Cullen

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

 

[ID:5923] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Mr William Charteris (Patient) / 26 December 1789 / (Outgoing)

Reply 'For William Charteris Esqr'

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Metadata

FieldData
DOC ID 5923
RCPE Catalogue Number CUL/1/1/21/193
Main Language English
Document Direction Outgoing
Date26 December 1789
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen Yes
Letter of Introduction No
Case Note No
Summary Reply 'For William Charteris Esqr'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:2363]
Case of William Charteris Esq. diagnoses with 'spasmodic asthma'.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:5641]PatientMr William Charteris
[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 William Charteris Esqr.


We have considered his the whole cir¬
cumstances of his case with all possible
attention and have no doubt about the nature
of it. We consider it as a disposition to [a?]
Spasmodic Asthma, but we think it has
proceeded to no violent degree, and although
we cannot promise against some returns
if it, we hope they can be rendered both
less frequent, and more easy, when they
come.


He make take a course of the Pectoral
Pills
once in a month, and especially upon
his being threatened with any return of
his complaint, but it is not upon medi¬
cine that we depend, but upon the regi¬
[men] which we propose to be as {illeg}




[Page 2]


His first care and Study must be
to avoid cold and moisture. He ought alwa[ys]
to be well cloathed, and should always
take care never to lay aside any accus¬
tomed Cloathing. He ought particularly
to take care to keep his feet and legs
always warm and dry, and for that
purpose to wear thick Shoes and
warm Stockings, and even by these
precautions he ought never to walk
out upon damp and moist ground.


He will be much the better fo[r]
being much in the fresh air, but hi[s]
walking should be with great caution
he should [never?] walk fast, never
up hill, and never long at [one?] {illeg}
Walking however will never be an
useful exercise to him, and he ought
to continue to have another mode of



[Page 3]

travelling. In soft and dry weather he
may go sometimes gently on horseback,
but this too will require management
and the exercise that I (↑we↑) think will
be of most service will be his going in
a Single horse Chaise. In this he
may have a great deal of exercise with
out any hazard of fatigue or cold, and
when the weather and his breathing is
suitable to it, he may find much be¬
nefit by frequently employing it.


His diet seems hitherto to have been
very well regulated. He will do well
in continuing to abstain entirely from
Suppers. At breakfast milk, or milk
with an equal part of water gruel
will make a safer breakfast than
Tea or Coffee. At dinner he will not



[Page 4]

with safety take much broth, and a {illeg}
with much of Roots or greens, and he
may take a little solid meat, but the
lightest and as moderate quantity is always
to be preferred agreeable to the direction
his appetite and digestion have formerly
given.


In drinking no kind of malt liquor
can be safely employed. Water with a little
white wine in it will be in my opinion
his safest drink. At dinner every day
a glass of Sherry diluted with water or
a glass or two of the same kind after it
may be safely taken, but I {illeg} we need
not say that this must be with great
moderation, and that every quantity of
wine that he feels to heal him in any
degree will be always hurtful to him.


I am very certain that these



[Page 5]

observations and regulations will be of
service, but every report from Mr Charteri[s]
own observation or experience should be
duly attended to, and {illeg} (↑our↑) advise shall be
finally adjusted to his constitution as
well as we possibly can.

William Cullen

Edinburgh 26th. December
1789/

Diplomatic Text

[Page 1]
For William Charteris Esqr.


We have considered his the whole cir¬
cumstances of his case with all possible
attention and have no doubt about the nature
of it. We consider it as a disposition to [a?]
Spasmodic Asthma, but we think it has
proceeded to no violent degree, and although
we cannot promise against some returns
if it, we hope they can be rendered both
less frequent, and more easy, when they
come.


He make take a course of the Pectoral
Pills
once in a month, and especially upon
his being threatened with any return of
his complaint, but it is not upon medi¬
cine that we depend, but upon the regi¬
[men] which we propose to be as {illeg}




[Page 2]


His first care and Study must be
to avoid cold and moisture. He ought alwa[ys]
to be well cloathed, and should always
take care never to lay aside any accus¬
tomed Cloathing. He ought particularly
to take care to keep his feet and legs
always warm and dry, and for that
purpose to wear thick Shoes and
warm Stockings, and even by these
precautions he ought never to walk
out upon damp and moist ground.


He will be much the better fo[r]
being much in the fresh air, but hi[s]
walking should be with great caution
he should [never?] walk fast, never
up hill, and never long at [one?] {illeg}
Walking however will never be an
useful exercise to him, and he ought
to continue to have another mode of



[Page 3]

travelling. In soft and dry weather he
may go sometimes gently on horseback,
but this too will require management
and the exercise that I (↑we↑) think will
be of most service will be his going in
a Single horse Chaise. In this he
may have a great deal of exercise with
out any hazard of fatigue or cold, and
when the weather and his breathing is
suitable to it, he may find much be¬
nefit by frequently employing it.


His diet seems hitherto to have been
very well regulated. He will do well
in continuing to abstain entirely from
Suppers. At breakfast milk, or milk
with an equal part of water gruel
will make a safer breakfast than
Tea or Coffee. At dinner he will not



[Page 4]

with safety take much broth, and a {illeg}
with much of Roots or greens, and he
may take a little solid meat, but the
lightest and as moderate quantity is always
to be preferred agreeable to the direction
his appetite and digestion have formerly
given.


In drinking no kind of malt liquor
can be safely employed. Water with a little
white wine in it will be in my opinion
his safest drink. At dinner every day
a glass of Sherry diluted with water or
a glass or two of the same kind after it
may be safely taken, but I {illeg} we need
not say that this must be with great
moderation, and that every quantity of
wine that he feels to heal him in any
degree will be always hurtful to him.


I am very certain that these



[Page 5]

observations and regulations will be of
service, but every report from Mr Charteri[s]
own observation or experience should be
duly attended to, and {illeg} (↑our↑) advise shall be
finally adjusted to his constitution as
well as we possibly can.

William Cullen

Edinr. 26th. Decr.
1789/

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