The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3757] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Malcolm MacNeill (of Carskey) (Patient) / 14 April 1774 / (Outgoing)
Reply 'For Mr McNeil'. This is a draft of [DOC ID:900] likely returned by the patient in order to refresh Cullen's memories as to the particulars of the case.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 3757 |
| RCPE Catalogue Number | CUL/1/1/5/20 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 14 April 1774 |
| Annotation | None |
| Type | Scribal 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 McNeil'. This is a draft of [DOC ID:900] likely returned by the patient in order to refresh Cullen's memories as to the particulars of the case. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
This is the draft of:
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:138] |
Case of Malcolm Macneil [MacNeill] Esqr. at Carskey whose two-year disorder, first diagnosed in April 1774, is considered 'rheumatick'. |
5 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:451] | Patient | Mr Malcolm MacNeill (of Carskey) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 | Carskiey House | Carskiey | West Highlands | Scotland | Europe | inferred |
Normalized Text
For Mr McNeil
Having attentively considered the whole of his
complaints I am clearly of opinion that they are wholy
Rheumatick. It is a disease which when it has been
allowed to take hold of a young person for some time
it is often difficult to be removed and not without attention
& pains bestowed for some time - I hope however that
Mr M. may get the better of it entirely by the follow¬
ing measures.
1. His first & constant care must be to avoid cold
He should wear a flannel shirt next his skin night & day &
not to be laid aside till his ↑Complaints↑ are entirely gone & at any rate
to be put on again for next winter - besides this he should be
otherwise warmly cloathed and particularly his legs & feet
always kept warm and dry - He must avoid all damp &
moist weather, the cold of the mornings & especially that of
the evenings for some time to come. - In short it is of the
utmost consequence to avoid catching fresh cold & for that
purpose he must being much heated by exercise or by
sitting in a warm chamber.
2. He must avoid heating his bloods by meat or drink
- He must abstain from animal food till he is free from
pains - & must betake himself to milk and grain - also
avoid all kinds of strong drink whither ale wine or spirits
& to take nothing but water whey or butter milk --
[Page 2]
3. Frequent gentle exercise is very proper for him but
he should be moderate in walking & it should be never
be to the length of heating or fatiguing him - Riding on
horseback is better for him - & when the weather is
tolerable he should employ much of his time but in this
way taking care however never that he does not get wet
or at least not remain in damp cloathes after his exercise
is over.
4. The use of the flesh brush very necessary - In the
morning before getting out of bed his legs & feet should
be well rubbed & when he gets up his body & arms.
Le the rubbing be continued for a good while & gentle
rather than hard --
5 4 Without observing the above directions any
medicines can be of little service & if they are observed
little occasion for medicine
{illeg}However to hasten his cure the following
pills ordered below I hope will be of service to him - He is
to begin with two every 2d night which may make him
a little sick at first but that will do him service &
it will soon wear off. -- If they make him very sick he is to
take but one, if they two have no effect he must take 3.
for a dose -
Take four scruples of James's powder, two scruples of extract of gentian, and a sufficient quantity of mucilaginous Gum Arabic, and [dissolve well?]. Divide the mass into 32 pills.
Diplomatic Text
For Mr McNeil
Having attentively considered the whole of his
complaints I am clearly of opinion that they are wholy
Rheumatick. It is a disease which when it has been
allowed to take hold of a young person for some time
it is often difficult to be removed and not without attention
& pains bestowed for some time - I hope however that
Mr M. may get the better of it entirely by the follow¬
ing measures.
1. His first & constant care must be to avoid cold
He should wear a flannel shirt next his skin night & day &
not to be laid aside till his ↑Compts↑ are entirely gone & at any rate
to be put on again for next winter - besides this he should be
otherwise warmly cloathed and particularly his legs & feet
always kept warm and dry - He must avoid all damp &
moist weather, the cold of the mornings & especially that of
the evenings for some time to come. - In short it is of the
utmost consequence to avoid catching fresh cold & for that
purpose he must being much heated by exercise or by
sitting in a warm chamber.
2. He must avoid heating his bloods by meat or drink
- He must abstain from animal food till he is free from
pains - & must betake himself to milk and grain - also
avoid all kinds of strong drink whither ale wine or spirits
& to take nothing but water whey or butter milk --
[Page 2]
3. Frequent gentle exercise is very proper for him but
he should be moderate in walking & it should be never
be to the length of heating or fatiguing him - Riding on
horseback is better for him - & when the weather is
tolerable he should employ much of his time but in this
way taking care however never that he does not get wet
or at least not remain in damp cloathes after his exercise
is over.
4. The use of the flesh brush very necessary - In the
morning before getting out of bed his legs & feet should
be well rubbed & when he gets up his body & arms.
Le the rubbing be continued for a good while & gentle
rather than hard --
5 4 Without observing the above directions any
medicines can be of little service & if they are observed
little occasion for medicine
{illeg}However to hasten his cure the following
pills ordd below I hope will be of service to him - He is
to begin with two every 2d night which may make him
a little sick at first but that will do him service &
it will soon wear off. -- If they make him very sick he is to
take but one, if they two have no effect he must take 3.
for a dose -
℞ pulv. Jacob. ℈iv
Extract gentian. ℈ij
Mucliagin. gumm. Arabic. q. s. ut fiat bene
subigens massa dividenda in pilulas №
xxxij
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