The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4390] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Earl Dunbar Douglas (Hamilton) (Lord Selkirk, 4th Earl of Selkirk) (Patient) / 22 March 1779 / (Outgoing)
Reply headed 'For the Earl of Selkirk', suggesting that he take James's powder and keeps his feet and legs warm. Addressee unstated, but this is a formal regimen in summary.
- 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 | 4390 |
| RCPE Catalogue Number | CUL/1/1/11/128 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 22 March 1779 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | Yes |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply headed 'For the Earl of Selkirk', suggesting that he take James's powder and keeps his feet and legs warm. Addressee unstated, but this is a formal regimen in summary. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1205] |
Case of the Earl of Selkirk who has a cough. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:886] | Patient | Earl Dunbar Douglas (Lord Selkirk, 4th Earl of Selkirk) |
| [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 |
Normalized Text
For the Earl of Selkirk
1. Take a grain of James's powder in a little currant
jelly every night and morning. Every second day the dose
is to be increased by a grain till it is brought to three
grains, unless a smaller dose is found to sicken the sto¬
mach or purge him. Beyond these effects the dose is
not to be carried out and at any rate hardly beyond three
grains.
2. This requires no confinement, but both on account
of this dose & other reasons, warm cloathing is proper.
3. Such doses of James's powder require no par¬
ticular regimen but they agree best with a vege¬
table diet, & I am clearly of opinion that till the
cough is gone his Lordship should abstain from
animal food, or at least till he is in the country
& taking pretty constant exercise.
4. Daily exercise on horseback is mild weather, &
in a carriage in uncertain weather, with due pre¬
cautions against cold bath during & after the exercise.
5. There is no particular fixed affection of his
Lungs & his cough would have been gone before now
if it had not been for a fresh application of cold
[Page 2]
which may be occasioned by some peculiarities in his
Lordships management. He sits too much over the
fire & in too warm chambers, without guarding against
streams of air. He sleeps in a chair when especially
and immediately after if, the smallest stream of cool air
is dangerous. It is hurtful, when his feet & legs
are apt to be cold, for him to sit near a fire when
his legs are not defended from a stream blowing
upon them be kind. When his legs are upon any
occasion cold he should as soon as possible restore
their heart, either by chafing, or putting them near a fire.
Diplomatic Text
For the Earl of Selkirk
1. Take a grain of James's powder in a little currant
jelly every night and morning. Every second day the dose
is to be increased by a grain till it is brought to three
grains, unless a smaller dose is found to sicken the sto¬
mach or purge him. Beyond these effects the dose is
not to be carried out and at any rate hardly beyond three
grains.
2. This requires no confinement, but both on account
of this dose & other reasons, warm cloathing is proper.
3. Such doses of James's powder require no par¬
ticular regimen but they agree best with a vege¬
table diet, & I am clearly of opinion that till the
cough is gone his Lordship should abstain from
animal food, or at least till he is in the country
& taking pretty constant exercise.
4. Daily exercise on horseback is mild weather, &
in a carriage in uncertain weather, with due pre¬
cautions against cold bath during & after the exercise.
5. There is no particular fixed affection of his
Lungs & his cough would have been gone before now
if it had not been for a fresh application of cold
[Page 2]
which may be occasioned by some peculiarities in his
Ldships. management. He sits too much over the
fire & in too warm chambers, without guarding against
streams of air. He sleeps in a chair when especially
and immediately after if, the smallest stream of cool air
is dangerous. It is hurtful, when his feet & legs
are apt to be cold, for him to sit near a fire when
his legs are not defended from a stream blowing
upon them be kind. When his legs are upon any
occasion cold he should as soon as possible restore
their heart, either by chafing, or putting ym near a fire.
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