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
Of local _irritation_ and its various consequences we have many
examples, from redness, its slightest, to ulceration and gangrene, its
most severe effect. Thus externally, alcohol reddens the skin;
cantharides irritates the surface of the true skin and causes
vesication; tartar-emetic causes deep-seated inflammation of the true
skin and a pustular eruption; the juice of manchineel[1] spreading
inflammation of the subcutaneous cellular tissue; arsenic inflammation
of all these textures, and also death of the part and subsequent
sloughing. Internally, alcohol reddens the stomach, as it does the
skin,—but more permanently; while other substances, such as the diluted
mineral acids, arsenic, cantharides, euphorbium, and the like, may cause
all the phenomena of inflammation in the stomach and intestines, namely,
extravasation of blood, effusion of lymph, ulcers, gangrene. Many of
these irritants, such as arsenic, are in common speech called
corrosives; but they have not any power of causing chemical
decomposition: if they produce a breach in the texture of an organ, it
is merely through the medium of inflammation and its effects.
Of _nervous impressions_, without any visible organic change, few well
authenticated and unequivocal instances are known. A good example has
been mentioned by Sir B. Brodie in the effect of monkshood on the lips
when chewed,[2] an effect which I have also often experienced: it causes
a sense of numbness and tingling in the lips and tongue, lasting for
some hours, and quite unconnected with any affection of the general
nervous system. Another instance, first mentioned to me by M. Robiquet,
and which I have verified, occurs in the effects of the strong
hydrocyanic acid: when this acid is confined in a glass tube with a
finger on its open end, the point of the finger becomes benumbed,
exactly as from the local action of great cold. These are undoubted
instances of a purely nervous local impression on the external surface
of the body. The most unequivocal instance I know of a similar
impression on internal parts is a fact related by Dr. W. Philip with
regard to opium.[3] When this poison was applied to the inner coat of
the intestines of a rabbit during life, the muscular contractions of the
gut were immediately paralyzed, without the general system being for
some time affected. The same effect has been observed by Messrs. Morgan
and Addison to follow the application of ticunas to the intestine:[4] an
instant and complete suspension of the peristaltic movement took place
as soon as it touched the gut. A parallel fact has also been described
by Dr. Monro, _secundus_:[5] when an infusion of opium was injected
between the skin and muscles of the leg of a frog, that leg soon became
palsied, while the animal was able to leap briskly on the other three.
Analogous results have farther been obtained with the prussic acid by M.
Coullon.[6] He remarked, that when one hind-leg of a frog was plunged in
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