The effects of chloroform taken by the mouth are of the same description
as those which follow the inhalation of this agent; with this
exception, that the fatal result seems to be longer deferred. A case
reported in the _Medical Times and Gazette_, 10th May, 1862, illustrates
the symptoms, &c., in a clear way. Mr. M., thirty-four years of age, a
highly-gifted restless man, was in the habit of inhaling chloroform on
account of sleeplessness. He was very sensitive to its action. At about
12.30 A.M. on the 7th October, 1861, he drank some chloroform; the
quantity being uncertain, though it may be inferred that it was about
one ounce. At 7.15 he was in such a profound sleep that his wife felt
uneasy, and she sent for Dr. Axel Lamm. This gentleman found his patient
in a tranquil sleep, the respiration being somewhat hurried and audible,
the pulse full but slow, the body warm, and the pupils dilated and
insensible. There was a perceptible smell of chloroform in the breath
and in the air of the room. The window was opened, ice was applied to
the head, cold affusions were used along the spine, and an enema was
administered. At 9.30 A.M., the patient was paler, breathing less
audibly, and with a weaker pulse. Artificial respiration was employed by
means of electricity, an ammonia lavement was given, and aspersions of
iced water to the chest and pit of the stomach were used alternately
with warm coverings. The stupor continued, the respired air smelt
distinctly of chloroform, the abdomen was tympanitic, and the pupils
began to contract. About 9 P.M. the eyes began to move, the pupils
seemed sensible to light, the pulse was 160, there was abundant
perspiration, and the patient sat up for a few moments and looked
surprised. Exhaustion, however, set in, and death occurred just before
midnight, nearly twenty-four hours after swallowing the poison.
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