In the present day every one allows that poisons may become absorbed,
and that, provided they produce poisonous effects at all, they are
absorbed, in whatever way they may have been applied to the body. But it
is sometimes asked, Is this absorption necessary for their action? The
following evidence may be briefly noticed as in some degree affording an
affirmative answer to this question. Magendie divided all the parts of
one of the posterior extremities of a dog, the artery and vein being
reconnected by quills, so as to preclude the possibility of the effects
being conveyed by the nervous filaments supplying the coats of the
vessels; on applying a portion of upas tieuté to a wound in the foot,
the symptoms of poisoning occurred, and death took place in ten minutes.
If the veins leading from a poisoned part be tied, the arterial and
nervous communication being complete, the symptoms of poisoning do not
occur. Mr. Blake introduced some prussic acid into the stomach of a dog,
through an opening in its parietes, after he had ligatured the vessel
entering the liver (the vena portæ, which, directly or indirectly,
receives the gastric veins); no effect ensued until the removal of the
ligature, within one minute of which proceeding the poison began to act.
And lastly, not only has prussic acid been discovered in the blood of an
animal which perished in thirty-five seconds, but in some experiments
made by Mr. Erichsen, in a case of extroversion of the bladder,
prussiate of potass was found in the urine within one minute of its
being swallowed on an empty stomach.
The chief argument in favor of a _sympathetic_ or direct nerve action,
is the almost instantaneous manner in which some poisons act; fatal
effects occurring, it is said, before sufficient time has elapsed to
allow of absorption. It has, however, been proved that the round of the
circulation may be accomplished much more speedily than has been
imagined. Thus, the ferrocyanide of potassium injected into the jugular
vein of a horse was discovered throughout the entire venous system in
twenty-seconds; and Mr. Blake has inferred from his experiments that a
poison may be diffused through the body in nine seconds. It may
therefore be concluded that in most instances poisons act by being
absorbed and conveyed with the blood to the different organs which they
impair, or the nerve centres which rule the functions of these; some
paralyzing the heart when they reach it, some affecting the brain or the
spinal cord, some stopping the play of the lungs and others acting upon
the different glands. Nevertheless, in view of the extreme rapidity with
which death is brought about in a few instances, the possibility of a
direct shock to the nervous system causing death must not be overlooked.
The action of a poison may be variously modified, and the modifying
circumstances must be carefully taken into consideration in the
formation of a prognosis and in suggesting a line of treatment.
Public-domain text, read in full here on John Shaqi.
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