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
Not many years ago it was the custom to decide questions of poisoning
from the symptoms only. Till the close of last century, indeed, no other
evidence was accounted so infallible: and for the simple reason, that in
reality the other branches of evidence were even more imperfectly
understood. So lately as 1763, and even in Germany, the solemn opinions
of whole colleges were sometimes grounded almost exclusively on the
symptoms.[67] About that time, however, doubts began to be entertained
of the infallibility of such evidence; these doubts have since assumed
gradually a more substantial form; and it is now laid down by every
esteemed author in Medical Jurisprudence, that the symptoms, however
exquisitely developed, can never justify an opinion in favour of more
than high probability.[68] In laying down this doctrine medical jurists
appear to me to have injudiciously confounded together actual symptoms
with their general characteristics. If the doctrine is to be held as
applying to the evidence from symptoms, only so far as they are viewed
in questions of general poisoning,—that is, as applying to the general
characters merely of the symptoms,—it is deduced from accurate
principles. But if it is likewise to be applied, as recent authors have
done, to the actual symptoms produced by particular poisons, and in all
cases whatever of their action, then it is a rule clearly liable to
several important exceptions. These exceptions will be noticed under the
heads of the mineral acids, oxalic acid, arsenic, corrosive sublimate,
nux vomica, &c. At present it is only the general characters of the
symptoms, and the points in which they differ from the general
characters of the symptoms of natural disease, that I propose to
consider.
The chief characteristics usually ascribed to the symptoms of poisoning
considered generally, are, that they commence suddenly and prove rapidly
fatal,—that they increase steadily,—that they are uniform in nature
throughout their course,—that they begin soon after a meal,—and that
they appear while the body is in a state of perfect health.
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