The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3855] From: Dr William Cullen (Professor Cullen) / To: Dr George Skene / Regarding: Mr Lumsden (Patient) / 5 July 1776 / (Outgoing)
Reply, 'To Dr Skene Q Mr Lumsden'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
Field | Data |
---|---|
DOC ID | 3855 |
RCPE Catalogue Number | CUL/1/1/7/76 |
Main Language | English |
Document Direction | Outgoing |
Date | 5 July 1776 |
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, 'To Dr Skene Q Mr Lumsden' |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:741] |
The Case of Mr Lumsden who has a long history of illness, including fever, nosebleeds and pains in the hypochondria, and who converses with Cullen over whether his condition is entirely 'nervous' or more 'fixed. |
2 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
[PERS ID:64] | Addressee | Dr George Skene |
[PERS ID:933] | Patient | Mr Lumsden |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:64] | Patient's Physician / Surgeon / Apothecary | Dr George Skene |
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 | Aberdeen | East Highlands | Scotland | Europe | inferred |
Normalized Text
Case of To Dr Skene Query Mr Lumsden.
I have considered your history of Mr L. & have conversed
with himself frequently. I cannot be very positive with respect to the nature
of his ailment but I am clear that it is of the Nervous kind acting however
chiefly upon the great vessels near the heart, & this is chiefly the founda¬
tion of what I am to advise
Fresh air & gentle exercise are very necessary to Mr Lumsden
but he may very readily be hurt by any excess in motion. Bodily
exercise is especially dangerous & he should never attempt it but in
the gentlest manner & by a very little at one time. Riding better
but even this must be gentle & smooth. I think a Carriage the
safest motion for him but the carriage should be easy & jolting
avoided with great care ----
There is the same difficulty in the management of his
Diet. Experience has taught that he is easiest with a tolerably
full stomach & therefore he must have some solid food & a
glass of Wine, but I am certain that anything like full
living may urge on his complaints to a dangerous degree.
Therefore he should take moderately of animal food & keep
within narrow bounds in the use of strong drink. Nothing seems
to me more necessary for him than avoiding heat, whether of the
sun, or warm chambers, especially these heated by a croud of
Company.
If at any time costive, he must take care to remove it
by some Cooling Laxative as Flor. Sulph. Crem. Tart. &.c --
He may be the better of some Nervous Medicines & the
fœtid Pills among the rest & if they keep his belly regular
[Page 2]
they may be frequently employed, but for constant
use I would prefer the nervous medicines of the least heating
kind such as Valerian & perhaps Camphire. Tonics such as
Bark or Steel may possibly be of service but I would
to the lightest preparations of that kind, such as the
Cold Infusion of the Bark in water & that even will
be safer if acidulated with the Acid of Vitriol
Take 1½ drachms of Asafœtida, an ounce of Russian Castor, half a drachm of Camphor and enough Hartshorn Oil to make a mass to be divided into pills of 5 grains each. Label: Fœtid Pills of the Edinburgh Pharmacopœia 17
Diplomatic Text
Case of To Dr Skene Q Mr Lumsden.
I have considered your history of Mr L. & have conversed
with himself frequently. I cannot be very positive with respect to the nature
of his ailment but I am clear that it is of the Nervous kind acting however
chiefly upon the great vessels near the heart, & this is chiefly the founda¬
tion of what I am to advise
Fresh air & gentle exercise are very necessary to Mr Lumsden
but he may very readily be hurt by any excess in motion. Bodily
exercise is especially dangerous & he should never attempt it but in
the gentlest manner & by a very little at one time. Riding better
but even this must be gentle & smooth. I think a Carriage the
safest motion for him but the carriage should be easy & jolting
avoided with great care ----
There is the same difficulty in the management of his
Diet. Experience has taught that he is easiest with a tolerably
full stomach & therefore he must have some solid food & a
glass of Wine, but I am certain that anything like full
living may urge on his complaints to a dangerous degree.
Therefore he should take moderately of animal food & keep
within narrow bounds in the use of strong drink. Nothing seems
to me more necessary for him than avoiding heat, whether of the
sun, or warm chambers, especially these heated by a croud of
Company.
If at any time costive, he must take care to remove it
by some Cooling Laxative as Flor. Sulph. Crem. Tart. &.c --
He may be the better of some Nervous Med.s & the
fœtid Pills among the rest & if they keep his belly regr.
[Page 2]
they may be frequently employed, but for constant
use I would prefer the nervous meds. of the least heating
kind such as Valerian & perhaps Camphire. Tonics such as
Bark or Steel may possibly be of service but I would
to the lightest preparations of that kind, such as the
Cold Infusion of the Bark in water & that even will
be safer if acidulated with the Acid of Vitriol
℞ Asæ fœtid. ʒiſs
Castor Russic. ʒi
Camphor. ʒſs
Ol: C. C. q. s. ut f. M. divid. in pil. sing. gr v.
Sig. Pilulæ Fœtidæ Ph. Ed. 17
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