Cullen

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

 

[ID:467] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Wood (Patient) / 30 January 1773 / (Outgoing)

Reply 'For Mr Wood'

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[Page 2]


 
 

Metadata

FieldData
DOC ID 467
RCPE Catalogue Number CUL/1/1/3/50
Main Language English
Document Direction Outgoing
Date30 January 1773
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 Wood'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:399]
Case of Mr Wood with a 'latent fever'.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1278]PatientMr Wood
[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 Wood. Esqr


After considering the whole of Mr Woods past & present state I am
of opinion that he has no ailment which requires any attention but a
latent fever, which is more intermittent than Hectic & which by a little good
management may be soon removed --


For this purpose His diet for some time must be light & cooling
Both for breakfast & supper he should take some kind of milk meat
At dinner he may take a little animal food, but of the lighter
kinds as pullet, rabbit, tripe, boiled Haddock or whiting, or if he
takes beef, mutton, veal or lamb, it should be in very small qantity
Bacon, Pork waterfowl: pigeon or salmon he should abstain
from altogether. Whatever animal food he takes he should never
make a full meal of it, but make up that with light soup &
some kind of pudding. - When at any time he feels hot or
drowsy hot or thirsty, he may conclude that he has taken too much
animal food or of an improper kind & he should correct it afterwards
Roots & greens he may take a little of along with his meat but
he should take them sparingly. ----


For ordinary drink he may take good sherry & Lisbon
sherry or good Lisbon & water & that rather than any kind of
malt liquor. - After dinner he may take two or three glasses of Claret
or Hock, or he may take a glass or two of port with a large proportion
of water, but his quantity of wine of any kind must always be
very moderate - Punch or spirits in any shape is much less proper.


He will be much the better for taking exercise in a carriage
& when the season is farther advanced he will recieve more benefit
still from going on horseback. -- While the season continues severe
he must be cautious in going abroad & when it is either very
cold or very wet it will be safest for him to stay at home, but
it is to be hoped that a good season will soon set in & then a steady
course of exercise will be his most certain remedy - he should
travel for t from 20 to 40 miles a day & if he can always make that
journey before dinner it will be best While the bad season continues
he should be very cautious in walking abroad & especially in going on damp grounds




[Page 2]


At all times he should be well cloathed, his feet & legs should
be kept warm & dry & a flannel shirt next his skin will be of service to
him -- I dont doubt but by this regimen Mr W. will get perfectly
well before the Spring is far ad advanced, but his recovery will be
secured also by a few medicines --- On a paper apart I have prescribed
what I think is necessary. They are in the first place some febrifuge
powders of which three are to be taken every day - one in the morning
before breakfast, another about an hour after it & the third about
an hour or more before dinner. The may be taken either in a
glass of water or may be made into a bolus with a little syrup
& taken every night at bed time - the dose is a table spoonfull
but if that dose gives no sicknes or squeamishness it may be
increased to two or three spoonfulls. ---- I shall think no other
medicine necessary except it be a gentle Laxative in case of costive¬
ness
which should never be allowed to go too far. What th I think
best for this purpose I have also ordered on the paper apart.

W C
Edinburgh 30th January 1773. ---
For Mr Wood

Take one scruple of powdered Peruvian bark, five grains of powdered columbo root, and one grain of green vitriol. Mix and make in this manner twenty-one doses. Label: Febrifuge powders.

Take three ounces of rose water, half an ounce each of fine cinnamon and caryophyll syrup, and two grains of tartar emetic. Mix. Label: Febrifuge solution

Take two ounces of powdered crystal tartar, one ounce of juice of French prunes, and a sufficient quantity of simple syrup, and make a thin Electuary or Lochoch

W C
30th. January 1773.

Diplomatic Text

[Page 1]
For Wood. Esqr


After considering the whole of Mr Woods past & present state I am
of opinion that he has no ailment wc requires any attention but a
latent fever, wc is more intermittent than Hectic & wc by a little good
management may be soon removed --


For this purpose His diet for some time must be light & cooling
Both for breakfast & supper he should take some kind of milk meat
At dinner he may take a little animal food, but of the lighter
kinds as pullet, rabbit, tripe, boiled Haddock or whiting, or if he
takes beef, mutton, veal or lamb, it should be in very small qantity
Bacon, Pork waterfowl: pigeon or salmon he should abstain
from altogether. Whatever animal food he takes he should never
make a full meal of it, but make up that with light soup &
some kind of pudding. - When at any time he feels hot or
drowsy hot or thirsty, he may conclude that he has taken too much
animal food or of an improper kind & he should correct it afterwards
Roots & greens he may take a little of along with his meat but
he should take them sparingly. ----


For ordinary drink he may take good sherry & Lisbon
sherry or good Lisbon & water & that rather than any kind of
malt liquor. - After dinner he may take two or three glasses of Claret
or Hock, or he may take a glass or two of port with a large proportion
of water, but his quantity of wine of any kind must always be
very moderate - Punch or spirits in any shape is much less proper.


He will be much the better for taking exercise in a carriage
& when the season is farther advanced he will recieve more benefit
still from going on horseback. -- While the season continues severe
he must be cautious in going abroad & when it is either very
cold or very wet it will be safest for him to stay at home, but
it is to be hoped that a good season will soon set in & then a steady
course of exercise will be his most certain remedy - he should
travel for t from 20 to 40 miles a day & if he can always make that
journey before dinner it will be best While the bad season continues
he should be very cautious in walking abroad & especially in going on damp grounds




[Page 2]


At all times he should be well cloathed, his feet & legs should
be kept warm & dry & a flannel shirt next his skin will be of service to
him -- I dont doubt but by this regimen Mr W. will get perfectly
well before the Spring is far ad advanced, but his recovery will be
secured also by a few medicines --- On a paper apart I have prescribed
what I think is necessary. They are in the first place some febrifuge
powders of which three are to be taken every day - one in the morn:
before breakfast, another about an hour after it & the third about
an hour or more before dinner. The may be taken either in a
glass of water or may be made into a bolus with a little syrup
& taken every night at bed time - the dose is a table spoonfull
but if that dose gives no sicknes or squeamishness it may be
increased to two or three spoonfulls. ---- I shall think no other
medicine necessary except it be a gentle Laxative in case of costive¬
ness
which should never be allowed to go too far. What th I think
best for this purpose I have also ordered on the paper apart.

W C
Edinr. 30th Janry. 1773. ---
For Mr Wood


℞ pulv. Cort. peruvian ℈j
------ rad Colomb: gr v.
sal. mart. gr i
ℳ f. pulvis et fiant h. m. dos №. xxi.
sig. Febrifuge powders


Aq. Rosar. ℥iij
Cinnam: ten.
Syr. caryophyll @ ℥ſs
Tart. emet. gr. ij
ℳ. Sig. febrifuge solution ---


Cryst: Tart: pulv: ℥ij
pulp. prunor. gall. ℥i
syr. simplic q. s. ut f. Electuarium tenue sive Lochoch.
sig. Laxative Elect: two or three spoonfulls to be taken for a
dose in the Morn: when occasion requires.

W C
30th. Janry. 1773.

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