Disease and Its CausesCouncilman, W. T. (William Thomas)
Science
Disease and Its Causes
Councilman, W. T. (William Thomas)
Diseases -- Causes and theories of causation
In order that most poisons may act, it is essential that they enter
into the cell, and they cannot do this unless they are able to combine
chemically with certain of the cell constituents. To this is due the
selective action of many poisons. Morphine, for example, acts chiefly
on the cells of the brain; strychnine acts on the cells of the spinal
cord which excite motion and thus causes the characteristic muscular
spasm. The poisonous substances produced by bacteria, as in the case
of diphtheria, act on certain of the organs only. Different animal
species owe their immunity to certain poisons to their cells being so
constituted that a poison cannot gain entrance into them; pigeons, for
example, cannot be poisoned by morphia. Individual variations play an
important part also; thus, shellfish are poisonous for certain
individuals and not so for others. Owing to the variability of living
structures a substance may be poisonous at one time and not at
another, as the following example shows. A man, very fond of crab
meat, was once violently poisoned after eating crabs, being at that
time seemingly in his usual state of health, and no illness resulted
in others who had partaken of the same crabs. Two months later a
hearty meal of crabs produced no ill result. There are also
individuals so constituted that so simple a food as the egg is for
them an active poison.
The lesions produced by the action of injurious conditions are usually
so distinctive in situation and character that by the examination of
the body after death the cause of death can be ascertained. The
lesions of diseases may be very obvious to the naked eye, or in other
cases only the most careful microscopic examination can detect even
the presence of alterations. In the case of poisons the capacity of
the cell for adaptation to unusual conditions is of great importance.
It is probable that certain changes take place within the cells, owing
to which the function can be continued in spite of the unusual
conditions which the presence of the poison brings about. It is in
this way that the habitual use of such poisons as morphine, alcohol
and tobacco, to speak only of those best known, is tolerated. The cell
life can become so accustomed to the presence of poisons that the cell
activities may suffer in their absence.
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