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
Taylor thinks his own cases mentioned above throw doubt over
this inference. But it must be remembered, that his patients had dined
just before taking the poison.
It is not improbable that the activity of oxide of arsenic is impaired
by admixture with other insoluble powders. M. Bertrand, conceiving from
some experiments on animals that he had found an antidote for arsenic in
charcoal powder, took no less than five grains of the oxide mixed with
that substance, and he did not suffer any injury, although his stomach
was empty at the time, and he did not vomit.[597] But Orfila afterwards
showed, that other insoluble powders, such as clay, have the same
effect; that no such powder can be of any use if not introduced into the
stomach till after the arsenic is swallowed; and that they appear to act
solely by enveloping the arsenical powder and preventing it from
touching the membrane of the alimentary canal.[598] Although M.
Bertrand’s discovery will not supply the physician with an antidote, the
medical jurist will not lose sight of the interesting fact, that, by
certain mechanical admixtures, arsenic in moderate doses may be entirely
deprived of its poisonous quality. A singular case of recovery from no
less a dose than sixty grains, which happened in the case of an American
physician, probably comes under the same head with the experiments of
Bertrand,—a large quantity of powder of cinchona-bark having been
swallowed along with the arsenic. In this case, however, the symptoms
were severe for three days.[599]
The tendency of habit to modify the action of arsenic is questionable.
So far as authentic facts go, habit has no power of familiarizing the
constitution to its use. One no doubt may hear now and then of
mountebanks who swallow without injury entire scruples or drachms of
arsenic, and vague accounts have reached me of patients who took
unusually large doses for medicinal purposes. But as to facts of the
former kind, it is clear that no importance can be attached to them; for
it is impossible to know how much of the feat is genuine, and how much
legerdemain. With respect to the latter facts, I have never been able to
ascertain any precise instance of the kind; and so far as my own
experience goes, the habit of taking arsenic in medicinal doses has
quite an opposite effect from familiarizing the stomach to it.
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