Cullen

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

 

[ID:88] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Andrew Stevenson (Patient) / 12 May 1770 / (Outgoing)

Reply, 'For Mr Andrew Stevenson'. Cullen gives directions for the patient, who is recovering from a severe illness.

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Metadata

FieldData
DOC ID 88
RCPE Catalogue Number CUL/1/1/1/83
Main Language English
Document Direction Outgoing
Date12 May 1770
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 Andrew Stevenson'. Cullen gives directions for the patient, who is recovering from a severe illness.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:124]
Case of Mr Andrew Stevenson who is recovering from a severe illness.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:70]PatientMr Andrew Stevenson
[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 Andrew Stevenson.


I hope he is now in a very good train of Recovery but as
he has made a very narrow escape & that both his disease & the dan¬
ger of it were to be imputed to his former way (↑manner↑) of living I am very
willing now to give him my advice towards preventing the like acci¬
dent hereafter.


He should now get out a bed as much as he can & as the Season
is now favourable he should also get out of Doors as soon as possi¬
ble. It is fresh Air & Exercise only that can make his Recovery
compleat. These are the only Strenghteners & Cordials to be depended upon.


By Degrees & suitable to his Appetite & Exercise let the qua¬
lity of his Diet be mended but fullness is necessary to no body &
be very hurtful to Convalescents. He may take meat at dinner
every day but it should be light & little till he get into Exercise. It
must be a long time yet f before he can take any meat at Supper
& milk meats if they can digest them are the most proper.


For ordinary Drink he may take good small Beer but
Wine & Water will be more safe, & Madeira or Port well diluted
are the best. At dinner every day a glass or two of Wine are
very allowable & as he gets at Strength & Exercise the dose may
be somewhat increased but I hope it will be long before he
hazards any Excess. When he takes plain Wine I hold neat
Claret to be by much the safest & most proper. Whatever
wine he takes it should be confined to the time of his meals
for at all other times it introduces the most pernicious habits



[Page 2]

& has no measure. All this I would say ↑still↑ more strongly
with repeat to Spirits. I would not have him taste however
diluted & I would rather have him incure a fainting fit se¬
veral times a day than that he should have recourse to such
a Cordial. A Man that does so can keep no measure while
the remedy produces a craving that goes on increasing
in a manner that is absolutely incompatible with Health
& Life.


In Mr Stevenson's present situation it is very pos¬
sible he may at time feel a languor that demands
a cordial & for such I have ordered an Infusion, of which
he may take a spoonful or two several times a day. It
will contribute to strengthen him but I would rather
do this by Diet & Exercise & therefore would have him take
my Cordial as seldom as possible & to quit it altogether
as soon as he can.


I have nothing farther to add but that his
belly must be kept regular & even opened sometimes but
always gently. In getting into Air & for a long time to come
he must take great Care to guard against Cold and Moist¬
ture.

Edinburgh 12th May
1770
William Cullen



[Page 3]
For Mr Andrew Stevenson.

Take half-an-ounce of Peruvian bark, two drachms of Orange peel, one drachm of Colomba root, halfa drachm of Cinnamon bark. Crush together. Add half a pint of port wine and half a pint of French brandy. Let it rest for two days and strain. Label it: Strengthening Infusion

12 May
1770
W.C.

Diplomatic Text

[Page 1]
For Mr Andrew Stevenson.


I hope he is now in a very good train of Recovery but as
he has made a very narrow escape & that both his disease & the dan¬
ger of it were to be imputed to his former way (↑manner↑) of living I am very
willing now to give him my advice towards preventing the like acci¬
dent hereafter.


He should now get out a bed as much as he can & as the Season
is now favourable he should also get out of Doors as soon as possi¬
ble. It is fresh Air & Exercise only that can make his Recovery
compleat. These are the only Strenghteners & Cordials to be depended upon.


By Degrees & suitable to his Appetite & Exercise let the qua¬
lity of his Diet be mended but fullness is necessary to no body &
be very hurtful to Convalescents. He may take meat at dinner
every day but it should be light & little till he get into Exercise. It
must be a long time yet f before he can take any meat at Supper
& milk meats if they can digest them are the most proper.


For ordinary Drink he may take good small Beer but
Wine & Water will be more safe, & Madeira or Port well diluted
are the best. At dinner every day a glass or two of Wine are
very allowable & as he gets at Strength & Exercise the dose may
be somewhat increased but I hope it will be long before he
hazards any Excess. When he takes plain Wine I hold neat
Claret to be by much the safest & most proper. Whatever
wine he takes it should be confined to the time of his meals
for at all other times it introduces the most pernicious habits



[Page 2]

& has no measure. All this I would say ↑still↑ more strongly
wth repeat to Spirits. I would not have him taste however
diluted & I would rather have him incure a fainting fit se¬
veral times a day than that he should have recourse to such
a Cordial. A Man that does so can keep no measure while
the remedy produces a craving that goes on increasing
in a manner that is absolutely incompatible wt Health
& Life.


In Mr Stevenson's present situation it is very pos¬
sible he may at time feel a languor that demands
a cordial & for such I have ordered an Infusion, of which
he may take a spoonful or two several times a day. It
will contribute to strengthen him but I would rather
do this by Diet & Exercise & therefore would have him take
my Cordial as seldom as possible & to quit it altogether
as soon as he can.


I have nothing farther to add but that his
belly must be kept regular & even opened sometimes but
always gently. In getting into Air & for a long time to come
he must take great Care to guard against Cold and Moist¬
ture.

Edinr 12th May
1770
William Cullen



[Page 3]
For Mr Andrew Stevenson.


Cort. Peruvian. cont. ℥fs
- aurantior. ʒij
Rad. Colomba. ʒj
Cort. Canell. alb. ʒfs
Contusis affunde.
Vin. rubr. Oportens. lib fs
Spir. Vin. Gall. lib fs
Digere per bidiem et cola
Signa Strengthening Infusion

12 May
1770
W.C.

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