Cullen

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

 

[ID:558] From: Dr William Cullen (Professor Cullen) / To: Dr Alexander Taylor (Sanders) / Regarding: Reverend Colin Gillies (of Paisley) (Patient) / 27 May 1782 / (Outgoing)

Reply 'For the Reverend Mr Colin Gillies', whose ailment Cullen does not believe life-threatening, but 'very liable to return and if it should do so frequently it may render his life uncomfortable as it may render him unfit for the duties of life'. Cullen recommends that the patient 'moderate his application to study', avoiding subjects which require 'intense and anxious attention'; gentle exercise, which can include 'moderate preaching'; and a diet in which he should 'live low'.

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Metadata

FieldData
DOC ID 558
RCPE Catalogue Number CUL/1/1/15/40
Main Language English
Document Direction Outgoing
Date27 May 1782
Annotation None
TypeMachine copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For the Reverend Mr Colin Gillies', whose ailment Cullen does not believe life-threatening, but 'very liable to return and if it should do so frequently it may render his life uncomfortable as it may render him unfit for the duties of life'. Cullen recommends that the patient 'moderate his application to study', avoiding subjects which require 'intense and anxious attention'; gentle exercise, which can include 'moderate preaching'; and a diet in which he should 'live low'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1286]
Case of the Rev. Colin Gillies who has suffered several fainting fits almost like epileptic seizures.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:207]AddresseeDr Alexander Taylor (Sanders)
[PERS ID:1465]PatientReverend Colin Gillies (of Paisley)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:207]Patient's Physician / Surgeon / ApothecaryDr Alexander Taylor (Sanders)

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
Destination of Letter Paisley Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
For The Reverend
Mr Colin Gillies


Having now had a full account of Mr Gillies ail¬
ment and having considered it with great attention I am
of opinion that it does not in any degree threaten his
life but it is a disease that is very liable to return and
if it should do so frequently it may render his life uncom¬
fortable as it may render him unfit for the duties of life.
It is an ailment therefore that demands every precaution
and for some time Mr Gillies ought to direct his whole con¬
duct with that view. The following measures seem to
me the most promising


1. He should moderate his application to study. It is not
necessary for him to renounce it altogether but he should
never sit long at one time nor spend much of the day in
it and he ought to make a choice of the subject of his study
avoiding whatever requires intense and anxious attention
and choosing what tho engaging some attention and there¬
fore amusing leads however to no train of thinking. Of
all studies that of composing is ready to give the greatest



[Page 2]

anxiety & therefore the most hazardous for Mr Gillies.
But if some labour of that kind is unavoidable let it be
moderate and always done at great leisure.


Instead of study Mr Gillies should employ much of
his time in gentle exercise and that as often as the weather
allows of it in the open Air. A great deal of walking is
very allowable but it should be always at leisure and
on level ground & whatever kind of walking heats him is
in danger of hurting him. The exercise which of all
others will do him most service is going in a single horse
which he drives himself. In this exercise some care is
to be taken to avoid cold and moisture, but he will
be in more danger still from travelling in the heat
of the sun. Moderate speaking is a wholsome
exercise & there is no occasion for Mr Gillies avoiding
moderate preaching but preaching with earnestness and
vehemence and preaching long at one time may be
exceedingly hurtfull. I would say the same of speaking
in debate & with regard to this it is particularly to be



[Page 3]

observed that entering into earnest debate in a crowded
warm assembly has often brought on the ailment which
Mr Gillies is threatened with, and the same is to be obser¬
ved with respect to preaching in warm weather to a crowded
audience. In all situations being much heated will
be dangerous for Mr Gillies.


In diet he should live low. At dinner he may take
a little animal food but it should be of the lighter
kinds and always in very moderate quantity making up
his meal with broth, pudding and vegetables. Fish of
any kind is hardly safe and the heavier kinds as Salmon
and Herring are particularly improper. At breakfast
and Supper he should take some kinds of milkmeat or
vegetables. Tea unless taken very weak is improper and
Coffee is no safer.


For ordinary drink, if he is not costive, he may take
plain water but if he is disposed to be costive he should
take porter ↑mixed↑ with two or three parts of water. No kind



[Page 4]

of strong drink is proper for Mr Gillies but every day
both after dinner and supper he may take a glass or two
of wine well diluted with water or he may take two or
three glasses of weak punch tho I think the wine and water
are safer for him.


Late hours at night or lying long abed in the morning
are both very bad for him.


These are the particulars of regimen which I recom¬
mend and for preserving Mr Gillies health I trust more
to this regimen than I do to any regimen m medicines
but I hope he may also receive some benefit from these
and I have therefore prescribed some on a separate paper
with directions for the use of them.

William Cullen
Edinburgh 27th May
1782 ––



[Page 5]
For The Revd Mr Colin Gillies

Take an ounce each of powdered Wild Valerian Root and Peruvian Bark, ½ an ounce of ground Orange Peel, 2 drachms of ground coarse Ammoniac Salts, 1½ ounces of Orange Peel Conserve, and enough Simple Syrup to make an Electuary, of which to take a lump the size of a nutmeg morning and evening, washed down with 3 spoonfuls of the following infusion:

Take ½ an ounce of dried Rue leaves, 2 drachms of fresh tops of Rosemary, 3 drachms of Orange Peel and 2 pints of boiling water. Steep for 8 hours, and add ½ an ounce of Volatile Tincture of Valerian, then strain through paper.

W.C.
27th May
1782 ––

Diplomatic Text

[Page 1]
For The Reverend
Mr Colin Gillies


Having now had a full account of Mr Gillies ail¬
ment and having considered it with great attention I am
of opinion that it does not in any degree threaten his
life but it is a disease that is very liable to return and
if it should do so frequently it may render his life uncom¬
fortable as it may render him unfit for the duties of life.
It is an ailment therefore that demands every precaution
and for some time Mr Gillies ought to direct his whole con¬
duct with that view. The following measures seem to
me the most promising


1. He should moderate his application to study. It is not
necessary for him to renounce it altogether but he should
never sit long at one time nor spend much of the day in
it and he ought to make a choice of the subject of his study
avoiding whatever requires intense and anxious attention
and choosing what tho engaging some attention and there¬
fore amusing leads however to no train of thinking. Of
all studies that of composing is ready to give the greatest



[Page 2]

anxiety & therefore the most hazardous for Mr Gillies.
But if some labour of that kind is unavoidable let it be
moderate and always done at great leisure.


Instead of study Mr Gillies should employ much of
his time in gentle exercise and that as often as the weather
allows of it in the open Air. A great deal of walking is
very allowable but it should be always at leisure and
on level ground & whatever kind of walking heats him is
in danger of hurting him. The exercise which of all
others will do him most service is going in a single horse
which he drives himself. In this exercise some care is
to be taken to avoid cold and moisture, but he will
be in more danger still from travelling in the heat
of the sun. Moderate speaking is a wholsome
exercise & there is no occasion for Mr Gillies avoiding
moderate preaching but preaching with earnestness and
vehemence and preaching long at one time may be
exceedingly hurtfull. I would say the same of speaking
in debate & with regard to this it is particularly to be



[Page 3]

observed that entering into earnest debate in a crowded
warm assembly has often brought on the ailment which
Mr Gillies is threatened with, and the same is to be obser¬
ved with respect to preaching in warm weather to a crowded
audience. In all situations being much heated will
be dangerous for Mr Gillies.


In diet he should live low. At dinner he may take
a little animal food but it should be of the lighter
kinds and always in very moderate quantity making up
his meal with broth, pudding and vegetables. Fish of
any kind is hardly safe and the heavier kinds as Salmon
and Herring are particularly improper. At breakfast
and Supper he should take some kinds of milkmeat or
vegetables. Tea unless taken very weak is improper and
Coffee is no safer.


For ordinary drink, if he is not costive, he may take
plain water but if he is disposed to be costive he should
take porter ↑mixed↑ with two or three parts of water. No kind



[Page 4]

of strong drink is proper for Mr Gillies but every day
both after dinner and supper he may take a glass or two
of wine well diluted with water or he may take two or
three glasses of weak punch tho I think the wine and water
are safer for him.


Late hours at night or lying long abed in the morning
are both very bad for him.


These are the particulars of regimen which I recom¬
mend and for preserving Mr Gillies health I trust more
to this regimen than I do to any regimen m medicines
but I hope he may also receive some benefit from these
and I have therefore prescribed some on a separate paper
with directions for the use of them.

William Cullen
Edinr. 27th May
1782 ––



[Page 5]
For The Revd Mr Colin Gillies


Rad. valerian. silv. pulv.
Cort. Peruv. pulv. @ ℥j
Cort. aurant. pulv. ℥ſs
Sal. ammoniac. crud. ʒij pulv.
Cons. e cort. aurantior. ℥jſs
Syr. Simpl. q. s. ut. f. Electuarium cujus capiat
molem N. M. mane et vesperi superbibendo cochlear. iij
Infusi Sequent.


folios. rutæ siccat. ℥ſs
Summitt. rorismarin. recent. ʒij
Cort. aurantior. ʒiij
Aq. bullient. lbij
Digere horas octo et adde
Tinct. valerian. vol. ℥ſs
denique per chartam cola.

W.C.
27th May
1782 ––

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