Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and ExpertsBlyth, Alexander Wynter
Science
Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and Experts
Blyth, Alexander Wynter
Poisons
(2) =Quantitative estimation of Free Hydrochloric Acid.=--The contents
of the stomach are diluted to a known volume, say 250 or 500 c.c. A
fractional portion is taken, say 10 c.c., coloured with litmus or
phenol-phthalein, and a decinormal solution of soda added drop by drop
until the colour changes; this gives total acidity. Another 10 c.c. is
shaken with double its volume of ether three times, the fluid separated
from ether and titrated in the same way; this last titration will give
the acidity due to mineral acids and acid salts;[99] if the only mineral
acid present is hydrochloric acid the results will be near the truth if
reckoned as such, and this method, although not exact for physiological
research, is usually sufficient for the purpose of ascertaining the
amount of hydrochloric acid or other mineral acids in a case of
poisoning. It depends on the fact that ether extracts free organic
acids, such as butyric and lactic acids, but does not extract mineral
acids.
[99] To distinguish between acidity due to free acid and acid salts, or
to acidity due to the combined action of acid salts and free acids, the
method of Leo and Uffelmann is useful. A fractional portion of the
contents of the stomach is triturated with pure calcium carbonate; if
all the acidity is due to free acid, the fluid in a short time becomes
neutral to litmus; if, on the other hand, the acidity is due entirely to
acid salts, the fluid remains acid; or, if due to both acid and acid
salts, there is a proportionate diminution of acidity due to the
decomposition of the lime carbonate by the free acid. A quantitative
method has been devised upon these principles. See Leo, _Diagnostik der
Krankheiten der Verdauungsorgane_, Hirschwald, Berlin, 1890.
The free mineral acid, after extracting the organic acid by ether, can
also be saturated with cinchonine; this hydrochlorate of cinchonine is
extracted by chloroform, evaporated to dryness, and the residue
dissolved in water acidified by nitric acid and precipitated by silver
nitrate; the silver chloride produced is collected on a small filter,
washed, and the filter, with its contents, dried and ignited in a
porcelain crucible; the silver chloride, multiplied by 0·25426, equals
HCl.
The best method of estimating free hydrochloric acid in the stomach is
that of Sjokvist as modified by v. Jaksch;[100] it has the disadvantage
of its accuracy being interfered with by phosphates; it also does not
distinguish between actual free HCl and the loosely bound HCl with
albuminous matters,--this in a toxicological case is of small
importance, because the quantities of HCl found are likely to be large.
[100] _Klinische Diagnostik_, Dr. Rudolph v. Jaksch, Wien u. Leipzig,
1892. _Clinical Diagnosis_. English Translation, by Dr. Cagney. Second
Edition. London: Charles Griffin & Co., Limited.
Public-domain text, read in full here on John Shaqi.
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