Cullen

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

 

[ID:4255] From: Dr William Cullen (Professor Cullen) / To: Mr Logie / Regarding: Mr Logie (Patient) / 14 June 1778 / (Outgoing)

Reply headed 'For Mr Logie'.

Facsimile

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4255
RCPE Catalogue Number CUL/1/1/10/112
Main Language English
Document Direction Outgoing
Date14 June 1778
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 headed 'For Mr Logie'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1074]
Case of Mr Logie who has had problems with his breathing after a cold.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2399]AddresseeMr Logie
[PERS ID:2399]PatientMr Logie
[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 Logie.


His complaints not at all dangerous, & I hope not very
severe. I find no marks of any original fault in his heart &
I believe that his complaints were owing at first to cold; & tho at
tended with more than usual difficulty of breathing, I think them
catarrhal rather than Asthmatic. As they have often recurred
for many years, a cure difficult, but if attention be given to
regimen, they will be slighter & seldomer. It is a regimen
he is chiefly to trust to & the principal part of it is avoids
of cold. Wear his flannel shirt, summer & winter. Be
well cloathed, nor change for any weather or season. Avoid
being heated by warm chambers or exercise, & if put into any
sweat he should never sit down in very damp linnen nor even
in very damp flannel, unless by remitting his exercise, or by
admitting gradually a cooler air till entirly free of sweat be¬
fore sitting down. Guard ever against damp & wet & against
sitting down in damp cloaths, & sitting or standing in a stream of
air. He should besides attention to these circumstances, but
he should fortify so as to resist any accidental & almost una¬
voidable applications of cold which would otherwise affect him.
This is to be done by exercise & perhaps be cold bathing. He
should be much in fresh air & gentle exercise but let not his
walking either heat or fatigue him. Better get on horse¬
back every day & for some length of ride if he can. It would
probably be of great service to his constitution if towards
the end of harvest he could take a regular journey of some
weeks. At this season he might safely try seabathing & if
it agree with him, that is, give no uneasiness in his breast
nor difficulty of breathing, he may continue it frequently thro
the whole year but during the winter, employ a showerbath.


In diet, may take any ordinary fare; consulting his
experience in regard of these things he has found [heavy?]
or of difficult digestion. In general, keep his stomach
always light, by taking even dinner very moderately of
animal food & at supper by taking none at all.




[Page 2]


His ordinary drink should be water or beer as most agreable.
He may also take a few glasses of wine or punch but with
great moderation, as nothing will do his breast more harm than
bengin the least heated by strong drink. Go to bed & rise be¬
times. By these &c. he will get more free than heretofore
& unless some accident should make them return more severely
he should not have recourse to Medicines. but in case of a violent
attack I advise the Tartar Emetic. & his own experience of
it will direct the dose & repetition.


As he has been liable to returns in the course of spring
I have given below a recipe to keep his perspiration more
full & breast more free. He may take it about the middle
of February & continue it for two or three weeks, then intermit¬
ting for a week or two he may again take another course of
the same length. & tho I wish this to be employed chiefly
in the spring yet on the approach of winter if threatened,
he may take a course of this medicine.


As he has been little the better of the issue in his arm
the present season is the proper one for trying how far he
may do without it. In the warm season, & while incon¬
stant exercise he may let it dry up. but if soon after
he find his breast become more uneasy & especially if he
find this in the approach of winter, put it in again
& probably he will also find more benefit than if
he had been used to it during the summer.

Take one drachm of best quality Asafoetida, two drachms of Balsam of Sulphur and prepare a sufficient quantity of powdered Millepede. Make a mass to be divided into pills of five grains. Label: Pectoral pills: three for a dose every night at bedtime.

W.C.
Edinburgh June 14. 1778

Diplomatic Text

[Page 1]
For Mr Logie.


His complaints not at all dangerous, & I hope not very
severe. I find no marks of any original fault in his heart &
I believe that his complts were owing at first to cold; & tho at
tended with more than usual difficulty of breathing, I think them
catarrhal rather than Asthmatic. As they have often recurred
for many years, a cure difficult, but if attention be given to
regimen, they will be slighter & seldomer. It is a regimen
he is chiefly to trust to & the principal part of it is avoids
of cold. Wear his flannel shirt, summer & winter. Be
well cloathed, nor change for any weather or season. Avoid
being heated by warm chambers or exercise, & if put into any
sweat he should never sit down in very damp linnen nor even
in very damp flannel, unless by remitting his exercise, or by
admitting gradually a cooler air till entirly free of sweat be¬
fore sitting down. Guard ever against damp & wet & against
sitting down in damp cloaths, & sitting or standg in a stream of
air. He should besides attention to these circumstances, but
he should fortify so as to resist any accidental & almost una¬
voidable applications of cold wc would otherwise affect him.
This is to be done by exercise & perhaps be cold bathing. He
should be much in fresh air & gentle exercise but let not his
walking either heat or fatigue him. Better get on horse¬
back every day & for some length of ride if he can. It would
probably be of great service to his constitution if towards
the end of harvest he could take a regular journey of some
weeks. At this season he might safely try seabathing & if
it agree with him, that is, give no uneasiness in his breast
nor difficulty of breathing, he may continue it frequently thro
the whole year but during the winter, employ a showerbath.


In diet, may take any ordinary fare; consulting his
experience in regard of these things he has found [heavy?]
or of difficult digestion. In general, keep his stomach
always light, by taking even dinner very moderately of
animal food & at supper by taking none at all.




[Page 2]


His ordinary drink should be water or beer as most agreable.
He may also take a few glasses of wine or punch but with
great moderation, as nothing will do his breast more harm than
bengin the least heated by strong drink. Go to bed & rise be¬
times. By these &c. he will get more free than heretofore
& unless some accident should make them return more severely
he should not have recourse to Medicines. but in case of a violent
attack I advise the Tartar Emetic. & his own experience of
it will direct the dose & repetition.


As he has been liable to returns in the course of spring
I have given below a ℞ to keep his perspiration more
full & breast more free. He may take it about the middle
of Feby & continue it for two or three weeks, then intermit¬
ting for a week or two he may again take another course of
the same length. & tho I wish this to be employed chiefly
in the spring yet on the approach of winter if threatened,
he may take a course of this medicine.


As he has been little the better of the issue in his arm
the present season is the proper one for trying how far he
may do without it. In the warm season, & while incon¬
stant exercise he may let it dry up. but if soon after
he find his breast become more uneasy & especially if he
find this in the approach of winter, put it in again
& probably he will also find more benefit than if
he had been used to it during the summer.


As. foetid. opt. ʒi
Bals. sulph. crass. ʒij Millep. ppt pulv. q.s.
ut f. mass. divid. in pil. sing. gr.V.
S. Pect. pills: three for a dose every nt at bedtime.

W.C.
Edinr June 14. 1778

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