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
Some poisons act specifically on the _spinal cord_. Those which are best
known to possess such an action are nux-vomica, the other species of
plants which, like it, contain strychnia, and also conia and the wourali
poison. The tribe of poisons of which nux-vomica may be taken as the
type excite violent fits of tetanus, during the intervals of which the
mind and external senses are quite entire; and death takes place during
a paroxysm, apparently from suffocation caused by spasmodic fixing of
the chest. Their action on the spine is quite independent of any action
on the brain; if indeed such action exist at all. For when the spinal
cord is separated from the brain by dividing the medulla oblongata, the
effects on the muscles supplied by the spinal cord are produced as
usual.[47] Conia, the active principle of hemlock, according to my own
researches, produces in the lower animals, howsoever introduced,
gradually increasing paralysis, without insensibility or delirium, and
without the circulation or respiration being for some time affected,
till at length death takes place from stoppage of the breathing by palsy
of the respiratory muscles; and after death the heart continues beating
vigorously, the muscles contract when irritated, and arterialization of
the blood in the lungs may be kept up long by maintaining artificial
respiration. In this instance it would appear, that the first effect is
arrestment of the functions of the spinal cord; that the paralysis does
not depend upon a direct action on the muscles; and that neither the
brain, heart, nor lungs can be influenced, except secondarily through
the consequences of general muscular paralysis.[48] Many poisons which
act on the brain also act on the spinal cord.
Other poisons apparently possess the singular property of impeding or
arresting the _general capillary circulation_, and produce their
tangible effects more or less through the medium of this operation. Such
at least are the inferences which seem to flow from the researches of
Mr. Blake; who found that many substances, soon after they are injected
backwards by the axillary artery into the aorta, produce increased
pressure in the arterial system indicated by the hæmadynamometer during
life, and frequently congestion of the membranous textures as observed
after death. Some substances have no effect of this kind. Others act on
the general capillaries in concurrence with a similar action on the
capillaries of the pulmonary circulation, such as the salts of strontia,
baryta, lead, silver, and soda, euphorbium, tobacco and digitalis. But a
few, such as potash and ammonia, with their salts, seem to influence the
capillaries of the general circulation only.[49] These are important
conclusions, if legitimate; but it cannot be denied, that the facts on
which they are based must be very difficult to isolate and observe with
accuracy and without bias.
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