Cullen

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

 

[ID:4096] From: Dr William Cullen (Professor Cullen) / To: Anonymous / Regarding: Mr Pagan (Patient) / 5 August 1777 / (Outgoing)

Reply 'For Mr Pagan'. A recipe is mentioned as being on a paper apart, but it is not transcribed in association with the letter.

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[Page 1]


 
 

Metadata

FieldData
DOC ID 4096
RCPE Catalogue Number CUL/1/1/9/69
Main Language English
Document Direction Outgoing
Date5 August 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) Enclosure(s) mentioned, but missing
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mr Pagan'. A recipe is mentioned as being on a paper apart, but it is not transcribed in association with the letter.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:925]
Case of Mr Pagan who has shown symptoms of gravel.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2084]Addressee
[PERS ID:2083]PatientMr Pagan
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2084]Patient's Physician / Surgeon / Apothecary

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 Mr. Pagan


Tho Mr Pagan has had symptoms of gravel so far as to
make it prudent for him to take some precautions against any return
of it yet the symptoms have been so slight as to make me hope that
the following precautions may be effectual. Much riding may be
hurtfull and therefore let him avoid it as much as he can or if he cannot
altogether let him at least avoid making long or quick Journeys.
If his business necessarily obliges him he will do it with more
safety in a single horse chaise than on Horseback. In travelling
he must take care to avoid cold & wet which will always do
harm. He ought particularly to take care to keep his feet & legs
always warm & dry. In dyet he must avoid every thing
salted or high seasoned & he should also avoid pickles or much vinegar.
He should eat no meat at night & at all times he should take fish
very sparingly. Milk & grain will be a proper part of his diet
but greens roots and other Garden things he should take very
moderately. A large proportion of drink is very proper for him,
but the only safe one is plain water. Malt liquor & wines of
all kinds are improper and if he is obliged to take any strong
drink let it be a little spirits & water. Let him avoid lying in
a soft bed & wherever he lies let him as well as he can avoid lying
upon his back. Let him take care to keep his Belly regular &
avoid costiveness & if for this a medicine is necessary he may take a
table spoonfull more or less of the oil ordered on the paper apart
or if either he cannot take oil or that he finds it does not answer
in a moderate dose he may take an Andersons pill at bedtime.
With the above Regimen I have but one medicine to propose which
is the powder proposed in the paper apart. He should take a dose
of these twice a day for a fortnight but then intermitt for a month
& again take a second course of them

W.C.
Edinburgh5 August 1777

Diplomatic Text

[Page 1]
For Mr. Pagan


Tho Mr Pagan has had symptoms of gravel so far as to
make it prudent for him to take some precautions agt. any return
of it yet the symptoms have been so slight as to make me hope that
the following precautions may be effectual. Much riding may be
hurtfull and therefore let him avoid it as much as he can or if he cannot
altogether let him at least avoid making long or quick Journeys.
If his business necessarily obliges him he will do it with more
safety in a single horse chaise than on Horseback. In travelling
he must take care to avoid cold & wet which will always do
harm. He ought particularly to take care to keep his feet & legs
always warm & dry. In dyet he must avoid every thing
salted or high seasoned & he should also avoid pickles or much vinegar.
He should eat no meat at night & at all times he should take fish
very sparingly. Milk & grain will be a proper part of his diet
but greens roots and other Garden things he should take very
moderately. A large proportion of drink is very proper for him,
but the only safe one is plain water. Malt liquor & wines of
all kinds are improper and if he is obliged to take any strong
drink let it be a little spirits & water. Let him avoid lying in
a soft bed & wherever he lies let him as well as he can avoid lying
upon his back. Let him take care to keep his Belly regular &
avoid costiveness & if for this a medicine is necessary he may take a
table spoonfull more or less of the oil ordered on the paper apart
or if either he cannot take oil or that he finds it does not ansr.
in a moderate dose he may take an Andersons pill at bedtime.
With the above Regimen I have but one medicine to propose which
is the powder proposed in the paper apart. He should take a dose
of these twice a day for a fortnight but then intermitt for a month
& again take a second course of them

W.C.
Edinr.5 Augt 1777

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