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
This acid has been so frequently swallowed in France, for the purpose of
committing suicide, that it has enabled the pathologists of that country
to afford a very satisfactory account of its operation, and effects. To
_M. Tartra_ we are particularly indebted for a very full and interesting
investigation of the subject, and we shall avail ourselves upon the
present occasion, of the many facts and observations with which his
treatise[323] abounds. In describing the symptoms occasioned by the
ingestion of this acid, _M. Tartra_ establishes four different
gradations, viz. 1. When the death is speedy, for it is never sudden, it
commonly takes place from the _primary_ effects in about twenty-four
hours, varying from six to forty-eight hours. 2. When it proves fatal
from its _secondary_ effects, at different intervals, from fifteen days
to several years. 3. When death does not take place, but the recovery is
imperfect. 4. When a perfect cure is sooner or later obtained. The first
case is illustrated by the following example, which will serve to convey
a very just idea of the progress and intensity of the symptoms. “A man,
driven by distress to commit suicide, under the greatest agitation of
mind, and upon an empty stomach, swallowed, at a draught, two ounces of
concentrated nitric acid. Instantly he was seized with the most
excruciating pains and agitation, and could not lie in bed, but rolled
himself upon the floor. Vomiting came on, accompanied by a general
sensation of coldness, especially in the extremities. Every time he
vomited, the matter effervesced upon the pavement. A solution of soap
and oil was administered to him, and in two hours he was brought to the
hospital, often having vomited, and stopped on the road to drink. On his
arrival, he had emollient drinks, especially linseed tea, in great
abundance. He was in continual agitation, and his countenance was
greatly altered. He now vomited every instant a blackish glairy matter;
he opened his mouth easily, and his tongue was white, with a tinge of
yellow; he complained of acute pains in his mouth, along the œsophagus,
and in his stomach. His belly, slightly tense, could not bear the
slightest pressure, without great torment. The surface of the body was
cold; the pulse small and frequent; he had hiccup, and the respiration
was laborious.
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