Cullen

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

 

[ID:5656] From: Dr William Cullen (Professor Cullen) / To: Mr / Regarding: Captain John Maitland (of Eccles) (Patient) / 22 May 1788 / (Outgoing)

Reply headed 'For Captain Maitland of Eccles'.

Facsimile

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Metadata

FieldData
DOC ID 5656
RCPE Catalogue Number CUL/1/1/20/275
Main Language English
Document Direction Outgoing
Date22 May 1788
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply headed 'For Captain Maitland of Eccles'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2490]
Case of Captain Maitland of Eccles (near Dumfries), who may be diabetic.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:4807]AddresseeMr
[PERS ID:4806]PatientCaptain John Maitland (of Eccles)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:115]Patient's Physician / Surgeon / ApothecaryDr John Gilchrist (of Speddoch)
[PERS ID:4807]Patient's Physician / Surgeon / ApothecaryMr

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 Tinwald Downs Dumfries Borders Scotland Europe inferred
Mentioned / Other Eccles House Penpont Borders Scotland Europe certain

Normalized Text

[Page 1]

For Captain Maitland of Eccles


We have considered this case both in the accurate
account of it, we had from Dr. Gilchrist, and from
what we had an opportunity of observing ourselves
with the utmost attention. It is particular, and both
from its peculiarity, and from its complication with
somewhat Diabetic, it is difficult, but we
hope it is still to be remedied, and for that pur¬
pose we offer the following advices.


1 He should immediately go home with
as much dispatch as he conveniently can. 1


2d. As soon as he has been a day at home
let a pretty large blister be applied to his side upon
the part in which his ailment seems to be
especially seated, covering the present issue
by a {illeg} plaister, so that there may be in
that part no absorption from the large blister.




[Page 2]


3d. As the blister is healing, let a part of it be
converted into a perpetual issue, which is again to be
kept open for some time.


4th. As soon as this issue is established, let
Eight or ten Ounces of blood be taken from his Arm


5th. The day after the bleeding let him set
about travelling for some time every day a Journey
of some length. We think it should not be in
any one day less than forty miles, and if for
the management of horses or conveniency of Stages
it should be a little longer, we should not dislike
it. We imagine it may be so managed that he
may return to his own house every evening
but we particularly wish, that in one way or
other such a journey should be made every
day ↑for some weeks↑ unless either the aggravation of his ail¬
ments render it necessary, or the great relief of
them occur to dispense with its continuance.


6th. As he is likely to be hurt by



[Page 3]

cold and moisture, so the weathers changing to such
a state may properly interrupt his daily journies
but this is not to be done, unless the weather
becomes remarkably bad.


7th. During this course we would have
his diet to be cool and light. He may take a little
meat at dinner every day, but it should be in
very moderate quantity and of the lighter kind
and his meal should be filled up with Pudding
Pancake, Tart and Vegetables. At Supper
we cannot advise an Egg in any shape, but
rather Sago, or some other farinaceous matter
with milk or not as he likes best, but we
are of opinion that milk may be a proper
part of his Supper.


8th. All costiveness should be avoided and
his belly rather kept open. If a little Cream
of Tartar
, or other cooling salt taken in the
morning, will keep his belly regular, we



[Page 4]

would prefer it to the Evening pill.


9 The only medicine we think at present
necessary is what we have this day given a
prescription for, and of which the Captain
should take a Copy of to the Country, as it is
to be continued for sometime according to the
direction given to day


10 We find it omitted above to say somewhat
about his drink. We think it may be either
water or good Small beer, as he likes best, but
he should hardly take any thing stronger. At
dinner he may take a single glass of wine, but
should hardly ever go further, and every thing
spirituous we judge to be very improper


William Cullen

Edinburgh 22d. May
1788

Notes:

1: His home was Eccles House, Penpont, Dumfriesshire.

Diplomatic Text

[Page 1]

For Captain Maitland of Eccles


We have considered this case both in the accurate
account of it, we had from Dr. Gilchrist, and from
what we had an opportunity of observing ourselves
with the utmost attention. It is particular, and both
from its peculiarity, and from its complication with
somewhat Diabetic, it is difficult, but we
hope it is still to be remedied, and for that pur¬
pose we offer the following advices.


1 He should immediately go home with
as much dispatch as he conveniently can. 1


2d. As soon as he has been a day at home
let a pretty large blister be applied to his side upon
the part in which his ailment seems to be
especially seated, covering the present issue
by a {illeg} plaister, so that there may be in
that part no absorption from the large blister.




[Page 2]


3d. As the blister is healing, let a part of it be
converted into a perpetual issue, which is again to be
kept open for some time.


4th. As soon as this issue is established, let
Eight or ten Ounces of blood be taken from his Arm


5th. The day after the bleeding let him set
about travelling for some time every day a Journey
of some length. We think it should not be in
any one day less than forty miles, and if for
the management of horses or conveniency of Stages
it should be a little longer, we should not dislike
it. We imagine it may be so managed that he
may return to his own house every evening
but we particularly wish, that in one way or
other such a journey should be made every
day ↑for some weeks↑ unless either the aggravation of his ail¬
ments render it necessary, or the great relief of
them occur to dispense with its continuance.


6th. As he is likely to be hurt by



[Page 3]

cold and moisture, so the weathers changing to such
a state may properly interrupt his daily journies
but this is not to be done, unless the weather
becomes remarkably bad.


7th. During this course we would have
his diet to be cool and light. He may take a little
meat at dinner every day, but it should be in
very moderate quantity and of the lighter kind
and his meal should be filled up with Pudding
Pancake, Tart and Vegetables. At Supper
we cannot advise an Egg in any shape, but
rather Sago, or some other farinaceous matter
with milk or not as he likes best, but we
are of opinion that milk may be a proper
part of his Supper.


8th. All costiveness should be avoided and
his belly rather kept open. If a little Cream
of Tartar
, or other cooling salt taken in the
morning, will keep his belly regular, we



[Page 4]

would prefer it to the Evening pill.


9 The only medicine we think at present
necessary is what we have this day given a
prescription for, and of which the Captain
should take a Copy of to the Country, as it is
to be continued for sometime according to the
direction given to day


10 We find it omitted above to say somewhat
about his drink. We think it may be either
water or good Small beer, as he likes best, but
he should hardly take any thing stronger. At
dinner he may take a single glass of wine, but
should hardly ever go further, and every thing
spirituous we judge to be very improper


William Cullen

Edinr. 22d. May
1788

Notes:

1: His home was Eccles House, Penpont, Dumfriesshire.

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