Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
species of poisoning, and the magistrates accordingly consulted the
College of Medicine of Copenhagen, who decided the question in the
affirmative, having first instituted a series of experiments upon
horses.
Death may also be produced by the introduction of arsenic into the
rectum; it is said that Sir _Thomas Overbury_, after the failure of the
various poisons[231] that were administered to him, was at last
despatched by an arsenical glyster.
With respect to the quantity of arsenic required for the production of
such effects it is difficult to offer a decided opinion, as its
operation must in every case be liable to contingency; but a very few
grains are in general amply sufficient.
_Physiological action of Arsenious Acid._
It had long been supposed that arsenic occasioned death by inflaming the
stomach; but Mr. _Brodie_[232] has very satisfactorily proved, that its
influence arises from its being absorbed, and that it must be regarded
as a _vital_ rather than as a _chemical_ agent, and as having a
constitutional, not a local mode of operation.
In the first place, he has in many instances found the inflammation of
the stomach so slight,[233] that on a superficial examination it might
have been easily overlooked; and in most of his experiments with
arsenic, death took place in too short a period to be considered as the
mere effect of inflammation. In the next place we have already shewn
that in whatever manner the poison is applied, whether _externally_ to a
wound, or _internally_, to the alimentary canal, the same inflammatory
appearance will be visible in the stomach; a fact which can only be
explained by admitting that the poison is absorbed, and that it acts
upon these organs through the medium of the circulation; it acts at the
same time upon the brain, and heart, but with different degrees of force
in different cases; so that it is sometimes difficult to ascertain which
of these organs is the first to fail in its functions. According then to
these experiments and observations, inflammation of the alimentary canal
is not to be considered as the general cause of death in poisoning by
arsenic; and yet cases will occur, where the local affection may prove
fatal, the animal having survived the effects produced on the organs
more immediately subservient to life, as the brain and heart. Mr. _Henry
Earle_ communicated to Mr. _Brodie_ a case highly illustrative of this
fact, which occurred in St. Bartholomew’s hospital; a woman had taken
arsenic, and having recovered from the alarming symptoms which first
occurred, died at the end of four or five days, when upon dissection,
there appeared extensive ulcerations of the stomach and bowels. This
then was evidently a case of “_Consecutive_” poisoning.
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