Cullen

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

 

[ID:77] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Dickson (Patient) / 27 August 1769 / (Outgoing)

Reply 'For Mr Dickson', who has stomach ailments and must avoid catching cold, with advice on diet and exercise. Indicates that recipes for a strengthening tincture and laxative pills were originally enclosed, but these are not included in this transcription. No incoming letter concerning Mr Dickson has been traced.

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Metadata

FieldData
DOC ID 77
RCPE Catalogue Number CUL/1/1/1/72
Main Language English
Document Direction Outgoing
Date27 August 1769
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 Dickson', who has stomach ailments and must avoid catching cold, with advice on diet and exercise. Indicates that recipes for a strengthening tincture and laxative pills were originally enclosed, but these are not included in this transcription. No incoming letter concerning Mr Dickson has been traced.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:41]
Case of Mr Dickson with stomach ailments.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:19]PatientMr Dickson
[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

Normalized Text

[Page 1]
For Mr Dickson


We have no doubt but Mr Dicksons constitution has been
originally good and we hope he shall long feel the effects of it, but
every man must decline and Mr Dickson may now feel the ef¬
fects of the fatigues he has undergone and the various climates
he has been exposed to. He must particularly feel that his Stomach
may fall of in its rigour and the Complaints he has lately had
shew something of that kind taking place; and we think it partic¬
larly necessary to offer him the following directions for preserving
the tone of his stomach, and preventing the return of the ailments he
had lately –– His first care must be the management of his diet.
He should take solid and nourishing food, but should prefer al¬
ways the lighter kinds. He may take of any plain meat roasted
or boiled but should avoid bacon and all fried or Baked meat
dressed dishes and rich sauces he should be very sparing in tak¬
king fish and only the lighter kinds boiled and served with
a light sauce. When he takes a normal food of any kind he must
take care that his stomach is never loaded with the quantity and
therefore when his appetite is sharp he should always take Broth
or Pudding to make up his meal and prevent his taking too much
animal food He must be equaly cautious of taking Vegetables
He may take a little of any young and tender greens or roots along
with his animal food but he must not take them in any quantity and he
should entirely avoid the windy kind as Cabbage, and all the colder
sallading and Cucumbers. he must likewise be very sparing in taking
of raw fruit. Milk meat of all kinds he may take of moderately
and if he takes any Supper at all it may be of this kind. Cream
is hardly safe, but little fresh butter milk he may sometimes take
Whey is Likely to be too windy for him


For ordinary drink toast mwater with a little madei¬
ra in it is the most proper all kinds of stronkg drink are bad for



[Page 2]

him nothing but the smallness of the quantity is the only Condi¬
tion that can make any of them allowable. However he may
take every day a few glasses of Madeira or a little spirits and
water but he should entirely from all kinds of Malt liquor from
Cyder and from all kinds of weak wines as claret and Rhenish
He should take no Indian tea but any of those of home Growth
are very proper Chocolate if he digest it is very allowable; but
he should take Coffee very sparingly.


As He was formerly in the use of Smo↑a↑king we think
his laying it aside altogether may have been hurtfull and we
judge it adviseable for him to take a little we would have it very
sparingly.


We advise him by all means to continue his daily exer¬
cise on horseback we do not think that any violent exercise is pro¬
per; or that any lenght of journey is necessary but long in gentle ex¬
ercise and much in the free air will be of great service to him.


We think it particularly necessary for him to be much on
therefore that he should take particular care not to walk and stand long
upon damp ground


We think few Medicines are necessary at present and propose
only two: the one is a tingcture for strengthening his stomach of which
he mwill please take a table spoonfull mixed with a spoonfull of
water twice a day that is an hour before Dinner and Supper
or Supper time. The other medicine is a Pill for keeping his
belly regular and which he will therefore take as occasion requi¬
res. –

Sir
I am your most obedien humble Servant
WC
Edinburgh August 27
1769

Diplomatic Text

[Page 1]
For Mr Dickson


We have no doubt but Mr Dicksons constitution has been
originally good and we hope he shall long feel the effects of it, but
every man must decline and Mr Dickson may now feel the ef¬
fects of the fatigues he has undergone and the various climates
he has been exposed to. He must particularly feel that his Stomach
may fall of in its rigour and the Complaints he has lately had
shew something of that kind taking place; and we think it partic¬
larly necessary to offer him the following directions for preserving
the tone of his stomach, and preventing the return of the ailments he
had lately –– His first care must be the management of his diet.
He should take solid and nourishing food, but should prefer al¬
ways the lighter kinds. He may take of any plain meat roasted
or boiled but should avoid bacon and all fried or Baked meat
dressed dishes and rich sauces he should be very sparing in tak¬
king fish and only the lighter kinds boiled and served with
a light sauce. When he takes a normal food of any kind he must
take care that his stomach is never loaded with the quantity and
therefore when his appetite is sharp he should always take Broth
or Pudding to make up his meal and prevent his taking too much
animal food He must be equaly cautious of taking Vegetables
He may take a little of any young and tender greens or roots along
with his animal food but he must not take them in any quantity and he
should entirely avoid the windy kind as Cabbage, and all the colder
sallading and Cucumbers. he must likewise be very sparing in taking
of raw fruit. Milk meat of all kinds he may take of moderately
and if he takes any Supper at all it may be of this kind. Cream
is hardly safe, but little fresh butter milk he may sometimes take
Whey is Likely to be too windy for him


For ordinary drink toast mwater with a little madei¬
ra in it is the most proper all kinds of stronkg drink are bad for



[Page 2]

him nothing but the smallness of the quantity is the only Condi¬
tion that can make any of them allowable. However he may
take every day a few glasses of Madeira or a little spirits and
water but he should entirely from all kinds of Malt liquor from
Cyder and from all kinds of weak wines as claret and Rhenish
He should take no Indian tea but any of those of home Growth
are very proper Chocolate if he digest it is very allowable; but
he should take Coffee very sparingly.


As He was formerly in the use of Smo↑a↑king we think
his laying it aside altogether may have been hurtfull and we
judge it adviseable for him to take a little we would have it very
sparingly.


We advise him by all means to continue his daily exer¬
cise on horseback we do not think that any violent exercise is pro¬
per; or that any lenght of journey is necessary but long in gentle ex¬
ercise and much in the free air will be of great service to him.


We think it particularly necessary for him to be much on
therefore that he should take particular care not to walk and stand long
upon damp ground


We think few Medicines are necessary at present and propose
only two: the one is a tingcture for strengthening his stomach of which
he mwill please take a table spoonfull mixed with a spoonfull of
water twice a day that is an hour before Dinner and Supper
or Supper time. The other medicine is a Pill for keeping his
belly regular and which he will therefore take as occasion requi¬
res. –

Sir
I am your most obedien humble Servant
WC
Edin.h Aug. 27
1769

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