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 conclusions to be drawn from these facts are that, at all events,
the medical inspector in a question of poisoning, must take care not to
be hurried away by the first striking appearances of natural disease
which he may observe, and so be induced to conduct the rest of the
inspection superficially; and likewise, that he should not so frame his
opinion on the case, as to exclude the possibility of a different cause
from the apparent one, unless the appearances are such as must
necessarily have been the cause of death. It may be said, that in
requiring this condition for an unqualified opinion, a rigour of
demonstration is exacted, which can rarely be attained in practice. But,
on the one hand, it must not be forgotten, that an unqualified opinion
is not always necessary; and on the other hand, although it were, I
think it might be shown, if the subject did not lead to disproportionate
details, that we may often approach very near the rigour of
demonstration required. At present no more need be said, than that the
inspector should be particularly on his guard in those cases, in which
the appearances, though belonging to the effects of a deadly disease,
are trifling; and still more in those in which the appearances, though
great, belong to the effects of a disease, whose whole course may be
latent. And I may add, that, from what I have observed of medico-legal
opinions, the caution now given is strongly called for.
It may be right to allude here also to another purpose which may be
served by a careful consideration of the morbid appearances. In cases in
which the history of the symptoms is unknown or imperfect the extent and
state of progress of the appearances will sometimes supply strong
presumptive evidence of the duration of the poisoning. This is an
obvious and important application of the knowledge of the pathology of
poisoning; but the simple mention of it is all which can be here
attempted, as special rules can hardly be laid down on the subject.
SECTION III.—_Evidence from Chemical Analysis._
The chemical evidence in charges of poisoning is generally, and with
justice, considered the most decisive of all the branches of proof. It
is accounted most valid, when it detects the poison in the general
textures of the body, or in the blood, or in the stomach, intestines or
gullet, then in the matter vomited, next in articles of food, drink or
medicine of which the sufferer has partaken, and lastly, in any articles
found in the prisoner’s possession, and for which he cannot account
satisfactorily.
When poison is detected in any of these quarters, more especially in the
stomach or intestines, it is seldom that any farther proof is needed to
establish the fact of poisoning. In two circumstances, however, some
corroboration is necessary.
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