Cullen

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

 

[ID:4172] From: Dr William Cullen (Professor Cullen) / To: Earl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol) / Regarding: Earl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol) (Patient) / 20 October 1777 / (Outgoing)

Reply 'For the Right Honble. The Earl of Erroll',, largely discussing diet, and with three recipes.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 4172
RCPE Catalogue Number CUL/1/1/10/29
Main Language English
Document Direction Outgoing
Date20 October 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'For the Right Honble. The Earl of Erroll',, largely discussing diet, and with three recipes.
Manuscript Incomplete? No
Evidence of Commercial Posting No

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:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:22]AddresseeEarl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol)
[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)

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 Aberdeen East Highlands Scotland Europe inferred
Mentioned / Other Errol Mid Scotland Scotland Europe certain

Normalized Text

[Page 1]
For the Right Honourable The Earl of Erroll


I am of opinion that his Lordship's ailments depend especially
on a weakness of his bowels. Some consequences of that which his Lordship has
been threatened with seem now to be going off & what we have to do at present
seems to be to strengthen the Stomach & Gutts & if we can do that I expect that
every symptom will disappear. One of the best means of Strengthening the bowels
is much fresh air & frequent moderate exercise & the best manner of taking
this is on Horseback but as the Season is now becoming uncertain, & cold is to be
carefully avoided it will be often necessary for his Lordship to employ a carriage &
tho this will not do well as going on horseback it is always better than
sitting at home. With this Exercise his Lordship must manage his diet. At dinner
his Lordship should if possible take always a bit of boiled meat & it may be of any
plain kind his Lordship likes best avoiding the heavier kinds & employing the
plain cookery of roasting & boiling without any frying or baking. While my
Lords appetite is he will not be able to take a full meal of animal food.
In either case his Lordship should fill up his meal with some kind of
pudding while the distension of the bowels remains both will not be
proper but when that distension is gone as I hope it shall be soon, a
plain broth without any vegetables will be a proper enough part of
my Lords meal. Both now & for a long time to come all garden things will be
hazardous for Lord Errol & at least they must be taken very spearingly. The
lighter kinds of white fish are not improper but they should be taken
seldom & sparingly. The same thing is to be said of Eggs. Either for breakfast
& supper soft, boild' Egg may be taken, but once a day is enough for that
kind of meat. Besides an Egg at supper some kind of grain as Rice,
barley or Sago may be taken & is the most proper as neither meat nor
vegetables are so. Neither at Breakfast or at any other time must any
tea be taken. Coffee is safer but should not be taken largely or of a strong
kind. A weak Chocolate is safer than either. If my Lord takes coffee he may
at same time take some dry tost with a little Butter. For ordinary drink
his Lordship must take no small beer but water with a little gin in it.
At Dinner or Supper he may take 2 or 3 Glasses of white wine
but some good Heock is safest. No kind of red wine is safe. The
rubbing of the Belly with oild' fingers both night & morning & rubbing
of the rubbing of the legs & feet every morning with the flesh brush must be
continued. In the way of medicine I am happy to think that
much less is necessary than appeared to be so a little while ago.
All I can think necessary now is some medicine to Correct the Sharpness that
may be in, the Stomach & bowels & to Strengthen these so was to
prevent the Sharpness of the humours & the flatulency that has of
late been troublesome. For these purposes I have pre¬
scribed a powder to be taken every morning & an Electuary
& Infusion to be taken twice a day. All these



[Page 2]

medicines are to be continued only for a fortnight or at least not
longer till I am advised of their Effects & of his Lordship's state of health

Edinburgh 20 October 1777
W. C.

Take an ounce of powdered Peruvian bark, prepare red chalybeate and powdered cinnamon, of each one drachm; an ounce of orange peel conserve; enough simple syrup to make an Electuary. Label:Strengthening Electuary the bigness of a nutmeg twice

Take two drachms of crushed Peruvian bark, orange peel and cinnamon, of each a drachm; leave with boiling water to set for a night and then add an ounce of Tincture of peruvian bark. Label: Strengthening Infusion a small cupfull after every dose of Electuary

Take a scruple of a a preparation of crab's eyes, ten grams of powdered cinnamon. Mix to make a powder and in case of emergency make fourteen doses. Label: a dose to be taken every morning.

Diplomatic Text

[Page 1]
For the Right Honble The Earl of Erroll


I am of opinion that his Lopss ailments depend especially
on a weakness of his bowels. Some consequences of that w.c his Lop has
been threatened with seem now to be going off & what we have to do at present
seems to be to strengthen the Stomach & Gutts & if we can do that I expect that
every symptom will disappear. One of the best means of Strengthening the bowels
is much fresh air & frequent moderate exercise & the best manner of taking
this is on Horseback but as the Season is now becoming uncertain, & cold is to be
carefully avoided it will be often necessary for his Lop to employ a carriage &
tho this will not do well as going on horseback it is always better than
sitting at home. With this Exercise his Lop must manage his diet. At dinner
his Lop should if possible take always a bit of boiled meat & it may be of any
plain kind his Lop likes best avoiding the heavier kinds & employing the
plain cookery of roasting & boiling without any frying or baking. While my
Lords appetite is he will not be able to take a full meal of animal food.
In either case his Lop should fill up his meal with some kind of
pudding while the distension of the bowels remains both will not be
proper but when that distension is gone as I hope it shall be soon, a
plain broth without any vegetables will be a proper enough part of
my Lords meal. Both now & for a long time to come all garden things will be
hazardous for Lo Errol & at least they must be taken very spearingly. The
lighter kinds of white fish are not improper but they should be taken
seldom & sparingly. The same thing is to be s.d of Eggs. Either for breakfast
& supper soft, boild' Egg may be taken, but once a day is enough for that
kind of meat. Besides an Egg at supper some kind of grain as Rice,
barley or Sago may be taken & is the most proper as neither meat nor
vegetables are so. Neither at Breakfast or at any other time must any
tea be taken. Coffee is safer but should not be taken largely or of a strong
kind. A weak Chocolate is safer than either. If my Lord takes coffee he may
at same time take some dry tost with a little Butter. For ordinary drink
his Lop must take no small beer but water with a little gin in it.
At Dinner or Supper he may take 2 or 3 Glasses of white wine
but some good Heock is safest. No kind of red wine is safe. The
rubbing of the Belly with oild' fingers both night & morning & rubbing
of the rubbing of the legs & feet every morning with the flesh brush must be
continued. In the way of medicine I am happy to think that
much less is necessary than appeared to be so a little while ago.
All I can think necessary now is some medicine to Correct the Sharpness that
may be in, the Stomach & bowels & to Strengthen these so was to
prevent the Sharpness of the humours & the flatulency that has of
late been troublesome. For these purposes I have pre¬
scribed a powder to be taken every morning & an Electuary
& Infusion to be taken twice a day. All these



[Page 2]

medicines are to be continued only for a fortnight or at least not
longer till I am advised of their Effects & of his Lops state of health

Ed.r 20 Oct.r 1777
W. C.


pulv. cort. Peruv. ℥j rubig. chalyb. pp.t cinnamom. pulv. @ ʒj Conserv.
e cort. aurant.
℥j Syr. simpl. q. s. ut f. Electarium. Sig. Strengthening Electuary
the bigness of a nutmeg twice


cort. Peruv. cont. ʒij aurantior. cinnamom. @ ʒj aq. bullient. ℔j degere per
noctem et colatur & adde Tinct. cort. Peruv. ℥j. Signa Strengthening Infusion a
small cupfull after every dose of Electuary.


Ocul. cancr. pp.t ℈j, cinnam. pulv. gr. x ℳ. f. pulvis et f. h. m. dos. xiv. Sig A dose
to be taken every morning.

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:4172]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...