Treatise on Poisons by Sir Robert Christison

3. It is seldom that the medical jurist is called on to search for

2184 words  |  Chapter 66

sulphuric acid in either of the states already mentioned. Much more generally it has mingled with and acted on various organic substances. The circumstances in which it has usually to be sought for in the practice of medical jurisprudence are twofold,—on the one hand, in stains on clothes,—and on the other, in vomited matter, the contents of the stomach, or organic mixtures generally. _Process for analyzing stains on clothes._—When sulphuric acid is thrown upon your clothes, it produces a permanent red, reddish-brown, or yellowish stain, destroys the cloth entirely or renders it brittle, and in consequence of its strong attraction for water keeps the stain long in a moist state. In the course of the decomposition of the cloth a part of the acid is itself decomposed, sulphurous acid being disengaged. But it is an important medico-legal fact, that after a time the change either goes on very slowly, or is arrested altogether, possibly by the dilution of the acid with moisture from the atmosphere; and that consequently it may be discovered in a free state in stains after a much longer interval than would _à priori_ be expected. In the case of Macmillan formerly alluded to, Dr. Turner and I, who were employed by the crown to examine the different injured articles of dress, found on a man’s hat, stock, shirt-collar and coat many discoloured and corroded spots, which were sour to the taste fourteen days after the crime was committed; in the subsequent case of Mrs. Humphrey I discovered six-tenths of a grain of free sulphuric acid in two small spots on a blanket seven weeks after the crime; and from an express experiment on the same blanket with two drops of acid of known strength, it appeared that only one-half of the acid disappeared in seven weeks. It may therefore be inferred, that, in every instance where stains have been produced by concentrated sulphuric acid on clothes, at least on woollen clothes, and no attempt has been made to remove the remaining acid by washing or neutralization, a sufficient quantity will be present even after several weeks to admit of being satisfactorily detected by chemical analysis. The following are the steps of the process which appear to me the most delicate and equivocal. Cut away the stained spots; boil them for a minute or two in several successive small portions of distilled water; and filter if necessary. Next prove the acidity of the fluid by litmus, and likewise by the taste if the quantity of solution is large enough to allow of so coarse a test being used; and with a few drops ascertain the existence of sulphuric acid in one form or another by nitrate of baryta and nitric acid, as mentioned in the process for the pure diluted acid. If no precipitate appears, the search for sulphuric acid is at an end. But if a precipitate is produced, ascertain the absence of bisulphates and sulphates by proving the absence of bases, according to the method described in the process for the simple diluted acid. If, however, bases be found in material proportion to the acid, the analysis is subject to all the difficulties mentioned above in speaking of the detection of the diluted acid in similar circumstances. _Process for the contents of the stomach and other complex mixtures._—When sulphuric acid has been mixed with various mineral and organic substances, it may in no long time cease to exist in the free state. Part may be decomposed by organic matter in the way formerly mentioned. Or the whole may be neutralized at once by earthy or alkaline carbonates, administered purposely as antidotes. Or it may also be neutralized more slowly by the gradual development of ammonia in consequence of the decay of the animal matter co-existing in the mixture. Thus in a case mentioned by Mertzdorff of a child killed in twelve hours with sulphuric acid, the contents of the stomach did not redden litmus, but on the contrary had an ammoniacal odour; and they contained a considerable quantity of a soluble sulphate, probably the sulphate of ammonia.[236] In like manner MM. Orfila and Lesueur found that when this acid was left some months in a mixture which contained putrefying azotized matter, it was gradually neutralized by ammonia.[237] It appears from Orfila’s latest researches,[238] that in most cases of acute poisoning with this substance some free acid will be found in the contents or tissues of the stomach, provided alkalis or earths were not given as antidotes, and the examination of the body be made before decay sets in. The detection of sulphuric acid in complex organic mixtures, simple though it appears at first sight, is one of the most difficult problems in medico-legal chemistry. The difficulty arises from a variety of sources,—from the probable presence of neutral sulphates along with free hydrochloric, acetic, or some other acid,—the possible presence of a bisulphate,—the occasional neutralization of the sulphuric acid by antidotes given during life, or ammonia evolved during decay after death,—or its neutralization, together with the development of a different free acid, by its having displaced this acid from a salt existing in the mixture. The subject was investigated in most of its relations in the last edition of the present work, and a process proposed which overcame some difficulties, but left others untouched. The inquiry has been since undertaken also by M. Devergie and Professor Orfila, but with most success in Germany by Dr. Simon.[239] The result of all these researches is, that a satisfactory process for detecting sulphuric acid in organic mixtures still remains to be discovered. Meanwhile the most eligible method appears to me to be the following. a. _If the mixture be acid_, add distilled water, if necessary, boil, filter, and test a few drops of the fluid with nitrate of baryta, followed by nitric acid. If there be no precipitate, the search for sulphuric acid is at an end. If a precipitate form, distil the fluid from a muriate of lime or oil bath, at a temperature not above 240°, till the residuum acquire a thick syrupy consistence; and preserve apart the last sixth of the distilled liquor. In this liquor test for hydrochloric acid by litmus-paper and nitrate of silver, and for acetic acid by litmus-paper, and the odour and taste of the liquid. If these acids be not in the distilled fluid, they are not in the residuum. In a portion of this residuum search for nitric acid, and in another portion for oxalic acid, by the processes for these poisons in complex mixtures. If all these acids be thus proved to be absent, it is most unlikely that the acidity of the mixture is owing to any other but sulphuric acid, especially in the case of the contents or textures of the stomach. Dilute now what remains of the syrupy extract, and add nitrate of baryta with nitric acid. If a precipitate arise, there is a strong presumption that the acidity of the mixture was owing either to a bisulphate or to free sulphuric acid. And between these the question may be almost settled, first by the probability or improbability of a bisulphate having come in the way, and secondly, by the symptoms and morbid appearances. The result however cannot justify more than a presumptive opinion.—But if hydrochloric, acetic or nitric acid be indicated in the subject of analysis, or an acid sulphate, the whole process is vitiated, and it is scarcely possible to arrive at any trustworthy conclusion. The difficulties adverted to above have been made the ground-work of various processes; which however seem to me all imperfect.—It has been proposed to divide the mixture into two equal parts, to precipitate one directly by a barytic salt, to do the same with the other after drying and incinerating it, to compare the weight of the precipitates, and to infer the presence of free sulphuric acid if the former is more than double the latter. Various objections however may be brought against this check, not the least serious being its difficulty in ordinary hands, whenever the precipitates are none of them considerable.—Simon proposes to exhaust the residuum of evaporation with absolute alcohol, in the hope that free sulphuric acid will alone be taken up;[240] but he himself found that neutral sulphates are dissolved partially; and besides, alcohol removes sulphuric acid from bisulphates.—Orfila proposes to remove free sulphuric acid by agitating the concentrated liquor with sulphuric ether, and separating and evaporating off the ether; for he holds that all neutral and acid salts of sulphuric acid are insoluble in ether.[241] This proposal is unaccountable. Simon stated in his paper three years before, that ether does not remove sulphuric acid from watery fluids containing it. And Dr. Douglas Maclagan and I, on inquiring into the matter, found that we could not, by means of ether, separate a particle of sulphuric acid from an ounce of rice soup and mucilage to which ten drops of the acid had been added. The process of Orfila for establishing the absence of bases in a simple watery solution is applicable to organic mixtures also, after incineration. But if bases be present in material quantity, all the difficulties now in question remain in full force. b. _When the mixture is neutral_, sulphuric acid may be detected in it by the first steps of the preceding process. But the inference, that it once existed free can only be drawn when the subject of examination is not in a state of decay, when the quantity of sulphate of baryta obtained is considerable, when the administration of an antidote is proved, and when the ashes after incineration contain the antacid base which is said to have been administered. Even then the inference is only presumptive. SECTION II.—_Of the Mode of Action of Sulphuric Acid, and the Symptoms caused by it in Man._ It was formerly observed that the action of the strong mineral acids is independent of the function of absorption. They act by the conveyance along the nerves of an impression produced by the irritation or destruction of the part to which they are applied. There is very little difference between the three acids in the symptoms they excite or the action they exert. When sulphuric acid is introduced directly into a vein it causes death by coagulating the blood. Thus, when Professor Orfila injected in the jugular vein of a dog half a drachm diluted with an equal weight of water, he observed that the animal at once struggled violently, stretched out its limbs, and expired; and on opening the chest immediately, he found the heart and great vessels filled with coagulated blood.[242]—Nitric acid and hydrochloric acid act in the same way. If, on the other hand, they are introduced into the stomach, the blood as usual remains fluid for some time after death; the symptoms are referrible almost solely to the abdomen; and in the dead body the stomach is found extensively disorganised, and the other abdominal viscera sometimes inflamed. If the dose be large, and the animal fasting, death may take place in so short a time as three hours: but in general it lives much longer.[243] When the strong mineral acids are applied outwardly, they irritate, inflame, or corrode the skin. The most rapid in producing these effects is the nitric, or rather the nitrous acid. The strong, fuming nitrous acid even causes effervescence when dropped on the skin. Orfila has proved that sulphuric acid, as well as the two other mineral acids, is absorbed; for they may be detected in the urine, when they are introduced either into the stomach or through a wound.[244] He could not succeed, however, in detecting any of them in the liver or spleen; in which organs it will be seen, hereafter, that various other poisons may be discovered by chemical analysis. But Mr. Scoffern seems to have found sulphuric acid in the kidney, even although the individual survived the taking of the poison nearly two days.[245] It is also worthy of remark, that, as will be proved presently, these acids may pass through the coats of the stomach by transudation, and so be found on the surface of the other organs in the belly. Toxicology is indebted to M. Tartra for the first methodic information published respecting the symptoms caused in man by sulphuric acid and the other mineral acids:[246] but many important additional facts have been made known by numberless cases of poisoning which have since appeared, chiefly in the periodic journals. The symptoms caused by all the three acids are so nearly the same, that after a detailed account of those occasioned by sulphuric acid, it will not be necessary to add much on the subject under the head of nitric and muriatic acid. M. Tartra considers that four varieties may be observed in the effects of the mineral acids. 1. Speedy death from violent corrosion and inflammation; 2. Slow death from a peculiar organic disease of the stomach and intestines; 3. Imperfect recovery, the person remaining liable ever after to irritability of the stomach; 4. Perfect recovery.

Chapters

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

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