Treatise on Poisons by Sir Robert Christison

4. _Goulard’s Extract._

15945 words  |  Chapter 149

Goulard’s extract, the diacetate of lead, is easily distinguished from the acetate or sugar of lead by the effect of a stream of carbonic acid, which throws down a copious precipitate of carbonate of lead. The proper method of analyzing it is to transmit this gas till it ceases to act any longer, and then to subject the precipitate and solution to the tests for carbonate of lead, and acetate of lead. Solutions of the common acetate usually give a scanty white precipitate with carbonic acid, in consequence of containing a faint excess of oxide. The presence of vegetable or animal matters may either decompose the salts of lead, or materially alter the action of the preceding reagents. It appears from the experiments of Orfila, that most vegetable infusions possess the power of decomposing them more or less. The acetate furnishes, for example, an abundant precipitate with infusion of galls, or with infusion of tea. Almost all animal fluids, with the exception of gelatin, possess the same property; albumen, milk, bile, beef-tea, all give with it a copious precipitate. In fluids which do not decompose it altogether, the colour of the precipitate formed by the tests is so materially altered, that they cannot be relied on for the detection of lead. The test, however, which undergoes least alteration is hydrosulphuric acid. Before proceeding to the detection of lead in complex organic mixtures, some remarks will be required on its relations to medical police. Here the various ways in which it is apt to be insidiously introduced into the body, chiefly by the action of chemical agents on metallic lead itself, will come under consideration. _Of the Action of Air and Pure Water on Lead._ When lead is exposed to the air it becomes tarnished. This arises from a thin crust of carbonate of lead being formed; for the crust dissolves with brisk effervescence in acetic acid. The formation of carbonate is accelerated by moisture and probably by the presence of an unusual proportion of carbonic acid in the air. The action of water on lead, which is of much greater consequence, has been made the subject of observation by the curious for many ages. The Roman architect, Vitruvius, who, it is believed, nourished in the time of Cæsar and Augustus, forbids the use of this metal for conducting water, because cerusse, he says, is formed on it, which is hurtful to the human body.[1224] Galen also condemns the use of lead pipes, because he was aware, that water transmitted through them contracted a muddiness from the lead, and those who drank such water were subject to dysentery.[1225] If we trace the sciences of architecture, chemistry, and medicine downwards from these periods, nothing more will be found than a repetition of the statements of Vitruvius and Galen, with but a few particular facts in support of them, till we arrive at the close of the last and beginning of the present century. The first person that examined the subject minutely, was Dr. Lambe of Warwick; who inferred from his researches, that most, if not all, spring waters possess the power of corroding and dissolving lead to such an extent as to be rendered unfit for the use of man, and that this solvent power is imparted to them by some of their saline ingredients.[1226] The inquiry was afterwards undertaken more scientifically by Guyton-Morveau; who, in opposition to Dr. Lambe, arrived at the conclusion, that distilled water, the purest of all waters, acts rapidly on lead by converting it into a hydrated oxide, and that some natural waters, which hardly attack lead at all, are prevented doing so by the salts they hold in solution.[1227] A few years later Dr. Thomson of Glasgow also examined the subject, and, assenting to Dr. Lambe’s proposition, that most spring waters attack lead, maintains nevertheless that the lead is only held in suspension, not in solution; and that the quantity suspended in such waters, after they have passed through lead pipes, pumps, and cisterns, is too minute to prove injurious to those who make habitual use of them.[1228] In the first edition of this work an extended account was given of an investigation I made into the whole subject of the action of different waters on lead.[1229] Additional observations were afterwards published on the same point by Captain Yorke,[1230] and by Mr. Taylor.[1231] And I have added some new facts in a late paper.[1232] The inquiry is of so great practical consequence, that I need not offer any apology for reproducing it here in detail, with such additions as ulterior experience and the researches of others enable me to make. Professor Orfila takes no notice of this important subject, except in a few lines containing several inaccurate statements.[1233] Distilled water, deprived of its gases by ebullition, and excluded from contact with the air, has no action whatever on lead. If the water contains the customary gases in solution, the surface of the metal, freshly polished, becomes quickly dull and white. But if the surface of the water be not at the same time exposed to the air, the action soon comes to a close.—When the air, on the other hand, is allowed free access to the water, a white powder appears in a few minutes on and around the lead; and this goes on increasing till in the course of a few days there is formed a large quantity of white matter which partly floats in the water or adheres to the lead, but is chiefly deposited on the bottom of the vessel. If this experiment be made with atmospheric air deprived of carbonic acid, the white substance puts on the form of a fine powder, which I find to be a hydrated oxide; for when dried at 180°F. it gives off water on being heated to redness, and dissolves without effervescence in weak nitric acid.—But if the surface of the water be exposed to the open air, the substance formed consists of minute brilliant pearly scales, which with the aid of a powerful microscope are seen to be thin equilateral triangular tables, often grouped into hexaedral tables, or worn at the edges into the form of rosettes. This substance, which has a pale grayish hue when dried, I have ascertained to be a carbonate of lead, consisting of two equivalents of neutral carbonate and one of hydrated protoxide.[1234] The formation of carbonate takes place with considerable rapidity. In twelve ounces of distilled water, contained in a shallow glass basin loosely covered to exclude the dust, twelve brightly polished lead rods weighing 340 grains, will lose two grains and a half in eight days; and the lead will then show evident marks of corrosion. The process of corrosion goes on so long as atmospheric air is allowed to play freely on the surface of the water. In twenty months I have obtained 120 grains from an ounce of lead rods kept in 24 ounces of distilled water. During these changes, a minute quantity of lead is dissolved. This is best proved by carefully filtering the water, then acidulating with a drop or two of nitric acid, and evaporating to dryness. I have never failed to detect lead in the residue by expelling the excess of nitric acid by heat, dissolving it in distilled water, and applying hydrosulphuric acid, hydriodate of potass, and chromate of potass to the solution. The lead is first dissolved in the form of hydrated oxide. For, if the air admitted to the water be deprived of carbonic acid, a clear liquid is obtained by filtration, and this is turned brown by hydrosulphuric acid. But a great part of the hydrate is speedily separated in the form of carbonate. For the filtered liquid speedily becomes turbid if exposed to the air; and on evaporating it, the residuum dissolves in weak nitric acid with brisk effervescence. Captain Yorke estimates the quantity dissolved when the water is saturated at a 10,000th part.[1235] By far the greatest part of the lead, however, which disappears, will be found in the white pearly crystals. This crystalline powder is not,—as alleged by Guyton-Morveau, and after him by some systematic writers, a hydrated oxide of lead, but, as stated above, a particular variety of carbonate, containing more hydrated oxide than exists in common white lead. At first I thought it was neutral carbonate. Captain Yorke was led to suppose it hydrated oxide. In 1842 I found that, if it be exposed for some time to the action of aërated water after the lead has been removed, it invariably consists of two equivalents of neutral carbonate and one of hydrated oxide. It will be inferred from the preceding facts, that distilled water for economical use should never be preserved in leaden vessels or otherwise in contact with lead. Even the distilled water of aromatic plants should not be so preserved, because the essential oil which communicates to them their fragrance does not take away the power which pure distilled water possesses of acting on lead. This fact was first announced in the second edition of the present work. A druggist in Edinburgh requested me to examine a reddish-gray crystalline, pearly sediment formed copiously in a sample of orange-flower water. I found this to be carbonate of lead coloured by the colouring matter of the water, and obviously produced by the action of the water on lead solder used instead of tin solder, and coarsely and liberally applied to the seams of the copper vessel in which the water had been imported from France. The filtered fluid did not contain a particle of lead. The same observation has been since made by a French pharmaceutic chemist, M. Barateau, who seems at a loss, however, to account for the formation of the carbonate of lead.[1236] It appears from an inquiry of MM. Labarraque and Pelletier, conducted at the request of the Prefecture of Paris, that the orange-flower water, which is extensively used there, is often adulterated with lead in solution. They impute this to careless distillation; for then some of the decoction is driven over with the distilled liquid, and consequently produces a fluid which becomes acetous by keeping and dissolves the lead solder of the _estagnons_ or copper vessels. Pure orange-flower water does not acidify by keeping.[1237] M. Chevallier in a more recent investigation arrived at the same results, and found that few specimens of the orange-flower water of Paris were altogether free of lead.[1238] In none of these inquiries have the authors adverted to the action of pure water in forming carbonate of lead. _Of the Action of Solutions of Neutral Salts on Lead._ The property which pure aërated water possesses of corroding lead is variously affected by foreign ingredients which it may hold in solution. Of these modifying substances none are more remarkable in their action than the neutral salts, which all impair the corrosive power of the water. Important practical consequences flow from that action; for it involves no less than the possibility of employing lead for most of the economical purposes to which the ingenuity of man has applied that useful metal. The first experimentalist who made it an object of attention was Guyton-Morveau; whose experiments are imperfect and in some respects erroneous. Having found that distilled water corrodes lead, he proceeded to inquire why no change of the kind takes place in some natural waters; and being aware that most spring and river waters differ from that which has been distilled, chiefly in containing sulphate of lime and muriate of soda, he tried a solution of each of these salts, and discovered that the addition of a certain quantity of either to distilled water takes away from it the power of attacking lead,—that this preservative power is possessed by so small a proportion as a 500th part of sulphate of lime in the water,—and that the nitrates are also probably endowed with the same singular property.[1239] Here his researches terminated. Extending Guyton-Morveau’s inquiries to other proportions of the same salts, and likewise to many other neutral salts, I was led to the conclusion, that all of them without exception possess the power of impairing the action of distilled water on lead. At least I found this power to exist in the case of sulphates, muriates, carbonates, hydriodates, phosphates, nitrates, acetates, tartrates, and arseniates. The degree of this preservative power differs much in different salts. The acetate of soda is but an imperfect preventive when dissolved in the proportion of a hundredth part of the water: white crystals are formed, and the lead loses about a fourth of what is lost in distilled water in the same time. On the contrary, arseniate of soda is a complete preservative when dissolved in the proportion of a 12,000th; and phosphate of soda and hydriodate of potass are almost effectual preservatives in the proportion of a 30,000th part only of the water.[1240] Muriate of soda and sulphate of lime hold a middle place between these extremes, and are both of them much more powerful than Guyton-Morveau imagined: the former preserves in the proportion of a 2000th to the water, the latter in the proportion of nearly a 4000th. Nitrate of potass is little superior to the acetate of soda: in the proportion of a hundredth it prevents the action of the water almost entirely; but if the proportion be diminished to a 160th, the loss sustained by the lead is fully a third of the loss in distilled water. When lead has been exposed for a few weeks to a solution of a protecting salt and has acquired a thin film over its surface, it not only is not acted on by the solution, but is even also rendered incapable of being acted on by distilled water. The preservative power depends on the acid, not on the base of the salt. The acetate, muriate, arseniate, and phosphate of soda differ exceedingly in power. On the other hand, the sulphates of soda, magnesia, and lime, as well as the triple sulphate of alumina and potass, preserve as nearly as can be determined in the same proportion. When we attempt to ascertain the relative preserving power of the neutral salts, it will appear that those whose acid forms with the lead a soluble salt of lead are the least energetic; while those whose acid forms an insoluble salt of lead are most energetic. The protecting powers of acetate of soda, nitrate of potass, muriate of soda, sulphate of lime, arseniate of soda, and phosphate of soda, are inversely as the solubility of the acetate, nitrate, muriate, sulphate, arseniate, and phosphate of lead. The existence of this ratio might naturally lead to the inference that the protecting power depends simply on the salt in solution being decomposed, so that there is formed on the surface of the lead a thin crust consisting of the oxide of the metal in union with the acid of the decomposed salt, and constituting an insoluble film which is impermeable to aërated water: for example, that phosphate of soda acts in the small proportion of a 30,000th part by forming on the surface of the metal an impermeable film of phosphate of lead, which is known to be one of the most insoluble of all the neutral salts. But this is not altogether a correct statement of the fact. When the protection afforded is complete, as for example by a 27,000th of phosphate of soda, a 12,000th of arseniate of soda, or a 4000th of sulphate of soda, the lead undergoes no change in appearance or in weight for several hours, or even days. At length the surface becomes dull, then white, and gradually a uniform film is formed over it. This film, examined at an early period, is found to consist of carbonate of lead,—being entirely soluble in diluted acetic acid, although the salts in solution is a sulphate or phosphate. But after a few weeks the carbonate is mixed with a salt of lead, containing the acid of a part of the neutral salt dissolved in the water: if, after five or six weeks’ immersion in a preservative solution of phosphate or sulphate of soda, the film on the lead be scraped off and immersed in diluted acetic acid, effervescence and solution take place, but a part of the powder remains undissolved; and if the protecting salt has been the muriate of soda, the whole powder is dissolved, but muriatic acid will be found in solution by its proper test, the nitrate of silver.—In all such protecting solutions the lead gains weight for some weeks; but at length it ceases to undergo farther change, and is not acted on even if removed into distilled water. The crust, when formed thus slowly, adheres with great firmness. The most careful analysis cannot detect any lead, either dissolved in the water, or floating in it, or united with the insoluble matter left on the side of the glass by evaporation. In short, the preservation of the lead from corrosion, and of the water from impregnation with lead, is complete.[1241] When the protection afforded is not quite complete,—for example in distilled water containing a 4000th of muriate of soda, a 6000th of sulphate of soda, a 15,000th of arseniate of soda, or a 35,000th of phosphate of soda,—besides a powdery crust, small crystals, with several facettes, are sometimes formed on the lead, while, at the same time, a minute white film will very slowly appear on the bottom of the glass, on its side where it is left dry by the evaporation of the water, and likewise on the surface of the water itself. These detached films are composed of carbonate of lead, with a little of the muriate, sulphate, arseniate, or phosphate of lead, according to the nature of the acid in the alkaline salt which is dissolved in the water. In the course of the changes now described, the lead in general no longer gains, but loses weight. The loss, however, is exceedingly small.—No lead can be discovered in solution, if the water before evaporation is carefully filtered. On progressively trying solutions of weaker and weaker preservative power, it will be remarked, that the quantity of the detached powder, and the proportion of carbonate in it, progressively increase; and likewise, that what is formed on the lead adheres more and more loosely. In distilled water and weak solutions of acetate of soda, or nitrate of potass, the lead never becomes so firmly encrusted, but that gentle agitation of the water will shake off the powder. It is worthy of notice that, although a small quantity of lead is dissolved by distilled water after it has remained some time in contact with the metal, yet not a trace is found in solution where a protecting salt is present. In solutions even weakly preservative I never could detect any lead dissolved. Thus, in distilled water containing a 4000th of muriate of soda, or a 160th of nitre, the lead lost weight, and loose crystals of carbonate were formed; yet even after thirty days no lead could be found in solution by the process with which I have always detected it in pure distilled water. Free exposure to the air is probably in part the cause of this. For it will be seen afterwards that some natural waters in passing through a long course of lead pipes, within which the action goes on without direct access of the atmosphere, contract an impregnation, which is invisible when the water is newly drawn, but after a few hours’ exposure to the air shows itself in the form of a white film and milkiness. The general result of these experiments appears to be, that neutral salts in various, and for the most part minute, proportions, retard or prevent the corrosive action of water on lead,—allowing the carbonate to deposit itself slowly, and to adhere with such firmness to the lead as not to be afterwards removable by moderate agitation, adding subsequently to this crust other insoluble salts of lead, the acids of which are derived from the neutral salts in solution,—and thus at length forming a permanent impermeable skreen, through which the action of the water cannot any longer be carried on. An important subject of inquiry regards the natural causes by which the preservative power of the neutral salts is impaired. This topic I have not hitherto been able to examine with all the care which is desirable. From the effect of the water of Edinburgh when highly charged with carbonic acid, I was led to infer in former editions of this work that an unusual quantity of carbonic acid is a counteracting agent. For if Edinburgh water charged with it be corked up with some lead rods in a phial half-filled with water, and half with atmospheric air, the lead, which in common Edinburgh water, as will presently be mentioned, hardly loses any of its brilliancy for six or seven days, becomes quite white in twelve or sixteen hours. Subsequent experiments by Captain Yorke seemed to him to render this conclusion doubtful; nor do I attach much consequence to the observation just quoted. On the other hand it is said Professor Daniell has found all waters dissolve lead, if they contain an excess of carbonic acid.[1242] The point would be best settled by the effect of a natural carbonated water passing through a long lead pipe. _On the Action of Natural Waters on Lead._ The preceding observations on the action of water on lead may be resorted to for explaining many interesting facts, and correcting some erroneous statements, which have been published by authors as to the corrosion of lead by natural processes. _Rain and Snow-Water._—It has been stated by Dr. Lambe that rain-water does not corrode lead, that “its effect is so slight as not to be discernible within a moderate compass of time.”[1243] But this observation is far from being correct. Rain or snow-water, collected in the country at a distance from houses, and before it touches the earth, being nearly as pure as distilled water, ought to act with equal rapidity on lead. I have accordingly found by a comparative experiment with that mentioned in p. 401, that in twelve ounces of snow-water, collected ten miles west from Edinburgh, and at some distance from any house, twelve lead rods weighing 340 grains lost two grains in eight days, and the usual crystals began to form in less than an hour. But when collected in a great city, rain or snow-water is much impaired in activity. Thus in an experiment made with eaves’-droppings collected from the roof of my house in Edinburgh, after half an hour of gentle rain from the south-east,—the first rain which had fallen for several weeks,—there was no action at all. Yet even when collected in a great city, and in circumstances which at first sight would appear not very favourable to its action,—for example from eaves’-droppings a few hours after the beginning of a shower,—it retains a little of its corroding property; and when collected in like manner after twelve or twenty-four hours’ rain, it corrodes almost as rapidly as distilled water. Thus with four ounces of eaves’-droppings collected after the shower last alluded to had continued four hours, the crystalline powder began to cover the bottom of the glass in five hours, and in nine days three lead rods weighing fifty-seven grains lost a fifth of a grain. And in another experiment made with eaves’-droppings after a day’s steady rain from the north-east, the powder began to form in half an hour, and the loss sustained by the lead in thirty-three days was a grain and a third, being very nearly what is lost in distilled water during the same time. We must obviously be prepared to look for an explanation of these differences in the relative purity of the different waters. Accordingly, in the eaves’-droppings at the beginning of the shower the nitrates of baryta and silver caused, the former a distinct, the latter a faint precipitation, which, as oxalate of ammonia had no effect, arose from the presence of alkaline sulphates and muriates: but after a four hours’ shower nitrate of baryta alone acted, and caused merely a faint haze: and after a twenty-four hours’ shower, as well as in snow-water from the country, none of the three tests had any effect whatever. Hence, perhaps even in a town, but at all events certainly in the country, it would be wrong to use for culinary purposes rain or snow-water which has run from lead roofs or spouts recently erected. When the roof or spout has been exposed for some time to the weather the danger is of course much lessened, if not entirely removed; because exposure to the weather encrusts it with a firmly adhering coat of carbonate, through which, as already observed, even distilled water will not act. But I believe it would be right to condemn the turning even old leaden roofs to the purpose of collecting water for the kitchen. Although the purest rain-water cannot act on them when it is once fairly at repose, we do not know what may be the effect of the impetus of the falling rain on the crust of carbonate; and if the crust should happen to be thus worn considerably, or detached by more obvious accidents, the corrosion would then go on with rapidity as long as the shower lasted. Acid emanations too disengaged in the neighbourhood, and other more obscure causes may enable rain-water actually to dissolve even the crust of carbonate. These remarks on the effect of rain-water on lead are pointedly illustrated by what Tronchin has recorded of the circumstances connected with the spreading of the lead colic at Amsterdam, about the time he wrote his valuable essay on that disease. Till that period lead colic was seldom met with in the Dutch capital. But soon after the citizens began to substitute lead for tiles on the roofs of their dwelling-houses, the disease broke out with violence and committed great ravages. Tronchin very properly ascribed its increase to lead entering the body insidiously along with the water, which for culinary purposes was chiefly collected from the roofs during rain. He farther attempts to account for the rain-water having acquired the power of corroding the lead, by supposing that it was rendered acid in consequence of the roofs having been covered with decaying leaves from trees which abounded in the city; and without a doubt this explanation accords with the season at which the lead colic was observed to be most frequent,—namely, the autumn. But he does not seem to have been aware that rain-water itself possesses the corroding property, independently of any extrinsic ingredient except the gases it receives in its passage through the atmosphere.[1244]—Mérat has referred to a Dutch author, Wanstroostwyk, for an account of a similar incident which happened at Haarlem.[1245] The co-operating effect of acid emanations in the atmosphere is well exemplified by an interesting incident which occurred this year in Manchester, as detailed in some documents put into my hands by Dr. Hibbert Ware. A gentleman being seized with symptoms, which in the opinion of his medical adviser were owing to the insidious introduction of lead into the body, it was found by Mr. Davies that the rain-water from a leaden roof, which had been used in the family for nine years, contained a considerable impregnation of lead. At first this excited some surprise, because the roof was an old one. But on farther inquiry it was found, that the rain in descending contracted an impregnation of hydrochloric acid from the vapours which escaped from an adjoining manufactory. A portion of the water which was sent to me contained so much lead dissolved that it became dark-brown on the addition of hydrosulphuric acid, and a considerable black precipitate was slowly deposited. _Spring Water._—Most spring waters, unlike rain or snow-water, have little or no action on lead, because they generally contain a considerable proportion of muriates and sulphates. As an example of a spring water which does not act on lead at all, the mineral water of Airthrey, near Stirling, may be mentioned. In four ounces of water from the strongest spring at Airthrey, I kept for thirty-five days three bright rods of lead weighing 47·007 grains; and at the end of that period the rods were very nearly as brilliant as when they were first put in, and weighed 47·004 grains. This result is easily explained on considering the nature of the water. It contains no less than a seventy-seventh part of its weight of saline matters, which are chiefly muriates, and partly sulphates. Another good illustration occurred to me lately, which contrasts well with some instances of an opposite description to be mentioned presently. The house of Phantassie in East-Lothian was supplied with water by a lead pipe from a distance of a mile. About a year afterwards, when I had an opportunity of examining into the circumstances, I found the cistern singularly clean and free of incrustation, and the water quite free of lead. The composition of the water explained these facts. It contains a 4,900th of salts, a large proportion of which consists of carbonates of lime and magnesia. The water of Edinburgh is another example of spring water nearly destitute of action on lead. But it is not so completely inactive as the water of Airthrey. In four ounces of water three bright rods weighing fifty-seven grains lost in seven days a 250th of a grain, in twenty-one days a 100th, in thirty-five days a 66th, and in sixty-three days a 59th of a grain. In seven days the lead was hardly tarnished at all, and not a speck of powder could be seen in the water, or on the glass. In twenty-one days, but still more in thirty-five or sixty-three days, the lead was uniformly dull; and on the surface of the water, as well as on the bottom of the glass, and on the side where left dry by the evaporation of the water, there were many white, filmy specks, which became black with the hydrosulphate of ammonia. In another experiment 145 grains of lead kept for six months in six ounces of Edinburgh water, which was filled up as it evaporated, lost a fifteenth of a grain; and the white incrustation on the bottom and sides of the glass gave a large proportion of black precipitate when scraped together and treated with hydrosulphate of ammonia. These experiments are of some practical importance. For they show that the impregnation which the water of Edinburgh can receive in a few days from being kept in lead is so small as to be barely perceptible by the nicest analysis; but that the impregnation may be material if the same portion of water is kept in lead for a considerable length of time. Hence the perfect safety of the leaden cisterns and service-pipes used in this city. The same portion of water rarely remains in them above a single day, and therefore cannot become impregnated in a degree that is appreciable by the nicest examination. Dr. Thomson of Glasgow, in an interesting inquiry made in 1815 into the purity of the water which supplies Tunbridge, has stated that, when he lived in Edinburgh some years before, he could always detect a minute trace of lead suspended in the water, which at that time was brought six miles in leaden pipes.[1246] I presume it is owing to the main pipes being now made of iron that this impregnation no longer exists. For I have found that the residue of two gallons of water, very carefully collected by gentle evaporation of successive portions in a small vessel, did not furnish the slightest trace of lead, when strongly heated with black flux and then acted on by nitric acid.[1247] The feeble action of the Edinburgh water on lead arises from the salts it holds in solution. It contains about a 12,000th part of its weight of solid matter, of which about two-thirds are carbonate of lime, and one-third consists of the sulphates and muriates of soda, lime, and magnesia. Many instances might be quoted of spring waters which act with inconvenient or dangerous rapidity on lead. But it is hardly worth while mentioning more than one or two of these, because the nature of the waters has been seldom described. A striking example was related by Dr. Wall of Worcester. A family in that town, consisting of the parents and twenty-one children, were constantly liable to stomach and bowel complaints; and eight of the children and both parents died in consequence. Their house being sold after their death, the purchaser found it necessary to repair the pump; because the cylinder and cistern were riddled with holes and as thin as a sieve. The plumber who renewed it informed Dr. Wall that he had repaired it several times before, and in particular had done so not four years before the former occupant died.[1248] The nature of the water was not determined. Most of the water around Worcester is very hard; but this will not account for its operation in the instance now described. Another incident of the same kind, but hardly so unequivocal in its circumstances, was related in 1823 by Dr. Yeats of Tunbridge. A plumber undertook to supply that town with water for domestic purposes, and in 1814 laid a course of leaden pipes for a quarter of a mile. In the subsequent year many cases of lead colic occurred among the inhabitants who were supplied by those pipes; and one lady particularly, who was a great water-drinker, lost the use of her limbs for some months. The inhabitants naturally became alarmed; iron pipes were substituted; and no case of colic appeared afterwards. Mr. Brande analyzed the water which had passed through the pipes and detected lead in it, while at the same time none could be detected at the source.[1249] Some uncertainty was supposed to have been thrown over these statements by the analytic researches of Drs. Thomson, Scudamore, and Prout, and Mr. Children.[1250] But water like that in question can scarce fail to act powerfully on lead in favourable circumstances; for according to the analysis of Dr. Thomson it is extremely pure, as it contains only a 38,000th part of saline matter, three-fourths of which are a feebly protecting salt, the muriate of soda.[1251] I am satisfied, therefore, from my experiments, and the facts which follow, that no such water could be safely conveyed through new lead pipes; and that it would be dangerous even to keep it long in a lead cistern. It is difficult to account for the failure of the gentlemen above mentioned to find lead in the water, except by supposing that they had analyzed what had been exposed for some time to the air, and deposited its oxide of lead in the form of carbonate. Since my attention was first turned to this subject, the three following incidents have occurred to me, which show the danger of conveying very pure water in long lead pipes. 1. A gentleman in Dumfries-shire resolved to bring to his house in leaden pipes the water of a fine spring on his estate, from a distance of three-quarters of a mile. As I happened to visit him at the time, I took the opportunity of examining the action of a tumbler of the water on fresh cut lead, and could not remark any perceptible effect in fourteen days. It appeared to me, therefore, that the water might be safely conveyed in lead pipes; and they were laid accordingly. No sooner, however, did the water come into use in the family, than it was observed to present a general white haze, and the glass decanters in daily use acquired a manifest white, pearly incrustation. On examining the cistern, the surface of the water, as well as that of the cistern itself, where in contact with it, was found completely white, as if coated with paint; and the water taken directly from the pipe, though transparent at first, became hazy and white when heated or left some hours exposed to the air. On afterwards analyzing the water direct from the spring, I found it of very unusual purity; as it contained scarcely a 22,000th of solid ingredients, which were sulphates, muriates, and carbonates. The reader can be at no loss to perceive why the experiment with a few sticks of lead in a tumbler was not a correct representation of what was subsequently to go on in the pipes: in fact, as the pipes were 4000 feet long, and three-fourths of an inch in diameter, each portion of water may be considered as passing successively over no less than 784 square feet of lead before being discharged. The remedy employed in this case will be mentioned presently [p. 415]. 2. A gentleman in Banffshire introduced a fine spring into his house from a distance of three-quarters of a mile by means of a lead pipe. Two years and a half afterwards he was attacked with stomach complaints, obstinate constipation, and severe colic, for which he was under medical treatment for three months, with only partial and temporary relief. At last on leaving home and repairing to Edinburgh, he soon got quite well. Two other members of his family were similarly, but more slightly affected. On returning home some time afterwards, the same symptoms began to show themselves; but he had not been many weeks there, when his attention was accidentally drawn to a notice of my experiments, and of the last case, in Chambers’s Journal. He then saw that a white film lined the inside of the water-bottle in his dressing-room; and the water was declared by a chemist to contain lead. I lately had an opportunity of analyzing the water, and found it to contain only a 16,500th of solid matter, the principal salt being chloride of sodium, and the others being sulphates of magnesia and lime, with very little carbonate. This, therefore, was exactly a case in which action upon lead might have been anticipated, as the principal proportion of the very small quantity of saline matter present was a feebly protective salt. 3. The third instance occurred at a country residence of Lord Aberdeen. Mr. Johnston, surgeon at Peterhead, being called to visit the housekeeper, found her affected with vomiting, constipation, acute pain at the pit of the stomach, retraction of the navel, and great feebleness. Little improvement was effected in three days, when Mr. Johnston, astonished at this, and reflecting on the cause, suddenly was attracted by the appearance of a silvery film on the inside of his patient’s water-bottle, and recollected at the same time my narrative of the Dumfries-shire case. He then perceived that the disease was lead-colic, treated it accordingly, and slowly accomplished a cure. The housekeeper’s niece, a young girl who had resided only a few weeks with her, and who was the only other individual that had lived in the house above a few days together for more than a year before, had begun also to suffer from the premonitory symptoms. About twelve months before this incident happened, a spring of water, which had been analyzed and pronounced extremely pure, was brought to the house in a lead pipe; and the housekeeper had used this water for eight months before she took ill. Mr. Johnston found that the water issued from the pipe was quite clear, but that a white silvery film formed on its surface under exposure to the air; and he ascertained that the first-drawn water contained lead in solution, and that the film was carbonate of lead. I had an opportunity of analyzing the water, which proved to be by no means very pure, as it contained a 4460th of solids. But as the solid matter consisted almost entirely of chlorides, namely, in a great measure of chloride of sodium and a very little of the chlorides of magnesium and calcium, as there was no carbonate present, and the sulphates constituted only a 32,000th of the water,—it is plain from the principles formerly laid down that the action which took place was to be anticipated from the nature of the spring.[1252] For other instances of the corrosive action of spring water on lead the reader may refer to Dr. Lambe’s treatise. Dr. Lambe was led by his researches to imagine that no spring water whatever was destitute of this property in a dangerous degree. This wide conclusion is not supported by valid facts. Yet his work contains several accurative and instructive examples of the action in question. Thus among other instances he mentions that he had found the water of Warwick to act on lead with great rapidity, and once saw holes and furrows in a cistern there, which was the second that had been used in the course of ten years.[1253] Sir G. Baker, in a letter to Dr. Heberden, has related another striking instance of the same kind. Lord Ashburnham’s house in Sussex was supplied from some distance with water, which was conveyed in leaden pipes. The servants being often affected with colic, which had even proved fatal to some of them, the water was carefully examined, and found to contain lead. The solvent power of the water was ascribed to its containing an unusual quantity of carbonic acid gas.[1254] This may be doubted. In the course of the preceding remarks, allusion has been made to the danger of keeping the same portion of water for a length of time in leaden cisterns, if it has the power of acting on lead even in a trifling degree. The following illustrations deserve particular notice. It was mentioned in p. 409, as the result of experiments on the small scale, that although the water of Edinburgh does not contract a sensible impregnation of lead on remaining a few days in contact with it, yet a sufficient action ensues in the course of a few months, to show that it might be dangerous to keep that water long in a lead cistern. After coming to this conclusion, I had an opportunity of verifying it on a large scale. A cistern in my laboratory in the University having been left undisturbed for four or five months with about six inches of water in it, I found so large a quantity of pearly crystals lying loose on the cistern and diffused through the water, that when the whole was shaken up and transferred to a glass vessel, the water appeared quite opaque. Mérat observes that at the laboratory of the Medical Faculty of Paris there was procured by evaporating six loads, or probably about 1000 pounds of water, which had been kept two months in a leaden pneumatic trough, no less than two ounces of finely crystallized carbonate of lead.[1255] Water in such circumstances has proved eminently poisonous. Thus, the crew of an East India packet having been put on short allowance of water, in consequence of being delayed by contrary winds, the men got their share each in a bottle; but the officers united their shares and kept it all in a lead cistern. In three weeks all the officers began to suffer from stomach and bowel complaints, and had the lead colic for six weeks; while the men continued to enjoy good health. The surgeon detected lead in a tumbler of water without the process of concentration, by adding to it the sulphuret of potass.[1256] A similar accident has been briefly alluded to by Van Swieten. He mentions, that he was acquainted with a family who were all attacked with colica pictonum in consequence of using for culinary purposes water collected in a large leaden cistern and kept there for a long time.[1257] The composition of the water has not been mentioned in any of these instances; but the water of Paris is so strongly impregnated with calcareous salts, that in ordinary circumstances its action on lead must be trifling. It was probably from confounding the consequences of keeping the same water long in a lead cistern with the action in ordinary circumstances, that Dr. Lambe was led into the error of supposing that all spring waters whatever act on lead so powerfully, as to render it in his opinion advisable to abandon the use of this metal in the fabrication of pipes and cisterns. It must be admitted, however, that in all likelihood many waters will contain a trace of lead, without being kept more than the usual time in the pipe or cistern. For Dr. Lambe’s results correspond to a certain extent with the more recent and accurate researches of Dr. Thomson, who mentions many instances where a faint trace of lead was found in the residue of the evaporation of a large quantity of spring water by himself, as well as by Dr. Dalton, Dr. Wollaston, and Mr. Children.[1258] But, as Dr. Thomson properly adds, when the quantity does not exceed a 600,000th or a millionth part of the water, as in these instances, it is ridiculous to imagine that any harm can result to man from the constant use of it for domestic purposes. Another fact of some practical consequence, which flows from the experimental conclusions stated above is, that although it may be perfectly safe to keep some waters in leaden cisterns, it may be very unsafe to use covers of this metal, because the water which condenses on the covers must be considered as pure as distilled water. It has been found that white lead forms in much larger quantity on the inside of the covers of cisterns than on the cisterns themselves, where both are constructed of lead. A remarkable illustration of this is mentioned in a paper read before the Academy of Sciences at Paris in 1788 by the Comte de Milly. About a year after getting two leaden cisterns erected in his house, to keep the water of the Seine for general domestic purposes, he was attacked with severe and obstinate colic; which led him to examine his cisterns. He found that the sides, where they were occasionally left exposed by the subsidence of the water, and more especially the leaden cover, were lined with a white liquid, which was constantly dropping from the lid into the cistern, like the drops in caverns where stalactites are formed. The water was in consequence so strongly impregnated with lead as to give a dark precipitate with liver of sulphur.[1259] The reason of this occurrence is, that the water in the cistern is a solution of preventive salts, but what reaches the lid is in a manner distilled. In Edinburgh the lids of the cisterns are invariably made of wood, whether on account of its superior cheapness merely, or because a leaden cover had been found perishable, I have not been able to discover. It may be well to conclude these remarks on the action of spring waters on lead with a general summary of the chief circumstances to be adverted to in using lead for keeping or conveying water; to which may be added a few hints for preventing action where it is found to have taken place. The general results of the preceding inquiries are that rain or snow-water for culinary use should not be collected from leaden roofs, nor preserved nor conveyed in lead;—that the same rule applies to spring waters of unusual purity, where for example the saline impregnation does not exceed a 15,000th of the water;—that spring water which contains a 10,000th or 12,000th of salts may be safely conveyed in lead pipes, if the salts in the water be chiefly carbonates and sulphates;—that lead pipes cannot be safely used, even where the water contains a 4000th of saline matter, if this consist chiefly of muriates;—that spring water, even though it contain a large proportion of salts, should not be kept for a long period in contact with lead;—and that cisterns should not be covered with lids of this metal. Where action is observed to take place in the instance of particular waters, it may in some cases be impossible to prevent it by any attainable means. But the inquiries detailed above suggest two modes by which a remedy may be generally found. It appears that, where a crust of carbonate is allowed to form slowly and quietly on the surface of lead, even distilled water ceases to have any material action; and that the action is reduced almost to nothing if a crust be thus formed in a solution containing a minute quantity of some powerfully protecting salt, such as phosphate of soda. It appears to me then that a remedy may be often found in the instance of unusually pure spring waters—either by leaving the new pipes filled with the water for a few months, care being taken not draw any water from them in the interval,—or perhaps even more effectually by filling the pipes for a similar period with a solution containing about a 25,000th of phosphate of soda. I had determined to try the latter plan with the pipes in the Dumfries-shire case mentioned above, but recommended that in the first instance the pipes should be left for a few months full of the water of the spring, and the stop-cocks kept carefully shut; and on this being done for three or four months, it was found that the water afterwards passed with scarcely any impregnation of lead, and what little was contracted at first gradually diminished in the course of time.—Probably neither of these methods will be of more than temporary use, when the chief or only salt present is chloride of sodium, even though the proportion be considerable. Both plans seemed to answer for a time in the instance which occurred at Lord Aberdeen’s (p. 411); but after a while the action recommenced, probably owing to the deposited carbonate being slowly dissolved. At the time of publication of my paper in the Transactions of the Royal Society of Edinburgh, the cure appeared complete, and was there represented to be so. I should add that an effectual remedy has been lately introduced by a patent invention for covering lead pipes both externally and internally with a thin coating of tin. In the remarks now made on the action of water on lead no account has been taken of the effect of the galvanic fluid in promoting it. This, however, is a most important co-operating agent, or rather perhaps it ought to be considered a distinct power; for it acts with energy where water alone acts least, namely, when there is saline matter in solution, because then a galvanic current of greater force is excited. In general it is necessary that two different metals be present in the water before galvanic action be excited; but a very slight difference may be sufficient. For example, it seems enough that the lead contain here and there impurities, constituting alloys slightly different from the general mass of the pipe or cistern. It is probable that galvanic action may be thus excited by the joinings being soldered with the usual mixture of lead and the more fusible metals. At least I have seen pipes deeply corroded externally, when made of sheets of lead rolled and soldered; and the action was deepest on each side of the solder, which had itself entirely escaped corrosion. Even inequalities in the composition of the lead may have the same effect. Sheet lead long exposed to air or water is sometimes observed to be corroded in particular spots; and these will always be found in the neighbourhood of parts of the metal differing in colour, hardness or texture from the general mass. I have not analyzed such spots; but I conceive the supposition now made is exceedingly probable, and supplies a ready explanation of the corrosion. Similar effects may arise simply from fragments of other metals lying long in contact with the lead. They may also arise from portions of mortar being allowed to lie on the lead; but the action here is not galvanic. I have no doubt that many of the instances of unusually rapid corrosion of lead by water, such as that mentioned by Dr. Wall [p. 410] are really owing, not to the simple action of water, but to an action excited obscurely in one or other of the ways now mentioned. _Of the Action of Acidulous Fluids on Lead and its Oxide._ Water acidulated with various acids acts on lead with different degrees of rapidity. The effect of acidulation with _carbonic acid_ has not yet been accurately ascertained. The effect of _sulphuric acid_ is peculiar. Distilled water feebly acidulated with that acid acts much less rapidly on lead than when quite pure. Thus I have found that, if it contained a 4000th or even only a 7000th of sulphuric acid, fifty grains of lead kept in it for thirty-two days gained a seventh or a twelfth of a grain in weight, and were covered with beautiful crystals of sulphate of lead. A minute trace of lead could be detected in the water. _Hydrochloric acid_ is somewhat more active as a solvent. Distilled water containing a 3000th of that acid acquired in thirty-two days a sweetish taste, and yielded by evaporation a considerable quantity of muriate of lead, while the lead rods lost weight, and were covered with acicular crystals of the same salt. It is much more important, however, to consider the effects of the vegetable acids on lead and its oxide, because their solvent power is a fruitful source of the accidental as well as intentional adulteration of many articles of food and drink. _Acetic acid_ in the form of common vinegar, even when much diluted, attacks and dissolves metallic lead, if by exposing the surface of the fluid to the air, a constant supply of oxygen be maintained to produce oxidation. The _citric acid_ will attack it under the same circumstances, but acts more slowly. In a solution of five grains of citric acid in twenty-four parts or two drachms of water, three lead rods lost two grains in weight in nine weeks. The greater part of the citrate of lead separated slowly in white powdery crystals; but a small portion was dissolved by the excess of acid, and imparted to the fluid a pleasant sweetness. _Tartaric acid_ acts much less energetically. In a comparative experiment with the last, the lead gained nearly half a grain in weight by acquiring a crystalline coat of tartrate of lead. But I could not detect any lead in solution; and there was no loose powder. The tartrate of lead is very sparingly soluble in an excess of its acid, so that a sweet taste cannot be communicated by it to a fluid acidulated with tartaric acid. _Malic acid_, according to MM. Chevallier and Ollivier, acts so quickly as a solvent, that if a solution be kept in a lead vessel for three hours, the metal may be detected in the fluid by any of its ordinary tests.[1260] The acids act with greater rapidity on the protoxide of lead than on the metal; and the presence of air is of course not required to enable them to effect its solution. The solvent power of the acids is liable to be counteracted by various substances; the operation of which, however, has not been well ascertained. It appears that substances containing gallic acid or tannin throw down the lead; and on this account various adulterations which would otherwise take place are either prevented or corrected. It has been also ascertained by Proust, that the vegetable acids do not attack lead when it is alloyed with tin. For as the latter metal has a stronger attraction than the former for acids, no lead can be oxidated before the tin undergoes that change.[1261] From what has been said of the action of the vegetable acids, it follows that the preparation or preservation of articles of food and drink in leaden vessels is fraught with danger. For, if they contain a vegetable acid, more particularly the acetic, as many of them do, and if they are allowed to remain in the vessel for a moderate length of time, they will be apt to be impregnated with the metal. In this way lead has been often insidiously introduced into the food of man. Thus milk has been poisoned by being kept in leaden troughs. An instance of the kind has been related by Dr. Darwin. A farmer’s daughter used to wipe the cream from the edge of the milk which was kept in leaden cisterns, and being fond of cream, had a habit of licking it from her finger. She was seized in consequence with the symptoms of lead colic, afterwards with paralytic weakness of the hands, and she died of general exhaustion.[1262] The circumstances under which the lead is acted on have not been carefully examined. It appears to be sometimes used with safety. It will of course be dissolved, if the milk should become sour. Rum has been also supposed to be sometimes adulterated with lead by being left in contact with the metal. The dry belly-ache of the West Indies, which appears to be the same disease with the lead colic, has been ascribed by some to the same cause. But on this subject precise information is still wanted. Dr. J. Hunter has stated, that an epidemic colic, which attacked three of our regiments in Jamaica during the years 1781 and 1782, and which seized almost every man of them, was traced by him to the presence of lead in the rum; and he endeavours to show that the spirit might dissolve the lead in passing through the leaden worms of the distilling apparatus.[1263] He adds in another work, that, according to information communicated by Dr. Franklin, the legislature of Massachusetts passed an act in 1723, prohibiting the use of leaden still-heads and worms in the distillation of spirituous liquors.[1264] It is certain that rum has been often impregnated with lead; but it is by no means clear that Dr. Hunter has successfully accounted for the mode in which the adulteration is effected. Wine has been accidentally impregnated in like manner, in consequence of the bottles having been rinsed with shot, and some of the shot left behind. An interesting example of this has been related in the Philosophical Magazine. Severe abdominal symptoms were caused by a bottle of wine; and the cause was discovered to be the action of the wine on some shot in the bottom of the bottle. The shot had been so completely dissolved, that it crumbled when squeezed between the fingers.[1265] The illness in this instance must have been owing to the arsenic contained in the shot, because the quantity of lead was hardly sufficient to excite violent symptoms.—At one time home-made British wines must have been frequently adulterated with lead, from the makers being ignorant of the dangerous nature of the adulteration. Sir G. Baker quotes the following receipt in a popular cookery book of his time: “_To hinder wine from turning._—Put a pound of melted lead in fair water into your cask, pretty warm, and stop it close.”[1266] But by far the most remarkable adulteration of the kind now under review is that of cider. At one time a disease in every respect the same as the lead colic used to prevail in some of the south-west counties of England at the cider season; and it was generally ascribed, in consequence apparently of the opinion of Huxham, to the working people indulging too freely in their favourite beverage during the season of plenty. The subject, however, was carefully investigated in 1767 by Sir George Baker, who succeeded in proving, that the disease arose from the cider being impregnated with lead, sometimes designedly for the purpose of correcting its acescency when spoiled, but chiefly by accident, in consequence of the metal being used for various purposes in the construction of the cider-house apparatus. The substance of his researches is,—that a disease in all respects the same with the lead colic was in his time so prevalent in Devonshire as to have supplied 289 cases to the Exeter Hospital in five years, and 80 to the Bath Infirmary in a single season (1766); while, on the contrary, it was little, if at all, known in the adjoining counties of Gloucester, Worcester, and Hereford, although cider is there an equally common drink among all ranks:—that in the latter counties lead was seldom or never used in constructing the apparatus of the cider-houses, while in Devonshire it was used sometimes for lining the presses, but more commonly for fastening the iron cramps, and filling up the stone joinings of the grinding troughs, and for conveying the liquor from vessel to vessel:—that lead did not exist in the cider of Herefordshire, but might be detected both in the ripe cider, and more especially in the must, of Devonshire:—that from eighteen bottles of cider, a year in bottle, 4½ grains of metallic lead were procured.[1267] The accuracy of these facts, and the soundness of the conclusions which Sir George Baker drew from them have been universally admitted; and lead is now, I believe, completely excluded from the cider apparatus. Notwithstanding the notoriety of these facts, accidents from adulterated cider seem still to occur occasionally in France. So recently as 1841 a set of cases which presented the incipient symptoms of lead colic were traced by MM. Chevallier and Ollivier to cider having been adulterated with lead to the amount of nearly two grains and a half per quart, in consequence of a publican having kept his cider for two days in a vessel lined with lead.[1268] If lead is previously oxidated, the presence of vegetable acids in articles kept in contact with it is still more likely to give rise to a poisonous impregnation, than in the case of lead itself. Of accidental adulterations of this kind the most important is that which arises from the action of vegetable acids on the glazing of earthenware. This glaze is well known to contain generally a considerable quantity of oxide of lead, and in consequence is more or less easily dissolved by vegetable acids. A good example has been noticed by Dr. Beck.[1269] A family in Massachusetts, consisting of eight persons, were all seized with spasmodic colic, obstinate costiveness, and vomiting; and the disease was satisfactorily traced to a store of stewed apples, which had been kept some months in an earthenware vessel and had corroded the lead glazing. Another interesting example has been described by Dr. Hohnbaum of Hildburghausen. A family of five persons were all violently affected for a long time with spasmodic colic, and some with partial palsy. After examining many articles of food, Dr. Hohnbaum at last found that the vinegar for dressing their salads was kept in a large earthenware vessel capable of holding eight or ten quarts, and glazed with lead; that an ounce of vinegar remaining in the vessel contained no less than nine grains of lead; and that the whole glazing of the vessel was completely dissolved.[1270] Accidents like this appear from the statements of the same author to have been common in Germany not long ago. Luzuriaga attributes the great prevalence of colic in Madrid and the neighbourhood to the general use in the kitchen of earthenware glazed with lead.[1271] Jacob imputes it to the same cause.[1272] But others have doubted the accuracy of this explanation. The effect of acids on lead glazing appears to be variable. Sometimes they hardly act on it at all.[1273] The difference probably depends on differences in the composition of the glaze. Gmelin says, that if there is little oxide of lead present, acids and fat do not corrode it; but that potters often use too much, to render the glaze more fusible; and that then it is easily corroded.[1274] Westrumb states, that, if the lead glaze is thoroughly vitrified and not cracked, the strongest acids do not attack it.[1275] Farther experiments are still required to elucidate this subject. It is not, however, by accident only that the food or drink of man is subject to be poisoned with lead. Many articles are adulterated with it designedly for a variety of purposes. These adulterations it is necessary for the medical jurist to study. No kind of adulteration with lead is more common than that of wine; which, when too acid and harsh from the first, or rendered acescent by decay, may be materially improved in taste by the addition of litharge. The practice of correcting unsound wines in this way seems to have been well known at an early period. Betwixt the years 1498 and 1577, various decrees were passed against it by the German emperors; and in some provinces the crime was even punished capitally.[1276] For some time afterwards the dangerous effects of the practice appear to have been lost sight of in Germany. But towards the close of the seventeenth century, the attention of physicians and legislators in that country was pointedly directed to the subject by various writers in the _Acta Germanica_.[1277] The same practice has been long prevalent in France. The famous endemic colic of Poitou, which appeared in 1572, and raged for sixty or seventy years, has been with justice ascribed in modern times to the adulteration of wine with lead, and has given to the lead colic its scientific name of _colica pictonum_. More recently, the practice became exceedingly prevalent in Paris. About the year 1750, the farmers-general found that for some years before that, 30,000 hogsheads of sour wine were annually brought into Paris for the alleged purpose of making vinegar, while the previous yearly imports did not exceed 1200. An inquiry was accordingly set on foot; which led to the discovery, that the vinegar merchants corrected the sour wines with litharge, and thus made them marketable.[1278] Notwithstanding the active system of medical police in the French capital, the crime is not yet eradicated. Indeed the small tart wines used so abundantly there by all ranks, hold out great encouragement and facilities to its perpetration. The process employed for correcting the acescency of wine is not precisely known. Some wines are easily corrected; Mérat found that a bottle of harsh wine, which had a sharp, bitterish, rather acrid taste, took up in forty-eight hours twelve grains of litharge, and became palatable.[1279] With other wines this simple method will not answer, because the colour is destroyed, and a taste is substituted which has no resemblance to that of the genuine wine. Thus Orfila remarked, that Burgundy, neutralized with litharge, acquired a saccharine taste and became pale-red, because the insoluble salts of lead which were formed, combined with and removed the colouring matter.[1280] On the whole, it is probable that the adulteration of wine with lead can only be practised with success on the common tart kinds, such as those used by the lower orders on the continent. Some excellent observations have been published on this subject by Fourcroy. In order to render what he has said intelligible, it is necessary to premise, that in the course of the fermentation of wine, the bitartrate of potass, which accelerates the conversion of the sugar of the fruit into alcohol, is itself partly converted into malic acid; that in sound wine, therefore, there is a mixture of tartaric and malic acids; but that if the malic acid originally existed in the fruit in too great abundance, the fermentation of the sugar is imperfect, and the wine is consequently both too acid and too weak; and lastly, that all wines, if neglected, are apt to ferment too much, in consequence of which they pass the vinous stage of fermentation, and become impregnated with acetic acid.[1281] Now Fourcroy found that the oxide and other preparations of lead correct acescency and harshness in wines, not so much by throwing down the acids, as by combining with them in solution, and imparting to the liquor the peculiar sweetness of lead. Hence tart wines, which owe their acidity to too great a proportion of tartaric acid or bitartrate of potass, cannot be improved by adulteration with oxide of lead. For the bitartrate of potass cannot act at all as a solvent on the oxides or carbonate of lead, and even pure tartaric acid takes up so little, that wine containing it, could not acquire the sweet taste which is the purpose of the adulteration. This statement I have confirmed. But the case is very different when the wine contains acetic acid, the presence of which is the general cause of spoiling or acidity. For Fourcroy remarked, that acetic acid dissolves not only oxide and carbonate of lead, but likewise the tartrate, notwithstanding its great insolubility in water or in its own acid. Hence the presence of tartaric acid in a wine spoiled by co-existence of the acetic, will not prevent the liquor from taking up oxide of lead in sufficient quantity to acquire an improved taste and flavour. Nay, an obvious mode of correcting excessive acidity, produced by too much tartaric acid, is to add tartaric acid, and then to treat the mixture with oxide of lead. Fourcroy farther thinks, that the malic acid possesses the same solvent power as the acetic over tartrate of lead, and that its presence may therefore be the reason why some tart wines, which do not contain the acetic acid, become nevertheless impregnated with the poison. The solvent power of acetic acid is increased by the presence of other vegetable principles in the wine.[1282] I may add, that I have found the citric acid to possess the same property with the acetic and malic acids. It dissolves so much of the tartrate of lead as to acquire a pleasant sweetness, unmixed with metallic astringency. The practice of adulterating wine with lead does not seem to have been ever pursued to any material extent in Britain. Home-made wines may be adulterated in this way, as may be inferred from the receipt formerly quoted for preventing acescency. But I have never heard that any such adulteration has been suspected in the foreign wines usually drunk in this country. Considering, indeed, the nature of these wines, and the class of people who alone make use of them, it is not likely that adulteration with lead could be practised with success. If the foreign wines used in Britain should become acescent, lead could hardly restore their taste so thoroughly as to impose on the consumer. Sometimes spirituous liquors and preserves have been adulterated with lead, in consequence of sugar of lead having been used to clarify them, or to render them colourless. Cadet de Gassicourt says it is a common practice in France to clarify honey and sugar of grapes, and to make brandy pale in this way; and M. Boudet has detected lead in many samples of these articles in Paris.[1283] Hollands has likewise been poisoned in the same manner. Dr. Shearman mentions his having detected an extensive adulteration of smuggled Geneva by an excise officer, which had been sold and dispersed over an extensive tract of country, and which committed great ravages among the inhabitants.[1284] The adulterations hitherto noticed take place through means of the chemical action of the adulterated articles on lead or its oxide. Some other substances are occasionally contaminated by its compounds being merely mechanically mixed with them. There is no end to the number and variety of adulterations of this kind. But the following will serve as examples. Gaubius once detected an adulteration of butter with white lead at a time when it was very scarce in Flanders, owing to a dreadful mortality among cattle.[1285] An instance of poisoning with lead, in consequence of cheese having been mixed with red lead, is mentioned in the Repertory of Arts.[1286] This variety deserves to be remembered. Red lead was at one time a good deal used to communicate the peculiar reddish-yellow colour, which is supposed to characterize the finer qualities of certain kinds of English cheese. In the Transactions of the Medical Society of London, a singular instance has been related by Mr. Deering, of lead colic attacking a whole family, and proving fatal to two of them, in consequence of the insidious introduction of white lead into the body. Although the nature of the symptoms in the several cases left no doubt that lead was the cause of them, it was long before the source of the poison was discovered. Every vessel and article used in the kitchen was in vain examined; when at length it was discovered that the sugar used by the family had been taken from a barrel which had formerly contained white lead, and that, as the sugar from the centre of the barrel had been dug out, and given away to various friends, the outer part of it next the white lead was chiefly used by the family themselves.[1287] _Process for detecting Lead in Organic Mixtures._ In the first place, a little nitric acid should be added to the suspected matter before filtration; for nitric acid redissolves any insoluble compound formed by the salts of lead with albumen and other animal principles, as well as some of those formed with vegetable principles; and consequently renders it more probable, that the poison will be detected in the first part of the analysis, if present at all.[1288] This being done, sulphuretted-hydrogen gas is to be transmitted through the fluid part of the mixture; and if a dark-coloured precipitate is formed, the whole is to be boiled and filtered to collect the precipitate. In order to ascertain that the precipitate positively contains lead, those who are accustomed to use the blowpipe may put the sulphuret into a little hole in a bit of charcoal, and reduce it by the fine point of a blowpipe-flame; when a single globule is procured, which is easily distinguished by its lustre and softness. A better process, for those not accustomed to the blowpipe, and perhaps a better test of the existence of lead in all circumstances, is to heat the sulphuret to redness in a tube, and to treat it with strong nitric acid, without heat or with the aid of a gentle heat only. The lead is thus dissolved without the sulphur being acted on. The solution is then to be diluted with water, filtered, evaporated to dryness, and gently heated to expel the excess of nitric acid. If the residue be dissolved in water, it will present the usual characters of a lead solution when subjected to the proper liquid tests. Of these the hydriodate of potass is to be preferred when the quantity is too small for trying more of them. But for this purpose care must be taken to expel all the excess of nitric acid, because an excess will strike a yellow colour with the test though lead be not present. If the preceding process should not detect lead in the filtered part of the mixed fluid, then the insoluble matter left on the filter is to be incinerated, and the residuum dissolved in nitric acid, and tested as above. This branch, however, will be rarely required, if lead be present, because the precaution of adding nitric acid, previous to filtration, dissolves the lead from most of its compounds which are insoluble in water. The process of incineration in medico-legal analysis generally should be avoided if possible, as it is not easily managed by unpractised persons.—The present branch of the process of analysis will be particularly required for the contents of the stomach or vomited matter, when any sulphate or phosphate has been given as an antidote. A process different from the preceding, and analogous to those for detecting copper and antimony in complex organic mixtures, has lately been proposed by Professor Orfila, especially for those cases in which lead is to be sought for in the textures of the body, where death is supposed to have been occasioned by it. The subject of analysis, such as the liver, spleen, or kidneys, being cut into small pieces, and boiled in distilled water, and the filtered decoction being evaporated to dryness, the extract is to be carbonized with nitric acid as directed under the head of copper (p. 357); and care must be taken that the heat be not raised to redness, so as to inflame the mass. The residuum is then to be boiled with nitric acid; the solution being evaporated to dryness to expel the excess of acid, the saline matter left is to be redissolved and acted on by hydrosulphuric acid gas; and the sulphuret thus formed may be recognized by the means mentioned above.[1289] A question has been recently started, whether all the processes for detecting lead in the tissues of the human body are not rendered fallacious by the alleged existence of lead in the healthy animal textures. In the first place, however, it is doubtful, as will be seen presently, whether lead ever exists naturally in the animal organs. But besides, the fallacy, if a real one, is obviated by the process of Orfila; who states that lead, naturally combined in the animal tissues, cannot be indicated by his method, if the animal matter be charred by nitric acid without deflagration. And farther, in regard to the tissues of the stomach in cases of acute poisoning with the preparations of lead, it appears that in most instances there may be seen on the villous coat little white points, which are blackened by hydrosulphuric acid, a phenomenon never occasioned by lead naturally contained in the substance of the membrane. [See p. 439.] SECTION II.—_Of the Action of Lead and the Symptoms it excites in Man._ The effects of the preparations of lead on the body are very striking. They differ according to the rapidity with which it enters the system. Large doses of its soluble salts cause symptoms of irritant poisoning. The gradual introduction of any of its oxidated preparations in minute quantities brings on a peculiar and now well-known variety of colic, which is often followed by partial palsy, and in violent cases by apoplexy. The physiological effects and mode of action of the soluble salts in irritating doses have been examined experimentally by Professor Orfila, M. Gaspard, Dr. Schloepfer, and Dr. Campbell. Their experiments agree in showing that these poisons have a direct irritating action, and a remote operation of an unknown kind; but the results obtained by different experimentalists differ as to some of the details. The acetate may be taken as a type of the whole genus. Orfila found that it was hardly possible to bring dogs under the action of the acetate if swallowed in solution, because they speedily discharged it all by vomiting. But if the salt was given in powder in the dose of half an ounce, or if the solution was retained in the stomach by a ligature on the gullet, the symptoms produced were those of violent irritation in the first instance, succeeded by extreme weakness and death, sometimes in nine hours, more generally not till the second day or later. The appearances in the body were unnatural whiteness of the villous coat when death was rapid, and vascular redness when death was slower. The whiteness in the former case Orfila ascribes to chemical action. But as neither this appearance nor the redness in the latter case was considerable, while at the same time the symptoms were not those of continuous irritation, he was led to doubt whether the poison causes death in consequence of its irritant properties. And the phenomena observed by him when acetate of lead was injected into the jugular vein prove that death is owing to certain remote effects. Introduced through this channel thirteen grains killed a dog almost immediately, death being preceded by no other symptom except convulsive respiration; five grains killed another in five days, and the leading symptoms were weariness, languor, staggering, and slight convulsions, none of which symptoms appeared till the third day; and it is remarkable that in neither animal could he find any morbid appearance on dissection.[1290] Mr. Blake states that large doses, such as a drachm, suddenly arrest the heart’s action; but that small doses of three grains, injected into the jugular vein, cause diminished action of that organ, and afterwards gorging and hepatization of the lungs; and that when injected backwards into the aorta from the axillary artery, this salt occasions obstruction of the capillary circulation, indicated by increased arterial pressure,—and then an action on the nervous system, producing insensibility, violent movements of the tail, and at last arrestment of the respiration. It may be inferred from Mr. Blake’s researches that lead obstructs both the systemic and pulmonary capillaries, that it acts powerfully on the nervous centre, and that it likewise depresses the heart’s action when the dose is large.[1291] The experiments of Gaspard coincide with those of Orfila in assigning considerable activity to the acetate of lead when it is directly introduced into the blood,—the quantity of two or four grains generally causing death in three or five days.[1292] The experiments of Campbell farther show that death may be induced by applying it to a wound, and that the symptoms antecedent to death resemble those remarked by Orfila when it is injected into a vein.[1293] But the two last experimentalists differ from Orfila in assigning to sugar of lead a property like that possessed by arsenic, of acting on the alimentary canal, even when applied to a wound, or directly introduced into the blood. For Campbell found the stomach corrugated and red, and the small intestines also vascular; while Gaspard not only observed analogous appearances after death, but even also witnessed all the symptoms of violent dysentery during life. In farther proof of the local irritating power of this poison, it may be added, that when sugar of lead was injected into the rectum Campbell found it to cause purging, tenesmus, itching of the anus, and great debility. I have found that the nitrate of lead is powerfully irritant and corrosive in the dose of 400 grains. This quantity dissolved in four ounces of water killed a strong dog in sixteen hours, producing violent efforts to vomit and diarrhœa. And after death the whole inner membrane of the gullet and stomach, and the villi of the upper half of the small intestines, were uniformly white, brittle, and evidently disintegrated; and the mucous coat of the great intestines was bright red in parallel lines. The only inquiries I have hitherto met with, which assign to lead in continued small doses the power of producing in animals the peculiar colic and palsy often produced by it in man are those of Schloepfer, related in his thesis on the effects of poisons when injected into the windpipe. He found that the acetate, introduced through this channel in successive doses of ten grains, brought on all the symptoms of _colica pictonum_, preceded by oppressed breathing, and ending fatally with palsy and convulsions in the course of three weeks.[1294] More recently Dr. Wibmer, in the course of some experiments on the long-continued use of acetate and carbonate of lead, remarked weakness and stiffness of the limbs in dogs; and in the rabbit I have observed in the like circumstances gradually increasing weakness, ending in complete palsy of the fore-legs. The compounds of lead seem to produce their effects on the animal body through the medium of absorption. At all events they are absorbed in the course of their action, and are diffused throughout the animal textures. Lead was long sought for with variable and dubious success in the fluids and solids of men and animals killed by it or labouring under its effects. But the late improvements in physiological science and chemical analysis have demonstrated, that it may always be detected in favourable circumstances in the liver and kidneys, often in the spleen and in the urine, and sometimes even in the muscles. Wibmer was the first who satisfactorily proved its presence. In dogs poisoned slowly by the acetate or carbonate of lead in frequent small doses, and dying with symptoms of lead-colic and palsy, he found the metal distinctly in the liver, muscles, and spinal cord, and more obscurely in the blood, by drying and deflagrating the animal matter with nitre, acting on the residue with nitric acid, neutralizing the solution, and testing it with hydrosulphuric acid, carbonate of potash, and iodide of potassium.[1295] On repeating these experiments, I succeeded in detecting lead in very minute quantity in the lumbar and dorsal muscles of rabbits, but not any where else.[1296] Professor Orfila has since frequently found lead, by means of his method of analysis described at page 424, in the kidneys, liver, and urine of animals which had taken large doses of acetate of lead, and once in the urine of a girl who had swallowed above an ounce of the acetate twenty-five hours before the urine was passed.[1297] About the same time M. Ausset, under the directions of Lassaigne, detected lead largely in the blood and urine of a horse during life, and in the liver and kidneys after death.[1298] Mr. Alfred Taylor found traces of it in the milk of a cow accidentally poisoned by carbonate of lead.[1299] M. Tanquerel Desplanches says it has been detected by M. Devergie and himself in the palsied parts of persons who had died of colica pictonum;[1300] and Dr. Budd observes, that Mr. Miller found lead in abundance in the paralysed extensors of the hand in a man who died in a London Hospital of the epileptic form of the effects of this poison.[1301] These facts seem to outweigh the negative results obtained by others. Nor are they invalidated by the alleged existence of lead in the healthy animal textures. For in the first place,—although M. Devergie says he has always found traces of lead in the substance of the stomach and intestines of men and women, who had not used preparations of lead or been in any way exposed to it,[1302] and Professor Orfila confirmed these observations by also finding traces of lead in the alimentary canal under similar circumstances,[1303]—the conclusion flowing from their researches is after all doubtful; for in a later inquiry MM. Danger and Flandin could not find any lead, unless it had been purposely introduced into the body.[1304] And secondly,—Devergie adds to his remarks, that the quantity of lead he found in the textures and secretions of those who had died of lead-colic was far greater than in those who had not been exposed to lead preparations before death; and Orfila ascertained that the process by which he detects adventitious lead is incapable of indicating that which may be present naturally in the body.[1305] It is probable that all the preparations of lead are poisonous except the metal, and perhaps also the sulphuret. The experimentalists at the Veterinary School of Lyons found that nearly four ounces of the metal might be given to a dog without even vomiting being excited; and Orfila remarked that an ounce of carefully prepared sulphuret had as little effect.[1306] The effects, which have been occasionally ascribed to lead-shot, and which will be mentioned by and by [_see_ p. 435], seem at variance with these experiments, but cannot outweigh such precise negative results. It is probable that irritant poisoning can be produced only by those compounds which are soluble, such as the acetate, subacetate, and nitrate. It appears indeed from the experiments of Orfila with the acetate and my own with the nitrate, that these compounds are true corrosives, and of no mean energy when given in large doses moderately diluted. The insoluble compounds, such as the carbonate, red oxide and protoxide, possess little irritant power. The experimentalists of Lyons found litharge to be irritant in large doses of half an ounce.[1307] Orfila gave dogs large doses of the red oxide and carbonate without observing any signs of irritation in the stomach. A case has been published of a young woman who swallowed accidentally an ounce and a half of the carbonate without any bad effect whatever either at the time or afterwards;[1308] and Dr. Ogston of Aberdeen has informed me he met with a similar case, that of a girl who took an ounce with the view of destroying herself, but without sustaining any harm whatever. In a remarkable case, published by Mr. Cross of London, in which six drachms were taken accidentally by a pregnant female instead of magnesia, vomiting and violent colic were produced, and afterwards fainting, paralysis of the extensor muscles, and contraction of the flexors; all of which symptoms, however, after enduring without abatement till eight hours after the poison was swallowed, gradually disappeared under antidotes and laxatives. But such a case bears no great resemblance either to the acute or chronic form of poisoning with lead, and was probably hysterical.[1309] Orfila has found that an ounce and a quarter of sulphate of lead had no effect whatever on a dog.[1310] Mr. Taylor mentions a case where the chloride of lead caused vomiting, but no other ill consequence.[1311] Dr. Cogswell found that three drachms of iodide of lead caused in a dog merely depression and weakness for a few days; but forty grains killed a rabbit in twelve days, with symptoms of exhaustion and constipation; and doses frequently repeated, to the amount of eleven drachms in eighteen days, killed a dog under symptoms nearly the same.[1312] It may be presumed that all the compounds of lead which are soluble in water or in the animal fluids may produce in favourable circumstances the lead colic and palsy. Dr. A. T. Thomson, indeed,[1313] has endeavoured to show by some experiments, that the carbonate is the only compound of lead which possesses this singular power; and that if the acetate of lead produces similar effects, it is only because that salt usually contains an excess of oxide which becomes carbonate from the action of free carbonic acid in the stomach and other parts of animals, or because the salt is decomposed by double decomposition from the accidental presence of alkaline carbonates. It does not appear to me, however, that the researches of Dr. Thomson, taken along with the prior inquiries of other physiologists, will bear out this conclusion. The experiments of Wibmer in particular would seem to show that the carbonate is at least not more active than the acetate; nor does it appear probable that the small doses of acetate given by him, seldom exceeding two or three grains at a time, could yield any carbonate in the alimentary canal of a dog, where there is commonly much free muriatic acid. Farther, in many of the instances of lead colic related above as produced by cider, wine, and other acid substances acting on lead or its oxide, the acid must have been so greatly in excess, that it was scarcely possible that carbonate of lead could have been formed afterwards by any ordinary accident. And even supposing the carbonate to be more active than other compounds in occasioning colic and palsy, as Dr. Thomson’s inquiries would tend to show, the fact may be admitted without necessarily leading to the inference, that it is the only active compound of lead, or that other preparations must be converted into the carbonate before they can act as slow poisons. For the superior activity of the carbonate may be owing to the great obstinacy with which its impalpable powder adheres to moist membranous surfaces, and the consequent greater certainty of its ultimate absorption. It certainly appears at least but consistent with a general law, to which hitherto no undoubted exception has been found, that the carbonate must be dissolved before it can act constitutionally. The symptoms observed in man from the preparations of lead are of three kinds. One class of symptoms indicate inflammation of the alimentary canal: another spasm of its muscles: and a third injury of the nervous system, sometimes apoplexy, more commonly palsy, and that almost always partial and incomplete. Each of these classes of symptoms may exist independently of the other two; but the last two are more commonly combined. The irritant effects of large doses of the soluble salts of lead come first under consideration. Of these the acetate, or sugar of lead may be taken as an example. Here it will, in the first instance, be observed that, according to the experiments mentioned above, the acetate of lead, though certainly an irritant poison, is not very energetic,—being much less so than the vulgar generally believe, and far inferior to most of the metallic poisons hitherto treated of. This farther appears from the experience of physicians as to its effects in medicinal doses. The acetate has been often given in pretty large doses in medical practice; and although it has sometimes excited colic when continued too long, ordinary irritation of the stomach seems to have been rarely observed. Mr. Daniell, in a paper on its effects as a remedy for mercurial salivation, states that he gave it in doses of ten grains three times a day, and that he never observed it to excite any other unpleasant symptom except slight colic, which seldom came on till after the fourth dose.[1314] I have often given it in divided doses to the amount of eighteen grains daily for eight or ten days, without remarking any unpleasant symptom whatever, except once or twice slight colic. Van Swieten even mentions a case in which it was given to the amount of a drachm daily for ten days before it caused any material symptom.[1315] Yet facts are not wanting to prove that acetate of lead in an improper dose will produce violent and immediate effects. The symptoms are then either those of simple irritation, or more commonly those of inflammation united with the peculiar spasmodic colic of lead, and sometimes followed by convulsions and coma, or by local palsy. In one of Sir George Baker’s essays there is an instance of immediate and violent symptoms having been caused by a drachm taken twice with a short interval between the doses. The subject was a soldier who took it in milk to cure a diarrhœa. Five hours after the first dose he was seized with pain in the bowels and a feeling of distension round the navel. After the second these symptoms became much more acute; and he was soon after seized with bilious vomiting, loss of speech, delirium, and profuse sweating, while the pulse fell down to 40. He recovered, however, with the aid of diluents and cathartics.[1316] A case which proved rapidly fatal has been related in a French journal. A drummer in a French regiment, who was much given to drinking, stole some Goulard’s extract, and drank it for wine. Neither the first symptoms nor the dose could be ascertained. On the second day he was affected with loss of appetite, paleness, costiveness, and excessive debility; on the third day he had severe and excessive colic, drawing in of the belly, loss of voice, cold sweats, locked jaw, and violent convulsions; and he expired before the evening of the same day. The morbid appearances will be mentioned in their proper place. Sugar of lead was detected in the stomach.[1317] In both these instances the disorder excited partook very much of the character of the spasmodic colic which is caused by the gradual

Chapters

1. Chapter 1 2. PART II.—OF INDIVIDUAL POISONS. 3. CHAPTER I. 4. 1. _On the Action of Poisons through Sympathy._ In the infancy of 5. 2. _Of the Action of Poisons through Absorption._—If doubts may be 6. 1. _Quantity_ affects their action materially. Not only do they produce 7. 2. _As to state of aggregation_,—poisons act the more energetically the 8. 3. The next modifying cause is _chemical combination_. This is sometimes 9. 4. The effect of _mixture_ depends partly on the poisons being diluted. 10. 5. _Difference of tissue_ is an interesting modifying power in a 11. 6. With respect to differences arising from _difference of organ_, these 12. 7. _Habit and Idiosyncrasy._—The remarks to be made under the present 13. 8. The last modifying cause to be mentioned comprehends certain 14. CHAPTER II. 15. 1. The first characteristic is the _suddenness of their appearance and 16. 2. The next general characteristic of the symptoms of poisoning is 17. 3. Another characteristic is _uniformity in the nature of the symptoms_ 18. 4. The fourth characteristic is, that _the symptoms begin soon after a 19. 5. Lastly, _the symptoms appear during a state of perfect health_. This 20. 1. As to the _suddenness of their invasion and rapidity of their 21. 2. As to the uniformity or _uninterrupted increase of the symptoms_, it 22. 3. It was stated above, that the third character, _uniformity in kind_ 23. 4. In the next place, it was observed that some reliance may be placed 24. 5. Little need be said with regard to _the symptoms beginning, while the 25. 1. It may have been discharged by vomiting and purging. Thus on the 26. 2. The poison may have disappeared, because it has been all absorbed. It 27. 3. Poisons may not be found, because the excess has been decomposed. 28. 4. Lastly, the poison which has been absorbed into the system, and may 29. 1. The evidence derived from _the effects of suspected food, drink, or 30. 2. In the case of _the vomited matter_ or _contents of the stomach_ 31. 3. The effects of _the flesh of poisoned animals_, eaten by other 32. 3. The next article, which relates to the proof of the administration of 33. 4. The next article in the moral evidence relates to the intent of the 34. 5. The next article among the moral circumstances,—the simultaneous 35. 6. The next article of the moral evidence relates to suspicious conduct 36. CHAPTER III. 37. CHAPTER I. 38. 1. _Arsenical_ White arsenic 185 39. 2. _Acids_ Sulphuric acid 32 40. 3. _Mercurials_ Corrosive sublimate 12 41. 4. _Other mineral irritants_ Tartar-emetic 2 42. 5. _Veget. irritants_ Colchicum 3 43. 7. _Opium_ Opium or Laudan. 180 44. 8. _Hydrocyanic acid_ Med. Hydroc. acid 27 45. 9. _Other veget. Narcotics_ Nux-vomica 3 46. 11. Unascertained 22 47. CHAPTER II. 48. 1. _Distension of the Stomach._—Mere distension of the stomach from 49. 2. _Rupture of the Stomach_ is not a common occurrence; but it sometimes 50. 3. _Rupture of the Duodenum_ is a very rare accident from internal 51. 4. Under the next head may be classed rupture of the other organs of the 52. 5. The next accident which may be noticed on account of its being liable 53. 6. _Of Bilious Vomiting and Simple Cholera._—Of all the diseases which 54. 7. _Of Malignant Cholera._—The history of this disease affords a fair 55. 8. _Of Inflammation of the Stomach._—Chronic inflammation of the stomach 56. 9. _Inflammation of the Intestines_ in its acute form is more common 57. 10. _Inflammation of the Peritonæum_, or lining membrane of the belly, 58. 11. The subject of _Spontaneous Perforation of the Stomach_ is an 59. 12. The _gullet_ may be perforated in a similar manner either with or 60. 13. _Perforation of the alimentary canal by worms_ may here also be 61. 14. The next diseases to be mentioned are melæna and hæmatemesis, or 62. 15. The last are _colic_, _iliac passion_, and _obstructed intestine_. 63. CHAPTER III. 64. 1. _When concentrated_ it is oily-looking, colourless, or brownish from 65. 2. _When diluted_, it may be distinguished from all ordinary acids by 66. 3. It is seldom that the medical jurist is called on to search for 67. 1. The most ordinary symptoms are those of the first variety,—namely, 68. 2. The second variety of symptoms belong to a peculiar modification of 69. 3. The third variety includes cases of imperfect recovery. These are 70. 4. The last variety comprehends cases of perfect recovery, which are 71. 1. _When concentrated_, nitric acid is easily known by the odour of its 72. 2. _In a diluted state_ this acid is not so easily recognised as the 73. 3. _When in a state of compound mixture_, nitric acid, like sulphuric 74. 1. Hydrochloric acid, _in its concentrated state_, is colourless, if 75. 2. _When diluted_, it is recognised with facility, first by 76. 3. In the last edition of this work I proposed for the detection of 77. CHAPTER IV. 78. CHAPTER V. 79. CHAPTER VI. 80. 1. In the form of a pure solution, its nature may be satisfactorily 81. 2. The only important modifications in the analysis rendered necessary 82. CHAPTER VII. 83. CHAPTER VIII. 84. CHAPTER IX. 85. CHAPTER X. 86. CHAPTER XI. 87. CHAPTER XII. 88. CHAPTER XIII. 89. 3. The arsenite of copper, or _mineral green_. 4. The arsenite of potass 90. 2. _Of the Tests for Arsenious Acid._ 91. 7. After the precipitate has thoroughly subsided, the supernatant liquid 92. introduction as a poison into the body. This topic, one of paramount 93. 1. _Arsenic may exist as an adulteration in some reagents._—It must be 94. 2. _Arsenic may be present in some articles of chemical 95. 3. _Arsenic may have existed in antidotes administered during life._—It 96. 4. _Arsenic sometimes exists naturally in the human body._—This 97. 5. _Arsenic may exist in the soil of churchyards._—This proposition too 98. 3. _Arsenite of Copper_. 99. 4. _Arsenite of Potass_. 100. 5. _Arseniate of Potass._ 101. 6. _The Sulphurets of Arsenic._ 102. 7. _Arseniuretted-Hydrogen._ 103. 1. In one order of cases, then, arsenic produces symptoms of irritation 104. 2. The second variety of poisoning with arsenic includes a few cases in 105. 3. The third variety of poisoning with arsenic places in a clear point 106. CHAPTER XIV. 107. 1. _Of Red Precipitate._ 108. 2. _Of Cinnabar._ 109. 3. _Of Turbith Mineral._ 110. 4. _Of Calomel._ 111. 5. _Of Corrosive Sublimate._ 112. 1. _Hydrosulphuric acid gas_ transmitted in a stream through a solution 113. 1. _Lime-Water_ throws down the binoxide of mercury in the form of a 114. 6. _Of Bicyanide of Mercury._ 115. 7. _Of the Nitrates of Mercury._ 116. 1. The symptoms in the first variety are very like what occur in the 117. 2. The second variety of poisoning with mercury comprehends the cases, 118. 3. The third variety of poisoning with mercury comprehends all the forms 119. introduction of corrosive sublimate into the stomach. The poison then 120. CHAPTER XV. 121. 1. _Mineral Green._ 122. 2. _Natural Verdigris._ 123. 3. _Blue Vitriol._ 124. 1. _Ammonia_ causes a pale azure precipitate, which is redissolved by an 125. 2. _Sulphuretted hydrogen gas_ causes a dark brownish-black precipitate, 126. 3. _Ferro-cyanate of potass_ causes a fine hair-brown precipitate, the 127. 4. A polished rod or plate of _metallic iron_, held in a solution of 128. 4. _Artificial Verdigris._ 129. 1. Should the subject of analysis not be a liquid, render it such by 130. 2. If the copper be extremely minute in quantity, sulphuretted hydrogen 131. CHAPTER XVI. 132. 1. _Caustic potass_ precipitates a white sesquioxide, but only if the 133. 2. _Nitric acid_ throws down a white precipitate, and takes it up again 134. 3. The _Infusion of Galls_ causes a dirty, yellowish-white precipitate; 135. 4. The best liquid reagent is _Hydrosulphuric acid_. In a solution 136. 5. When the solution is put into Marsh’s apparatus for detecting arsenic 137. 1. Subject a small portion of the liquid to a stream of hydrosulphuric 138. 2. If hydrosulphuric acid do not distinctly affect the liquid, or if no 139. 3. If antimony be not indicated in either of these ways in the fluid 140. CHAPTER XVII. 141. CHAPTER XVIII. 142. 1. _Of Litharge and Red Lead._ 143. 2. _Of White Lead._ 144. 3. _Of Sugar of Lead._ 145. 1. _Hydrosulphuric acid_ causes a black precipitate, the sulphuret of 146. 2. _Chromate of potass_, both in the state of proto-chromate and 147. 3. _Hydriodate of potass_ causes also a lively gamboge-yellow 148. 4. _A rod of zinc_ held for some time in the solution displaces the 149. 4. _Goulard’s Extract._ 150. introduction of lead into the body; and in the last the whole course of 151. introduction of lead into the body may be presumed to be the real cause. 152. introduction of lead into the system. Dr. Burton thinks it will when the 153. CHAPTER XIX. 154. CHAPTER XX. 155. CHAPTER XXI. 156. CHAPTER XXII. 157. CHAPTER XXIII. 158. CHAPTER XXIV. 159. CHAPTER XXV. 160. CHAPTER XXIV. 161. 1. Apoplexy is sometimes preceded at considerable intervals by warning 162. 2. Apoplexy attacks chiefly the old. It is not, however, confined to the 163. 3. The next criterion is, that apoplexy occurs chiefly among fat people. 164. 4. A fourth criterion is drawn from the relation which the appearance of 165. 5. Another criterion relates to the progress of the symptoms. The 166. 6. Although there is a great resemblance between the symptoms of 167. 7. In the last place, a useful criterion may be derived from the 168. 1. The epileptic fit _is sometimes preceded by certain warnings_, such 169. 2. The symptoms of the epileptic fit _almost always begin violently and 170. 3. As in apoplexy, so in epilepsy the patient _in general cannot be 171. 4. When a person dies in a fit of epilepsy, _the paroxysm generally 172. 5. M. Esquirol, a writer of high authority, says that epilepsy _very 173. CHAPTER XXVII. 174. 1. If there be any solid matter, it is to be cut into small fragments, 175. 2. Add now the solution of acetate of lead as long as it causes 176. 3. The fluid part is to be treated with hydrosulphuric acid gas, to 177. 4. It is useful, however, to separate the meconic acid also; because, as 178. 5. If there be a sufficiency of the original material, Merck’s process 179. 546. There is little doubt that poisoning with opium may cause 180. CHAPTER XXVIII. 181. CHAPTER XXIX. 182. CHAPTER XXX. 183. CHAPTER XXXI. 184. 1. M. Chomel of Paris has related a case of poisoning with the gas 185. 2. The fumes of burning charcoal have been long known to be deleterious. 186. 3. It is probable that in some circumstances a very small quantity of 187. 4. The vapours from burning coal are the most noxious of all kinds of 188. 5. Somewhat analogous to the symptoms now described are the effects of 189. CHAPTER XXXII. 190. CHAPTER XXXIII. 191. CHAPTER XXXIV. 192. CHAPTER XXXV. 193. CHAPTER XXXVI. 194. CHAPTER XXXVII. 195. CHAPTER XXXVIII. 196. CHAPTER XXXIX. 197. CHAPTER XL. 198. CHAPTER XLI. 199. 1. When the dose is small, much excitement and little subsequent 200. 2. When the effect is sufficiently great to receive the designation of 201. 160. In twenty-four hours more the breathing became laborious and 202. 3. The third degree of poisoning is not so often witnessed, because, in 203. CHAPTER XLII. 204. 1. _Poisoning with Arsenic and Alcohol._—A man, after taking twelve 205. 3. _Poisoning with Tartar-Emetic and Charcoal Fumes._—Under the head of 206. 4. _Poisoning with Alcohol and with Laudanum._—Under the head of 207. 5. _Poisoning with Laudanum and Corrosive Sublimate._—Of all the cases 208. 6. _Poisoning with Opium and Belladonna._—A lady, who used a compound 209. 7. In the following cases, the active poisons to which the individuals 210. 2. Apparatus for the distillation of fluids suspected to contain 211. 3. Tube for reducing very small portions of arsenic or mercury. The 212. 4. A small glass funnel for introducing the material into the tube 213. 5. The ordinary apparatus for disengaging sulphuretted-hydrogen. The 214. 6. Instrument for washing down scanty precipitates on filters. It is a 215. 7. Tubes of natural size for collecting small portions of mercury by 216. 8. Pipette, one-fourth the natural size, for removing by suction 217. 9. Apparatus for reducing the sulphurets of some metals by a stream of 218. 36. Quoted by Marx, die Lehre von den Giften, I. ii. 163. 219. 92. Vicarius, Ibidem, Obs. 100. Riselius, Ibidem, Dec. i. An. v. Obs. 220. 1762. See Marx, i. ii. 29. 221. 1. P. 476, changed “exasperated by the use of oil” to “exacerbated by 222. 2. P. 513, changed “I may here add a very opposite instance of 223. 6. Enclosed italics font in _underscores_.

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