Part 3 — MINERAL POISONS. (continued 2)
Reading edition
3. It is dissolved in various coloured liquids. Under this subdivision we have to consider the corrosive sublimate as existing in a state of solution, in liquids, whose colour will be liable to obscure the characteristic indications which the several reagents would otherwise occasion. It has been proposed to obviate such impediments by the previous addition of chlorine, which will discharge the colour in question. Orfila recommends such a process, where the salt has been dissolved in wine. The same objections which we urged against this mode of proceeding, 273under the consideration of arsenic, appear to us to apply to corrosive sublimate.
It will be preferable on these occasions to precipitate the salt by an appropriate reagent, and then to assay the precipitate for metallic mercury; or to evaporate the solution, and to submit the matter so obtained to the process of sublimation, when the sublimate may be dissolved in distilled water, and examined by the tests above described. This circuitous process may, however, in many cases be rendered unnecessary, by dropping the solution on the surface of white paper, and in such a situation proceeding to its examination by tests; when the colour of the precipitate will rarely be exposed to any optical fallacy. The Galvanic process of metallic reduction will also furnish a satisfactory solution of the problem.
4. It is mixed, or combined, with some medicinal body in a solid form. As persons have been poisoned by empirical remedies, and other medicines containing sublimate, accidentally or by design, it is necessary to point out the readiest mode by which the investigation may be pursued. If it should form part of a plaster, it will be adviseable to cut it up in small pieces, and boil them for a quarter of an hour in distilled water; this fluid, after standing for some time, should be filtered, and examined as we have before directed. It is evident that, if the sublimate is neither decomposed, nor strongly retained by the materials which compose the plaster, it ought to be found in the above solution; if, however, no such result can be obtained, the solid portion should be dried in a capsule, and mixed with potass; and in this state submitted, in the usual manner, to the process of sublimation, when the appearance of metallic globules 274will announce the existence of the salt in question, or, at least, of the presence of some mercurial preparation.
5. It is united with alimentary substances which have effected its decomposition. It has been frequently stated during the course of the present inquiry, that corrosive sublimate is easily susceptible of decomposition, and that various alimentary substances, of animal as well as vegetable origin, have the power of converting it into calomel.[289] This important fact was first noticed by Chaussier[290] and has been more fully investigated and confirmed by Orfila.[291] Where the quantity of mercurial salt has been considerable, we may generally obtain, on washing the alimentary matter, a sufficient portion for experiment; but where the dose has been small, or where it has been ejected by frequent vomiting, the whole residue may be decomposed; in which case we must seek to establish the fact of poisoning, through the detection of metallic mercury, by the processes of calcination and sublimation.
6. It is decomposed, and a part exists in intimate combination with the membranes of the alimentary canal. If all the preceding experiments have failed in detecting the presence of corrosive sublimate, it becomes our duty to examine the textures with which it may be supposed to have come in contact; the coats of the canal should be cut into pieces, and calcined with potass, when, if they have been acted upon by sublimate, they will yield metallic mercury 275by sublimation. “The alimentary canal,” says M. Orfila, “acts upon the sublimate like all other animal substances; muriatic acid is disengaged, and muriate of mercury ad minimum (calomel) is formed, which combines with the substance of the viscus.
It may be objected,” continues this distinguished experimentalist, “that this chemical action does not take place in the living animal; that our texture, while endued with the vital principle, is not subservient to the same laws as inorganic substances: I am not ignorant of the extent to which this objection is well-founded; but admitting the justice of it, the conclusion is not less true, that if the stomach contains corrosive sublimate at the moment of death, this body will, from that moment, act on the texture of the viscus itself. If the stomach contain a large quantity of aliment, the effects of such an action may be scarcely perceptible; but on the contrary, they will be easily applicable, should the viscus be empty, and especially if the examination of the body takes place several days after death.”[292]
In conducting experiments upon this, and indeed all other mineral poisons, the chemist must be prepared to meet with anomalies depending upon the impurities or adulterations of the substance under examination.
Red Oxide of Mercury. Precipitate per se.
We are not aware of any instance of death having, from accident or design, taken place in consequence of the administration of this substance; indeed its red colour, insolubility in water, and comparative 276rarity, will protect mankind sufficiently against mistake, and at the same time render its secret administration extremely difficult. It is, moreover, mild in its effects, unless in large doses, or, under particular circumstances of constitution. It may be identified by its form, which is that of minute crystalline scales, of a deep red colour, and by exposing it to heat in a glass tube, by which it undergoes decomposition, giving out metallic mercury, adhering to the sides of the tube, and oxygen gas, which is disengaged.
Red Precipitate, or Nitric Oxide of Mercury.
This is, strictly speaking, a sub-nitrate of mercury, and is much more poisonous than the preceding substance. Plouquet[293] relates the case of a man, who swallowed by accident some red precipitate, when he immediately experienced violent colics, copious vomitings, a trembling of his limbs, and cold sweats. Its external characters will at once enable the chemist to identify it.
Other Preparations of Mercury.
The various saline compounds of this metal, as the acetate, sulphate, and nitrate, are all highly poisonous, but they do not appear to us to merit a separate consideration; and more especially as we have already explained the various processes by which every variety of preparation may be identified. We may just remark that the sulphuret, better known by the name of cinnabar, or vermilion, has been known to occasion deleterious effects. Dr. Gordon Smith[294] states, 277upon the authority of Mr. Accum,[295] that “Vermilion has been detected as a poisonous ingredient in cheese:” this may be very true, but he should have stated at the same time, that the deleterious effects produced by it, did not arise from the mercurial sulphuret, but from the red lead with which it happened to be adulterated; and it is necessary to acquaint the forensic chemist, that such a fraud[296] is by no means uncommon; it may be very easily detected by burning a small portion of the suspected sample on a piece of bread in the candle, when metallic globules will announce the presence of lead; for the oxide of mercury, although revived by the process, will at the same time be volatilized. The bread by combustion affords the carbon by which the metallic reduction is effected.
The presence of very minute quantities of vermilion may, according to Mr. Smithson, be detected by the following simple experiment. Boil a portion with sulphuric acid in a platina spoon, and lay the sulphate thus produced in a drop of muriatic acid, on a piece of gold, and then bring a piece of metallic tin in contact with both, when the white mercurial stain will be produced.
Antimony.
Although the ancients were entirely ignorant of this metal, they were well acquainted with several of 278its combinations,[297] Basil Valentine, a German Benedictine Monk, was the first who described the process for obtaining it from its ore; to this work, originally written in high Dutch, and known by the title of the “Currus Triumphalis Antimonii,” which was published towards the end of the 15th century, we are indebted for almost all our knowledge respecting this metal.
Antimony is of a greyish white colour, having considerable brilliancy; its texture is laminated, and exhibits plates crossing each other in every direction; its specific gravity is 6·7021; when rubbed upon the fingers it communicates to them a peculiar taste and smell; it is very brittle, and fuses at the temperature of 809°, but does not appear to be volatile; when fused, with the access of air, it emits white fumes, consisting of an oxide of the metal, which formerly was called Argentine flowers of Antimony. When the metal is raised to a white heat, and suddenly agitated, it enters into a state of combustion, and is converted into the same white coloured oxide.
According to Thenard,[298] antimony is susceptible of no less than six different degrees of oxidation; Proust, however, has shewn that they may all be reduced to two, viz. protoxide and peroxide. The former of which alone exerts any sensible activity upon the human body; but this constitutes the basis of several preparations, which although in common use for medical purposes, are so extremely poisonous in larger doses, as to render them objects of interest to the forensic physician.
279 Emetic Tartar.[299] Tartarized Antimony.
This saline body appears in the state of white crystals, whose primitive figure is the regular tetrahedron, although it assumes a variety of secondary forms. Its chemical composition is still involved in some obscurity; it is stated, in the different dispensatories, to be a triple salt, consisting of tartaric acid, oxide of antimony, and potass, and that it ought therefore, according to the principles of the reformed nomenclature, to be termed a Tartrate of Antimony and Potass. The truth of these views, however, we have already[300] ventured to question; Gay Lussac has stated that in the various metalline compounds of which Super-tartrate of Potass is an ingredient, this latter substance acts the part of a simple acid; an opinion which receives considerable support from the great solvent property of cream of tartar, and from the striking fact that it is even capable of dissolving various oxides which are insoluble in tartaric acid, of which the protoxide of antimony is an example. In such a state of doubt, a better name could not be found than that of tartarized antimony.
The salt, according to Dr. Duncan, is soluble in three times its weight of distilled water at 212° Fah. and in fifteen, at 60°.
When it is heated red hot in an earthen crucible, it blackens, and undergoes decomposition like a vegetable body, leaving a residuum of metallic antimony, and slightly carbonated potass.
280 Symptoms of Poisoning by Emetic Tartar.
A question has arisen whether this salt can be considered as a poison, capable of occasioning death? In general where a large dose has been administered, it is all rejected by the vomiting which it excites; we accordingly find in the works of Morgagni and other pathologists, the history of various cases in proof of the innocence of this salt. Hoffman, however, relates the case of a woman who experienced very severe symptoms shortly after having taken tartar emetic, and that she ultimately died,[301] and there are other similar instances recorded in the works of Foderé and Orfila. It also deserves notice, that tartarized antimony is very liable to produce deleterious effects, where, from the insensibility of the nervous system, the operation of vomiting cannot be excited, as in apoplexy, drunkenness, and in that state of coma, which follows the ingestion of narcotic vegetables. M. Cloquet communicated to Orfila a case highly illustrative of this fact, in which a person, labouring under apoplexy, received into his stomach more than forty grains of tartar emetic, without exciting either nausea or vomiting. On opening the body, independent of the morbid state of the brain, which must be regarded as the immediate cause of death, extensive organic lesions were discovered in the alimentary canal, which could alone be attributed to the action of the tartar emetic. This fact will suggest a very important precaution to the practitioner, who may be called upon to treat a person labouring under a state of the system which will prevent the act of vomiting.[302].
281The symptoms produced by this salt will resemble those of a corrosive poison; and where vomiting is produced, it frequently happens that although the patient may be eventually saved, an irritability of stomach, so great as to cause the rejection of all aliments, will remain for a considerable period; and Dr. Male states that in the only case of poisoning by this salt which he had ever seen, the person was affected with violent convulsions, which returned at intervals for several weeks after recovery from the immediate effects of the poison.[303] M. Orfila, after detailing several cases of poisoning by emetic tartar, concludes by saying that the general symptoms, upon such occasions, may be reduced to the following: a rough metallic taste; nausea; copious vomitings; frequent hiccup; cardialgia; burning heat in the epigastric region; pains of the stomach; abdominal colics; inflation; copious stools; syncope; small, contracted and accelerated pulse; skin cold, sometimes intensely hot; breathing difficult; vertigo, loss of sense, convulsive movements; very painful cramps in the legs; prostration of strength,—death.
Sometimes to the above symptoms is joined a great difficulty of swallowing; deglutition may be suspended for some time. The vomiting and alvine evacuations do not always take place, the necessary consequence of which is an increase in the violence of the other symptoms.
Antidotes.
The great indication to be fulfilled in a case of this description, is the ejection of the salt by vomiting. MM. Orfila and Berthollet rely very confidently upon 282the effects of bark, strong tea, infusion of galls, and other vegetable astringents, which have undoubtedly the power of decomposing the salt. They ought, therefore, to be employed as diluents to assist vomiting, but they are not to be considered as antidotes which can render this latter operation less indispensable.
Physiological action of emetic tartar.
M. Majendie has shewn by experiment, that if tartarized antimony be injected into the veins of a dog, the animal vomits, and has frequent stools; his breathing becomes difficult; his pulse frequent and intermitting; a great degree of disquietude, and tremblings are the precursory signs of death, which generally takes place within the first hour from the injection of the emetic tartar. On opening the body great alterations are perceived in the lungs; they are found of an orange or violet colour, have no crackling, are distended with blood, and of a tight texture. The mucous membrane of the intestinal canal, from the cardia to the extremity of the rectum is red, and strongly injected.
If, instead of thus injecting the emetic tartar into the veins, it be injected into the stomach, and the œsophagus is tied to prevent vomiting, M. Orfila informs us that the same alterations will be found after death. The very same effects will also arise from the application of the emetic tartar to the different absorbing surfaces, such as the cellular substances, &c.
Mr. Brodie[304] has also thrown considerable light 283upon the action of this salt. He observes that the effects of emetic tartar so much resemble those of arsenic, which we have already described, and those of muriate of baryta, which will form a future subject of inquiry, that it would be needless to enter into a detail of the individual experiments which he made with it. When applied to a wound in animals which are capable of vomiting, it usually, but not constantly, operated very speedily as an emetic; in other respects he found no material difference in the symptoms produced in the different species of animals, which he had been in the habit of employing as subjects of experiment. The symptoms were paralysis, drowsiness, and, at last, complete insensibility; the pulse became feeble, but the heart continued to act after apparent death, and was maintained in action by means of artificial respiration; but never for a longer period than for a few minutes. Whence it would appear, that this poison acts by being absorbed, and that it directs a sedative influence upon the heart, as well as the brain, but that its principal action is on the latter. The length of time which elapses, from the application of the poison to the death of the animal, varies; in some instances Mr. Brodie found that it did not exceed three quarters of an hour, but in others, it was two or three hours, or even longer, before death took place. When a solution of emetic tartar was injected into the stomach of a rabbit, Mr. Brodie observed the same symptoms to take place, as when it was applied to a wound.
Organic lesions discovered by dissection.
Mr. Brodie, in his examination of animals poisoned by emetic tartar, sometimes found the stomach bearing the marks of inflammation, but at other 284times, its appearance was perfectly natural. In no case did he discover any traces of inflammation in the intestines. The reader must compare this account with that already given by M. Majendie, at p. 282.
1. Tests for the detection of emetic tartar.
1. The poison is in a solid form. Dissolve a portion of the suspected salt in about fifteen times its weight of boiling distilled water; if it be emetic tartar, the following reagents will identify it, viz.
(a) The hydrosulphurets will occasion a reddish-yellow precipitate, which is a combination of oxygen and antimony, proceeding from the emetic tartar; and of hydrogen and sulphur, from the reagent employed. If it be dried on a filter, and mixed with charcoal and the potass of commerce, it gives, by the action of heat, a cake of metallic antimony.
(b) Tincture of galls. This is regarded as the most sensible test of this salt, affording a precipitate of a curdled, dirty white colour, inclining to yellow.
(c) Lime water. This reagent produces a white precipitate, which is extremely thick, and is easily redissolved by pure nitric acid. In this case the lime forms an insoluble tartrate, and the tartrate of antimony, thus rendered insoluble, subsides along with it.
(d) Concentrated sulphuric acid gives a white precipitate, which consists of the oxide of antimony retaining a small portion of the acid. It redissolves in an excess of the precipitant.
(e) Vegetable extractive, occasions in the solution of this salt, a reddish-yellow precipitate, which has been found to consist of oxide of antimony, and a portion of vegetable matter.
285 2. It is mixed with various alimentary substances.
If our attempts should fail to procure a solution of the salt by filtration, answering to the above reagents, we must rely upon the proof of metallic reproduction. Various circumstances may invalidate the action of our tests, such, for instance, as the ingestion of some vegetable infusion or decoction, especially that of galls, or yellow bark.
With respect to the other preparations of antimony, it is unnecessary to waste our time in their consideration; the precepts already given will afford the practitioner every requisite hint for the prosecution of the enquiry.
Copper.
This metal, with the exception of gold and silver, and perhaps tin, was known earlier than any other metal; but its applications were entirely confined to the arts. It was first discovered by the Greeks in the island of Cyprus, whence its name; and we learn from Homer, that even during the Trojan war, the combatants had no other armour but what was made of bronze, which is a mixture of copper and tin.[305].
The external characters of the metal are too well known to require minute description. Its taste is styptic and nauseous; and the hands when rubbed for some time on it, acquire a peculiar and disagreeable odour. When melted, its specific gravity is 8·667; but after being hammered it is 8·9. It is only susceptible of two degrees of oxidation. If the protoxide 286be native, it is red; if artificial, orange coloured. The peroxide is black.
Copper, on exposure to a moist atmosphere, becomes tarnished, absorbs a portion of its oxygen, and passes into the state of an oxide, which shortly unites with the carbonic acid of the atmosphere, and forms a greenish carbonate of copper.
Metallic copper, perfectly pure, does not possess any deleterious properties. We have already cited instances[306] sufficiently conclusive to establish this fact. It becomes, therefore, a subject of no little interest to enquire, under what circumstances it may become poisonous by combination. M. Orfila observes that it has been long maintained, that milk heated, or allowed to remain in vessels of copper not oxidized, dissolved a portion of this metal, and acted as a poison. Eller, a philosopher of Berlin, has, however, very clearly proved such an opinion to be incorrect. He boiled in succession, in a kettle well freed from verdegris, milk, tea, coffee, beer, and rain water; after two hours boiling, he found it impossible to discover, in any of these fluids, the least vestige of copper. M. Drouard has also shewn that distilled water, left for a month together on the filings of this metal in a glass bottle, did not dissolve an atom of it. The celebrated toxicologist above cited, after relating these important facts, concludes by observing, that the phenomena are very different, if, instead of pure water, we substitute that which contains a certain quantity of muriate of soda. Eller has demonstrated the presence of a very small quantity of copper in water, which contained 1/20th of its weight of 287muriate of soda, and which had been boiled in a brass kettle. This fact is of the highest importance, for it will explain the reason why highly seasoned aliments have proved deleterious, when cooked in vessels of copper. But we are indebted to Mr. Eller for a still more important discovery; he found that if, instead of heating a simple solution of common salt in copper vessels, the salt be previously mixed with beef, bacon, and fish, the fluid resulting from it does not contain an atom of copper.[307] In relating this fact, M. Orfila observes, “however astonishing it may appear, it is quite correct, M. Eller was the first to announce it, and I have several times ascertained the truth of it; it is probable,” continues Orfila, “that the combination of several kinds of aliments destroys the effect of the solution of the muriate of soda; which consequently ought to render the cases of poisoning by aliments cooked in copper vessels, which are not oxidized, extremely rare.”
Copper combines with sulphur, and affords a black sulphuret.
Oxide of Copper.
By oxidation, copper becomes poisonous. The substance may be easily recognised by the change of colour which it produces in ammonia; this alkali will dissolve it instantly, and assume a beautiful blue colour. It is wholly insoluble[308] in water. In oils 288and fatty matter it is easily and copiously dissolved at the ordinary temperature of the atmosphere. Such bodies also, when boiled in vessels of perfectly clean copper, facilitate their oxidation, especially if left to cool a few minutes before they are poured out.
Green Carbonate of Copper—Natural Verdegris.
This substance forms spontaneously on surfaces of copper and brass; it differs from the oxide in its green colour, and in effervescing with dilute sulphuric acid; with ammonia, however, it demeans itself in the same manner, and is likewise insoluble in water. It is poisonous.
From the above history of these substances the medical practitioner will easily perceive under what circumstances, and by what bodies, metallic vessels of copper may be rendered dangerous. The oxide and carbonate, formed in them, will easily dissolve in acidulous and oily aliments, whence it follows that all preparations of such food, if conducted in vessels whose surfaces have contracted this change will be liable to prove deleterious.[309] If the vessels be perfectly clean, acid preparations may be safely boiled in them, but they must be poured out immediately, and not suffered to remain sufficiently long to allow the copper to become oxidized. To the formation of the oxide of copper, and to the acetic acid contained in the wine, vinegar, beer, and cider, M. Orfila attributes the production of the acetate which forms 289about the corners of the cocks in vessels containing these liquors. Upon the same principle the soda water sold in this town, in a draught, from the pump, is liable to metallic impregnation, as we have fully satisfied ourselves.
Equally important is it for the forensic physician to be acquainted with the various other sources from which copper poison may be derived. In consequence of the fact of the oxide of copper forming, with the acids, compounds of a beautiful green colour, the metal is often employed in cookery to impart a vivid hue to various articles; the sale of pickles, for instance, frequently depends upon the liveliness of their green colour; whence we find, in works[310] on cookery, directions for ensuring such an effect, by boiling the pickles with copper coin, or by suffering them to stand for some time in vessels of that metal. In the third volume of the Medical Transactions of the College of Physicians we shall find an interesting history, related by Dr. Percival of Manchester, of a young lady who amused herself, whilst under the hands of the hair-dresser, with eating pickled samphire, of which she consumed two breakfast plates full; she shortly afterwards complained of great thirst, pain in the stomach, and a rash appeared upon her hands and breast. After an illness of nine days, during which she suffered severe vomitings, and tormina of the bowels, she expired. Upon examining the samphire, Dr. Percival found that it was very strongly impregnated with copper. In the preparation of confectionary, especially sugar-plums, and sweatmeats of a green colour, copper is very generally 290introduced, and many instances are recorded of their having proved highly deleterious. Catsup is also said to be occasionally impregnated with verdegris; and vestiges of this metal have been detected in the well known cordial, called Shrub.
In order to prevent the contingent dangers attendant upon copper vessels, they ought always to be tinned;[311] and it is a very curious and interesting fact, that this latter metal, although it may cover the copper surface only imperfectly, will nevertheless protect us from its effects; for M. Proust has shewn that the superior readiness with which tin is oxidized and acted upon by acids, when compared with copper, will not allow this latter metal to appropriate to itself a single atom of oxygen.
But copper vessels, notwithstanding this fact, unless well tinned, should be dismissed from the service of the kitchen. The Senate of Sweden, in the year 1753, prohibited them entirely, and ordered that none but such as were made of iron should be used in their fleets and army.
Verdegris. Ærugo.
The verdegris of commerce is a compound mass, consisting of the acetate, and sub-acetate of copper, carbonate of copper, and copper partly metallic, and partly oxidized; it, moreover, contains the stalks of grapes and other extraneous matter. Boiling water dissolves it in part, and, at the same time, occasions in it a chemical change, by transforming one portion of the sub-acetate into the soluble acetate, and another, into an oxide of copper, which is precipitated. With cold water, verdegris demeans itself very differently; the acetate is dissolved by it, whilst 291that portion which is in the state of sub-salt remains suspended in the form of a fine green powder. Vinegar converts all the ærugo into a soluble acetate. Sulphuric acid poured on its powder decomposes it with effervescence, and vapours of acetic acid are disengaged; a character by which this substance may be easily identified.
Blue Vitriol. Sulphate of Copper. Blue Copperas—Roman Vitriol.
This salt occurs in crystals of a deep rich blue colour, and whose form is that of a rhomboidal prism; their taste is harsh, acrid, and styptic; on exposure to air they slightly effloresce, and assume a greenish hue. When treated with sulphuric acid, no effervescence occurs, a circumstance which at once distinguishes this salt from ærugo.
Symptoms of Poisoning by the Salts of Copper.
The operation of these bodies, upon the human system, is betrayed by an acrid, styptic, coppery taste, in the mouth; nausea; head-ache; a dry and parched tongue; vomiting; coppery eructations; a cutaneous eruption; violent pains in the bowels; very frequent alvine evacuations, sometimes green, and often bloody and blackish; great and painful distention of the abdomen; small and irregular pulse; heat of skin; ardent thirst; difficult and laborious respiration; hiccup; syncope; cold sweats; convulsions—death. It does not, however, kill so speedily as arsenic, or corrosive sublimate.
Organic Lesions discovered on Dissection.
Where death has been speedily produced by a cupreous poison, dissection will generally discover 292inflammation, and even gangrene in the mucous membrane of the alimentary canal. Like other poisons of the corrosive class it will also be found to have occasionally extended its inflammatory action to all the coats of the canal, producing sloughs, easily detached, and leaving perforations. Dr. Male has also remarked that inflammation will sometimes be observed in the brain; but that this is not an universal effect of copper poison. It has been stated, that the fluids contained in the primæ viæ are, upon these occasions, very frequently tinged with a green colour.
Chemical Tests by which the presence of the preparations of Copper may be detected.
1. The suspected body is in a solid form.—We have already pointed out the characters by which the principal preparations of copper may be identified. Our judgment, however, upon these occasions will require that confirmation from experiment, which the following processes are calculated to afford.
A. By its reduction to a metallic state. If the copper presents itself in the form of an oxide, it may be easily reduced by heating it, in the usual manner, in contact with some carbonaceous matter; an earthen crucible will furnish the most convenient vessel for the occasion. If the substance has been scraped from a surface of copper, it is probably in the state of carbonate, (natural verdegris,) and may be calcined with charcoal in order to procure the metal. Should the substance in question be true ærugo, we may at once heat it to redness in an earthen crucible, when, without the aid of any carbonaceous matter, we shall obtain metallic copper.
293B. By the application of certain reagents, or tests, to its solutions.
It may happen that the quantity of the above substances is not sufficient to allow their metallic reduction by calcination. In that case, we must proceed to obtain a solution; but since neither the oxide, nor the carbonate, is soluble in water, it will be necessary to bring them in contact with concentrated acetic acid, so as to obtain an acetate of copper; which will furnish the following indications with the respective tests.
a. A surface of clean iron. If dipped into the solution will become coated with metallic copper, and appear as if transmuted into that metal.
b. Ammonia. This test, when added in a quantity more than sufficient to saturate any excess of acid, will strike a beautiful blue colour; in the first instance we shall obtain a deep blue precipitate, but this will be redissolved by an excess of alkali. To detect the presence of copper, therefore, in pickles, it is only necessary to cut them into small pieces, and to pour liquid ammonia, diluted with an equal bulk of water, over them in a stopped phial: if the pickles contain the most minute quantity of this metal, the ammonia will assume a blue colour. In the same manner cupreous impregnations may be discovered in the various articles of confectionary above enumerated, and in those foreign conserves which are imported into this country, and usually sold in round boxes.
c. Sub-carbonate of Potass. By this re-agent a precipitate of a pale blue colour is produced.
d. Arsenite of Potass instantly occasions a copious 294precipitate in the acetate of copper, which is of a green colour, and is in fact an arsenite of the metal.
e. Triple Prussiate of Potass. This test gives a brown precipitate with a solution of verdegris, which is found to consist of prussiate of copper, and prussiate of iron; while the liquor contains an acetate of potass.
2. The suspected poison is mixed and combined with various alimentary substances.
We have in this case the same embarrassments to encounter, as those already noticed under the consideration of arsenic. Our tests may produce their respective precipitates, but they will present different colours according to the nature of the fluids with which the substance happens to be mixed; whence the circumstance of colour, so characteristic on other occasions, cannot be received as a satisfactory indication. In such a difficulty, we may collect the precipitates, and calcine them in a crucible with charcoal, in order to obtain the metal; or we may at once evaporate the whole of the alimentary mass, and submit it to a high temperature, by which means all the vegetable and animal principles, which can form a part of the liquor vomited, will be decomposed and converted into several volatile productions, and into charcoal; this combustible body will decompose the oxide of copper, and reduce it to its metallic state.[312].
Nor is this process without its fallacies; it is often difficult to recognise the metal, dispersed as it necessarily must be, in small quantity, through a considerable mass of charcoal; in this case we are recommended 295by Orfila to place the product of the calcination in water, when in a short period, the copper, from its superior specific gravity will subside from the lighter particles of charcoal. But it would be still better to pour nitric acid upon the product of the calcination, and thereby to obtain a solution of nitrate of copper, which by filtration might be immediately prepared for the application of appropriate re-agents.
It merits notice, however, that in certain cases of poisoning by copper, no vestiges of the substance can be found in the matters voided from the stomach. In that case, Orfila directs that the mucous membrane of the stomach, and of the intestines, should be scraped off, dried, and submitted to the action of a strong heat in a crucible. “I have,” says this distinguished experimentalist, “twice obtained metallic copper, by calcining in this manner a portion of the membranes of the stomach of two dogs that I had poisoned with verdegris. This effect particularly takes place when the mucous membrane is of a bluish colour, hard, and strongly adhering to the substance of the stomach.”
Tin and its Muriate.
It is clearly established by the experiments of Bayen and Charlard,[313] as well as by those of Proust,[314] that this metal possesses no poisonous properties. Its muriate, however, has been shewn by Orfila to possess highly corrosive properties. It excites violent vomiting, great depression, and death, without convulsions. Its antidote is milk, which it speedily coagulates; and by chemical combination 296with it, the poison is rendered inert. On dissection, the stomach is said to have been found corrugated and indurated, and has been compared to tanned skin, but its colour is not altered.
As this substance is never likely to become an object of forensic interest, in this kingdom, we shall pass it over without farther notice.
Zinc.
The ancients were acquainted with a mineral to which they gave the name of Cadmia,[315] from Cadmus, who first taught the Greeks to use it. They knew that when melted with copper it formed brass; and that when burnt, a white spongy kind of ashes was volatilized, which they used in medicine.[316] This mineral contained a good deal of zinc; and yet there is no proof remaining that the ancients were acquainted with that metal. It has a brilliant white colour, with a shade of blue, and is composed of a number of thin plates adhering together; its specific gravity is 7·1. When strongly heated in a crucible, it quickly goes into fusion, absorbs the oxygen of the atmosphere, and burns with a beautiful white flame, inclining to green, and extremely brilliant. The oxide of zinc thus formed, is diffused through the atmosphere, and is there condensed into extremely light flakes of a beautiful white appearance. This oxide was formerly known under the fanciful names of nihil album; lana philosophorum, &c.
In its metallic state it is quite inert; but late experiments by Vauquelin and Deyeux, have proved that it is very easily acted upon by water, the weakest 297vegetable acids, some saline substances, and butter; a fact which is hostile to the proposal of employing this metal for the manufacture of culinary utensils.
White Vitriol. Sulphate of Zinc.
This salt occurs in masses, consisting of crystals which are four-sided prisms, terminated by four-sided pyramids. Their taste is styptic, metallic, and slightly acidulous. They are soluble in 2·5 times their weight of water at 60°, and in less than their own weight of boiling water, but they are quite insoluble in alcohol. Thus dissolved they redden the tincture of tournesol.
Symptoms of Poisoning by Sulphate of Zinc.
This salt, like tartarized antimony, from the high degree of emetic virtue which it possesses, generally proves its own antidote; still, however, it must be considered as a poison; for several cases are on record, where the most alarming symptoms, and indeed death itself, have been the effect of its ingestion. Metzger[317] mentions the case of a woman, who accidentally ate a trifling quantity of a cake, into which White Vitriol had been introduced for the purpose of shortening the days of an old man. The woman died; but the intended victim escaped, after severe vomiting. M. Orfila has also related several cases of poisoning by this salt. The symptoms which presented themselves on these occasions were, an astringent metalline taste, a sense of constriction in the fauces, so distressing as even to excite in the patient a fear of 298suffocation; frequent vomitings; copious stools; pains in the epigastric region, extending afterwards over the whole abdomen; difficulty of breathing; frequency of pulse; paleness of the countenance, and coldness of the extremities.
We have lately heard of a case in which a noble lord swallowed a solution of white vitriol, which had been sent to him by mistake, for Epsom salts, to which it bears some analogy. Fortunately, however, the violent emetic effect which followed removed the poison from the stomach, and obviated any farther injury.
Organic lesions discovered on Dissection.
We have no well authenticated dissection of a human being who had died from the ingestion of this poison. The examination of animals[318] who have been so killed has shewn nothing more than an inflammation, not very severe, of the membrane with which it had come in contact; sometimes dark blood is observed to be extravasated upon the muscular coat of the stomach and intestines.
Chemical processes for the detection of Sulphate of Zinc.
The chemist must remember that the White Vitriol of commerce always contains sulphate of iron, and sometimes sulphate of copper. When dissolved in distilled water it may be identified by the following re-agents; viz.
a. Potass, and Ammonia, precipitate an oxide of a greenish white colour, easily soluble in an excess of the latter of these alkalies. The oxide obtained by potass, being washed and dried, and calcined with 299charcoal, is revived, provided the temperature be very much elevated. It should be known, that if the salt has been previously purified, the above tests will occasion a white precipitate.
b. Prussiate of Potass produces a precipitate of a rather deep blue colour; which, consists of a mixture of the prussiates of zinc and iron. If the salt has been divested of all impurity, the precipitate will be white.
c. The Hydro-sulphurets instantly occasion a blackish precipitate, which, like the former, will be found to be a mixture of zinc and iron, in the state of an hydro-sulphuret. If the salt, however, is pure, its colour will be white with a tinge of yellow.
Silver.
This metal does not exert any influence on the living body; but its oxide in combination with nitric acid constitutes one of the most corrosive of all the metallic salts.
Lunar Caustic. Nitrate of Silver. Lapis Infernalis.
The usual state in which this substance occurs is in that of small cylinders, having been cast into moulds for the purpose of imparting to it a form best adapted for the purposes it is designed to answer.
Its action on animal matter is highly caustic, and when introduced in any considerable quantity into the stomach, will induce death by corroding the texture with which it may come in contact. At the same time there is reason to believe that the whole, or part of its composition, may be absorbed; for we have many instances on record where the frequent 300repetition of this metallic salt, in small doses, has imparted a blue tinge to the skin, which can only be explained on the supposition that the oxide of the metal has been actually deposited in the rete mucosum[319].
We are not aware that there is any modern case of poisoning by this salt[320]. The medical practitioner, however, ought to know, that common salt, is its true antidote; indeed so completely does it decompose and separate it from water, that if a saturated solution of nitrate of silver be filtered through common salt, it may be afterwards drunk with impunity. M. Orfila, by a series of experiments, has shewn that if the muriate of soda be administered a very short time after the ingestion of lunar caustic, it will disarm it of its virulence by transforming it into an insoluble muriate, possessing no power of acting on the animal œconomy.
Chemical processes for the detection of Lunar Caustic.
If a small portion of the salt can be procured it may be dissolved in distilled water, and immediately identified by the following tests.
a. Muriatic acid, or any soluble Muriate, will precipitate the muriate of silver, which is white, curdled, very heavy, insoluble in water, or nitric acid; but soluble in liquor ammoniæ; when exposed to the air it acquires a black colour.
301b. Potass, Soda, and Lime water, will occasion a precipitate of the oxide, of a deep brown colour.
c. Ammonia. This alkali will form an ammoniuret of silver, and in consequence of the solubility of this new product, little or no disturbance is occasioned by the test.
d. Arsenite of Potass. As all re-agents must be considered as reciprocal in their operation, it is hardly necessary to state that this is one of the best tests for nitrate of silver. See the history of its effects at p. 240.
If it should be necessary to discover the nitrate of silver amongst the fluids vomited, or those contained in the stomach of the deceased, we are very properly directed by M. Orfila to filter, and then assay by the appropriate tests; if, however, the different aliments should disguise the characteristic colour and appearance of these precipitates, we must proceed to desiccate and calcine them in order to obtain the silver in a metallic state.
The Concentrated Acids.
These must be regarded as the most terrible of all corrosive poisons. Their action is so immediate and energetic, as generally to destroy the membranes of the stomach, before their peculiar antidotes can be applied. Notwithstanding the obvious suffering they must occasion, and the facility with which they may be detected, such bodies have frequently, especially in France, been the instruments of suicide and murder; whilst in this country, we have had many lamentable illustrations of their deadly force, by their ingestion from fatal carelessness. In conformity with our general plan we shall proceed to consider the individual substances included under 302this general class, although the symptoms do not materially differ in the different kinds, nor are the indications of cure peculiar to any of them. There are however chemical characters which exclusively belong to each acid, with which the forensic physician must be accurately acquainted, in order that he may be enabled to detect their presence.
Oil of Vitriol. Sulphuric Acid.
This acid, when perfectly pure, exists in the form of a colourless liquid, without smell, and of an oily consistence; whence its popular name. Its specific gravity is 1·85, so that, in round numbers, it may be stated that an ounce, by measure, will weigh fourteen drachms. It acquires a brown tinge from the smallest portion of carbonaceous matter; mere exposure to the atmosphere is sufficient to effect this change, in consequence of the acid disorganizing and carbonating the vegetable and animal matter suspended in the air. This fact sufficiently explains why we generally find the acid of commerce of a brown colour.
Its taste is highly acid and caustic. So powerful is its affinity for water, that upon its admixture with this fluid, a heat, sufficiently great to boil water, may be produced. When exposed in its concentrated state to the air, it will imbibe at least seven times its own weight of water, and so rapidly as to have its weight doubled in a month. Straw, wood, and all vegetable substances, when immersed in the sulphuric acid, without heat, are disorganized, softened, and blackened, and there is separated from them a certain portion of charcoal. Like the other mineral acids, the Oil of Vitriol has never been obtained in an insulated state without water; according to the latest 303views of Sir H. Davy, the composition of the strongest acid may be expressed as follows. Sulphur 30, oxygen 45, water 17.
Symptoms of Poisoning by Oil of Vitriol.
An extremely austere, acid, and burning taste; a painful heat in the fauces and throat, along the œsophagus, and in the stomach; excruciating pain; nausea, and excessive vomiting; at one time the fluid vomited is as black as ink, at another reddened by arterial or venous blood, producing in its passage through the throat, the most intense pain, accompanied with a sensation of bitterness quite intolerable; if, by chance, a portion of it should fall on the hearth or pavement, or on any other calcareous substance, it will denote its true nature by an effervescence; constipation, or sometimes bloody stools; gripes and excruciating pains over the abdomen, with a tenderness of these regions, so exquisite as not to allow the slightest pressure without torment; pains of the breast; difficulty of breathing; extreme anxiety; the pulse becomes frequent, small, contracted, and irregular; shiverings; great restlessness, dejection, and agitation; convulsive motions of the countenance; sometimes a cutaneous eruption betrays itself. Amidst all these symptoms, the intellectual powers remain unobscured. The parts about the fauces, the uvula, &c. having lost their vitality, slough, and become detached, which occasion an indescribable fetor of the breath, while they produce a perpetual cough, and the voice becomes so altered, that it resembles the sounds of a person labouring under croup.
304 Organic lesions discovered on Dissection.
As this substance destroys life by simply acting as an escharotic, it is not difficult to anticipate the disorganization which dissection will display. The extent of the lesion, however, must in every case depend upon the quantity and degree of concentration of the acid, the state of the stomach in relation to its alimentary contents, and other incidental circumstances not to be exactly appreciated. The mucous membrane of the mouth, the tongue, and œsophagus, will in general be found destroyed, and converted into a pulp.
Antidotes.
The great indications to be fulfilled in this distressing case, is the immediate dilution, saturation, and expulsion of the poison. Copious draughts of water, holding calcined[321] magnesia in suspension, should be administered without any loss of time. If this is not in readiness, soap and water should be administered; mucilaginous drinks, milk, and even warm or cold water, in the absence of more eligible potations, should not be neglected. It must be never forgotten, exclaims Orfila, that success upon these occasions depends upon the activity of the practitioner; the delay of a few moments will entirely change the fate of the patient, as the sulphuric acid destroys the texture of the organs with a fearful celerity. After having thus neutralized the caustic, it will be our duty to obviate the effects it may be 305likely to occasion; the lancet must be used with boldness, and the detraction of blood repeated at short intervals; at the same time emollient clysters may be advantageously injected.
Chemical processes for the detection of Oil of Vitriol.
In the pure state, there can exist no difficulty in identifying it; its specific gravity, and its action on vegetable matter, will, without any other tests, be quite sufficient to fulfil our object. If heated with metallic mercury, it will disengage sulphurous acid gas; and if united with lime, a sulphate of lime will be produced, which the chemist may easily recognise by dissolving a portion in distilled water, and assaying the solution by muriate of baryta, which will produce with the sulphate a precipitate, insoluble in nitric acid. By the last mentioned tests we shall be enabled to detect the presence of sulphuric acid, in whatever state of complication it may happen to exist with alimentary matter.
Nitric Acid.
This acid, when pure, assumes the form of a limpid fluid, emitting white fumes of a suffocating odour; its taste is highly acid, and corrosive; and it is at once distinguished from all other acids, by its tinging the skin indelibly yellow. When of the specific gravity 1·5 it contains 74·895 per cent of dry acid, (whose ultimate elements are one proportional of nitrogen, and five of oxygen) the complement 25·105 parts, is water.[322] It is decomposed with violent action by all combustibles, and when mixed with volatile oils it causes their inflammation.
306From the facility with which this acid undergoes decomposition, it is rarely found in commerce in a colourless condition; indeed the action of light is sufficient to impart a tawny tinge to it; when this change has proceeded to such an extent as to render the acid orange coloured, it is called Nitrous acid, or, in the language of the arts, aqua fortis, although in a chemical point of view, such a nomenclature is incorrect, for it is nothing more than nitric acid, holding nitrous acid gas loosely combined.
Symptoms of Poisoning by Nitric Acid.
This acid has been so frequently swallowed in France, for the purpose of committing suicide, that it has enabled the pathologists of that country to afford a very satisfactory account of its operation, and effects. To M. Tartra we are particularly indebted for a very full and interesting investigation of the subject, and we shall avail ourselves upon the present occasion, of the many facts and observations with which his treatise[323] abounds. In describing the symptoms occasioned by the ingestion of this acid, M. Tartra establishes four different gradations, viz. 1. When the death is speedy, for it is never sudden, it commonly takes place from the primary effects in about twenty-four hours, varying from six to forty-eight hours. 2. When it proves fatal from its secondary effects, at different intervals, from fifteen days to several years. 3. When death does not take place, but the recovery is imperfect. 4. When a perfect cure is sooner or later obtained. The first case is illustrated by the 307following example, which will serve to convey a very just idea of the progress and intensity of the symptoms. “A man, driven by distress to commit suicide, under the greatest agitation of mind, and upon an empty stomach, swallowed, at a draught, two ounces of concentrated nitric acid. Instantly he was seized with the most excruciating pains and agitation, and could not lie in bed, but rolled himself upon the floor. Vomiting came on, accompanied by a general sensation of coldness, especially in the extremities. Every time he vomited, the matter effervesced upon the pavement. A solution of soap and oil was administered to him, and in two hours he was brought to the hospital, often having vomited, and stopped on the road to drink. On his arrival, he had emollient drinks, especially linseed tea, in great abundance. He was in continual agitation, and his countenance was greatly altered. He now vomited every instant a blackish glairy matter; he opened his mouth easily, and his tongue was white, with a tinge of yellow; he complained of acute pains in his mouth, along the œsophagus, and in his stomach. His belly, slightly tense, could not bear the slightest pressure, without great torment. The surface of the body was cold; the pulse small and frequent; he had hiccup, and the respiration was laborious.
His symptoms increased. He uttered sighs and lamentations; his limbs became icy; a cold sweat covered his whole body; his pulse was scarcely perceptible; the pain was constant; still he could rise and make continual but useless efforts to quench his thirst, and satisfy his urgent desire to void urine, and go to stool. He continued in this state during the night; the matters vomited became more clear, 308and of a yellow colour. He at last made a few drops of urine. The shocking appearance of his body already resembled that of a corpse, but he retained his senses, and was speaking when he expired, nineteen hours after swallowing the acid.” The burning heat and pains which are commonly the immediate effects of the ingestion of this acid are very variable in their intensity and duration, and M. Tartra observes that, in general, they are not in proportion to the quantity or strength of the acid swallowed. It often happens that persons who have taken only a small dose, are seized with the most excruciating and dreadful pains, and some of those who have swallowed a great quantity, two or three ounces for example, have had scarcely any suffering, but remained very tranquil. In the first case, the patients either recover, or survive a long time; in the second, speedy death is almost always the consequence; thus a young man of twenty died in twenty hours, without any agitation or signs of acute pains. On opening the body, the highest degree of disorganization appeared, perforations of the stomach, and great effusion of its contents into the abdomen. The second variety of the progress and termination of poisoning by nitric acid, exhibits, at first, the same phenomena as the preceding; but less alarming symptoms succeed by degrees; after some months, the inner membrane of the alimentary canal detaches itself in portions, the patient falls into a marasmus, and dies. We are here presented with a case of consecutive poisoning, see page 147.
The third termination is in imperfect recovery. A slow and progressive amendment ensures the safety of the patient; but there still remains some complaint; obscure pains in the throat, and especially in 309the epigastric region; habitual constipation, occasional vomiting, and increased sensibility of the stomach, so that it can only support light nourishment and bland liquors; in short, they continue invalids during the rest of their lives; they are subject to repeated and even habitual indispositions, and sometimes to pain and insupportable heat of the stomach; but they are able to follow their occupations, and long survive their poisoning.
The total disappearance of the symptoms produced by swallowing nitric acid; or complete and absolute recovery without leaving any consequences, is the last variety of termination.
Organic lesions discovered on Dissection.
Tartra has furnished us with the following interesting account of the dissection of those who have died of the primary effects of nitric acid. The external appearance of the body presents no alteration; every part is sound and natural, and possesses, in a certain degree, the firmness and freshness of life. The epidermis of the margins of the lips has commonly an orange colour, more or less deep. It seems burnt and easily separates. Sometimes yellow spots are discovered on the hands and other parts of the body, caused by the contact of the acid. A yellow fluid, in some cases very abundant, flows from the mouth and nostrils, and the belly is considerably distended with air. The alimentary canal is remarkably affected. All the internal membrane of the mouth is burnt, and has sometimes a white colour, but is more commonly yellow; it is separate in some places, and adheres in others. The teeth are often loose, and have a very marked yellow colour at their crown. 310The mucous membrane of the pharynx exhibits the same change, or is in a state of inflammation of a dirty red colour. The whole extent of the œsophagus is lined with a dense mass of a fine yellow colour, dry on its surface, unctuous and greasy to the touch, and which seems to be formed both of the mucous membrane, altered in a particular manner, and of the albumen contained in the viscid fluid which exudes from the membrane of the œsophagus, solidified by the nitric acid. This lining adheres in very few points, and is easily detected from the other membranes of the œsophagus, which are brown and blood-shot. When the stomach is not perforated, it has commonly a considerable size; externally, its membranes are slightly and partially inflamed, but very much towards the pylorus and beginning of the duodenum. Its colour is faded, livid, of a yellowish green, with large gangrenous spots. It adheres every where to the neighbouring parts, the diaphragm, liver, spleen, and transverse arch of the colon, by means of a concrete lymphatic exudation; its sides, which are thin and yellow in some places, and thick and black in others, exhibit net-work of dilated blood-vessels filled with black coagulated blood. Often there are several points of the stomach dissolved, and ready to burst with the slightest touch; it contains a great quantity of gas, which has a peculiar smell, resembling that of bitter almonds; it also very commonly contains a great quantity of yellow matter, of a pultaceous consistence; the substance of the stomach is generally swelled in some places, and deeply marked with black, without being dissolved; this effect is most remarkable at the great end, into which the acid seems to fall by its weight; the rugæ of the stomach are very brown, and are reduced to a mucilaginous 311consistence. The other parts of the alimentary canal exhibit the same organic lesions, although the phenomena have less intensity in proportion as the part is more distant from the stomach.
In those cases where the stomach is found perforated, its bulk is very small; the holes commonly occur in the large and small extremities; their form is circular, and their edges thin, and as if dissolved. The urinary bladder contains no urine, although the patient have not discharged any.
The appearances upon dissection of those who die of the secondary effects are entirely different from those above described. It would be difficult to find an example of greater emaciation, more advanced consumption, or more disgusting form. Nothing is equal to the degree of withering, and decrepitude of the whole organs; their colour is faded; the internal cavities do not contain the usual serum; the cellular and muscular systems are almost annihilated; the bones become dry, as in persons of advanced age, and break with extraordinary facility; but these changes are general and secondary, and depend upon local organic derangement of the alimentary tube. The stomach and whole intestinal canal are contracted to an extremely small size; the intestines are not larger than the little finger, sometimes not exceeding a thick writing quill; their coats are very thick, their cavity almost obliterated, and containing only a little mucosity. The stomach, which often resembles a portion of a small intestine, appears sound externally, and only presents some adhesions to the neighbouring viscera; internally, the most remarkable change is the contraction of the pylorus, the passage through which will scarcely admit a probe; and the membranes of the stomach itself are so thickened and compacted 312around it, that they have lost all their natural suppleness. On the internal surface, there are irregular spots, or rather smooth and red places, which seem to be covered with a regenerated mucous membrane, less villous than that which had been destroyed by the action of the acid; these cicatrices are particularly large and numerous in the great end of the stomach, and around the circumference of the pylorus.
Chemical processes by which the presence of Nitric Acid may be discovered.
If the acid be in any quantity, and without mixture, there cannot exist any difficulty in demonstrating its presence. If added to copper filings, there will be a copious disengagement of orange-coloured fumes, and a nitrate of copper of a blue colour will remain, as the product. If it be saturated with potass, we shall at once obtain by due evaporation the well known substance, nitre; this salt will announce its nature by deflagrating with charcoal or sulphur. This latter test is the one we must employ for the detection of nitric acid, when mixed with vinegar, and other liquids. Where the acid has combined with the animal matters with which it may have come into contact, they must be boiled for an hour in a solution of pure potass, when the solution will assume a reddish appearance; this must be filtered, and evaporated in a capsule of porcelain, when the mass so obtained will leave a residuum of nitrate of potass.
Dr. Marcet, in a paper just published in the Philosophical Transactions,[324] on the composition of sea 313water, employed a new mode of assaying the solution for nitric acid, and for which he acknowledges himself indebted to Dr. Wollaston. Having concentrated the bittern in a glass vessel, until it began to deposit solid matter, he added sulphuric acid and gold leaf, and boiled the mixture; the gold leaf was not in the least acted upon, nor was any smell of nitric acid perceived; but on adding the smallest quantity of nitre to the same mixture, the gold was dissolved, and the smell of aqua regia instantly perceived. The rationale of the experiment is obvious, gold, although insoluble in muriatic acid, is instantly dissolved on the addition of nitric acid, in consequence of the developement of chlorine.
Spirit of Salt. Muriatic Acid.
The liquid acid, of which we are about to treat, is a solution of muriatic acid gas in water; when of the specific gravity 1·16, according to Davy, it contains 32·32 per cent. of the gas, which recent experiments have proved to be a compound of Chlorine (oxy-muriatic acid) and hydrogen, in equal volumes. It has accordingly received a name expressive of its composition, and is called Hydro-chloric acid. Its odour is strong and peculiar; when exposed to the air it emits white fumes; its taste is intensely sour and caustic; it is, however, the weakest of the three mineral acids, and no remarkable elevation of temperature is produced by dilution. It readily combines with potass, soda, &c. and furnishes a class of salts which may be easily recognised by their characters.
Symptoms of Poisoning by Muriatic Acid.
As the effects of muriatic acid do not differ from those which have been described, as the consequences 314of poisoning by the other mineral acids, it will be unnecessary to enumerate them. Orfila, however, remarks, that the patients who have swallowed a certain quantity of it, emit, in the first moments of the accident, a thick smoke of a white colour, and very pungent smell.
Chemical processes for the detection of Muriatic Acid.
This acid, in its free state, immediately announces its nature by the fumes which it emits. When the acid, however, exists in a more questionable shape, as in the matter vomited by the patient, or in that found in the digestive canal after death, it will be necessary to saturate the liquid part with pure potass, and to boil it for some time, when we shall obtain a fluid, from which the nitrate of silver will throw down a dense precipitate. By evaporation, we shall obtain a crystallized muriate, which may be identified by the following tests: 1, When concentrated sulphuric acid is poured upon it, a brisk effervescence is immediately occasioned, and the muriatic acid is disengaged in the form of white vapours, which are thick, and of an excessively pungent smell. 2, If instead of employing concentrated sulphuric acid, this acid be used in a state of dilution, and the muriate be mixed with some substance which easily yields its oxygen, the muriatic acid will be decomposed, its hydrogen, combining with the oxygen so as to form water, while the chlorine will be disengaged, and by its pungent and peculiar odour at once announce the nature of the acid under examination.
315 Oxalic Acid. Acid of Sugar.[325]
This salt occurs in small crystals, whose form is that of a four sided prism. It is extremely acid to the taste, so that by applying the tongue to one of its crystals, its nature may be immediately discovered. It dissolves in twice its weight of cold, and in an equal weight of hot water; it is also soluble in boiling alcohol which takes up about half its weight; the solutions act powerfully on the vegetable colours, and at once denote their acid properties. On account of the strong resemblance which the crystals of this acid bear to those of sulphate of magnesia, or Epsom salts, many fatal accidents have occurred. We are not aware that it is ever purchased, in retail, for any other purpose than as a detergent, to clean the tops of boots; in the large way, it is an article of extensive trade with the calico printers. Its salts[326] are likewise employed for various purposes in the arts.
Amongst the many schemes which have been proposed to secure the public against the possibility of mistaking this acid for Epsom salts, there does not appear to be one which admits of successful application; nor are we able to propose any test of discrimination which is not far inferior in accuracy and convenience, to that which is afforded by the mere taste of the crystal; indeed we cannot understand how so 316acid a solution can be swallowed, without an immediate discovery.
Symptoms of Poisoning by Oxalic Acid.
From the history of the many cases on record, it appears that this acid produces all the grievous symptoms, which characterise the action of a corrosive poison; its operation upon the stomach is similar to that of any other powerful acid; and dissection displays the same destruction of parts, as that we have already described under the consideration of the mineral acids.
Antidotes.
We should endeavour to form as quickly as possible an insoluble oxalate of lime; copious draughts of lime water, or magnesia and water, should be administered; and vomiting immediately excited.
Chemical tests for the detection of Oxalic Acid.
If any of its crystals can be obtained, we shall be immediately able to identify them. They dissolve very readily in water, and since the oxalic has a greater affinity for lime, than any other acid, and forms an insoluble salt with it, we have thus a ready test of its presence, for it will decompose all the calcareous salts, not even excepting the sulphate.
Boiling Water.
Many cases are recorded of the death of children from the ingestion of boiling water; an accident which will be always liable to occur, as long as the peasant allows his family to quench their thirst by drinking the cold water through the spout of the tea kettle. It has been very generally supposed that fatal 317effects have, on these occasions, supervened the high state of inflammation produced in the æsophagus and stomach by the boiling liquid. Dr. Marshall Hall has, however, lately published a very interesting paper on this subject, in the twelfth volume of the Medico-Chirurgical Transactions; from which it would appear, that the patient, under these circumstances, actually dies of suffocation as in croup; and that the boiling water is arrested in its progress to the stomach by the convulsive action of the muscles of the pharynx. In passing, however, to the posterior part of the mouth, it scalds the epiglottis, and glottis, which afterwards become more and more swollen, until at length the rima glottidis, or orifice into the larynx, becomes completely obstructed. Here then we have a new instance in which the operation of laryngotomy, or of tracheotomy, may be performed with the effect of preventing impending suffocation, and perhaps of saving life. Dr. Marshall Hall relates four cases in illustration of this interesting fact; of which one recovered from imminent suffocation immediately after screaming[327]; two died from suffocation, one 10, the other 17 hours, after the accident; the fourth was completely relieved by the operation of tracheotomy, and survived 34 hours, but died, exhausted by the irritation produced by the primary affection.
Melted Lead.
An instance stands recorded in the history of the destruction of the Eddystone-light house, by fire, where a quantity of melted lead fell into the mouth, 318and was swallowed by a person who was attentively watching the conflagration. It is very singular, that this man lived many days after the accident; a fact which at least shews what extensive injury the stomach will occasionally sustain, without the immediate destruction of life. The lead taken out of the stomach after death, in this case, weighed exactly seven ounces, five drachms, and eighteen grains.[328]
The Caustic Alkalies.
These bodies are distinguished by a highly corrosive and peculiar taste; they change the blue[329] juices of vegetables to a green, and the yellow to a brown; they are soluble in water, and have the power of imparting the same property to oils, by combining with them, and thus forming saponaceous compounds. With the different acids they constitute peculiar salts. When applied to the flesh of animals they act as powerful caustics, destroying its texture, and ultimately dissolving it; they are accordingly arranged with great propriety under the head of corrosive poisons.
There are three[330] alkalies—potass, soda, and 319ammonia. To the two former the epithet fixed has been applied, since they require a very high temperature for their sublimation; while to the third, that of volatile has been assigned, because, when uncombined, it exists in a state of gas. Potass, as it was considered the product of vegetation, has received the name of the vegetable alkali, while soda, as the base of rock salt, has been distinguished by that of mineral alkali. The distinctions, however, originally established by Avicenna, must now be abandoned, for they have not the slightest foundation in truth; potass, so far from being the exclusive product of vegetation, exists as a constituent part of the Granite, which forms the foundation of our globe; it has also been discovered in the Pumice stone; in some minerals of the Zeolite family; in the Leucite; in the aluminous ores of La Tolfa, &c. and, although potass is undoubtedly procured by lixiviation from the ashes of burnt wood, and other vegetable substances, yet there is ample grounds for supposing that the living plant receives it from the soil in which it vegetates.
Potass, or Potash—
Liquor Potassæ—Potassa Fusa, or Kali Causticum—Lapis Infernalis—Causticum commune acerrimum. Potassa cum Calce—Potassæ Sub-carbonas, or Salt of Tartar—Potash—Pearl ash.
Potass is rarely met with in a pure form, except in the laboratory of the philosophical chemist, and is 320therefore not likely to become an object of judicial enquiry; but in various states of mixture, as presented in the different preparations above enumerated, it may become the accidental, as well as criminal means of poisoning; we shall therefore consider the chemical history of these different preparations separately, and then describe the symptoms which they generally occasion.
Liquor Potassæ.
This may be considered as a nearly pure solution of potass, although, as it is usually prepared, it contains small portions of muriate and sulphate of potass, silica, and lime. It is a limpid, dense, colourless solution; when rubbed between the fingers it feels soapy, in consequence of a partial solution of the cuticle. As it constitutes a medicine in common use, and, moreover, forms the basis of many quack medicines, as well as of those preparations which are sold under the name of Depilatories, it may readily become the accidental instrument of mischief.
Chemical Tests for its detection.
There cannot exist any difficulty in this investigation; its highly alkaline characters will be immediately announced by its effects on the vegetable test papers, and by its power of saturating acids; while the particular species of alkali may be readily identified by the following reagents.
(a) Carbonic acid; or water saturated with the gas. This will not produce any[331] disturbance in the solution 321of potass; a fact which at once serves to distinguish this alkali from the earths, baryta and lime.
(b) Deuto-muriate of Platina occasions a canary-yellow precipitate, consisting of the deutoxide of platina, potass, and muriatic acid; as this precipitate is, to a certain extent, soluble in water, the test may fail through dilution. With soda, this reagent will not occasion any precipitate, a fact which depends upon the solubility of the triple salt formed, and affords an easy method of distinguishing the fixed alkalies from each other.
(c) Tartaric acid. If an excess of this acid be added, we shall obtain crystals of a bi-tartrate; a phenomenon which will not take place if soda be the alkali employed.
Potassa Fusa, or Kali Causticum.
This substance, which occurs in sticks, or cylinders, is an extremely caustic and deliquescent substance; it is principally employed in surgery, to establish an ulcer; or, instead of incision, to open a tumour. See Pharmacologia. As it differs from potass, only in the degree of purity, it is unnecessary to offer any farther remarks.
Potassa cum Calce.
This is a mixture of the preceding substance with lime, which is added with a view to diminish the deliquescent property of the alkali, and thus to render it more manageable as an escharotic. There will be no difficulty in separating these ingredients. Their different solubilities will furnish an easy mode of effecting it to a certain extent, and we may then precipitate 322the remaining portion of lime, by carbonic acid.
Sub-carbonate of Potass—Salt of Tartar—Pearl-ash—Potash.
Although potass becomes comparatively mild, by its union with carbonic acid; yet the present preparation retains so much causticity as to render it poisonous, if administered in any considerable dose. Plenck reports a case of this kind, where a patient having swallowed an ounce of salt of tartar, was shortly afterwards seized with a violent vomiting, which continued for forty-eight hours, followed by a violent inflammation of the stomach; from which, however, he ultimately recovered.
Symptoms of Poisoning by any of the above preparations of Potass.
A styptic, urinous, and caustic taste; a severe heat in the throat; violent vomiting, generally of alkaline matter, turning the syrups of violets green, and where the alkali has been in the state of carbonate, effervescing with acids; sometimes the matter thus ejected is mixed with blood; copious alvine evacuations; severe pain in the epigastric region; excruciating tormina of the bowels; depravation of the intellectual faculties, and death. It will be easily perceived that the above symptoms merely indicate the operation of a corrosive poison. They offer no characteristic peculiarities which can enable us to decide upon the particular substance that has been swallowed, unless, indeed, the matter vomited can be submitted to examination.
323 Antidotes.
From the experiments of Orfila, it appears that vinegar, diluted with water, is the remedy which can be administered with the greatest success, where any preparation of this alkali has been swallowed in a poisonous dose.
Organic lesions discovered on dissection.
In consequence of the peculiar action of this alkali upon animal matter, we shall generally find the stomach perforated, and its coats extensively dissolved. We shall moreover discover the usual indications of violent inflammation in this viscus, as well as in the intestines.
Soda.
We have already stated by what chemical reagents this alkali may be distinguished from potass; it only remains for us to observe that its physiological action, the symptoms arising from its ingestion, and the organic lesions discovered on dissection, are strictly analogous to those we have described as the effects of potass.
Ammonia, and its Carbonate.
Ammonia, in its uncombined state, exists in the state of gas, and is incapable of application; its affinity, however, for water, enables it to combine with that fluid, and to form liquid ammonia, (Liquor Ammoniæ) in which state it is useful in medicine, and in the arts. This solution is colourless; its taste extremely caustic; and its odour strong, pungent, and peculiar. Exposed to the action of heat, the ammoniacal gas 324is driven off, and may be recognised by its characteristic odour, as well as by its effects upon moistened turmeric paper. When brought into contact with muriatic acid, it will form dense white vapours, consisting of muriate of ammonia. A most elegant and sensible test for ammoniacal gas is afforded by a mixed solution, consisting of arsenious acid and nitrate of silver; these substances when mixed in solution do not occasion the least disturbance in each other, for reasons already explained, (see page 240) but upon spreading a portion of the liquid upon glass or paper, and bringing ammoniacal gas into contact, a beautiful yellow cloud immediately diffuses itself over the surface of the solution.
Sub-carbonate of ammonia occurs in solid, white, semi-transparent masses, of a highly pungent and ammoniacal odour. Its chemical composition has been found to vary materially according to the circumstances under which it has been prepared; Mr. R. Phillips, who has made some highly interesting experiments upon this subject, considers the sub-carbonate to be a sesqui-carbonate, composed of 3 atoms of carbonic acid, 2 atoms of ammonia, and 2 of water. By long exposure to the air, its pungency is lost, and it is converted into an inodorous carbonate.
Symptoms of poisoning by Ammonia.
Cases wherein death has been produced in a few minutes, from the ingestion of liquid ammonia, stand recorded on the authority of Martinet, Huxham, Haller, and other physiologists. In such cases the lips, tongue, and fauces are described as being burnt by the causticity of the fluid; while hemorrhage of the intestines marks the organic lesions which it occasions. 325The nervous system would appear also to suffer greatly, at the same time that the abdominal organs are affected with violent inflammation.
The Caustic Alkaline Earths.
Under this division, we have to consider the two earths, Lime and Baryta; both of which are highly corrosive, although they essentially differ from each other in their physiological action. In this respect they may be compared to corrosive sublimate and arsenic, and offer an additional illustration of the imperfection of the present classification; for while lime acts as a local caustic upon the parts with which it comes in contact, baryta will require, for its action, to be absorbed and carried into the current of the circulation.
Quick Lime.
This earth is of a white colour, and of a hot caustic taste; with acids it forms peculiar salts; a fact which we shall shew affords the most decisive means of identifying its presence. It changes vegetable blues to a green, and reddens turmeric; it is capable of fusion; so great is its affinity for water, that it will absorb and solidify one third of its weight of that fluid, and yet remain perfectly dry. The heat, therefore, that is evolved in the process of slacking lime, evidently proceeds from the water, which yields its caloric, as it passes from the liquid to the solid state.
Symptoms of poisoning by Lime.
It is perhaps the least energetic of the corrosive poisons; and yet, when taken in any quantity, it will 326produce nausea, vomiting, colics, frequent stools, and all the symptoms which characterise, or are complicated with, inflammation of the stomach and intestines.[332] Lime in combination with carbonic acid is not considered as poisonous.
Organic lesions discovered on dissection.
In examining the body of an animal that has been killed by caustic lime, we shall find the mucous membrane of the stomach reddened, and evincing marks of inflammation in those parts which have been in contact with it.
Tests for the detection of Quick-lime.
We may proceed, if the substance be free from mixture, to obtain a solution of the earth in distilled water, and to assay it by the following reagents.
(a) Carbonic acid, and the soluble alkaline sub-carbonates produce a copious white precipitate, which is soluble in an excess of carbonic acid. The carbonate of lime, of which this precipitate consists, is also decomposed by muriatic acid, with effervescence, a soluble muriate remaining.
(b) Oxalic acid, and oxalate of ammonia. They precipitate lime-water of a white colour, and the resulting oxalate is not soluble in an excess of acid.
(c) Sulphuric acid. This acid does not precipitate lime water, since the sulphate of lime formed does not require more than 300 parts of water to dissolve it. Whereas, says M. Orfila, the smallest quantity of an exceedingly diluted solution of baryta becomes instantly turbid on the addition of that acid, because 327the sulphate of baryta is insoluble in several thousand times its weight of water. By this test, therefore, we are at once enabled to distinguish lime-water, from barytic water.
Baryta, and its Salts.
Baryta, like lime, is a solid, heavy, alkaline earth, having an acrid and peculiar taste; and turning the syrup of violets green, and the juice of turmeric red. When perfectly calcined, it absorbs water very rapidly, disengaging at the same time a quantity of caloric; the phenomenon is similar to that of slacking lime, and admits of the same explanation. It dissolves in about 20 parts of water, at the temperature of 60°; but boiling water will dissolve half its weight of this earth, part of which will crystallize on cooling.
Muriate of Baryta. This salt crystallises in square plates, or four-sided prisms; its taste is acrid and pungent. It dissolves in 2½ parts of distilled water at 60° Fah. The solution is limpid and colourless, and has been employed in medicine, as a remedy in scrofula, cancer, some forms of syphilis, and in hectic fever connected with ulceration. Dr. Johnstone says that he has seen a delicate female take as much as thirty drops of a saturated solution of this salt, repeatedly, without nausea; whence he concludes that it would require at least 2 or 3 drachms to do mischief.[333]
Symptoms of poisoning by Baryta.
All the soluble compounds of this earth are poisonous, especially the muriate; which, whether injected 328into the veins, introduced into the stomach, or externally applied to an abraded surface, will occasion death in a very short period. We are not aware that any case stands recorded of poisoning by baryta. Orfila[334] and Brodie[335] have, however, investigated the symptoms which this poison produces on animals, and they appear to be analogous to those occasioned by the ingestion of arsenic. The muriate, on account of its greater solubility, would appear to be much more active than the pure earth, or its carbonate.
Physiological action of Baryta.
Barytic poisons require to be absorbed before they act on the system; they may therefore destroy by external application, although it would appear that, unlike arsenic, they act sooner when internally administered. Mr. Brodie thinks that the muriate of baryta occasions death by acting upon the brain and the heart; at the same time it exerts a local action, and corrodes the viscus with which it comes into contact.
Antidotes.
It has been shewn by the experiments of Orfila, that the soluble sulphates, as Glauber or Epsom salts, by converting the baryta into an insoluble sulphate, will act as antidotes to its virulence. In the first instance, therefore, it will be prudent to produce this chemical decomposition in the poison, and then to expel it, as quickly as possible, by emetics.
329 Chemical tests for the detection of Baryta.
Where the pure earth, baryta, or its solution in water, is presented for our investigation, it may be identified by the following reagents.
(a) Sulphuric acid, and the soluble sulphates. These bodies precipitate from the barytic solution, a white sulphate of the earth, insoluble in water, and nitric acid.
(b) Carbonic acid gas, and the alkaline sub-carbonates, produce in it a white carbonate of baryta.
(c) Muriatic acid combines with baryta, and furnishes a salt which is capable of being identified by numerous reagents. M. Orfila has furnished us with the following satisfactory compendium of its habitudes. “A salt which does not redden the tincture of tournesol, which does not turn the syrup of violets green, which is not precipitated by the alkaline hydro-sulphurets,[336] nor by ammonia; but which, on the contrary, is precipitated by the sub-carbonate of ammonia, soda, or potass; which is not soluble in concentrated alcohol; which furnishes, with the sulphate of potass, or the sulphuric acid, a white precipitate insoluble in water and in the nitric acid, and which gives with the nitrate of silver a curdled precipitate of muriate of silver, likewise insoluble in the nitric acid, can be no other than the muriate of baryta.”
But it may happen, that the above salt is so mixed with alimentary matter, as to defy the action of the tests; in this case we must endeavour to obtain from it the pure earth, by precipitating the suspected fluids 330by the sub-carbonate of ammonia; when a carbonate of baryta will fall down, which must be dried on a filter, and calcined with charcoal.
Cantharides. Spanish Flies—Blistering Flies. (Cantharis Vesicatoria, Sp. 1, of Latreille.)[337]
Cantharides are imported into this country in their entire state, and are so kept in the shops; their form and general appearance are too well known to require description, and they will rarely become the objects of inquiry; in powder, however, they may be presented to us for investigation, and it is therefore essential that the forensic physician should be acquainted with the appearances which they assume in the state of disintegration. This powder has a greenish colour, tinged with grey, and abounding with shining points of a very beautiful green colour, and which may be recognised in whatever state of division the powder may exist, even after it has passed through a silken sieve. Its odour is acrid and nauseous; when thrown on burning coals it emits that peculiar smell, which generally attends the destruction of animal matter by heat. The chemical history of cantharides is still involved in some obscurity; according to Robiquet, who has furnished us with the most satisfactory analysis, they contain various fatty principles; the phosphates of lime, and magnesia; and the acetic and uric acids; together with a peculiar crystalline principle, in which the vesicatory properties wholly reside, and to which the name of cantharidin 331has been given by Dr. Thomson.[338] It may be obtained in plates, having a micaceous lustre; when perfectly pure it is insoluble in water, but it is rendered soluble in that fluid, by the presence of a yellow matter which exists in native combination with it; it is very soluble in oils.
Symptoms of poisoning by Cantharides.
As this substance forms an article of the materia medica it may become an accidental source of poisoning; whilst a general belief in its aphrodisiac powers may induce a trial of its efficacy, to goad the exertions of exhausted nature, or to incense the passion of females, whose seduction is meditated. In the annals of crime in this country, we are acquainted with but few instances in which cantharides have been given with the view of destroying life; we have already referred[339] to the case of Vaux, who was executed for poisoning with cantharides; there is also that of Sir Thomas Overbury, who, on the confession of the person who gave it to him, is said to have taken it, mixed with his sauces. Cantharides may be administered in the form of powder, infusion, or tincture. The following may be considered the more prominent symptoms which will follow the ingestion of a large dose. Violent retching; copious alvine evacuations, frequently bloody; very severe colics; active inflammation of the stomach and intestines; sometimes universal convulsions, attended with a horror of liquids, resembling that which occurs in hydrophobia; furious 332delirium, &c. But the affections of the urinary passages, and organs of generation, may be regarded, κατεξοχην, as the peculiar symptoms of poisoning by cantharides; such as heat in the bladder, bloody micturition; horrible strangury; painful and obstinate priapism; satyriasis, &c. If the dose has not been sufficient to occasion speedy death, it may produce marasmus.
Organic lesions discovered on dissection.
Where the poison has been administered internally, we shall find the stomach and intestines presenting an appearance of inflammation, very similar to that which we have described as the general result of corrosive poisons. Marks of inflammatory action, and sometimes ulceration, will be also discovered in the urinary and genital organs; especially in those cases where the person dies shortly after the ingestion of the poison.
Methods of detecting the presence of Cantharides.
Where the poison has been administered in substance, we shall generally discover some of its particles mixed with the ejected matter; or, after death, adhering to the coats of the stomach, or to the folds of the intestines, and which may be easily identified by their peculiar green and brilliant hue. If the poison should have been administered in the form of infusion, or tincture, our chemical resources will fail us, and we must rely alone upon the evidence furnished by the symptoms, and organic lesions.
333
Phosphorus.
This singular substance was accidentally discovered by Brandt, a chemist of Hamburgh, in the year 1669,[340] as he was attempting to extract from human urine a liquid capable of converting silver into gold. It was also subsequently discovered by Kunkel and by Boyle, without these latter chemists having, in any way, participated in the researches of each other.
Phosphorus, when pure, is semi-transparent and of a yellowish colour; but when kept some time in water, it becomes opaque externally, and then has a great resemblance to white wax. Its consistence is nearly that of wax; it may be cut with a knife. Its mean specific gravity is 1·770. It generally occurs in sticks. When exposed to the air, provided the temperature be not lower than 43°, it emits a white smoke, which has the smell of garlic, and is luminous in the dark. This smoke is more abundant, the higher the temperature is, and is occasioned by the gradual combustion of the phosphorus. When heated to 148° it takes fire, and burns with a very bright flame, and gives out a great quantity of white smoke, which is phosphoric acid. Oils dissolve phosphorus, provided the temperature be a little raised. Water has no effect upon it, unless it be aerated, when it renders the surface of the phosphorus opaque and white, which in a short time becomes red. This change depends upon oxidation.
Symptoms of poisoning by Phosphorus.
This substance, whether introduced into the stomach in its pure form, or dissolved in oil, will occasion 334the most violent symptoms, from its escharotic action,[341] It has been employed in medicine,[342] in a state of minute division, in the dose of one-fourth of a grain, and is said by Leroi to be very efficacious in restoring and establishing the force[343] of young persons exhausted by sensual indulgence, and of even prolonging the life of the aged.[344] It has also been given as a stimulant in local fevers. We are, however, greatly inclined to question the safety of such a practice, notwithstanding the diminutiveness of the dose. The reader will find some interesting cases of poisoning by phosphorus, translated from the German work of Weickard, in Hooper’s Medical Dictionary, under the consideration of that article. Should such a case present itself for the investigation of the forensic physician, he will not find any difficulty in identifying the substance; its external character, its smell, and, above all, its peculiar property of yielding luminous vapour, are too palpable and distinctive, to admit the possibility of error.
Mechanical Poisons—Powdered glass—Enamel powder—Chopped hair, &c. &c.
We have already examined the pretensions of these bodies to the rank of corrosive poisons, (page 145) and we should have not reverted to the subject, but from a wish to introduce the account of “a case of 335Schirrus in the intestines, arising from hairs remaining in the canal,” as related in the Edinburgh Medical Journal,[345] by Dr. Burrell, and which had, on the former occasion, escaped our notice. The subject of this history, Laurence Harding, æt. 35, being a private soldier, was admitted into the regimental hospital, for an unrelenting constipation of the bowels; but it appears also that he had been affected with dyspeptic symptoms, and pain in his abdomen, for several years; which pain was aggravated by the ingestion of solid food. He received but little benefit from the remedies that were administered, his strength gradually declined, and, about a month after his admission, he expired.
“On laying open the abdomen, the stomach was found much thickened throughout its whole substance, and the pylorus very much contracted, which contraction continued down the duodenum. Through all the intestines this thickening and gristly appearance was observed. The colon was prodigiously enlarged in its calibre, until where it forms its sigmoid flexure; at which point there were three distinct holes ulcerated through the coats of the intestine, and forming a communication with the abdominal cavity. Beyond the sigmoid flexure the intestine was contracted in its diameter, so as hardly to admit the little finger to pass downwards. On cutting open the pylorus and small intestines, the internal coats were found to be covered with a soft substance, which resembled size. The internal coats of the colon were of a dark colour, and in general were completely ulcerated, and hanging in shreds. The colour of the colon was of a dark lurid red. At the sigmoid flexure 336there was much contraction, and the thickening was so great on one side, and the valve found so considerable, as hardly to admit a common bougie through it. The portion forming the sigmoid flexure was cut out; and on laying it open, and removing some hardened fæces, five or six hog’s brittles were seen distinctly crossing each other in different directions; they were partially invested in the villous coat, which had grown over them, and which had retained them in the different positions in which they were placed; and so firmly were they kept down by those partial coverings, that it required some force to draw them out. The mesenteric glands were of a cartilaginous appearance; the liver was suffused with blood, and the gall-bladder full of bile. The spleen was very small, and compressed into an oblong shape, probably arising from the pressure of the colon when distended with feculent matter.
This man had formerly been a shoemaker. There was no evidence as to the period at which he swallowed these hairs; but, from the derangement which always existed in the bowels, and the pain referred to the sigmoid flexure, little doubt can be entertained but that these hairs were the cause of all his complaints, and ultimately of his death.”
CL. II. ASTRINGENT POISONS.
Lead.
This metal appears to have been known in the earliest ages; and is mentioned several times by Moses.[346] It has a bluish-white colour; is very brilliant when first cut with a knife, but soon tarnishes by 337exposure to air; when rubbed violently, it emits a peculiar smell; it is malleable and ductile, but possesses very little tenacity. It is scarcely sonorous; being the softest of all the metals, it yields readily to the hammer. Its specific gravity is 11·35; it melts at 612°. According to the experiments of Dr. Thomson,[347] it is susceptible of four degrees of oxidation, presenting us with four distinct, and well defined oxides, viz.