Cullen

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

 

[ID:4117] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mr Lewis Fletcher (Patient) / 26 August 1777 / (Outgoing)

Reply, 'Mr Lewis Fletcher'

Facsimile

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Metadata

FieldData
DOC ID 4117
RCPE Catalogue Number CUL/1/1/9/90
Main Language English
Document Direction Outgoing
Date26 August 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Lewis Fletcher'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:874]
Case of Mr Lewis Fletcher who is given advice on regimen and a steel medicine for an unnamed 'habitual' condition which tends to generate fear in patients but which can be managed.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2108]AddresseeDr
[PERS ID:2106]PatientMr Lewis Fletcher
[PERS ID:2108]Patient's Physician / Surgeon / ApothecaryDr
[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]
Mr Lewis Fletcher.


I am acquantited with your ailment, but am sorry to tell
you that after it has subsisted long, & become habitual, as
in your case it is difficult to cure. - It often however
admits of relief & is never mortal, but this happens to
such patients, that they are full of fears & see conse¬
quences in the worst light. Guard against this as well as you
can & hope the best which I hope may be brought about
by the following measures.


Let your diet be of a middle kind. Take a bit of meat
every day at dinner, but of the lightest & plainest kind,
taking your animal food in moderate quantity & filling
up your meal with broth, pudding, & vegetables. Take no
fish nor eggs, & avoid much salt or high seasoning. Take
your supper light, or none at all & avoid Eggs or any kind
of animal food. Your common drink should be plain wa¬
ter, unless you are liable to costiveness, in which case, take
small beer. Take two or three glasses of wine or Punch
at any of your meals, but being heated with strong drink, will
be hurtfull especially at night. ---- Moderate Exercise
proper & necessary, but fatigue is to be carefully avoided.
You may walk or ride, but the last, the best.


Nothing more serviceable than cold bathing, if you bear it
well & persist in it for a long time. Take it in the sea
if convenient; but I would prefer a Shower bath taken at



[Page 2]

home. -- Avoid sitting in warm chamber, warmed either by
fires or company, your bed room, without fire in the night &
have as few bed clothes as you bear with. Don't go late
to bed, nor ly, long in the morning ----


When not abroad & in exercise, take pains to be engaged in some
easy business or company that engages in your attention.


For medicines of service, your chief dependance on your
self
upon the above regimen; but the prescription will be
I hope of service. Take one course of these medicines for a
fortnight & then intermit them for as long or longer, in which
you may be determined by the effects of the first course.


August 26 -- 1777
W C

For Mr L. Fletcher.

Take five grains of prepared powdered steel &c. To make the Bark infusion, mix one ounce of Bark with two pounds of water and four ounces of tincture.

Diplomatic Text

[Page 1]
Mr Lewis Fletcher.


I am acquantited with your ailment, but am sorry to tell
you that after it has subsisted long, & become habitual, as
in your case it is difficult to cure. - It often however
admits of relief & is never mortal, but this happens to
such patients, that they are full of fears & see conse¬
quences in the worst light. Guard against this as well as you
can & hope the best which I hope may be brought about
by the followg measus.


Let your diet be of a middle kind. Take a bit of meat
every day at dinner, but of the lightest & plainest kind,
taking your animal food in moderate quantity & fillg
up your meal with broth, pudding, & vegetables. Take no
fish nor eggs, & avoid much salt or high seasoning. Take
your supper light, or none at all & avoid Eggs or any kind
of animal food. Your common drink should be plain wa¬
ter, unless you are liable to costiveness, in which case, take
small beer. Take two or three glasses of wine or Punch
at any of your meals, but being heated with strong drink, will
be hurtfull especially at night. ---- Moderate Exercise
proper & necessary, but fatigue is to be carefully avoided.
You may walk or ride, but the last, the best.


Nothing more serviceable than cold bathing, if you bear it
well & persist in it for a long time. Take it in the sea
if convenient; but I would prefer a Shower bath taken at



[Page 2]

home. -- Avoid sittg in warm chamber, warmed either by
fires or company, your bed room, without fire in the night &
have as few bed clothes as you bear with. Don't go late
to bed, nor ly, long in the morning ----


When not abroad & in exercise, take pains to be engaged in some
easy business or company that engages in your attention.


For medicines of service, your chief dependance on your
self
upon the above regimen; but the prescription will be
I hope of service. Take one course of these medicines for a
fortnight & then intermit them for as long or longer, in which
you may be determined by the effects of the first course.


Aug 26 -- 1777
W C

For Mr L. Fletcher.


Limat M. p.t gr v. &c.
Bark Infusion ℥j Bark. Water ℔ij Tinct. ℥iv

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