immediately. On looking at them in a few minutes I remarked that they did not seem to fill, and on touching one it felt hard and immediately fell off, motionless and dead. The others were all in the same state. They had all bitten and the marks were conspicuous; but they had drawn scarcely any blood. They were applied about six hours after the acid was taken." This curious fact illustrates the observations formerly quoted from Vernière's experiments [p. 67]. It will be observed that the leeches were applied several hours after the poison was swallowed, and in a case in which the acid was largely diluted in the stomach;—so that it might have entered the blood and been diffused throughout the body before the observation was made.
Section III.—Of the Morbid Appearances caused by Oxalic Acid.
The external appearance of the body is commonly natural. In one instance the cellular tissue was distended with gases ten hours after death.[1] Violent marks of irritation have been commonly found in the stomach; and sometimes that organ has been even perforated.[2] It is probable that the extensive destruction of the coats noticed by some authors has taken place in part after death from the action of the acid on the dead tissues.—The usual conjunction of morbid appearances is well described by Mr. Hebb. The mucous coat of the throat and gullet looked as if it had been scalded, and that of the gullet could be easily scratched off. The stomach contained a pint of thick fluid. This is commonly dark, like coffee-grounds, as it contains a good deal of blood. The inner coat of the stomach was pulpy, in many points black, in others red. The inner membrane of the intestines was similarly but less violently affected. The outer coat of both stomach and intestines was inflamed. The lining membrane of the windpipe was also very red.—The appearances have also been excellently described in the case published by Mr. Alfred Taylor. The inside of the gullet was pale, as if boiled, strongly corrugated and brittle, and covering a ramification of vessels filled with consolidated blood. The stomach presented externally numerous vessels in the same state; and its villous coat was pale, soft, brittle, but here and there injected with vessels. The duodenum and part of the jejunum were red, the other intestines natural, the liver, spleen, and kidneys congested. The stomach contained a brownish jelly, in which gelatin was detected, as well as oxalic acid. The blood was fluid every where except in the vessels of the gullet and stomach.[3] The consolidated condition of the blood there was evidently owing to the local action of a strong acid, and is the same with what has been observed in poisoning with the mineral acids.—In Mr. Frazer's patient the whole villous coat of the stomach was either softened or removed, as well as the inner membrane of the gullet, so that the muscular coat was exposed; and this coat presented
