Cullen

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

 

[ID:624] From: Dr William Cullen (Professor Cullen) / To: Mr William Stewart (Stuart) / Regarding: Mr Robert Orr (Patient) / 28 August 1782 / (Outgoing)

Reply, 'Mr Robert Orr'. Cullen recommends a voyage, ideally by sea from Greenock to Dublin or anywhere on the east coast of Ireland. He also advises on Mr Orr's diet for when at sea.

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Metadata

FieldData
DOC ID 624
RCPE Catalogue Number CUL/1/1/15/109
Main Language English
Document Direction Outgoing
Date28 August 1782
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Robert Orr'. Cullen recommends a voyage, ideally by sea from Greenock to Dublin or anywhere on the east coast of Ireland. He also advises on Mr Orr's diet for when at sea.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:782]
Case of Robert Orr, who is consumptive.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1089]AddresseeMr William Stewart (Stuart)
[PERS ID:2019]PatientMr Robert Orr
[PERS ID:1089]Patient's Physician / Surgeon / ApothecaryMr William Stewart (Stuart)
[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 Paisley Glasgow and West Scotland Europe inferred
Therapeutic Recommendation Ireland Europe certain
Therapeutic Recommendation Dublin Mid Ireland Ireland Europe certain
Mentioned / Other Greenock Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]
Mr Robert Orr.
Edinburgh 28 August 1782.
[Dear Sir?]


I have taken into consideration every
circumstance of Mr R. Orrs present state and though it is
not so good as I would wish, there are still so many favorable
symptoms as to encourage our taking every safe measure
that can be proposed for his relief. One that promises as
much as any is a journey or a voyage which should be taken
now as soon as possible before the good season goes. If he
can find a vessel at Greenock that can give him any tolerable
accommodation to carry him to Dublin or any other port on
the east coast of Ireland or ↑to one↑ west coast of England I should
prefer such a voyage to any journey by land and if he could
immediately return by water it would certainly be the best
course but it is very doubtfull if he can find the opportunity
and as it is not all proper for him to make any stay at
Dublin or other landing place, if he does not find a vessel to
bring him back immediately by water he should in that case
set out on a journey homewards by land. For his sea voyage
I have only to bid him avoid cold as well as he can and to



[Page 2]

say a little about his sea diet. He may there have a
little broth every day made of fresh beef which may keep for
such a voyage or if not of chickens which carries and keeps
alive or if neither will answer he may carry a little portable
soup. Besides the broth he may take a bit of chicken or
lamb or mutton well boiled. The rest of his ↑diet↑ may be of any
kind of grain as Rice, barley or Sago boiled with a few raisins
or currants, or he may have bread in a light pudding or made
into berry and in the last he may have a spoonfull of red Port.
Either at home or in his travels he may try ↑ripe↑ fruit of any kind,
and if he does not find that they manifestly increase his looseness,
they are otherwise very proper for him and he may carry some
sweet oranges to Sea with him or any kind of preserved fruits.
To boiled Rice, barley or Sago Currant Jelly makes a very agree¬
able addition. From these hints he may manage his Sea
diet but when he is travelling by land, besides all these things
which he may also take, he may have the addition of Milk.
But in taking this let him take it always in the following
manner. Get the milk as fresh from the Cow as possible and
pour upon it an equal part of blood warm water. Sweeten


[Page 3]

this mixture very well with sugar and use it in the same manner
every way as you would use plain milk. Let him look back
to the directions that I first gave him and he will find that
most of them may be still in force. When he is either upon Sea
or in a land journey I would not propose any medicines for him
except it may be sometimes the acid Mixture especially when any
[c]onsiderable sweating occurrs
but at other times he may be more
sparing of it and a little morning sweat is not to be minded.
The only other medicine to be carried along with him, is a box of pills
to be taken in case of looseness. When he has no more
than two stools in a day he need not take any medicine
at all but if these stools should be attended with griping
[o]r if the number of stools are more than two he should take one
[o]f the pills but if either the gripings or stools should be still more
[co]nsiderable he may take two pills or even three for a dose.
[A]fter what I said to day I hope it is not necessary to say more
[a]bout the conduct of his Journey. The amount of the whole is this
[l]et his Journeys be moderate and let him avoid Cold.

Yours &c
Wm. Cullen
For the Pills

Take a 2 drachm mass of Thebaic Pills. Divide into 24 pills. Label: Strengthening Pills one two or three for a dose when looseness requires it. ––

Diplomatic Text

[Page 1]
Mr Robert Orr.
Edinr. 28 August 1782.
[Dear Sir?]


I have taken into consideration every
circumstance of Mr R. Orrs present state and though it is
not so good as I would wish, there are still so many favorable
symptoms as to encourage our taking every safe measure
that can be proposed for his relief. One that promises as
much as any is a journey or a voyage which should be taken
now as soon as possible before the good season goes. If he
can find a vessel at Greenock that can give him any tolerable
accommodation to carry him to Dublin or any other port on
the east coast of Ireland or ↑to one↑ west coast of England I should
prefer such a voyage to any journey by land and if he could
immediately return by water it would certainly be the best
course but it is very doubtfull if he can find the opportunity
and as it is not all proper for him to make any stay at
Dublin or other landing place, if he does not find a vessel to
bring him back immediately by water he should in that case
set out on a journey homewards by land. For his sea voyage
I have only to bid him avoid cold as well as he can and to



[Page 2]

say a little about his sea diet. He may there have a
little broth every day made of fresh beef which may keep for
such a voyage or if not of chickens which carries and keeps
alive or if neither will answer he may carry a little portable
soup. Besides the broth he may take a bit of chicken or
lamb or mutton well boiled. The rest of his ↑diet↑ may be of any
kind of grain as Rice, barley or Sago boiled with a few raisins
or currants, or he may have bread in a light pudding or made
into berry and in the last he may have a spoonfull of red Port.
Either at home or in his travels he may try ↑ripe↑ fruit of any kind,
and if he does not find that they manifestly increase his looseness,
they are otherwise very proper for him and he may carry some
sweet oranges to Sea with him or any kind of preserved fruits.
To boiled Rice, barley or Sago Currant Jelly makes a very agree¬
able addition. From these hints he may manage his Sea
diet but when he is travelling by land, besides all these things
which he may also take, he may have the addition of Milk.
But in taking this let him take it always in the following
manner. Get the milk as fresh from the Cow as possible and
pour upon it an equal part of blood warm water. Sweeten


[Page 3]

this mixture very well with sugar and use it in the same manner
every way as you would use plain milk. Let him look back
to the directions that I first gave him and he will find that
most of them may be still in force. When he is either upon Sea
or in a land journey I would not propose any medicines for him
except it may be sometimes the acid Mixture especially when any
[c]onsiderable sweating occurrs
but at other times he may be more
sparing of it and a little morning sweat is not to be minded.
The only other medicine to be carried along with him, is a box of pills
to be taken in case of looseness. When he has no more
than two stools in a day he need not take any medicine
at all but if these stools should be attended wth griping
[o]r if the number of stools are more than two he should take one
[o]f the pills but if either the gripings or stools should be still more
[co]nsiderable he may take two pills or even three for a dose.
[A]fter what I said to day I hope it is not necessary to say more
[a]bout the conduct of his Journey. The amount of the whole is this
[l]et his Journeys be moderate and let him avoid Cold.

Yours &c
Wm. Cullen
For the Pills


Mass. pil. Thebaic. ʒij Divide in pil. № xxiv Signa
[S]trengthening Pills one two or three for a dose when looseness
[req]uires it. ––

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