Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic — John Shaqi
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 effect of opium in medicinal doses is commonly pleasant and
salutary; but in some individuals it produces disagreeable and even
dangerous effects. Calomel, which in moderate doses is for the most part
a mild laxative or sialagogue, will cause in some people, even in the
dose of a few grains, violent salivation, ulceration of the mouth, nay,
fatal gangrene. On the other hand, a few substances, which to most
people are actively poisonous, have on some individuals comparatively
little effect. There are extremely few poisons, however, in regard to
which this kind of idiosyncrasy is well established and prominent.
Mercury and alcohol are examples. The compounds of mercury, which in
moderate quantity are mildly laxative or sialagogue to most people, but
to some persons dangerously poisonous in very small doses, would, on the
contrary, appear in other constitutions to be extremely inactive; for it
has occasionally been found impossible to bring on the peculiar
constitutional action of mercury by continuing the use of its
preparations for months together. In general children are not easily
affected by calomel as a sialagogue, but easily by its laxative action.
As to alcohol, it is a familiar fact, that independently of the effects
of habit, there are some constitutions which cannot be brought under the
influence of intoxicating liquors without an extraordinary quantity of
them and a long-continued debauch, while others are overpowered in a
short space of time, and by very moderate excess; and there is no reason
to doubt that very great constitutional differences also prevail in
regard to the operation of a single large dose. A rarer idiosyncrasy is
unusual insensibility to the action of opium. I am acquainted with a
gentleman unaccustomed to the use of opium who has taken without injury
nearly an ounce of good laudanum,—a dose which would certainly prove
fatal to most people.
But not only does idiosyncrasy modify the action of poisons: Through its
means, too, some substances are actually poisonous to certain
individuals, which to mankind in general are unhurtful, nay, even
nutritive.
With some people all kinds of red fish, trout, salmon, and even the
richer white fish, herring, mackerel, turbot, or holibut, disagree as it
is called—that is, act after the manner of poisons: They produce
fainting, sickness, pain of the stomach; and if they were not speedily
evacuated by vomiting, dangerous consequences might ensue. The same is
often the case with mushrooms. The esculent mushrooms act on some people
nearly in the same way as the poisonous varieties. Bitter almonds and
other vegetable substances that contain hydrocyanic acid, sometimes
produce stupor or nettle-rash in the small quantities used for seasoning
food. In like manner many flowers, which to most persons are agreeable
and not injurious, cannot be kept in the same room with some people on
account of the severe nervous affections that are developed.
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