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
Another kind of coloration of the inner membrane of the stomach, which
may be shortly alluded to, because it has actually been mistaken for the
effect of irritation from poison, although by no means like it,—is
staining of the membrane with a reddish, brownish, yellowish, or
greenish tint, observed in bodies that have been kept some time, and
produced by the proximity of the liver, spleen, or colon if it contains
fæces. No unprejudiced and skilful inspector could possibly mistake this
appearance for inflammation. But under the impulse of prejudice it has
been considered such, and imputed to poison. On the occurrence of such
stains an attempt was made by the French to ascribe to poison the death
of the republican general Hoche. He died rather suddenly on his way from
Frankfort to join his troops; and as poisoning was suspected, the body
was opened in the presence of three French army-surgeons, and a French
and two German physicians. The only appearance of note in the alimentary
canal was two darkish spots on the villous coat of the stomach. The
surgeons drew up a report which imputed his death to poison; but the
physicians refused to sign it; and other medical people who were
subsequently added to the commission decided with the latter.[200] The
surgeons probably would not have been so hasty, if they had not known
that the result of their complaisance would have been the levying of a
heavy fine on the inhabitants.
The last kind of discoloration of the inner coat which requires mention
is dyeing from the presence of coloured fluids in the contents. A
remarkable instance has been recorded where redness of this nature was
mistaken for inflammation, and the death of the individual in
consequence ascribed at first to poison. A person long in delicate
health died suddenly after taking a laxative draught; and the stomach,
as well as the gullet, being found on dissection red and livid in
various places, it was hastily inferred by his medical attendants, that
these appearances were the effect of poison, and that the apothecary had
committed some fatal error in compounding the draught. But another
physician, who was acquainted with the deceased, although he did not
attend him professionally, strongly suspected he had died a natural
death; and happening to know he was in the practice of taking a strong
infusion of corn-poppy, inferred that the supposed signs of inflammation
were merely stains arising from the habitual use of this substance.
Accordingly, on making the experiment, he found that in dogs to which a
similar infusion was given, appearances were produced identically the
same.[201]
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