Aids to Forensic Medicine and ToxicologyRobertson, W. G. Aitchison (William George Aitchison )
Science
Aids to Forensic Medicine and Toxicology
Robertson, W. G. Aitchison (William George Aitchison )
Medical jurisprudence; Poisons
2. _Remote Action._--This may be of reflex character, as seen in the
shock produced by the pain caused by corrosive poisons, or the poison
may exert a special action on certain structures, as belladonna on the
cells of the brain, strychnine on the motor nerve cells of the spinal
cord.
3. _In Both Ways._--Certain poisons, as carbolic or oxalic acids, act in
this way.
Age, idiosyncrasy, tolerance, and disease, all exert modifying
influences on the action of a poison. The form in which the poison is
swallowed and the quantity also determine its action. In the gaseous
form, poisons act most rapidly and fatally. When in solution and
injected hypodermically, they also act very rapidly. In the solid form
they act as a rule slowly, and may even set up vomiting, and so may be
entirely ejected by vomiting. Poisons act most energetically when the
stomach is empty. If taken when the stomach already contains food,
solution and absorption may be greatly delayed.
Some poisons are cumulative in their action, and thus, even if
infinitesimal doses be swallowed each day, there is a certain amount of
storage in the tissues (though a certain percentage of the poison is
being constantly eliminated), and at last symptoms of poisoning show
themselves.
=Classification of Poisons.=--As an aid to memory, the following
classification is perhaps the best:
I. _Inorganic._
1. Corrosive acids and alkalies, and caustic salts (carbolic and
oxalic acids also).
2. Irritant--practically all the metals and the metalloids (I. Cl.
Br. P.).
II. _Organic._
{ Animal--venomous bites, food poisoning, cantharides.
1. Irritant { Vegetable--all strong purgatives, hellebores, savin,
{ yew, ergot, hemlock, laburnum, bryony, etc.
2. Neuronic.
(a) Somniferous--opium and its alkaloids.
(b) Deliriant--belladonna, hyoscyamus, stramonium, cannabis,
cocaine, cocculus, camphor, fungi.
(c) Inebriants--alcohol, ether, chloral, carbolic acid (weak),
benzol, aniline, nitro-glycerine.
3. Sedative or depressant.
(a) Neural--conium, lobelia, tobacco, physostigma.
(b) Cerebral--hydrocyanic acid.
(c) Cardiac--aconite, digitalis, colchicum, veratrum.
4. Excito-motory or convulsives--nux vomica, strychnine.
5. Vulnerants--powdered glass.
III. _Asphyxiants._
Poisonous and irrespirable gases.
IV.--EVIDENCE OF POISONING
It may be inferred that poison has been taken from consideration of the
following factors: Symptoms and post-mortem appearances, experiments on
animals, chemical analysis, and the conduct of suspected persons.
1. _Symptoms_ in poisoning usually come on suddenly, when the patient is
in good health, and soon after taking a meal, drink, or medicine. Many
diseases, however, come on suddenly, and in cases of slow poisoning the
invasion of the symptoms may be gradual.
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