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. _Quantity_ affects their action materially. Not only do they produce
their effects more rapidly in large doses; it is sometimes even quite
altered in kind. A striking example has just been related in the case of
oxalic acid; which, according to the dose, may corrode the stomach, or
act on the heart, or on the spine, or on the brain. In like manner
arsenic in a small dose may cause gastritis of several days’ duration;
while a large dose may prove fatal in two or three hours by affecting
the action of the heart. White hellebore in small doses excites
inflammation in the stomach and bowels, in larger doses giddiness,
convulsions, coma; and in either way it may prove fatal.
2. _As to state of aggregation_,—poisons act the more energetically the
more minutely they are divided, and hence most energetically when in
solution. Some which are very energetic in the fluid state, hardly act
at all when undissolved. Morphia, the alkaloid of opium, may be given in
powder to a dog without injury in a dose, which, if dissolved in oil or
alcohol, would soon kill several. Previously dissolving poisons favours
their action in two ways,—by diffusing them quickly over a large
surface, and by fitting them for entering the bibulous vessels. Poisons,
before being absorbed, must be dissolved; and hence, those which act
though solid and insoluble in water, must, as a preliminary step, be
dissolved by the animal fluids at the mouths of the vessels. In this way
the poisonous effects of carbonate of baryta and arsenite of copper are
explained; for though insoluble in water, they are soluble in the juices
of the stomach.
Differences in aggregation, like differences in quantity, may affect the
kind as well as the degree of action. Camphor in fragments commonly
causes inflammation of the stomach; dissolved in spirit or olive oil, it
causes delirium or tetanus and coma.
The reduction of certain poisons to the state of vapour serves the same
end as dissolving them. When poisons are to be introduced by the skin,
no previous operation is more effectual than that of converting them
into vapour.
3. The next modifying cause is _chemical combination_. This is sometimes
nothing more than a variety of the last. If a poison, in combining with
another substance, acquire greater solubility, it also generally
acquires greater activity, and _vice versa_: Morphia, itself almost
inert, because insoluble, becomes active by uniting with acids, for they
render it very soluble: Baryta as a very active poison, becomes quite
inert by uniting with sulphuric acid, for the sulphate of baryta is
altogether insoluble.
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