Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
Science
Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
The action of irritant poisons on the intestines is marked by pain
extending over the whole belly, sometimes even to the anus. This pain,
like that of the stomach, is often a sense of burning; but it is also
frequently a pricking or tearing pain, and still more frequently a
twisting, intermitting pain like that of colic. It is seldom attended
with much swelling, but often with tension, and tenderness of the whole
belly; and at times the inflammatory state of the mucous coat of the
intestines is clearly indicated by excoriation of the anus and prolapsus
of the rectum, which is of a bright red colour. The pain of the bowels
is most generally attended by purging, rarely with constipation,
frequently with tenesmus. The matter discharged, after the alimentary
and feculent contents have passed, is chiefly a mucous fluid, often
abundant, often also streaked with blood or mixed with considerable
quantities of blood. In some cases the intestines are affected when no
other part of the alimentary canal suffers, not even the stomach. But
much more generally the stomach and intestines are affected together.
In a few very aggravated cases of poisoning with the irritants the whole
course of the alimentary canal, from the throat to the anus, is affected
at one and the same time.
The symptoms now briefly enumerated are accompanied in almost every
instance with great disturbance of the circulation—quick, feeble
pulse—excessive prostration of strength,—coldness, and clammy moisture
of the skin.
The other symptoms, which are often united with the preceding, do not
belong to the irritants as a class. Perhaps, however, among the symptoms
of the class may be mentioned those of irritation and inflammation of
the windpipe and lungs, and those of irritation in the urinary organs. A
great number of the irritant poisons cause hoarseness, wheezing
respiration, and other signs which indicate the spreading of the
inflammation of the throat to the windpipe: some likewise cause darting
pains throughout the chest: and not a few are very apt to cause
strangury and other signs of inflammation of the urinary passages.
Of the effects of the irritants when applied externally little need be
said at present. Their most striking external symptoms will be noticed
under the head of one of the orders of this class, the vegetable acrids.
In the chapter on the local action of poisons some account was given of
the several effects which are produced by the application of poisons to
the skin. It is there stated that some produce merely redness, that
others cause blistering, that others bring out a crop of deep-seated
pustules, that others corrode the tissues chemically, and so give origin
to a deep slough, and that others excite spreading inflammation of the
cellular tissue under the skin and between the muscles.
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