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 experiments of Orfila upon dogs show that on these animals it has a
twofold action, the one irritating, the other narcotic. He found that an
ounce and a half killed a dog in ninety minutes when the gullet was
tied, and a drachm another in twenty-nine hours: that death was preceded
by giddiness, slight convulsions, dilated pupil, insensibility and
palsy; that after death the stomach was externally livid, internally
reddish-black, and the heart filled in its left cavities with florid
blood; that when the gullet was not tied the animals recovered after
several attacks of vomiting, and general indisposition for twenty-four
hours; and that when the salt was applied externally to a wound it
excited violent inflammation, passing on to gangrene, but without any
symptom which indicated a remote or indirect operation.[448] Mr. Blake
found that this salt, when injected into the veins of a dog in the dose
of fifteen grains dissolved in twenty-four parts of water, causes sudden
depression and arrestment of the action of the heart, and death in less
than a minute; but that, like other salts of potash, it has no influence
on the capillaries of the lungs, though a powerful effect in obstructing
the systemic capillary system.[449]—When taken in the ordinary way, it
is absorbed in the course of its action, and has been detected both in
the blood and the urine by Kramer of Milan.[450]
As to its effects on man, it must first be observed, that considerable
doses are necessary to cause serious mischief. In the quantity of one,
two, or three scruples, it is given medicinally several times a day
without injury; and Dr. Alexander found by experiments on himself, that
an ounce and a half, if largely diluted, might thus be safely
administered in the course of twenty-four hours.[451] Sometimes, too,
even large single doses have been swallowed with impunity. A gentleman
of my acquaintance once took nearly an ounce by mistake for Glauber’s
salt, and retained it above a quarter of an hour: nevertheless, except
several attacks of vomiting, no unpleasant symptom was induced. M.
Tourtelle has even related an instance where two ounces were retained
altogether and caused only moderate griping, with considerable purging
and flow of urine.[452] Resting on such facts as these Tourtelle, with
some physicians in more recent times,[453] has maintained that nitre is
not a worse poison than other saline laxatives; and some practitioners
of the present day have consequently ventured to administer it for the
cure of diseases, in the quantity of half an ounce in one dose.[454] It
is not easy to say, why these large doses are at times borne by the
stomach without injury,—whether the cause is idiosyncrasy, or a
constitutional insensibility engendered by disease, or some difference
in the mode of administering the salt. But at all events, the facts
which follow will leave no doubt that in general it is a dangerous and
rapid poison in the dose of an ounce.
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