length on trying to sit up in bed, complained of slight pain in the stomach, and expired without agony. A clot of blood was found in the stomach.[1]—Dr. Platner of Pavia describes a case, fatal probably in five hours, where the symptoms were a tranquil, melancholic expression, great coldness, paleness of the features, slow languid pulse, retarded respiration, and suppression of urine, but no pain or swelling of the belly, and no diarrhœa till near death, when there was one copious fluid evacuation.[2]—Lastly, Dr. Choulant has related the case of an elderly female who got a thimbleful of arsenic in soup, and died in eleven hours, affected with occasional, easy vomiting, uneasiness, thirst, and undefinable uneasiness in the chest, but without pain of any kind, or any other complaint.[3]
The cases of which an abstract has here been given, will, it is apprehended, be sufficient to correct the erroneous impression of many,—that arsenic, when it proves fatal, always produces violent and well-marked symptoms. It will of course be understood that cases of the present kind pass by insensible shades into those of the first class,—the following, for example, being intermediate between the two. A young man had frequent vomiting and diarrhœa, which were supposed to depend on indigestion merely, as the countenance was calm, without any appearance of suffering, the appetite tolerable, and the abdomen quite free of tenderness. The pulse, however, quickly sunk, the voice failed, and death took place in eleven hours; and on dissection about twenty grains of arsenic were found in the stomach with strong signs of inflammation.[4]—In a case communicated to me by a former pupil, Mr. Adams of Glasgow, that of a woman who died five hours after taking six drachms of arsenic, there was some vomiting not long after she swallowed it; but subsequently she presented no prominent symptoms except a ghastly expression, redness of the eyes, a fluttering pulse and extreme prostration, until within half an hour before death, when the action of an emetic and the stomach pump was followed by severe burning pain.
3. The third variety of poisoning with arsenic places in a clear point of view its occasional action on the nervous system. This occurs chiefly in persons who, from having taken but a small quantity, or from having vomited soon after, are eventually rescued from destruction; but it has also been met with in some cases where death ensued after a protracted illness.
In such cases the progress of the poisoning may be divided into two stages. The first train of symptoms is exactly that of the first or inflammatory variety, and is commonly developed in a very perfect and violent form. In the second stage the symptoms are referrible to nervous irritation.
These generally come on when the former begin to recede; yet sometimes they make their appearance earlier, while the signs of in-*
