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THE NATURE AND TREATMENT OF DISEASES, MORBID STRUCTURES,
AND TO THE DIFFERENT EPOCHS OF LIFE;
NUMEROUS PRESCRIPTIONS FOR THE MEDICINES RECOMMENDED,
CIPLES, A COPIOUS BIBLIOGRAPHY, WITH REFERENCES;
Appendix of Approved Formulae :
THE WHOLE FORMING A LIBRARY OF PATHOLOGY AND PRACTICAL MEDICINE,
AND A DIGEST OF MEDICAL LITERATURE.
BY JAMES COPLAND, M.D.,
Consulting Physician to Queen Charlotte's Lying-in Hospital ; Senior Physician to the Royal Infirmary
of the Medical and Chirurgical Societies of London and Berlin, etc.
EDITED, WITH ADDITIONS,
HARPER & BROTHERS, PUBLISHERS,
82 OLIFF STREET.
BOSTON MEDICAL LIBRARY
LIBRARY OF MEDICINE
Entered, according to Act of Congress, in the year 1846, by
HARPER & BROTHERS, In the Clerk's Office of the Southern District of New York
** | PUSTULAR ERUPTIONS · · · 611
Pathology and Treatment of . - 526 RHEUMATISM-Definition
Physiological Pathology of . 596 External Treatment -
Description-Nature of . . . 715 Description of -
SCABIES . . . . .
Bibliography and References -
The skin was hot and dry, the pulse frequent, i paralysis, sometimes jaundice, &c. The irrifull, and hard. These symptoms gradually sub- liability of the stomach and cramps, or paralysided, and she recovered, although the pain in sis, often continue long, and are attended by the head and epigastrium continued long. (Lond. costiveness and dysuria or suppression of urine. Med. Gaz., xiv., p. 488.)
465. b. The sub-chloride of copper, oxychlo462. b. The morbid appearances produced by ride or Brunswick green, is sometimes formed the salts of baryta have not been described as when common salt has been used in a copper they occur in man. In the lower animals the vessel, and in this way, as well as when emmucous membrane of the stomach is usually ployed as a pigment, it has given rise to accifound of a deep-red colour, unless death has dental poisoning. A boy of three years swaltaken place very rapidly, and in this case the lowed about a scruple of this salt. Vomiting alimentary canal is healthy. In all the animals and coldness of the extremities followed, and which in Dr. CAMPBELL's experiments were continued until death. On dissection there was killed by the chloride applied to wounds, the no change indicative of the action of an irritant brain and its membranes were much injected poison, excepting slight congestion of the veswith blood; and in one of them the appearan- /sels of the brain. ces were those of congestive apoplexy.
466. c. Copper vessels are acted upon by ar463. c. The Trealment of poisoning by the ticles of food or drink, especially if these artisalts of baryta consists chiefly in the speedy cles contain saline substances or acids, or beadministration of an alkaline or earthy sulphate, come acid while kept in these vessels. Thus as the sulphate of soda or of magnesia. The wines which are more or less acid, substances poison is thus converted into the insoluble sul-containing vinegar, or any other acid, soups or phate of baryta, which, if not altogether inert, broths, especially if they contain vegetable matis nearly so. But the alkaline sulphates are ters, and are liable to become acid, and fatty of but little service where the carbonate of ba- substances, when kept only for a short time in ryta has been taken, unless in procuring the copper utensils, are not infrequently productive more rapid discharge of the poison by the bow of accidental poisoning. Falconer and others els. In Dr. Wilson's case, just mentioned, the have shown that metallic copper undergoes no copious evacuations from the bowels conse- change by contact with water unless air be quent on the exhibition of the sulphates were present, when à hydrated carbonate, mixed evidently beneficial, and tended to the recovery with oxide, is formed. When an acid, or an of the patient. Unless the patient be seen early, I oily or fatty matter, is in contact with the met, any treatment will prove inefficacious. Where al, then this change more rapidly takes place, the carbonate of baryta has been taken, Mr. and the liquid or fat acquires a green hue. TAYLOR recommends recourse to emetics and Hence no acid, oily, or saline liquid should be the stomach-pump; or, as chemical antidotes, I prepared or kept in copper vessels. Nor should a mixture of vinegar with an alkaline sulphate. / fruits, pickles, or preserves be either kept or
464. C. COPPER, THE PREPARATIONS AND Como prepared in them. The quantity of the poison POUNDS of, have been considered above ( 205, which may be formed in these circumstances et seq.) with reference to the corrosive and acute may not be sufficient to produce fatal poisonaction of these substances when administered ing, but they may be quite enough to cause in large doses or quantities. But in smaller severe gastro-nervous or acro-sedative effects quantities, or in repeated doses, they act local Gmelin was consulted respecting a violent disly as irritants of the gastro-intestinal villous ease which prevailed among a whole brothersurface, and constitutionally as sedatives or hood of monks. The symptoms were obstinate paralyzers of nervous and vital power; this and severe colic, retching and bilious vomiting, latter effect resulting both from the influence flatus, costiveness, burning pain in the pit of the primarily produced by them upon the nervous stomach, under the sternum, in the region of systems, and from their operation, through the the kidneys and extremities, with paralytic medium of the circulation, upon the heart and weakness of the arms. He found, on inquiry, nervous centres. The cupreous compounds are that all the kitchen vessels—the pots, pans, most likely to act in this way, and in a chronic milk pail, and butter dishes were made of copform, when they contaminate articles of food, per. Similar instances of culinary poisoning as remarked on many occasions. The salts of have been mentioned by CHRISTISON and other copper, which are the most frequently adminis- writers. tered in large doses for the purposes of suicide 467. d. It is stated by Mr. TAYLOR, that the and murder, are the sulphate and subacetate, and use of the alloy called German silver, which is these act chiefly as corrosive acute poisons, as a sort of white brass, consisting of copper, zinc, stated above ($ 205). But these, as well as the and nickel, and containing about 50 per cent. of other compounds of this metal, may be so em- copper, may be productive of acro-sedative poiployed or administered as to produce the symp- soning where articles, as spoons, made of this toms most characteristic of acro-sedative poison- alloy, are allowed to remain in contact with ing.-a. In most instances the gastric symp- acid, oily, fatty, or saline substances. A lady toms are similar to, but not so severe as, those in Paris, in 1838, after having had eels for din. attending the corrosive operation of the poison, ner, was awakened in the night by headache, while the nervous symptoms are of longer du. nausea, followed by vomiting and colic. Her ration. There are generally burning pain in physician ascertained that the eels had been the throat and stomach, anxiety, vomitings, cooked with butter and vinegar in an earthen. acute pains and great swelling of the abdomen, ware vessel ; and he found the spoon, which but no diarrhea, afterward painful and difficult was of German silver, presenting on different deglutition, with swelling of the throat and parts greenish spots. Chemical analysis show. face, oppression of the pulse, salivation and ul-ed that a poisonous salt of copper had been thus ceration of the gums, spasms, convulsions, or produced; and the fact was farther proved by