Cullen

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

 

[ID:179] From: Dr William Cullen (Professor Cullen) / To: Mr George M'Culloch (Maculloch, Macullock) / Regarding: Mr George M'Culloch (Maculloch, Macullock) (Patient) / 11 August 1781 / (Outgoing)

Reply for Mr Maccullock [Maculloch] regarding ongoing illness, which seems to involve fits; Cullen instructs that he must follow the regimen for three months 'before you can judge of its effects'.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 179
RCPE Catalogue Number CUL/1/1/14/65
Main Language English
Document Direction Outgoing
Date11 August 1781
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 Mr Maccullock [Maculloch] regarding ongoing illness, which seems to involve fits; Cullen instructs that he must follow the regimen for three months 'before you can judge of its effects'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1241]
Case of Mr George Maculloch [Macculloch, MaCullock] who attributes his current languorous complaints to sexual 'infatuation' but which Cullen describes as 'a weak state of nerves and therefore of stomach'.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:990]AddresseeMr George M'Culloch (Maculloch, Macullock)
[PERS ID:990]PatientMr George M'Culloch (Maculloch, Macullock)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:89]Patient's Physician / Surgeon / ApothecaryProfessor Alexander Monro (secundus; Munro )

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
For Mr Maculloch.
Sir


I have considered all your papers again
and again and shall be very happy to relieve your complaints
but must say in the first place that an ailment which has
continued for so long a time as yours has done must be very
difficult to cure but I shall do my best and hope it shall be
with success. If the advice I am to give just now does not
answer let me know after a proper trial and I shall think
of some other measures.


You must in the first place make an entire change in
your manner of living you must abstain entirely from
animal food of all kinds and live entirely on milk grain
and other vegetables particularly fruit.


You must at same time abstain from wine and all
other kinds of strong drink and drink only water or watery
liquors as gruel whey {illeg} buttermilk and such like


This manner of living must be continued for three
months before you can judge of its effects.




[Page 2]


During the present warm weather you must as much as
possible avoid being in the sun or being heated by exercise [and?]
all times avoid the latter or being much in warm chambers.


You must endeavour to be moderate in applying to busi¬
ness and at least never to sit long at one time.


Exercise on horseback will be of service if you avoid much
fatigue or much cold & wet.


You must take care never to fall asleep in the day time
as such sleeps will always be ready to bring on a fit


I trust much to the whole of this regimen and offer
but one medicine which is prescribed in the inclosed paper
It is in the form of pills of which you are to take one at
bedtime. It sometimes occasions a little sickness and if it
does it will be of the more service but if [it d?] one pill after
two nights trial does not make you a little sick you must
take two or even three or four for a dose. You may begin
to these pills as soon as you can get them and take them
every night till a fit happens. But if a fit should in
spite of the pills happen you must then let them a lone
and



[Page 3]

take no more of them for a fortnight after. But then begin
again and take them for a fortnight or a few days more if no fit
before that comes on. You must thus try the effects of these
pills towards preventing fits for three or four times but after
trying two courses of them I would beg to hear from you.


If you shall hereafter as you have done before feel that
stupor and drowsiness which you know to preceed a fit let
about eight ounces of blood be taken from your
arm


If you are at any ↑time↑ costive let it be removed by
a dose of the laxative pills formerly ordered by
Dr [Monro?]


As I have already told you your Issues must be con¬
tinued till I shall have ↑a↑ further account of your condition


Write me of whatever puzzles you and believe me to be
most earnestly

Sir your most obedient servant
William Cullen
Edinburgh 11th August
1781



[Page 4]
For Mr Mc Maccullock

Take twenty four Pilulae Caeruleae Label: Specific Pills

11th August
1781
W.C.

Diplomatic Text

[Page 1]
For Mr Maculloch.
Sir


I have considered all your papers again
and again and shall be very happy to relieve your complaints
but must say in the first place that an ailment which has
continued for so long a time as yours has done must be very
difficult to cure but I shall do my best and hope it shall be
with success. If the advice I am to give just now does not
answer let me know after a proper trial and I shall think
of some other measures.


You must in the first place make an entire change in
your manner of living you must abstain entirely from
animal food of all kinds and live entirely on milk grain
and other vegetables particularly fruit.


You must at same time abstain from wine and all
other kinds of strong drink and drink only water or watery
liquors as gruel whey {illeg} buttermilk and such like


This manner of living must be continued for three
months before you can judge of its effects.




[Page 2]


During the present warm weather you must as much as
possible avoid being in the sun or being heated by exercise [and?]
all times avoid the latter or being much in warm chambers.


You must endeavour to be moderate in applying to busi¬
ness and at least never to sit long at one time.


Exercise on horseback will be of service if you avoid much
fatigue or much cold & wet.


You must take care never to fall asleep in the day time
as such sleeps will always be ready to bring on a fit


I trust much to the whole of this regimen and offer
but one medicine which is prescribed in the inclosed paper
It is in the form of pills of which you are to take one at
bedtime. It sometimes occasions a little sickness and if it
does it will be of the more service but if [it d?] one pill after
two nights trial does not make you a little sick you must
take two or even three or four for a dose. You may begin
to these pills as soon as you can get them and take them
every night till a fit happens. But if a fit should in
spite of the pills happen you must then let them a lone
and



[Page 3]

take no more of them for a fortnight after. But then begin
again and take them for a fortnight or a few days more if no fit
before that comes on. You must thus try the effects of these
pills towards preventing fits for three or four times but after
trying two courses of them I would beg to hear from you.


If you shall hereafter as you have done before feel that
stupor and drowsiness which you know to preceed a fit let
about eight ounces of blood be taken from your
arm


If you are at any ↑time↑ costive let it be removed by
a dose of the laxative pills formerly ordered by
Dr [Monro?]


As I have already told you your Issues must be con¬
tinued till I shall have ↑a↑ further account of your condition


Write me of whatever puzzles you and believe me to be
most earnestly

Sir your most obedient servant
William Cullen
Edn. 11th Augst.
1781



[Page 4]
For Mr Mc Maccullock


Pil. cӕrulear. № xxiv
Signa Specific Pills

11th Augst
1781
W.C.

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