Cullen

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

 

[ID:4244] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Captain James Maxwell (Patient) / 18 May 1778 / (Outgoing)

Reply 'For Captain Maxwell'

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[Page 2]


 

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Metadata

FieldData
DOC ID 4244
RCPE Catalogue Number CUL/1/1/10/101
Main Language English
Document Direction Outgoing
Date18 May 1778
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 Captain Maxwell'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:779]
Case of Captain James Maxwell of Faskally who has a chest complaint for which he takes a course of goat whey.
13


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2372]PatientCaptain James Maxwell
[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 Captain Maxwell


I am clear that most of his complaints are entirely of the
nervous kind, & his cough owing to accidental cold. But at his
time of life, precautions should be taken to prevent these from
fixing in his constitution, & I am persuaded that attends
or attempts to de duty in the regiment would hurt him much
& at least would preclude the measures which the season now



[Page 2]

offers & his present state requires. These necessary mea¬
sures I think are returning into the country & continuing
for some time there, using a proper diet & regular exer¬
cise.


His diet should be of milk both for breakfast & supper
but with it he may take bread, & any grain as rice,
barley, sago, or even oatmeal either in porridge or sow¬
ers: if these things of oatmel are not found to give
him heart burn-


His milk should be fresh from the cow; but if he do not
digest this well, mix it with an equal part of ↑thin↑ water gruel
& sweeten it well with sugar; & this may be taken with
(in stead of the plain milk) with his bread or grain.


When he is to take rice, barley, or sago, with his milk,
these must be well boiled by themselves in water & his
plain milk should be warmed and poured upon these; but
his milk should never be boiled. If he chuses it with head
porridge or sowers he may take his milk or mixed milk
quite cold.


No tea or coffee either in the morning or afternoon but
he may take at any time a weak milk chocolate.


At dinner he may take a bason of chicken broth or
weak beef tea with bread and after it he may take a
bit of any light white meat, but very sparingly and
only as a small part of his meal - which should be
chiefly made up of puddings & vegetables.


His ordinary & almost only drink should be water with
or without a toast in it as he likes best - All wines &
malt liquers improper & should be entirely abstained from
for some time.




[Page 3]


In weather allowing a fit, he should always be much in
the fresh air; & should every day it does not rain much befor
[most?] part of the forenoon on horseback,riding always gently but
as many hours at a time as he easily can bear. In very fine
weather he may also ride out for an hour or two towards
the evening, but in the weather at all doubtful, he should
not go abroad in the afternoon, & at any rate be always at
home an hour before sunset. In the morning or forenoon
he may take a little walk, but this should be always very gentle,
upon level ground, & never long at a time.


At all times guard carefully against cold - should
be always well cloathed - & never even in the warmest
weather, lay aside any he has been used to.


Go to bed betimes; & not lye too long in the morning.
He should ↑not↑ be detained a bed by some moisture or sweat
being upon his skin; only in that case he should always
shift into dry linnen or flannel. I do not think it necessary
for him to take asses or mares milk early in the morning, but
he may take mares milk provided only that in sleeping after
it he is not set a sweating, for in that case he must either not
take it at all or not till he is out of bed or till he is to rise
immediately after it.


By the above I expect he will get perfectly well & without
the help of any medicine. except one to keep his belly
regular.

W.C.

Take two drachms of Aloetic pill Mass.. Divide into fourteen pills. Label: Laxative Pills one two or three at bedtime as needed.

W.C.
Edinburgh 18. May. 1778

Diplomatic Text

[Page 1]
For Captain Maxwell


I am clear that most of his complaints are entirely of the
nervous kind, & his cough owing to accidental cold. But at his
time of life, precautions should be taken to prevent these from
fixing in his constitution, & I am persuaded that attends
or attempts to de duty in the regiment would hurt him much
& at least would preclude the measures which the season now



[Page 2]

offers & his present state requires. These necessary mea¬
sures I think are returning into the country & continuing
for some time there, using a proper diet & regular exer¬
cise.


His diet should be of milk both for breakfast & supper
but with it he may take bread, & any grain as rice,
barley, sago, or even oatmeal either in porridge or sow¬
ers: if these things of oatmel are not found to give
him heart burn-


His milk should be fresh from the cow; but if he do not
digest this well, mix it with an equal part of ↑thin↑ water gruel
& sweeten it well with sugar; & this may be taken with
(in stead of the plain milk) with his bread or grain.


When he is to take rice, barley, or sago, with his milk,
these must be well boiled by themselves in water & his
plain milk should be warmed and poured upon these; but
his milk should never be boiled. If he chuses it with head
porridge or sowers he may take his milk or mixed milk
quite cold.


No tea or coffee either in the morning or afternoon but
he may take at any time a weak milk chocolate.


At dinner he may take a bason of chicken broth or
weak beef tea with bread and after it he may take a
bit of any light white meat, but very sparingly and
only as a small part of his meal - which should be
chiefly made up of pudds & vegetables.


His ordinary & almost only drink should be water with
or without a toast in it as he likes best - All wines &
malt liquers improper & should be entirely abstained from
for some time.




[Page 3]


In weather allowing a fit, he should always be much in
the fresh air; & should every day it does not rain much befor
[most?] part of the forenoon on horseback,ridg always gently but
as many hours at a time as he easily can bear. In very fine
weather he may also ride out for an hour or two towards
the evening, but in the weather at all doubtful, he should
not go abroad in the afternoon, & at any rate be always at
home an hour before sunset. In the morning or forenoon
he may take a little walk, but this should be always very gentle,
upon level ground, & never long at a time.


At all times guard carefully against cold - should
be always well cloathed - & never even in the warmest
weather, lay aside any he has been used to.


Go to bed betimes; & not lye too long in the morning.
He should ↑not↑ be detained a bed by some moisture or sweat
being upon his skin; only in that case he should always
shift into dry linnen or flannel. I do not think it necessary
for him to take asses or mares milk early in the morning, but
he may take mares milk provided only that in sleeping after
it he is not set a sweating, for in that case he must either not
take it at all or not till he is out of bed or till he is to rise
immediately after it.


By the above I expect he will get perfectly well & without
the help of any medicine. except one to keep his belly
regular.

W.C.


℞ Mass. pil. Aloet. ʒii Divide in No. xxiv
S. Laxat. Pills one two or three at bedtime pro re nata.

W.C.
Edinr 18. May. 1778

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