Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/49

 1. The first characteristic is the ''suddenness of their appearance and the rapidity of their progress'' towards a fatal termination. Some of them act instantaneously, and the effects of most of them are in general fully developed within an hour or little more. But this character is by no means uniform. The most violent may be made to act, so as to bring on their peculiar symptoms slowly, or even by imperceptible degrees. Thus arsenic, which usually causes violent symptoms from the very beginning, may be so administered as to occasion at first nothing more than slight nausea and general feebleness; and afterwards in slow succession its more customary effects. In like manner corrosive sublimate may be given in such a way as to cause at first mild salivation, and finally gangrene of the mouth. Even many vegetable poisons might be administered in the same way. The well-known consequences of digitalis in medicinal doses will serve as a familiar instance. A still better illustration is supplied by the medicinal effects of the alkaloid of nux-vomica, whose action in other circumstances is most rapid and violent: Strychnia in a moderate dose will cause death by violent tetanus in two or three minutes; but when given in frequent small doses as a remedy in palsy, it has been known to bring on first starting of the limbs, then stiffness of the jaw, afterwards pain and rigidity of the neck; and these effects might be increased so gradually, that the patient would seem to die under ordinary tetanus. Nevertheless, the foregoing considerations being kept always in mind, it still remains true, that the effects of poisons for the most part begin suddenly, when the dose is large. This is an important circumstance in regard to certain active poisons, such as the mineral acids, oxalic acid, arsenic, strychnia, &c. For when it is considered that in criminal cases they are given for the most part in unnecessarily large doses, it follows that if the effect ascribed to these poisons in such doses have not begun suddenly, the suspicion is probably incorrect.

The same remarks may be applied to the sudden termination of the symptoms. Poison is for the most part given criminally in doses so large that it proves rapidly fatal. Yet this is not always the case; the diseased state occasioned by poisons has often been prolonged, as will be seen hereafter, for several weeks, sometimes for several months; nay, a person may be carried off by a malady, the seeds of which have been sown by the operation of poison years before.

The present would be the proper place for noticing the important question regarding the interval of time, after which, if death supervenes, it cannot be laid to the charge of the person who administered the poison. It is unnecessary, however, to say much on the subject. According to the English law, death must take place within a year. As to the Scottish law, it may be inferred from what has been said by the late Baron Hume on the subject of homicide generally, that a charge of poisoning is relevant although the person should die at a period indefinitely remote, and that it will infer the pains of law, provided the operation of the poison can be distinctly traced, unmodified by extraneous circumstances, from the commencement of the