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
A set of novel and important facts setting forth the frequent operation
of poisons on the lungs when they are admitted directly into the blood,
has been recently brought to light by the researches of Mr. Blake. Many
of the poisons mentioned above as acting powerfully on the heart were
found by him not to exert any influence upon the lungs, such as oxalic
acid and the salts of magnesia, lime, zinc, copper, ammonia, potash, and
strychnia. Others, however, such as the salts of strontia, baryta, lead,
and silver, as well as digitalis, all of which powerfully affect the
heart, and, in addition to these, the salts of soda, which have no
action at all on the heart, and hydrocyanic acid, tobacco, and
euphorbium, which influence it feebly, or even dubiously,—produce, when
injected into the jugular vein, obstruction of the capillaries of the
pulmonary circulation, and consequently asphyxia. This is proved by the
hæmadynamometer introduced into a vein indicating great increase of
pressure in the venous circulation a few seconds after the introduction
of the poison; by this instrument introduced into the femoral artery
indicating great diminution of arterial pressure, although the heart
continues to beat vigorously; by the breathing becoming at the same time
laborious, without the heart suffering; by these symptoms preceding any
signs of action on the nervous system; by the heart pulsating for some
time after death; and in many instances by frothy mucus having
accumulated in the air-passages, and congestion and extravasation having
taken place in the lungs themselves.[44]
A great number of the poisons whose action is remote, operate on the
_brain_. The most decided proof of such an action is the nature of the
symptoms; which are, giddiness, delirium, insensibility, convulsions,
palsy, coma. Some physiologists have also sought for evidence in the
body after death, and have imagined they found it in congestion of the
vessels in the brain, and even extravasation of blood there; but it will
be seen under the head of Narcotic Poisons that such appearances are far
from being essential, and indeed are seldom witnessed. All narcotic
poisons act on the brain, and most narcotico-acrids too; but very
frequently other organs are affected at the same time, and in particular
the spine and heart.
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