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
fumes of ammonia from a broken carboy, awoke in three-quarters of an
hour, with the mucous membrane of the mouth and nostrils corroded, and a
bloody discharge from the nose. A severe attack of bronchitis followed,
during which he could not speak for six days; but being actively treated
with antiphlogistic remedies, he recovered.[476]—An extraordinary case
has been published by Mr. Paget of death from injecting ammonia into the
blood-vessels. A solution weak enough to allow of the nose being held
over it was injected into a nævis in a child two years old. An attack of
convulsions immediately followed, and in a minute the child
expired.[477]
Nysten’s case is the only one in the human subject in which the _morbid
appearances_ were ascertained. The nostrils were blocked up with an
albuminous membrane. The whole mucous coat of the larynx, trachea,
bronchi, and even of some of the bronchial ramifications, was mottled
with patches of lymph. The gullet and stomach showed red streaks here
and there; and there was a black eschar on the tongue, and another on
the lower lip.
_Of Poisoning with Hydrochlorate of Ammonia._—The effects of the
hydrochlorate of ammonia on animals have been examined by Professor
Orfila and Dr. Arnold; but I have not yet met with any instance of its
operation as a poison on man. When given to dogs it irritates and
inflames the parts it touches, and causes the ordinary symptoms of local
irritation. But it also acts remotely. For, first, like arsenic, and
other poisons of the third order of irritants, it produces inflammation
of the stomach, in whatever way it is applied to the body,—Orfila having
found that organ affected when the salt was applied to the subcutaneous
cellular tissue;[478] and, secondly, according to the experiments of
Arnold, it causes, when swallowed, excessive muscular weakness, slow
breathing, violent action of the heart, and tetanic spasms,—effects
which cannot arise from mere injury of the stomach. Half a drachm will
thus kill a rabbit in eight or ten minutes;[479] and two drachms a small
dog in an hour.[480]
CHAPTER XII.
OF POISONING WITH THE ALKALINE SULPHURETS.
The liver of sulphur, or sulphuret of potass of the pharmacopœias, the
last poison of this order to be mentioned, is allied to the ammoniacal
salts in action. It is of no great consequence in a toxicological point
of view in this country, being put to little use; but several accidents
have been caused by it in France, where it is employed for manufacturing
artificial sulphureous waters; and farther, its properties should be
accurately ascertained, because till lately it was erroneously resorted
to as an antidote for some metallic poisons.
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