Cullen

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

 

[ID:440] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Charles Abercrombie (Patient) / 3 August 1771 / (Outgoing)

Reply 'For Mr Charles Abercrombie'

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Metadata

FieldData
DOC ID 440
RCPE Catalogue Number CUL/1/1/3/23
Main Language English
Document Direction Outgoing
Date3 August 1771
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For Mr Charles Abercrombie'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:320]
Case of Mr Charles Abercrombie whose symptoms are attributed to weak nerves.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:226]PatientMr Charles Abercrombie
[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 Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]

For M.r Charles Abercrombie


After considering the whole of the symptoms now and
formerly I am of opinion that there is still some fault in his
blood; but there is manifestly joined to this a weakness of nerves
which discovers itself especially in the stomach.


To correct these faults and infirmities and at least to
obviate their consequences the following regimen seems to me
the most proper.


He must always keep his stomach ↑light↑ and never make
a full meal. He may take a bit of any plain meal ↑every day↑ at
dinner, but it should be a little only and make it up with broth



[Page 2]

pudding and even with vegetables. If he chooses these only which are
young and tender he will bear them very well, and his blood
would be spoiled by his avoiding them altogether. He may
continue to take fruit while he finds his stomach agree with
them, but he must avoid excess in raw fruit. The Strawberries
and Gooseberries are pretty safe, but Cherries and other stone
fruit are more dangerous, and ripe pears are safer than
Apples. All sort of boiled and baked meat are safer than
raw.


In taking meat he must avoid all fat and heavy,
all fryed and baked. The light white fish as haddock, whiting,
codlin, or flounder boiled and taken with very little butter will pro¬
bably agree with him, but he must not take them often, nor
at the same time with flesh.


For breakfast I think there is nothing better than Cocoa
tea or very weak Chocolate. Common Bohea or green Tea are
both bad for him, and Coffee is little better.


For supper he should always take milk with bread or
some kind of Grain, and I think he should always take a little
supper, as it is much better to divide his meals than to take
much at any one.


For ordinary drink toast water is certainly the best, and
that without any addiction, but if he requires it with some taste
he may add a little strong wine to it as Madeira, Sherry,
or Red Port.


For strong drink he should take very little of any
kind, but if there is occasion for it the strong Wines just now
mentioned taken always with a little water are the safest.


It is of consequence to M.r Abercrombie to keep his belly
regular, and if a moderate quantity of Salt water answers the
purpose he may continue it, but I think a muchkin a large
dose, and more than that I should think hurtful. A draught
of fresh drawn Cow milk whey in the morning may I think
supersede a great part of the Salt water. When they are taken
on the same day the Salt water should be taken first and the



[Page 3]

whey after it.


In spite of what is observed of riding I am persuaded
that he will always be the better of fresh air, and gentle excercise
even on horseback if it is gentle not long continued and on an
empty stomach. It is probable that he will bear more excercise
in a Carriage, and on Journeys he should always employ this
but even then his Journeys should be moderate. Much walking
especially in the town of Edinburgh will do harm, and I think
his lodgings are at present too high.


I suppose, that at present M.r Abercrombie wears a flannel
shirt next his skin, and if he does I earnestly advise it as
proper for him both in Summer and winter, and at same time
I advise him on every occasion to avoid cold and moisture.


On going to bed at night he should sometimes both his
hands and feet in warm water.

Edinburgh 3.d August 1771
W. C.


It is omitted above, th tersay that sitting long at writing may
be very hurtful.


When the Stomach is very full foul a vomit may be
necessary, but frequent vomiting would be hurtful.

W. C.

Diplomatic Text

[Page 1]

For M.r Charles Abercrombie


After considering the whole of the symptoms now and
formerly I am of opinion that there is still some fault in his
blood; but there is manifestly joined to this a weakness of nerves
which discovers itself especially in the stomach.


To correct these faults and infirmities and at least to
obviate their consequences the following regimen seems to me
the most proper.


He must always keep his stomach ↑light↑ and never make
a full meal. He may take a bit of any plain meal ↑every day↑ at
dinner, but it should be a little only and make it up with broth



[Page 2]

pudding and even with vegetables. If he chooses these only which are
young and tender he will bear them very well, and his blood
would be spoiled by his avoiding them altogether. He may
continue to take fruit while he finds his stomach agree with
them, but he must avoid excess in raw fruit. The Strawberries
and Gooseberries are pretty safe, but Cherries and other stone
fruit are more dangerous, and ripe pears are safer than
Apples. All sort of boiled and baked meat are safer than
raw.


In taking meat he must avoid all fat and heavy,
all fryed and baked. The light white fish as haddock, whiting,
codlin, or flounder boiled and taken with very little butter will pro¬
bably agree with him, but he must not take them often, nor
at the same time with flesh.


For breakfast I think there is nothing better than Cocoa
tea or very weak Chocolate. Common Bohea or green Tea are
both bad for him, and Coffee is little better.


For supper he should always take milk with bread or
some kind of Grain, and I think he should always take a little
supper, as it is much better to divide his meals than to take
much at any one.


For ordinary drink toast water is certainly the best, and
that without any addiction, but if he requires it with some taste
he may add a little strong wine to it as Madeira, Sherry,
or Red Port.


For strong drink he should take very little of any
kind, but if there is occasion for it the strong Wines just now
mentioned taken always with a little water are the safest.


It is of consequence to M.r Abercrombie to keep his belly
regular, and if a moderate quantity of Salt water answers the
purpose he may continue it, but I think a muchkin a large
dose, and more than that I should think hurtful. A draught
of fresh drawn Cow milk whey in the morning may I think
supersede a great part of the Salt water. When they are taken
on the same day the Salt water should be taken first and the



[Page 3]

whey after it.


In spite of what is observed of riding I am persuaded
that he will always be the better of fresh air, and gentle excercise
even on horseback if it is gentle not long continued and on an
empty stomach. It is probable that he will bear more excercise
in a Carriage, and on Journeys he should always employ this
but even then his Journeys should be moderate. Much walking
especially in the town of Edinburgh will do harm, and I think
his lodgings are at present too high.


I suppose, that at present M.r Abercrombie wears a flannel
shirt next his skin, and if he does I earnestly advise it as
proper for him both in Summer and winter, and at same time
I advise him on every occasion to avoid cold and moisture.


On going to bed at night he should sometimes both his
hands and feet in warm water.

Edin.r 3.d August 1771
W. C.


It is omitted above, th tersay that sitting long at writing may
be very hurtful.


When the Stomach is very full foul a vomit may be
necessary, but frequent vomiting would be hurtful.

W. C.

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