Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
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Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
In the instance of external poisoning the main object of the treatment
is to prevent the poison from entering the blood, or to remove it from
the local vessels which it has entered.
One mode, which has been known to the profession from early times, and
after being long in disuse was lately revived by Sir D. Barry, and
applied with success to man, is the application of cupping-glasses to
the part where the poison has been introduced.[60] This method may act
in various ways. It certainly prevents the farther absorption of the
poison by suspending for a time the absorbing power of the vessels of
the part covered by the cup. It also sucks the blood out of the wound,
and may consequently wash the poison away with it. Possibly it likewise
compresses the nerves around, and prevents the impression made by the
poison on their sentient extremities from being transmitted along their
filaments.
Another mode is by the application of a ligature between the injured
part and the trunk, so as to check the circulation. This is a very
ancient practice in the case of poisoned wounds, and is known even to
savages. But as usually practised it is only a temporary cure: As soon
as the ligature is removed the effects of the poison begin. It may be
employed, however, for many kinds of poisoning through wounds, so as to
effect a radical cure. We have seen that most poisons of the organic
kingdom are in no long time either thrown off by the system or
decomposed in the blood. Hence if the quantity given has not been too
large, recovery will take place. Now, by means of a ligature, which is
removed for a short time at moderately distant intervals, a poison,
which has been introduced into a wound beyond the reach of extraction,
may be gradually admitted into the system in successive quantities, each
too small to cause death or serious mischief, and be thus in the end
entirely removed and destroyed. Such is a practical application which
may be made of some ingenious experiments performed not long ago by M.
Bouillaud with strychnia, the poisonous principle of nux-vomica.[61]
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