Cullen

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

 

[ID:1841] From: Dr Murray / To: Dr William Fordyce (Sir William Fordyce) / Regarding: Lord Basil William Douglas (Lord Daer) (Patient) / 13 April 1780 / (Incoming)

'A copy of Dr Murrays Letter to Dr Wm Fordyce from Norwich', concerning the case of Lord Daer [the son of the Earl of Selkirk]

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[Page 2]


 

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Metadata

FieldData
DOC ID 1841
RCPE Catalogue Number CUL/1/2/920a
Main Language English
Document Direction Incoming
Date13 April 1780
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary 'A copy of Dr Murrays Letter to Dr Wm Fordyce from Norwich', concerning the case of Lord Daer [the son of the Earl of Selkirk]
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:364]
Case of Lord Daer (Basil Douglas), whose symptoms leave his family concerned that he may have consumption.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:2708]AuthorDr Murray
[PERS ID:887]AddresseeDr William Fordyce (Sir William Fordyce)
[PERS ID:886]ScribeEarl Dunbar Douglas (Lord Selkirk, 4th Earl of Selkirk)
[PERS ID:885]PatientLord Basil William Douglas (Lord Daer)
[PERS ID:2708]Patient's Physician / Surgeon / ApothecaryDr Murray
[PERS ID:887]Patient's Physician / Surgeon / ApothecaryDr William Fordyce (Sir William Fordyce)
[PERS ID:1015]Patient's Physician / Surgeon / ApothecaryMr John Marissal
[PERS ID:1025]OtherMiss Elliot
[PERS ID:1013]OtherMrs Anna Letitia Barbauld

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Caxton East England Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred
Mentioned / Other Diss East England Europe certain
Mentioned / Other London London and South-East England Europe certain
Mentioned / Other Norfolk East England Europe certain
Mentioned / Other Norwich East England Europe certain

Normalized Text

[Page 1]

A Copy of Dr. Murrays Letter to Dr. William Fordyce
from Norwich April the 8th. --
Sir


In consequence of your obliging recommendation
I was called to visit Lord Daer [at mr?] Barbaulds on
thursday & having staid a night returnd yesterday.
I found his Lordship with a slow fever his pulse at 85 - or up¬
wards, the blood taken two days before I went some¬
what sizy, a short dry cough, with an occasional
pain of his breast on the left side & very costive,
but without difficulty of breathing, sweat or appa¬
rent increase of heat yet restless of nights for the
most part & the urine a little higher colourd than
natural. His appetite tolerably good & no
degree of thirst
but under a very strict regimen.


His Countenance pretty good but rather serious
which I take to be natural. When I saw his
Lordship at Norwich in the Christmass holidays he
had a very bad cold which seems never to have
left him thoroughly since, he has also grown
a good deal of late. As you are well acquain¬
ted with his proceedings hitherto I have only to
observe that his course although proper in gene¬
ral did not seem sufficiently cooling & opening.
The following method was therefore adopted.
A Saline Mixture with five grains of nitre to



[Page 2]

each doze was given at Bedtime & the next morn¬
ing ½ an oz of salts & manna, to each doze of
the former was added a small quantity of cam¬
phire Julep
. In the Morning his Lordship said
he had slept better & easier than for a long time
past & about two hours after he had taken
the salts his pulse was lowerd ten strokes or
more in a minute
; he found himself strong¬
er & more lively altho the morning dose
had not operated. Encouraged by this begin¬
ning I directed that his Lordship should continue
his saline mixture three times a day, his salts
& manna once or twice a week if needful
but if they did not sufficiently answer the
purpose to take a dram of Sal Polychrest
by itself, to take simple oxymel with Rob
of elder
& a little nitre for his cough, to
drink toast & water, milk & water or impe¬
rial water
, a solution of cream of tartar so
called, at meals or when thirsty, to drink asses
milk, rennet whey or Buttermilk by turns or
as they were found to agree with him, to use
honey in his diet & gradually to relax the regi¬
men as the Symptoms of the disease abated;
to all those I added gentle friction, sleeping in
a dry air in a well ventilated room,


[Page 3]

gentle exercise when quite free from fever
& moderately cheerful conversation. -----


The above is copyed exact, even to the pointing.


Caxton Thursday the 13th.
of April - 1780
Dear Sir


I have just got a letter here from Dr-
Fordyce, containing one to him from Dr-
Murray, of which I send the above copy, viz
of all that is about Daer. I dont know what
to think, I had flatterd myself he was not so
ill as I fear he has been. Dr- Fordyce says
nothing of his opinion or advise in this letter,
but refers me to his Letters to mr Marissal
where he says I will see all his Ideas about his
situation.


I leave this here to go by tomorrows post,
& shall be glad to hear from you directed
to me at Palgrave near Diss in Norfolk.
yet I believe it will be best to inclose it in
a cover to miss Elliot in Park Street, as it
must at least be eleven days ↑from this date↑ before yours
can reach Palgrave; & it must go by London
at any rate. Farewell Dear Sir yours &c

Selkirk

Diplomatic Text

[Page 1]

A Copy of Dr. Murrays Letter to Dr. Wm. Fordyce
from Norwich April the 8th. --
Sir


In consequence of your obliging recommendation
I was called to visit Lord Daer [at mr?] Barbaulds on
thursday & having staid a night returnd yesterday.
I found his Lp with a slow fever his pulse at 85 - or up¬
wards, the blood taken two days before I went some¬
what sizy, a short dry cough, with an occasional
pain of his breast on the left side & very costive,
but without difficulty of breathing, sweat or appa¬
rent increase of heat yet restless of nights for the
most part & the urine a little higher colourd than
natural. His appetite tolerably good & no
degree of thirst
but under a very strict regimen.


His Countenance pretty good but rather serious
which I take to be natural. When I saw his
Lp at Norwich in the Christmass holidays he
had a very bad cold which seems never to have
left him thoroughly since, he has also grown
a good deal of late. As you are well acquain¬
ted with his proceedings hitherto I have only to
observe that his course although proper in gene¬
ral did not seem sufficiently cooling & opening.
The following method was therefore adopted.
A Saline Mixture with five grains of nitre to



[Page 2]

each doze was given at Bedtime & the next morn¬
ing ½ an oz of salts & manna, to each doze of
the former was added a small quantity of cam¬
phire Julep
. In the Morning his Lp said
he had slept better & easier than for a long time
past & about two hours after he had taken
the salts his pulse was lowerd ten strokes or
more in a minute
; he found himself strong¬
er & more lively altho the morning dose
had not operated. Encouraged by this begin¬
ning I directed that his Lp should continue
his saline mixture three times a day, his salts
& manna once or twice a week if needful
but if they did not sufficiently answer the
purpose to take a dram of Sal Polychrest
by itself, to take simple oxymel with Rob
of elder
& a little nitre for his cough, to
drink toast & water, milk & water or impe¬
rial water
, a solution of cream of tartar so
called, at meals or when thirsty, to drink asses
milk, rennet whey or Buttermilk by turns or
as they were found to agree with him, to use
honey in his diet & gradually to relax the regi¬
men as the Symptoms of the disease abated;
to all those I added gentle friction, sleeping in
a dry air in a well ventilated room,


[Page 3]

gentle exercise when quite free from fever
& moderately cheerful conversation. -----


The above is copyed exact, even to the pointing.


Caxton Thursday the 13th.
of April - 1780
Dr- Sir


I have just got a letter here from Dr-
Fordyce, containing one to him from Dr-
Murray, of which I send the above copy, viz
of all that is about Daer. I dont know what
to think, I had flatterd myself he was not so
ill as I fear he has been. Dr- Fordyce says
nothing of his opinion or advise in this letter,
but refers me to his Letters to mr Marissal
where he says I will see all his Ideas about his
situation.


I leave this here to go by tomorrows post,
& shall be glad to hear from you directed
to me at Palgrave near Diss in Norfolk.
yet I believe it will be best to inclose it in
a cover to miss Elliot in Park Street, as it
must at least be eleven days ↑from this date↑ before yours
can reach Palgrave; & it must go by London
at any rate. Farewell Dear Sir yours &c

Selkirk

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