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
When caustic potass is injected in minute portions into the veins, it
instantly coagulates the blood. Five grains, according to Orfila, will
in this way kill a dog in two minutes. But when small doses either of
potash itself, or its carbonate, or indeed any of its salts are used,
Mr. Blake found, that without coagulating the blood, they arrested the
action of the heart in ten seconds, if injected into the jugular vein;
and that when they were injected into the carotid artery, they
occasioned in four seconds signs of great obstruction in the capillary
circulation, and arrestment of the heart’s action in thirty-five
minutes, through means of this effect. Next to the salts of baryta he
thought the potash salts the most powerful on the heart’s action of all
those he tried.[434] When introduced into the stomach potash acts
powerfully as an irritant, and generally corrodes the coats of that
organ. Thirty-two grains given by Orfila to a dog caused pain in the
gullet, violent vomiting, much anguish, restlessness, and death on the
third day. On dissection he found the inner coat of the gullet and
stomach black and red; and near the pylorus there was a perforation
three-quarters of an inch wide, and surrounded by a hard, elevated
margin. The observations of Bretonneau are in some respects different.
When potass was swallowed by dogs in the dose of 40 grains, he found
that the animals, after suffering for some time from violent vomiting,
always died sooner or later of wasting and exhaustion; and that the
action of the poison was confined chiefly to the gullet, which was
extensively destroyed and ulcerated on its inner surface. But when the
gullet was defended by the potass being passed at once into the stomach
in a caustic holder, larger doses, even several times repeated, did not
prove fatal. The usual violent symptoms of irritation prevailed for two
or three days; but on these subsiding, the animals rapidly recovered
their appetite and playfulness, appearing in fact to be restored to
perfect health. Yet there could be no doubt that the stomach all the
while was severely injured; for in some of the animals, which were
strangled for the sake of examination several weeks after they took the
poison, the villous coat was found extensively removed, and even the
muscular and peritonæal coats were here and there destroyed and
cicatrized. Bretonneau farther adds, that ten or fifteen grains
introduced into the rectum caused death sooner than three times as much
given by the mouth.
The carbonate of potass possesses properties similar in kind, but
inferior in degree to those of the caustic alkali. Two drachms given by
Orfila to a dog killed it in twenty-five minutes, violent vomiting and
great agony having preceded death. The stomach was universally of a
deep-red colour on its inner surface.
Potash and its carbonate are absorbed in the course of their action, and
may be detected by Orfila’s process in the liver, kidneys, and
urine.[435]
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