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
It is alleged to be contrary to nature’s rule to adopt two ways of
attaining the same end; and therefore, that, since many poisons
undoubtedly act through absorption, it is unphilosophical to hold that
others act by sympathy. There seems no sound reason, however, for thus
imposing arbitrary limits on the functional powers conferred by nature
on the organs of the animal body. And besides, the presumption thus
derived is counterbalanced by the equally plausible supposition,
that,—since nature has clearly established an action on remote organs
through the medium of the nerves in the case of poisons which cause
destruction or inflammation of the tissues to which they are
applied,—the same medium of action may also exist in the instance of
poisons which produce merely a peculiar nervous impression where they
are applied.
But it is farther alleged, that poisons of the most energetic action
have no effect, when they are applied to a part, the connection of which
with the general system is maintained by nerves only. It is true that
poisons seem to have no effect whatever when the circulation of the part
to which they are applied has been arrested, or when every connecting
tissue has been severed except the nerves. Thus Emmert found that the
wourali poison does not act on an animal when introduced into a limb
connected with the body by nerves alone.[18] And I have ascertained that
in the same circumstances no effect is produced on the dog by pure
hydrocyanic acid dropped into the cellular tissue of the paw. But it
cannot be inferred absolutely from these facts, that the wourali poison
and hydrocyanic acid do not act through sympathy; because it has been
urged that the integrity of the functions of the sentient extremities of
the nerves, more especially their capability of receiving those nervous
impressions which are held to be communicated backwards along their
course, may be interrupted by arresting the circulation of the part.
Still, as the function of sensation is maintained for some time in a
severed limb connected with the trunk by nerves only, there is a
probability, that all other functions of the nerves must be retained for
a time also. And the presumption thus arising is strengthened by an
imperfect experiment performed by Mr. Blake, which tends to show,
although it does not absolutely prove, that a poison, introduced into
the severed limb whose nervous connection with the trunk is entire, will
not act, even if the blood be allowed to enter the limb by its artery
and to escape from a wound in its vein, so that local circulation is in
some measure maintained, without the blood returning to the trunk and
general system.[19]
On considering impartially all the facts that have been adduced in this
inquiry, an impression must be felt that the doctrine of the sympathetic
action of those poisons which produce merely a nervous local impression
is insecurely founded. But an _experimentum crucis_ is still wanted to
decide the question.
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