The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3688] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Governor John Wood (of the Isle of Man) (Patient) / 18 December 1773 / (Outgoing)
Reply for 'Governor Wood' on the Isle of Man, in which the text starts with an addition on p.12. Provides a numbered regimen to encourage perspiration.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
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Facsimile
There are 4 images for this document.
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Metadata
Field | Data |
---|---|
DOC ID | 3688 |
RCPE Catalogue Number | CUL/1/1/4/13 |
Main Language | English |
Document Direction | Outgoing |
Date | 18 December 1773 |
Annotation | None |
Type | Scribal 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 'Governor Wood' on the Isle of Man, in which the text starts with an addition on p.12. Provides a numbered regimen to encourage perspiration. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:187] |
Case of Governor John Wood of the Isle of Man who reports that 'the Diziness and cloudiness in my head is much abated' and who is given a formal regimen to counteract his stopped perspiration. |
3 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
[PERS ID:1348] | Patient | Governor John Wood (of the Isle of Man) |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr 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 | Isle of Man | England | Europe | inferred | ||
Mentioned / Other | Isle of Man | England | Europe | certain |
Normalized Text
Governor Wood 1
I have considered the Governers case with great attent¬
ion & concern & am of opinion that his disorder
depends upon a stoppage of his Perspiration & an
interruption of somewhat that should pass by the skin:
that this occasions some accumulation in the vessels of
the Brain & thence all the other disorders he has complained
of. I hope all of them may be removed & for this purpose
the most probable measures appear to me to be the
following.
1. For the winter season & perhaps for the summer
in the Isle of Man he should wear constantly a
flannel shirt next his skin & otherwise take every
precaution against Cold particularly after his Morning
sweats. One way especially necessary for guarding
against Cold is to take care never to be much heated by
motion warm chambers, or sitting near the fire.
2. As often as the weather is mild & tolerably fair
he should take Exercise in a Carriage for some
hours before dinner Walking is very bad for him
& should be avoided except upon his own floor.
Riding may hereafter be usefull but at present
a very precarious measure ^
4th His Diet is very need not be very low but
neither must full He may take a bit of Meat
at Dinner but he should avoid all the Heavier
kinds of it & should never Make a full meal of any
kind but fill it up with broth pudding or vegetables
His suppers should be {illeg} or something very ligh
without meat.
5 For Drink, Water with a small proportion of
of Wine is the best strong kind of all Drink
[Page 2]
when less taken very moderately is certainly dan¬
gerous but I think the Governer may very
properly continue to take from half a pint to a
pint of Claret every day after dinner & from
↑half↑ a gill to a gill of Rum in a weak Punch
every night Much regard is to be had to [habit?]
& if the Governor never goes beyond the
bounds prescribed he will be very safe.
5. Nothing is more proper than the attention
that has been paid to the state of his Belly & it
must be continued & nor is there any thing more proper
than the Crem. Tart. & sulphur so long as it does
not grow familiar & lose its effect. In that
Case the Sal Polychrest may be put in the
place of the Crem. Tart.
If any symptoms of much disorder in the head
should return it may be proper to let blood
but frequent blooding disposes persons to be plethoric
& I would not have the Governor to have
recourse to it without some necessity.
7. I believe the Governor has Gout in his
Constitution but as it has not hitherto come forward
I dont expect that it will now. However it will
be very advisable to keep his feet always warm
& dry, to wear woolen footsocks in the nighttime
& frequently to bathe his feet before going to bed keeping
them a good while in water not very warm.
[Page 3]
I expect nothing in this case from the use of the Bark
Bark & therefore would not insist upon it in any
shape. The Decoction of the Woods was a probable remedy
but as it had no effect & was disagreeable to the Stomach it
was properly laid aside.
9. For preventing all return of Complaints the Governor
must chiefly depend upon a strict adherence to
the above Regimen but he may also be assisted
by some Medecines which shall keep up the determination
to the skin & favour the Eruption which Nature points
at. For that purpose I have ordered 2 medecines the one
to be taken in the Morning & the other at Night. If the Morning
dose feels any ways disagreably hot in the
mouth it may be further diluted with a little
water. Let the Phial be always well shaken before
the Draught is poured out. If the Evening does does not
give any sickness or tho' it should at first when
that afterwards ceases the dose may be gradually
increased to double or triple the quantity
Take three ounces of Rose Water, half an ounce each of thin Cinnamon and Clove syrup, and two grains of Tartar Emetic. Label: Diaphoretic Mixture, a tablespoonfull to be taken every night at bedtime.
Take thirty grams of volatile elixir of guaiac made up according to the London Pharmacopoeia, and one drachm of white Sugar. Pound well together and add one drachm of French brandy and rose Water. Label: Diaphoretic Draught, to be taken in the morning as soon as awake, lying abed for an hour or 2 afterwards.
[Page 4]
^3d I think it very proper for the Governor to
lie abed in the Morning to favour all Moisture
that has or may Come out upon the skin but I
think late Hours are extremely improper & wish
the Governor would by degrees go sooner to bed
so that after all he may get up a little sooner
in the Morning & have due time for his Exercise
in the forenoon.
Notes:
1: The additional loops have been assumed to be a flourish of the pen.
Diplomatic Text
Governor Wood 1
I have considd the Governers case with grt attent¬
ion & concern & am of opinion that his disorder
depends upon a stoppage of his Perspiration & an
interrupn of somewt that should pass by the skin:
that ys occasions some accumulatn in ye vessels of
ye Brn & thence all the other disorders he has compd
of. I hope all of ym may be removd & for ys purpose
ye most probable measures appear to me to be the
following.
1. For ye winter season & perhaps for ye summer
in ye Isle of Man he should wear constantly a
flannel shirt next his skin & otherwise take every
precaution against Cold particy. aft. his Morng
sweats. One way especially necessary for guardg
agt Cold is to take care never to be much heated by
motion warm chambers, or sitting near ye fire.
2. As often as ye weather is mild & tolerably fair
he should take Exercise in a Carriage for some
hours before dinner Walking is very bad for him
& should be avoided except upon his own floor.
Riding may hereafter be usefull but at present
a very precarious measure ^
4th His Diet is very need not be very low but
neither must full He may take a bit of Meat
at Dinner but he should avoid all the Heavier
kinds of it & should never Make a full meal of any
kind but fill it up w broth pudding or vegetables
His suppers should be {illeg} or something very ligh
without meat.
5 For Drink, Water wt a small proportion of
of Wine is the best strong kind of all Drink
[Page 2]
wn less taken very moderately is certainly dan¬
gerous but I think the Governer may very
properly continue to take fm half a pint to a
pint of Claret every day after dinner & from
↑half↑ a gill to a gill of Rum in a weak Punch
every nt. Much regard is to be had to [habit?]
& if the Governor never goes beyond the
bounds prescribed he will be very safe.
5. Nothing is more proper yn ye attentn
that has bn paid to ye state of his Belly & it
must be contd & nor is there any yg more proper
yn ye Crem. Tart. & sulphur so long as it does
not grow familiar & lose its effect. In that
Case ye Sal Polychrest may be put in the
place of ye Crem. Tart.
If any sympts of much disordr in the head
should return it may be proper to let bld
bt freqt bloodg disposes persons to be plethoric
& I would not have ye Governor to have
recourse to it wthout some necessity.
7. I believe ye Governor has Gout in his
Constitutn bt as it has not hitherto come forwd
I dont expect yt it will now. However it will
be very advisable to keep his feet always warm
& dry, to wear woolen footsocks in ye nttime
& freqy. to bathe his feet bef. going to bed keepg
ym a good while in water not very warm.
[Page 3]
I expect nothing in this case fm ye use of ye Bark
Bark & therefore would not insist upon it in any
shape. The Decn of ye Woods was a probable remed.
bt as it had no efft & was disagrle to ye Stom. it
was properly laid aside.
9. For preventg. all return of Compts. the Govern
must chiefly depend upon a strict adherence to
ye above Regimen bt he may also be assisted
by some Meds. wc shall keep up ye determinn.
to ye skin & favour ye Eruptn wc Nature points
at. For yt purpose I have ordd 2 meds. the one
to be takn in ye M. & ye other at N. If ye Mg.
dose feels any ways disagreably hot in ye
mouth it may be further diluted w a little
water. Let ye Phial be always well shakn bef.
ye Drt is poured out. If ye Evening does does not
give any sickness or tho' it should at first wn
yt. afterwards ceases ye dose may be gradually
increased to double or triple ye qty.
℞ Aq. Ros. ℥iij Cinnam. ten.
syr. Caryophyll. ad ℥ſs. Tart. Emet. gr. ij.
ℳ. Sig. Diaphoret ℳ. a table spnfull to be
taken evy. nt. at bedtime.
℞ Elix. guaiac. volat. Ph. Lond. gtt. xxx.
Sacch. alb. ʒj simul bene trit. adde spir. vin.
Gall. ʒj. Aq. Rosar. ℳ. Signa. Diaphorc. Drt
to be takn in ye M. as soon as awake lying
abed for an hour or 2 afterwards.
[Page 4]
^3d I think it very proper for the Governor to
lie abed in the Morning to favour all Moisture
that has or may Come out upon the skin but I
think late Hours are extremely improper & wish
the Governor would by degrees go sooner to bed
so that after all he may get up a little sooner
in the Morning & have due time for his Exercise
in the forenoon.
Notes:
1: The additional loops have been assumed to be a flourish of the pen.
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