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
In opposition to the theory of Dr. Addison and Mr. Morgan, and in
support of the doctrine, that poisons act by being carried in substance
with the blood into the tissues of the remote organs on which they act,
a variety of important experimental evidence has been brought forward
since the publications of the Essay of these gentlemen. In the first
place, the concurrent testimony of a great number of recent chemical
inquirers establishes undeniably, that poisons absorbed into the veins
of the part to which they are applied are to be detected throughout many
of the tissues of distant organs. This fact will be enlarged on and
illustrated presently. Secondly, on the authority of Mr. Blake, and in
contradiction of the experiments of Dr. Addison and Mr. Morgan, it
appears that, as already stated, poisons act more quickly when injected
into the aorta than into the venous system; a fact which is easily
understood, on considering that when injected into the aorta they reach
their destination directly, whereas, if injected into a vein they must
first arrive at the right side of the heart, and then be transmitted
through the circle of the pulmonary circulation before reaching even the
aorta. Thirdly, the relative rapidity with which poisons act on
different animals follows the ratio of the velocity of the circulation
in each. Thus, Mr. Blake found, that in the horse nitrate of baryta is
conveyed by the circulation from the jugular vein to the carotid artery
in sixteen seconds, and that strychnia injected into the jugular vein
begins to act on the nervous system after exactly the same interval:
That in the dog chloride of barium passes from the vein to the artery in
seven seconds, and extract of nux-vomica begins to act as a poison in
twelve seconds: That in the fowl the passage of the blood seems to take
place in six seconds, and the nitrate of strychnia to act in six seconds
and a half: And that in the rabbit the passage of the blood is effected
in four seconds only, and the first signs of the action of strychnia
occur in four seconds and a half.[36]
On the whole, then, it may be considered as well established, that
probably all, but certainly some, poisons,—of the kind whose topical
action does not consist in causing destruction or inflammation of the
textures to which they are applied,—produce their remote effects solely
by entering the blood, and through its means impregnating the organs
which are acted on at a distance. And farther, if this doctrine be
admitted as established, it may also be allowed, that many poisons which
do cause topically destruction or inflammation, and remotely the usual
sympathetic effects of these changes of structure, also possess the
power of affecting distant organs through the medium of the blood.
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