Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/597

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  • theless sufficient to prove that large doses occasionally do not begin

to operate with such rapidity as was observed in their experiments; for in one instance four drops of concentrated acid, equivalent to two scruples of medicinal acid, did not begin to act on a rabbit for twenty seconds; and certainly, for so small an animal, two scruples are as large a dose as five drachms for a grown-up girl.

The two following cases will throw some farther light on the time within which this poison begins to act on man when taken in large quantity. The first case shows, that even when an enormous dose is taken, a few simple voluntary acts may be executed before the symptoms begin. In this instance which is related by Dr. Gierl of Lindau, the dose was no less than four ounces of the acid of the Bavarian Pharmacopœia, which contains four per cent. of pure acid, and is equivalent to five ounces at least of that commonly used in Britain and France. The subject, an apothecary's assistant, was found dead in bed, with an empty two-ounce phial on each side of the bed,—the mattrass, which is used in Germany instead of blankets, pulled up as high as the breast,—the right arm extended straight down beneath the mattrass,—and the left arm bent on the elbow.[1] The second case proves that, although one or two acts of volition may be accomplished, the interval is so very brief that these acts can only be of the simplest kind. An apothecary's apprentice-lad was sent from the shop to the cellar for some carbonate of potass; but he had not been a few minutes away, when his companions heard him cry in a voice of great alarm, "Hartshorn! Hartshorn!" On instantly rushing down stairs, they found him reclining on the lower steps and grasping the rail; and he had scarcely time to mutter "Prussic acid!" when he expired,—not more than five minutes after leaving the shop. On the floor of the cellar an ounce-phial was found, which had been filled with the Bavarian hydrocyanic acid, but contained only a drachm. It appeared that he had taken the acid ignorantly for an experiment; and from the state of the articles in the cellar, it was evident that, alarmed at its instantaneous operation, he had tried to get at the ammonia, which he knew was the antidote, but had found the tremendous activity of the poison would not allow him even to undo the coverings of the bottle.[2]

When the quantity of the poison is small, a much longer interval may elapse before the commencement of its action. Thus, when the dose is barely short of what is required to occasion death, the effects may be postponed even for fifteen minutes, as in a case which occurred to Mr. Garson of Stromness.[3] This, so far as I am at present aware, is the extreme limit of interval hitherto observed.

In the trial related above the prisoner Freeman was found Not Guilty.

It is important to fix, if possible, the smallest fatal dose of hydrocyanic acid. This will vary with particular circumstances, such as the strength of the individual, and the fulness or emptiness of the stomach

  1. Medizinisch-chirurgische Zeitung, 1829, i. 396.
  2. Buchner's Repertorium für Pharmacie, xxi. 313.
  3. Edinburgh Medical and Surg. Journal, lix. 72.