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
Facts such as these have been long held adequate to prove that some
poisons must act on remote organs by sympathy or transmission of a local
impulse along the nerves; and in the last edition of this work they were
acknowledged to warrant such a conclusion. It was thought difficult to
account for the phenomena on the supposition that the poison was
conveyed in substance with the blood to the organ remotely affected by
it; for it appeared impossible that, in so short a space of time as
elapsed in some of the instances now referred to, the poison could enter
the veins of the texture to which it was applied, pass into the right
side of the heart, follow the circle of the pulmonary circulation into
the left side of the heart, and thence be transmitted by the arterial
system to the capillaries of the organ ultimately affected. But the
progress of physiological discovery has lately brought the soundness of
these views into question. Some years ago Dr. Hering of Stuttgardt
showed that the round of the circulation may be accomplished by the
blood much more speedily than had been conceived before; for the
ferro-cyanide of potassium, injected into the jugular vein of a horse,
was discovered by him throughout the venous system at large in the short
space of twenty or thirty seconds, and consequently must have passed in
that period throughout the whole double circle of the pulmonary and
systemic circulation.[16] This discovery at once shook the validity of
many, though not all, of the facts which had been previously referred to
the agency of nervous transmission on the ground of the celerity with
which the effects of poisons are manifested. More recently an attempt
has been made by Mr. Blake to prove, that the circulation is so rapid as
to admit even of the swiftest cases of poisoning being referred to the
agency of absorption. Mr. Blake, who is altogether opposed to the
occurrence of nervous transmission in the instance of any poison, has
found that ammonia, injected into the jugular vein of a dog, was
indicated in its breath in four seconds; and that chloride of barium or
nitrate of baryta, introduced into the same vessel, could be detected in
the blood of the carotid artery in about sixteen seconds in the horse,
in less than seven seconds in the dog, in six seconds in the fowl, and
in four seconds in the rabbit.[17] These interesting discoveries,
however, will not absolutely destroy the conclusiveness of all the facts
quoted above in support of the existence of a sympathetic action. For
example they do not shake the validity of those observations, in which
it appeared that an interval inappreciable, or barely appreciable,
elapsed between the application and action of hydrocyanic acid and of
conia. Mr. Blake indeed denies the accuracy of these observations,
insisting that, in those he made himself with the most potent poisons,
he never failed to witness, before the poison began to act, an interval
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