Treatise on Poisons by Sir Robert Christison
CHAPTER XXIX.
15818 words | Chapter 181
OF POISONING WITH HYDROCYANIC ACID.
The poisons, whose energy depends on the presence of the prussic or
hydrocyanic acid, are of great interest to the physiologist as well as
the medical jurist. Some of them are natural productions, derived from
the leaves, bark, fruit-kernels, and roots of certain plants; others are
formed artificially by complex chemical processes. The species to be
here noticed are the _hydrocyanic acid_ itself, and the essential oils
and distilled waters of the _bitter almond_, _cherry-laurel_,
_peach-blossom_, _cluster-cherry_, _mountain-ash_, and _bitter cassava_.
These poisons have for some time attracted great attention on account of
their extraordinary power. And indeed in rapidity of action, or the
minuteness of the quantity in which they operate, no poison surpasses
and very few equal them. They are exceedingly interesting to the medical
jurist, because, as they are now generally known, their effects often
become the subject of medico-legal investigation: they have been
repeatedly taken by accident; they have often been resorted to for
committing suicide; and they have likewise been employed as the
instruments of murder. A remarkable instance occurred in England towards
the close of last century, where murder was committed with the
cherry-laurel water; and two cases have been tried in England where
death arose from hydrocyanic acid, and the prisoners were charged with
administering it, but were found not guilty. These cases will be noticed
presently.
_Of the Hydrocyanic Acid._
SECTION I.—_Of its Chemical History and Tests._
This singular substance was discovered some time ago by Scheele; but
Gay-Lussac was the first who obtained it in a state of purity. It is
familiarly known to chemists under two forms,—as a pure acid, and
diluted with water.
The pure acid is liquid, limpid, and colourless. It has an acrid,
pungent taste, and a very peculiar odour, which, when diffused through
the air, has a very distant resemblance to that of bitter almonds, but
is accompanied with a peculiar impression of acridity on the nostrils
and back of the throat. It is an error, however, to suppose, as is very
generally done, that the odour is the same with that of the almond. It
boils at 80°; freezes at 5°; and is very inflammable. I have kept it
unchanged for a fortnight in ice-cold water; but at ordinary
temperatures it decomposes spontaneously, and becomes brown, sometimes
in an hour, and commonly within twelve hours. On this account it is
extremely improbable that a case will ever happen, in which the medical
jurist will have to examine it in its concentrated form.
When united with water it forms the acid discovered by Scheele, and now
kept in the druggist’s shop. In this state it has the same appearance,
taste, and smell as the pure acid; but it is less volatile, does not
burn, and may be preserved long without change, if excluded from the
light. In consequence of its volatility, however, it becomes weak,
unless kept with great care; many samples of it also undergo
decomposition, and deposit brown flakes, if not excluded from the light;
and hence the acid of the shops is very variable in point of strength.
The acid prepared by decomposing the solution of the ferro-cyanate of
potass by sulphuric acid may be kept for years, even exposed to diffuse
light, without being decomposed at all. A French physician made some
experiments not long ago on the uncertainty of the strength of the
medicinal acid; and he found that he could swallow a whole ounce of one
sample, and a drachm of a stronger sample, without sustaining any
injury; but on trying some which had been recently prepared by
Vauquelin, he was immediately taken ill, as will be related presently,
and narrowly escaped with his life.[1840]—The acid of commerce differs
much in strength, according to the process by which it has been
prepared, and independently of decomposition by keeping. The medicinal
acid long used in this country is intended to be an imitation of that of
Vauquelin, which contains 3·3 per cent.;[1841] but the London College of
Physicians, in adopting it in their last Pharmacopœia, improperly
altered the strength to 2 per cent. That of Giese, which keeps well, is
of the same strength as the first; that of Schrader contains only one
per cent.; that of Göbel 2·5 per cent.; that of Ittner 10 per
cent.;[1842] that of Robiquet 50 per cent.[1843] Of the alcoholic
solutions the best known are that of Schrader, which contains about 1·5
per cent. of pure acid,—that of the Bavarian Pharmacopœia, which
contains 4 per cent.,—that of Duflos, 9 per cent.,—that of Pfaff, 10 per
cent.,—and that of Keller, 25 per cent.[1842] These statements are
necessary for understanding the cases of poisoning published in foreign
works.
The tests for hydrocyanic acid has been examined by M. Lassaigne of
Paris, by Dr. Turner of London, and by Professor Orfila. They are its
odour, the salts of copper, the salts of iron, and nitrate of silver.
The _peculiar odour_ of the acid is a very characteristic and delicate
test of its presence. According to Orfila, the smell is perceptible when
no chemical reagent is delicate enough to detect it.[1844] But I doubt
the accuracy of this statement, and may farther observe, that I have
known some persons nearly insensible of any smell, even in a specimen
which was tolerably strong. Hence, when the odour is resorted to as a
test, it ought to be tried by several persons.
_Sulphate of copper_ forms with hydrocyanic acid, when rendered alkaline
with a little potass, a greenish precipitate, which becomes nearly
white, on the addition of a little hydrochloric acid. The purpose of the
hydrochloric acid is to redissolve some oxide of copper thrown down by
the potass. The precipitate is then the cyanide of copper. This test,
according to Lassaigne, will act on the poison when dissolved in 20,000
parts of water. But as the precipitate is not coloured, the test is an
insignificant one compared with the next.
If the acid be rendered alkaline by potass, the _salts of the mixed
peroxide and protoxide of iron_ produce a grayish-green precipitate,
which, on the addition of a little sulphuric acid, becomes of a deep
prussian blue colour. Common green vitriol answers very well for this
purpose. The salts of the peroxide of iron will also often answer,
because, unless carefully prepared, they are never altogether free of
protoxide. But the salts of the pure peroxide of iron have no such
effect. They cause with the potass a brownish precipitate, which is
redissolved on the addition of sulphuric acid, leaving the solution
limpid. Mr. Ilott of Bromley has pointed out to me, that the iron test
does not act on a weak solution of hydrocyanic acid, if there be an
excess of ammonia present, either such from the first, or disengaged by
potash from muriate of ammonia; that the blue precipitate is produced by
driving off the ammonia with heat; but not by neutralizing it with an
acid.
The _nitrate of silver_ is a delicate and characteristic reagent for
hydrocyanic acid. A white precipitate, the cyanide of silver, is
produced in a very diluted solution; and this precipitate is
distinguished from the other white salts of silver, by being insoluble
in nitric acid at ordinary temperatures, but soluble in that acid at its
boiling temperature. In this action it is necessary to observe that
something more is accomplished than simple solution; the cyanide is
decomposed, nitrate of silver is formed, and hydrocyanic acid is
disengaged by the ebullition. A more characteristic property is, that
the precipitate when dried and heated emits cyanogen gas; which is
easily known by the beautiful rose-red colour of its flame.[1845]
Sometimes it is necessary to determine the strength of diluted
hydrocyanic acid; because, on account of its tendency to decomposition,
doubts may be entertained whether a mixture which contains it is strong
enough to be dangerously poisonous. According to Orfila, the best method
of ascertaining the strength either of a pure solution or of a mixture
in syrup, is to throw down the acid with the nitrate of silver and dry
the precipitate; a hundred parts of which correspond to 20·33 of pure
hydrocyanic acid.
_Process for Mixed Fluids._—Some important observations have been made
by MM. Leuret and Lassaigne on the effect of mixing animal matters with
hydrocyanic acid. The most material of their results are, that if the
body of an animal poisoned with the acid is left unburied for three
days, the poison can no longer be detected; and that if it is buried
within twenty-four hours the poison may be found after a longer
interval, but never after eight days. The reason is either that the acid
volatilizes, or that it is decomposed. The possibility thus indicated of
detecting the poison in the body some days after death has been since
confirmed by actual examination in a medico-legal case. In a case of
poisoning with hydrocyanic acid, followed by dismemberment of the body
for the purpose of concealment, distinct proof of the presence of the
poison seven days after death was obtained by the second of the
succeeding processes, although the trunk of the body had never been
buried, but had been for some time lying in a drain.[1846]
For detecting the poison in mixed fluids Orfila has lately advised the
following process. The fluid may be treated with animal charcoal without
heat. The colour being thus generally destroyed, the test will sometimes
act as usual. Or, without this preparation, a slip of bibulous paper
moistened with pure potass, may be immersed in the suspected fluid for a
few minutes, and then touched with a solution of sulphate of iron: upon
which the usual blue colour will be produced on the paper. If neither of
these methods should answer, the fluid is to be distilled.[1847]
Distillation of the fluid is on the whole the best mode of procedure. It
was proposed some time before by Lassaigne and Leuret for detecting the
poison in the stomach after death. The steps of their process, which
appears to me the best yet proposed, are as follows. The contents after
filtration are to be neutralized with sulphuric acid if they are
alkaline, in order to fix the ammonia which may have been disengaged by
putrefaction; the product is then to be distilled from a vapour-bath
till an eighth part has passed over into the receiver; and the distilled
fluid is to be tested with the sulphate of iron in the usual way.[1848]
Orfila maintains that from hydrocyanized syrup only two-thirds of the
acid can be distilled over; and cautions the analyst against estimating
quantity by such means.[1849] M. Ossian Henry has proposed to condense
the acid in distillation by a much more complex process, which consists
in obtaining it in the first instance in the form of cyanide of
silver.[1850] But with a good refrigeratory there is no difficulty in
condensing every particle of acid with no other aid than cold water.
By this process Lassaigne could detect the poison in a cat or dog killed
by twelve drops and examined twenty-four or forty-eight hours after
death.[1851] But Dr. Schubarth has objected to it,—and the same
objection will apply to every process in which heat is used,—that
hydrocyanic acid may be formed during distillation by the decomposition
of animal matter.[1852] His objection, however, appears only to rest on
conjecture or presumption at farthest; and I doubt whether, supposing
the distillation to go on slowly in the vapour-bath, the heat is
sufficient to bring about the requisite decomposition. The force of the
objection must be decided by future researches.
It is worthy of remark that hydrocyanic acid is apt to be formed in the
course of the changes produced by various agents in organic matters.
These are probably more numerous than the toxicologist is at present
exactly aware of. An instance of its formation in the course of the
decay of unsound cheese has been ascertained lately by Dr.
Witling;[1853] and another example will be mentioned under the head of
spurred rye.
_Cyanide of Potassium._—The only compound of hydrocyanic acid which
requires notice is the cyanide of potassium. This is, when pure, a white
salt, bitter, not decomposable by a red heat unless in contact with air,
very soluble in water, and sparingly so in rectified spirit. Its watery
solution restores the blue of reddened litmus, and does not precipitate
lime-water: the mixed sulphates of the two oxides of iron form with it
Prussian blue: nitrate of silver causes a white precipitate insoluble in
cold nitric acid, but disappearing when the acid is boiled: sulphate of
copper causes an apple-green precipitate, which becomes white on the
addition of hydrochloric acid: chloride of platinum or perchloric acid
will indicate the potash. In a complex organic mixture it is difficult
to detect the potash; but hydrocyanic acid may be obtained from it by
distilling the suspected fluid with tartaric acid.[1854]
SECTION II.—_Of the Action of Hydrocyanic Acid and the Symptoms it
excites in Man._
The effects of hydrocyanic acid on the animal system have been examined
by several physiologists. The best experiments with the concentrated
acid are those of M. Magendie; who says that, if a single drop be put
into the throat of a dog, the animal makes two or three deep hurried
respirations, and instantly drops down dead; that it causes death almost
as instantaneously when dropped under the eyelid; and that when it is
injected into the jugular vein, the animal drops down dead at the very
instant, as if struck with a cannon ball or with lightning.[1855]
On repeating these experiments in order to determine less figuratively
the shortest period which elapses before the poison begins to operate,
as well as the shortest time in which it proves fatal,—two points it
will presently be found important to know,—I remarked that a single
drop, weighing scarcely a third of a grain, dropped into the mouth of a
rabbit, killed it in eighty-three seconds, and began to act in
sixty-three seconds,—that three drops weighing four-fifths of a grain,
in like manner killed a strong cat in thirty seconds, and began to act
in ten,—that another was affected by the same dose in five and died in
forty seconds,—that four drops weighing a grain and a fifth did not
affect a rabbit for twenty seconds, but killed it in ten seconds
more,—and that twenty-five grains, corresponding with an ounce and a
half of medicinal acid, began to act on a rabbit as soon as it was
poured into its mouth, and killed it outright in ten seconds at
farthest. Three drops injected into the eye acted on a cat in twenty
seconds, and killed it in twenty more; and the same quantity dropped on
a fresh wound in the loins acted in forty-five and proved fatal in 105
seconds. Dr. A. T. Thomson says he has seen the concentrated acid kill a
strong dog in two seconds.[1856] Mr. Blake on the other hand alleges
that all the accounts which represent the action of the poison to begin
in less than ten seconds are exaggerated, because he could never find it
to act more quickly, even when thirty minims of concentrated acid were
injected at once into the femoral vein.[1857] But it is impossible that
any negative results can outweigh positive observations, especially when
made, as mine were, expressly with the view of ascertaining the shortest
interval. In the slower cases enumerated above there were regular fits
of violent tetanus; but in the very rapid cases the animals perished
just as the fit was ushered in with retraction of the head. In rabbits
opisthotonos, in cats emprosthotonos, was the chief tetanic symptom.—The
practical application of these experiments will appear presently.
Of all the forms in which the pure acid can be administered, that of
vapour appears the most instantaneous in operation. M. Robert found,
that when a bird, a rabbit, a cat, and two dogs were made to breathe air
saturated with its vapour, the first died in one second, the second also
in a single second, the cat in two, one dog in five, and the other dog
in ten seconds.[1858]
The effects of the diluted acid are the same when the dose is large, but
somewhat different when inferior doses are given. These effects have
been observed by many physiologists; but the most accurate and extensive
experiments are those of Emmert published in 1805,[1859] those of
Coullon in 1819,[1860] and those of Krimer in 1827.[1861] They found
that when an animal is poisoned with a dose not quite sufficient to
cause death, it is seized in one or two minutes with giddiness, weakness
and salivation, then with tetanic convulsions, and at last with
gradually increasing insensibility; that after lying in this state for
some time, the insensibility goes off rapidly and is succeeded by a few
attacks of convulsions and transient giddiness; and that the whole
duration of such cases of poisoning sometimes does not exceed half an
hour, but may extend to a whole day or more.—When the dose is somewhat
larger the animal perishes either in tetanic convulsions or comatose;
and death for the most part takes place between the second and fifteenth
minute. I have seen the diluted acid, however, prove fatal with a
rapidity scarcely surpassed by the pure poison. Thus in an experiment
with Vauquelin’s acid, made on a strong cat at the same time with the
second and third of the experiments with the pure acid detailed above, I
found that thirty-two grains, which contain one of real acid, began to
act in fifteen seconds, and proved fatal in twenty-five more. According
to Schubarth’s experiments death may be sometimes delayed for thirty-two
minutes;[1862] but if the animal survives that interval, it recovers. He
farther states, that during the course of the symptoms the breath
exhales an odour of hydrocyanic acid.[1863] Coullon once saw a dog die
after nineteen hours of suffering; but cases of this duration are
exceedingly rare.[1864] When the dose is very large Mr. Macaulay, as
will afterwards be mentioned (p. 590), has found death take place in a
few seconds, exactly as when the pure acid is given.
The body presents few morbid appearances of note. The brain is generally
natural. Yet occasionally its vessels are turgid; and Schubarth once
found even an extravasation of blood between its external membranes in
the horse.[1865] The heart and great vessels are distended with black
blood, which is commonly fluid, but occasionally coagulated as usual.
The lungs, according to Schubarth, are sometimes pale, but much more
generally injected and gorged with blood.[1866] The pure acid, according
to Magendie, exhausts the irritability of the heart and voluntary
muscles so completely, that they are insensible even to the stimulus of
galvanism.[1867] The diluted acid has not always this effect. In the
experiments of Coullon the heart and intestines contracted, and the
voluntary muscles continued contractile, after death as usual.[1868] So
too Mr. Blake remarked both by inspection of the body after death, and
by means of the hæmadynamometer during life, that, when the poison is
introduced directly into a vein, so as to prove fatal in forty-five
seconds, the contractions of the heart, though irregular, are not
materially impaired in energy.[1869] On the other hand Schubarth states
that the heart is never contractile, although the intestines and
voluntary muscles retain their contractility.[1870] The reason of these
discrepant statements is that, as I have had occasion to observe, a
considerable difference really prevails in experiments conducted under
circumstances apparently the same. In eight experiments on cats and
rabbits with the pure acid the heart contracted spontaneously, as well
as under stimuli, for some time after death, except in the instance of
the rabbit killed with twenty-five grains, and one of the cats killed by
three drops applied to the tongue. In the last two the pulsations of the
heart ceased with the short fit of tetanus which preceded death; and in
the rabbit, whose chest was laid open instantly after death, the heart
was gorged and its irritability utterly extinct. The later researches of
Dr. Lonsdale likewise show great varieties in the condition of the
heart; and he has been led to conclude that the diluted acid does not
perceptibly influence the heart, while the pure acid enfeebles it, if
introduced into the stomach, but arrests it, if injected into the
windpipe.[1871]
The experiments of Emmert, Coullon, and Krimer show that the diluted
acid acts most energetically through the serous membranes, and next upon
the stomach; that it also acts with energy on the cellular tissue; that
it has no effect when applied to the trunks or cut extremities of
nerves, or to a fissure made in the brain or spinal marrow; that its
action is prevented when the vessels of any part are tied before the
part is touched with the poison; that its action is not prevented by
previously dividing the nerves; and that it may sometimes be discovered
in the blood after death by chemical analysis,[1872] and frequently by
the smell when analysis cannot succeed in separating it.[1873] These
results favour the supposition that hydrocyanic acid acts through the
medium of the blood-vessels. But the extreme rapidity of its operation
in large doses is usually considered incompatible with an action through
the blood, or any other channel except direct conveyance along the
nerves. The tremendous rapidity of action indicated by the experiments
of Magendie, or of Mr. Macaulay (p. 543), of M. Robert, as well as in
some of those performed by myself,—certainly appears rather inconsistent
with the notion, that the acid must enter the blood-vessels before
producing its effects.
This acid acts on the brain and also on the spine independently of its
action on the brain. Its action on both is clearly indicated by the
combination of coma with tetanus. The independent action on the spine is
well shown by the following experiment of Wedemeyer. In a dog the spinal
cord was divided at the top of the loins, so that no movement took place
when the hind-legs were pricked: hydrocyanic acid being then introduced
into a wound in the left hind-leg, symptoms of poisoning commenced in
one minute, and the hind-legs were affected with convulsions as well as
the fore-legs.[1874]
Hydrocyanic acid affects all animals indiscriminately. From the highest
to the lowest in the scale of creation all are killed by it; and all
perish nearly in the same manner. Such is the result of a very extensive
series of experiments by Coullon.
It is scarcely necessary to observe that hydrocyanic acid acts
energetically as a poison, through whatever channel it is introduced
into the body. Whether it be swallowed, or injected into the rectum, or
dropped into the eye, or applied to a fresh wound, or inhaled in the
form of vapour, its action is exerted with tremendous energy. Perhaps it
may even act through the sound skin. It has not, hitherto, indeed, been
found to affect animals in this way, evidently because their skin is too
thick and impermeable. But M. Robiquet informed me that once, while he
was making some experiments on the tension of its vapour, his fingers,
after being some time exposed to it, became affected with numbness,
which lasted several days; I have repeatedly remarked the same effect
when handling tubes which contained the concentrated acid; and Emmert
found that the essential oil of bitter almond, applied to the uninjured
skin of the back of a rabbit, produced the usual symptoms and death: and
that the peculiar odour of the poison was quite distinct after death in
the deep-seated muscles of the back.[1875]
This substance is poisonous in all its chemical combinations. Coullon
remarked that two drops of the hydrocyanate of ammonia killed a sparrow
in two minutes.[1876] Robiquet and Magendie found that a hundredth part
of a grain of the cyanide of potassium killed a linnet in thirty
seconds, and five grains a large pointer in fifteen minutes;[1877]
Orfila has related an instance of death in the human subject within an
hour after the administration of six grains of cyanide of potassium in
an injection;[1878] and in a recent experimental investigation the same
author found that this salt produces all the effects of hydrocyanic
acid.[1879] Schubarth killed a dog in twenty minutes with twenty drops
of the diluted acid neutralized by ammonia,[1880] and another in three
hours with twenty-five drops neutralized by potass. These facts are a
sufficient answer to a statement made by Mr. Murray of London, to the
effect, that a considerable dose of the acid may be given without injury
to a rabbit,[1881] if previously rendered alkaline by ammonia. But,
nevertheless, as will be seen under the head of the treatment, ammonia,
as Mr. Murray stated, is a good antidote when administered after the
poison as a stimulant.
The _ferro-cyanates_, or prussiates, do not possess deleterious
properties. These salts were at one time considered compounds of
hydrocyanic acid with a double oxidized base, oxide of iron being one.
Thus the prussiate of potass was considered a compound of hydrocyanic
acid with potass and oxide of iron. But since the investigations of Mr.
Porrett, it has been admitted that there is only one base, potash; and
that it is in union with a hydracid, called ferro-cyanic acid, the
radicle of which is a ternary body composed of carbon, azote, and iron.
The physiological effects of this substance, which have been examined by
many experimentalists, are favourable to Porrett’s opinion; for although
some have found it poisonous, all agree in assigning it very feeble
properties, and some have not been able to discover in it any
deleterious quality at all. Coullon observes that Gazan killed a dog
with two drachms, and Callies another with three drachms of the salt met
with in commerce.[1882] Schubarth found that half an ounce had not any
material effect on dogs, even when vomiting did not occur for half an
hour;[1883] and Callies, who found the salt of commerce somewhat
poisonous, also remarked, that when it was carefully prepared, several
ounces might be given without harm.[1884] D’Arcet once swallowed half a
pound of a solution without any injury.[1885] Similar results were
obtained previously with smaller doses by Wollaston, Marcet,[1886] and
Emmert,[1887] as well as afterwards by Dr. Macneven,[1888] and
Schubarth,[1889] who found that a drachm or even two drachms might be
taken with impunity by man and the lower animals.
The _sulpho-cyanic acid_, another substance analogous in chemical nature
to the ferro-cyanic, was once supposed like it to be a poison of great
activity, but this is doubtful. Professor Mayer of Bonn ascertained that
a drachm and a half of a moderately strong solution of the acid
sometimes killed a rabbit in ninety seconds when injected into the
windpipe, and that the same quantity of a solution of sulpho-cyanate of
potassa might occasion death in the course of four hours; but that some
rabbits took half an ounce of the former and three drachms of the latter
without material harm, both when administered through the windpipe, when
injected into the rectum, and when introduced into the stomach by a
gullet-tube. In the fatal cases death took place under symptoms of
oppressed breathing, rarely attended with convulsions; and extensive
traces of irritation were found in the alimentary canal.[1890] Dr.
Westrumb of Hameln, however, seems to have found it more active in the
form of sulpho-cyanate of potassa. Two scruples in an ounce of water
produced in a dog spasmodic breathing, convulsions, efforts to vomit,
and death in seven minutes; and forty grains killed another in less than
two hours. In the latter animal he detected the poison by the sulphate
of iron in the blood, lungs, liver, spleen and kidneys.[1891] Some
experiments by Soemering would even make it out to be a poison of very
great energy; for half a drachm of concentrated sulpho-cyanic acid given
to a dog occasioned immediate death; and the same quantity of
sulpho-cyanate of potassa killed another in one minute.[1892]
_Cyanic and cyanous acids_ are not poisonous, according to the
experiments of Hünefield;[1893] but _cyanogen_ is a powerful poison, as
will be mentioned under the head of the Narcotic Gases.
The symptoms of hydrocyanic acid observed in man are very similar to
those witnessed in animals.
Coullon has given a good account of the effects of small doses as
ascertained by experiment on himself. When he took from 20 to 86 drops
of a diluted acid, he was attacked for a few minutes with nausea,
salivation, hurried pulse, weight and pain in the head, succeeded by a
feeling of anxiety, which lasted about six hours.[1894] Such symptoms
are apt to be induced by too large medicinal doses. Another remarkable
symptom which has been sometimes observed during its medicinal use is
salivation with ulceration of the mouth. Dr. Macleod thrice had occasion
to remark this in patients who had been using the drug for about a
fortnight, and twice in one individual; and Dr. Granville says he had
also twice witnessed the same effect.[1895]
As to the effects of fatal doses, it is probable that in man, as in
animals, two varieties exist. When the dose is very large, death will in
general take place suddenly, without convulsions. But for obvious
reasons the symptoms in such cases have not been hitherto witnessed.
The most complete account of the symptoms from fatal doses when
convulsions occur, is given in a case reported by Hufeland of a man,
who, when apprehended for theft, swallowed an ounce of alcoholized acid,
containing about forty grains of the pure acid. He was observed
immediately to stagger a few steps, and then to sink down without a
groan, apparently lifeless. A physician, who instantly saw him, found
the pulse gone and the breathing for some time imperceptible. After a
short interval he made so forcible an expiration that the ribs seemed
drawn almost to the spine. The legs and arms then became cold, the eyes
prominent, glistening, and quite insensible; and after one or two more
convulsive expirations he died, five minutes after swallowing the
poison.[1896]
In Horn’s Journal is recorded another case which also proved fatal in
five minutes, with precisely the same symptoms.[1897] A short notice of
what appears to have been a similar case is given in the Annales de
Chimie. The person was a chemist’s servant, who swallowed a large
quantity of the alcoholic solution by mistake for a liqueur, the poison
having been accidentally left on the table by her master, who had been
showing it as a curiosity to some friends. No account is given of the
symptoms, farther than that she died apoplectic in two minutes.[1898] To
these cases may be also added a short notice of the French physician’s
case mentioned at the commencement of this chapter. It will convey a
good idea of the operation of the poison when not quite sufficient to
kill. Very soon after swallowing a tea-spoonful of the diluted acid he
felt confusion in the head, and soon fell down insensible, with
difficult breathing, a small pulse, a bloated countenance, dilated
insensible pupils, and locked jaw. Afterwards he had several fits of
tetanus, one of them extremely violent. In two hours and a half he began
to recover his intellects and rapidly became sensible; but for some days
he suffered much from ulceration of the mouth and violent pulmonary
catarrh, which had evidently been excited by the ammonia given for the
purpose of rousing him. This gentleman had eructations with the odour of
the acid three or four hours after he took it; and during the earlier
symptoms the same odour was exhaled by his breath.[1899] The hydrocyanic
odour of the breath is of course an important distinguishing character,
which would appear, from the observations of Dr. Lonsdale on
animals,[1900] to occur more frequently than might be supposed from the
silence observed on the subject by the reporters of cases.
Hydrocyanic acid is not considered a cumulative poison,—that is, the
continued use of frequent small doses is not believed to possess the
power recognised in iodine, mercury, and foxglove, of gradually and
silently accumulating in the body, and then suddenly breaking out with
dangerous or fatal violence. The frequent experience of practitioners in
this and other countries seems to prove that hydrocyanic acid possesses
no such property. It is right at the same time to mention, that a case
published by Dr. Baumgärtner of Freyburg has been thought by some[1901]
to establish the reverse. A man had taken for two months, on account of
chronic catarrh, ten drops of Ittner’s acid daily in doses of one grain,
without experiencing the slightest toxicological effect. At length he
was found one morning in bed apparently labouring under the poisonous
operation of the acid. He had headache, blindness, dilated insensible
pupil, feeble irregular pulse, occasional suspension of the breathing,
and rapidly increasing insensibility. The cold affusion and ammonia were
immediately resorted to, and at first with advantage. But in no long
time spasms commenced in the toes, and gradually affected the rest of
the body, till at length violent fits of general tetanus were formed,
lasting for six or ten minutes, and alternating in the intervals with
coma. Venesection was next resorted to; after which the spasms were
confined to the jaw and eyes. Delirium succeeded, but was removed by a
repetition of the blood-letting. At four in the afternoon he was
tolerably sensible; during the night delirium returned; at ten next
morning he recovered his sight; and on the subsequent morning he had no
complaint but headache and pain in the eyes.[1902] This case differs so
much from every other in the collateral circumstances, as well as in
duration, that, although the symptoms themselves correspond with those
of poisoning with hydrocyanic acid, we may justly suspect either some
other cause, or the accidental administration of too large a dose. It
ought, however, to turn the attention of practitioners to the
possibility of this poison acting by the accumulation of the effects of
small doses frequently repeated for a great length of time.
The period within which hydrocyanic acid usually proves fatal is fixed
with considerable accuracy, not only by the cases observed in the human
subject, but likewise by the experiments of many physiologists, and more
especially those of Schubarth (p. 583). It is probable that very large
doses occasion death in a few seconds; and at all events a few minutes
will suffice to extinguish life when the dose is considerable; but if
the individual survive forty minutes, he will generally recover. In the
course of a dreadful accident which happened a few years ago in one of
the Parisian hospitals, when seven epileptic patients were killed at one
time by too large doses of the medicinal acid, it was found that several
did not die for forty-five minutes.[1903] But the researches of
Schubarth would certainly justify the expectation that recovery will
take place under active treatment when the patient survives so
long.—These facts may be highly important in the practice of medical
jurisprudence.
The period within which it begins to operate ought also to be accurately
ascertained for the same reason. Indeed in a very interesting trial,
which took place a few years ago in this country, the fate of the
prisoner depended in a great measure on the question, within how short a
time the effects of this poison must show themselves?[1904] The nature
of the case was as follows: An apothecary’s maid-servant at Leicester
who was pregnant by her master’s apprentice, was found one morning dead
in bed; and she had obviously been poisoned with hydrocyanic acid.
Circumstances led to the suspicion that the apprentice was accessary to
the administration of the poison. On the other hand, it was distinctly
proved that the deceased had made arrangements for a miscarriage by
artificial means on the night of her death; and it was therefore
represented, on the part of the prisoner, that she had taken the poison
of her own accord. But the body was found stretched out in bed in a
composed posture, with the arms crossed over the trunk, and the
bed-clothes pulled smoothly up to the chin; and at her right side lay a
small narrow-necked phial, from which about five drachms of the
medicinal prussic acid had been taken, and which was corked and wrapped
in paper. There naturally arose a question, whether the deceased, after
drinking the poison out of such a vessel, could, before becoming
insensible, have time to cork up the phial, wrap it up, and adjust the
bed-clothes?[1905] To settle this point, experiments were made at the
request of the judge, by Mr. Macaulay, Mr. Paget, and several other
medical men of Leicester; and on the trial they, with the exception of
Mr. Paget, gave it as their opinion, founded on the experiments, that
the supposed acts of volition, although within the bounds of
possibility, were in the highest degree improbable. The chief
experiments were three in number, from which it appeared that one dog
was killed with four drachms in eight seconds, another with four drachms
in seven seconds, and another with four drachms and a half in three
seconds; but in other experiments the interval was greater.—For these
particulars I am indebted to Mr. Macaulay.
In the first edition of this work I expressed my concurrence with the
majority of the witnesses. But some facts, which came subsequently under
my notice, led me to think that this concurrence was given rather too
unreservedly. I still adhere so far to my original views as to think it
improbable that, if the deceased, after swallowing the poison, had time
to cork the phial, wrap it in paper, pull up the bed-clothes, and place
the bottle at her side, the progress of the symptoms could have been so
rapid and the convulsions so slight, as to occasion no disorder in the
appearance of the body and the bed-clothes,—and I still likewise think,
that after swallowing so large a dose it was improbable she could have
performed all the successive acts of volition mentioned above—with
ordinary deliberation. But I am informed on good authority, that some
gentlemen interested in the case found by actual trial, that all the
acts alluded to might be accomplished, if gone about with promptitude,
within the short period, which, in some of their experiments, the
witnesses found to elapse, before the action of the poison commenced.
And such being the fact, we ought not perhaps to attach too great
importance to the other argument I have employed,—the probability of
disorder in the body and bed-clothes from the convulsions; for if the
poisoning commenced very soon, the convulsions might have been slight.
The results of my own experiments related in p. 582, although on the
whole confirmatory of those of Mr. Macaulay and his colleagues, are
nevertheless sufficient to prove that large doses occasionally do not
begin to operate with such rapidity as was observed in their
experiments; for in one instance four drops of concentrated acid,
equivalent to two scruples of medicinal acid, did not begin to act on a
rabbit for twenty seconds; and certainly, for so small an animal, two
scruples are as large a dose as five drachms for a grown-up girl.
The two following cases will throw some farther light on the time within
which this poison begins to act on man when taken in large quantity. The
first case shows, that even when an enormous dose is taken, a few simple
voluntary acts may be executed before the symptoms begin. In this
instance which is related by Dr. Gierl of Lindau, the dose was no less
than four ounces of the acid of the Bavarian Pharmacopœia, which
contains four per cent. of pure acid, and is equivalent to five ounces
at least of that commonly used in Britain and France. The subject, an
apothecary’s assistant, was found dead in bed, with an empty two-ounce
phial on each side of the bed,—the mattrass, which is used in Germany
instead of blankets, pulled up as high as the breast,—the right arm
extended straight down beneath the mattrass,—and the left arm bent on
the elbow.[1906] The second case proves that, although one or two acts
of volition may be accomplished, the interval is so very brief that
these acts can only be of the simplest kind. An apothecary’s
apprentice-lad was sent from the shop to the cellar for some carbonate
of potass; but he had not been a few minutes away, when his companions
heard him cry in a voice of great alarm, “Hartshorn! Hartshorn!” On
instantly rushing down stairs, they found him reclining on the lower
steps and grasping the rail; and he had scarcely time to mutter “Prussic
acid!” when he expired,—not more than five minutes after leaving the
shop. On the floor of the cellar an ounce-phial was found, which had
been filled with the Bavarian hydrocyanic acid, but contained only a
drachm. It appeared that he had taken the acid ignorantly for an
experiment; and from the state of the articles in the cellar, it was
evident that, alarmed at its instantaneous operation, he had tried to
get at the ammonia, which he knew was the antidote, but had found the
tremendous activity of the poison would not allow him even to undo the
coverings of the bottle.[1907]
When the quantity of the poison is small, a much longer interval may
elapse before the commencement of its action. Thus, when the dose is
barely short of what is required to occasion death, the effects may be
postponed even for fifteen minutes, as in a case which occurred to Mr.
Garson of Stromness.[1908] This, so far as I am at present aware, is the
extreme limit of interval hitherto observed.
In the trial related above the prisoner Freeman was found _Not Guilty_.
It is important to fix, if possible, the smallest fatal dose of
hydrocyanic acid. This will vary with particular circumstances, such as
the strength of the individual, and the fulness or emptiness of the
stomach at the time. The cases of the Parisian epileptics, who were
killed each by a draught containing two-thirds of a grain of pure
acid,[1909] will supply pointed information. For, on the one hand,
considering the long time they survived, it is not probable that a dose
materially less would have a fatal effect on man. And on the other hand
repeated instances of recovery have been observed, where the dose was as
great or even greater. Thus Dr. Geoghegan had a patient who recovered
from a state of extreme danger after taking two-thirds of a grain;[1910]
and Mr. Banks of Lowth met with a case of recovery in similar
circumstances, where the dose was very nearly a whole grain.[1911]
It is almost unnecessary to add, that in man, as in animals, this poison
will act violently, through whatever channel it may be introduced into
the body. It has not been positively ascertained to act with force
through the unbroken skin. The chemist Scharinger indeed was supposed to
have been killed in consequence of accidentally spilling the acid on his
naked arm;[1912] but this was in all probability a mistake. Should the
skin be freely exposed to the air it seems reasonable to expect that the
poison will evaporate before it could act with energy; but if confined
by pledgets or otherwise, a different result might ensue. Through every
other surface, however, besides the unbroken skin, hydrocyanic acid acts
with very great power; and it is in particular important to remember
that its power is very great when inhaled, so that dangerous accidents
have ensued even from its vapour incautiously snuffed up the nostrils. I
have known a strong man suddenly struck down in this way; a French
physician, M. Damiron, has related the case of an apothecary who
remained insensible for half an hour subsequently to the same
accident;[1913] and cases of the kind are more apt to occur than might
at first view be thought, because, contrary to what is generally
believed and stated in chemical as well as medico-legal works, its smell
is for a few seconds barely perceptible, and never of the kind which
these accounts would lead one to anticipate. Accidental death may
readily arise from its action on a wound or an abraded surface.
Sobernheim mentions that Mr. Scharring, a druggist at Vienna, was
poisoned in consequence of a phial of the acid breaking in his hand and
wounding it; and he expired in an hour.[1914]
The only case with which I am acquainted of poisoning with the
artificial compounds of hydrocyanic acid is that formerly alluded to as
having been occasioned by the cyanide of potassium. Six grains dissolved
in a clyster amounting to six ounces, occasioned general convulsions,
palpitations, slow laboured breathing, coldness of the limbs, dilated
pupil, fixing of the eyeballs, and death in one hour,—phenomena much the
same with those produced by the acid itself.[1915]—Another case has been
published, in which a French physician, ignorant of the correct dose,
prescribed a potion with three grains of cyanide of potassium twice a
day. Immediately after the first dose the patient was seized with the
usual symptoms of poisoning with hydrocyanic acid; and expired in
three-quarters of an hour.[1916] In noticing the first of these cases,
Orfila draws the attention of practitioners particularly to the fact,
that not long before a similar dose of a sample of cyanide, which had
been moist for some time, was twice administered with impunity. The
reason is that the cyanide of potassium undergoes decomposition when
acted on by water, or when long kept.
SECTION III.—_Of the Morbid Appearances produced by Hydrocyanic Acid._
Under this head the appearances in a special case will first be
mentioned, and then the varieties to which they are liable.
In _Hufeland’s_ case [p. 587] the inspection was made the day after
death. The eyes were still glistening, like those of a person alive; but
the countenance was pale and composed like one asleep. The spine and
neck were stiff, the belly drawn in, the back alone livid. The body
generally, the blood even within the head, and especially the serous
cavities, exhaled a hydrocyanic odour, so strong as to irritate the
nostrils. The blood was every where very fluid, so that two pounds
flowed from the incision in the scalp and twelve ounces from that of the
dura mater; and it had a glimmering bluish appearance, as if Prussian
blue had been mixed with it. The vessels of the brain were gorged, the
substance of the brain natural, and the left ventricle distended with
half an ounce of serum. The villous coat of the stomach was red, easily
removed with the nail, and gangrenous.[1917] The intestines were
reddish, and the liver gorged. The lungs were also turgid, and to such a
degree in the depending parts as to resemble the liver. The arteries and
left cavities of the heart were empty, the veins and right cavities
distended.
In commenting on this description it is first to be remarked, that the
blood, as in the preceding case, is generally altered in nature. Ittner,
who made some good experiments on the subject, found it in animals
black, viscid, and oily in consistence.[1918] Emmert found it fluid and
of a cochineal colour. In a case related by Mertzdorff of an
apothecary’s apprentice, who was found dead in bed after swallowing
three drachms and a half of diluted acid,[1919] in the case recorded in
Horn’s Archiv, and in that related by Dr. Gierl, it was fluid. It was
also perfectly fluid every where in the bodies of the seven epileptic
patients poisoned at Paris. Yet this state is not invariable. Coullon,
though his results tally in general with those of Ittner and Emmert, has
given some experiments in which the blood coagulated after flowing from
the body;[1920] and in the case of an apothecary related in Rust’s
Journal it was found coagulated in the heart.[1921]
In the next place, Magendie and other physiologists have observed that,
as in Hufeland’s case, the blood and cavities of the body in animals
exhale a hydrocyanic odour, even though the quantity taken was small.
The blood did so likewise in the heart of the apothecary just mentioned
as well as throughout the whole body in the case described in Horn’s
Journal. The odour, however, is not always present. For example, there
was none in the case of another German apothecary, who poisoned himself
with an ounce, as recorded in a later volume of Rust’s Journal;[1922]
neither was there any odour in the blood in Mertzdorff’s case, although
it was strong in the stomach; nor in the blood nor any other part of the
body in the Parisian epileptics. It also appears from an experiment by
Schubarth,[1923] and from a case by Leuret where life was prolonged
above fifteen minutes,[1924]—that the odour may be distinct in the
blood, brain, or chest, when hardly any is to be perceived in the
stomach. Schubarth has inquired with some care into the circumstances
under which the hydrocyanic odour may, or may not, be expected. He
states, as the result of his researches, that if the dose is sufficient
to cause death within ten minutes, the peculiar odour will always be
remarked in the blood of the heart, lungs, and great vessels, provided
the body have not been exposed to rain or to a current of air, and the
examination be made within a moderate interval,—for example, twenty-one
hours for so small an animal as a dog; but that, if the dose is so small
that life is prolonged for fifteen, twenty-seven, or thirty-two minutes,
then even immediately after death it may be impossible to remark any of
the peculiar odour, evidently because, as already mentioned, the acid is
rapidly discharged by the lungs; and that even when the dose is large
enough to cause death in four minutes, the smell may not be perceived if
the carcase has been left in a spacious apartment for two days, or
exposed to a shower for a few hours only. These facts explain
satisfactorily why no odour could be perceived in the bodies of the
Parisian epileptics; for they lived from half an hour to forty-five
minutes. The poison may exist in the stomach, though not appreciable by
the sense of smell. In Chevallier’s case mentioned above, the contents
of the stomach had not any odour of hydrocyanic acid; which, however,
was evident to the sense of smell, and plainly indicated by various
tests, in the fluid obtained by distilling the contents.
The presence of this odour in the blood may be accounted strong evidence
of poisoning with hydrocyanic acid, if it is unequivocal to the sense of
several individuals. An exhalation of the same kind is occasionally
formed by natural processes in the excrement. Itard once remarked in a
case of inflammation of the intestines, and again in a case of inflamed
liver, a strong smell of bitter almonds in the fæces, although no
medicine containing hydrocyanic acid had been given.[1925] Mr. Taylor
mentions that he once observed a sort of hydrocyanic odour in the brain
of a person who died of natural disease.[1926] These facts will render
the inspector cautious, but can scarcely throw a doubt over evidence
derived from an unequivocal hydrocyanic odour in the blood.
Few successful attempts have yet been made to detect the acid in the
blood by chemical analysis. The odour may be present, although chemical
analysis fails in eliciting any indication. This follows from the
observations of Dr. Lonsdale,[1927] as well as of various authors quoted
by him in his paper. The cyanide of potassium has been detected by Mayer
not merely in the blood, but likewise in the serous secretions and
sundry soft solids.[1928]
In most instances,—for example, in the Parisian epileptics, the state of
the brain, as to turgescence of vessels, has corresponded with the
description given by Hufeland. Venous turgescence and emptiness of the
arterial system are commonly remarked throughout the whole body. Thus in
the epileptic patients, the heart and great arteries were empty; the
great veins gorged; the spleen gorged, soft, and pultaceous; the veins
of the liver gorged; and the kidneys of a deep violet colour, much
softened, and their veins gorged with black blood.
It is impossible that hydrocyanic acid could cause gangrene of the
stomach, which is said to have been witnessed in Hufeland’s case. But
there are often signs of irritation in that organ. The villous coat has
been found red in animals; it was shrivelled, and its vessels were
turgid with black blood in the instance of the apothecary mentioned in
the fourteenth volume of Rust’s Journal; in Mertzdorff’s case it was red
and checkered with bloody streaks; and in the case related by Dr. Gierl,
where four ounces were swallowed, it was dark-red, as it were tanned or
steeped in spirits, and easily separated from the subjacent contents.
The contents of the stomach have in every instance had a strong
hydrocyanic odour, except in the cases of the Parisian epileptics, and
in those related by Leuret and by Chevallier. According to the
experiments of Lassaigne and Schubarth, formerly noticed, it is not to
be looked for when the body has been kept a few days, more especially if
the individual lived some time. Dr. Lonsdale generally found it eight or
nine days after death in animals, which had been either buried during
that time, or kept in an apartment at the temperature of 50° F.[1929] In
a case which occurred not long ago in London the poison was found in the
stomach five days after death. A coroner’s inquest had terminated in a
verdict of natural death. But suspicions having arisen, that the man had
poisoned himself in anticipation of a charge of forgery, another inquiry
was made; when the odour of hydrocyanic acid was evolved from the
contents of the stomach, and the distilled water obtained from them
yielded decisive chemical evidence of its being present.[1930] It is
important to observe, in reference to the evidence of hydrocyanic acid
in the stomach, that here, as in the instance of the blood, the odour
may be strong, and yet the poison may not be discoverable by analysis.
This fact rests on the united testimony of Coullon, Vauquelin, Leuret,
Turner, and Dr. Lonsdale; the last of whom mentions that he could not
detect it chemically after the fourth day in the bodies of some animals,
in which it was perceptible by its odour even four or five days
later.[1931] It is possible, however, that these failures to detect the
poison by analysis may have sometimes arisen from imperfections in the
method of analysis employed; for it was detected by the process formerly
mentioned in the stomach of the apothecary last alluded to, in
Chevallier’s case, though not perceptible to the smell, and frequently
by Lassaigne in animals.
Mertzdorff remarked both in his case of poisoning with hydrocyanic acid,
and likewise in a parallel instance of poisoning with the essential oil
of bitter almonds,[1932] a singular appearance in the bile, the colour
of which was altered to deep blue.
Coullon and Emmert say they have observed, that the bodies of animals
resist putrefaction. The latter in particular mentions, that he had left
them several days in a warm room without perceiving any sign of decay.
This certainly would not _à priori_ be expected, considering the state
of the blood. And it is not universal; for in one instance, the case of
Mertzdorff, putrefaction commenced within thirty hours after death. In
the Parisian epileptics, the bodies passed through the usual stage of
rigidity.
It appears that even long after death the eye, as in Hufeland’s case,
has a peculiar glistening and staring expression, so as to render it
difficult to believe that the individual is really dead; and this
appearance has been considered by Dr. Paris so remarkable, as even alone
to supply “decisive evidence of poisoning by hydrocyanic acid.”[1933]
But the accuracy of this opinion may be questioned. The appearance is
indeed very general in cases of poisoning with preparations containing
hydrocyanic acid. Besides occurring in the case of Hufeland, and in that
which gave occasion to Dr. Paris’s statement, it was witnessed by
Mertzdorff, and in the instance described in Horn’s Journal. But it is
not a constant appearance; for it was not observed in the seven Parisian
epileptics. Neither is it peculiar; for death from carbonic acid has the
same effect; I have remarked it six hours after death in a woman who
died of cholera; and it has been observed in cases of death during the
epileptic paroxysm.
SECTION IV.—_Of the Treatment of Poisoning with Hydrocyanic Acid._
Much attention has been lately paid to the treatment of this variety of
poisoning; and the object of those who have studied it has naturally
been the discovery of an antidote.
An antidote to hydrocyanic acid must either be a substance which renders
it immediately insoluble, or one which exerts upon the body an action
contrary to that excited by the poison, that is, a powerful stimulant
action on the nervous system. Hence all such remedies as oil, milk,
soap, coffee, treacle, turpentine, at one time thought serviceable, are
quite inert.[1934]
Antidotes have hitherto been chiefly sought for among the powerful,
diffusible stimulants. And it is plain, that even although a chemical
antidote were known, a stimulant antidote is indispensable also, because
the mischief done, before the poison can be rendered inert, is generally
sufficient to cause death, unless counteracted by treatment.
Of the diffusible stimulants, _ammonia_ is considered by many the most
energetic antidote. The first who made careful experiments with it was
Mr. John Murray of London; and he was so convinced of its efficacy, that
he expressed himself ready to swallow a dose of the acid large enough to
prove fatal, provided a skilful person were beside him to administer the
antidote.[1935] The favourable results obtained by Murray were
afterwards confirmed by M. Dupuy.[1936] Afterwards, however, the
efficacy of ammonia was called in question. Orfila stated in the third
edition of his Toxicology that he had several times satisfied himself of
the complete inutility of this as well as many other antidotes.[1937]
And Dr. Herbst of Göttingen made some careful experiments, from which he
concludes that ammonia, though useful when the dose of poison is not
large enough to kill, and even capable of making an animal that has
taken a fatal dose jump up and run about for a little, yet will never
save its life.[1938] But farther experiments by Orfila have led him to
modify his former statement, and to admit, that, although liquid ammonia
is of no use when introduced into the stomach, yet if the vapour from it
is inhaled, life may sometimes be preserved, provided the dose of the
poison be not large enough to act with great rapidity. He remarked, that
when from eight to fourteen drops of the medicinal acid were given to
dogs of various sizes, they died in the course of fifteen minutes if
left without assistance, but were sometimes saved by being made to
inhale ammoniacal water, and recovered completely in little more than an
hour.[1939] As this is very nearly the conclusion to which Mr. Murray
was led by his experiments performed in 1822, it is rather
extraordinary, that his name, as the undoubted discoverer of the remedy,
has never been mentioned by the Parisian Professor. Buchner, it is right
to add, had found this remedy useful in the same year in which Mr.
Murray’s experiments were made.[1940] A gentleman who took an over-dose
of two drachms of hydrocyanic acid while using it medicinally, and who
seems to have been in great danger, owed his recovery to the assiduous
use of carbonate of ammonia held to the nostrils, and spirit of ammonia
internally. Relief was obtained immediately.[1941] Orfila suggests an
important caution,—not to use a strong ammoniacal liquor, otherwise the
mouth, air-passages, and even the alimentary canal may be attacked with
inflammation,—as indeed happened to the French physician whose case was
formerly mentioned. The strong _aqua ammoniæ_ should be diluted with
several parts of water.
Another remedy of the same kind with ammonia as to action is _chlorine_.
This substance was first proposed as a remedy in 1822 by Riauz, a
chemist of Ulm, who found that, when a pigeon, poisoned with hydrocyanic
acid, was on the point of expiring, it immediately began to revive, on
being made to breathe chlorine, and in fifteen minutes was able to fly
away.[1942] Buchner repeated Riauz’s experiments and arrived at the same
results. More lately M. Simeon, apothecary to the hospital of St. Louis
at Paris, apparently without being acquainted with the observations of
the German chemists, was likewise led to suppose, that this gas might
prove a useful antidote;[1943] and MM. Cottereau and Vallette have
formed the same conclusion.[1944] Orfila in his paper already quoted
expresses his conviction, that this remedy is the most powerful antidote
of all hitherto proposed. His experiments have convinced him, that
animals, which have taken a dose of poison sufficient to kill them in
fifteen or eighteen minutes, will be saved by inspiring water
impregnated with a fourth part of its volume of chlorine, even although
the application of the remedy be delayed till the poison has operated
for four or five minutes. In some of his experiments he waited till the
convulsive stage of the poisoning was passed, and the stage of
flaccidity and insensibility had supervened; yet the animals were
obviously out of danger ten minutes after the chlorine was first
applied, and recovered entirely in three-quarters of an hour.[1945]
The last remedy of this nature which deserves notice is the _cold
affusion_. This was first recommended by Dr. Herbst of Göttingen, who,
on account of the success he witnessed from it in animals, considers it
the best remedy yet proposed. When the dose of the poison was
insufficient to prove fatal in ordinary circumstances, two affusions he
found commonly sufficient to dispel every unpleasant symptom. When the
dose was larger, it was necessary to repeat the effusion more
frequently. Its efficacy was always most certain when resorted to before
the convulsive stage of the poisoning was over; yet even in the stage of
insensibility and paralysis it was sometimes employed with success. In
the latter instance the first sign of amendment was renewal of the
spasms of the muscles. Many experiments are related by the author in
support of these statements. But the most decisive is the following. Two
poodles of the same size being selected, hydrocyanic acid was given to
one of them in repeated small doses till it died. The whole quantity
administered being seven grains of Ittner’s acid, this dose was given at
once to the other dog. Immediately it fell down in convulsions, violent
opisthotonos ensued, and in half a minute the convulsive stage was
followed by flaccidity, imperceptible respiration, and failing pulse.
The cold affusion was immediately resorted to, but at first without any
amendment. After the second affusion, however, the opisthotonos
returned, and was accompanied by cries; and on the remedy being repeated
every fifteen minutes, the breathing gradually became easier and easier,
the spasms abated, and in a few hours the animal was quite well.[1946]
Professor Orfila repeated Dr. Herbst’s experiments, with analogous
results; but he considers the cold affusion inferior to
chlorine.[1947]—It is probably advantageous to apply the cold water
rather in the form of cold douche to the head and spine than to the body
at large. Dr. Robinson of Sunderland found that rabbits, which had taken
doses adequate to occasion death, might be saved by pouring on the
hindhead and along the spine cold water impregnated with common salt and
nitre.[1948] A case, which seems to have been cured in this way, has
been published by Mr. Banks of Lowth. A young woman took by mistake a
solution containing very nearly a grain of real acid, and immediately
became insensible and convulsed. Ordinary stimulants were of no use. But
in fifteen minutes, when the convulsions had ceased, and she lay in a
state of complete coma and general paralysis, the cold douche on the
head first renewed the convulsions, then strengthened the pulse and
restored some appearance of consciousness, and finally roused her, so
that in a few hours she was quite well.[1949]
It is probable, that _bleeding from the jugular vein_ deserves more
attention as a remedy than it has yet received. The right side of the
heart is almost invariably found much gorged with blood in animals
examined at the moment of death; and the contractions of the heart, in
such circumstances imperfect or arrested altogether, have often been
observed by experimentalists to be instantly restored on promptly
removing the state of turgescence. Accordingly Dr. Cormack found that a
dog, at the point of death after receiving a fatal dose of the acid, was
speedily roused and eventually saved by bleeding from the jugular
vein.[1950] And in a careful inquiry by Dr. Lonsdale, it was ascertained
that the turgescence of the heart might be effectually diminished in
this way, and that recovery might frequently be accomplished when the
poison was otherwise amply sufficient to have occasioned speedy
death.[1951] In a case treated by Magendie, that of a young lady
poisoned by too large a medicinal dose, the chief remedies were ammonia
and blood-letting from the jugular vein; and she recovered.[1952]
Few observations have hitherto been made on the chemical antidotes for
hydrocyanic acid, or those substances which render it innoxious by
converting it into an insoluble compound. It is plain that several
probable antidotes of this kind exist. But toxicologists have been
apparently deterred from trying them by the fearful rapidity with which
the poison acts, and the consequent improbability that in practice any
such antidote can be administered in time. It has lately been shown,
however, by Messrs. T. and H. Smith of this city, that the effects of a
fatal dose may be warded off by the timely administration of the
reagents necessary for converting the acid into Prussian blue. They
found that if a solution of carbonate of potash followed by a solution
of the mixed sulphates of iron be given to animals very soon after the
administration of a dose of thirty drops of the Edinburgh medicinal
acid, containing three per cent. of real acid, recovery in general takes
place, and sometimes little inconvenience seems to be sustained. The
solutions they used were one of 144 grains of carbonate of potash in two
ounces of water, and another composed of a drachm and a half of sulphate
of protoxide of iron, together with two drachms of the same salt
converted into sulphate of sesquioxide by means of sulphuric and nitric
acids in the usual way. About 52 minims of each of these solutions will
remove the whole acid contained in 100 grains of the Edinburgh medicinal
acid; but for certainty, three or four times as much should be
used,—which may be done with perfect safety.[1953]
On the whole, then, it appears that the proper treatment of a case of
poisoning with hydrocyanic acid consists in the cold affusion applied to
the head and spine, the inhalation of diluted ammonia or chlorine,
venesection at the jugular vein, and the administration of carbonate of
potash and the mixed sulphates of iron, if aid has been obtained in good
time.
It is right to remember, however, that on account of the dreadful
rapidity of this variety of poisoning, it will rarely be in the
physician’s power to resort to any treatment soon enough for
success;—and farther, that his chance of success must generally be
feeble even though the case be taken in time, because when hydrocyanic
acid is swallowed by man, the dose is commonly so large as not to be
counteracted by any remedies.
_On the Vegetable Substances which contain Hydrocyanic Acid._
Hydrocyanic acid exists in several plants; which are consequently
poisonous. I have considered it advisable to describe their effects
separately from those of the pure acid.
The plants which have been thoroughly examined and found to yield it
belong chiefly to the division _Drupaceæ_, of Decandolle’s Natural
Family the _Rosaceæ_. These are the bitter almond, cherry-laurel,
bird-cherry, and peach. The leaves and seeds of the nectarine and
apricot, and the seeds of the plum and cherry, have the same taste with
these four, and therefore will certainly be found to contain the acid
also. The same inference may be drawn from the taste of some pomaceous
seeds; and accordingly I have obtained a hydrocyanated oil from the
seeds of the New York pippin, and those of the white-beam-tree, the
_Pyrus aria_. The poison procured from these sources exists in two
forms,—as a distilled water, and as an essential oil. Further, the acid
has been discovered to constitute the active poison of the juice of the
_Janipha manihot_, or bitter cassava [see p. 457].
The distilled waters yield hydrocyanic acid, as is shown by the blue
precipitate they give with potass and the mixed sulphates of iron. They
have a powerful, peculiar, grateful odour, which is usually likened to
that of pure hydrocyanic acid. But the smell really bears very little
resemblance to that of hydrocyanic acid, and is not owing to its
presence: the odour remains equally strong after the acid is thrown down
by the test now mentioned. The active part of the distilled water may be
separated in the form of a volatile oil. This is colourless at first,
afterwards yellowish or reddish, acrid, bitter, heavier than water, and
very volatile. The essential oil of the bitter almond has been carefully
examined by various chemists. Vogel, by subjecting it twice to
distillation from caustic potass, procured hydrocyanate of potass in the
residue; and a volatile oil was distilled over, which no longer
contained hydrocyanic acid, but nevertheless had the odour of the
original oil.[1954] This purified oil he considered equally poisonous
with that which contains hydrocyanic acid, a single drop of it having
killed a sparrow; and his opinion was confirmed by the experiments of
Professor Orfila. But according to some careful experiments by
Stange,[1955] which have been amply confirmed by Dr. Göppert of
Breslau,[1956] and also by MM. Robiquet and Boutron-Charlard,[1957]—if
the purified oil retains active poisonous properties, this must be owing
to the acid not having been entirely removed. Göppert in particular
remarked that twenty-five drops of the purified bitter-almond oil,
cherry-laurel oil, or bird-cherry oil had very little effect on rabbits,
not more indeed than the same quantity of the common essential oils. The
purified oil, according to all these chemists, possesses the odour of
the original oil, as Vogel first stated.
_Of the Bitter Almond._
The bitter almond was once extensively used in medicine, and is still
much employed by confectioners for flavouring puddings, sweetmeats, and
liqueurs. It is the kernel of the fruit of the _Amygdalus communis_.
This species has two varieties, the _dulcis_ and the _amara_; which
differ from one another in the fruit only. The fruit of the former
yields the sweet, and of the latter the bitter almond. The bitter almond
is the smaller of the two. The two plants, according to Murray, are
convertible into each other,—the sweet variety becoming bitter by
neglect,—the bitter becoming sweet by cultivation, or certain modes of
management not well known,—and the seed of either variety producing
plants of both.[1958] These statements as to the mutual convertibility
of the two varieties require confirmation.
The bitter almond depends for its activity on the essential oil, which
is common to all the vegetable poisons belonging to the present tribe.
According to the researches of Robiquet and Boutron-Charlard, followed
up by Liebig, the oil does not, like common essential oils, exist ready
formed in the almond, but is only produced when the almond-pulp comes in
contact with water. It cannot be separated by any process whatever from
the almond without the co-operation of water,—neither, for example, by
pressing out the fixed oil, nor by the action of ether, nor by the
action of absolute alcohol. After the almond is exhausted by ether, the
remaining pulp gives the essential oil as soon as it is moistened; but
if it is also exhausted by alcohol, the essential oil is entirely lost.
The reason is that alcohol dissolves out a peculiar crystalline
principle, named amygdalin, which, with the co-operation of water, forms
the essential oil by reacting on a variety of the albuminous principle
in the almond, called emulsion or synoptase.
In some respects, therefore, the essential oil of almonds is quite
peculiar in its nature, and quite different from the common essential or
volatile oils.—The presence of hydrocyanic acid in it is easily proved
by dissolving it with agitation in water, and treating the solution with
caustic potass, followed by the mixed sulphates of iron and sulphuric
acid.—The quantity of essential oil which may be procured from the
bitter almond amounts, according to Krüger of Rostock, to four drachms
from five pounds or a ninety-sixth part.[1959] The quantity of
hydrocyanic acid in the oil varies considerably: Schrader got from an
old sample 8·5 per cent., from a new sample 10·75;[1960] but Göppert got
from another specimen so much as 14·33 per cent.[1961]
_Effects on Animals._—The bitter almond is a powerful poison, which acts
in the same way as hydrocyanic acid, but likewise excites at times
vomiting and other signs of irritation. The first good experiments on it
are those related in Wepfer’s treatise on the Cicuta; but its properties
seem to have been known even to Dioscorides. The symptoms it induces in
animals are trembling, weakness, palsy, convulsions, often of the
tetanic kind, and finally coma. But frequently it occasions vomiting
before these symptoms begin, and the animal in that way may
escape.[1962] According to Orfila, twenty almonds will kill a dog in six
hours by the stomach if the gullet be tied; and six will kill it in four
days when applied to a wound.[1963]
The essential oil is not much inferior in activity to the pure
hydrocyanic acid. A single drop of it applied by Sir B. Brodie on the
tongue of a cat caused violent convulsions and death in five
minutes.[1964] But more generally a larger dose, or about seven drops,
has been found necessary to kill a middle-sized dog. Five drops,
according to Göppert, will kill a rabbit in six minutes. When entirely
freed of hydrocyanic acid, it becomes, as already mentioned, not more
poisonous than common volatile oils.
_Symptoms in Man._—The effects of the almond and of the oil upon man are
equally striking with those of hydrocyanic acid.
In small doses the bitter almond produces disorder of the digestive
organs, nausea, vomiting, and sometimes diarrhœa. These symptoms are
occasionally brought on by the small quantities used for flavouring
sweetmeats, if the confectioner has not been careful in compounding
them. Virey says that accidents occasionally happen to children at Paris
from their eating freely of macaroons, which are sometimes too strongly
flavoured with the bitter almond.[1965] In this country accidents from
the same cause may be with justice apprehended, as confectioners now
generally use, not the bitter almond, but its essential oil, which is
distilled for the purpose in London, and sold in the druggists shops
under the name of peach-nut oil. Göppert suggests that this oil ought to
be freed of its hydrocyanic acid by repeated distillation with caustic
potassa, because the flavour is not in the least injured by the process,
while its activity as a poison is greatly lessened.
In peculiar constitutions the minutest quantity, even a single almond,
will cause a state resembling intoxication, succeeded by an eruption
like nettle-rash. The late Dr. Gregory was subject to be affected in
this way. Other vegetable bitters had the same effect on him, but none
so remarkably as bitter almonds. They caused first sickness, generally
tremors, then vomiting, next a hot fit with an eruption of urticaria,
particularly on the upper part of the body. At the same time the face,
and head swelled very much, and there was generally a feeling like
intoxication. The symptoms lasted only for a few hours. The rash did not
alternately appear and disappear as in common nettle-rash.[1966] A lady
of my acquaintance is liable to be attacked with urticaria even from
eating the sweet almond.
The quantity of bitter almonds which may be eaten with impunity is
unknown; but Wibmer mentions an experimentalist who took half an ounce
without any other effect besides headache and sickness.[1967] Two cases
of death in the human subject from eating them have been quoted by
Coullon from the Journal de Médecine of Montpellier. One is a doubtful
case, but the other is unequivocal. A bath-woman gave her child the
“expressed juice” of a handful of bitter almonds to cure worms. The
child, who was four years old, was immediately attacked with colic,
swelling of the belly, giddiness, locked jaw, frothing at the mouth,
general convulsions, and insensibility, and died in two hours.[1968]
Murray, however, asserts in his Apparatus Medicaminum that the expressed
juice is sweet and not poisonous.[1969] But this apparent contradiction
is easily explained by referring to the chemical relations of the
almond,—the oil expressed without water being free from essential oil,
while the milky fluid expressed from the pulp beat up with water is
strongly impregnated with it.—Another case was published not long ago by
Mr. Kennedy of London; but the symptoms were imperfectly ascertained.
The person, a stout labourer, appeared to have eaten a great quantity of
bitter almonds, which were subsequently found in the stomach. He was
seen to drop down while standing near a wall; soon after which the
surgeon who was sent for found him quite insensible, with the pulse
imperceptible, and the breath exhaling the odour of bitter almonds; and
death took place in no long time.[1970]
Coullon has noticed many other instances where alarming symptoms were
produced by this poison, but were dissipated by the supervention of
spontaneous vomiting.
The effects of small doses of the oil have been tried by Sir B. Brodie
on himself; and a fatal case of poisoning with it has been recorded by
Mertzdorff. In the course of his experiments Sir B. Brodie once happened
to touch his tongue with the end of a glass rod which happened to be
dipped in the oil; and he says he had scarcely done so before he felt an
uneasy, indescribable feeling in the pit of the stomach, great
feebleness of his limbs, and loss of power to direct the muscles, so
that he could hardly keep himself from falling. These sensations were
quite momentary.[1971]
Mertzdorff’s case is interesting, not only as being accurately related,
but likewise on account of the exact resemblance of the symptoms to
those observed in the celebrated case of Sir Theodosius Boughton, which
will presently be mentioned. A hypochondriacal gentleman, 48 years old,
swallowed two drachms of the essential oil. A few minutes afterwards,
his servant, whom he sent for, found him lying in bed, with his features
spasmodically contracted, his eyes fixed, staring, and turned upwards,
and his chest heaving convulsively and hurriedly. A physician, who
entered the room twenty minutes after the draught had been taken, found
him quite insensible, the pupils immoveable, the breathing stertorous
and slow, the pulse feeble and only 30 in a minute, and the breath
strongly impregnated with the odour of bitter almonds, death ensued ten
minutes afterwards.[1972] A fatal case occurred lately in London, where
the individual, intending to compound a nostrum for worms with beech-nut
oil, got by mistake from the druggist peach-nut oil, which is nothing
else than the oil of bitter almond.—A singular case of recovery from a
very large dose of this poison has been lately published by M. Chevasse.
A shopkeeper, who swallowed half an ounce by mistake for spirit of
nitric ether, had an attack of spontaneous vomiting, which was forthwith
encouraged by sulphate of zinc. He nevertheless became pale and
convulsed; the pulse disappeared; and delirious muttering ensued, with
_risus sardonicus_, sparkling of the eyes, and panting respiration.
Recovery, however, took place under the use of brandy and ammonia.[1973]
The morbid appearances are the same as in poisoning with the pure acid.
In Mertzdorff’s case the whole blood and body emitted a smell of
almonds; putrefaction had begun, though the inspection was made
twenty-nine hours after death; the blood throughout was fluid, and
flowed from the nostrils and mouth; the veins were every where turgid;
the cerebral vessels gorged; the stomach and intestines very red.—In the
case from the Medical and Physical Journal of poisoning with the almond
itself, the vessels of the brain were much gorged, and the eyes
glistening and staring as if the person had been alive.
_Of the Cherry-Laurel._
The cherry-laurel, or _Cerasus lauro-cerasus_, was at one time much used
for flavouring liqueurs and sweetmeats. But it is now less employed than
formerly, as fatal accidents have happened from its having been used in
too large quantity. The custom, however, has not been altogether
abandoned; for there is an account in an English newspaper in 1823 of
two persons killed by ratifia’d brandy, which had been flavoured with
this plant; and Dr. Paris has mentioned an instance of several children
at an English boarding-school having been dangerously affected by a
custard flavoured with the leaves.[1974] Almost every part of the plant
is poisonous, especially the leaves and kernels; but the pulp of the
cherry is not. The flower has a totally different odour from the leaves.
The healthy vigorous shoots in the early part of summer, and the inner
bark, both then and in autumn, smell strongly of the bitter almond when
broken across. The kernels of the seeds have a strong taste of bitter
almonds.—The plant yields a distilled water and an essential oil, which
Robiquet found to have all the chemical properties of the oil of bitter
almond.[1975]—A very peculiar source of danger in using the leaves of
this plant, for imparting a ratafia flavour to sweetmeats and liqueurs,
is that the proportion of oil varies excessively according to the age of
the leaf. It abounds most in the young undeveloped leaves, and
diminishes gradually afterwards. Hence, the leaves being evergreen and
outliving more than two summers, the young leaves in May or June
contain, as I have found, nearly ten times as much oil as the old ones
at the same moment.
Cherry-laurel oil, according to Schrader, contains 7·66 per cent. of
hydrocyanic acid;[1976] but according to Göppert, a specimen supposed to
be genuine gave only 2·75 per cent.[1977] It is probably therefore a
weaker poison than the oil of bitter almond. The latest experiments made
with this oil are those of some Florentine physicians, performed at the
laboratory of the Marquess Rodolphi, and described by Professor
Taddei.[1978] Sixteen drops put on the tongue of rabbits killed them in
nine, fifteen, or twenty minutes; and ten or twelve drops injected in
oil into the anus killed them in four minutes. The symptoms were slow
breathing, palsy of the hind-legs, then general convulsions; and death
was preceded by complete coma. A very extraordinary appearance was found
in the dead body,—blood extravasated abundantly in the trachea and
lungs.
The cherry-laurel water, prepared by distillation from the leaves of
this plant, was long the most important of the poisons which contain the
hydrocyanic acid, as it was the most common before the introduction of
the acid itself into medical practice. Water dissolves by agitation 3·25
grains of oil per ounce; which may be considered the proportion in a
saturated distilled water. The water contains, according to Schubarth,
only 0·25 per cent. of hydrocyanic acid;[1979] according to
Schrader[1980] only half as much; and by long keeping even that small
proportion will gradually disappear, as I have ascertained by
experiment. Hence its strength must vary greatly,—a fact which will
explain the very different effects of the same dose in different
instances.
From experiments on animals by a great number of observers, it appears
that, whether it is introduced into the stomach, or into the anus, or
into the cellular tissue, or directly into a vein, it occasions
giddiness, palsy, insensibility, convulsions, coma, and speedy
death;—that the tetanic state brought on by the pure acid, is not always
so distinctly caused by cherry-laurel water;—and that tetanus is most
frequently induced by medium doses.
The attention of physicians was first called to this poison by an
account, published by Dr. Madden in the Philosophical Transactions for
1737, of several accidents which occurred at Dublin in consequence of
strong ratifia’d brandy having been prepared with it. Foderé has also
given an account of two cases, caused by servants having stolen and
drunk a bottle of it, which they mistook for a cordial.[1981] Being
afraid of detection, they swallowed it quickly, and in a few minutes
expired in convulsions. Murray has noticed several others in his
Apparatus Medicaminum.[1982] In most of these cases the individuals
suddenly lost their speech, fell down insensible, and died in a few
minutes. Convulsions do not appear to have been frequent. Coullon has
also related an instance where a child seems to have been killed by the
leaves applied to a large sore on the neck.[1983]
The dose required to occasion these effects, and more especially to
prove fatal, has not been determined with care. It must vary with the
age of the sample used. It will vary also according as the water has
been filtered or not; for what is not filtered often presents
undissolved oil suspended in it or floating on its surface. One ounce
has proved fatal;[1984] and half an ounce has caused only temporary
giddiness, loss of power over the limbs, stupor, and sense of pressure
in the stomach.[1985]
The appearances found in the dead body have varied. In general the blood
has been fluid. The smell of bitter almond has commonly been distinct in
the stomach.
The cherry-laurel water has attracted much attention in this country, in
consequence of being the poison used by Captain Donnellan for the murder
of Sir Theodosius Boughton. The trial of Donnellan, the most important
trial for poisoning which ever took place in Britain, has given rise to
some discrepance of opinion both among barristers and medical men, as to
the sufficiency of the evidence by which the prisoner was
condemned.[1986] For my part, taking into account the general, as well
as medical circumstances of the case, I do not entertain a doubt of his
guilt.
Leaving the general evidence out of view, however, as foreign to the
objects of the medical jurist’s regard, it must be admitted that the
medical evidence, taken by itself, was defective. It may be summed up
shortly in the following terms:—Sir Theodosius was a young man of the
age of twenty, and in perfect health, except that he had a slight
venereal complaint of old standing, for which he occasionally took a
laxative draught. On the morning of his death, his mother, Lady
Boughton, remarked, while giving him his draught, that it had a strong
smell of bitter almonds. Two minutes after he took it, she observed a
rattling or gurgling in his stomach; in ten minutes more he seemed
inclined to doze; and five minutes afterwards she found him quite
insensible, with the eyes fixed upwards, the teeth locked, froth running
out of his mouth, and a great heaving at his stomach and gurgling in his
throat. He died within half an hour after swallowing the draught. The
body was examined ten days after death, and the inspectors found great
congestion of the veins every where, gorging of the lungs, and redness
of the stomach. But the examination was unskilfully conducted. For the
head was not opened; the fæces were allowed to rush from the intestines
into the stomach; and, as a great quantity of fluid blood was found in
each cavity of the chest, the subclavian veins must have been divided
during the separation of the clavicles. Very little reliance, therefore,
can be placed in the evidence from the inspection of the body.[1987]
On comparing these particulars with what has been said above regarding
the effects of hydrocyanic acid and this whole genus of poisons, it will
be seen that every circumstance coincides precisely with the supposition
of poisoning with the cherry-laurel water. The symptoms were exactly the
same as in Mertzdoff’s case of poisoning with the essential oil of
almonds (p. 604). When to this are added, the smell of the draught,
which Lady Boughton could hardly mistake, the rarity of apoplexy in so
young and healthy a person as Sir Theodosius, and the improbability of
either that or any other disease of the head proving fatal so
quickly,—the conclusion at which, in my opinion, every sound medical
jurist must arrive is, that poisoning in the way supposed was very
probable. But I cannot go along with those who think that it was
certain; nor is it possible to see on what grounds such an opinion can
be founded, when the general or moral circumstances are excluded.
The medical evidence in Donnellan’s case has been much canvassed, and
especially that of Mr. John Hunter. It would be foreign to the plan
hitherto pursued in this work to analyze and review what was said by him
and his brethren. But I must frankly observe, that Mr. Hunter’s evidence
does him very little credit, and that his high professional eminence is
the reverse of a reason for palliating his errors, or treating them with
the lenity which they have experienced from his numerous critics.
_Of the Peach, Cluster-Cherry, Mountain-Ash, &c._
Little need be said of the other plants formerly mentioned among those
which yield hydrocyanic acid, and act on the system in consequence of
containing that substance.
The _Amygdalus persica_ or peach is the most active of them. Most parts
of the plant exhale the odour of the bitter-almond, but particularly the
flowers and kernels. According to the chemical researches of M.
Gauthier, the fresh young shoots of the peach collected in July contain,
weight for weight, even more essential oil than the bitter almond, or
cherry-laurel leaves; for 250 grains yielded nearly five grains of it or
two per cent.; and he found the oil may be easily procured by distilling
the shoots without addition till the product begins to pass over
clear.[1988] The kernels of the peach, when distilled with water, yield
nearly one grain of hydrocyanic acid per ounce.[1989]
Coullon has collected two instances of poisoning with the peach-blossom.
One is the case of an elderly gentleman, who swallowed a sallad of the
flower to purge himself. Soon afterwards he was seized with giddiness,
violent purging, convulsions, and stupor; and he died in three days.
Here the poison must have proved fatal by inducing true apoplexy in a
predisposed habit; at least poisoning with hydrocyanic acid never lasts
nearly so long. The other, a child eighteen months old, after taking a
decoction of the flowers to destroy worms, perished with frightful
convulsions, efforts to vomit, and bloody diarrhœa.[1990] The
peach-blossom would therefore appear to be rather a narcotico-acrid,
than a narcotic.—Peach-leaves are represented to have produced even
purely irritant effects. A man, who took a decoction of a handful boiled
in a quart of water down to a third,—when of course no hydrocyanic acid
could remain,—was attacked with tightness in the chest, a sense of
suffocation, violent colic, pain in the stomach and frequent desire to
vomit, followed by a hard pulse, restlessness, and flushing of the face.
But he recovered slowly under the use of fomentations and opiates.[1991]
The bark of the _Prunus padus_, or cluster-cherry, a native of this
country, owes its poisonous qualities to the same substance as the
preceding plants. Heumann found that the distilled water obtained from
two ounces of bark in March contains two grains of acid, two ounces of
developed leaves half a grain, and two ounces of the seed a trifle
less.[1992] Its distilled water has the odour of bitter almonds,
contains the same essential oil with that of the bitter almond, and
yields more hydrocyanic acid than the cherry-laurel water.[1993] The
oil, according to Schrader, contains 9·25[1994] per cent. of hydrocyanic
acid, according to Göppert only 5·5 per cent.[1995] Bremer, who has
examined this plant with great care, found that both the distilled water
and the essential oil kill mice when put into the mouth, eye, nose, ear,
anus, or a wound; and that half an ounce of the water killed a dog in
twelve minutes.[1996] The fruit is also poisonous. It has a nauseous
taste, but communicates a pleasant flavour to spirituous liquors. The
kernels yield by expression a transparent, fixed oil, concrete at 41°
F., which contains a small quantity of the essential oil; and the cake
which is left yields so much of the latter, that, as we are informed by
M. Chancel of Briançon, a handful has proved fatal to cows in a short
time.[1997] In these kernels, as in the bitter almond, the essential oil
does not exist ready formed, but is developed only in consequence of the
contact of water; and hence, if the fixed oil by expression contains a
little of it, as Chancel says, this must arise from the kernels having
been moist when squeezed.
The _Sorbus aucuparia_, mountain-ash, or Rowan-tree as it is called in
Scotland, has been lately added to the list of plants which abound in
the same poisonous principle. M. Grassmann of St Petersburgh has found
that many parts of this tree, such as the flowers and the bark of the
trunk and branches, contain more or less of the peculiar essential oil;
and that the root in particular contains so much in the month of May as
to smell strongly of it when broken across, and to yield a distilled
water which holds fully as much hydrocyanic acid as that procured from
an equal weight of cherry-laurel leaves.[1998]
Several other plants of the same natural order possess similar though
weaker properties, such as the _Prunus avium_, or black-cherry, or
mazzard, the _Prunus insititia_, or bullace, the _Prunus spinosa_, or
sloe, the _Amygdalus nana_, or dwarf-almond, and even the leaves and
kernels of the common cherry, the _Cerasus communis_. Twelve ounces of
cherry kernels distilled with water, yield, according to Geiseler, seven
grains of hydrocyanic acid.[1999] I have no doubt, from my experiments,
that the seeds of _Pyrus malus_, the apple, _Pyrus aria_, the
white-beam, and also, if the taste may be taken for a criterion, the
whole seeds of the _Pomaceæ_, yield by distillation with water a large
quantity of hydrocyanic acid.
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