The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4658] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mr James Hamilton (Of Hutchinson, Esquire) (Patient) / 4 July 1783 / (Outgoing)
Reply, 'For James Hamilton of Hutchison Esqr'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 5 images for this document.
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Metadata
| Field | Data |
|---|---|
| DOC ID | 4658 |
| RCPE Catalogue Number | CUL/1/1/16/62 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 4 July 1783 |
| Annotation | None |
| Type | Machine scribal copy |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | Yes |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply, 'For James Hamilton of Hutchison Esqr' |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1613] |
Case of James Hamilton of Hutchinson whose symptoms are attributed to the gout. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:3471] | Addressee | Dr |
| [PERS ID:3470] | Patient | Mr James Hamilton (Of Hutchinson, Esquire) |
| [PERS ID:3471] | Patient's Physician / Surgeon / Apothecary | Dr |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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
James Hamilton of Hutchinson Esqr.
Sir,
I have studied this Case as well as I can and hope
there is nothing in it, but what I sufficiently understand.
I think the chief part of the Ailment is a Disposition
to the Gout and I hope the Cough and other symptoms
of an Attack upon the Breast are rather owing to the
Gout than any other cause. I own however that as we
cannot command the motions of the Gout we must
in the mean time especially guard against the conse¬
quences of the symptoms in the Breast.
For this purpose, Mr. Hamilton has been very
properly advised to Enter upon a course of Travelling
and he should immediately pursue it. His rate of Tra¬
velling according to the state of winds and weather may
be more or less but should hardly be under twenty
and never above a little of thirty miles a day. If warm
weather shall Set in he must take care to Travel
only in the mornings and Evenings as his being exposed
to the heat in the middle of the day may do him much
harm. In the intervals he may walk about a little
[Page 2]
but it ought always to be in the very gentlest manner
for walking fast, walking up hill, or even walking much
at one time will be always ready to do him harm.
In the changeable state of this Climate even at this
Season if rainy weather should set in Mr. Hamilton
may be in danger from cold and therefore should guard
against it by being always pretty warmly Cloathed and
particularly by wearing constantly a flannel Shirt
next his Skin and especially by taking care by under
Stockings, fast Socks and thick Shoes to keep his feet
and legs always warm and dry and in case of sweatings
he should frequently change his flannel Shirt and foot
socks.
In Diet Mr. Hamilton must use a middle kind
by no means full nor yet exceeding low- Every day at
Dinner he may take a little Animal food but it ought
always to be of the lighter kinds and in very moderate
quantity making a great part of his Meal of Broth
Pudding and Vegetables. Strawberries at present and
Gooseberries when they come in Season are very proper
[Page 3]
for him. He should be very sparing of fish or hardly take
any at all. He should taste no kind of salted meats nor any
thing high seasoned. At Supper he must taste no Animal
food and particularly not an Egg. He may take some
kind of milk meat but more properly some kind of Vege¬
tables. At Breakfast he may take milk or where that
cannot be got good he should take Coco Tea or water Gruel
for Common Tea is by no means proper.
For ordinary drink he must take water or watery liquors
such as Water Gruel or Barley water and into any of these
he may put the squeeze of a lemon. No kind of malt
liquors are proper for him- He may sometimes put a
little wine in his water but it ought to be in very
moderate quantity. Every day at Dinner he may
take a glass or two of Plain wine but he never ought
to exceed three and even if the wine is strong it should
be diluted with water. When good wine does not present
itself Mr. Hamilton may at Dinner take a little
Spirits and water but in this he must be still more
sparing than in wine.
[Page 4]
Both on account of proper Travelling and for other purposes
Mr. Hamilton should constantly go early to bed and get
up early in the morning and every morning he should have
his feet and legs very well rubbed with a piece of dry
flannel.
During the time of Travelling it is not convenient
and I hope it is not necessary for Mr. Hamilton to take
much medicine and I propose to give him one only
which is prescribed in the enclosed paper.
William Cullen -
Edinburgh 4th. July
[Page 5]
✍
For Mr. Hamilton of Hutchinson
Having chopped the extract, cover it with enough boiling water in order to let it soften and reduced into a pulp, to which you add the rest of the ingredients previously reduced into a fine powder. Add a sufficient quantity of water in order to let there it be a mass to be divided into pills of five grains each. Label as Pectoral Pills two to be taken every night at bedtime
W.C.
4th. July
1783.
Diplomatic Text
James Hamilton of Hutchinson Esqr.
Sir,
I have studied this Case as well as I can and hope
there is nothing in it, but what I sufficiently understand.
I think the chief part of the Ailment is a Disposition
to the Gout and I hope the Cough and other symptoms
of an Attack upon the Breast are rather owing to the
Gout than any other cause. I own however that as we
cannot command the motions of the Gout we must
in the mean time especially guard against the conse¬
quences of the symptoms in the Breast.
For this purpose, Mr. Hamilton has been very
properly advised to Enter upon a course of Travelling
and he should immediately pursue it. His rate of Tra¬
velling according to the state of winds and weather may
be more or less but should hardly be under twenty
and never above a little of thirty miles a day. If warm
weather shall Set in he must take care to Travel
only in the mornings and Evenings as his being exposed
to the heat in the middle of the day may do him much
harm. In the intervals he may walk about a little
[Page 2]
but it ought always to be in the very gentlest manner
for walking fast, walking up hill, or even walking much
at one time will be always ready to do him harm.
In the changeable state of this Climate even at this
Season if rainy weather should set in Mr. Hamilton
may be in danger from cold and therefore should guard
against it by being always pretty warmly Cloathed and
particularly by wearing constantly a flannel Shirt
next his Skin and especially by taking care by under
Stockings, fast Socks and thick Shoes to keep his feet
and legs always warm and dry and in case of sweatings
he should frequently change his flannel Shirt and foot
socks.
In Diet Mr. Hamilton must use a middle kind
by no means full nor yet exceeding low- Every day at
Dinner he may take a little Animal food but it ought
always to be of the lighter kinds and in very moderate
quantity making a great part of his Meal of Broth
Pudding and Vegetables. Strawberries at present and
Gooseberries when they come in Season are very proper
[Page 3]
for him. He should be very sparing of fish or hardly take
any at all. He should taste no kind of salted meats nor any
thing high seasoned. At Supper he must taste no Animal
food and particularly not an Egg. He may take some
kind of milk meat but more properly some kind of Vege¬
tables. At Breakfast he may take milk or where that
cannot be got good he should take Coco Tea or water Gruel
for Common Tea is by no means proper.
For ordinary drink he must take water or watery liquors
such as Water Gruel or Barley water and into any of these
he may put the squeeze of a lemon. No kind of malt
liquors are proper for him- He may sometimes put a
little wine in his water but it ought to be in very
moderate quantity. Every day at Dinner he may
take a glass or two of Plain wine but he never ought
to exceed three and even if the wine is strong it should
be diluted with water. When good wine does not present
itself Mr. Hamilton may at Dinner take a little
Spirits and water but in this he must be still more
sparing than in wine.
[Page 4]
Both on account of proper Travelling and for other purposes
Mr. Hamilton should constantly go early to bed and get
up early in the morning and every morning he should have
his feet and legs very well rubbed with a piece of dry
flannel.
During the time of Travelling it is not convenient
and I hope it is not necessary for Mr. Hamilton to take
much medicine and I propose to give him one only
which is prescribed in the enclosed paper.
William Cullen -
Edinr. 4th. July
[Page 5]
✍
For Mr. Hamilton of Hutchinson
℞ Extract. glycyrrhiz. ʒiij
Myrrh. opt.
Bals. Tolutan. @ ʒfs
Extracto in frustula conciso affunde
aquæ ferventis q. s. ut mollescat et in
pulpam contundatur cui adde cæteræ
in pulverem tenuem prius trita et
cum aquæ q. s. fiat massa dividenda
in pil. Sing. gr. v.
Signa Pectoral Pills two to be taken
every night at bedtime
W.C.
4th. July
1783.
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