Cullen

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

 

[ID:4752] From: Dr William Cullen (Professor Cullen) / To: Mr Alexander Dunlop (Sanders, Saunders) / Regarding: Mr Govan (Patient) / 3 December 1783 / (Outgoing)

Reply, 'For Mr Govan'. Cullen supplies a detailed regimen, giving advice on diet, appropriate exercise, and guarding against cold. For Mr Govan's stomach disorder, Cullen includes recipes for stomachic pills, stomachic drops, strengthening powders, and laxative pills.

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Metadata

FieldData
DOC ID 4752
RCPE Catalogue Number CUL/1/1/16/156
Main Language English
Document Direction Outgoing
Date3 December 1783
Annotation None
TypeMachine scribal copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply, 'For Mr Govan'. Cullen supplies a detailed regimen, giving advice on diet, appropriate exercise, and guarding against cold. For Mr Govan's stomach disorder, Cullen includes recipes for stomachic pills, stomachic drops, strengthening powders, and laxative pills.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1615]
Case of Mr Govan who has an obstinate stomach disorder.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:591]AddresseeMr Alexander Dunlop (Sanders, Saunders)
[PERS ID:4998]PatientMr Govan
[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. Govan


The ailment seems to be entirely in the stomach and
stomach complaints are commonly obstinate and this has
been so in spite of many proper remedies that have
been employed but I hope it shall not continue to
be so, if he follows the following regimen and employs
the medicines here prescribed.


1 He must lay aside entirely the use of Tea and
Coffee either in the morning or afternoon. If he is very
very much attached to something of that kind he may
in the morning take Cocoa tea, Balm tea or weak
Sage Tea. If he digests milk easily and it neither
gives heart burn or Costiveness he may try it for
breakfast with toasted bread. He may take it
either warm or cold and rather cold but if he
chuses it warm he must take it without sugar
but he may take a tea spoonful or two of Rum



[Page 2]

or Brandy into it especially if he shall find that
this helps to digest it.


2. At Dinner he must avoid all kind of broth
with barley, roots or greens in them. If however he
is fond of broth and especially if he is in any danger
of eating too much solid food he may every day take
some plain Soup not very strong made of Beef
Mutton, Veal or of fowl avoiding the fat of these
as well as may be, or taking care to skim off
the fat that could not be avoided. In any of these
broths he may take a little Rice that has been
separately well boiled but his best way will be
to take only some toasted well leavened bread in his
broth. After his broth he is to make his dinner
of some solid meat, that is, of Beef, Mutton
Veal or fowl rather roasted than boiled avoiding
however much fat and all butter Sauces. He may
take mustard or a little pepper but must avoid all



[Page 3]

kind of Pickles, Vinegar or lemon. He may take
frequently of Pidgeon or wildfowl and he may
sometimes take fish but it should be seldom and
sparingly. He must be very sparing or almost alto¬
gether avoid fruit, roots, greens or other garden things.
What will be safest is a dry mealy potatoe a little
toasted.


At Supper he should for sometime take nothing
at all but if he find that a total abstinence affects
his rest in the nights he may take an Egg not too
soft or he may take a little of some solid food.


3 At all times his ordinary drink should be
plain water without even a toast in it. He must
for sometime abstain entirely from all kind of
fermented liquors whether malt liquor or wines
but as he is probably been accustomed to take
some strong drink every day so he may continue
both at dinner and at Supper time to take a little



[Page 4]

either of Rum or Brandy with water but always
the spirits in moderate quantity and without either
Sugar or lemon in the mixture.


4 With the above diet I think he may be
always the better for being much in the fresh air
and in gentle exercise. This I think will be best
taken on horseback if it is taken with an empty
stomach.


5. At all times nothing will be of more conse¬
quence to Mr. Govan than avoiding cold and for
this purpose he should be always warmly cloathed
and take particular care to keep his feet and
legs always warm and dry.


6 I depend very much upon the above regimen
for the relief of Mr. Govans complaints but I
hope it may still be more certainly obtained by the
help of some medicine prescribed on the paper inclosed.

William Cullen
Edinburgh 3d. December 1783



[Page 5]
For Mr Govan

Take half a drachm of prepared Crab's Eyes, three grains of powdered Cinnamon, and one grain of powdered Ginger. Mix to make a powder and from this make twelve doses. Label: Stomachic Powders one to be taken in a little water when the heartburn is very violent but these powders should be reserved for such occasion.

Take two ounces of Tincture of aloes and myrrh. Label: Stomachic Drops fifty to be taken on a bit of Sugar half an hour before dinner and again an hour or two after it every day for some time to come.

Take ten grains of prepared Powdered Steel, five grains of powdered Cinnamon and fifteen grains of pure white Sugar. Mix to make a powder and from this make twenty eight doses. Label: Strengthening Powders one to be taken in a little berry every morning before breakfast and again at Seven of the evening every day for a fortnight.

Take one drachm of Aloetic pill Mass. Divide into twelve pills and Label: Laxative Pills one or two to be taken at bedtime when costiveness requires.

3d. December 1783./
W.C.

Diplomatic Text

[Page 1]
For Mr. Govan


The ailment seems to be entirely in the stomach and
stomach complaints are commonly obstinate and this has
been so in spite of many proper remedies that have
been employed but I hope it shall not continue to
be so, if he follows the following regimen and employs
the medicines here prescribed.


1 He must lay aside entirely the use of Tea and
Coffee either in the morning or afternoon. If he is very
very much attached to something of that kind he may
in the morning take Cocoa tea, Balm tea or weak
Sage Tea. If he digests milk easily and it neither
gives heart burn or Costiveness he may try it for
breakfast with toasted bread. He may take it
either warm or cold and rather cold but if he
chuses it warm he must take it without sugar
but he may take a tea spoonful or two of Rum



[Page 2]

or Brandy into it especially if he shall find that
this helps to digest it.


2. At Dinner he must avoid all kind of broth
with barley, roots or greens in them. If however he
is fond of broth and especially if he is in any danger
of eating too much solid food he may every day take
some plain Soup not very strong made of Beef
Mutton, Veal or of fowl avoiding the fat of these
as well as may be, or taking care to skim off
the fat that could not be avoided. In any of these
broths he may take a little Rice that has been
separately well boiled but his best way will be
to take only some toasted well leavened bread in his
broth. After his broth he is to make his dinner
of some solid meat, that is, of Beef, Mutton
Veal or fowl rather roasted than boiled avoiding
however much fat and all butter Sauces. He may
take mustard or a little pepper but must avoid all



[Page 3]

kind of Pickles, Vinegar or lemon. He may take
frequently of Pidgeon or wildfowl and he may
sometimes take fish but it should be seldom and
sparingly. He must be very sparing or almost alto¬
gether avoid fruit, roots, greens or other garden things.
What will be safest is a dry mealy potatoe a little
toasted.


At Supper he should for sometime take nothing
at all but if he find that a total abstinence affects
his rest in the nights he may take an Egg not too
soft or he may take a little of some solid food.


3 At all times his ordinary drink should be
plain water without even a toast in it. He must
for sometime abstain entirely from all kind of
fermented liquors whether malt liquor or wines
but as he is probably been accustomed to take
some strong drink every day so he may continue
both at dinner and at Supper time to take a little



[Page 4]

either of Rum or Brandy with water but always
the spirits in moderate quantity and without either
Sugar or lemon in the mixture.


4 With the above diet I think he may be
always the better for being much in the fresh air
and in gentle exercise. This I think will be best
taken on horseback if it is taken with an empty
stomach.


5. At all times nothing will be of more conse¬
quence to Mr. Govan than avoiding cold and for
this purpose he should be always warmly cloathed
and take particular care to keep his feet and
legs always warm and dry.


6 I depend very much upon the above regimen
for the relief of Mr. Govans complaints but I
hope it may still be more certainly obtained by the
help of some medicine prescribed on the paper inclosed.

William Cullen
Edinr. 3d. Decr. 1783



[Page 5]
For Mr Govan


Ocul. Cancr. ppt. ʒſs
Cinnamom. pulv. gr. iij
Zingiber. pulv. gr. j
ℳ. f. pulvis et f.h.m. dos. № xij
Signa Stomachic Powders one to be taken in a little water
when the heartburn is very violent but these powders should
be reserved for such occasion


Elix. propriet. vitriolic. ℥ij
Sig. Stomachic Drops fifty to be taken on a bit of Sugar
half an hour before dinner and again an hour or two after
it every day for some time to come


Limatur. Mart. ppt. gr. x
Cinnam. pulv. gr. v
Sacchar. alb. puriss. gr. xv
ℳ. f. pulvis et f.h.m. dos. № xxviij
Signa Strengthening Powders one to be taken in a little berry
every morning before breakfast and again at Seven of the
evening every day for a fortnight.


℞ Mass. pil Aloetic. ʒj
Divide in pil № xij et Sig. Laxative Pills one or two to
be taken at bedtime when costiveness requires

3d. Decr. 1783./
W.C.

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