The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:5306] From: Dr William Cullen (Professor Cullen) / To: Dr / Regarding: Mr Edward Cook (of Togston) (Patient) / 11 July 1786 / (Outgoing)
Reply 'For Edward Cook Esqr.', giving a regimen and several prescriptions. Cullen is 'much obliged to Mr. Foggo for what from very diligent observation he has communicated to us' regarding his case history. He regards Cook's ailments as stemming from 'a Gouty disposition', exacerbated by 'an hereditary faulty constitution of his bowels'.
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- Normalized Text
- Diplomatic Text
- Metadata
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- People
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Facsimile
There are 8 images for this document.
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Metadata
Field | Data |
---|---|
DOC ID | 5306 |
RCPE Catalogue Number | CUL/1/1/19/117 |
Main Language | English |
Document Direction | Outgoing |
Date | 11 July 1786 |
Annotation | None |
Type | Machine copy |
Enclosure(s) | No enclosure(s) |
Autopsy | No |
Recipe | Yes |
Regimen | Yes |
Letter of Introduction | No |
Case Note | No |
Summary | Reply 'For Edward Cook Esqr.', giving a regimen and several prescriptions. Cullen is 'much obliged to Mr. Foggo for what from very diligent observation he has communicated to us' regarding his case history. He regards Cook's ailments as stemming from 'a Gouty disposition', exacerbated by 'an hereditary faulty constitution of his bowels'. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:1994] |
Case of Edward Cook who has pains in the region of his heart and a stomach disorder. |
2 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
[PERS ID:3634] | Addressee | Dr |
[PERS ID:3547] | Patient | Mr Edward Cook (of Togston) |
[PERS ID:3634] | Patient's Physician / Surgeon / Apothecary | Dr |
[PERS ID:3638] | Patient's Physician / Surgeon / Apothecary | Mr Andrew Fogo (Foggo ) |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:3638] | Patient's Relative / Spouse / Friend | Mr Andrew Fogo (Foggo ) |
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 | Warkworth | North-East | England | Europe | inferred |
Normalized Text
For Edward Cook Esq
We have very attentively considered the whole
of Mr. Cooks past and present complaints, and
for both we are much obliged to Mr. Foggo
for what from very diligent observation he
has communicated to us.
From the whole we perceive clearly that a
Gouty disposition has very early taken hold of
his Constitution, and we are clear that it has
been the irregular courses of this ↑that↑ have occasioned
all the various disorders which he has been
affected with for Several years past, [increased?]
however, and often determined by an heredit¬
ary faulty constitution of his bowels.
His ailments have been treated by a great
many very proper medicines, but we suspect
that his own inattention to regimen has often
[Page 2]
prevented its good effects.
It is not possible to change entirely the natu[re]
of Mr. Cooks constitution, but we are pretty confid[ent]
that by the use of some medicines and especially
by a proper regimen that his ailments may
be very much relieved, and for this purpose we
propose the following measures.
1. We have prescribed on the paper inclo[sed]
an Aperient Solution which if his Stomac[h]
can easily bear will be of service in keeping
the Gout out of his Stomach and bowels.
2 If he can take this Solution it will genera[lly]
keep his belly regular, and thus ↑with the↑ ordinary tenden[cy]
of his bowels to be open, will hardly require
any other Laxative medicine, but we think
it proper to observe that the openness of h[is]
belly is very necessary to him, and if any
costiveness come on, he should immediately
[Page 3]
have recourse to a Laxative Medicine, and one
that we should think very proper is prescribed
on the paper inclosed under the title of the
Laxative Tincture.
3d. When Mr. Cook is troubled with pains
of his belly and especially, when he is troubled
with Vomiting, we would have him employ the
Stomachic Elixir also prescribed on the within
4 If his appetite continues bad, and his
digestion weak, we would have him take frequent[ly]
a dose of the Stomachic tincture also prescribed
on the inclosed
5 Those are the whole of the medicines we
can at present propose, and we hope they shall
not be often or constantly necessary, if he
will be pleased in point of regimen to observe
the following directions.
We would have him abstain entirely
[Page 4]
from all fermented liquors whether wines or
ales. We would also have him abstain from
all acids, as Vinegar and Lemon juice and
therefore from Punch made with Lemon.
What strong drink he takes must be Spirits
and water, chusing that kind of spirit that he
finds to digest most easily. His ordinary
may be plain water, but we have no objection
to his taking commonly a little water with it
spirits
{illeg}
In diet he must always take {illeg} very temperate
{illeg}bit of Solid Animal
food, chusing that which is digested {illeg}able to his
taste, but always preferring as always that ↑will↑ allow
the lighter kinds, and to {illeg} always a moderate
{illeg}↑only↑ at one time, particularly
When his appetite is very bad at Supper
{illeg} fowl {illeg} Chicken he may take
{illeg}liquid food is not them, but except
{illeg} some cases of weak appetite not proper
{illeg} jelly of Calves feet or {illeg}
[Page 5]
Jelly
With animal food. He must take some
Vegetables and when garden things are young and
tender he may take them pretty freely, but whatever
he takes should be very well boiled, and ↑even then↑ the more
windy kinds should be avoided, and all raw, crude
and cold things as Lettuce and Cucumber are to
be abstained from altogether. The small fruit
as Strawberries and Gooseberries if quite ripe may
be taken, but always in very moderate quantity
at one time. Every thing of the grain kind as
bread, Rice, Barley, Millet and Sago are
very proper for him, and made into light pudding
or otherwise prepared to his liking may be
taken at pleasure. Milk if it digests with,
him easily may frequently be part of his diet
Nothing is more proper for Mr. Cook than
him being much in the fresh air and in gentle
[Page 6]
exercise. Riding on horseback is of all others the
best but when the uncertainty of the weather, or
other circumstances renders this less convenient
he should go in a Carriage. Walking gently may often
be admitted, but we do not suppose he is able
for much of this, and we think much of it would
be hurtful to him.
Nothing can be more hurtful to him than Cold
and he should by warm cloathing and otherwise
take every precaution against it, and particularly
should take care to keep his feet and legs always
warm and dry.
If it should happen in spite of the measures
above proposed that his Stomach and bowels
be in much pain with Vomiting, hiccup, or much
flatulency blisters applied to his legs will be a
proper remedy
1786
[Page 7]
For Edward Cook Esqr.
Take one ounce of the Edinburgh Pharmacopoeia's Proprietary Vitriolic Elixir and half an ounce of Thebaic Tincture. Mix. Label: Stomachic Elixir; from forty to sixty drops to be taken on a bit of sugar when the bowels are pained.
Take two ounces of Peruvian Bark Tincture, one ounce each of Bitter Tincture and Aromatic Tincture. Mix. Label: Strengthening Stomachic tincture; a tablespoon to be taken with one or two tablespoons of water an hour before dinner.
[Page 8]
For Edward Cook Esq.r.
Take one drachm each of Gum Guaiacum and refined white Sugar. Rub together into a fine powder, to which add one ounce of coarse Gum Arabic Paste. Rub together again thoroughly, and while rubbing, pour in gradually one ounce of Aromatic Tincture, three ounces of Simple Cinnamon Water and three ounces of Peppermint Water. Mix. Label: Aperient Solution; a tablespoon or two to be taken every night at bed time taking care always to shake the phial very well before pouring out.
Take two ounces of Proprietary Elixir and one ounce of the Edinburgh Pharmacopoeia's Senna Tincture. Mix. Label: Laxative tincture; a tablespoon to be taken at bed time when occasion require.
Diplomatic Text
For Edward Cook Esq
We have very attentively considered the whole
of Mr. Cooks past and present complaints, and
for both we are much obliged to Mr. Foggo
for what from very diligent observation he
has communicated to us.
From the whole we perceive clearly that a
Gouty disposition has very early taken hold of
his Constitution, and we are clear that it has
been the irregular courses of this ↑that↑ have occasioned
all the various disorders which he has been
affected with for Several years past, [increased?]
however, and often determined by an heredit¬
ary faulty constitution of his bowels.
His ailments have been treated by a great
many very proper medicines, but we suspect
that his own inattention to regimen has often
[Page 2]
prevented its good effects.
It is not possible to change entirely the natu[re]
of Mr. Cooks constitution, but we are pretty confid[ent]
that by the use of some medicines and especially
by a proper regimen that his ailments may
be very much relieved, and for this purpose we
propose the following measures.
1. We have prescribed on the paper inclo[sed]
an Aperient Solution which if his Stomac[h]
can easily bear will be of service in keeping
the Gout out of his Stomach and bowels.
2 If he can take this Solution it will genera[lly]
keep his belly regular, and thus ↑with the↑ ordinary tenden[cy]
of his bowels to be open, will hardly require
any other Laxative medicine, but we think
it proper to observe that the openness of h[is]
belly is very necessary to him, and if any
costiveness come on, he should immediately
[Page 3]
have recourse to a Laxative Medicine, and one
that we should think very proper is prescribed
on the paper inclosed under the title of the
Laxative Tincture.
3d. When Mr. Cook is troubled with pains
of his belly and especially, when he is troubled
with Vomiting, we would have him employ the
Stomachic Elixir also prescribed on the within
4 If his appetite continues bad, and his
digestion weak, we would have him take frequent[ly]
a dose of the Stomachic tincture also prescribed
on the inclosed
5 Those are the whole of the medicines we
can at present propose, and we hope they shall
not be often or constantly necessary, if he
will be pleased in point of regimen to observe
the following directions.
We would have him abstain entirely
[Page 4]
from all fermented liquors whether wines or
ales. We would also have him abstain from
all acids, as Vinegar and Lemon juice and
therefore from Punch made with Lemon.
What strong drink he takes must be Spirits
and water, chusing that kind of spirit that he
finds to digest most easily. His ordinary
may be plain water, but we have no objection
to his taking commonly a little water with it
spirits
{illeg}
In diet he must always take {illeg} very temperate
{illeg}bit of Solid Animal
food, chusing that which is digested {illeg}able to his
taste, but always preferring as always that ↑will↑ allow
the lighter kinds, and to {illeg} always a moderate
{illeg}↑only↑ at one time, particularly
When his appetite is very bad at Supper
{illeg} fowl {illeg} Chicken he may take
{illeg}liquid food is not them, but except
{illeg} some cases of weak appetite not proper
{illeg} jelly of Calves feet or {illeg}
[Page 5]
Jelly
With animal food. He must take some
Vegetables and when garden things are young and
tender he may take them pretty freely, but whatever
he takes should be very well boiled, and ↑even then↑ the more
windy kinds should be avoided, and all raw, crude
and cold things as Lettuce and Cucumber are to
be abstained from altogether. The small fruit
as Strawberries and Gooseberries if quite ripe may
be taken, but always in very moderate quantity
at one time. Every thing of the grain kind as
bread, Rice, Barley, Millet and Sago are
very proper for him, and made into light pudding
or otherwise prepared to his liking may be
taken at pleasure. Milk if it digests with,
him easily may frequently be part of his diet
Nothing is more proper for Mr. Cook than
him being much in the fresh air and in gentle
[Page 6]
exercise. Riding on horseback is of all others the
best but when the uncertainty of the weather, or
other circumstances renders this less convenient
he should go in a Carriage. Walking gently may often
be admitted, but we do not suppose he is able
for much of this, and we think much of it would
be hurtful to him.
Nothing can be more hurtful to him than Cold
and he should by warm cloathing and otherwise
take every precaution against it, and particularly
should take care to keep his feet and legs always
warm and dry.
If it should happen in spite of the measures
above proposed that his Stomach and bowels
be in much pain with Vomiting, hiccup, or much
flatulency blisters applied to his legs will be a
proper remedy
1786
[Page 7]
For Edward Cook Esqr.
℞ Elix. propr. Vitriol. Ph. Edin. ℥j
Tinct. Thebaic. ℥fs
ℳ. Sig. Stomachic Elixir from forty to Sixty drops to
be taken on a bit of Sugar when the bowels are pained
℞ Tinct. Cort. Peruv. ℥ij
–––– amar.
–––– aromat. @ ℥j
ℳ. Sig. Strengthening Stomachic tincture a table Spoonful
to be taken with one or two table spoonfuls of water an
hour before dinner
[Page 8]
For Edward Cook Esq.r.
℞ Gum. guaiac.
Sacchar. alb. puriss. @ ʒj
Terito simul in pulverem tenuem cui adde
Mucilag. G. Arab. crass. ℥j
Terito iterum diligenter et dum teritur affunde paulatim
Tinctur. Aromat. ℥j
Aq. Cinnamom. simpl.
–– Menth. pip. @℥iij
ℳ. Sig. Aperient Solution a table spoonful
or two to be taken every night at bed time
taking care always to shake the Phial very well
before pouring out.
℞ Elix. propriet. ℥ij
Tinct. Sen. comp. Pharm. Edin. ℥j
ℳ. Sig. Laxative tincture a table Spoonful
to be taken at bed time when occasion require
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