Cullen

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

 

[ID:3835] From: Dr William Cullen (Professor Cullen) / To: Dr Beridge / Regarding: Dr Beridge (Patient), Mrs Beridge (Patient) / 19 June 1776 / (Outgoing)

Reply, 'Dr Beridge Q. Mrs Beridge'; Cullen also adds 'what you do not expect, an advice for yourself' regarding gout.

Facsimile

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Metadata

FieldData
DOC ID 3835
RCPE Catalogue Number CUL/1/1/7/56
Main Language English
Document Direction Outgoing
Date19 June 1776
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, 'Dr Beridge Q. Mrs Beridge'; Cullen also adds 'what you do not expect, an advice for yourself' regarding gout.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:837]
Case of Mrs Berdige who has a longstanding disorder Cullen attributes to nervous weakness and irritability.
1
[Case ID:2505]
Case of Dr Beridge, suffering from Gout.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2299]AddresseeDr Beridge
[PERS ID:2300]PatientMrs Beridge
[PERS ID:2299]PatientDr Beridge
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2299]Patient's Physician / Surgeon / ApothecaryDr Beridge
[PERS ID:2299]Patient's Relative / Spouse / FriendDr Beridge
[PERS ID:2300]Patient's Relative / Spouse / FriendMrs Beridge

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]
Dr Beridge Query Mrs Beridge
Dear Sir.


I am happy to find you remember me, & am proud of the
honour you do in sending me (↑your↑) sister to me for advice.


I should be happy to be of sevice to her, but I find it difficult
to change a constitution which has been for a long time in a
bad [train.?] Her system of nerves has been originally
moveable & the congestion in the [brain?] produced by cold
bathing has left a considerable disorder in her nervous
system
& rendered it liable to be irritated by slight cause


To remedy all this is not possible by Medicines & some
that might be thought as Bark & bitters continued for
any length of time would certainly do harm and the only
Tonics she could safely employ are Chalybeates & even
these must be employed with moderation. The most that
can be done for her will be by a proper regimen
for supporting the tone of the system & for avoiding
all irritation. She is just now engaged in one of the
most proper measures that could be thought of, that
is a long journey which presents objects of the variety &
novelty. This should be repeated once a year, at a
proper season & at other times she should be often
in the open air & gentle exercise , Avoiding at all
times Cold & fatigue. Within Doors she should
avoid chambers made very warm, either by
fires or company. As she sleeps ill she should
never be long abed & should quit it easlie in the morning
rather then try by broken sleeps to make amends
for a bad night
. Her having bad sleeps will probably
dispose her to sit up late at night, & to lye long



[Page 2]

in the morning, ↑but↑ both are exceeding bad farther measures
for her constitution: In diet I would advise her
to be pretty sparing taking very moderately of animal
food & as much of vegetable as she can easily digest.
I need not caution a Lady against strong drink
but I must say that even a little in this case may do harm
she is liable to Costiveness. It is necessary to obviate
this by diet, if she can find what answers the purpose
or to remove by a medicine as often as seems necessary


With this regimen I would advise her to gaurd
against all Emotion flurry or surprise. But I cant
give particular directions as the conduct of this must
depend upon her own good sense & direction.


This is all I can well say with respect to Mrs Beridge
but I am going to give you what you do not expect, an
advice for yourself. I have accidentally learned from
her that you are subject to the gout & have had a great
deal of distress. The particulars of this I do not know,
but understand that you have been told to take
entirely to animal food & I cant help telling you
that I take this to be very pernicious to Gouty persons.
Certain circumstances may require it for some time
but I am persuaded the continuance of it must be
hurtful in every Gouty Diathesis. Excuse this
freedom & I hope you will consider it as proceeding
from real regard. If you shall be pleased to favour
me with a letter either to your sister or yourself, you
shall by my attention that I am very desirous
to shew you how much I am

Dear Dr your
faithful & obedient servant
W.C.
Edinburgh June 19th 1776

Diplomatic Text

[Page 1]
Dr Beridge Q Mrs Beridge
Dr Sir.


I am happy to find you remember me, & am proud of ye
honour you do in sending me (↑your↑) sister to me for advice.


I should be happy to be of sevice to her, but I find it difficult
to change a constitution wc has been for a long time in a
bad [train.?] Her system of nerves has been originally
moveable & ye congestion in ye [brain?] produced by cold
bathing has left a considerable disorder in her nervous
system
& rendered it liable to be irritated by slight cause


To remedy all this is not possible by Medicines & some
that might be thought as Bark & bitters contind for
any length of time would certainly do harm and ye only
Tonics she could safely employ are Chalybeates & even
these must be employed wt moderation. The most yt
can be done for her will be by a proper regimen
for supporting ye tone of ye system & for avoiding
all irritation. She is just now engaged in one of ye
most proper measures yt could be thought of, that
is a long journey wc presents objects of ye variety &
novelty. This should be repeated once a year, at a
proper season & at other times she should be often
in ye open air & gentle exercise , Avoiding at all
times Cold & fatigue. Within Doors she should
avoid chambers made very warm, either by
fires or company. As she sleeps ill she should
never be long abed & should quit it easlie in ye morng
rather then try by broken sleeps to make amends
for a bad night
. Her having bad sleeps will probably
dispose her to sit up late at night, & to lye long



[Page 2]

in ye morning, ↑but↑ both are exceeding bad farther measures
for her constitution: In diet I would advise her
to be pretty sparing taking very moderately of animal
food & as much of vegetable as she can easily digest.
I need not caution a Lady against strong drink
but I must say yt even a little in this case may do harm
she is liable to Costiveness. It is necessary to obviate
this by diet, if she can find wt answers ye purpose
or to remove by a medicine as often as seems necessary


With this regimen I would advise her to gaurd
against all Emotion flurry or surprise. But I cant
give particular directions as ye conduct of this must
depend upon her own good sense & direction.


This is all I can well say wt respect to Mrs Beridge
but I am going to give you wt you do not expect, an
advice for yourself. I have accidentally learned from
her yt you are subject to ye gout & have had a gt
deal of distress. The particulars of ys I do not know,
but understand tt you have been told to take
entirely to animal food & I cant help telling you
yt I take ys to be very pernicious to Gouty persons.
Certain circumstances may require it for some time
but I am persuaded ye continuance of it must be
hurtful in every Gouty Diathesis. Excuse ys
freedom & I hope you will consider it as proceeding
fm real regard. If you shall be pleased to favour
me wt a letter either to your sister or yourself, you
shall by my attention that I am very desirous
to shew you how much I am

Dr Dr your
faithful & obedt servt
W.C.
Edinr June 19th 1776

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