Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/51

From Wikisource
Jump to navigation Jump to search
This page needs to be proofread.

on the part of the witness to prove or to perfect their view of the case, than through legitimate induction from facts.

3. Another characteristic is uniformity in the nature of the symptoms throughout their whole progress. This character is the least invariable of them all; for many poisons cause very different symptoms towards the close from those which they cause at the beginning. Arsenic may induce at first inflammation of the alimentary canal, and afterwards palsy or epilepsy; nux-vomica may excite at first violent tetanus, and afterwards inflammation of the stomach and bowels; and corrosive sublimate, after exciting in the first instance inflammation, may prove eventually fatal by inducing excessive ptyalism. In truth, certain changes of this kind in the nature of the symptoms will, in special cases, afford strong presumption, perhaps absolute proof, not only of general poisoning, but even also of the particular poison given. The reason for mentioning so uncertain a character as uniformity in the nature of the symptoms among their characteristics will appear presently.—[pp. 47 & 50.]

4. The fourth characteristic is, that the symptoms begin soon after a meal, or rather, soon after food, drink, or medicine has been taken. The occasions on which we eat and drink are so numerous and so near one another, that unless the poison suspected is one which acts with rapidity, it may be difficult to attach any weight to this circumstance. Some poisons rarely produce their effects till a considerable time after they are swallowed; the poisonous mushrooms, for example, may remain in the alimentary canal for several hours or even an entire day and more, before their effects begin; poisonous cheese in like manner may not act for five or six hours,[1] or even a whole day;[2] and that kind of cholera, which is caused in some people by putrid, diseased, and new-killed meat, seldom begins, so far as I have observed, till twelve hours or more after the noxious meal. With regard to the commoner poisons, such as arsenic, corrosive sublimate, the mineral acids, oxalic acid, nux-vomica, and the like, it is a good general rule, that the symptoms, if violent from the beginning, must have begun soon after food, drink, or medicine has been taken.

In making inquiries respecting this point, however, care must be taken not to lose sight of certain circumstances which may cause a deviation from the general rule.

In the first place, it should be remembered that poisons may be administered in many other ways besides mixing them with articles of food or drink, or substituting them for medicines. They may be introduced into the anus; they have been introduced into the vagina; they have also been introduced by inhalation in the form of vapour; and there can be no difficulty in introducing some of them through wounds.

Secondly, another circumstance which may be kept in view is, that, if a person falls asleep very soon after swallowing a poison, es-*

  1. Hünefeld in Horn's Archiv, 1827, i. 203.
  2. Weiss in Revue Médicale, Janv. 1826.