Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
We know not the cause, but certain poisons appear to select a
particular route for their exit--thus iodide of potassium leaves by
the urine; mercury and its salts by the saliva; arsenic and eserine,
the active principle of the Calabar bean, in small quantities, by the
stomach, &c. We are, however, prepared to show that all poisons must
enter the blood before they produce their effects, and that almost
simultaneously with the entrance of the poison into the blood a process
of elimination begins, and that fatal effects depend upon absorption
taking place more rapidly than elimination. On the amount also of the
poison absorbed do its fatal effects depend, and not on the quantity
actually taken. Whilst absorption and elimination are both going on,
some of the poison is being deposited in the organs and tissues of the
body. As proofs of these statements it has been shown that poisons
have been detected in the blood, and that urine, saliva, and milk,
fluids secreted from it, may contain portions of the poison taken, and
produce dangerous symptoms when given to other animals. Poisons applied
to the brain tissue, or to nerve trunks, do not produce symptoms,
and the action of a poison may be arrested for a time by compressing
by a ligature the main vessels of the limb under the skin of which
the poison has been injected. After death no trace of the poison may
be detected, the quantity taken being just sufficient to produce a
fatal result, or elimination may be so rapid that, although death was
directly due to the poison, any remains of its existence cannot be
made out. This occurred in the case of Dr. Alexander, who died from
an accidental dose of arsenic, all the arsenic being eliminated in
_seventeen_ days--in another fatal case, in _seven_ days. (Taylor)
As evidence of the diffusion of poisons the following table may be of
use:
{ Dilatation of the pupil in poisoning by
Physiological. { belladonna, hyoscyamus, &c.
{ Contraction of the pupil in poisoning by opium,
{ Calabar bean.
{ _Taste._--Bitter taste of the secretions. Strychnia,
{ picrotoxin. The milk of animals fed on wormwood
{ may become bitter; on colchicum,
Physical. { poisonous.
{
{ _Smell._--Prussic acid, tobacco, conium, &c.
{
{ _Colour._--Skin blackened by nitrate of silver,
{ given internally.
_N.B._--By the aid of the spectroscope the salts of lithium
and thalium have been detected in the liver and
other tissues.
Recapitulation of the Mode of Action of Poisons, and the Causes which
Modify their Action.
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