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
An interesting series of investigations has been lately made by Mr.
Blake, relative to the influence of poisons on the heart, when they are
directly introduced into the great veins. It does not absolutely follow
that an action on the heart manifested in this way proves the occurrence
of a similar action when the substance is admitted into the body through
more ordinary channels, such as the stomach, intestines or cellular
tissue. For on the one hand, some of the substances used by this
physiologist cannot be admitted into the blood through ordinary channels
in the quantity necessary for developing that action on the heart, which
is excited when they are injected at once into the blood-vessels. And on
the other hand, the results at which he thus arrives are not always in
conformity with what have been obtained by prior observers, who resorted
to the ordinary channels for introducing poisons into the body. It is
possible, therefore, that Mr. Blake’s researches may not have the
extensive bearings, which might at first sight appear, on the physiology
of poisons and remedies. Nevertheless they are in themselves full of
interest. They show that the salts of magnesia, zinc, copper, lime,
strontia, baryta, lead, silver, ammonia, and potash, also oxalic acid,
and digitalis, if injected into the jugular vein, produce a powerful and
permanent depression of the heart’s action; which is evinced by the
hæmadynamometer,[41] indicating diminution of pressure in the great
arteries, by the heart becoming motionless or nearly so before the
breathing ceases, by its muscular structure presenting little or no
irritability when stimulated immediately after death, and by the left
cavities being found full of florid arterial blood.[41]
Other poisons act on the _lungs_; but probably few, perhaps none, act on
them alone. Magendie found that in poisoning with tartar-emetic the
lungs are commonly inflamed and sometimes even hepatized.[42] Mr. Smith
and M. Orfila both remarked similar signs of pulmonary inflammation in
animals poisoned with corrosive sublimate.[43] But these poisons produce
important effects on other organs likewise.
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