OIL OF VITRIOL. _Sulphuric Acid._

This acid, when perfectly pure, exists in the form of a colourless

liquid, without smell, and of an oily consistence; whence its popular

name. Its specific gravity is 1·85, so that, in round numbers, it may be

stated that an ounce, by measure, will weigh fourteen drachms. It

acquires a brown tinge from the smallest portion of carbonaceous matter;

mere exposure to the atmosphere is sufficient to effect this change, in

consequence of the acid disorganizing and carbonating the vegetable and

animal matter suspended in the air. This fact sufficiently explains why

we generally find the acid of commerce of a brown colour.

Its taste is highly acid and caustic. So powerful is its affinity for

water, that upon its admixture with this fluid, a heat, sufficiently

great to boil water, may be produced. When exposed in its concentrated

state to the air, it will imbibe at least seven times its own weight of

water, and so rapidly as to have its weight doubled in a month. Straw,

wood, and all vegetable substances, when immersed in the sulphuric acid,

without heat, are disorganized, softened, and blackened, and there is

separated from them a certain portion of charcoal. Like the other

mineral acids, the _Oil of Vitriol_ has never been obtained in an

insulated state without water; according to the latest views of _Sir H.

Davy_, the composition of the strongest acid may be expressed as

follows. Sulphur 30, oxygen 45, water 17.

_Symptoms of Poisoning by Oil of Vitriol._

An extremely austere, acid, and burning taste; a painful heat in the

fauces and throat, along the œsophagus, and in the stomach; excruciating

pain; nausea, and excessive vomiting; at one time the fluid vomited is

as black as ink, at another reddened by arterial or venous blood,

producing in its passage through the throat, the most intense pain,

accompanied with a sensation of bitterness quite intolerable; if, by

chance, a portion of it should fall on the hearth or pavement, or on any

other calcareous substance, it will denote its true nature by an

effervescence; constipation, or sometimes bloody stools; gripes and

excruciating pains over the abdomen, with a tenderness of these regions,

so exquisite as not to allow the slightest pressure without torment;

pains of the breast; difficulty of breathing; extreme anxiety; the pulse

becomes frequent, small, contracted, and irregular; shiverings; great

restlessness, dejection, and agitation; convulsive motions of the

countenance; sometimes a cutaneous eruption betrays itself. Amidst all

these symptoms, the intellectual powers remain unobscured. The parts

about the fauces, the uvula, &c. having lost their vitality, slough, and

become detached, which occasion an indescribable fetor of the breath,

while they produce a perpetual cough, and the voice becomes so altered,

that it resembles the sounds of a person labouring under croup.

_Organic lesions discovered on Dissection._

As this substance destroys life by simply acting as an escharotic, it is

not difficult to anticipate the disorganization which dissection will

display. The extent of the lesion, however, must in every case depend

upon the quantity and degree of concentration of the acid, the state of

the stomach in relation to its alimentary contents, and other incidental

circumstances not to be exactly appreciated. The mucous membrane of the

mouth, the tongue, and œsophagus, will in general be found destroyed,

and converted into a pulp.

_Antidotes._

The great indications to be fulfilled in this distressing case, is the

immediate dilution, saturation, and expulsion of the poison. Copious

draughts of water, holding calcined[321] magnesia in suspension, should

be administered without any loss of time. If this is not in readiness,

soap and water should be administered; mucilaginous drinks, milk, and

even warm or cold water, in the absence of more eligible potations,

should not be neglected. It must be never forgotten, exclaims _Orfila_,

that success upon these occasions depends upon the activity of the

practitioner; the delay of a few moments will entirely change the fate

of the patient, as the sulphuric acid destroys the texture of the organs

with a fearful celerity. After having thus neutralized the caustic, it

will be our duty to obviate the effects it may be likely to occasion;

the lancet must be used with boldness, and the detraction of blood

repeated at short intervals; at the same time emollient clysters may be

advantageously injected.

_Chemical processes for the detection of Oil of Vitriol._

In the pure state, there can exist no difficulty in identifying it; its

specific gravity, and its action on vegetable matter, will, without any

other tests, be quite sufficient to fulfil our object. If heated with

metallic mercury, it will disengage sulphurous acid gas; and if united

with lime, a sulphate of lime will be produced, which the chemist may

easily recognise by dissolving a portion in distilled water, and

assaying the solution by _muriate of baryta_, which will produce with

the sulphate a precipitate, insoluble in nitric acid. By the last

mentioned tests we shall be enabled to detect the presence of sulphuric

acid, in whatever state of complication it may happen to exist with

alimentary matter.

Medical Jurisprudence, Volume 2 (of 3) · 第 64 / 122 题