Cullen

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

 

[ID:89] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Peter Murray (Patient) / 14 May 1770 / (Outgoing)

Reply for Mr Peter Murray who is advised on managing a weak stomach and general debility.

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Metadata

FieldData
DOC ID 89
RCPE Catalogue Number CUL/1/1/1/84
Main Language English
Document Direction Outgoing
Date14 May 1770
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply for Mr Peter Murray who is advised on managing a weak stomach and general debility.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:308]
Case of Mr Peter Murray who has a weak stomach.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:52]PatientMr Peter Murray
[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 Peter Murray


As Mr Murray's constitution recieved some hurt very early
in Life & has since recieved many more it is not possible now to restore
it to a perfectly sound state but I am well perswaded that most of the
ailments & uneasiness arising from it may be avoided.


The chief ailment consists in a weakness of the stomach &
this requires a constant attention to Diet. Any kind of Diet conti¬
nued uniformly for some time will produce indigestion & therefore
it will be necessary for Mr Murray to change his diet from time to
time. A milk Diet is in the main well suited for the weakness of his
stomach but he should never continue it for above a fortnight at one time,



[Page 2]

but then should change it for a light animal diet making the
change by degrees. In making the change, for some days he should
take the milk & animal food alternately then the milk one day &
animal food two and thus by degrees quit the one entirely & take
the other for a forthnight after which the change may be made back
again in the same manner.


In taking animal food I earnestly reccommend to him to
try a portable soup which is certainly not the broth he has a pre¬
judice against. It has the advantage that it can be adjusted to
what strength he pleases & it can easily with exactness be kept every
day to the same standard and if bread is taken with it as it ought
to be it need hardly have the appearance of a Broth. Instead of {illeg}
Bread either Rice Sago or Vermicelli may be taken with it to the same
effect which is that of rendering his belly more regular and the rest of
his animal food by diminishing its quantity safer. In the Choice
of his animal food I have no directions but two to give, the one is
that he should avoid much fat meat & the other is that while he takes
milk he should avoid fish altogether and even when he is entirely
on animal Diet he should take take fish very Sparingly.


Whether Mr Murray takes a milk diet or Animal food he
should with respect to quantity keek his stomach light. When
he is on animal food he should never make a full meal of it but fill it
up either with his Soop or with Pudding or with some kind of wege¬
getables.


These last are a little precarious and must not be indul¬
ged in, but whenever he finds his Stomach tolerably light he should
take part of them & it is to be observed that all the Garden things
when they first come in Season that is while they are young & tender
are much safer than they are at all other times.




[Page 3]


For ordinary Drink he should take Wine & Water & a good White
rather than any red wine. Malt liquors of all kinds are to be avoided.
Strong Beer or Porter may at times be safe & if he can digest them useful
with respect to his Belly but they are at all times precarious both with respect
to their own quality & to his Stomach. Spirits & Water may seem to agree
with him but I am persuaded they are improper & will dry him too much
Indian Tea {illeg} (↑whether↑) Green or Bohea are certainly improper but something of
that kind made of any herbs of our own growth as Sage Rosemary Balm &
may be very proper & if he is in any habits of tea-drinking Cocoa Tea
may answer very well. When he is in the Country a draught of either
Cow milk or Goat milk Whey if his stomach can digest it, may be of service
It is to be taken moderately & only in the Morning.


Along with this diet a constant attention must be given to keep the
belly regular & the preventing Costiveness is often the means of preventing
Looseness. For preventing Costiveness it is possible that the Aloetics hither¬
to employed may be still necessary but I wish to avoid them & would
prefer a more cooling Laxative. Such I have ordered below and if it
does not answer easily, upon a report to that purpose I shall order another
form.


As it is very probably that among other things a sedentary life
& much aplication to business have hurt Mr Murray's constitution it is
now very necessary to change his measures in these respects. Let his ap¬
plication to business be moderated as much as possible, let him be vacant
& as often in the Country as he conveniently can. The more frequently he is
on horseback the better. Violent Exercise is extremely improper but long
continued gentle motion is very necessary. Let him therefore extend his ai¬
rings as far as he conveniently could without fatigue & let him always



[Page 4]

remember that a Journey steadily pursued for several weeks is the most & the
only effectual Remedy. Whether he is at home or abroad he must be particu¬
larly attentive in guarding against Cold. He must take pains to keep his
feet warm & dry & if in the Winter Season or perhaps the year round he
wears a flannel shirt next his skin he would be the better for it.


By these different points of Regimen exactly observed I trust that Mr
Murray shall have very good health & I would wish to trust to Regimen
alone at least with as few medecines as possible but I have ordered one below
that Ife that I f have found of service in weak Stomachs. It is to be
taken in a gill of Spring Water once or twice a forenoon[es?] & as much
of the Tincture is to be taken as to render the Water moderately Acid.


Vomits may sometimes be useful even necessary but I would have
them employed as seldom as possible and only when his Indigestion &
want of Appetite have gone to a great degree.

Edinburgh 14th May
1770
W.C.
For Mr Peter Murray

Take one ounce of powdered Tartar and sweet sugar plums each and a sufficient quantity of white rose syrup to make an electuary. Label it: Laxative Electuary


the bigness of a nutmeg or more as occasion requires to be taken at night &
morning

Take half a drachms of red rose and dissolve it in four ounces of boiling water. Let it rest for two hours and strain, add an ounce of [pure?] Spanish sea salt and half an ounce of the best spirit of sea salt. Label it: Stomachic Tincture


tea spoonful
or more to be taken in a glass of water.

14th May
1770
WC.

Diplomatic Text

[Page 1]
For Mr Peter Murray


As Mr Murray's constitution recieved some hurt very early
in Life & has since recieved many more it is not possible now to restore
it to a perfectly sound state but I am well perswaded that most of the
ailments & uneasiness arising from it may be avoided.


The chief ailment consists in a weakness of the stomach &
this requires a constant attention to Diet. Any kind of Diet conti¬
nued uniformly for some time will produce indigestion & therefore
it will be necessary for Mr Murray to change his diet from time to
time. A milk Diet is in the main well suited for the weakness of his
stomach but he should never continue it for above a fortnight at one time,



[Page 2]

but then should change it for a light animal diet making the
change by degrees. In making the change, for some days he should
take the milk & animal food alternately then the milk one day &
animal food two and thus by degrees quit the one entirely & take
the other for a forthnight after which the change may be made back
again in the same manner.


In taking animal food I earnestly reccommend to him to
try a portable soup which is certainly not the broth he has a pre¬
judice against. It has the advantage that it can be adjusted to
what strength he pleases & it can easily wt exactness be kept every
day to the same standard and if bread is taken wt it as it ought
to be it need hardly have the appearance of a Broth. Instead of {illeg}
Bread either Rice Sago or Vermicelli may be taken wt it to the same
effect which is that of rendering his belly more regular and the rest of
his animal food by diminishing its quantity safer. In the Choice
of his animal food I have no directions but two to give, the one is
that he should avoid much fat meat & the other is that while he takes
milk he should avoid fish altogether and even when he is entirely
on animal Diet he should take take fish very Sparingly.


Whether Mr Murray takes a milk diet or Animal food he
should with respect to quantity keek his stomach light. When
he is on animal food he should never make a full meal of it but fill it
up either with his Soop or wt Pudding or with some kind of wege¬
getables.


These last are a little precarious and must not be indul¬
ged in, but whenever he finds his Stomach tolerably light he should
take part of them & it is to be observed that all the Garden things
when they first come in Season that is while they are young & tender
are much safer than they are at all other times.




[Page 3]


For ordinary Drink he should take Wine & Water & a good White
rather than any red wine. Malt liquors of all kinds are to be avoided.
Strong Beer or Porter may at times be safe & if he can digest them useful
wt respect to his Belly but they are at all times precarious both with respect
to their own quality & to his Stomach. Spirits & Water may seem to agree
wt him but I am persuaded they are improper & will dry him too much
Indian Tea {illeg} (↑whether↑) Green or Bohea are certainly improper but something of
that kind made of any herbs of our own growth as Sage Rosemary Balm &
may be very proper & if he is in any habits of tea-drinking Cocoa Tea
may answer very well. When he is in the Country a draught of either
Cow milk or Goat milk Whey if his stomach can digest it, may be of service
It is to be taken moderately & only in the Morning.


Along wt this diet a constant attention must be given to keep the
belly regular & the preventing Costiveness is often the means of preventing
Looseness. For preventing Costiveness it is possible that the Aloetics hither¬
to employed may be still necessary but I wish to avoid them & would
prefer a more cooling Laxative. Such I have ordered below and if it
does not answer easily, upon a report to that purpose I shall order another
form.


As it is very probably that among other things a sedentary life
& much aplication to business have hurt Mr Murray's constitution it is
now very necessary to change his measures in these respects. Let his ap¬
plication to business be moderated as much as possible, let him be vacant
& as often in the Country as he conveniently can. The more frequently he is
on horseback the better. Violent Exercise is extremely improper but long
continued gentle motion is very necessary. Let him therefore extend his ai¬
rings as far as he conveniently could wtout fatigue & let him always



[Page 4]

remember that a Journey steadily pursued for several weeks is the most & the
only effectual Remedy. Whether he is at home or abroad he must be particu¬
larly attentive in guarding against Cold. He must take pains to keep his
feet warm & dry & if in the Winter Season or perhaps the year round he
wears a flannel shirt next his skin he would be the better for it.


By these difft pts of Regimen exactly observed I trust that Mr
Murray shall have very good health & I would wish to trust to Regimen
alone at least wt as few medecines as possible but I have ordered one below
that Ife that I f have found of service in weak Stomachs. It is to be
taken in a gill of Spring Water once or twice a forenoon[es?] & as much
of the Tincture is to be taken as to render the Water moderately Acid.


Vomits may sometimes be useful even necessary but I would have
them employed as seldom as possible and only when his Indigestion &
want of Appetite have gone to a great degree.

Edinr 14th May
1770
W.C.
For Mr Peter Murray


Crystall. Tartar. pulv. Pulp. Prun. Gall. ad ℥j
Syr. Ros. pall q.s. ut f. Electuarium. Signa Laxative Electuary


the bigness of a nutmeg or more as occasion requires to be taken at night &
morning


flor. rosar. rubr. [Sice?] ʒfs affunde aq. bullient. ℥iv Digere
per horas duas & cola [turce?] adde Sal. Marin. Hispan. [puress.?] ℥i
Spir. sal. marin. opt. ℥fs: Signa Stomachic Tincture


tea spoonful
or more to be taken in a glass of water.

14th May
1770
WC.

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