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
_Application of the preceding remarks to the Treatment of Poisoning._ As
an appendix to what has been said respecting the physiological action of
poisons, and the causes by which it is liable to be modified, I shall
here state shortly certain applications to the treatment of poisoning.
In the instance of internal poisoning, the great object of the physician
is to administer an antidote or counter-poison. Antidotes are of two
kinds. One kind takes away the deleterious qualities of the poison
before it comes within its sphere of action, by altering its chemical
nature. The other controls the poisonous action after it has begun, by
exciting a contrary action in the system. In the early ages of medicine
almost all antidotes were believed to be of the latter description, but
in fact very few antidotes of the kind are known.
Chemical antidotes operate in several ways, according to the mode of
action of the poison for which they are given. If the poison is a pure
corrosive, such as a mineral acid, it will be sufficient that the
antidote destroy its corrosive quality: Thus the addition of an alkali
or earth will neutralize sulphuric acid, and destroy or at least
prodigiously lessen its poisonous properties. In applying this rule care
must be taken to choose an antidote which is either inert in itself, or,
if poisonous, is, like the poison for which it is given, a pure
corrosive or local irritant, and one whose properties are reciprocally
neutralized.
If the poison, on the other hand, besides possessing a local action,
likewise acts remotely through absorption, or by an impression on the
inner coat of the vessels, mere neutralization of its chemical
properties is not sufficient; for we have seen above that such poisons
act throughout all their chemical combinations which are soluble. Here,
therefore, it is necessary that the chemical antidote render the poison
insoluble or nearly so; and insoluble not only in water, but likewise in
the animal fluids, more particularly the juices of the stomach. The same
quality is desirable even in the antidotes for the pure corrosives; for
it often happens that in their soluble combinations these substances
retain some irritating, though not any corrosive power. When we try by
the foregoing criterions many of the antidotes which have been proposed
for various poisons, they will be found defective; and precise
experiments have in recent times actually proved them to be so.
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