Cullen

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

 

[ID:3695] From: Dr William Cullen (Professor Cullen) / To: Mr Robert Gordon / Regarding: Mr Robert Gordon (Patient) / 5 April 1774 / (Outgoing)

Reply, 'For Mr Robert Gordon'

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Metadata

FieldData
DOC ID 3695
RCPE Catalogue Number CUL/1/1/4/20
Main Language English
Document Direction Outgoing
Date5 April 1774
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'For Mr Robert Gordon'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:440]
Case of Robert Gordon who is given instructions on using a 'bathing machine' and later advised against going to Bath.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1350]AddresseeMr Robert Gordon
[PERS ID:1350]PatientMr Robert Gordon
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1363]Other Physician / SurgeonMr Bell

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]
For Mr Robert Gordon


Mr Gordon has so far recovered of his late illness
that I have no doubt but that his recovery will be
quite perfect -- But it will require time & still some
attention to his regimen & to some measures which may
conduce to jo hasten & to perfect his recovery.


One measure from which I expect great benefit is
Cold bathing. For this purpose he is to be provided
with a bathing machine in the use of which he is to
observe the following directions -- The Cylinder is made
to contain 20 scotch pints of water, but at first he
is to employ only 10. - These 10 pints are to be a
mixture of two pints boiling water & 8 of Springwa¬
ter. - Let exact measures be observed & let the
water be always boiling & the cold water be taken if
possible immediately from a Spring. The Spring water
may be put into the Cylinder at any time but the boiling



[Page 2]

water should not be put into the Cylinder till he
is just ready to take the bath. - Every second
day the quantity of boiling water is to be dimini¬
shed by half a muchkin till at length it is none
at all & when he is come to use the Spring water
alone he may increase the quantity of it by a Pint
every day till the Cylinder is quite filled.


This bath he should take every day & the best
time for it is in the morning before breakfast
& for the most part immediately after getting
out of bed providing he has not been sweating
immediately before & in consequence there is some
moisture remaining upon his skin. In that case
he should be out of bed an hour & his skin should
be quite cool & dry before he takes the bath.
When he has taken the bath he should be imme¬
diately well dried & pretty well rubbed with
Coarse towels.


Another measure equally necessary &
usefull & to Mr Gordon is the continuance of
his riding. - Except in very bad weather he should
not miss riding every forenoon for three or four
hours. --- He should not be kept in for fear of acciden¬



[Page 3]

tal Showers, but if he happens to get wet he should
return the sooner home & immediately shift into dry cloaths
In this & in every other shape he should take great care
to avoid being affected with cold & therefore particu¬
larly to avoid changing his cloaths tho very warm wea¬
ther should come --- If at any time very warm weather
should come on it will be very improper for him to
ride in the heat of the sun. --- In that case he must avoid
avoid the middle of the day & take his ride more early
or later. --- At all times when the day is of some length
he should walk abroad in the afternoon & take a good
deal of exercise in this way & it will be of use to him
if he can get up in in the morning to take a pretty
long walk before between bathing & breakfast.


It will be very proper for Mr Gordon to continue
the use of the flesh brush & a proper time for having his
body and arms well rubbed will be when he is shifting,
between his ride & dinner time & from his haunches
downwards, he may have the parts rubbed at night {illeg}
immediately before going to bed. This seems a slight
remedy, but it is not when properly used & for that
purpose every body should know that the benefit of it
is to be got rather from being continued than from hard
rubbing.




[Page 4]


There is no occasion for Mr Gordons being con¬
fined to a particular diet & he may take what
other people are taking but it is of very great
consequence for him to avoid living too full
& therefore to avoid taking too much Animal
food. - At supper he should take none at
all not even an Egg & at dinner tho he may
take some animal food every day he should
never make a full meal of it but when his
appetite is sharpset he should make up
his meal with broth, pudding, pancake or vegetables
At breakfast he may take tea as usual but it
should be very weak & {illeg} & it will be
better for him to take honey currant Jelly or
marmalade to his bread rather than butter.


For ordinary drink at dinner M.r G may take
water or small beer as he likes best. He may
take also two or three glasses of strong drink
but it should be two or three only & if it is so
he may take it of Punch or wine & of any kind of
wine nearest at hand & most to his palate.


It is absolutely necessary for Mr G to keep his



[Page 5]

belly pretty regular, & for that purpose when ever
it is necessary to have recourse to a medecine there
is none more proper than that which he has been
lately in use to take & which Mr Bell will provide
him with


I think he can get but little benefit from
any internal medicine & some of them too much
employed might do harm. The only one I would
recommend is the Valerian powder, which he has
been taking -- He may take it for a month at one
time but he should always intermitt it for as long.


The Seton in his neck must be continued & if it
wears out in the place where it is now, it must be
put in again immediately below or if that can¬
not be done conveniently a Pea Issue for two or
three peas must be opened behind his shoulder.


In the time of bathing the Seton & its chord
may be covered with a piece of oiled silk faste¬
ned about his neck


I should have said above that for more
convenient & usefull bathing his head should
be kept constantly shaved -----

W. C.
Edinburgh April. 5th 1774

Diplomatic Text

[Page 1]
For Mr Robert Gordon


Mr Gordon has so far recovered of his late illness
that I have no doubt but that his recovery will be
quite perfect -- But it will require time & still some
attention to his regimen & to some measures which may
conduce to jo hasten & to perfect his recovery.


One measure from which I expect great benefit is
Cold bathing. For this purpose he is to be provided
with a bathing machine in the use of which he is to
observe the following directions -- The Cylinder is made
to contain 20 scotch pints of water, but at first he
is to employ only 10. - These 10 pints are to be a
mixture of two pints boiling water & 8 of Springwa¬
ter. - Let exact measures be observed & let the
water be always boiling & the cold water be taken if
possible immediately from a Spring. The Spring water
may be put into the Cylinder at any time but the boiling



[Page 2]

water should not be put into the Cylinder till he
is just ready to take the bath. - Every second
day the quantity of boiling water is to be dimini¬
shed by half a muchkin till at length it is none
at all & when he is come to use the Spring water
alone he may increase the qty of it by a Pint
every day till the C is quite filled.


This bath he should take every day & the best
time for it is in the morning before breakfast
& for the most part immediately after getting
out of bed providing he has not been sweating
immediately before & in consequence there is some
moisture remaining upon his skin. In that case
he should be out of bed an hour & his skin should
be quite cool & dry before he takes the bath.
When he has taken the bath he should be imme¬
diately well dried & pretty well rubbed with
Coarse towels.


Another measure equally necessary &
usefull & to Mr Gordon is the continuance of
his riding. - Except in very bad weather he should
not miss riding every forenoon for three or four
hours. --- He should not be kept in for fear of acciden¬



[Page 3]

tal Showers, but if he happens to get wet he should
return the sooner home & immediately shift into dry cloaths
In this & in every other shape he should take great care
to avoid being affected with cold & therefore particu¬
larly to avoid changing his cloaths tho very warm wea¬
ther should come --- If at any time very warm weather
should come on it will be very improper for him to
ride in the heat of the sun. --- In that case he must avoid
avoid the middle of the day & take his ride more early
or later. --- At all times when the day is of some length
he should walk abroad in the afternoon & take a good
deal of exercise in this way & it will be of use to him
if he can get up in in the morning to take a pretty
long walk before between bathing & breakfast.


It will be very proper for Mr Gordon to continue
the use of the flesh brush & a proper time for having his
body and arms well rubbed will be when he is shifting,
between his ride & dinner time & from his haunches
downwards, he may have the parts rubbed at night {illeg}
immediately before going to bed. This seems a slight
remedy, but it is not when properly used & for that
purpose every body should know that the benefit of it
is to be got rather from being continued than from hard
rubbing.




[Page 4]


There is no occasion for Mr Gordons being con¬
fined to a particular diet & he may take what
other people are taking but it is of very great
consequence for him to avoid living too full
& therefore to avoid taking too much Animal
food. - At supper he should take none at
all not even an Egg & at dinner tho he may
take some animal food every day he should
never make a full meal of it but when his
appetite is sharpset he should make up
his meal with broth, pudding, pancake or vegetables
At breakfast he may take tea as usual but it
should be very weak & {illeg} & it will be
better for him to take honey currant Jelly or
marmalade to his bread rather than butter.


For ordinary drink at dinner M.r G may take
water or small beer as he likes best. He may
take also two or three glasses of strong drink
but it should be two or three only & if it is so
he may take it of Punch or wine & of any kind of
wine nearest at hand & most to his palate.


It is absolutely necessary for Mr G to keep his



[Page 5]

belly pretty regular, & for that purpose when ever
it is necessary to have recourse to a medecine there
is none more proper than that which he has been
lately in use to take & which Mr Bell will provide
him with


I think he can get but little benefit from
any internal medicine & some of them too much
employed might do harm. The only one I would
recommend is the Valerian powder, which he has
been taking -- He may take it for a month at one
time but he should always intermitt it for as long.


The Seton in his neck must be continued & if it
wears out in the place where it is now, it must be
put in again immediately below or if that can¬
not be done conveniently a Pea Issue for two or
three peas must be opened behind his shoulder.


In the time of bathing the Seton & its chord
may be covered with a piece of oiled silk faste¬
ned about his neck


I should have said above that for more
convenient & usefull bathing his head should
be kept constantly shaved -----

W. C.
Edinr April. 5th 1774

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