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
1. In one order of cases, then, arsenic produces symptoms of irritation
or inflammation along the course of the alimentary canal. Such cases are
the most frequent of all. The person commonly survives twenty-four
hours, seldom more than three days; but instances of the kind have
sometimes proved fatal in a few hours, and others have lasted for weeks.
On the whole, however, if the case is much shorter than twenty-four
hours, or longer than three days, its complexion is apt to be altered.
In the mildest examples of the present variety recovery takes place
after a few attacks of vomiting, and slight general indisposition for a
day or two.
In regard to the ordinary progress of the symptoms, the first of a
decisive character are sickness and faintness. It is generally thought
indeed that the first symptom is an acrid taste; but this notion has
been already shown to be erroneous. For some account of the sensations
felt in the act of swallowing the poison, the reader may refer to what
has been stated in p. 200. There is no doubt, that in the way in which
arsenic is usually given with a criminal intent, namely, mixed with
articles of food, it seldom makes any impression at all upon the senses
during the act of swallowing.
In some instances the sickness and faintness, particularly when the
poison was taken in solution, have begun a few minutes after it was
swallowed. Thus in a case mentioned by Bernt, in which a solution of
arseniate of potass was taken, the symptoms began violently in fifteen
minutes;[602] in one related by Wildberg, where the oxide was given in
coffee, the person was affected immediately on taking the second
cup;[603] in one related by Mr. Edwards, the patient was taken ill in
eight minutes,[604] in one mentioned by M. Lachèse of Angers, violent
symptoms commenced within ten minutes after the poison was swallowed
with prunes;[605] in a case communicated to me by Mr. J. H. Stallard of
Leicester, the symptoms set in with violence ten minutes after it was
taken dissolved in tea; nay, in a case of poisoning with orpiment in
soup, mentioned by Valentini, the man felt unwell before he had finished
his soup, and set it aside as disagreeable.[606] It is a mistake
therefore to suppose, as I have known some do, that arsenic never begins
to operate for at least half an hour. Nevertheless it must be admitted,
that in general arsenic does not act for half an hour after it is
swallowed.—On the other hand, its operation is seldom delayed beyond an
hour. The following, however, are exceptions to this rule. Lachèse in
the paper quoted above mentions an instance where the interval was two
hours, and where the issue was eventually fatal. The arsenic had been in
very coarse powder. Mr. Macaulay of Leicester has communicated to me a
case where the individual took the poison at eight in the evening, went
to bed at half-past nine, and slept till eleven, when he awoke with
slight pain in the stomach, vomiting, and cold sweats. In this instance
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