullen) / To: Mr Bowman / Regarding: Mr Bowman (Patient) / 17 November 1764 / (Outgoing)

Reply, 'Mr Bowman', concerning the case of his son.

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[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 17
RCPE Catalogue Number CUL/1/1/1/14
Main Language English
Document Direction Outgoing
Date17 November 1764
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Bowman', concerning the case of his son.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:176]
Case of Mr Bowman's son who has had a cold and chest problems. He is given a regimen and advice on travelling for his health (may be same patient as Case 912).
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1121]AddresseeMr Bowman
[PERS ID:1122]PatientMr Bowman
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1121]Patient's Relative / Spouse / FriendMr Bowman

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 Glasgow Glasgow and West Scotland Europe certain
Mentioned / Other London London and South-East England Europe certain
Mentioned / Other Newcastle upon Tyne North-East England Europe certain

Normalized Text

[Page 1]
Mr Bowman
EdinburghNovember 17th 1764
Sir


Your sons ailments are of such a kind are very
often from small beginnings arise to a very obstinate
Desease but I think thay have yet made no
dangerous progress & have no doubt but that the
measures now takeing will entirely cure him.
The chief of these is the journey he is now
engaged in - It is right to push it moderately
at first, but southwards from New Castle
he will be better for having two Stages a
day, & near to London they may be thrice
or even four - It will be of use for him
to get out as early as possibly in the
morning & get in by Sunset in the Evening.


The only accident likely to happen is getting
a fresh Cold which he must guard against
with great care: Let him particularly keep
his feet & legs warm -- Take care that
the side glasses are light & always kept up
with the fine glasses he may use more freedom.
After getting in at night he should not quit
his Chamber again & should if possible
avoid a small chamber, & one very warm -


In Diet he must for some time keep to a
light one but may have a little Chicken
broth every day & if his pulse keeps
slow & the cough & straitness of his heart
grow easier he may take by degrees
to a little solid food -- This however must
be with caution attending to the effects
of the first Trial upon his cough & breathing.


The vomiting he is liable to is not to be
an object of anxiety & I believe it is of use
to the Complaints of his breast but if it
proves more troublesome a little solid
food will be more necessary



[Page 2]

& in the meantime he must study to take but
little either of Meat or Drink upon his stomach
at one time - He may still continue to
take a single glass of wine at every meal
but if the vomiting continues I would have
him try to let it alone the Wine for some
time days & take Toast & water or Barley
water for all his drink - Tho he should
be little disposed to sleep at nights he
should go to bed early- He may sleep a
bed but can not while he is up & he will
be the better even of lying alone --


While he is upon the Road I would advise
him to no medecines except it is a little
of the Pectoral Misture in the evening
when his Cough or Hoarsness is Troublesome.


Dr Gordon's Bolus unless it had been
brought from Glasgow can not be safely
used as it is prepared differently elsewhere


In case of any cold or any accident
aggravating Mr Bowman's Complaints so that
the cough is more violent, the pains of his
heart more fixed or his spitting of Blood
encreased the Remedy then only to be expanded
on is bleeding & which must be more or less
according to the state of his blood. It is
a very good sign that no Sizeness has yet
appeared and while that continues to be the case
less bleeding is necessary but if Sizeness appears
he must be blooded oftener - After bleeding
in the circumstances above mentioned a blister
on his back may be very proper and
these are the chief remedies.




[Page 3]


He may have others proposed but I {illeg} there
are few Internals that can be of much service.
The Drops he has sometimes had or the opium in
his Bolus may give a little relief but I would
have him be as sparing of them as possible. I really
believe that by the time he gets to the end of his
journey Mr Bowman may be quite well
but tho he should be so I shall think his continuing
in a mild state Climate for the winter very necessary
& shall advise him even there to avoid Cold
be very cautious in his Diet & take a great
deal of exercise in a machine or on horseback.
In some years to come Bodily Exercise in
the least brisk & more especially if violent
will be very dangerous for him. I earnestly
wish he may be preserved to you to be
as I know he will be an honour &
comfort to you, &c


I am sir
Yours &c

Diplomatic Text

[Page 1]
Mr Bowman
EdrNovr 17th 1764
Sir


Your sons ailments are of such a kind are very
often from small beginnings arise to a very obstinate
Desease but I think thay have yet made no
dangerous progress & have no doubt but that the
measures now takeing will entirely cure him.
The chief of these is the journey he is now
engaged in - It is right to push it moderately
at first, but southwards from New Castle
he will be better for having two Stages a
day, & near to London they may be thrice
or even four - It will be of use for him
to get out as early as possibly in ye
morning & get in by Sunset in the Evening.


The only accident likely to happen is getting
a fresh Cold which he must guard against
with great care: Let him particularly keep
his feet & legs warm -- Take care that
ye side glasses are light & always kept up
with the fine glasses he may use more freedom.
After getting in at night he should not quit
his Chamber again & should if possible
avoid a small chamber, & one very warm -


In Diet he must for some time keep to a
light one but may have a little Chicken
broth every day & if his pulse keeps
slow & the cough & straitness of his heart
grow easier he may take by degrees
to a little solid food -- This however must
be with caution attending to the effects
of the first Trial upon his cough & breathing.


The vomiting he is liable to is not to be
an object of anxiety & I believe it is of use
to the Complaints of his breast but if it
proves more troublesome a little solid
food will be more necessary



[Page 2]

& in the meantime he must study to take but
little either of Meat or Drink upon his stomach
at one time - He may still continue to
take a single glass of wine at every meal
but if the vomiting continues I would have
him try to let it alone the Wine for some
time days & take Toast & water or Barley
water for all his drink - Tho he should
be little disposed to sleep at nights he
should go to bed early- He may sleep a
bed but can not while he is up & he will
be the better even of lying alone --


While he is upon the Road I would advise
him to no medecines except it is a little
of the Pectoral Misture in the evening
when his Cough or Hoarsness is Troublesome.


Dr Gordon's Bolus unless it had been
brought from Glasgow can not be safely
used as it is prepared differently elsewhere


In case of any cold or any accident
aggravating Mr Bowman's Complaints so that
the cough is more violent, the pains of his
heart more fixed or his spitting of Blood
encreased the Remedy then only to be expanded
on is bleeding & which must be more or less
according to the state of his blood. It is
a very good sign that no Sizeness has yet
appeared and while that continues to be the case
less bleeding is necessary but if Sizeness appears
he must be blooded oftener - After bleeding
in the circumstances above mentioned a blister
on his back may be very proper and
these are the chief remedies.




[Page 3]


He may have others proposed but I {illeg} there
are few Internals that can be of much service.
The Drops he has sometimes had or the opium in
his Bolus may give a little relief but I would
have him be as sparing of them as possible. I really
believe that by the time he gets to the end of his
journey Mr Bowman may be quite well
but tho he should be so I shall think his continuing
in a mild state Climate for the winter very necessary
& shall advise him even there to avoid Cold
be very cautious in his Diet & take a great
deal of exercise in a machine or on horseback.
In some years to come Bodily Exercise in
the least brisk & more especially if violent
will be very dangerous for him. I earnestly
wish he may be preserved to you to be
as I know he will be an honour &
comfort to you, &c


I am sir
Yours &c

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