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 other kind of antidote operates not by altering the form of the
poison, but by exciting in the system an action contrary to that
established by the poison. On considering attentively, however, the
phenomena of the action of individual poisons, it will be found
exceedingly difficult to say what is the essence of a contrary action,
and still more how that counter-action is to be brought about.
Accordingly, few antidotes of the kind are known. Physiology or
experience has not yet brought to light any mode of inducing an action
counter to that caused by arsenic and most of the irritant class of
poisons. It appears probable that the remote operation of lead may be
sometimes corrected by mercury given to salivation, and that the violent
salivation caused by mercury may be occasionally corrected by nauseating
doses of antimony. But these are the only instances which occur to me at
present of antidotes for irritant poisoning which operate by
counter-action, unless we choose to designate by the name of antidote
the conjunction of remedial means which constitute the antiphlogistic
method of cure. In the class of narcotics we are acquainted with equally
few constitutional antidotes, although the nature of the action of these
poisons seems better to admit of them. Ammonia is to a certain extent an
antidote for hydrocyanic acid, but by no means so powerful as some
persons believe; and I am not sure that in this class of poisons we can
with any propriety mention another antidote of the constitutional kind.
On the whole, then, it is chiefly among the changes induced by chemical
affinities that the practitioner must look for counter-poisons; and the
ingenuity of the toxicologists has thence supplied the materia medica
with many of singular efficacy. When given in time, magnesia or chalk is
an antidote for the mineral acids and oxalic acid, albumen for corrosive
sublimate and verdigris, bark for tartar-emetic, common salt for lunar
caustic, sulphate of soda or magnesia for sugar of lead and muriate of
baryta, chloride of lime or soda for liver of sulphur, vinegar or oil
for the fixed alkalis; and these substances act either by neutralizing
the corrosive power of the poison, or by forming with it an insoluble
compound.
In recent times a new object in the treatment of poisoning has been
pointed out by the discoveries made in its physiology. As it has been
proved that many of the most deadly poisons enter the blood, and in all
probability act by circulating with that fluid, so it has been inferred
that an important object in the treatment is to promote their discharge
by the natural secretions. In support of this reasonable inference it
has been lately rendered probable by Orfila, as will be seen under the
head of the treatment of the effects of arsenic, that it is of great
advantage in some forms of poisoning to increase the discharge of urine.
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