The _local_ effects are mainly of three kinds, viz., _corrosion_, or
chemical decomposition, as is seen in the effects of the strong mineral
acids and alkalies; _irritation_ or _inflammation_, varying from simple
redness, in its mildest, to ulceration and gangrene, in its most severe
degree, such as may result from the use of corrosive sublimate; and _a
local specific effect_, produced on the sentient extremities of the
nerves, as is felt on the local application of prussic acid, aconite,
&c.
The _remote_ effects are those influencing organs remote from the part
to which the poison has been applied. These may be either common
or specific; _common_, such as the constitutional indications
of inflammatory fever, however produced; _specific_, like the
constitutional effects of opium over and above its local influences in
relieving pain, &c. Various narcotic poisons produce but little local
change, though their remote effects are very remarkable. For example,
belladonna, in whatever way it may be introduced into the system,
paralyzes the ciliary nerves and so causes dilatation of the pupil. Many
substances have both a local and remote action, as is well seen in the
influence of cantharides upon the part to which they are applied, and
their remote effects upon the urinary organs.
These remote effects must be induced by one of two modes, or, as some
contend, by both: by _absorption_, that is, by the passage of the
poisonous particles into the blood; or by _sympathy_, that is, by an
impression transmitted through the nerves.
Public-domain text, read in full here on John Shaqi.
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