Since the Act of 1851 (14 Vict. cap. xiii.) the deaths from this agent
have greatly decreased. This statute chiefly enacts that arsenic is not
to be sold without the seller entering the transaction in a proper book,
without a witness, nor without its being mixed with soot or indigo,
unless such admixture would render it unfit for the purchaser’s
business.
Arsenious acid is found in commerce in the form of a white powder or in
small opaque cakes. It is very feebly acid, tasteless, or slightly sweet
in small doses, though not very soluble, an ounce of cold water
dissolving about one grain. The quantity so held in solution may,
however, be increased by dissolving the arsenic in boiling water and
allowing it to cool. The shortest period within which it was believed
arsenic would cause death was two hours; but Dr. Taylor gives a case
where death with tetanic symptoms followed the fatal dose in twenty
minutes. The smallest quantity known to have proved fatal is two grains.
Two grains and a half killed a girl nineteen years of age in thirty-six
hours. Half a grain will produce alarming symptoms; and yet recovery
has ensued after doses of half an ounce or an ounce.
_Symptoms._—These commence within half an hour or an hour of swallowing
the poison. There is faintness, nausea, incessant vomiting, and a
burning pain in the epigastrium, increased on pressure, and gradually
extending over the whole abdomen, followed by headache, diarrhœa, a
sense of constriction and heat in the fauces and throat, great thirst,
and catching, painful respiration. The heart’s action becomes depressed,
the pulse is quick and feeble; there is great restlessness and anxiety;
cold, clammy skin, and perhaps coma are present; and death usually
occurs within twenty-four hours.
These symptoms are liable to great variety, the pain and vomiting being
occasionally absent, and the patient being affected as if by a narcotic
poison. In some instances there is troublesome tenesmus, with heat and
excoriation about the anus. Convulsive movements in the extremities
often occur, with cramp in the legs, especially if the diarrhœa is
severe. Death sometimes takes place calmly from collapse, sometimes it
follows on convulsions.
The vomited matters may be red or brown from admixture with blood or
bile; or they may be blue or black, if the arsenic has been colored with
indigo or soot. Although the vomiting, pain, &c., are generally
continuous, yet sometimes all the symptoms remit, and the patient
rallies for a time, only to sink more rapidly.
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