- rant of the correct dose, prescribed a potion with three grains of cyanide
of potassium twice a day. Immediately after the first dose the patient was seized with the usual symptoms of poisoning with hydrocyanic acid; and expired in three-quarters of an hour.[1] In noticing the first of these cases, Orfila draws the attention of practitioners particularly to the fact, that not long before a similar dose of a sample of cyanide, which had been moist for some time, was twice administered with impunity. The reason is that the cyanide of potassium undergoes decomposition when acted on by water, or when long kept.
Section III.—Of the Morbid Appearances produced by Hydrocyanic Acid.
Under this head the appearances in a special case will first be mentioned, and then the varieties to which they are liable.
In Hufeland's case [p. 587] the inspection was made the day after death. The eyes were still glistening, like those of a person alive; but the countenance was pale and composed like one asleep. The spine and neck were stiff, the belly drawn in, the back alone livid. The body generally, the blood even within the head, and especially the serous cavities, exhaled a hydrocyanic odour, so strong as to irritate the nostrils. The blood was every where very fluid, so that two pounds flowed from the incision in the scalp and twelve ounces from that of the dura mater; and it had a glimmering bluish appearance, as if Prussian blue had been mixed with it. The vessels of the brain were gorged, the substance of the brain natural, and the left ventricle distended with half an ounce of serum. The villous coat of the stomach was red, easily removed with the nail, and gangrenous.[2] The intestines were reddish, and the liver gorged. The lungs were also turgid, and to such a degree in the depending parts as to resemble the liver. The arteries and left cavities of the heart were empty, the veins and right cavities distended.
In commenting on this description it is first to be remarked, that the blood, as in the preceding case, is generally altered in nature. Ittner, who made some good experiments on the subject, found it in animals black, viscid, and oily in consistence.[3] Emmert found it fluid and of a cochineal colour. In a case related by Mertzdorff of an apothecary's apprentice, who was found dead in bed after swallowing three drachms and a half of diluted acid,[4] in the case recorded in Horn's Archiv, and in that related by Dr. Gierl, it was fluid. It was also perfectly fluid every where in the bodies of the seven epileptic patients poisoned at Paris. Yet this state is not invariable. Coullon, though his results tally in general with those of Ittner and Emmert, has given some experiments in which the blood coagulated after flowing from the body;[5] and in the case of an apothecary related in Rust's Journal it was found coagulated in the heart.[6]
