Cullen

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

 

[ID:2534] From: Dr William Cullen (Professor Cullen) / To: Mr Anthony Chamier (Charmier, Chamia) / Regarding: Mr Anthony Chamier (Charmier, Chamia) (Patient) / October 1784 / (Outgoing)

Letter by Cullen to an unnamed patient iin form of retained loose copy. He also hopes to get sight of Sir Lucas Pepys' advice on the case, although he thinks Pepys' prescription 'odd'.

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Metadata

FieldData
DOC ID 2534
RCPE Catalogue Number CUL/1/2/1584a
Main Language English
Document Direction Outgoing
DateOctober 1784
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 Letter by Cullen to an unnamed patient iin form of retained loose copy. He also hopes to get sight of Sir Lucas Pepys' advice on the case, although he thinks Pepys' prescription 'odd'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2449]
Case of an unnamed male patient in England under the immediate care of Sir Lucas Pepys, who is advised on regimen. Mention of deafness and costiveness.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:514]AddresseeMr Anthony Chamier (Charmier, Chamia)
[PERS ID:514]PatientMr Anthony Chamier (Charmier, Chamia)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:845]Patient's Physician / Surgeon / ApothecaryDr Lucas Pepys (Baron, Sir Lucas Pepys. )

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]
Dear Sir


In the hurry of my affairs I find it dangerous
to delay business for delaying yours till I should see Col.
Maxwell and get a sight of Sir Lucas Pepys advice I
have delayed writing to you too long. But I have also been
less impatient because I think your last accounts
are very favourable. You are very far from being
yet so secure against some return of complaints as
I could wish but when you can travel 15 miles and
sleep sound after it I think you are in a good train.
I think fatigue might do you much harm but I
would have you take your exercise as fully as you
can easily bear. I am very fond of your riding a little
but the Phaeton is much safer. I shall be glad
also to find you can walk a little but a mile at
once seems to me a prodigious Journey and the attempting
it certainly hazardous unless you have the Phaeton
at hand to take to immediately when you feel
in the least tired or breathless.


I cannot easily mend the frequent desire
of making water
as it depends upon the weakness




[Page 2]


of the parts to which shall I hope recover though it
may be slowly and in the mean time the best palli¬
ative is a sound sleep which I hope your exercise
will frequently procure. to you. If you have as
fine weather as we have here at present I hope
your taking exercise will be the best means of giving
you some appetite. I cannot insist on your taking
Steel drops but I believe a dose of Sir Lucas Pepys
Chalybeate tincture an hour before dinner might
help your appetite and a glass of Spa water
taken at the same time by itself might answer
the same purpose. When you take the Spa water
you should put as much boiling water to it as
will take off all chilly coldness and a very little
boiling water will do this. A propos spa water
as you have such a friend as Charles Consalton
upon the spot I wish you would desire him
to Send you over some of the water well sealed
in quart or even in pint bottles for that which
comes over in the common large bottles is generally




[Page 3]


useless before the half of it is drank.


I cannot suppose your deafness to have any
connexion with your other complaints I believe you
judge the cause of it properly and hope therefore
it will soon go off and that you will avoid the like
trespasses in time coming.


By the account you give I dont think
your pulse frequent nor any ways feverish. Your
paliptations
, intermission and litl ↑little↑ suffocations ↑are↑ all to
me Gouty symptoms and of little consequence further
than the present uneasiness and the cramps and pains
you mention though sufficiently uneasy are gouty
symptoms
which may be of service by their taking off
some of the symptoms that affect your bowels and
lungs.


Your costiveness does depend very much upon
the state of the Colon but that state I consider as a
symptom only of a more general affection and with
all deference to Sir Lucas Pepys I cannot think
that any material part of your disease is in that gut.




[Page 4]


The state of it however is constantly to be attended to
and all continuance of costiveness to be avoided. It
is very possible that the Broth glysters may be of
service but I think they should be in greater per¬
haps in double the quantity than he advises and
I think that he does not advise properly when he
advises them on your getting out of bed for I think
it would be better to take them while you are abed
as in that situation you are likely to retain them
longer. I think however the frequency of them
that he advises will make them a troublesome
remedy and which may not always be sufficiently
effectual. I must therefore advise your taking
frequently a medicine by the mouth. I shul ↑should↑ be
glad to find that Sulphur would answer the purpose
but I fear it will often fail as it has done
lately and I would depend chiefly upon the Castor
Oil
with tincture of Senna as I formerly advised
and I think you seem to be reconciled to it. I
am very averse to criticise any Gentlemans prescription




[Page 5]


but I must say that Sir Lucas draft appears
to me a very odd one.


I will not say the same of his regimen which
I think is generally very right. I must own you may
be tired with a long continuance of Asses milk and
I think it very proper to intermitt it now and then
but in the main I think it a very proper part
of your diet and it is very rarely that it proves
binding to anybody and I think it will not prove
so to you when you drink Porter and water at
dinner which I readily allow of. I also allow of a
few glasses of Port wine and you may exceed Sir
Lucas Allowance but by no means very far. I


I have now par reprize touched every thing
particular which I can think of any consequence
in your last letter or in Sir Lucas Pepys advice
It has cost me a little time but I grudge no pains
and attention on a person who takes my endeavours in
such good part. I shall be happy to see you in Scotland
but it is because I shall consider it as a mark of
your good health and that you will have little




[Page 6]


occasion for my advice. I am with the utmost
respect and regard

Dear Sir &c.

Diplomatic Text

[Page 1]
Dear Sir


In the hurry of my affairs I find it dangerous
to delay business for delaying yours till I should see Col.
Maxwell and get a sight of Sir Lucas Pepys advice I
have delayed writing to you too long. But I have also been
less impatient because I think your last accounts
are very favourable. You are very far from being
yet so secure against some return of complaints as
I could wish but when you can travel 15 miles and
sleep sound after it I think you are in a good train.
I think fatigue might do you much harm but I
would have you take your exercise as fully as you
can easily bear. I am very fond of your riding a little
but the Phaeton is much safer. I shall be glad
also to find you can walk a little but a mile at
once seems to me a prodigious Journey and the attempting
it certainly hazardous unless you have the Phaeton
at hand to take to immediately when you feel
in the least tired or breathless.


I cannot easily mend the frequent desire
of making water
as it depends upon the weakness




[Page 2]


of the parts to which shall I hope recover though it
may be slowly and in the mean time the best palli¬
ative is a sound sleep which I hope your exercise
will frequently procure. to you. If you have as
fine weather as we have here at present I hope
your taking exercise will be the best means of giving
you some appetite. I cannot insist on your taking
Steel drops but I believe a dose of Sir Lucas Pepys
Chalybeate tincture an hour before dinner might
help your appetite and a glass of Spa water
taken at the same time by itself might answer
the same purpose. When you take the Spa water
you should put as much boiling water to it as
will take off all chilly coldness and a very little
boiling water will do this. A propos spa water
as you have such a friend as Charles Consalton
upon the spot I wish you would desire him
to Send you over some of the water well sealed
in quart or even in pint bottles for that which
comes over in the common large bottles is generally




[Page 3]


useless before the half of it is drank.


I cannot suppose your deafness to have any
connexion with your other complaints I believe you
judge the cause of it properly and hope therefore
it will soon go off and that you will avoid the like
trespasses in time coming.


By the account you give I dont think
your pulse frequent nor any ways feverish. Your
paliptations
, intermission and litl ↑little↑ suffocations ↑are↑ all to
me Gouty symptoms and of little consequence further
than the present uneasiness and the cramps and pains
you mention though sufficiently uneasy are gouty
symptoms
which may be of service by their taking off
some of the symptoms that affect your bowels and
lungs.


Your costiveness does depend very much upon
the state of the Colon but that state I consider as a
symptom only of a more general affection and with
all deference to Sir Lucas Pepys I cannot think
that any material part of your disease is in that gut.




[Page 4]


The state of it however is constantly to be attended to
and all continuance of costiveness to be avoided. It
is very possible that the Broth glysters may be of
service but I think they should be in greater per¬
haps in double the quantity than he advises and
I think that he does not advise properly when he
advises them on your getting out of bed for I think
it would be better to take them while you are abed
as in that situation you are likely to retain them
longer. I think however the frequency of them
that he advises will make them a troublesome
remedy and which may not always be sufficiently
effectual. I must therefore advise your taking
frequently a medicine by the mouth. I shul ↑should↑ be
glad to find that Sulphur would answer the purpose
but I fear it will often fail as it has done
lately and I would depend chiefly upon the Castor
Oil
with tincture of Senna as I formerly advised
and I think you seem to be reconciled to it. I
am very averse to criticise any Gentlemans prescription




[Page 5]


but I must say that Sir Lucas draft appears
to me a very odd one.


I will not say the same of his regimen which
I think is generally very right. I must own you may
be tired with a long continuance of Asses milk and
I think it very proper to intermitt it now and then
but in the main I think it a very proper part
of your diet and it is very rarely that it proves
binding to anybody and I think it will not prove
so to you when you drink Porter and water at
dinner which I readily allow of. I also allow of a
few glasses of Port wine and you may exceed Sir
Lucas Allowance but by no means very far. I


I have now par reprize touched every thing
particular which I can think of any consequence
in your last letter or in Sir Lucas Pepys advice
It has cost me a little time but I grudge no pains
and attention on a person who takes my endeavours in
such good part. I shall be happy to see you in Scotland
but it is because I shall consider it as a mark of
your good health and that you will have little




[Page 6]


occasion for my advice. I am with the utmost
respect and regard

Dr. Sir &c.

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