Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
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Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
Neither is the embarrassment of the toxicologist materially less, if he
attempts to classify poisons according to the symptoms they induce in
man. This is the principle now generally followed, and which in common
with others I shall pursue. But the reader will be at no loss to
discover that the partitions which separate the classes are exceedingly
slight, and that very many poisons might be arranged without impropriety
in either of two classes.
The preceding statements show the impossibility of founding a good
system of arrangement on the only basis which can be acknowledged
philosophical and practical; and consequently, that, as the science of
toxicology now stands, we must altogether despair of forming one that
shall be even moderately satisfactory.
On the whole I see no reason for deviating from the classification
adopted in the first edition of the present work, being a modification
of that previously followed by Professor Orfila. In this classification
poisons are divided into irritants, narcotics, and narcotic-acrids.
The class of irritants includes all poisons whose sole or predominating
symptoms are those of irritation or inflammation; the narcotics those
which produce stupor, delirium, spasms, paralysis, and other affections
of the brain and nervous system; and the narcotico-acrids those which
cause sometimes irritation, sometimes narcotism, sometimes both
together. Some writers still adopt a fourth class, called septics,
because they give rise to putrefaction in the living body. But modern
physiology will scarcely sanction the continuance of such a class of
poisons. For assuredly no substance can cause putrefaction in the living
body.
CHAPTER II.
CLASS FIRST.
ON IRRITANT POISONS GENERALLY.
The class of irritant poisons comprehends all whose sole or predominant
action consists in exciting irritation or inflammation. That is, it
comprises both those which have a purely local, irritating action, and
likewise many which also act remotely, but whose most prominent feature
of action still is the inflammation they excite wherever they are
applied.
This subject will be introduced with an account of the general symptoms
and morbid appearances caused by the irritants, and a comparison of
these with the symptoms and morbid appearances of the natural diseases
which are chiefly liable to be confounded with irritant poisoning, or
mistaken for it.
SECTION I.—_Of the Symptoms of the Irritant Poisons, compared with those
of natural diseases._
The symptoms caused by the irritating poisons, taken internally, are
chiefly those of violent irritation and inflammation of one or more
divisions of the alimentary canal.
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