Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
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Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
Arsenic belongs to those poisons which act with nearly the same energy
whatever be the organ or texture to which they are applied. The
experiments of Sproegel,[573] repeated by Jaeger,[574] and by Sir
Benjamin Brodie,[575] leave no doubt, that when applied to a fresh wound
it acts with at least equal rapidity as when swallowed. Although in such
circumstances the signs of irritation are often distinct, yet the
symptoms are on the other hand sometimes more purely narcotic than by
any other mode of administering it,—Sir B. Brodie in particular having
observed loss of sense and motion to be induced, along with occasional
convulsions. Arsenic likewise acts with energy when applied to the
conjunctiva of the eye, as was proved by Dr. Campbell. It acts too with
great energy when inhaled in the state of vapour into the lungs, or in
the form of arseniuretted-hydrogen. It farther acts with violence
through the mucous membrane of the vagina, producing local inflammation,
and the usual constitutional collapse. These facts were determined
experimentally by the Medical Inspectors of Copenhagen on the occasion
of a singular trial which will be noticed afterwards. Arsenic also acts,
as may easily be conceived, when injected into the rectum. And farther,
it acts as a poison, when it is applied to the surface of ulcers, yet
certainly not under all circumstances. Its power of acting through the
unbroken skin has been questioned. Jaeger found that, when it was merely
applied and not rubbed on the skin of animals, it had no effect.[576]
But some cases will be afterwards mentioned which tend to show that the
reverse probably holds in regard to man. According to the last-mentioned
author, who is the only experimentalist that has hitherto examined the
subject consecutively, arsenic is most active when injected into a vein,
or applied to a fresh wound, or introduced into the sac of the
peritonæum; it is less powerful when taken into the stomach; it is still
less energetic when introduced into the rectum; and it is quite inert
when applied to the nerves.
It is a striking fact in the action of that poison that, whatever be the
texture in the body to which it is applied, provided death do not ensue
quickly, it almost always produces symptoms of inflammation in the
stomach; and on inspection after death traces of inflammation are found
in that organ. In some instances of death caused by its outward
application, the inflamed appearance of the stomach has been greater
than in many cases where it had been swallowed. Sproegel met with a good
example of this in a dog killed by a drachm applied to wounds. The whole
stomach and intestines, outwardly and inwardly, were of a deep-red
colour, blood was extravasated between the membranes, and clots were
even found in the stomach.[577]
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