Cullen

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

 

[ID:1175] From: Mr John Bannerman / To: Dr William Cullen (Professor Cullen) / Regarding: Earl Thomas Kennedy (Lord Cassillis, 9th Earl of Cassillis, 4th Baronet of Culzean, 11th Lord Kennedy) (Patient) / 10 November 1775 / (Incoming)

Letter from John Bannerman sending a long report on the daily condition an unnamed patient, [who external evidence indicates it is the Earl of Cassillis at Ciulzean], who is fevered, weak, sometimes delirious and kept watch over by several practitioners.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 1175
RCPE Catalogue Number CUL/1/2/276
Main Language English
Document Direction Incoming
Date10 November 1775
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 John Bannerman sending a long report on the daily condition an unnamed patient, [who external evidence indicates it is the Earl of Cassillis at Ciulzean], who is fevered, weak, sometimes delirious and kept watch over by several practitioners.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:3]
Case of Earl Cassillis, who is fevered, weak and in a state of terminal decline; eventually includes a post-mortem report.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:542]AuthorMr John Bannerman
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:549]PatientEarl Thomas Kennedy (Lord Cassillis, 9th Earl of Cassillis, 4th Baronet of Culzean, 11th Lord Kennedy)
[PERS ID:1586]Patient's Physician / Surgeon / ApothecaryDr John Campbell (of Wellwood)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:542]Patient's Physician / Surgeon / ApothecaryMr John Bannerman
[PERS ID:552]Patient's Physician / Surgeon / ApothecaryDr Thomas Gillespie

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cullean Castle; Culzean Castle Maybole Glasgow and West Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe inferred

Normalized Text

[Page 1]
Dear Sir,


after thinking that I would have had the most melancholy
account[s?] to write you of, concerning his Lordship, but I
now think that I can send you them more comfortable, I
shall begin the Journall where I ended, I Recieved your letter
upon the monday morning, upon Teusday the 3;th, after
supping upon a little pottage with wine & sugar, he fell asleep
at Eleven a clock at night, & did not awake untill two in the
morning, he fell asleep again an hour after that, did not awake
untill ten in the forenoon next day, he got some sleep
wednesdays night but not so good a night as last, Thursday
after he had eat some [Prune?] soup; he arose out of bed; and was
carried in the sedan chair, but the motion made him throw
up
, he got madeira with a little ↑x water↑ warm & a tea spoonfull of the
saline aromatick put in it, sometime after that was carried
up & down the room for some time, after having eat some
potted head with the Juice of Lemon, vomited none after that
was uneasy only with the Blistering oyntyment that night
which was taken of at five a clock in the morning, when
he got some sleep after that, was Just going to rise, and with
a design to be taken out to the garden, he vomited which
threw him into a sweat, gave him warm madeira with
water & a tea spoonfull of saline spts the sweat continued
on for that day, so we gave over all hopes of taking him
out untill next day, but upon Saturday morning he
had vomited twice & called for whey when he vomited a great
quantity
, when I found him in a high fever the pulse above
one hundred & twenty
not great thirst roaving Hiccup
&ce which alarmed me very much



[Page 2]

gave him always Cupfulls of Balm teawith a
tea Spoonfull or two of the syrup of lemons in it which
quenched his thirst & stayed the Vomiting, he Continued
in this state untill the evening, when after a quiet
sleep he was better, his head not quite so confused, Dr
Gillespie & Campbell came up in the evening, Dr
Gillespie ↑x and I↑ sat up with him untill four in the morning
when he had an easy night, got some panada and one
spoonfull of madeira in it, got a good sleep after we
left him, his pulse then at one hundred & ten, his urine
of a good Colour & a good deal of sediment in it
he Continued easier all day, got an Injection in the evening
passed hard dry excrement as formerly, which was upon
the sunday was sensible in the evening Dr Campbell and I
satt up with him until betwixt one & two in the morning
he had scratched his Brow in his delirium, when it
Blooded a great deal, I noticed his left eye lid was swelled
he was uneasy upon the monday, his pulse rose &
he roaved a good deal, {illeg} also through the night
upon Teusday an Erysipelas Came out, upon his
eylids nose & Cheeks, was very easy otherwise, gave
him sometimes warm madeira, & water drink, when
very thirsty,Chaffed the parts with Chalk & flouer
it is a very good Colour & keeps well out, had a
quiet night, but upon wednesday morning, when I
went in to him, found his pulse quite gone & intermitting
at every fourth pulsation
, with a rare respiration


[Page 3]

he was Just in such a situation, as one could not
have thought he could have stood it a few hours
I had none of the fraternity with me, which made me uneasy
I imediatly, gave him warm madeira, & finding his
pulse rise after, I plyed him with it the whole day
sometimes madeira warm with a very little water & thin
panada with wine, by the evening the intermission in
his pulse
went of; he was not entirely sensible all day,
got Injection passed such fesces as before, got panada
& wine at bedtime, had a good nights rest, &, quite
sensible upon Thursday Morning, free of Nausea
Vomiting &c got a cup of Balm tea, and after that, some
thin panada & wine, was easy through the whole day
& quite sensible, and very litle Complaints of any pains
whatsomevr, & free of fever, got an Injection last night
the Erysipelas is not gone we keep it out as much as
we can, last night unless twice when he wanted a drink
had a fine nights rest, & this morning being Friday
I did not see him untill twelve a clock forenoon
when I found him quite sensible & free of every pain
when I caused him get a Cupfull of the panada & wine
I begin now Doctor to have grat hopes, he vomits
none now & in short very little since saturday
morning last, & seems to have very little complaints
but weakness, if he should continue, which I hope he will


[Page 4]

upon the account of his weakness, its dangerous
to give him physick internally, untill he turn stronger
and I think if you approve when the Erysipelas is
quite gone an infusion of tamarinds senna & Glauber
Salt
which you proposed before, would be most proper
for both times when he got the physick before his
pulse intermitted, he had a hiccup sometimes formerly
which I had forgott to write you of, but as his pulse
then was always regular
, and mostly before throwing
up
, I thought the less of it, it has been an obstinate
& curious case, I design this afternoon, to introduce
a supository which is made of salt & honey, & let it stay
two or three hours, before he gets his injection, which
possibly may cause it have a better effect, I hope my
next letter shall be still better, I do assure you he
is ↑[almost?]↑ quite free of the fever, & in a quite different way
than he has been at any time at all


I am
Dear Sir
Your most Obedient & humble servant
John Bannerman

Cullean November 10
1775


P. S. his urine yesterday & to day his urine
does not let fall a sediment he complains of a pain
in one of his ancles since I wrote the above

Diplomatic Text

[Page 1]
Dear Sir,


after thinking that I would have had the most melancholy
account[s?] to write you of, concerning his Lordship, but I
now think that I can send you them more comfortable, I
shall begin the Journall where I ended, I Recieved your letter
upon the monday morning, upon Teusday the 3;th, after
supping upon a little pottage with wine & sugar, he fell asleep
at Eleven a clock at night, & did not awake untill two in the
morning, he fell asleep again an hour after that, did not awake
untill ten in the forenoon next day, he got some sleep
wednesdays night but not so good a night as last, Thursday
after he had eat some [Prune?] soup; he arose out of bed; and was
carried in the sedan chair, but the motion made him throw
up
, he got madeira wt a little ↑x water↑ warm & a tea spoonfull of the
saline aromatick put in it, sometime after that was carried
up & down the room for some time, after having eat some
potted head with the Juice of Lemon, vomited none after that
was uneasy only wt the Blistering oyntyment that night
which was taken of at five a clock in the morning, when
he got some sleep after that, was Just going to rise, and wt
a design to be taken out to the garden, he vomited which
threw him into a sweat, gave him warm madeira wt
water & a tea spoonfull of saline spts the sweat continued
on for that day, so we gave over all hopes of taking him
out untill next day, but upon Saturday morning he
had vomited twice & called for whey when he vomited a great
quantity
, when I found him in a high fever the pulse above
one hundred & twenty
not great thirst roaving Hiccup
&ce which alarmed me very much



[Page 2]

gave him always Cupfulls of Balm teawt a
tea Spoonfull or two of the syrup of lemons in it which
quenched his thirst & stayed the Vomiting, he Continued
in this state untill the evening, when after a quiet
sleep he was better, his head not quite so confused, Dr
Gillespie & Campbell came up in the evening, Dr
Gillespie ↑x and I↑ sat up wt him untill four in the morning
when he had an easy night, got some panada and one
spoonfull of madeira in it, got a good sleep after we
left him, his pulse then at one hundred & ten, his urine
of a good Colour & a good deal of sediment in it
he Continued easier all day, got an Injection in the evening
passed hard dry excrement as formerly, which was upon
the sunday was sensible in the evening Dr Campbell and I
satt up wt him until betwixt one & two in the morning
he had scratched his Brow in his delirium, when it
Blooded a great deal, I noticed his left eye lid was swelled
he was uneasy upon the monday, his pulse rose &
he roaved a good deal, {illeg} also through the night
upon Teusday an Erysipelas Came out, upon his
eylids nose & Cheeks, was very easy oyrwise, gave
him sometimes warm madeira, & water drink, when
very thirsty,Chaffed the parts wt Chalk & flouer
it is a very good Colour & keeps well out, had a
quiet night, but upon wednesday morning, when I
went in to him, found his pulse quite gone & intermitting
at every fourth pulsation
, wt a rare respiration


[Page 3]

he was Just in such a situation, as one could not
have thought he could have stood it a few hours
I had none of the fraternity wt me, which made me uneasy
I imediatly, gave him warm madeira, & finding his
pulse rise after, I plyed him wt it the whole day
sometimes madeira warm wt a very little water & thin
panada wt wine, by the evening the intermission in
his pulse
went of; he was not entirely sensible all day,
got Injection passed such fesces as before, got panada
& wine at bedtime, had a good nights rest, &, quite
sensible upon Thursday Morning, free of Nausea
Vomiting &c got a cup of Balm tea, and after that, some
thin panada & wine, was easy through the whole day
& quite sensible, and very litle Complaints of any pains
whatsomevr, & free of fever, got an Injection last night
the Erysipelas is not gone we keep it out as much as
we can, last night unless twice when he wanted a drink
had a fine nights rest, & this morning being Friday
I did not see him untill twelve a clock forenoon
when I found him quite sensible & free of every pain
when I caused him get a Cupfull of the panada & wine
I begin now Doctor to have grat hopes, he vomits
none now & in short very little since saturday
morning last, & seems to have very little complaints
but weakness, if he should continue, which I hope he will


[Page 4]

upon the account of his weakness, its dangerous
to give him physick internally, untill he turn stronger
and I think if you approve when the Erysipelas is
quite gone an infusion of tamarinds senna & Glauber
Salt
which you proposed before, would be most proper
for both times when he got the physick before his
pulse intermitted, he had a hiccup sometimes formerly
which I had forgott to write you of, but as his pulse
then was always regular
, and mostly before throwing
up
, I thought the less of it, it has been an obstinate
& curious case, I design this afternoon, to introduce
a supository which is made of salt & honey, & let it stay
two or three hours, before he gets his injection, which
possibly may cause it have a better effect, I hope my
next letter shall be still better, I do assure you he
is ↑[almost?]↑ quite free of the fever, & in a quite different way
than he has been at any time at all


I am
Dr Sir
Your most Obet & humble servtt
John Bannerman

Cullean Novr 10
1775


P. S. his urine yesterday & to day his urine
does not let fall a sediment he complains of a pain
in one of his ancles since I wrote the above

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