Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/747

 *siness. A few minutes afterwards he had slight vomiting, which was repeatedly renewed by artificial means. For some hours the pulse was but little elevated. In eighteen hours he began to sink, and presented the usual constitutional symptoms of poisoning with arsenic; and in forty-one hours he expired. But from first to last he had scarcely any local symptom except vomiting, even although the stomach presented after death signs of violent irritation.

3. Poisoning with Tartar-Emetic and Charcoal Fumes.—Under the head of poisoning with antimony, notice has already been taken of the case of a man who, after swallowing seventeen grains of tartar-emetic, attempted to commit suicide by suffocating himself with the fumes of burning charcoal. He recovered from both attempts, suffered severely from the usual narcotic effects of carbonic acid gas, but showed scarcely any symptom of the irritant action of tartar-emetic.

4. Poisoning with Alcohol and with Laudanum.—Under the head of poisoning with opium, allusion has already been made to a remarkable case related by Mr. Shearman, where the usual effects of opium were much retarded in an individual who, at the time of swallowing the opium, was in a state of excitement from intoxication. For five hours there was no material stupor. But after that the usual narcotic symptoms supervened and eventually proved fatal. The excitement of intoxication, however, has not always the effect of suspending the action of opium; for in a case which came under my notice in the Infirmary of this city,—that of a woman, who swallowed an ounce and a half of laudanum while much intoxicated,—the usual narcotic symptoms were fully formed in an hour: and although the stomach-pump was applied soon afterwards, she expired in less than five hours from the time the laudanum was swallowed,—those who had charge of her before she was brought into the hospital having neglected to use the proper means for keeping her roused.

5. Poisoning with Laudanum and Corrosive Sublimate.—Of all the cases of compound poisoning I have met with, the most remarkable is an instance which occurred in Edinburgh Castle, a few years ago, of poisoning with laudanum and corrosive sublimate. In this case, the individual, a young soldier, swallowed about the same time two drachms of the latter and half an ounce of the former. He had at first no violent symptoms whatever, indicating the operation of corrosive sublimate; which is an extremely rare occurrence. Afterwards he had frequent purging and tenesmus, with bloody stools and all the usual phenomena of violent dysentery, but no pain of belly, no tenderness even on firm pressure, no vomiting except under the use of emetics. On the fourth day a violent salivation set in; and under this and the dysenteric affection he became quickly exhausted, yet not so much, but that on the day of his death, the ninth after he took the poison, he was able to walk a little in his room without as-*