Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/23

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thus imposing arbitrary limits on the functional powers conferred by nature on the organs of the animal body. And besides, the presumption thus derived is counterbalanced by the equally plausible supposition, that,—since nature has clearly established an action on remote organs through the medium of the nerves in the case of poisons which cause destruction or inflammation of the tissues to which they are applied,—the same medium of action may also exist in the instance of poisons which produce merely a peculiar nervous impression where they are applied.

But it is farther alleged, that poisons of the most energetic action have no effect, when they are applied to a part, the connection of which with the general system is maintained by nerves only. It is true that poisons seem to have no effect whatever when the circulation of the part to which they are applied has been arrested, or when every connecting tissue has been severed except the nerves. Thus Emmert found that the wourali poison does not act on an animal when introduced into a limb connected with the body by nerves alone.[1] And I have ascertained that in the same circumstances no effect is produced on the dog by pure hydrocyanic acid dropped into the cellular tissue of the paw. But it cannot be inferred absolutely from these facts, that the wourali poison and hydrocyanic acid do not act through sympathy; because it has been urged that the integrity of the functions of the sentient extremities of the nerves, more especially their capability of receiving those nervous impressions which are held to be communicated backwards along their course, may be interrupted by arresting the circulation of the part. Still, as the function of sensation is maintained for some time in a severed limb connected with the trunk by nerves only, there is a probability, that all other functions of the nerves must be retained for a time also. And the presumption thus arising is strengthened by an imperfect experiment performed by Mr. Blake, which tends to show, although it does not absolutely prove, that a poison, introduced into the severed limb whose nervous connection with the trunk is entire, will not act, even if the blood be allowed to enter the limb by its artery and to escape from a wound in its vein, so that local circulation is in some measure maintained, without the blood returning to the trunk and general system.[2]

On considering impartially all the facts that have been adduced in this inquiry, an impression must be felt that the doctrine of the sympathetic action of those poisons which produce merely a nervous local impression is insecurely founded. But an experimentum crucis is still wanted to decide the question.

2. Of the Action of Poisons through Absorption.—If doubts may be entertained whether poisons ever act by the transmission of local impulses, from the part to which they are applied, along the nerves to the organ upon which they act, no reasonable doubt can be enter-*

  1. Archiv. für Anatomie und Physiologie, iv. 192.
  2. Ed. Med. and Surg. Journ. liii. 46