Treatise on Poisons by Sir Robert Christison

3. _When in a state of compound mixture_, nitric acid, like sulphuric

1801 words  |  Chapter 73

acid in similar circumstances, may be after a time partly decomposed and partly neutralized; and when the matter with which it is mixed belongs to either of the organic kingdoms, more particularly to the animal world, its decomposition is more rapid than that of sulphuric acid. Still it is an important fact, that some of the acid may be discovered after a considerable interval. M. Ollivier detected it in various stains on the skin at least a day after it had been applied;[308] Dr. O’Shaughnessey detected it in a stain on cloth sent to him from Ireland to Edinburgh;[309] and I have found it in stains made on broad-cloth with detached drops seven weeks before. _Process for Stains._ Nitric acid produces on the skin a yellow stain, which gradually becomes dirty orange, and finally of a dirty yellowish-brown; but in all of these states it is at once rendered for a time lively yellow by the action of ammonia. I am not aware that any other yellow stain is similarly affected. Stains on cloth are generally yellow, reddish-yellow, or brownish-yellow, and are attended with more or less disintegration of the texture of the cloth. The method of analyzing all these stains is as follows:—The stained parts is to be boiled in a few drachms of pure water several times in succession; and the liquid is then filtered, and may be subjected to litmus-paper for the purpose of ascertaining its acidity. It is then to be rendered neutral, or for the sake of greater facility, feebly alkaline, by adding a few drops of a diluted solution of caustic potass, after which the whole is evaporated to dryness, and in a vapour-bath, if practicable. The residuum is then to be decomposed by sulphuric acid in the same way as recommended above for the simple diluted acid.—Orfila thinks it advantageous to let the stains macerate for some hours in a solution of bicarbonate of soda rather than to boil them in water. In that case, however, it is necessary to ascertain the acidity of the stains with litmus-paper before proceeding to macerate them. _Process for Mixtures._ The detection of nitric acid in compound mixtures, such as the contents of the stomach, is not so easy a matter as its detection in stains; and indeed a sure and delicate process is still a desideratum in medico-legal chemistry. The process varies, as in the case of sulphuric acid, according as the subject of analysis is acid or neutral. a. _If the mixture be acid_, and the proportion of the acid considerable, it maybe detected without difficulty. It is merely necessary to ascertain the acidity of the mixture by litmus-paper, to neutralize with potass, water being added if necessary, and then to filter and evaporate to a convenient degree of concentration. Crystals will form on cooling, which may be decomposed by sulphuric acid in the usual way. But the medical jurist ought not to flatter himself with the expectation of meeting often with a proportion large enough to admit of being discovered by so coarse a method of analysis. In general the crystallization of the nitrate of potass is prevented by co-existing animal or vegetable matter. When the proportion appears inconsiderable, therefore, a different process must be pursued. In preparing the former edition of this work, the present topic was investigated with some care, and a method suggested which appeared to me at that time more effectual, delicate, and conclusive than any previously made public. Since then Professor Orfila has also investigated the subject attentively, and after trying various methods, has ended in adopting one which is substantially the same as that now referred to, but without a precaution, which seems to me essential for success in certain probable enough circumstances.[310] I am therefore disposed to retain my former process, with some variations and additions in the details. Macerate the subject of analysis for a few hours in distilled water, if it be not already liquid enough; and then boil for a few minutes, and filter it. Ascertain now whether the fluid be acid to litmus; and if it be so, neutralize it with solution of potash, or as Orfila suggests, with a solution of the purer salt, the bicarbonate of soda. Evaporate gently, to obtain crystals if possible; and if these do not tend to the cubical form, distil them with sulphuric acid, and proceed as directed for nitric acid simply diluted. If crystals do not appear, or their form tend to the cube,—in which case chloride of sodium is present,—redissolve the whole residue of evaporation in distilled water; add a slight excess of a warm solution of acetate of silver, to throw down organic matter and the chlorine of any chlorides that may be present; filter and evaporate to dryness, and distil the residuum with sulphuric acid, applying as usual to the vapour the tests of litmus-paper and morphia,—also, as Orfila proposes, the solution of narcotin in sulphuric acid, and proto-sulphate of iron in water,—and if the quantity of vapour be great enough, the sense of smell and the action of copper with the condensed vapour. b. _If the mixture be neutral_, proceed exactly as above, except that it becomes unnecessary to neutralize the liquid with potash or bicarbonate of soda. This variety in the process will be principally required, where earths or alkalis have been administered as antidotes. The process now detailed requires a word or two of commentary.—Organic matter is inconvenient because it prevents the nitrate of potash or soda in the mixture from crystallizing. But it will not prevent the evolution of nitric acid vapour by distillation with sulphuric acid, even although the material be a simple extract without crystals. At the same time it is better to get rid of as much organic matter as possible, if distinct crystals be not obtained by evaporation. A more serious difficulty, however, to which Orfila does not advert, arises from the co-existence of a chloride. For, in that case, distillation with sulphuric acid may disengage not nitric acid, but chlorine, in consequence of the reaction which takes place between the nitric and hydrochloric acids in the act of being liberated. This is a more important reason for purifying the liquid by acetate of silver before subjecting it to concentration; but in addition, by removing organic matter, this precaution increases the chance of crystals of nitrate of potash or soda being obtained. Its necessity, where a chloride co-exists, will appear from the following experiment. Four drops of nitric acid neutralized with potass were mixed with six ounces of strong barley-broth; from which half an ounce of limpid fluid was procured by filtration. One-half of this evaporated to dryness gave a crystalline residue, which, heated with sulphuric acid in a tube, emitted a strong odour of chlorine; and the moisture which bedewed the tube scarcely affected morphia. The residuum of the other half of the filtered fluid was redissolved, treated with acetate of silver, again filtered, and evaporated to dryness; and the residue was gently heated in a tube with sulphuric acid. An odour of nitric acid was now disengaged, and the moisture on the tube close to the mixture turned a fragment of morphia to bright orange-red. Acetate of silver is prepared by mixing strong solutions of acetate of potass and nitrate of silver, draining and compressing between folds of bibulous paper the crystalline precipitate which forms, dissolving this precipitate by agitating it in boiling water, and finally crystallizing the salt again by refrigeration. The crystals, which are sparingly soluble in cold water, should be then separated, slightly washed with a little water, and again dried by compression. When put to use, a solution should be made by agitating the salt in boiling water, because at low temperatures water retains very little of the salt; but actual ebullition should be avoided, because acetate of silver is thus quickly decomposed. In all medico-legal analyses for nitric acid, care must be taken that the different reagents used are free of this acid, and also of nitrates. Sulphuric acid often contains a little nitric, or rather nitrous acid; which may be discovered by the sulphuric acid becoming brown or dark-red when a solution of proto-sulphate of iron is gently poured over it in a test-tube; and which may be removed either by boiling the acid with a few grains of sugar, according to the formula of the Edinburgh Pharmacopœia, or, as Orfila directs, by boiling it with sulphate of ammonia. SECTIONS II. III. IV.—_Of the Action, Symptoms, Morbid Appearances, and Treatment of Poisoning with Nitric Acid._ All the observations made on these topics under the head of sulphuric acid apply, with few exceptions, to the nitric acid also. A few statements therefore on the peculiarities ascertained to exist in the latter case are all that will be required in the present sections. Nitric acid is not less powerful as a corrosive and irritant than sulphuric acid. It will act with energy as an irritant even when considerably diluted, for example with six or eight parts of water or even more.—The lips which are rendered at first whitish by all the acids, and eventually brownish by sulphuric acid, becomes soon yellow with nitric acid. The tongue too sometimes acquires a yellow colour instead of a white glazed appearance; but this character is not invariable.—All spots caused by it on the skin become speedily yellow, and long retain this hue; or if the tint become dull, which generally happens in a few days, it is enlivened and the yellow colour restored for a time, by ammonia, potash, soda, or soap.—An important fact, for which toxicology is indebted to Professor Orfila, is that the acid may be often found in the urine, both when it had been swallowed, and when it had been introduced through the medium of the cellular tissue.[311] It is to be discovered by the process for compound mixtures. Orfila adds that he has hitherto been unable to find it in the liver or spleen. A difference of tint in the lining membrane of the mouth and gullet is the only difference observed in the morbid appearances caused by nitric and sulphuric acid. The former sometimes renders these parts yellow; but this appearance is far from being invariable. The treatment in both instances is the same in every respect. III.—OF POISONING WITH HYDROCHLORIC ACID. This acid occurs more rarely than any of the other mineral acids in medico-legal cases; a fact which appears singular enough on considering, that it is a powerful corrosive, and more perhaps in the hands of the working-classes than any other. SECTION I.—_Of the Tests for Hydrochloric Acid._ Like the other acids, hydrochloric acid occurs in the concentrated shape, in a state of simple dilution, and mixed with various matters, especially from organic kingdoms.

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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