CHAPTER XXIV.

INEBRIANTS.

NEUROTICS ACTING ON THE BRAIN AND PRODUCING INTOXICATION.

ALCOHOL--NITRO-BENZOLE--COCCULUS INDICUS--FUNGI, ETC.

ALCOHOL.--Spiritous liquors, when taken in large quantities, not

unfrequently produce fatal effects.

Two wineglassfuls of brandy proved fatal to a boy, seven years old, in

thirty hours. Dr. Taylor mentions the case of a man who drank two

bottles of port wine (containing eleven ounces of alcohol) in less than

two hours. He speedily became intoxicated and utterly helpless, never

rallied, and died from congestion of the brain and lungs. Another man

who swallowed a bottle of gin for a wager died in half an hour, although

much of the spirit was removed by the stomach-pump. A common cause of

acute alcohol poisoning is "sucking the monkey," as practised in the

docks by laborers having access to spirit casks.

The _symptoms_ generally come on rapidly, the individual appearing

confused, and unable to walk steadily. This degree of intoxication soon

passes into the stage of complete stupor and coma, and unless there is

vomiting collapse soon sets in. In some cases a remission of the

symptoms has occurred, death being postponed for a day or longer.

As the alcohol is eliminated by the lungs, stupor from drink may be

detected by the odor of the breath. The countenance is usually flushed,

and the pupils are dilated, but in cases of acute poisoning the patient

may be deadly pale. The pupils are not contracted, as in poisoning by

opium; moreover, the individual may generally be roused for a few

moments by a loud noise, &c.; a circumstance which may prevent

intoxication being mistaken for concussion of the brain.

Diluted spirits produce a state of excitement, terminating in stupor. It

must be remembered that alcoholic liquids have been frequently made the

vehicles of more virulent poisons.

As regards _treatment_, it is only necessary to say that the poison is

to be removed as quickly as possible by the stomach-pump. Cold affusion

should be employed, and the diluted liquor ammoniae, or carbonate of

ammonia, administered. Subsequently warmth must be promoted.

NITRO-BENZOLE AND ANILINE.--A compound, made from the rectified products

of coal tar and nitric acid, and known as _nitro-benzole_, is sometimes

used as a substitute for essential oil of almonds. It is sold to

perfumers under the name of "essence of mirbane." A lad employed in some

chemical works in the early part of 1862, finding a syphon did not act,

sucked through it some of the fluid, which happened to be nitro-benzole.

No immediate effect resulted, but in a few hours he felt as if he were

drunk. Stupor came on, and ended in death twelve hours after swallowing

the poison. Another product of the destructive distillation of coal in

gas-making is _aniline_ (into which nitro-benzole is converted in the

human body) a colorless, limpid, acrid, and poisonous liquid. It has

given rise to very alarming symptoms when swallowed, as well as when

inhaled in vapor. It produces a remarkable blue or purple discoloration

of the body, particularly the lips and nails.

COCCULUS INDICUS.--The kernel of the berry of the Menispermum cocculus,

or Levant nut, imported from the East Indies, contains from one to two

per cent. of a poisonous principle named _picrotoxine_. Thieves

sometimes mix a decoction or extract of the berries with spirits or

beer, to give these drinks an intoxicating property (hocussing).

Dishonest publicans, too, first reduce their beer by means of salt and

water, and afterwards give it intoxicating properties by adding cocculus

extract. The same substance is used by poachers to destroy fish. The

symptoms produced appear to be a peculiar stupor, a complete loss of

voluntary power, with a consciousness of passing events.

DARNEL SEEDS (_Lolium temulentum_).--The seeds of this plant, which is

often found growing with corn crops, when accidentally mixed in

considerable quantity with wheat or rye, and ground into flour, have

caused gastric pain, severe giddiness, vomiting, and other symtoms of

intoxication. The sufferers complained that everything seemed of a green

color. A wet season is said to encourage the growth of darnel with the

varieties of corn.

CAMPHOR.--This substance is very variable in its action. It has given

rise to alarming symptoms on some occasions, and once it has destroyed

life. In scruple and half-drachm doses, it seems to have produced

giddiness, difficulty in walking, dimness of sight, difficulty of

breathing, delirium, and insensibility.

The stomach-pump or emetics must be employed. If the effects are not

very severe they will generally cease spontaneously after a time. The

odor would lead to the detection of the poison.

FUNGI.--According to Berkeley there are now upwards of 2380 recognised

species of British fungi, a considerable proportion of which are

doubtless poisonous. But the type of the class may be taken as the

Amanita muscaria. This is an autumn fungus of an orange-red color, and

is used among the Siberian tribes, especially the Koraks, as an

intoxicating agent, and produces symptoms somewhat similar to those of

alcohol.

The Agaricus campestris and esculentus are those most frequently used as

articles of food, on account of their savory properties; but even these

are indigestible. They occasionally produce diarrhoea, with a

pruriginous or exanthematous rash in dyspeptics; and should only be

eaten in great moderation.

_Ketchup_, the juice of the mushroom flavored with salt and spices, has

produced faintness, nausea and colic, lasting for some hours.

There are some positive characters by which the wholesome fungi can be

distinguished from the unwholesome. Moreover those which may be eaten

with impunity by some individuals prove destructive to others. Thus, a

French officer and his wife died from breakfasting off mushrooms which

others in the house ate without inconvenience. As a general rule highly

colored mushrooms, with an astringent styptic taste, a forbidding

pungent odor, and which grow in dark and shady places, should be

avoided.

The symptoms produced by poisonous fungi are not unfrequently those

indicative of gastro-intestinal irritation, with a disordered condition

of the nervous system, and considerable depression; but, again, they may

act much more like pure narcotics. In treating these case, the stomach

and intestines must be thoroughly emptied, and then the prominent

symptoms are to be relieved according to their urgency.

Memoranda on Poisons · 第 24 / 30 章