Cullen

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

 

[ID:504] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Innes (Patient) / 28 November 1774 / (Outgoing)

Reply 'For Mr Innes'. Cullen gives detailed dietary and other directions on a regimen suitable for travelling to London to then sail for a warmer climate. He warns that in warm climates intemperance leaves Europeans more susceptible to disease.

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Metadata

FieldData
DOC ID 504
RCPE Catalogue Number CUL/1/1/3/82
Main Language English
Document Direction Outgoing
Date28 November 1774
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 Innes'. Cullen gives detailed dietary and other directions on a regimen suitable for travelling to London to then sail for a warmer climate. He warns that in warm climates intemperance leaves Europeans more susceptible to disease.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:454]
Case of Mr Innes who is given detailed directions for travel.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1492]PatientMr Innes
[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 Britain Europe certain
Mentioned / Other Jamaica West Indies certain
Mentioned / Other London London and South-East England Europe certain

Normalized Text

[Page 1]
For Mr Innes.


While he remains in Britain his chief care is to gaurd against
cold — & therefore must be well cloathed — a flannel Shirt. worsted
under stockings & thick shoes. — Never to be much heated, by Exercise
crouded company &c. & to be abroad in the Evenings as seldom as possible


Exercise on horseback or in a Carriage very proper. but at this season must
be very cautious — never going abroad but when the weather is very mild
& then too in a Carriage — If he goes to London he must keep very warm.
never travelling in the night, both for cold & fatigue —


He should take 6 or 7. days in going to London.


In Diet. light & cool. little animal food — but as he cannot live
entirely on Vegetables he must compound the matter. — At dinner a bit
of the lighter kinds of meat or otherwise in very moderate quantity. — Never
to make a full meal of meat — filling it up with broth &c &.c avoiding
those Vegetables that prove windy — — At Supper no meat, but make it



[Page 2]

up with grain & milk if he can digest this last easily — if
he puts to the milk an equal part of watergruel or warm water
sweatening the whole with Sugar. & this is to be taken with bread
Barley &.c — The same for breakfast., but if he chuses some
thing in the shape of tea let it be Cocoa Tea — Indian Tea &
Coffee are both bad for him.


Much walking bad for him — & this caution necessary in
London —


When he is aboard a ship & even when he gets into a
warmer climate ↑if the weather is stormy↑ the same caution with regard to cold is necessary
When he gets into a warm climate & easy weather he may diminish
his cloathing but must not be of his gaurd aboard a ship


While he is aboard a ship he must accomodate in like
manner his diet to the climate — While he is in Northern
regions his diet may be tolerably full & such as I have
mentioned above but still with great moderation with
respect to animal food & for this purpose to lay in a stock
of fine Barly Rice &.c & dried fruits — & have frequently
a mess of these to keep clear of Animal food. — This he must
do more & more as he gets into warmer climates


As to his drink — the same almost in every climate —
his Ordinary drink toast or plain water — if the water
is not good — he may add a 12th part of Spirit which will agree
better with his stomach than any kind of wine while he is
in cold Climates, but when in Warm Climates a little Madeira may be



[Page 3]

as safe. — No malt Liquor. — Strong drink of
every kind unproper — at least very sparingly — he may take
it a litt[l]e more freely in Britain or on the first part of his
voyage than in warm Climates. & in these last wine well diluted
will be safer than spirits —


Acids much used in warm climates, & is generally of advantage
& might be of advantage to Mr Innes's Breast, but the indigestion
that attends it ↑in him making makes it doubtfull. — but will probably agree
with him better in warm climates than they have done in a cold one
but he must proceed with caution & be directed by experience.


When in Jamaica, he must avoid the heat of the day & the
cold of the nights — & this is the whole management in a warm
climate — as little in the sun as possible & never to take brisk
exercise while in it — his business ↑abroad↑ to be done in the morning
resting within doors in the Evening & perhaps sleeping in the middle
of the day — never to be abroad in the Evening or if obliged, to be
well cloathed —


Animal food & Strong drink destroys most part of Europeans
in warm climates — & altho there are other diseases in Warm Climates
& a little Strong drink may be of service in resisting them, but
great moderation still nec[e]ssary — & intemparance renders man more
liable to catch diseases. — & this a general rule but more
nec[e]ssary for Mr Innes than other persons

WC.
Edinburgh 28th November 1774

Diplomatic Text

[Page 1]
For Mr Innes.


While he remains in Britain his chief care is to gaurd against
cold — & therefore must be well cloathed — a flannel Shirt. worsted
under stockings & thick shoes. — Never to be much heated, by Exercise
crouded compy. &c. & to be abroad in the Evengs. as seldom as possible


Exercise on h. B. or in a C. very proper. but at this season must
be very cautious — never going abroad but when the weather is very mild
& then too in a C. — If he goes to London he must keep very warm.
never travelling in the night, both for cold & fatigue —


He should take 6 or 7. days in going to London.


In Diet. light & cool. little animal f. — but as he cannot live
entirely on Vegs. he must compound the matter. — At dinner a bit
of the lighter kinds of meat or otherwise in very moderate qty. — Never
to make a full meal of meat — filling it up with broth &c &.c avoiding
those Vegs. that prove windy — — At Supper no meat, but make it



[Page 2]

up with grain & milk if he can digest this last easily — if
he puts to the milk an equal part of watergruel or warm water
sweatening the whole with Sugar. & this is to be taken with bread
Barley &.c — The same for breakfast., but if he chuses some
thing in the shape of tea let it be Cocoa Tea — Indian T. &
Coffee are both bad for him.


Much walking bad for him — & this caution necessary in
London —


When he is aboard a ship & even when he gets into a
warmer climate ↑if the weather is stormy↑ the same caution with regard to cold is necessary
When he gets into a warm climate & easy weather he may diminish
his cloathing but must not be of his gaurd aboard a ship


While he is aboard a ship he must accomodate in like
manner his diet to the climate — While he is in Northern
regions his diet may be tolerably full & such as I have
mentioned above but still with great moderation with
respect to animal food & for this purpose to lay in a stock
of fine Barly Rice &.c & dried fruits — & have frequently
a mess of these to keep clear of An. food. — This he must
do more & more as he gets into warmer climates


As to his drink — the same almost in every climate —
his Ordinary drink toast or plain water — if the water
is not good — he may add a 12th part of Spirit wc will agree
better with his stomach than any kind of wine while he is
in cold Cl'., but when in Warm C. a little Madeira may be



[Page 3]

as safe. — No malt Liquor. — Strong drink of
every kind unproper — at least very sparingly — he may take
it a litt[l]e more freely in Britain or on the first part of his
voyage than in warm Cs. & in these last wine well diluted
will be safer than spirits —


Acids much used in warm climates, & is generally of advantage
& might be of advantage to Mr Innes's Breast, but the indigestion
that attends it ↑in him making makes it doubtfull. — but will probably agree
with him better in warm climates than they have done in a cold one
but he must proceed with caution & be directed by experience.


When in Jamaica, he must avoid the heat of the day & the
cold of the nights — & this is the whole management in a warm
climate — as little in the sun as possible & never to take brisk
exercise while in it — his business ↑abroad↑ to be done in the morng.
resting within doors in the Eveng. & perhaps sleeping in the middle
of the day — never to be abroad in the Eveng. or if obliged, to be
well cloathed —


An. food & Strong drink destroys most part of Europeans
in warm climates — & altho there are other diseases in Warm C.c
& a little Strong drink may be of service in resisting them, but
great modn still nec[e]ssary — & intemparance renders man more
liable to catch diseases. — & this a genl rule but more
nec[e]ssary for Mr Innes than other persons

WC.
Edinr. 28th Novr 1774

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