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 stomach,—or because pulmonary inflammation is also at times
present,—or because the admission of air into the lungs is impeded by
the injury done to the epiglottis and entrance of the larynx. To these
symptoms are added occasional fits of suffocation from shreds of thick
mucus sticking in the throat, and sometimes croupy respiration, with
sense of impending choking.
Such is the ordinary train of symptoms in cases of the first variety.
But sometimes, especially when a large dose has been swallowed, instead
of these excruciating tortures, there is a deceitful tranquillity and
absence of all uneasiness. Thus, in the case of a woman who was poisoned
by her companions making her swallow while intoxicated aqua-fortis mixed
with wine, although she had at first a good deal of pain and vomiting,
there were subsequently none of the usual violent symptoms; and she died
within twenty hours, complaining chiefly of tenesmus and excessive
debility.[252] Occasionally eruptions break out over the body:[253] but
their nature has not been described.
Death is seldom owing to the mere local mischief, more generally to
sympathy of the circulation and nervous system with that injury.
According to Bouchardat death arises from the acid entering the blood in
sufficient quantity to cause coagulation.[254] But although this
certainly happens sometimes to the blood in the vessels of the stomach
and adjacent organs, as will be proved under the head of the morbid
appearances, there is no evidence that the same takes place throughout
the blood-vessels generally, or in the great veins and heart in
particular. Bouchardat’s proofs of the detection of sulphuric acid in
the blood are not satisfactory.
The duration of this variety of poisoning with the acids is commonly
between twelve hours and three days. But sometimes life is prolonged for
a week[255] or a fortnight;[256] and sometimes too death takes place in
a very few hours. The shortest duration among the numerous cases of
adults mentioned by Tartra is six hours;[257] but Dr. Sinclair, of
Manchester, has related a case which lasted only four hours and a
half;[258] a man lately died in the Edinburgh Infirmary within four
hours; and Professor Remer of Breslau once met with a case fatal in two
hours.[259]
The quantity required to produce these effects has not been ascertained,
and must be liable to the same uncertainty here as in other kinds of
poisoning. The smallest fatal dose of sulphuric acid I have hitherto
found recorded was one drachm. It was taken with sugar by mistake for
stomachic drops by a stout young man, and killed him in seven days.[260]
An infant of twelve months has been killed in twenty-four hours by half
a tea-spoonful, or about thirty minims.[261] A man has recovered after
taking six drachms.[262]
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