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
The preparations of lead seem to act upon the nervous system, destroying
its energy, and thereby producing paralysis. Whether this is effected
through the medium of the circulation, or whether they produce their
effects without being absorbed, appears to us to be a question which has
not hitherto received a satisfactory answer. It must, however, be
admitted that they act upon the alimentary canal, by coming into contact
with its nerves; and in some cases, where the dose of the _acetate_ has
been large, it may have produced death by the local injury which it
inflicted. _Dr. Lambe_ observes upon this subject, that “certain facts
render it probable that lead does not operate entirely through the
medium of the circulation, nor by nervous sympathy; but also topically,
affecting the part to which it is applied more than the other parts of
the body.” This latter position is clearly established by the beneficial
effects occasioned by the topical application of lead to inflamed
surfaces; nor can any doubt exist as to the fact of such applications
having produced local paralysis. There is a paper in the third volume of
the _Medical Transactions_ by _Dr. Reynolds_, in which the case of a
gentleman is detailed, who brought on a temporary paralysis of the
_sphincter ani_, by freely using _Goulard’s_ lotion for the cure of
piles. Foreign writers have also maintained that saturnine applications
have frequently occasioned impotence; for further information upon this
subject the reader may refer to _Istitutione di Medicina Forens: di
Tortosa_, _vol._ 1, _p._ 58; also _Fritze Compend: sopra i Malat.
Vener._ _p._ 189; and _Monteggia Annotat. sopra i Mali Venerei_, _p._
36. _Sir George Baker_ states that he has some reason to doubt, whether
_litharge_, the common basis of our plasters, when used for the purpose
of dressing issues, has not, in certain irritable constitutions,
produced some of the ordinary effects of saturnine preparations taken
internally. There have been instances of children thrown into
convulsions, by _cerusse_, sprinkled on excoriated parts. _Zeller_
quotes, on the authority of _Molingius_, a remarkable instance of the
pernicious effects of _litharge_, externally applied.[389] _Sir George
Baker_ met with a most violent and obstinate colic, which seemed to have
been occasioned by some litharge, mixed in a cataplasm, and applied to
the _vagina_, with a view to allay a troublesome itching; and he says
that he was informed by _Dr. Petit_ that _Goulard’s poultice_ applied
for some time to a patient’s knee, in St. George’s hospital, occasioned
violent pain in the bowels, which did not cease until the poultice had
been removed; nor are authorities deficient to prove, that the
fashionable application of _cerusse_ to the skin has been followed by
obstinate colics, pains, and tremors. We have been desirous of laying
before our readers the above authorities, in proof of the constitutional
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