Dr Brockmann, as he advances, puts a question here, which more fully
shows that the disease under his consideration was of a mild character
compared with that under our notice. "If," says he, "pulmonary melanosis
arise entirely from inhalation of carbonaceous dust, why is it not
observed in other workmen, who are as much, and even more, exposed to
its influence, as for instance, smelters, or moulders, and colliers?" He
says, further, "were the carbon inhaled in quantity sufficient to
explain the black colour of the lungs, it ought also, from its
mechanical irritation, to produce inflammation in the delicate mucous
membrane of the organ, but there are no symptoms of this during life,
nor any traces of it after death." An answer to these remarks will be
most satisfactorily given by a reference to the published cases, where
the disease is principally found amongst colliers and moulders, and
where the pulmonary organs, particularly in the former, are found to
undergo most fearful disorganization from the presence of carbon. It is
very remarkable, that the author of these exceedingly interesting
observations should never have found excavations of the parenchyma, when
it is so general as the result of the same disease in this country,
particularly in the locality to which I refer. Not knowing the
character of the mine, it is impossible to judge; but I am disposed to
conclude that there cannot be the same quantity of carbon floating in
the atmosphere breathed by the German miner,--the disease resembles very
much that milder form found in the iron moulder.
With regard to the carbonaceous state of the blood, I am sorry that I
have not yet completed my investigations on that subject. It is still my
belief that the carbon being once inhaled, there is an affinity found
for that in the circulating fluid, and from its not being consumed,
owing to a deficiency of oxygen, there is a progressive increase going
on. I am very much gratified to find that Dr Brockmann entertains a
somewhat similar opinion in respect to the state of the blood.
Public-domain text, read in full here on John Shaqi.
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