Cullen

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

 

[ID:644] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Captain Campbell (Patient) / 1 October 1782 / (Outgoing)

Reply 'For Captain Campbell', whose complaint is 'entirely of the Spasmodic kind'.

Facsimile

There are 5 images for this document.

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[Page 5]


 
 

Metadata

FieldData
DOC ID 644
RCPE Catalogue Number CUL/1/1/15/129
Main Language English
Document Direction Outgoing
Date1 October 1782
Annotation None
TypeMachine copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply 'For Captain Campbell', whose complaint is 'entirely of the Spasmodic kind'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1505]
Case of Captain Campbell whose stomach pains are considered entirely of a 'spasmodic kind' which can be treated by a regimen with an aperient and anodyne.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3052]PatientCaptain Campbell
[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 Captain Campbell:


We have attentively considered the whole of the
Circumstances of the Captain's complaint and judge
it to be entirely of the spasmodic kind. As it has now
been long in his habit it may be difficult to eradicate
it entirely but we hope to do a great deal towards
preventing its returns and more certainly to relive
it when it does. For these purposes


1. Let him take every night at bedtime two table
spoonfulls of solution the aperient Solution A.
This should give one motion of his belly next day
but if it gives either more or less the dose must be
diminished or increased till it is brought to have
the proper effect only.


At first he is to take this medicine every night for
a week only but after that it will be enough to
take it every second night only for a week or two
and we hope that this shall have brought his




[Page 2]


bowels to a proper habit so that he shall need to take
solution only now and then, when he shall find his
bowels
disposed to Costiveness.


2. By thus taking care to obviate any stagnation in
his bowels we hope he shall have no returns at all
of the pain in his stomach but if the obstinacy of an
old complaint or some accidents should bring back
some returns we have prescribed the Stomachic Tinc¬
ture B.
which we hope will readily relieve all
slighter attacks. Upon his first feeling any thing
like a return let him immediately take fifty or
sixty drops of this tincture on a bit of tea sugar.
He may wash it down with a little brandy or gin
and water but it is not proper to put the drops in any
liquid.


3. We hope as we have said that these drops will
relieve all slighter attacks or when taken on the
first feeling of any attack it will prevent its coming
to any height but if we should be disappointed in this




[Page 3]


and the pain proceeds to a degree of violence. In this
case let him immediately have a purgative glyster
and as soon as this is rendered let him have such a
draught as prescribed at C. which we depend upon
for immediately relieving his pain.


4. These are the medicines which may be occasionally
necessary but to secure the Captain it will be very pro¬
per for him to give some attention to his regimen.


5. As far as business will any ways permit he should
avoid sitting too long at it and should every ↑day↑ take some
exercise in the fresh Air.


6. In diet he may take the most part of ordinary fare
avoiding one one hand very heavy meats and on the other
hand the cold and flatulent things from the garden.


7. In drinking he should avoid all kind of malt liquors
except it maybe a little good porter. He should also be
very sparing of any kind of wine except it be a little of
the strongest as Madeira or red Port. The liquor that
he will find the safest is spirits and water and the




[Page 4]


spirits may be Rum, Brandy, Gin or Whisky as he likes
best.


8. Nothing will be of more consequence than his avoid¬
ing cold and dampness particularly in his feet & legs.

William Cullen

Edinburgh 1st October
1782.



[Page 5]
For Captain Campbell

Take two drachms each of Guaiac Gum and White sugar. Grind together into a fine powder, to which add: one and half ounces of thick Muscilage of Gum Arabic. Blend carefully again and gradually pour in one ounce each of Sugar Syrup and Daffy's Elixir and two and a half ounces each of pure Cinnamon Water and Rose water. Mix. Label: Aperient Solution, the vial to be always very well shaken before a dose is poured out.

Take one and a half ounces of Elixir proprietatis. Label: Stomachic Tincture

Take six drachms each of Pure Cinnamon water, two drachms of Simple Syrup and forty drops of Laudanum. Mix. Label: Anodyne Draught

W. C.
1st October 1782.

Diplomatic Text

[Page 1]
For Captain Campbell:


We have attentively considered the whole of the
Circumstances of the Captain's complaint and judge
it to be entirely of the spasmodic kind. As it has now
been long in his habit it may be difficult to eradicate
it entirely but we hope to do a great deal towards
preventing its returns and more certainly to relive
it when it does. For these purposes


1. Let him take every night at bedtime two table
spoonfulls of solution the aperient Solution A.
This should give one motion of his belly next day
but if it gives either more or less the dose must be
diminished or increased till it is brought to have
the proper effect only.


At first he is to take this medicine every night for
a week only but after that it will be enough to
take it every second night only for a week or two
and we hope that this shall have brought his




[Page 2]


bowels to a proper habit so that he shall need to take
solution only now and then, when he shall find his
bowels
disposed to Costiveness.


2. By thus taking care to obviate any stagnation in
his bowels we hope he shall have no returns at all
of the pain in his stomach but if the obstinacy of an
old complaint or some accidents should bring back
some returns we have prescribed the Stomachic Tinc¬
ture B.
which we hope will readily relieve all
slighter attacks. Upon his first feeling any thing
like a return let him immediately take fifty or
sixty drops of this tincture on a bit of tea sugar.
He may wash it down with a little brandy or gin
and water but it is not proper to put the drops in any
liquid.


3. We hope as we have said that these drops will
relieve all slighter attacks or when taken on the
first feeling of any attack it will prevent its coming
to any height but if we should be disappointed in this




[Page 3]


and the pain proceeds to a degree of violence. In this
case let him immediately have a purgative glyster
and as soon as this is rendered let him have such a
draught as prescribed at C. which we depend upon
for immediately relieving his pain.


4. These are the medicines which may be occasionally
necessary but to secure the Captain it will be very pro¬
per for him to give some attention to his regimen.


5. As far as business will any ways permit he should
avoid sitting too long at it and should every ↑day↑ take some
exercise in the fresh Air.


6. In diet he may take the most part of ordinary fare
avoiding one one hand very heavy meats and on the other
hand the cold and flatulent things from the garden.


7. In drinking he should avoid all kind of malt liquors
except it maybe a little good porter. He should also be
very sparing of any kind of wine except it be a little of
the strongest as Madeira or red Port. The liquor that
he will find the safest is spirits and water and the




[Page 4]


spirits may be Rum, Brandy, Gin or Whisky as he likes
best.


8. Nothing will be of more consequence than his avoid¬
ing cold and dampness particularly in his feet & legs.

William Cullen

Edinr. 1st Octor
1782.



[Page 5]
For Captain Campbell


A ℞ Gum guajac
Sacch. alb. duriss. @ ʒij
Terito simul in pulverem tenuem cui adde
Mucilag. Gum. Arabic. crass ℥ſs
Terito iterum diligenter et paulatim affunde
Syr. Sacchar.
Tinct. Senn. comp. Pharm. Edinen @ ℥j
Aq. cinnam. Simpl.
rosar. @ ℥ijſs
ℳ Sig. Aperient Solution, the vial to be always very
well shaken before a dose is poured out.


C. ℞ Aq. cinnam. Simpl.
-- menth. pip. @ ʒvj
Syr. Simpl. ʒij
Tinct. Thebaic. guttas quadriginta
ℳ Sig. Anodyne Draught

W. C.
1st Octor. 1782.

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