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
2. _Symptoms which are produced by the repetition of small doses._ In
this case the mercurial salt acts as an “Accumulative Poison.” (_See
page_ 148). The most striking of the symptoms are those arising from its
specific action upon the salivary glands, in consequence of which an
increased flow of saliva takes place, the gums become tender and sore,
the breath intolerably offensive, and if the use of the salt be not
discontinued, the teeth loosen, and even fall out, and their loss is
sometimes followed by that of the bones of the palate, or maxillæ; at
the same time other evils, although perhaps less apparent, soon arise;
the strength and muscular powers of the body begin to fail; emaciation
proceeds rapidly; cardialgia, dyspepsia, diarrhæa, and a train of morbid
symptoms succeed; violent pains are experienced in the muscles, tendons,
or joints; tremors of the limbs, and even paralysis may result; and in
some cases, pulmonary consumption terminates the existence of the
unhappy sufferer. It has been asserted that _Corrosive Sublimate_, when
taken for a long time in small quantities, will sometimes occasion all
the symptoms of debility above enumerated, together with hectic fever,
without producing salivation. This is a truth which the author’s
personal experience will enable him to confirm. The Countess of
Soissons, mother of the celebrated Prince Eugene, was accused, at the
latter end of the seventeenth century, of having destroyed her husband
by these means. A question of considerable importance has arisen, with
regard to the specific effects of mercury, which demands some notice in
this place. _Whether salivation, after having entirely subsided, can
ever return without a fresh exhibition of Mercury?_ Two instances are
related by _Dr. Mead_ of the return of salivation, after an interval of
several months, when not a particle of mercury had been administered, in
any form, during that period.[270] _Dr. Male_, in his work on Juridical
Medicine,[271] relates an analogous case which occurred in his own
practice: “In March, 1815,” says he, “I gave a small quantity of
triturated mercury to a respectable woman in this town, who had been
long ill; she became suddenly and unexpectedly salivated. She soon
recovered, and enjoyed better health than she had done for a
considerable time. In October, without (as she informed me) having taken
any medicine whatever, the salivation returned with extreme violence,
her mouth sloughed and mortified; and in a few weeks she died.” _Dr.
Hamilton_, the Professor of Midwifery in Edinburgh, relates in his
lectures the case of a married lady, who had been under the necessity of
going through a course of mercury, under the care of the late _Mr.
Bennet_, who, from motives of delicacy did not enquire very minutely
into the particular circumstances; but, according to the rule of the
day, gave his patient a sore mouth. Four months afterwards she
miscarried, and salivation again came on. It was removed for a week, at
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