Cullen

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

 

[ID:666] From: Dr William Cullen (Professor Cullen) / To: Dr Thomas Stephen / Regarding: Captain Grant (Patient) / 11? November 1782 / (Outgoing)

Reply 'For Captn. Grant'

Facsimile

There are 6 images for this document.

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Metadata

FieldData
DOC ID 666
RCPE Catalogue Number CUL/1/1/15/151
Main Language English
Document Direction Outgoing
Date11? November 1782
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Captn. Grant'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1377]
Case of Captain Grant who has consumptive symptoms and also swelling of the genitals.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:820]AddresseeDr Thomas Stephen
[PERS ID:3077]PatientCaptain Grant
[PERS ID:820]Patient's Physician / Surgeon / ApothecaryDr Thomas Stephen
[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
Destination of Letter Elgin East Highlands Scotland Europe inferred
Therapeutic Recommendation Lisbon Portugal Portugal Europe certain
Mentioned / Other Britain Europe certain
Mentioned / Other USA North America certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
For Captn. Grant


After considering very fully the whole of his
history it appears that while in America he was
threatened with a consumption but the voyage home
has been of service to him and since he has been in
Brittain all his complaints seem to be mending.


Were it not for the last mentioned circumstance
I should say that consumptive symptoms are al¬
ways ready to return and therefore that Captain
Grants safety would be in his passing the winter in
a better climate than that of any part of Brittain, and
tho he is seeingly very well now and very free from
any complaint yet upon the least return of any con¬
siderable symptom I would advise him immediately
to quit this country for Lisbon or some other Southern
climate.


Captain Grant has already stood a great deal
of bad weather and shall I hope bear any that is to
come but I must say that he is still in a very sus¬



[Page 2]

picious and without a great deal of attention and
care, cold may readily bring back all his ailments.
If he shall remain in this country it will be of the ut¬
most consequence for him to take every precaution
against cold and much more than a man in ordinary
health need to do. Captain Grant should be always
well and warmly cloathed. He should have flannel
or woollen every where next his skin. He should al¬
ways have two pair of stockings whether he is ↑in↑ boots
or in shoes and the latter should be ↑always↑ with thick soles.
If ever he walks out upon soft or grass ground
he should always put on dry shoes on his coming
in. There is nothing more to be guarded against
than moisture and particularly in his feet and
very particularly in his body and bed linnen.
To avoid moisture the captain should go a little
abroad in wet weather and for the same reason
should hardly ever be abroad after sunset. While
he remains within doors he should avoid having


[Page 3]

his chamber very warm either by fires or by much
company for whenever he is anyways heated he will
be in danger of being affected by the slightest cold.
Whether at home or abroad he must take care to
avoid being in a stream of Air. When abroad the
part most liable to be affected by the wind is the
neck
and therefore when he either walks or rides
out he should have some additional covering to
his neck. On the subject of cold I have only to say
further that when he goes in a carriage he must
never sit by an open side glass and the foreglasses
may always be opened with more safety.




[Page 4]


After taking care of cold Captn. Grants next
attention must be to Exercise and diet.


Riding in such complaints as those of Captn. Grant is
often a very effectual remedy but in this country during the
winter season it seldom can be employed with safety and
should be attempted only in the mildest weather and which
is at the same time pretty dry. Walking is also a
very precarious exercise in the Captains case as walk¬
ing fast, walking up hill or walking to the length of
either heating or fatiguing him would in any weather
be very hurtfull but especially in winter the least excess
in walking would be very hazardous. In short the
only exercise he can take with safety during the winter
is that of going in a carriage and this he should take
as often as the weather will allow, minding always
that cold may do more harm than exercise can repair.


In diet Captn. Grants safety is in a moderate one
In his present condition he need not be entirely confined
to milk and vegetables but at the same time much
animal food might be extremely hurtfull to him.



[Page 5]

Every day at dinner he may take a little animal food
but it should be of the lighter kinds and in very moderate
quantity. He should seldom take either roasted beef or
mutton but sometimes a little of them boiled if also very
tender. His safest animal food will be white fowl, rabbit
tripe, partridge, lamb or veal. He must avoid pigeon
growse and all kinds of water fowl. He should avoid
pork bacon and much fat of any meat. He may take
a little of light white fish as Haddock, whiting, Codling
or flounder but all of them only boiled. In point of
Cookery he must avoid any thing baked or fryed, all
heavy sauces and all high seasoning. Pickles, Vinegar
and lemon are safer than any spiceries and he must
avoid all kinds of salted meats and hams. Of the
things mentioned that he may take he must never take
largely or make a full meal but should make up his
dinner with barley broth, light pudding or some kind
of vegetables. At supper he must take no animal food
nor even an egg but should make that meal always


[Page 6]

of some kind of milkmeat. At breakfast he may
take tea with bread and butter as usual but it would be
better if he could take bread & milk, especially when he is
in the country and does not get asses milk. While Capt.
Grant remains in Edinburgh he should take half a much¬
kin of Asses milk every morning and if he could also pro¬
cure an Ass in the country it might be of service to him.


In drinking Captn. Grant may take any kind of
watery liquors he likes best as plain water, toast water, barley
water, water gruel, fresh drawn cowmilk whey or buttermilk
but none of these must be taken very cold. When his belly
is not open he may take a little small beer or good porter with
two parts of water mixed with it, but he must not use much
freedom with these malt liquors. Every day at dinner
when he has taken a bit of solid meat he may take a
glass or two of wine or punch but he must always be ex¬
ceedingly sparing in this article. Tea and Coffee if taken
moderately are not bad for him.

Diplomatic Text

[Page 1]
For Captn. Grant


After considering very fully the whole of his
history it appears that while in America he was
threatened with a consumption but the voyage home
has been of service to him and since he has been in
Brittain all his complaints seem to be mending.


Were it not for the last mentioned circumstance
I should say that consumptive symptoms are al¬
ways ready to return and therefore that Captain
Grants safety would be in his passing the winter in
a better climate than that of any part of Brittain, and
tho he is seeingly very well now and very free from
any complaint yet upon the least return of any con¬
siderable symptom I would advise him immediately
to quit this country for Lisbon or some other Southern
climate.


Captain Grant has already stood a great deal
of bad weather and shall I hope bear any that is to
come but I must say that he is still in a very sus¬



[Page 2]

picious and without a great deal of attention and
care, cold may readily bring back all his ailments.
If he shall remain in this country it will be of the ut¬
most consequence for him to take every precaution
against cold and much more than a man in ordinary
health need to do. Captain Grant should be always
well and warmly cloathed. He should have flannel
or woollen every where next his skin. He should al¬
ways have two pair of stockings whether he is ↑in↑ boots
or in shoes and the latter should be ↑always↑ with thick soles.
If ever he walks out upon soft or grass ground
he should always put on dry shoes on his coming
in. There is nothing more to be guarded against
than moisture and particularly in his feet and
very particularly in his body and bed linnen.
To avoid moisture the captain should go a little
abroad in wet weather and for the same reason
should hardly ever be abroad after sunset. While
he remains within doors he should avoid having


[Page 3]

his chamber very warm either by fires or by much
company for whenever he is anyways heated he will
be in danger of being affected by the slightest cold.
Whether at home or abroad he must take care to
avoid being in a stream of Air. When abroad the
part most liable to be affected by the wind is the
neck
and therefore when he either walks or rides
out he should have some additional covering to
his neck. On the subject of cold I have only to say
further that when he goes in a carriage he must
never sit by an open side glass and the foreglasses
may always be opened with more safety.




[Page 4]


After taking care of cold Captn. Grants next
attention must be to Exercise and diet.


Riding in such complaints as those of Captn. Grant is
often a very effectual remedy but in this country during the
winter season it seldom can be employed with safety and
should be attempted only in the mildest weather and which
is at the same time pretty dry. Walking is also a
very precarious exercise in the Captains case as walk¬
ing fast, walking up hill or walking to the length of
either heating or fatiguing him would in any weather
be very hurtfull but especially in winter the least excess
in walking would be very hazardous. In short the
only exercise he can take with safety during the winter
is that of going in a carriage and this he should take
as often as the weather will allow, minding always
that cold may do more harm than exercise can repair.


In diet Captn. Grants safety is in a moderate one
In his present condition he need not be entirely confined
to milk and vegetables but at the same time much
animal food might be extremely hurtfull to him.



[Page 5]

Every day at dinner he may take a little animal food
but it should be of the lighter kinds and in very moderate
quantity. He should seldom take either roasted beef or
mutton but sometimes a little of them boiled if also very
tender. His safest animal food will be white fowl, rabbit
tripe, partridge, lamb or veal. He must avoid pigeon
growse and all kinds of water fowl. He should avoid
pork bacon and much fat of any meat. He may take
a little of light white fish as Haddock, whiting, Codling
or flounder but all of them only boiled. In point of
Cookery he must avoid any thing baked or fryed, all
heavy sauces and all high seasoning. Pickles, Vinegar
and lemon are safer than any spiceries and he must
avoid all kinds of salted meats and hams. Of the
things mentioned that he may take he must never take
largely or make a full meal but should make up his
dinner with barley broth, light pudding or some kind
of vegetables. At supper he must take no animal food
nor even an egg but should make that meal always


[Page 6]

of some kind of milkmeat. At breakfast he may
take tea with bread and butter as usual but it would be
better if he could take bread & milk, especially when he is
in the country and does not get asses milk. While Capt.
Grant remains in Edinburgh he should take half a much¬
kin of Asses milk every morning and if he could also pro¬
cure an Ass in the country it might be of service to him.


In drinking Captn. Grant may take any kind of
watery liquors he likes best as plain water, toast water, barley
water, water gruel, fresh drawn cowmilk whey or buttermilk
but none of these must be taken very cold. When his belly
is not open he may take a little small beer or good porter with
two parts of water mixed with it, but he must not use much
freedom with these malt liquors. Every day at dinner
when he has taken a bit of solid meat he may take a
glass or two of wine or punch but he must always be ex¬
ceedingly sparing in this article. Tea and Coffee if taken
moderately are not bad for him.

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