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
On the mucous membrane of the pulmonary air-cells and tubes, poisons act
with a rapidity which is scarcely surpassed by their direct introduction
into a vein. This is plainly owing to the exceeding delicacy and wide
surface of the membrane. Hence three or four inspirations of carbonic
oxide gas will cause instant coma. A single inspiration of the noxious
gas of privies has caused instant extinction of sense and motion. Nay,
liquid poisons have been known to act through the same channel with
almost equal swiftness. For M. Ségalas found that a solution of extract
of nux-vomica caused death in a few seconds when injected in sufficient
quantity into the windpipe; and that half a grain will thus kill a dog
in two minutes, while two grains will rarely prove fatal when injected
into the stomach, peritonæum, or chest.[57]
As to the nervous tissue, it is a fact worthy of mention, that the
poisons which appear to act on the sentient extremities of the nerves,
do not act at all on the cut surface of the brain and nerves, or upon
any part of the course of the latter. This has been proved with respect
to most active narcotics.
The power of the cellular tissue as a medium of absorption, has not
been, and cannot easily be, ascertained. On the one hand it is difficult
to apply poisons to it, without also applying them to the mouths of
divided vessels; and, on the other hand, it is difficult to make a set
of experiments for comparison with others on the stomach, pleura, or
peritonæum, as the cellular tissue does not form an expanded cavity, and
consequently, the extent of surface to which a poison is applied cannot
be made the same in each experiment of a series. It is a ready medium,
however, for admitting poisons into the blood, especially if an
artificial cavity be made where the tissue is loose, as, for example, by
separating the skin from the muscles of the back with the finger
introduced through a small incision in the integuments.
The variations caused by difference of tissue in the activity of poisons
have been viewed in the previous remarks as depending chiefly on the
relative quickness with which absorption goes on. But in this way it is
impossible to explain the whole amount of the differences sometimes
observed. Some poisons cause death when applied to a wound in the
minutest quantity, but are quite harmless when swallowed in large doses:
Others are diminished a little in activity, but still remain powerful
and fatal poisons. There is not much difference in the power of arsenic
when it is applied to different textures, the skin excepted. But oxalic
acid injected into the peritonæum will act eight or ten times more
rapidly than when swallowed and the poison of the viper may prove fatal
to a man through a wound in almost invisible doses, while the whole
poison of six vipers may be swallowed by so small a creature as a
blackbird, with complete impunity.[58] Differences in the absorbing
power of the tissues cannot explain these facts.
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