Cullen

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

 

[ID:710] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Threlkeld (Threkeld) (Patient) / 14 February 1783 / (Outgoing)

Reply, 'Mr Threlkeld', advising him that 'your complaints must be founded in what we call a melancholic or hypochondriac temperament and that must be difficult to change or correct'.

Facsimile

There are 3 images for this document.

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[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 710
RCPE Catalogue Number CUL/1/1/15/197
Main Language English
Document Direction Outgoing
Date14 February 1783
Annotation None
TypeMachine copy
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Threlkeld', advising him that 'your complaints must be founded in what we call a melancholic or hypochondriac temperament and that must be difficult to change or correct'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1626]
Case of Mr Threlkeld whose disease is attibuted to his melancholic and hyochondriac temperament.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3171]PatientMr Threlkeld (Threkeld)
[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]
Mr Threlkeld.
Sir


I am favoured with yours of the 4th current
but by some accidents I have been prevented from answering
it till now. I am sorry to find that any part of the
case formerly transmitted to me was overlooked or neglected
and I am very willing and desirous to make amends for
that neglect now.


I have carefully considered what is represented in
your letter of the 4th. and am sorry to find it is a difficult
case. Your complaints must be founded in what we
call melancholic or hypochondriac temperament and that
must be difficult to change or correct and when we do at¬
tempt it, one of the most effectual means is riding on horse¬
back with ↑a↑ change of air which your situation in life
does not seem to admit of. However I shall advise you
as well as I can and on t'other page I have given a prescrip¬
tion for two different medicines which I hope shall be of
service to you. Whilst you are using these or at any other




[Page 2]


time I earnestly advise you to take Air & exercise especially by
riding as often as you possibly can; and if you could at times
go upon a journey for a week or two together it would probably
be of great service to you. Your diet should be moderate
but rather solid than liquid and rather animal than vegetable.
A few glasses of Wine are allowable but they should be a few
only and the best is a strong wine as Madeira, Sherry or Red
Port always however diluted with water. Patients of your
constitution are commonly liable to costiveness and if this ↑is↑ your
case you must take care that it never goes far and that it is
removed by a laxative, in the choice of which as suited to your
constitution every apothecary can direct you. If you have
any further question to put to me you may freely command


Sir
your most obedient servant
William Cullen

Edinburgh 14th February
1783.



[Page 3]
For Mr Threlkeld.

Take two ounces of Tincture of Mars. Label: Strengthening Tincture, twenty drops of it be be taken in a glass of water made blood warm three or four times a day.

Take one drachm each of Camphor and White sugar, adding a few drops of Alcohol, then grind into a powder, to which add one drachm of the best Asafoetida and along with a sufficient quantity of Muscilage of Gum Arabic to make a mass to be divided into single pills of five grains. Label: Nervous Pills. Three to be taken for a dose at bedtime every second or third night as symptoms may seem to require.

W C.

14th February
1783.

Diplomatic Text

[Page 1]
Mr Threlkeld.
Sir


I am favoured with yours of the 4th currt.
but by some accidents I have been prevented from answering
it till now. I am sorry to find that any part of the
case formerly transmitted to me was overlooked or neglected
and I am very willing and desirous to make amends for
that neglect now.


I have carefully considered what is represented in
your letter of the 4th. and am sorry to find it is a difficult
case. Your complaints must be founded in what we
call melancholic or hypochondriac temperament and that
must be difficult to change or correct and when we do at¬
tempt it, one of the most effectual means is riding on horse¬
back with ↑a↑ change of air which your situation in life
does not seem to admit of. However I shall advise you
as well as I can and on t'other page I have given a prescrip¬
tion for two different medicines which I hope shall be of
service to you. Whilst you are using these or at any other




[Page 2]


time I earnestly advise you to take Air & exercise especially by
riding as often as you possibly can; and if you could at times
go upon a journey for a week or two together it would probably
be of great service to you. Your diet should be moderate
but rather solid than liquid and rather animal than vegetable.
A few glasses of Wine are allowable but they should be a few
only and the best is a strong wine as Madeira, Sherry or Red
Port always however diluted with water. Patients of your
constitution are commonly liable to costiveness and if this ↑is↑ your
case you must take care that it never goes far and that it is
removed by a laxative, in the choice of which as suited to your
constitution every apothecary can direct you. If you have
any further question to put to me you may freely command


Sir
your most obedient servant
William Cullen

Edinr. 14th Febry.
1783.



[Page 3]
For Mr Threlkeld.


Tinct. Mart. ℥ij
Sig. Strengthening Tincture twenty drops of it to be
taken in a glass of water made blood warm three or
four times a day.


Camphoræ
Sacchar. alb. @ ʒj
Adjectis Spir. vin. rectif. guttis aliquot terito
in pulverem cui adde
Asæfœtida opt. ʒj
et cum Mucilag. Mucilag. G. Arabic q. s. f. massa
dividenda in pil. sing. gr. v.
Sig. Nervous Pills three to be taken for a dose
at bedtime every second or third night as symptoms
may seem to require.

W C.

14th Febry.
1783.

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