Cullen

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

 

[ID:4323] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr A Bruce (Patient) / 5 October 1778 / (Outgoing)

Reply, 'For Mr Bruce'

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4323
RCPE Catalogue Number CUL/1/1/11/61
Main Language English
Document Direction Outgoing
Date5 October 1778
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 Bruce'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2529]
Case of Mr A. Bruce whose cough and breathing problems are considered rheumatic.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2504]PatientMr A Bruce
[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 Bruce


Tho so obstinate & so long continued it appears clearly to
be an ailment purely rheumatic. The cough & asthma he
had formerly might give suspicion of a breast ailment &
indeed should lead to caution; but any ailment is now gone
& I have to advise only for preventing the return and dis¬
cussing [entirely?] any remains of the pains of his side.


Especially guard against cold. When he leaves this to
enter on a voyage wear a flannel shirt next his skin
thro the whole winter & be otherwise always warmly
cloathed, taking particular care never to change from
thicker to thinner. Avoid being wet. Get quit of wet
cloaths for drier as soon as possible. Keep his feet &
legs warm & dry. Warm stockings & thick shoes. Avoid
being much heated either by exercise or hot chamber,
& when accidentally so avoid being immediately exposed
to cold air. Nothing will be of more service than frequent



[Page 2]

exercise on foot or horseback in suitable weather, provided
always he is neither too much heated by the former nor chilled
by the latter in cold weather.


His Diet need not be much confined. Any ordinary fare
& during winter if he have no return of ailment of breast
his diet may be solid & nourishing but if he should catch
cold
or be threatened with any ailments of his breast a
light & cool diet maybe necessary.


He may take a few glasses of wine or Punch every
day but any degrees of interferance will always do harm.


If the pain of his side should at any time again
be troublesome apply a blister to the pained part. He
maybe perhaps advised to keep some parts of the blis¬
tered
place open as an issue but a fresh blister will
always do more service; & if at any time the pain
should be more violent & not yield to one blister let this
heal up & soon after apply another.


If contrary to my expectation the pain of his side should
again return in a considerable degree he should have recourse
to the Decoction he has already tried. He is to continue it
for a fortnight at one time.

Take one ounce of shaved lignum guaiacum Boil water from four pounds down to two pounds and after boiling has finished add half an ounce of shaved sassafras and two drachms of the best liquorice Extract. Strain and label. Aperient Decoction a gill to be taken four times a day when the stomach is most empty.

W.C.
Edinburgh October 5. 1778

Diplomatic Text

[Page 1]
For Mr Bruce


Tho so obstinate & so long continued it appears clearly to
be an ailment purely rheumatic. The cough & asthma he
had formerly might give suspicion of a breast ailment &
indeed should lead to caution; but any ailment is now gone
& I have to advise only for preventing the return and dis¬
cussing [entirey?] any remains of the pains of his side.


Especially guard against cold. When he leaves this to
enter on a voyage wear a flannel shirt next his skin
thro the whole winter & be otherwise always warmly
cloathed, taking particular care never to change from
thicker to thinner. Avoid being wet. Get quit of wet
cloaths for drier as soon as possible. Keep his feet &
legs warm & dry. Warm stockings & thick shoes. Avoid
being much heated either by exercise or hot chamber,
& when accidentally so avoid being immediately exposed
to cold air. Nothing will be of more service than freqt



[Page 2]

exercise on foot or horseback in suitable weather, provided
always he is neither too much heated by the former nor chilled
by the latter in cold weather.


His Diet need not be much confined. Any ordinary fare
& during winter if he have no return of ailment of breast
his diet may be solid & nourishing but if he should catch
cold
or be threatened with any ailments of his breast a
light & cool diet maybe necessary.


He may take a few glasses of wine or Punch every
day but any degrees of interferance will always do harm.


If the pain of his side should at any time again
be troublesome apply a blister to the pained part. He
maybe perhaps advised to keep some parts of the blis¬
tered
place open as an issue but a fresh blister will
always do more service; & if at any time the pain
should be more violent & not yield to one blister let this
heal up & soon after apply another.


If contrary to my expectation the pain of his side should
again return in a considerable degree he should have recourse
to the Decoction he has already tried. He is to continue it
for a fortnight at one time.


℞ Rasur. lign. guaiac ℥j Coque ex Aq. lbjv ad lbij addens
subfinem Rasur. sassafras. ℥ſs Extr. glycirrh opt. ʒij Cola
et Signa Aperient Decoction a gill to be taken four times
a day when the stomach is most empty.

W.C.
Edinr Octr 5. 1778

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