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
The cutaneous absorption is slow, on account of the obstacle presented
by the cuticle, and by the intricate capillaries of the true skin.
Accordingly many active poisons are quite inert when applied to the
unbroken skin, or even to the skin deprived of the cuticle. Hydrocyanic
acid, perhaps the most subtle of all poisons, was found by Coullon to
have no effect when dropped on the skin of a dog.[55] Some authors have
even gone so far as to deny that poisons can be absorbed at all through
the skin, unless they are pressed by friction through the cuticle. But
this is an error; most gaseous poisons, such as carbonic acid and
sulphuretted hydrogen, and some solid poisons when volatilized, such as
the vapours of cinnabar, will act though simply placed in contact with
the skin; and there is distinct evidence that corrosive sublimate will
bring on mercurial action in the form of a warm bath, or when used as a
liniment.
On the mucous membrane of the stomach and intestines, poisons act much
more energetically than on the skin; which clearly depends in a great
measure on the superior rapidity of absorption there,—or, according to
some, on the facility with which poisons come in contact with the
sentient extremities of nerves.
The serous membranes possess an activity of absorption which hardly any
other unbroken texture can equal. Accordingly many poisons act much more
rapidly through the peritonæum than through the stomach. When oxalic
acid is introduced under the same collateral circumstances into the
stomach of one dog and the peritonæum of another, the dose may be so
apportioned, that the same quantity, which does not prove fatal to the
former, kills the latter in fourteen minutes.[56]
While the preceding modes in which poisons enter the blood are indirect,
they may be introduced directly by a wound in the vein. There is no way
in which poisons, that act through the blood, prove more rapidly fatal.
Some which act very slowly through the stomach cause instant death when
injected into a vein. A peculiar variety of this mode of introducing
poisons deserves to be distinguished, namely, the application of them to
a wound. If the surface bleeds freely, they may not act at all, because
they are washed away. But if they adhere, they soon enter the divided
veins. Hence, if they act in small doses, this mode of applying them is
hardly less direct than if they were at once injected into a vein.
So far the effect of difference in tissue has been determined. Poisons
that act through the blood act least energetically on the skin, more
actively on the alimentary mucous membrane, still more so on serous
membranes, and most powerfully of all when introduced directly into a
vessel. There are other textures, however, which merit notice, although
their place in the scale of activity has not been exactly settled.
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