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
symptoms of _cholera_, offers a satisfactory proof of its spontaneous
origin. Upon this point we would observe, that by violent and protracted
retching a person may sometimes become jaundiced, a circumstance not
unlikely to occur in cases of poisoning. The stomach, diaphragm, and
abdominal muscles are, under such repeated efforts, very apt to be
rendered eminently irritable, so that at each effort of the former to
discharge its contents, the latter will frequently be simultaneously
thrown into strong spasmodic contractions, and the liver, together with
the gall-bladder, will be suddenly caught, and, as it were, tightly
squeezed in a powerful press, in consequence of which the bile will
regurgitate, and be carried into the _venæ cavæ_; for _Haller_ has shewn
with what facility a subtle injection, when thrown into the hepatic
duct, will escape by the hepatic veins; upon which _Dr. Saunders_ has
made the following remark, “I know this to be a fact, for I have
ascertained by experiment, that water, injected in the same direction,
will return by the veins in a full stream, although very little force is
used.”
The fact of the bile becoming, under certain circumstances, highly acrid
and deleterious, has been seized by the humoral pathologist as a
powerful argument in support of his doctrines. Amongst the more
distinguished authors who have fully treated this subject, and
maintained that our secretions may thus become acrid poisons, we have
_Galen_[160], _Aretæus_[161], _Fernelius_[162], _Morgagni_[163],
_Hebenstreit_[164], _Hilchen_[165], _Hoffman_[166], _Baumer_[167],
_Belloc_[168], _Alibert_[169], _Foderé_[170], _Mahon_[171], _De la
Mettrie_[172], and _Tronchin_[173]. Some of the authors above enumerated
have expressed their opinions in the strongest terms; thus _Morgagni_
(loco citato) “_Facile agnosco a prava ipsa corporis dispositione
internum aliquando posse venenum gigni_;” and _Hebenstreit_ observes,
“_Possunt omnino in corpore venena nasci, atque ipsi humores vitales vim
vasa sua destruendi sæpe acquirunt._[174]” _Hilchen_, after attempting
to establish a diagnosis between the effects of poison, and those
arising from a morbid degeneracy of the fluids, exclaims, apparently in
despair, “_Inquilinos corruptosque humani corporis humores, eum
acrimoniæ gradum, eamque corrodendi vim acquirere posse, quæ eosdem edat
effectus, quos venena corrosiva sistunt, eamdem sordium vomitu
rejectarum putrilaginem, fætorem, haud dissimilem, et acerrimam, et
pelves arrodentem acrimoniam certum est._” And _Plouquet_, after
describing all the phenomena of poisoning, concludes by acknowledging
“_Probe autem notandum hæc omnia etiam ex aliis statibus morbosis nasci
posse._” _De la Mettrie_ also has observed upon this question, “_Il est
prouvé que la bile se peut changer dans nos corps en espece d’Arsenic!_”
Our own countryman, _Dr. Currie_[175], has furnished the public with an
opinion upon the subject under discussion, and he states his belief
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