Cullen

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

 

[ID:516] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr McAdam (McAdam of Craigengillen) (Patient) / 3 March 1775 / (Outgoing)

Reply 'For Mr McAdam of Craigengillan'

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Metadata

FieldData
DOC ID 516
RCPE Catalogue Number CUL/1/1/3/94
Main Language English
Document Direction Outgoing
Date3 March 1775
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 Mr McAdam of Craigengillan'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:641]
Case of Mr McAdam of Craigengillan who has gout.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:277]PatientMr McAdam (McAdam of Craigengillen)
[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
Destination of Letter Craigengillan Dalmellington Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]

For Mr McAdam of Craigengillan


Gouty constitution and as it has come on at an advanced state
of life, it will probably never be severe and it will be best
for Mr Mc to have a touch of it once a year. But there is
some danger that it may not come into the extremities so fully
as may be wished and therefore may attack the inward parts
with much disorder. It is to gaurd against this that I am to
advise & I hope the following regimen will I hope answer the Purpose


In diet, he may take some portion of Animal food every
day at dinner & of any plain meat either roasted or boiled - but
the lighter kinds to be preferred & he should make a full



[Page 2]

meal of any but keep his stomach always light.- fill up
his meal with Pudding & Vegetables; but avoiding the windy & colder kinds
as Cabbage Cucumber & Lettuce - Mustard freely - Spiceries mode¬
rately - No Pickles- Fish sometimes but seldom & sparingly
No supper or at least no meat & some kind of milk, I would only
allow. - Ordinary Drink water with a little port Madeira
or spirit in it. Every day at dinner he may take half a much¬
kin of good Porter, but no other malt liquor.- Very temperate
in strong drink, but a few glasses will be very proper. Claret
bad for him, & the safest wines red Port or Madeira. He may
take a little Punch but without souring


Frequent exercise & fresh air of great service, but without fatigue
care against cold - night travelling improper.


Nothing will be of more serce service to his constitution
that at the proper season taking a regular journey for some
weeks together, but his journey by the day should be very mode¬
rate for it is a moderate daily continuance & not the length that
does service


Great care against catching cold. Thick shoes & warm stockings
Going early to bed proper for all gouty persons & full sleep is
allowable but lying long abed in the morning improper.


Care must be taken to keep the belly regular & this when necessary
by Andersons Pill - or if it does not answer, the one below

Take one drachm of socoterine aloes, half a drachm each of Gum guaiacum and Extract of Gentian, and one scruple of Sal. Polychrest. Rub the Guaiacic and add the aloes and the gentian extract with a sufficient quantity of mucilage Gum Arabic to let a mass be made and divided into [simple?] pills of five grains. Label: Laxative Pill. One or two at bed time.

3d March 1775
WC.

Diplomatic Text

[Page 1]

For Mr McAdam of Craigengillan


Gouty constitution and as it has come on at an advanced state
of life, it will probably never be severe and it will be best
for Mr Mc to have a touch of it once a year. But there is
some danger that it may not come into the extremities so fully
as may be wished and therefore may attack the inward parts
with much disorder. It is to gaurd against this that I am to
advise & I hope the following regimen will I hope answer the Purp.


In diet, he may take some portion of Animal food every
day at dinner & of any plain meat either roasted or boiled - but
the lighter kinds to be preferred & he should make a full



[Page 2]

meal of any but keep his stomach always light.- fill up
his meal with Pudding & Vegs; but avoiding the windy & colder kinds
as Cabbage Cucumber & Lettuce - Mustard freely - Spiceries mode¬
rately - No Pickles- Fish sometimes but seldom & sparingly
No supper or at least no meat & some kind of milk, I would only
allow. - Ordinary Drink water with a little port Madeira
or spirit in it. Every day at dinner he may take half a much¬
kin of good Porter, but no other malt liquor.- Very temperate
in strong drink, but a few glasses will be very proper. Claret
bad for him, & the safest wines red Port or Madeira. He may
take a little Punch but without souring


Freqt exercise & fresh air of great service, but without fatigue
care against cold - night travelling improper.


Nothing will be of more serce service to his constitution
that at the proper season taking a regular journey for some
weeks together, but his journey by the day should be very mode¬
rate for it is a moderate daily continuance & not the length that
does service


Great care against catching cold. Thick shoes & warm stockings
Going early to bed proper for all gouty persons & full sleep is
allowable but lying long abed in the morng improper.


Care must be taken to keep the belly reg.r & this when necessary
by Andersons Pill - or if it does not answer, the one below


Al. soc. ʒj Gum. guaiac Extr. Gent. aa ʒſs Sal. pol. ℈j
Terito Guaiacic sale dem adde aloer et Extr. et cum Muc. G. Ar. q.s.
ut.f. M. dd in p. s. gr. v. S. Lax P. 1 or 2 at bed time

3d March 1775
WC.

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