Cullen

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

 

[ID:4107] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mr Robert Henderson (Patient) / 15 August 1777 / (Outgoing)

Reply 'For Robert Henderson'

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4107
RCPE Catalogue Number CUL/1/1/9/80
Main Language English
Document Direction Outgoing
Date15 August 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Robert Henderson'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:904]
Case of Robert Henderson Esquire who has gout. Hard to establish if he is the same Mr Henderson numbered as distinct cases dating from the late 1770s.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:3717]AddresseeDr
[PERS ID:3386]PatientMr Robert Henderson
[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]

For Robert Henderson Esqr.


There may be some gouty disposition in his habit but as nature
has not given it a proper course, it is difficult for us --- The
most we can do is to obviate the sluggish circulation & disposi¬
tion to Plethora
, which occasion the present complaints. The
Eruption does not imply any great disorder in the blood & if we
can support a tolerable perspiration the Eruption will give
little trouble. I cannot advise bleedings as I do not think the
Plethora so considerable as to need it & it does not prevent
returns of it -- While his belly is regular I do not think
Purging proper but in case of any costiveness, a moderate
dose of Elixir Sacrum will be a safe remedy. I parti¬
cularly recommend the Draught ordered below, which suppor¬
ting the Circulation & perspiration is well suited to all
his complaints. May take it at bedtime 2 or 3 times a
week. At first more frequently -- afterwards more
seldom --- If his Stomach bear it well & it occasion
unusual heat the dose of the Elixir guaiacinum
might be increased to ʒiss or to ʒij ---


With this, study to divide his times of Exercise
if rest more equally, never persisting long at one time in
either - but better to be much in motion ---


If the Eruption will allow of the Flesh brush I advise
him to use it moderately every morning.


Bathe his feet & legs in tepid water frequently,
before going to bed. but he should take care to dry them
carefully & to wear woollen footstocks all night. At all
times keep his feet & legs warm & dry.


In the present state of his appetite little restraint



[Page 2]

upon his diet is necessary. Avoid fish -- or at least the heavy
kinds or much -- Avoid all heavy food -- & take light
suppers or none at all ---


A few glasses of wine allowable - but his usual
temperance is very proper & should be strictly continued.

Take one drachm of volatile guaiacum elixir and very little egg yolk and add little by little two drachms of simple syrup and one ounce of simple cinnamon water. Mix and let a draught be made. Wash this down with a small draught of red or white wine [whey?] not very warm.


15. August. 1777 Edinburgh.

W.C.

Diplomatic Text

[Page 1]

For Robert Henderson Esqr.


There may be some gouty disposition in his habit but as nature
has not given it a proper course, it is difficult for us --- The
most we can do is to obviate the sluggish circulation & disposi¬
tion to Plethora
, wc occasion the present complaints. The
Eruption does not imply any great disorder in the blood & if we
can support a tolerable perspiration the Eruption will give
little trouble. I cannot advise bleeds. as I do not think the
Plethora so considerable as to need it & it does not prevent
returns of it -- While his belly is regular I do not think
Purging proper but in case of any costiveness, a moderate
dose of Elixir Sacrum will be a safe remedy. I parti¬
cularly recommend the Draught ordd below, wc suppor¬
ting the Circulation & perspiration is well suited to all
his complaints. May take it at bedtime 2 or 3 times a
week. At first more frequently -- afterwards more
seldom --- If his Stomach bear it well & it occasion
unusual heat the dose of the Elixir guaiacinum
m. b. increased to ʒiss or to ʒij ---


With this, study to divide his times of Exercise
if rest more equally, never persisting long at one time in
either - but better to be much in motion ---


If the Eruption will allow of the Flesh brush I advise
him to use it moderately every morning.


Bathe his feet & legs in tepid water frequently,
before going to bed. but he should take care to dry them
carefully & to wear woollen footstocks all night. At all
times keep his feet & legs warm & dry.


In the present state of his appetite little restraint



[Page 2]

upon his diet is necessary. Avoid fish -- or at least the heavy
kinds or much -- Avoid all heavy food -- & take light
suppers or none at all ---


A few glasses of wine allowable - but his usual
temperance is very proper & should be strictly continued.


X ℞ Elixir guaiac. vol. ʒj Tanto cum pauxillo vitelli
ovo et paulatim Syr. simpl. ʒij Aq. cinnam. simpl. ℥j
ℳ. f. haustus. --- --- Wash this down w a small
draught of Negro or white wine [whey?] not very warm.


15. August. 1777 Edinr..

W.C.

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