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
Some other appearances, not more conclusive, might also be mentioned
here; but they belong properly to the effects of individual poisons, or
of classes of poisons, not to those of poisoning generally. It may
merely be remarked at present, therefore, that the appearances after
death, which are really morbid, and which may be produced by poisons,
are, in one great class, the signs of inflammation of the alimentary
canal in its progressive stages,—in another class, the signs of
congestion within the head,—and in a third, a combination of the effects
of the two preceding classes; that neither set of appearances is
invariably caused by the poisons which usually cause them; that
congestion within the head is really seldom produced by those which are
currently imagined to produce it; and that most of the appearances of
both kinds are exactly similar to those left by many natural diseases.
But although, on the whole, the appearances after death, when considered
singly, can seldom supply evidence of poisoning even to the amount of
probability, they may nevertheless prove very important under other
points of view. Thus, in connection with the symptoms and the general
evidence, the appearances after death may furnish decisive proof; and
even should the history of the symptoms be unknown, or have been
unskilfully collected, the appearances after death, by pointing out the
nature of the previous illness, may furnish evidence enough to decide
the case, when the moral proof is strong. Again, in cases of alleged
_imputation of poisoning_ they are necessary to determine whether a
poison actually found in the body was introduced during life or after
death. Besides, the very absence of morbid appearances may afford
presumptive proof in some circumstances,—when, for example, the question
is, whether a person has died of apoplexy or of poisoning with
narcotics? Farther, a few poisons, as was formerly stated, occasionally
produce appearances so characteristic, as not to be capable of being
confounded with the effects of any other agent whatsoever: It will be
found hereafter, for example, that the mineral acids have at times left
behind them in the dead body unequivocal evidence of their operation.
And finally, in cases where no doubt can be entertained that poison was
taken, the evidence from morbid appearances may be useful or necessary
for settling whether or not it was the cause of death. Two pointed
examples of this kind will be noticed under the next section.
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