Cullen

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

 

[ID:370] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Mr Callow (Patient) / 11 December 1775 / (Outgoing)

Reply 'For Mr Callow', who is suffering from a cough. Cullen does not believe him to be affected with consumption, but warns that his time of life and constitution allow no security against the disease, and recommends preventative measures.

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Metadata

FieldData
DOC ID 370
RCPE Catalogue Number CUL/1/1/6/69
Main Language English
Document Direction Outgoing
Date11 December 1775
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mr Callow', who is suffering from a cough. Cullen does not believe him to be affected with consumption, but warns that his time of life and constitution allow no security against the disease, and recommends preventative measures.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:501]
Case of Mr Callow, who is 'subject to inflammation of the throat on catching the least cold'.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1616]Addressee
[PERS ID:1612]PatientMr Callow
[PERS ID:1616]Patient's Physician / Surgeon / Apothecary
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr 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
Therapeutic Recommendation Isle of Man England Europe certain
Mentioned / Other Britain Europe certain

Normalized Text

[Page 1]
For Mr Callow


Not affected with consumption but his time of life & constitution are
such as allow no security against that disease, but in a very exact manner of
living, and in the first place by taking a great dial of pains to get free of
his present complaints. For this purpuse I offer the following advice ----


He should immediately return to the Isle of Man, which has a milder
winter than any part of the main land of Britain.


He should travel by easy journies, avoiding carefully cold or fatigue


Upon the road I do not think it necessary for him to use any medicines
except the Gargle ordered below & in case of his cough being troublesome
a dose of the Pectoral Pills. also may be to be taken at bedtime.


When he gets home, he should keep much in the house till he gets free
of his cough. Till the month of March next, if he is not entirely free
from cough, he should never be abroad after dinner; and it should be
only in very mild & fine weather, that he is abroad in the forenoon.
& then too it should be to go on horseback or in a carriage - While
any cough remains, he should walk little & gently, as walking up
hill, walking fast or long at one time, will always hurt his breast
very much. When he gets home if his cough shall still continue
with any return of Inflammation or swelling in his throat, he should
take some blood from his arm, more or less as the urgency
of his these Symptoms & frequency of Pulse seem to require --


If only his cough continue without any return of inflammation or swelling of the throat
nothing will do more service than a gentle vomit repeated 2 or 3 times, & at the same
time keeping very close at home.


If his cough continue & especially any affection of his throat, must again have a
blister inter scapulae but it is not necessary to turn any part of it into a perpetual
blister
, till his cough appear more obstinate than I expect it will &c


These are the chief remedies for his cough but he must also observe a strict
diet. Very little animal food & only at dinner a little of the lightest kind. For



[Page 2]

the rest, must confine himself to milk grain & fruit & these in every variety he
pleases. If easy to be had, he may take from 1/2 to a pint of Asses milk every
morning, & especially if his cough prove lingering.


Till he be entirely free from cough, should avoid all strong drink confining
himself to water & watery liquor. Few medicines can be of service but I
shall propose the following


When his cough is troublesome on lying down at night or any time thro the
night, may take from time to time a teaspoonful of the Linctus ordered below,
swallowing it leisurely.


If in spite of this & the remedies above, his cough be very troublesome in
the night, & prevent much his sleeping, may take at bedtime the only
draught ordered below, but need not have recourse very often to this &
if the remedies proposed above be properly employed & the Regimen ordered
advised be strictly observed I hope these Oily Draughts will not be
often necessary.


While his cough is loose & he spits pretty freely these Draughts
will be safer, but if at any time his cough should become bound &
dry the Draughts will be less proper, and he should then take an
Oily mixture with Acetum or Syrupus Scilliticus, to the quantity his stomach
easily bears.


When Mr C. has any fresh attacks of inflammation or swelling
in his throat, he should immediately confine himself to his
chamber, have his throat tyed up with flannel from ear to ear
& use the Vol. Ol. to be rubbed on especially from ear to ear.
This with the moderate use of the Gargle will be generally
sufficient, and it will not be necessary for him to bleed or
blister, but when the Symptoms are very considerable ---


Tho' Mr Callow should as I expect get very soon quttt quitt
of his present ailments, he must for many years consider him
self as liable to be affected with cold and to suffer from its



[Page 3]

consequences & therefore should be constantly on his gaurd against
it, should always be warmly ↑& uniformly↑ cloathed, should avoid being heated
by exercise or any other means, should avoid being exposed to any
moisture & should be always very temperate in his manner
of living --- A journey on horseback or in a Carriage taken
moderately but continued for some weeks together, both at
the beginning of summer & in harvest will always be
of great service to his constitution, and if about the
beginning of next winter, he shall be attacked with cough
or other ailments of his breast, his only safety will be
in taking to a warmer climate for the whole of the winter.

For Mr Callow

Take twelve ounces of rose Water, one ounce of French Brandy, three ounces of syrup of dried roses, and half a drachm of Alum rock, and mix. Label: The Gargle to be used two or three times a day when the throat is uneasy.

Take two drachms of Laudanum [pills?], and divide into twelve pills {illeg}. Label: Pectoral Pills, [two at a time?]

Take one ounce of extract of purified liquorice and a sufficient quantity of hot water, and make a soft extract, and [crush into a powder?], then add two ounces of Elderberry Rob and a sufficient quantity of simple Syrup, and make a soft electuary. Label: Pectoral Linctus, a teaspoonfull to be taken and swallowed leisurely when the cough is troublesome

Take two drachms each of [Oil of almonds?] and olive oil and half an ounce of mucilage of gum Arabic. Grind together well and gradually add one and a half ounces of rose Water, fifteen drops of spirit of {illeg}, and thirty drops of Laudanum, and mix. Label: Oily Draught.

Edinburgh December 11th. 1775

Diplomatic Text

[Page 1]
For Mr Callow


Not affected with consumption but his time of life & constitution are
such as allow no security against that disease, but in a very exact manner of
living, and in the first place by taking a great dial of pains to get free of
his present compts.. For this purpuse I offer the following advice ----


He should immediately return to the Isle of Man, wc has a milder
winter than any part of the main land of Britain.


He should travel by easy journies, avoiding carefully cold or fatigue


Upon the road I do not think it necessary for him to use any Meds.
except the Gargle ordered below & in case of his cough being troublesome
a dose of the Pect. Pills. also m. b. to be taken at bedtime.


When he gets home, he should keep much in the house till he gets free
of his cough. Till the month of March next, if he is not entirely free
from cough, he should never be abroad after dinner; and it should be
only in very mild & fine weather, that he is abroad in the forenoon.
& then too it should be to go on h.back or in a carriage - While
any cough remains, he should walk little & gently, as walking up
hill, walking fast or long at one time, will always hurt his breast
very much. When he gets home if his cough shall still continue
with any return of Inflamn or swelling in his throat, he should
take some blood from his arm, more or less as the urgency
of his these Symps. & frequency of Pulse seem to require --


If only his cough continue wout any return of inflammation or swelling of ye throat
nothing will do more service yn a gentle vomit repeated 2 or 3 times, & at ye same
time keepg. very close at home.


If his cough continue & especially any affection of his throat, must again have a
blister inter scap. but it is not necessary to turn any part of it into a perpetual
blister
, till his cough appear more obstinate yn I expect it will &c


These are ye chief remedies for his cough but he must also observe a strict
diet. Very little animal food & only at dinner a little of the lightest kind. For



[Page 2]

ye rest, must confine himself to milk grain & fruit & these in every variety he
pleases. If easy to be had, he may take fm 1/2 to a pint of Asses milk every
morning, & especially if his cough prove lingering.


Till he be entirely free fm cough, should avoid all strong drink confining
himself to water & watery liquor. Few medicines can be of service but I
shall propose ye follg.


Wn his cough is troublesome on lying down at night or any time thro ye
night, may take fm time to time a teaspoonful of ye Linctus ordered below,
swallowg. it leisurely.


If in spite of this & ye remedies above, his cough be very troublesome in
ye night, & prevent much his sleeping, may take at bedtime ye only
draught ordered below, but need not have recourse very often to this &
if ye remedies proposed above be properly employed & the Regimen ordered
advised be strictly observed I hope these Oily Draughts will not be
often necessary.


While his cough is loose & he spits pretty freely these Draughts
will be safer, but if at any time his cough should become bound &
dry the Draughts will be less proper, and he should then take an
Oily mixture with Acetum or Syrupus Scilliticus, to the qty his stom
easily bears.


When Mr C. has any fresh attacks of Inflamn or swelling
in his throat, he should immediately confine himself to his
chamber, have his throat tyed up with flannel from ear to ear
& use the Vol. Ol. to be rubbed on especially from ear to ear.
This with the moderate use of the Gargle will be generally
sufficient, and it will not be necessary for him to bleed or
blister, but when the Symp.s are very considerable ---


Tho' Mr Callow should as I expect get very soon quttt quitt
of his present ailments, he must for many years consider him
self as liable to be affected with cold and to suffer from its



[Page 3]

consequences & therefore should be constantly on his gaurd against
it, should always be warmly ↑& uniformly↑ cloathed, should avoid being heated
by exercise or any other means, should avoid being exposed to any
moisture & should be always very temperate in his manner
of living --- A journey on h.back or in a Carriage taken
moderately but continued for some weeks together, both at
the beginning of summer & in harvest will always be
of great service to his constitution, and if about the
beginning of next winter, he shall be attacked with cough
or other ailments of his breast, his only safety will be
in taking to a warmer climate for the whole of the winter.

For Mr Callow


Aq. rosar. ℥xij Spirt. vin. Gallic. ℥j Syr. e ros. sicc ℥iij
Alum. rup. ʒſs. ℳ S. The Gargle to be used two or three times
a day when the throat is uneasy


Tinct (↑[Pilul?]↑) Theb. ʒj Div. in pil XII [deaurand?] S. Pect. Pills, two [a the?] time


Ex. glycyrrhiz. puriss. ℥j Aq. calid. q. s. ut. f. mollescat extract.
et contund [a per?] in pulpam dein adde, Rob Sambuc. ℥ij Syr. s.
q. s. ut f. Electuarium molle. S. Pectoral Linctus, a tea spoon
full to be taken & swallowed leisurely when the cough is
troublesome.


℞ [Ol. amygd.?] oil olivar. {illeg} ʒij Muc. g. Arab. ℥ſs
Terito simul probe et paulatim adde Aq. ros. ℥iſs
Spirt [C. C.?] gtt xv Tinct. Thebaic gtt xxx. ℳ S. Oily Draught.

Edinr. Decr. 11th. 1775

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