Cullen

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

 

[ID:4286] From: Dr William Cullen (Professor Cullen) / To: Mr Henderson / Regarding: Mr Henderson (Patient) / 30 July 1778 / (Outgoing)

Reply headed 'Mr Henderson - Jeweller - London', who is advised to take daily horse-rides. Internal evidence suggests that Mr Henderson is not currently in London itself, but precise destination of letter is unknown.

Facsimile

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[Page 1]


 

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Metadata

FieldData
DOC ID 4286
RCPE Catalogue Number CUL/1/1/11/24
Main Language English
Document Direction Outgoing
Date30 July 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 headed 'Mr Henderson - Jeweller - London', who is advised to take daily horse-rides. Internal evidence suggests that Mr Henderson is not currently in London itself, but precise destination of letter is unknown.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1036]
Case of Mr Henderson, a London Jeweller, who is advised to travel for his health.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2411]AddresseeMr Henderson
[PERS ID:2411]PatientMr 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
Mentioned / Other London London and South-East England Europe certain

Normalized Text

[Page 1]
Mr Henderson - Jeweller - London.


His ailments are chiefly his spirits & as is usual in
such cases in his Stomach too. Not to be easily relieved
but can be only by regimen. Who trusts to medicine will
lose his labor & if regimen be properly observed the medi¬
cines will be almost unnecessary.


Be often in the fresh air & gentle exercise.
The best manner of this is by pursuing a journey of
some length, on horseback. 30 or 40 miles a day for two
or three weeks. A small degree of fatigue will perhaps be
of service but much fatigue will do harm. His going to
London now is a good opportunity. On the road let him
take every object which can give him amusement &
contrive by so measuring his daily journies as to be a fortnight on the road.


When at home, be moderate in application to his
business which I suspect has already hurt him. Walking
if not to heat or fatigue, is good but riding is better for
him. & when his spirits fall or his Stomach goes into
disorder his surest relief is getting on horseback. And
he ought to ride a forenoon, a day, or days together
just in proportion to the circumstances of his spirits
which seemed to require it.


Diet must be managed so as to avoid indigestion.
Take moderately of animal food. avoid anything heavy,
& therefore fat meats, rich sauces, & generally baked
or fried meats -- At all times never make a whole
meal of animal food but make up with Pudding, soup
& vegetables - but avoiding the colder lettuce, cucum¬
ber &c & the flatulent as cabbages -----


No tea or coffee - but may take a weak chocolate
or Cocoa tea with dry toast & a little butter. Avoiding the
sweetmeats ----


No animal food at supper. not even an egg. & his
best supper will be of milk meats; as with bread,
rice, sago or other such. In case plain milk do not
digest easily; mix with it equal part of thin water



[Page 2]

gruel & sweeten well with sugar. He may use this
just as he would plain milk. it may be employed cold
or warm - but better if not boiled.


For ordinary drink he should take water with a little
wine in it, avoiding all malt liquors. At dinner every
day he should take a few glasses of good red Port or
sherry - but very moderately & never to heat him.
If wine do not disagree with his milk suppers he may
take a few glasses then also -- but if it do disagree
with the milk & if habit leads him to take a little of some
kind of strong drink at supper; let it be Punch with
little sugar & fruit - & perhaps altogether without the
last.


Prevent or remove Costiveness by an Anderson's pill.


Thus he will need few medicines the frequent or long
continued use of those generally in these cases prescri¬
bed would do much harm - but I have ordered below
what may perhaps be of advantage. They are not to
be taken on the road nor till he is some time settled
at home & even then only when his Spirits & Stomach
urgently require it. He may then take them for a fortnight.
after that lay them aside & only upon some pressing occa¬
sion & after a considerable intermission return to them.

Take two drachms of the Powdered root of Columbo -- very small cardamom seeds, Red chalybeate, half a drachm of each; one and a half drachms of Extract of gentian, enough Mucilage of gum Arabic to make a mass, of which each half drachm will form six pills. Label: Stomachic pills two or 3 for a dose twice a day, and hour before dinner & before supper, washing them down with a tablespoonful of the following Tincture.

Take three ounces of Tincture of Peruvian bark, two ounces of bitters, an ounce of aromatics. Mix and Label: Stomachic Tincture, a tablespoonful mixed with two or three of water to be taken after every dose of the Pills.

Edinburgh July. 30. 1778.
W. C.

Diplomatic Text

[Page 1]
Mr Henderson - Jeweller - London.


His ailmts are chiefly his spirits & as is usual in
such cases in his Stomach too. Not to be easily relieved
but can be only by regimen. Who trusts to medicine will
lose his labor & if regimen be properly observed the medi¬
cines will be almost unnecessary.


Be often in the fresh air & gentle exercise.
The best manner of this is by pursuing a journey of
some length, on horseback. 30 or 40 miles a day for two
or three weeks. A small degree of fatigue will perhaps be
of service but much fatigue will do harm. His going to
London now is a good opportunity. On the road let him
take every object which can give him amusement &
contrive by so measuring his daily journies as to be a fortnight on the road.


When at home, be moderate in application to his
business which I suspect has already hurt him. Walking
if not to heat or fatigue, is good but ridg is better for
him. & when his spirits fall or his Stomach goes into
disorder his surest relief is getting on horseback. And
he ought to ride a forenoon, a day, or days together
just in proportion to the circumstances of his spirits
wc seemed to require it.


Diet must be managed so as to avoid indigestion.
Take moderately of animal food. avoid anything heavy,
& therefore fat meats, rich sauces, & generally baked
or fried meats -- At all times never make a whole
meal of animal food but make up w Pudding, soup
& vegetables - but avoidg the colder lettuce, cucum¬
ber &c & the flatulent as cabbages -----


No tea or coffee - but may take a weak chocolate
or Cocoa tea w dry toast & a little butter. Avoiding the
sweetmeats ----


No animal food at supper. not even an egg. & his
best supper will be of milk meats; as with bread,
rice, sago or other such. In case plain milk do not
digest easily; mix with it equal part of thin water



[Page 2]

gruel & sweeten well with sugar. He may use this
just as he would plain milk. it may be employed cold
or warm - but better if not boiled.


For ordinary drink he should take water with a little
wine in it, avoiding all malt liquors. At dinner every
day he should take a few glasses of good red Port or
sherry - but very moderately & never to heat him.
If wine do not disagree with his milk suppers he may
take a few glasses then also -- but if it do disagree
w the milk & if habit leads him to take a little of some
kind of strong drink at supper; let it be Punch with
little sugar & fruit - & perhaps altogether without the
last.


Prevent or remove Costiveness by an Anderson's pill.


Thus he will need few med.s the frequent or long
continued use of those generally in these cases prescri¬
bed would do much harm - but I have ordered below
what m. perhaps be of advantage. They are not to
be taken on the road nor till he is some time settled
at home & even then only when his Spirits & Stomach
urgently require it. He may then take them for a fortnight.
after that lay them aside & only upon some pressing occa¬
sion & after a considerable intermission return to them.


Pulv. rad. Colomb. Ʒij -- sem. cardamom. min. Rubig.
chalyb.
ppt. @ Ʒſs. Extr. gentian Ʒjſs Muc. g. Arab q. s. ut
f. massa ex cuj. sing. Ʒſs formentur pil. vj.
S. Stomachic pills two or 3 for a dose twice a day, and hour before
dinner & before supper, washing them down w a table spoonful
of the following Tincture.


Tinct. cort. Peruv. ℥iij -- amar. ℥ij -- aromat. ℥j ℳ.
S. Stomachic Tincture. a table spoonful mixed with
two or three of water to be taken after every dose of the Pills.

Edin.r July. 30. 1778.
W. C.

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