Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/598

 at the time. The cases of the Parisian epileptics, who were killed each by a draught containing two-thirds of a grain of pure acid, will supply pointed information. For, on the one hand, considering the long time they survived, it is not probable that a dose materially less would have a fatal effect on man. And on the other hand repeated instances of recovery have been observed, where the dose was as great or even greater. Thus Dr. Geoghegan had a patient who recovered from a state of extreme danger after taking two-thirds of a grain; and Mr. Banks of Lowth met with a case of recovery in similar circumstances, where the dose was very nearly a whole grain.

It is almost unnecessary to add, that in man, as in animals, this poison will act violently, through whatever channel it may be introduced into the body. It has not been positively ascertained to act with force through the unbroken skin. The chemist Scharinger indeed was supposed to have been killed in consequence of accidentally spilling the acid on his naked arm; but this was in all probability a mistake. Should the skin be freely exposed to the air it seems reasonable to expect that the poison will evaporate before it could act with energy; but if confined by pledgets or otherwise, a different result might ensue. Through every other surface, however, besides the unbroken skin, hydrocyanic acid acts with very great power; and it is in particular important to remember that its power is very great when inhaled, so that dangerous accidents have ensued even from its vapour incautiously snuffed up the nostrils. I have known a strong man suddenly struck down in this way; a French physician, M. Damiron, has related the case of an apothecary who remained insensible for half an hour subsequently to the same accident; and cases of the kind are more apt to occur than might at first view be thought, because, contrary to what is generally believed and stated in chemical as well as medico-legal works, its smell is for a few seconds barely perceptible, and never of the kind which these accounts would lead one to anticipate. Accidental death may readily arise from its action on a wound or an abraded surface. Sobernheim mentions that Mr. Scharring, a druggist at Vienna, was poisoned in consequence of a phial of the acid breaking in his hand and wounding it; and he expired in an hour.

The only case with which I am acquainted of poisoning with the artificial compounds of hydrocyanic acid is that formerly alluded to as having been occasioned by the cyanide of potassium. Six grains dissolved in a clyster amounting to six ounces, occasioned general convulsions, palpitations, slow laboured breathing, coldness of the limbs, dilated pupil, fixing of the eyeballs, and death in one hour,—phenomena much the same with those produced by the acid itself. —Another case has been published, in which a French physician, igno-*