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
This poison acts with violence, and produces nearly the same effects to
whatever texture of the body it is applied. It causes death with great
rapidity when injected into the sac of the peritonæum, or into that of
the pleura; it acts with still greater quickness when injected into a
vein; and it also acts when injected into the cellular tissue beneath
the skin, but with much less celerity than through any other channel.
Eight grains injected into the jugular vein of a dog occasioned almost
immediate death: Thirty-three grains injected into the pleura killed
another in twelve minutes. The same quantity did not prove fatal, though
it caused violent effects, when retained in the stomach by a ligature on
the gullet. One hundred and sixty grains injected under the skin of the
thigh and belly did not prove fatal for about ten hours. The symptoms
were nearly the same in every case.[402]
It is probable from the facts now stated, that oxalic acid, when not
sufficiently concentrated to occasion death by the local injury
produced, acts on the nervous system through the medium of the blood.
Nevertheless it is a remarkable circumstance that it cannot be detected
in that fluid. Mention has already been made of an experiment performed
by Dr. Coindet and myself (p. 22), where even after the injection of
eight grains of oxalic acid into the femoral vein, and the consequent
death of the animal in thirty seconds, none of the poison could be
detected in the blood of the iliac vein or vena cava. Similar results
have been more lately obtained by Dr. Pommer. In dogs killed by the
gradual injection of from five to thirty grains into the femoral vein,
he never could detect the poison in the blood of the right side of the
heart or great veins, except in the instance of the largest doses, where
a little could be detected near the opening in the vein. Dr. Pommer’s
experiments likewise agree with those of Dr. Coindet and myself as to
the absence of any change in the physical qualities of the blood.[403]
When to these circumstances it is added that very small quantities of
oxalic acid may be detected in blood, into which it has been introduced
immediately after removal from the body by venesection, it appears
reasonable to conclude that the poison is quickly decomposed in the
blood by vital operations.
According to Orfila, however, it may be detected in the urine, in which
crystals of oxalate of lime form on cooling, and more may be obtained on
the addition of hydrochlorate of lime. Yet he could not detect any
oxalic acid in the liver or spleen.[404]
In man the most prominent symptoms hitherto observed have been those of
excessive irritation, because it has been almost always swallowed in a
large dose and much concentrated.
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