Cullen

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

 

[ID:1453] From: Dr Thomas Livingston / To: Dr William Cullen (Professor Cullen) / Regarding: Earl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol) (Patient) / 11 October 1777 / (Incoming)

Letter from Thomas Livingston regarding the case of Lord Erroll.

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Metadata

FieldData
DOC ID 1453
RCPE Catalogue Number CUL/1/2/547
Main Language English
Document Direction Incoming
Date11 October 1777
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Thomas Livingston regarding the case of Lord Erroll.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:136]
Case of James Hay, 15th Earl of Erroll who is thought to have a gouty knee and stomach.
13


People linked to this document

Person IDRole in documentPerson
[PERS ID:852]AuthorDr Thomas Livingston
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:22]PatientEarl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:852]Patient's Physician / Surgeon / ApothecaryDr Thomas Livingston
[PERS ID:2110]Patient's Relative / Spouse / FriendMr John Pringles
[PERS ID:931]Patient's Relative / Spouse / FriendCountess Isabella Hay (Lady Erroll, Lady Hay)
[PERS ID:2109]Patient's Relative / Spouse / FriendLord Thomas Hay (9th earl of Kinnoull, Lord Kinnoul of Duplin - Dupplin)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Aberdeen East Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Therapeutic Recommendation Etal North-East England Europe certain
Mentioned / Other Aberdeen East Highlands Scotland Europe certain
Mentioned / Other Errol Mid Scotland Scotland Europe certain
Mentioned / Other Slains Castle Cruden Bay East Highlands Scotland Europe certain
Place of Handstamp Aberdeen East Highlands Scotland Europe certain

Normalized Text

[Page 1]

Aberdeen. Saturday 11th. October
1777

Dear Sir.


Since I was favour'd with your letters of
the 4th Current, there have been some very encouraging
alterations upon Lord Errol's Complaints. -- His Urine
has been considerably increas'd in quantity; - his Bowels
have keep'd in a laxative state, without any other Stimu¬
lus, but White mustard seeds, & he has frequent discharges
of Flatus, per
Anum. -- the Swelling & tightness of his
Belly are sensibly subsided; his Spirits, more free & easy, &
his Appetite rather recoverd; but the soft oedematous
Swelling of his
Ancles still continues, & retains the im¬
pression of the fingers, especially at bed time. -- In my
letter from Slains Castle (which was wrote in some haste)
I omitted to inform you of the state of his Pulse, which in
my opinion did not indicate any degree of fever, & I
take this opportunity of making you acquainted with
a Peculiarity of his Lordships Constitution; that his Pulse,
when in perfect health, runs from 80 to 90 Strokes in the
minute, & is more firm & tense, than in most other People.


As the trials made about his own Neighbourhood, by
taking short Jaunts in a Carriage, became easier, & seem'd



[Page 2]

to agree with him, I advis'd his Lordship to undertake the
Journey to Etall, & he accordingly made out the first stage
from Slains Castle to Aberdeen (18 Scots miles) yesterday,
& supported the Motion, without any trouble or uneasiness.


They propose to be a day or two with Lord Kinnoul
at Duplin, & you will probably hear of their Arrival at
Mr. John Pringles at the Dean, upon Tuesday or Wednesday
next. --- Upon the Journey, I have only advisd his Lordship
to continue the Friction with the Ol. Camphorat, night &
morning, to his Belly, & in case of being costive to take
three or four of the following pills at bed-time.

Take two ounces of Galbanum pills, one drachm of Gentian Extract and one of Chamomil, fifteen grains of Tartar Emetic -- Let there be a mass to be divided into [40?] pills according to the accepted practice.


His Diet consists of Beef tea, with plain bread to breakfast;
light solids for Dinner, & Sago for Supper. -- White-wine &
water for his ordinary Draught, & some glasses of good
Rhenish after Dinner. -- as it is difficult in this Country
to get genuine old [Hok?], he has tried some Cologn's Gin &
Water, which agrees with his Stomach, & passes quickly
by Urine. - When his Lordship was in ordinary health he



[Page 3]

he commonly sweated pretty profusely every night, but
for sometime past the Sweatings are considerably abated,
tho' his Skin is never dry or parch'd, & the Perspiration
seems to be free & natural. -- Upon the whole, I must
take the liberty to hint my Suspicions of some incipient
Obstruction in the Liver, or Mesentery. - If you are of Opi¬
nion that the Bath-waters are proper, I know that my
Lady Erroll will sacrifice every Consideration
for the prospect of his Lordship's recovery; at the same
time, there are many reasons against that mode
of proceeding, if you can substitute any other Plan, which
may be conducted with less Expence & trouble. -- When you
have seen & consider'd Lord Erroll's present Situation; May
I beg the favor of hearing from you? as I am most sin¬
cerely interested in whatever concerns his own health,
or the happiness & Interest of his Family.


I am respectfully
Dear Sir
Your most obedient humble servant

Thomas Livingston.



[Page 4]


Doctor Cullen
Physician in
Edinburgh


Dr Livingston concerning
Earl of Errol
October 1777
vol. 8. p. 11

Diplomatic Text

[Page 1]

Aberdeen. Saturday 11th. Octr.
1777

Dear Sir.


Since I was favour'd with your letters of
the 4th Current, there have been some very encouraging
alterations upon Lord Errol's Complaints. -- His Urine
has been considerably increas'd in quantity; - his Bowels
have keep'd in a laxative state, without any other Stimu¬
lus, but White mustard seeds, & he has frequent discharges
of Flatus, per
Anum. -- the Swelling & tightness of his
Belly are sensibly subsided; his Spirits, more free & easy, &
his Appetite rather recoverd; but the soft oedematous
Swelling of his
Ancles still continues, & retains the im¬
pression of the fingers, especially at bed time. -- In my
letter from Slains Castle (which was wrote in some haste)
I omitted to inform you of the state of his Pulse, which in
my opinion did not indicate any degree of fever, & I
take this opportunity of making you acquainted with
a Peculiarity of his L.ships Constitution; that his Pulse,
when in perfect health, runs from 80 to 90 Strokes in the
minute, & is more firm & tense, than in most other People.


As the trials made about his own Neighbourhood, by
taking short Jaunts in a Carriage, became easier, & seem'd



[Page 2]

to agree with him, I advis'd his L.ship to undertake the
Journey to Etall, & he accordingly made out the first stage
from Slains Castle to Aberdeen (18 Scots miles) yesterday,
& supported the Motion, without any trouble or uneasiness.


They propose to be a day or two with Lord Kinnoul
at Duplin, & you will probably hear of their Arrival at
Mr. John Pringles at the Dean, upon Tuesday or Wednesday
next. --- Upon the Journey, I have only advisd his L.ship
to continue the Friction with the Ol. Camphorat, night &
morning, to his Belly, & in case of being costive to take
three or four of the following pills at bed-time.


Mass. pil. Gummos. ℥ij. Extract. Gentian -- Chamaemel @ ʒj
Tart. Emetic. gr. xv. ft. Massa s. a. in pilul. [4x?]. dividenda. ---


His Diet consists of Beef tea, with plain bread to breakfast;
light solids for Dinner, & Sago for Supper. -- White-wine &
water for his ordinary Draught, & some glasses of good
Rhenish after Dinner. -- as it is difficult in this Country
to get genuine old [Hok?], he has tried some Cologn's Gin &
Water, which agrees with his Stomach, & passes quickly
by Urine. - When his L.ship was in ordinary health he



[Page 3]

he commonly sweated pretty profusely every night, but
for sometime past the Sweatings are considerably abated,
tho' his Skin is never dry or parch'd, & the Perspiration
seems to be free & natural. -- Upon the whole, I must
take the liberty to hint my Suspicions of some incipient
Obstruction in the Liver, or Mesentery. - If you are of Opi¬
nion that the Bath-waters are proper, I know that my
Lady Erroll will sacrifice every Consideration
for the prospect of his Lopp's recovery; at the same
time, there are many reasons against that mode
of proceeding, if you can substitute any other Plan, which
may be conducted with less Expence & trouble. -- When you
have seen & consider'd Lord Erroll's present Situation; May
I beg the favor of hearing from you? as I am most sin¬
cerely interested in whatever concerns his own health,
or the happiness & Interest of his Family.


I am respectfully
Dear Sir
Your most obedient humble Sert

Thos. Livingston.



[Page 4]


Doctor Cullen
Physician in
Edinburgh


Dr Livingston conc.
Earl of Errol
Octr. 1777
vol. 8. p. 11

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