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 term _remote_ is here used in preference to the common phrase
_general_ action, because the latter implies an action on the general
system or whole body; whereas it appears that an action of such a kind
is rare, and that most poisons which have an indirect action exert it on
one or more of the important organs only, and not on the general system.
There is not a better instance of the remote action of poisons than
oxalic acid. It has been already mentioned that concentrated oxalic acid
is a corrosive: yet it never kills by destroying the function of the
stomach. Man, as well as the lower animals, will live several days or
weeks without nutriment. Now this poison has been known to kill a man in
ten minutes, and a dog in three minutes only. Neither does it always
induce, when swallowed, symptoms of an injury of the stomach; for death
is often preceded by tetanus, or apoplexy, or mortal faintness. Nor is
the violence of the poisoning proportional to the extent of the local
injury: in fact, death is most rapid under circumstances in which the
stomach is least injured, namely, when the acid is considerably
diluted.[7]
Let us now proceed to enquire, then, in what way the influence of a
poison is conveyed from one organ to another.
Here it will at once be perceived that the conveyance can be
accomplished in one of two ways only. Either the local impression passes
along the nerves to the organ secondarily affected; or the poison enters
the bibulous vessels, mingles with the blood, and passes through the
medium of the circulation. In the former way poisons are said to act
through _sympathy_, in the latter, through _absorption_.
1. _On the Action of Poisons through Sympathy._ In the infancy of
toxicology all poisons were believed to act through sympathy. Since
Magendie’s discoveries on venous absorption in 1809, the favourite
doctrine has on the other hand been, that most, if not all, act through
the medium of the blood. And a recent theory, combining both views,
represents that, although many poisons do enter the blood, the operation
even of these nevertheless consists of an impression made on the
sentient extremities of the nerves of the blood-vessels and conveyed
thence along their filaments to the brain or other organs.
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