Cullen

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

 

[ID:1510] From: Mr Andrew Liddell (Liddle) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Alexander Sinclair (of Harpsdale) (Patient) / 22 May 1778 / (Incoming)

Letter from Andrew Liddell, concerning the case of Mr Sinclair of Harpsdale's son.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 1510
RCPE Catalogue Number CUL/1/2/603
Main Language English
Document Direction Incoming
Date22 May 1778
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Andrew Liddell, concerning the case of Mr Sinclair of Harpsdale's son.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:851]
Case of 'Harpsdale's son', Alexander Sinclair, a young boy who is troubled with spreading tumours on his leg and arms.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:339]AuthorMr Andrew Liddell (Liddle)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:1893]PatientMr Alexander Sinclair (of Harpsdale)
[PERS ID:339]Patient's Physician / Surgeon / ApothecaryMr Andrew Liddell (Liddle)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:354]Patient's Relative / Spouse / FriendMr James Sinclair (of Harpsdale)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Thrumster North Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Harpsdale Halkirk North Highlands Scotland Europe certain

Normalized Text

[Page 1]
Dear Sir,


Mr. Sinclair of Harpsdale consulted you
about his Son last year, & He was then favoured with
your Directions, dated the 4th May. ----


At that time the Patient had been affected for
more than a twelvemonth with Swellings which you
judged Scrophulous, & for which you directed the Expressed
Juice of Tussilago, a Saline Solution, & a Diet composed
principally of Vegetables.


Your Directions have been punctually observed,
& the young Man, besides the expressd juice in the season
which afforded it, continued to take the Decoction of
the dried Herb of the Tussilago
thro' the winter & Spring
- about the end of Harvest He used the Saline Solu¬
tion
for six weeks, & is just now to begin it again. - The
swelled parts were frequently wet or bathed with Salt¬
water
or Spring Water & all night the sores covered with
Diachylon Plaister.


Upon the whole however the Disease does not
seem as yet to lose ground. There are swellings round
the right Elbow, over the metatarsal bones of the left
Foot
, & above the internal Ancle of the other Leg,



[Page 2]

This last had been a long time healed, but lately broke
out again. The others are generally more or less inflamed
all of them continue to discharge matter seldom of a
good consistence. There is very little pain in the
swellings, only in the arm, where the joint seems to be
affected, & the motion of it quite lost, he feels pain upon
pressing the parts. --


At the same time, there is a reason to believe
that the Course of Medicine & Regimen to which he has
been directed have contributed very much to pre¬
serve his health in other respects. --- For, notwithstand¬
ing the continuance of these external swellings & --
runnings, he looks I think better than He did
last year; his Appetite is tolerably good, & He has
very little Thirst: In his belly he is very regular, &
it was generally moved once or twice a day while He
took the Solution - He has no Cough nor Difficulty of
Breathing
; no Tumour nor Pain about the abdomen -
There is a very observable swelling of the upper Lip
which is not painful nor inflamed; but there never
appeared any glandular swellings about the neck or
maxilla. ---


His Pulse was all along, & still continues very quick;
but seems rather uniformly so than with any tendency



[Page 3]

to a regular hectic. In the mornings there is commonly
some degree of sweat over his body. ----


Last summer I directed Him to bathe in the Sea, which
He did for some days, till He catch a Cold & Cough, when
it was immediately discontinued & never repeated again.


The Cough removed intirely in a short time afterwards. --


I may mention that the Patient is now Eleven years old.


We would be glad of your farther advice in his --
present situation. - Whether you judge it proper for
Him to continue in his former course some time longer,
or if any alteration or addition to it will be necessary.
If it should be your Opinion that He might be treated
more successfully under your own immediate inspection,
his Father will readily agree to send him to Edinburgh
on purpose, and in general will comply with any
direction, you think fit as far as they are in his {illeg}


I am with the greatest regard, Dear Sir
Your most obedient humble Servant
Thrumster 22d. May 1778
Andrew Liddell



[Page 4]


To
Doctor William Cullen
Physician
at Edinburgh


Mr A. Liddel
Concerning
Harpsdale's Son
May
1778
VIII. 107.

Diplomatic Text

[Page 1]
Dear Sir,


Mr. Sinclair of Harpsdale consulted you
about his Son last year, & He was then favoured with
your Directions, dated the 4th May. ----


At that time the Patient had been affected for
more than a twelvemonth with Swellings which you
judged Scrophulous, & for which you directed the Expressed
Juice of Tussilago, a Saline Solution, & a Diet composed
principally of Vegetables.


Your Directions have been punctually observed,
& the young Man, besides the expressd juice in the season
which afforded it, continued to take the Decoction of
the dried Herb of the Tussilago
thro' the winter & Spring
- about the end of Harvest He used the Saline Solu¬
tion
for six weeks, & is just now to begin it again. - The
swelled parts were frequently wet or bathed with Salt¬
water
or Spring Water & all night the sores covered with
Diachylon Plaister.


Upon the whole however the Disease does not
seem as yet to lose ground. There are swellings round
the right Elbow, over the metatarsal bones of the left
Foot
, & above the internal Ancle of the other Leg,



[Page 2]

This last had been a long time healed, but lately broke
out again. The others are generally more or less inflamed
all of them continue to discharge matter seldom of a
good consistence. There is very little pain in the
swellings, only in the arm, where the joint seems to be
affected, & the motion of it quite lost, he feels pain upon
pressing the parts. --


At the same time, there is a reason to believe
that the Course of Medicine & Regimen to which he has
been directed have contributed very much to pre¬
serve his health in other respects. --- For, notwithstand¬
ing the continuance of these external swellings & --
runnings, he looks I think better than He did
last year; his Appetite is tolerably good, & He has
very little Thirst: In his belly he is very regular, &
it was generally moved once or twice a day while He
took the Solution - He has no Cough nor Difficulty of
Breathing
; no Tumour nor Pain about the abdomen -
There is a very observable swelling of the upper Lip
which is not painful nor inflamed; but there never
appeared any glandular swellings about the neck or
maxilla. ---


His Pulse was all along, & still continues very quick;
but seems rather uniformly so than with any tendency



[Page 3]

to a regular hectic. In the mornings there is commonly
some degree of sweat over his body. ----


Last summer I directed Him to bathe in the Sea, which
He did for some days, till He catch a Cold & Cough, when
it was immediately discontinued & never repeated again.


The Cough removed intirely in a short time afterwards. --


I may mention that the Patient is now Eleven years old.


We would be glad of your farther advice in his --
present situation. - Whether you judge it proper for
Him to continue in his former course some time longer,
or if any alteration or addition to it will be necessary.
If it should be your Opinion that He might be treated
more successfully under your own immediate inspection,
his Father will readily agree to send him to Edinburgh
on purpose, and in general will comply with any
direction, you think fit as far as they are in his {illeg}


I am with the greatest regard, Dr. Sir
Your most obt. humble Servt.
Thrumster 22d. May 1778
Andrew Liddell



[Page 4]


To
Doctor William Cullen
Physician
at Edinburgh


Mr A. Liddel
C
Harpsdale's Son
May
1778
VIII. 107.

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