Cullen

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

 

[ID:416] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr Currie (Patient) / 28 November 1768 / (Outgoing)

Reply 'For Mr Currie'

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[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 416
RCPE Catalogue Number CUL/1/1/2/37
Main Language English
Document Direction Outgoing
Date28 November 1768
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 Currie'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:207]
Case of Mr Currie who is prescribed Lixivium to be taken in a broth as part of a full regimen.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1258]PatientMr Currie
[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 Currie


The only medicine to be proposed is what is marked Lixivium
& I hope it is such as may prevent the further progress of the disor¬
der he is threatned with.


It is to be taken in Fresh Broth which may be made of
Beef, Mutton, Veal, Lamb or Fowl, & when it is not convenient
to have a Broth made of these it may ↑be↑ made of portable soup


The Broth must be made of the made of the meat alone without
any addition of Barley or any kind of Garden-things. Lean meat
is the most proper but when a little fat cannot be avoided the
broth when made is to be allowed to cool so that all the fat
may be skimmed of. More Broth should never be made than may serve
one day --


When the Medicine is to be taken the
broth is to be ↑a little↑ warmed & the dose of the medicine is to be regu¬
lated by the Broth in this manner. The quantity of the broth
at first employed is to be half a muchkin & into this as many
teaspoonfulls of the Lixivium to be put as the broth will
cover the taste of & this is to be constantly the measure


At first the broth is to be taken twice a day a little before
dinner ↑& supper↑ & this dose is to be continued for three days.


For three days more it is to be taken three times a day
that is about half an hour before every meal when it has
been thus taken for 6. days the quantity of Broth is to
be increased to three Gills & the Lixivium in proportion
& in the way it is to be taken for 6. days more




[Page 2]


At the End of twelve days employed as above the broth is to
be taken to the quantity of a muchkin 3 times and the Lix¬
ivium
in proportion and in this way it is to be continued for 6
weeks when this time is passed I hope the appearances in the
Urine shall be quite gone & at any rate the Remedy is to be
laid aside for some weeks more or less as the symptoms are more
or less removed. -----


If they are not entirely gone the
medicine may be resumed in 3 weeks but if they are very much
gone the Interval may be 6 weeks or 3 months.


Tho the should be absolutely removed I would advise ressuming
the course at farthest at the end of 2 months & that it should
be taken at the largest dose for the space of a month
( After that it may be laid aside and only resumed
upon a return of of symptoms or perhaps once or twice
a year by way of precaution. ----------


With this
medicine the Diet is to be of fresh meat at pleasure but of
no kind of salted meat & of fish sparingly he may also
take any kind of Grain in pudding or otherwise --
He must abtsain from roots & greens or Fruit or
take them very sparingly & avoid all pickles venegar
or lemon. ---


For Drink Water or water
with a moderate proportion of Spirits is the best. While
he is taking the medicine all kinds of malt Liquor are improper.


So are all kinds of wine but sometimes he may take a little
Madeira or Red Port & water but the seldomer the better


Claret Rhemish Hock & most of white wines are very bad.



[Page 3]

Violent Exercise of any kind will do much harm fast riding
or long continued at one time is particularly bad. Any fatigue
in walking is also bad, & Dancing except it is with a great modera¬
tion will also do mischief.


Cold & wet are to be carefull avoided & especially in the feet & legs
Thick Shoes & warm worsted under stocking are of consequence to
Mr Currie

W C

November 28. 1768
Edinburgh

Diplomatic Text

[Page 1]
For Mr Currie


The only medicine to be proposed is what is marked Lixivium
& I hope it is such as may prevent the further progress of the disor¬
der he is threatned with.


It is to be taken in Fresh Broth which may be made of
Beef, Mutton, Veal, Lamb or Fowl, & when it is not convenient
to have a Broth made of these it may ↑be↑ made of portable soup


The Broth must be made of the made of the meat alone without
any addition of Barley or any kind of Garden-things. Lean meat
is the most proper but when a little fat cannot be avoided the
broth when made is to be allowed to cool so that all the fat
may be skimmed of. More Broth should never be made than may serve
one day --


When the Medicine is to be taken the
broth is to be ↑a little↑ warmed & the dose of the medicine is to be regu¬
lated by the Broth in this manner. The quantity of the broth
at first employed is to be half a muchkin & into this as many
teaspoonfulls of the Lixivium to be put as the broth will
cover the taste of & this is to be constantly the measure


At first the broth is to be taken twice a day a little before
dinner ↑& supper↑ & this dose is to be continued for three days.


For three days more it is to be taken three times a day
that is about half an hour before every meal when it has
been thus taken for 6. days the quantity of Broth is to
be increased to three Gills & the Lixivium in proportion
& in the way it is to be taken for 6. days more




[Page 2]


At the End of twelve days employed as above the broth is to
be taken to the quantity of a muchkin 3 times and the Lix¬
ivium
in proportion and in this way it is to be continued for 6
weeks when this time is passed I hope the appearances in the
Urine shall be quite gone & at any rate the Remedy is to be
laid aside for some weeks more or less as the symptoms are more
or less removed. -----


If they are not entirely gone the
medicine may be resumed in 3 weeks but if they are very much
gone the Interval may be 6 weeks or 3 months.


Tho the should be absolutely removed I would advise ressuming
the course at farthest at the end of 2 months & that it should
be taken at the largest dose for the space of a month
( After that it may be laid aside and only resumed
upon a return of of symptoms or perhaps once or twice
a year by way of precaution. ----------


With this
medicine the Diet is to be of fresh meat at pleasure but of
no kind of salted meat & of fish sparingly he may also
take any kind of Grain in pudding or otherwise --
He must abtsain from roots & greens or Fruit or
take them very sparingly & avoid all pickles venegar
or lemon. ---


For Drink Water or water
with a moderate proportion of Spirits is the best. While
he is taking the medicine all kinds of malt Liquor are improper.


So are all kinds of wine but sometimes he may take a little
Madeira or Red Port & water but the seldomer the better


Claret Rhemish Hock & most of white wines are very bad.



[Page 3]

Violent Exercise of any kind will do much harm fast riding
or long continued at one time is particularly bad. Any fatigue
in walking is also bad, & Dancing except it is with a great modera¬
tion will also do mischief.


Cold & wet are to be carefull avoided & especially in the feet & legs
Thick Shoes & warm worsted under stocking are of consequence to
Mr Currie

W C

Novr. 28. 1768
Edinburgh

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