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
Such are the changes which an animal body undergoes after death, that
unless the anatomist be intimately acquainted with their nature and
extent, it is impossible that he should be able to derive any safe
conclusions from his dissection; thus, said _Mr. John Hunter_, we may
see appearances which are natural, and may suppose them to have arisen
from disease; we may see diseased parts, and suppose them to be in a
natural state, and we may suppose a circumstance to have existed before
death, which was, in reality, a consequence of it; or we may imagine it
to be a natural change after death, when it was truly a disease of the
living body. It is not difficult, therefore, to perceive, how a person
in such a state of ignorance must blunder, when he attempts to connect
the appearances in the dead body, with the symptoms that were observed
during life; and indeed it may be safely asserted, that the great
utility of anatomical inspections depends upon the accuracy, judgment,
and sagacity with which such comparisons are made. In our chapter, on
the art of conducting dissections, we have endeavoured to point out each
fallacy which is likely to present itself to the inexperienced
anatomist, we shall therefore confine ourselves, on the present
occasion, to the consideration of those points whose obscurity must be
admitted to belong intrinsically to the subject, and to be wholly
independent of the ignorance or skill of the dissector.
Amongst the signs of the action of poison on the human body, disclosed
by the light of dissection, the separation of the villous coat of the
stomach has been generally considered the most certain criterion.
_Hebenstreit_, whose opinion has been adopted by _Mahon_, and many other
forensic physicians, has delivered his unreserved judgment upon the
question, in the following emphatic sentence. “_Præterea sola atque
infallibilis deglutiti veneni nota est, separata et veluti decorticata
simulque cruenta interna ventriculi tunica: nam separatio ista supponit
applicatam superficiei internæ ventriculi materiam fervidam, igni
similem, quæ tunicam istam a substrata solvit vasculari nervea._”[178]
In opposition to such an opinion, it is our duty to state that several
cases stand recorded[179] in which the detachment of the villous coat of
the stomach and intestines has taken place, without the slightest ground
to suspect the administration of poison, while many vegetable poisons
destroy life without occasioning any inflammation in the _primæ viæ_,
and consequently leave no traces of disorganization. But there still
remains another source of fallacy connected with the present question
which demands a full and impartial inquiry, viz. that the gastric juice,
by its action upon the dead stomach, can occasion such changes in
structure, as may be mistaken for the effects of a corrosive poison;
these changes are according to circumstances liable to vary in every
possible degree of intensity, from the slight erosion of the interior
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