Cullen

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

 

[ID:4133] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Bailley (Patient) / 10 September 1777 / (Outgoing)

Reply 'For Mr Bailley', concerning how he should manage his health when returns to Jamaica.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 4133
RCPE Catalogue Number CUL/1/1/9/106
Main Language English
Document Direction Outgoing
Date10 September 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 'For Mr Bailley', concerning how he should manage his health when returns to Jamaica.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:941]
Case of Mr Bailley, who is thought to have no 'fixed disease', but a general nervous weakness after being in the warm climate of Jamaica.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2102]PatientMr Bailley
[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 Edinburgh Edinburgh and East Scotland Europe inferred
Mentioned / Other West Indies certain
Mentioned / Other Jamaica West Indies certain

Normalized Text

[Page 1]
For Mr Bailley


He has no particular disease; only a faulty constitution. his
nerves not perhaps originally ↑not↑ very strong & have been certainly
hurt by a warm climate. The effects of this constitution appear
in various nervous disorders & particuarly in a weakness of
Stomach. all which very distressing but but not at all dangerous.
The remedy of all, will be obtained by the general means of
strengthening the body and avoiding every thing that can weaken
it.


Cold bathing one of the best means; in the Sea if convenient,
or shower bath. In the W. Indies he should take the Sea when
cool & always at or before sunrising in the morning & before
taking any Meat or drink. He may take it every morning,
or at least 3 ↑several↑ times every week.


Exercise on horseback -- avoiding heated or fatigued by it.
The best time will be in the morning -- and avoid at all
times being exposed to great heats or rain or riding after sunset.
Moderate walking in cool air, very allowable but much
walking in a warm climate is very improper. When business
requires travelling in great heats or rains; use a single horse
chaise. These are the best means for strengthening the con¬
stitution, but the whole body & especially the Stomach
must be further strengthened by the medicines below. He need not
enter upon them till settled in Jamaica. but then take a
course of them for 2 or 3 weeks. but no longer at one time.
If they agree with his Stomach & shew good effects, he
may after an interval of some weeks repeat them for 2
or 3 weeks again & this he may do several times ac¬
accordingly as he finds their effects & the circumstances of his
ailment. If they as prescribed below agree with him he




[Page 2]


should when he is to repeat a course of them; increase the Rubigo
chalybeate
to double of what is prescribed below. It is common in such
cases as Mr B's for Practitioners to prescribe large quantities
of bark & bitters - and they are sometimes of use - but the
long continuance & frequent use of them is hurtful & therefore
Mr B. must use -them with great caution. --- Avoid cos¬
tiveness - & if necessary employ a Laxative. An Anderson's
pill might be frequently useful; but the frequentuse of Aloetics
might be inconvenient or by repetition become less effectual.
Therefore vary the Laxative, & the Castor oil will be a
proper change. ---- Every day at dinner he may take
a little solid animal food - but prefer the lighter kinds &
even these moderately, so as never to make a full meal of A¬
nimal food. Make it up, chiefly with pudding of different
kinds. He will not bear much of greens, roots & other garden
things, but when his stomach is tolerably well, he should
take some part of these of the tender and more easily diges¬
ted kinds. As fruit agrees with him he may commonly
make this a part of his meal -- The lighter fish
if not frequently or in large quantity are allowable. Spiceries
tho allowable with vegetable are pernicious with Animal food.
Avoid tea & coffea -- At breakfast take weak chocolate.
His suppers should be of some kind of grain & if possible
without animal food. -- For ordinary drink Spring
water taken very cold is best. till his stomach be stronger
avoid all fermented liquors; but he may try a little madeira
& water & if it do not sour in his Stomach he may con¬
tinue the use of it; but if it tend to turn sour, avoid it,
& take Grog. & this is the only strong drink that is per¬
fectly safe. Take care however that his relish for having
it stronger do not increase & do not lead him insensible
to a large proportion of strong drink which would hurt his
Stomach & whole body. Long application to business
will do harm. Intermix his business with relaxation




[Page 3]


& exercise -- When he is obliged to sit at writing, let him keep
his body as erect his as possible.

W. C.

Take five grams of Steel Powders and Bark Infusion.

Septr. 10th 1777

Diplomatic Text

[Page 1]
For Mr Bailley


He has no particular disease; only a faulty constitution. his
nerves not perhaps originally ↑not↑ very strong & have been certainly
hurt by a warm climate. The effects of this constitution appear
in various nervous disorders & particuarly in a weakness of
Stomach. all wc very distressing but but not at all dangerous.
The remedy of all, will be obtained by the general means of
strengtheng the body and avoiding every thing that can weaken
it.


Cold bathing one of the best means; in the Sea if convenient,
or shower bath. In the W. Indies he should take the Sea when
cool & always at or before sunrising in the morning & before
taking any Meat or drink. He may take it every morning,
or at least 3 ↑several↑ times every week.


Exercise on horseback -- avoidg heated or fatigued by it.
The best time will be in the morning -- and avoid at all
times being exposed to great heats or rain or ridg after sunset.
Moderate walking in cool air, very allowable but much
walking in a warm climate is very improper. When business
requires travelling in great heats or rains; use a single horse
chaise. These are the best means for strengtheng the con¬
stitution, but the whole body & especially the Stomach
m. b. further strengthened by the meds. below. He need not
enter upon them till settled in Jamaica. but then take a
course of them for 2 or 3 weeks. but no longer at one time.
If they agree with his Stomach & shew good effects, he
may after an interval of some weeks repeat them for 2
or 3 weeks again & this he may do several times ac¬
cordg as he finds their effects & the circumstances of his
ailment. If they as prescribed below agree with him he




[Page 2]


should when he is to repeat a course of them; increase the Rubigo
chalyb.
to double of wt is prescribed below. It is common in such
cases as Mr B's for Practitioners to prescribe large quantities
of bark & bitters - and they are sometimes of use - but the
long continuance & frequent use of them is hurtful & therefore
Mr B. must use -them w great caution. --- Avoid cos¬
tiveness - & if necessary employ a Laxative. An Anderson's
pill m. b. frequently useful; but the frequentuse of Aloetics
m. b. inconvenient or by repetition become less effectual.
Therefore vary the Laxative, & the Castor oil will be a
proper change. ---- Every day at dinner he may take
a little solid animal food - but prefer the lighter kinds &
even these moderately, so as never to make a full meal of A¬
nimal food. Make it up, chiefly with pudding of different
kinds. He will not bear much of greens, roots & other garden
things, but when his stomach is tolerably well, he should
take some part of these of the tender and more easily diges¬
ted kinds. As fruit agrees with him he may commonly
make this a part of his meal -- The lighter fish
if not frequently or in large qty are allowable. Spiceries
tho allowable w vegetable are pernicious w Animal food.
Avoid tea & coffea -- At breakfast take weak chocolate.
His suppers should be of some kind of grain & if possible
w out animal food. -- For ordinary drink Spring
water taken very cold is best. till his stomach be stronger
avoid all fermented liquors; but he may try a little madeira
& water & if it do not sour in his Stomach he may con¬
tinue the use of it; but if it tend to turn sour, avoid it,
& take Grog. & this is the only strong drink that is per¬
fectly safe. Take care however that his relish for havg
it stronger do not increase & do not lead him insensible
to a large proportion of strong drink wc would hurt his
Stomach & whole body. Long application to business
will do harm. Intermix his business w relaxation




[Page 3]


& exercise -- When he is obliged to sit at writing, let him keep
his body as erect his as possible.

W. C.


Steel Powders five grains -- & Bark Infusion.

Septr. 10th 1777

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