Cullen

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

 

[ID:4069] From: Dr William Cullen (Professor Cullen) / To: Mr Alison / Regarding: Mr Alison (Patient) / 25 May 1777 / (Outgoing)

Reply, 'For Mr Alison'

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 4069
RCPE Catalogue Number CUL/1/1/9/42
Main Language English
Document Direction Outgoing
Date25 May 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply, 'For Mr Alison'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:895]
Case of Mr Alison who is given detailed direction on regimen for what appears to have been an abdominal disorder attributed to nervous weakness.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2006]AddresseeMr Alison
[PERS ID:2006]PatientMr Alison
[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

Normalized Text

[Page 1]
For Mr Alison


How it has come, uncertain, but it is plain that for more than
2 years past his Nerves have been much hurt, & are not yet entirely
restored to their tone, especially the Stomach & bowels ----------


Difficult to mend, & requires time & pains, but there is nothing
in Mr Alison's to to make me doubt of there being pretty soon relieved.


1: Take one of the powders twice every day, wash it down with a
small cupful of the Infusion --- These are to be continued
only for a fortnight & then laid aside for a time. If he can be¬
gin a journey he need take no more of them till his resturn &
even then, only in case of a return of his symptoms. But if



[Page 2]

he do not begin it till some weeks after the first course of
these powders, he may after laying them aside for a week, enter on
a second course, either for a week or two as he is to take his
journey sooner or later. They must not be taken in a liquid
but in a little currant jelly or bread berry; or made into a
bolus with a little syrup, may be swallowed with a wafer. The
best time for them, is an hour before breakfast & dinner,
if before dinner & supper. ----------


2. The effects of these will not last if not assisted by fresh
air & exercise - Riding out every tolerable forenoon. --- But
most benefit will be obtained by a journey steadily pursued
for some weeks -- & this will be best on horseback. The
days journey should at first be short, but afterwards increased
till between thirty & 40 miles a day & never longer. If the
weather is cool, the journey should be before dinner, but if
very warm, the ride should be only in the mornings & evenings.
dining early; as he should not travel till 2 or 3 hours after
dinner. If he make this journey in a carriage, his days
journeys may be longer. A moderate rate of travelling
is better than posting. The Rout, should be such as
to give amusement -----------


3. At home or on a journey, his Diet of consequence.
At breakfast, no tea or coffee. but weak Chocolate or
rather Cocoa. If he digest it easily he may take fresh cow's
milk with an equal part of water gruel, well sweetened with
sugar -- With either of these, he may take dry toast with a
little butter, but no butter toast., & no sweetmeats.


Take a bit of meat every day at dinner, but of the
lighter kinds, & moderately. When hungry, fill up with plain
soup & bred before & pudding after his meat. Be sparing
of Garden things, but when they first come in, young &
tender, may take a little of them with his meat, especially
while he is on his journey. Light suppers, no



[Page 3]

animal food, except perhaps a soft boiled egg.


4. Drink, plain or toast water. No malt liquors. Every day
at dinner he may & should take a few glasses of wine, but of the
stronger kinds as Madera, good Sherry, red Port, but never
so much as to heat him. --- Avoid weak wines, as Claret, hock
&cc. If the wine sour in his Stomach, take instead of it
Todie or Grog.


5. Go to bed betimes, & rise betimes, & should never lie
after being tolerably awaked ---


6. On return from his journey, do not lay the riding aside
but go frequently on horseback for some time in the morning
or forenoon.


7. On his return &c he must be very moderate in application
to business. Some attention to it is proper, but no close anxious
or long continued application -----


8. On return &c & when a little time at home, if he find any
return of symptoms, then try the Cold bath, & especially
the Shower bath as the most convenient & useful ----

Take powdered steel, prepare ground cinnamon, ground columbo root; of each five grams. Mix and make a powder, and in case of emergency make twenty-eight doses. Label as stomachic powders

Take half an ounce of ground Peruvian bark. In a [marble mortar?] ad spring water, enough to make a semiliquid mixture -- grind this carefully for half an hour then pour spring water a bit at a time at [8j?]. Place in a bowl and leave to macerate for twelve hours, then add two ounces of tincture of Peruvian bark, and then strain with paper. Label as Strengthening Infusion --- See above directions.

Edinburgh May. 25. 1777.
W. C.

Diplomatic Text

[Page 1]
For Mr Alison


How it has come, uncertain, but it is plain that for more yn
2 years past his Nerves have been mc hurt, & are not yet entirely
restored to their tone, especially the Stomach & bowels ----------


Difficult to mend, & requires time & pains, but there is nothing
in Mr Alison's to to make me doubt of there being pretty soon relieved.


1: Take one of ye powders twice every day, wash it down w a
small cupful of the Infusion --- These are to be continued
only for a fortnight & then laid aside for a time. If he can be¬
gin a journey he need take no more of them till his resturn &
even then, only in case of a return of his symptoms. But if



[Page 2]

he do not begin it till some weeks after the first course of
these powders, he may after layg ym aside for a week, enter on
a second course, either for a week or two as he is to take his
journey sooner or later. They must not be taken in a liquid
but in a little currant jelly or bread berry; or made into a
bolus with a little syrup, m. b. swallowed w a wafer. The
best time for them, is an hour before breakfast & dinner,
if before dinner & supper. ----------


2. The effects of these will not last if not assisted by fresh
air & exercise - Ridg out every tolerable forenoon. --- But
most benefit will be obtained by a journey steadily pursued
for some weeks -- & this will be best on horseback. The
days journey should at first be short, but afterwards increased
till between thirty & 40 miles a day & never longer. If the
weather is cool, the journey should be before dinner, but if
very warm, the ride should be only in the morngs & evengs.
dining early; as he should not travel till 2 or 3 hours after
dinner. If he make this journey in a carriage, his days
journeys m. b. longer. A moderate rate of travelling
is better than posting. The Rout, should be such as
to give amusement -----------


3. At home or on a journey, his Diet of consequence.
At breakfast, no tea or coffee. but weak Chocolate or
rather Cocoa. If he digest it easily he may take fresh cow's
milk w an equal pt of water gruel, well sweetened with
sugar -- With either of these, he may take dry toast with a
little butter, but no butter toast., & no sweetmeats.


Take a bit of meat every day at dinner, but of the
lighter kinds, & moderately. When hungry, fill up w plain
soup & bred before & pudding after his meat. Be sparing
of Garden things, but when they first come in, young &
tender, may take a little of them w his meat, especially
while he is on his journey. Light suppers, no



[Page 3]

animal food, except perhaps a soft boiled egg.


4. Drink, plain or toast water. No malt liquors. Every day
at dinner he may & should take a few gl. of wine, but of the
stronger kinds as Madera, good Sherry, red Port, but never
so much as to heat him. --- Avoid weak wines, as Claret, hock
&cc. If the wine sour in his Stomach, take instead of it
Todie or Grog.


5. Go to bed betimes, & rise betimes, & should never lie
after being tolerably awaked ---


6. On return from his journey, do not lay the ridg aside
but go frequently on horseback for some time in the morning
or forenoon.


7. On his return &c he must be very moderate in application
to business. Some attention to it is proper, but no close anxious
or long continued application -----


8. On return &c & when a little time at home, if he find any
return of symptoms, then try the Cold bath, & especially
the Shower bath as the most convenient & useful ----


Limat. mart. pp.t Cinnam. pulv. Rad. colomb. pulv. @ gr. v
ℳ. f. Pulv. et f. h. m. dos. N° 28. S. Stomachic Powders


Pulv. cort. Peruv. ℥ſs. In [mort. istr. v. marm.?] adde
aq. font. q. s. ut f. m. semiliq. -- hanc terito dilig. p. hor.
dimid. dein ↑paulutim affunde↑ adde Aq. font. ad [8j?]. Reporre in lagena et
macera hor. 12. adde Tinct. cort. peruv. ℥ij et deniq. p.
chart. cola.
S. Strengthening Infusion --- See above directions.

Edinr. May. 25. 1777.
W. C.

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:4069]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...