Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/601

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These facts will render the inspector cautious, but can scarcely throw a doubt over evidence derived from an unequivocal hydrocyanic odour in the blood.

Few successful attempts have yet been made to detect the acid in the blood by chemical analysis. The odour may be present, although chemical analysis fails in eliciting any indication. This follows from the observations of Dr. Lonsdale,[1] as well as of various authors quoted by him in his paper. The cyanide of potassium has been detected by Mayer not merely in the blood, but likewise in the serous secretions and sundry soft solids.[2]

In most instances,—for example, in the Parisian epileptics, the state of the brain, as to turgescence of vessels, has corresponded with the description given by Hufeland. Venous turgescence and emptiness of the arterial system are commonly remarked throughout the whole body. Thus in the epileptic patients, the heart and great arteries were empty; the great veins gorged; the spleen gorged, soft, and pultaceous; the veins of the liver gorged; and the kidneys of a deep violet colour, much softened, and their veins gorged with black blood.

It is impossible that hydrocyanic acid could cause gangrene of the stomach, which is said to have been witnessed in Hufeland's case. But there are often signs of irritation in that organ. The villous coat has been found red in animals; it was shrivelled, and its vessels were turgid with black blood in the instance of the apothecary mentioned in the fourteenth volume of Rust's Journal; in Mertzdorff's case it was red and checkered with bloody streaks; and in the case related by Dr. Gierl, where four ounces were swallowed, it was dark-red, as it were tanned or steeped in spirits, and easily separated from the subjacent contents. The contents of the stomach have in every instance had a strong hydrocyanic odour, except in the cases of the Parisian epileptics, and in those related by Leuret and by Chevallier. According to the experiments of Lassaigne and Schubarth, formerly noticed, it is not to be looked for when the body has been kept a few days, more especially if the individual lived some time. Dr. Lonsdale generally found it eight or nine days after death in animals, which had been either buried during that time, or kept in an apartment at the temperature of 50° F.[3] In a case which occurred not long ago in London the poison was found in the stomach five days after death. A coroner's inquest had terminated in a verdict of natural death. But suspicions having arisen, that the man had poisoned himself in anticipation of a charge of forgery, another inquiry was made; when the odour of hydrocyanic acid was evolved from the contents of the stomach, and the distilled water obtained from them yielded decisive chemical evidence of its being present.[4] It is important to observe, in reference to the evidence of

  1. Edinburgh Med and Surg. Journal, li. 52.
  2. Archiv für Anatomie und Physiologie, iii. 485, vi. 37.
  3. Edinburgh Medical and Surgical Journal, li. 53.
  4. Lancet, 1838-39, i. 880, and ii. 14