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
ensue, namely, a sympathetic injury of distant organs.
But it remains to be considered, whether distant organs may sympathize
also with the peculiar local impressions called nervous,—which are not
accompanied by any visible derangement of structure. This variety of
action by sympathy is the one which has chiefly engaged the attention of
toxicologists; and it has been freely resorted to for explaining the
effects of many poisons. Nevertheless its existence is doubtful.
The only important arguments in support of the sympathetic action of
poisons are, that unequivocal instances exist of local nervous
impressions being conveyed to a limited extent along the nerves,—and
that the rapidity of the effects of some poisons is so great as to be
incompatible with any other medium of action except the nervous system.
In the first place it is maintained, that a limited nervous
transmission, that is, the conveyance of a local impression, purely
functional in its nature, to parts at a short distance from the texture
acted on directly, must occur in some instances,—as, for example, in the
action of belladonna in dilating the pupil when applied to the
conjunctiva of the eye, and in the effect of opium in allaying
deep-seated pain when applied to the integuments over the affected part.
It is by no means clear, however, that nervous transmission is in such
circumstances the only possible medium of action; and that the phenomena
may not as well be owing to the agent being conveyed in substance, by
imbibition or absorption, to the parts ultimately acted on. It is not
unworthy of remark too, that in the case of hydrocyanic acid,—a poison,
which, more perhaps than any other, has been held to act by sympathy,
and which produces on the integuments a direct local impression of a
peculiar and unequivocal kind,—there is positive evidence of the direct
impression not being conveyed along the nerves, even to the most limited
distance; for I have not been able to observe the slightest effect
beyond the abrupt line on the skin which defines the spot with which the
acid had been in contact.
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