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
she had been ill with sickness, vomiting, purging, and pain in the
stomach and bowels since the Tuesday evening. This evidence, if it could
have been relied on, would have altered materially the features of the
case, as it would have gone far to supply what all the medical witnesses
considered defective, namely, proof of the administration. But at the
time the surgeon made his inquiries, he did not even suspect that the
girl laboured under the effects of poison. Neither he therefore nor his
patient could have been impressed with that conviction of the importance
of the information communicated, which was necessary to insure its
accuracy, particularly as it related to a matter usually of so little
consequence in ordinary medical practice as the precise date of the
commencement of an illness; and it would consequently have been rash to
adopt it in face of more direct and contrary evidence. Any one who
examines the details of this trial as I have reported them, will at once
see how much the case turned on the point now alluded to.[135]
CHAPTER III.
OF IMAGINARY PRETENDED, AND IMPUTED POISONING.
The present seems the most convenient place for noticing the general
mode of procedure by which the medical jurist may detect cases of
imaginary, feigned, and imputed poisoning. It is by no means easy to lay
down rules for the investigation of cases suspected to be of such a
kind. But an attempt will be made to state the leading points to be
attended to, and to illustrate them by the circumstances of a few
examples of each variety.
_Imaginary poisoning_ should rarely be the occasion of deception or
embarrassment. The same wandering of the imagination which has led to a
belief of injury from poison, will commonly also lead to such
extravagant notions relative to the mode of administration and the
symptoms, as will infallibly point out the true nature of the case to
one who is well acquainted with the real effects of poisons. It is easy,
nevertheless, to conceive cases which may be embarrassing; and
certainly, in every instance, the physician should proceed in his
inquiries with caution.
It appears to me that in the first place, without seeming to take up at
once the conviction of his patient, he should scrupulously abstain from
treating it lightly, and should on the whole act rather as if he
suspected poison had been given. Allowing his patient therefore
apparently credit for the truth of his suspicions, the medical attendant
should request him to give a full history of existing symptoms, of their
origin and progress, of their relation in point of time to various
meals, and of the mode and vehicle in which the supposed poison was
administered. No unprofessional person can possibly go through such a
narrative, without stating many circumstances which are wholly
irreconcilable with the idea of poisoning generally, and still more of
the administration of a particular poison.
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