The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3751] From: Dr William Cullen (Professor Cullen) / To: Mr Craufurd (of Milton) / Regarding: Mr Craufurd (Crawford) (Patient) / 18 August 1773 / (Outgoing)
Reply, 'To Mr Craufurd of Milton'. Cullen mentions receiving an answer from Dr Stevenson on the case.
- 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 | 3751 |
| RCPE Catalogue Number | CUL/1/1/5/14 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 18 August 1773 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, 'To Mr Craufurd of Milton'. Cullen mentions receiving an answer from Dr Stevenson on the case. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:386] |
Case of Mr Crauford [Crawford] of Milton's brother who is asthmatic. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1100] | Addressee | Mr Craufurd (of Milton) |
| [PERS ID:1099] | Patient | Mr Craufurd (Crawford) |
| [PERS ID:563] | Patient's Physician / Surgeon / Apothecary | Dr Alexander Stevenson (Professor; of Dalgairn ) |
| [PERS ID:1100] | Patient's Relative / Spouse / Friend | Mr Craufurd (of Milton) |
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 | Gourock | Glasgow and West | Scotland | Europe | certain |
Normalized Text
To Mr Crauford of Milton
I have got an answer from Dr Stevenson
& by this I learn that nothing has ever occurred in your
brothers case to change the opinion I had formed of it &
am glad to find that Dr Stevenson & I have the same
opinion with regard to it. I am now ready therefore
to give you my advice.
I think the case is not consumptive at
present but if neglected may in time turn to that.
In the mean time it is purely asthmatic which is always
of difficult cure, but at his time of life there is
not only hopes of a cure but pretty certain means
of relief. Tho the disease is not in the stomach, this is
always affected & the condition of the stomach has
much effect on the breathing. For this reason the
stomach must be always kept light. He must eat
no heavy meat, nothing very fat nothing fried or baked.
He must take none of the heavier kinds of fish and of
any kind but seldom, & sparingly. Tho he may take
a bit of any plain meat he must always take it sparingly
as a full meal of meat will always hurt him. Much
greens & roots are not safe but I would always allow
him a little along with his meat but he must by his own
experience learn to avoid those which prove prove very
windy. A light pudding will always be a proper thing to
[Page 2]
fill up his meal, and Rice, Barley & Sago drest
in a light manner should make a good part of
his diet. Much milk might foul his stomach &
bind his belly but so far as he can digest it well he
should take it frequently & fresh buttermilk will
probably agree well with him. He should take no
supper & for breakfast I believe Cocoa tea will be
the best. Other tea I think improper & I suspect that
coffee is the same. For ordinary drink I think plain
cold water is the best, but he may sometimes take a
little currant jelly in it, & more safely than Lemon
I would have take frequently his water rendered very
slightly acid by a spoonfull or two of the acid spirit ordered
below. He should continue to take a great deal of exercise
on horseback or in a carriage, but walking will never
agree with him. Even on horseback th his no motion
should be very gentle and as the weather becomes cooler he
will find it do him more service. When at Gourock I would
have try sailing as I expect I it will do better than
any other exercise. He must however at all times take
care to gaurd against cold particularly of his feet & legs.
When his stomach becomes foul or his breathing very
uneasy a gentle vomit will be very proper. His belly must
be kept regular by the pills he uses at present, but I suspect
they are too warm for him I & believe the Electuary ordered
below may do better. The seton in his neck must be continued
[Page 3]
or if it wears out or becomes troublesome he must
have a pea Issue put in behind his shoulder. By the above
regimen of these remedies I hope his asthma may
be much relieved but I would add also the Pectoral Pills
orderd below of which he should take 3 every night & morn.
Take two ounces each of thin spirit of vitriol and rose water and two drachms of syrup of cloves. Mix. Label: Acid spirits to be mixed with water for ordinary drink.
Take two ounces of crystal tartar, one ounce of lenitive electuary made according to the London Pharmacopoeia, and a sufficient quantity of simple syrup and make a thin electuary. Label: Laxative Electuary, a teaspoonful or two to be taken at night or morning as occasion shall require.
Take half an ounce of solution of balsam and one ounce of white sugar. Grind well together then add up to one drachm of {illeg} liquid powdered elecampagne and with a sufficient quantity of mucilaginous gum arabic make a mass divided into pills, each of five grains. Label: Pectoral Pills.
Edinburgh Aug. 18
1773
Diplomatic Text
To Mr Crauford of Milton
I have got an answer from Dr Stevenson
& by this I learn that nothing has ever occurred in your
brothers case to change the opinion I had formed of it &
am glad to find that Dr Stevenson & I have the same
opinion with regard to it. I am now ready therefore
to give you my advice.
I think the case is not consumptive at
present but if neglected may in time turn to that.
In the mean time it is purely asthmatic which is always
of difficult cure, but at his time of life there is
not only hopes of a cure but pretty certain means
of relief. Tho the disease is not in the stomach, this is
always affected & the condition of the stomach has
much effect on the breathing. For this reason the
stomach must be always kept light. He must eat
no heavy meat, nothing very fat nothing fried or baked.
He must take none of the heavier kinds of fish and of
any kind but seldom, & sparingly. Tho he may take
a bit of any plain meat he must always take it sparingly
as a full meal of meat will always hurt him. Much
greens & roots are not safe but I would always allow
him a little along with his meat but he must by his own
experience learn to avoid those which prove prove very
windy. A light pudding will always be a proper thing to
[Page 2]
fill up his meal, and Rice, Barley & Sago drest
in a light manner should make a good part of
his diet. Much milk might foul his stomach &
bind his belly but so far as he can digest it well he
should take it frequently & fresh buttermilk will
probably agree well with him. He should take no
supper & for breakfast I believe Cocoa tea will be
the best. Other tea I think improper & I suspect that
coffee is the same. For ordinary drink I think plain
cold water is the best, but he may sometimes take a
little currant jelly in it, & more safely than Lemon
I would have take frequently his water rendered very
slightly acid by a spoonfull or two of the acid spirit ordered
below. He should continue to take a great deal of exercise
on horseback or in a carriage, but walking will never
agree with him. Even on horseback th his no motion
should be very gentle and as the weather becomes cooler he
will find it do him more service. When at Gourock I would
have try sailing as I expect I it will do better than
any other exercise. He must however at all times take
care to gaurd against cold particularly of his feet & legs.
When his stomach becomes foul or his breathing very
uneasy a gentle vomit will be very proper. His belly must
be kept regular by the pills he uses at present, but I suspect
they are too warm for him I & believe the Electuary ordered
below may do better. The seton in his neck must be contd
[Page 3]
or if it wears out or becomes troublesome he must
have a pea Issue put in behind his shoulder. By the above
regimen of these remedies I hope his asthma may
be much relieved but I would add also the Pectoral Pills
orderd below of which he should take 3 every nt & morn.
℞ Spir. vitriol. ten. Aq. rosar. ad ℥ij.
Syr. caryophyll. ʒij. ℳ . Sig. Acid spirits to be mixed
with water for ordinary drink.
℞ Cryst. Tart. ℥ij. Elect. lenitiv. Ph. Lond. ℥j. Syr.
commum q. s. ut f. Elect. ten. Sign. Laxat. Electuary.
a tea spoonfl. or 2 to be t. at nt or morn. as occasion
shall require.
℞ Bals. Solut. ʒſs sacch. alb. duriss ʒj. Ter. sim. probe
ʒj dein add. picis liquidis pulv. heleni. ad. ʒj & cum
muc. G. Arab. q. s. ut f. mass. divid. in pil. sing.
gr. v. Signa Pectoral Pills
Edinr. Aug. 18
1773
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