Cullen

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

 

[ID:54] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Russel (Patient) / 29 March 1769 / (Outgoing)

Reply, 'For Mr Russel'

Facsimile

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Metadata

FieldData
DOC ID 54
RCPE Catalogue Number CUL/1/1/1/49
Main Language English
Document Direction Outgoing
Date29 March 1769
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply, 'For Mr Russel'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:74]
Case of Mr Russell suffering from a 'Spasmodic Asthma'.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:60]PatientMr Russel
[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 Russel


I have considered the whole Circumstances of Mr Russels com¬
plaints & am of Opinion that it is of no dangerous consequence
that it Does no depend upon any particular affection of the heart or
great Vessels but is purely a Nervous affection of the heart & that it
depends upon his time of Life & state of Growing -- Upon this
account he cannot get entirely from it for some time nor till his growing
stops & his body has accquired some firmness but if it is in the
mean time neglected or treated improperly it may have bad Conse¬
quences & therefore the following measures must be Pursued -


1. For a twelvemonth or more he must avoid all bodily Exercise
but of the most Gentle Kind ~ He must walk only upon very
level Ground carefully avoiding every ascent. Even upon a
level he must avoid all rough & uneven Ground and when
ever he walks he must always move very slowly & never continue very
long but with all these conditions he should be much in fresh
air & walk a little very frequently - When these attentions are



[Page 2]

enjoined with regard to walking it will be Obvious that Every
other exertion will also be hurtfull & therefore that he must
abstain from every kind of work but what he can perform sitting
& with very little exertion of motion of his body


Tho he must thus to a certain Degree avoid motion it must be
observed that sitting much or long at one time or lying long abed is
also very bad for him. Let him therefore frequently change his posture
& take a little walk but especially go frequently on horseback --


He may with advantage ride very often & as often as conveniency
allow's but let him have a Peace↑a↑ble Horse little motion be always
gentle & never continued above a few hours at one time


The more he is in the fresh air the better & also the cooler he is
kept when within Doors. He should never sit over the fire & in the night
time his bed should not be very close nor have many bedcloaths upon it


In Diet he should keep to what is common in the Country that is
to milk & Meal & all stronger food would do him harm & strong
Drink of all kinds would still do more ~~


The only medicine I would advise for him is the Electuary pres¬
cribed on the Paper apart - Let him take the bigness of a Nutmeg
twice a Day an hour before Dinner & supper & let him take such a
quantity as prescribed at Present at the beginning of Every month
for three or four months to Come ----


As soon as the summer season sets in if he has any river brook
or lake near him & the water in these is a little warmed let him
dip once or twice in the Water over head & Ears & let him repeat this
Every morning for the rest of summer

William Cullen
Edinburgh 29 March 1769



[Page 3]
For Mr Russel

Take an ounce of powdered Peruvian Bark, an ounce of wild valerian root, two drachms of powdered Cinnamonn, one drachm of Sal. Mart., one ounce of conserve of Rosa and a sufficient quantity of Syrup of Cloves to make an electuary. Label: strengthening Electuary, the bigness of a nutmeg taken twice a day.

WC
29 March 1769

Diplomatic Text

[Page 1]

For Mr Russel


I have considered the whole Circumstances of Mr Russels com¬
plaints & am of Opinion that it is of no dangerous consequence
that it Does no depend upon any particular affection of the heart or
great Vessels but is purely a Nervous affection of the heart & that it
depends upon his time of Life & state of Growing -- Upon this
account he cannot get entirely from it for some time nor till his growing
stops & his body has accquired some firmness but if it is in the
mean time neglected or treated improperly it may have bad Conse¬
quences & therefore the following measures must be Pursued -


1. For a twelvemonth or more he must avoid all bodily Exercise
but of the most Gentle Kind ~ He must walk only upon very
level Ground carefully avoiding every ascent. Even upon a
level he must avoid all rough & uneven Ground and when
ever he walks he must always move very slowly & never continue very
long but with all these conditions he should be much in fresh
air & walk a little very frequently - When these attentions are



[Page 2]

enjoined with regard to walking it will be Obvious that Every
other exertion will also be hurtfull & therefore that he must
abstain from every kind of work but what he can perform sitting
& with very little exertion of motion of his body


Tho he must thus to a certain Degree avoid motion it must be
observed that sitting much or long at one time or lying long abed is
also very bad for him. Let him therefore frequently change his posture
& take a little walk but especially go frequently on horseback --


He may with advantage ride very often & as often as conveniency
allow's but let him have a Peace↑a↑ble Horse little motion be always
gentle & never continued above a few hours at one time


The more he is in the fresh air the better & also the cooler he is
kept when within Doors. He should never sit over the fire & in the night
time his bed should not be very close nor have many bedcloaths upon it


In Diet he should keep to what is common in the Country that is
to milk & Meal & all stronger food would do him harm & strong
Drink of all kinds would still do more ~~


The only medicine I would advise for him is the Electuary pres¬
cribed on the Paper apart - Let him take the bigness of a Nutmeg
twice a Day an hour before Dinner & supper & let him take such a
quantity as prescribed at Present at the beginning of Every month
for three or four months to Come ----


As soon as the summer season sets in if he has any river brook
or lake near him & the water in these is a little warmed let him
dip once or twice in the Water over head & Ears & let him repeat this
Every morning for the rest of summer

William Cullen
Edinr 29 March 1769



[Page 3]
For Mr Russel


℞ Pulv. Cort. Peruv.
Rad. Valerian Sylv. @ ℥j
Cinnamom.pulv. ʒij
Sal. Mart. ʒj
Cons. Rosar ℥j
Syr. Caryophyll. q.s. ut. f. Electuarium
Signa strengthening Electuary, the bigness of a Nutmeg
to be taken twice a Day

WC
29 March 1769

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