PART IX.—INORGANIC POISONS.
I.—PRECIPITATED FROM A HYDROCHLORIC ACID SOLUTION BY HYDRIC SULPHIDE—PRECIPITATE YELLOW OR ORANGE.[700]
Arsenic—Antimony—Cadmium.
[700] Fresenius has pointed out that sulphur may mask small quantities of arsenic, antimony, tin, &c., and he recommends that the turbid liquid in which apparently nothing but sulphur has separated should be treated as follows:—A test-tube is half filled with the liquid, and then a couple of c.c. of petroleum ether or of benzene added, the tube closed by the thumb, and the contents well shaken. The sulphur dissolves, and is held in solution by the solvent, which latter forms a clear upper layer. If traces of a metallic sulphide were mixed with the sulphur, thin coloured films are seen at the junction of the two layers, and the sulphides may also coat the tube above the level of the liquid with a slight faintly-coloured pellicle (Chem. News, Jan. 4, 1895).
1. ARSENIC.
§ 707. Metallic Arsenic, at. wt. 75, specific gravity of solid 5·62 to 5·96, sublimes without fusion in small quantities at 110° (230° F.) Guy. It occurs in commerce in whitish-grey, somewhat brittle, crystalline masses, and is obtained by subjecting arsenical pyrites to sublimation in earthen retorts, the arsenic being deposited in suitable receivers on sheet iron. Metallic arsenic is probably not poisonous, but may be changed by the animal fluids into soluble compounds, and then exert toxic effects—volatilised metallic arsenic is easily transformed in the presence of air into arsenious acid, and is therefore intensely poisonous.
§ 708. Arsenious Anhydride—Arsenious Acid—White Arsenic—Arsenic, As2O3 = 198; specific gravity of vapour, 13·85; specific gravity of opaque variety, 3·699; specific gravity of transparent variety, 3·7385. Composition in 100 parts, As 75·75, O 24·25; therefore one part of metallic arsenic equals 1·32 of As2O3. It is entirely volatilised at a temperature of 204·4°.
In analysis it is obtained in brilliant octahedral crystals as a sublimate on discs of glass, or within tubes, the result of heating a film of metallic arsenic with access of air. It is obtained in commerce on a very large scale from the roasting of arsenical pyrites. As thus derived, it is usually in the form of a white cake, the arsenious acid existing in two forms—an amorphous and a crystalline—the cake being generally opaque externally, whilst in the centre it is transparent. According to Kruger, this change from the crystalline to the amorphous condition is dependent upon the absorption of moisture, no alteration taking place in dry air. Both varieties of arsenious anhydride are acid to test-paper.
The solubility of arsenious acid is often a question involving chemical legal matters of great moment. Unfortunately, however, no precisely definite statement can be made on this point, the reason being that the two varieties of arsenic occur in very different proportions in different samples. Both the amorphous and crystalline varieties having very unequal solubilities, every experimenter in succession has given a different series of figures, the only agreement amid the general discrepancy being that arsenic is very sparingly soluble in water.
The statement of Taylor may, however, be accepted as very near the truth, viz., that an ounce of cold water dissolves from half a grain to a grain. According to M. L. A. Buchner,[701] one part of crystalline arsenious acid dissolves after twenty-four hours’ digestion in 355 parts of water at 15°; and the amorphous, under the same condition, in 108 of water. A boiling solution of the crystalline acid, left to stand for twenty-four hours, retains one part of acid in 46 of water; a similar solution of the amorphous retains one of arsenic in 30 parts of water, i.e., 100 parts of water dissolve from 2·01 to 3·3 parts of As2O3.
[701] Bull. de la Société Chem. de Paris, t. xx. 10, 1873.
Boiling water poured on the powdered substance retains in cooling a grain and a quarter to the ounce; in other words, 100 parts of water retain ·10. Lastly, arsenious acid boiled in water for an hour is dissolved in the proportion of 12 grains to the ounce, i.e., 100 parts of water retain 2·5.
K. Chodomisky[702] has investigated the solubility of recrystallised arsenious acid in dilute acids, and his results are as follows:—100 c.c. of 1·32 per cent. hydrochloric acid dissolves 1·15 grm. As2O3 at 18·5°. 100 c.c. of 6 per cent. hydrochloric acid dissolves 1·27 grm. at 18·5°. 100 c.c. of pure hydrochloric acid of the ordinary commercial strength dissolves 1·45 grm. As2O3. 100 c.c. of dilute sulphuric acid at 18° dissolves about 0·54 grm.; at 18·5° from 0·65 to 0·72 grm.; and at 80° from 1·09 to 1·19 grm.
[702] Chem. Centrbl., 1889, 569.
§ 709. Arsine—Arseniuretted Hydrogen, H3As.—Mol. weight, 78; vol. weight, 39; specific gravity, 2·702; weight of a litre, 3·4944 grammes; percentage composition, 95·69 As, 4·31 H; volumetric composition, 2 vol. H3As = half vol. As + 3 vol. H. A colourless inflammable gas, of a fœtid alliaceous odour, coercible into a limpid colourless liquid at a temperature of from -30° to -40°. The products of the combustion of arseniuretted hydrogen are water and arsenious acid; thus, 2H3As + 6O = 3H2O + As2O3. If supplied with air in insufficient quantity, if the flame itself be cooled by (for example) a cold porcelain plate, or if the gas pass through a tube any portion of which is heated to redness, the gas is decomposed and the metal separated. Such a decomposition may be compared to the deposit of carbon from ordinary flames, when made to play upon a cooled surface. It may also be decomposed by the electric spark,[703] e.g., if the gas is passed slowly through a narrow tube 0·7 to 0·8 mm. internal diameter, provided with wires 0·5 to 0·6 mm. apart, and a small induction coil used connected with two large Bunsen’s cells, then, under these conditions, arsenic as a metal is deposited in the neighbourhood of the sparks. For the decomposition to be complete, the gas should not be delivered at a greater speed than from 10 to 15 c.c. per minute. The gas burns with a blue-white flame, which is very characteristic, and was first observed by Wackenroder. It cannot, however, be properly seen by using the ordinary apparatus of Marsh, for the flame is always coloured from the glass; but if the gas is made to stream through a platinum jet, and then ignited, the characters mentioned are very noteworthy.
[703] N. Klobrikow, Zeit. Anal. Chem., xxix. 129-133.
Oxygen or air, and arsine, make an explosive mixture. Chlorine decomposes the gas with great energy, combining with the hydrogen, and setting free arsenic as a brown cloud; any excess of chlorine combines with the arsenic as a chloride. Sulphur, submitted to arseniuretted hydrogen, forms sulphuretted hydrogen, whilst first arsenic and then sulphide of arsenic separate. Phosphorus acts in a similar way. Arseniuretted and sulphuretted hydrogen may be evolved at ordinary temperatures without decomposition; at the boiling-point of mercury (350°) they are decomposed, sulphide of arsenic and hydrogen being formed; thus, 3H2S + 2AsH3 = As2S3 + 6H2, a reaction which is of some importance from a practical point of view. Many metals have also the property of decomposing the gas at high temperatures, and setting hydrogen free. Metallic oxides, again, in like manner combine with arsenic, and set water free, e.g., 3CuO + 2H3As = Cu3As2 + 3H2O.
Arsine acts on solutions of the noble metals like phosphuretted hydrogen, precipitating the metal and setting free arsenious acid; for example, nitrate of silver is decomposed thus—
12AgNO3 + 2H3As + 3H2O = As2O3 + 12HNO3 + 12Ag.
Vitali[704] thinks the reaction is in two stages, thus:—
[704] L’Orosi, 1892, 397-411.
(1) 2AsH3 + 12AgNO3 = 2(Ag3As3AgNO3) + 6HNO3.
(2) 2(Ag3As,3AgNO3) + 6H2O = 6HNO3 + 6Ag2 + 2H3AsO3.
This reaction admits of valuable practical application to the estimation of arsenic; for the precipitated silver is perfectly arsenic-free; the excess of nitrate of silver is easily got rid of by a chloride of sodium solution, and the absorption and decomposition of the gas are complete.
In cases of poisoning by arsine, the blood, when examined by the spectroscope (a process the analyst should never omit where it is possible), is of a peculiar inky colour, and the bands between D and C are melted together, and have almost vanished. Such blood, exposed to oxygen remains unaltered.
§ 710. Arsine in the Arts, &c.—In the bronzing of brass, in the desilverising of lead by zinc, and subsequent treatment of the silver zinc with hydrochloric acid, in the tinning of sheet iron, and similar processes, either from the use of acids containing arsenic as an impurity, or from the application of arsenic itself, arsine is evolved.
§ 711. Effects on Animals and Man of Breathing Arsine.—The most general effect on mammals is to produce jaundice, bloody urine, and bile. In the course of numerous experiments on dogs, Stadelmann[705] found that by making them breathe a dose of arsine, which would not be immediately fatal, icterus was always produced under these circumstances, and could be always detected by the appearance of the tissues. The bile is remarkably thickened, and the theory is, that in such cases the jaundice is purely mechanical, the gall-duct being occluded by the inspissated bile. Rabbits experimented upon similarly showed increased biliary secretion, but no jaundice; while it was proved that cats are not so sensitive to arsine as either rabbits or dogs. There are not wanting instances of arsine having been breathed by man—the discoverer of the gas, Gehlen, was in fact the first victim on record. In order to discover a flaw in his apparatus he smelt strongly at the joints, and died in eight days from the effects of the inhalation.
[705] Die Arsenwasserstoff-Vergiftung, Archiv f. exper. Path. u. Pharm., Leipzig, 1882.
Nine persons, workmen in a factory, were poisoned by arsine being evolved during the treatment by hydrochloric acid of silver-lead containing arsenic. Three of the nine died; their symptoms were briefly as follows:—
(1) H. K., 22 years old; his duty was to pour hydrochloric acid on the metal. Towards mid-day, after this operation, he complained of nausea, giddiness, and malaise. In the afternoon he felt an uncommon weight of the limbs, and an oppression in breathing. His fellow-workmen thought that he looked yellow. On going home he lay down and passed into a narcotic sleep. Next morning he went to his work as usual, but was not capable of doing anything; he passed bloody urine several times throughout the day, and fell into a deep sleep, from which he could scarcely be roused. On the third day after the accident, a physician called in found him in a deep sleep, with well-developed jaundice, the temperature moderately high, pulse 100. On the fifth day the jaundice diminished, but it was several months before he could resume his work.
(2) J. T., aged 19, suffered from similar symptoms after five and a half hours’ exposure to the gas. He went home, vomited, was jaundiced, and suffered from bloody urine; in six days became convalescent, but could not go to work for many months.
(3) C. E. was very little exposed, but was unwell for a few days.
(4) L. M., 37 years old, was exposed two days to the gas; he vomited, had bloody urine, passed into a narcotic sleep, and died in three days from the date of the first exposure.
(5) J. S., aged 40, was exposed for two days to the gas; the symptoms were similar to No. 4, there was suppression of urine, the catheter drawing blood only, and death in eight days.
(6) M. E., 36 years old; death in three days with similar symptoms.
(7), (8), and (9) suffered like Nos. 1 and 2, and recovered after several months.
The chief post-mortem appearance was a dirty green colour of the mucous membrane of the intestines, and congestion of the kidneys. Arsenic was detected in all parts of the body.[706]
[706] Trost, Vergiftung durch Arsenwasserstoff bei der technischen Gewinnung des Silbers, Vierteljahrsschrift f. gericht. Med., xviii. Bd., 2 Heft, S. 6, 1873.
Two cases are detailed by Dr. Valette in Tardieu’s Étude.[707] A mistake occurred in a laboratory, by which a solution of arsenic (instead of sulphuric acid) was poured on zinc to develop hydrogen. Of the two sufferers, the one recovered after an illness of about a week or ten days, the other died at the end of twenty-eight days. The main symptoms were yellowness of skin, vomiting, bloody urine, great depression, slight diarrhœa, headache, and in the fatal case a morbiliform eruption. In a case recorded in the British Medical Journal, November 4, 1876, there were none of the usual symptoms of gastric irritation, but loss of memory of recent acts, drowsiness, and giddiness.
[707] Ambroise Tardieu, Étude Médico-légale sur l’Empoisonnement, Obs. xxv. p. 449.
§ 712. The Sulphides of Arsenic.—Of the sulphides of arsenic, two only, realgar and orpiment, are of any practical importance. Realgar, As2S2 = 214; specific gravity, 3·356; composition in 100 parts, As 70·01, S 29·91; average composition of commercial product, As 75, S 25. Realgar is found native in ruby-red crystals, and is also prepared artificially by heating together 9 parts of arsenic and 4 of sulphur, or 198 parts of arsenious anhydride with 112 parts of sulphur, 2As2O3 + 7S = 2As2S2 + 3SO2. It is insoluble in water and in hydrochloric acid, but is readily dissolved by potassic disulphide, by nitric acid, and by aqua regia. It is decomposed by caustic potash, leaving undissolved a brown sediment (As12S), which contains 96·5 per cent. of arsenic. The dissolved portion is readily converted into arsine by aluminium.
§ 713. Orpiment, or Arsenic Trisulphide.—As2S3 = 246; specific gravity, 3·48; composition in 100 parts, As 60·98, S 39·02; found native in crystals, presents itself in the laboratory usually as a brilliant yellow amorphous powder, on passing sulphuretted hydrogen through an acid solution of arsenious acid or an arsenite. It is very insoluble in water (about one in a million, Fresenius), scarcely soluble in boiling concentrated hydrochloric acid, and insoluble generally in dilute acids. Red fuming nitric acid dissolves it, converting it into arsenic and sulphuric acids; ammonia and other alkaline sulphides, the alkalies themselves, alkaline carbonates, bisulphide of potassium, and aqua regia, all dissolve it readily. In the arts it is used as King’s yellow (see [p. 532]). Tanners also formerly employed a mixture of 90 parts of orpiment and 10 of quicklime, under the name of Rusma, as a depilatory; but the alkaline sulphides from gas-works are replacing this to a great extent.
§ 714. Haloid Arsenical Compounds.—The Chloride of Arsenic, AsCl3 = 181·5; specific gravity liquid, 0° 2·205; boiling-point 134° (273·2°F.), is a heavy, colourless, oily liquid, which has been used as an escharotic in cancerous affections (principally by quacks). In one process of detecting and estimating arsenic, the properties of this substance are utilised (see [p. 575]). It is immediately decomposed by water into arsenious and hydrochloric acids.
The Iodide of Arsenic (AsI3) is used occasionally in skin diseases, but is of little interest to the analyst; it is commonly seen in the form of brick-red brilliant flakes.
§ 715. Arsenic in the Arts.—The metal is used in various alloys; for example, speculum metal is made of tin, copper, and a little arsenic; white copper is an alloy of copper and arsenic; shot is composed of 1000 parts of lead mixed with 3 of arsenic; the common Britannia metal used for tea-pots, spoons, &c., often contains arsenic; and brass is bronzed with a thin film of arsenic. It was formerly much employed in the manufacture of glass, but is being gradually superseded. It is also now used to some extent in the reduction of indigo blue, and in that of nitro-benzole in the manufacture of aniline.
In cases of suspected poisoning, therefore, and the finding of arsenic in the stomach, or elsewhere, it may be set up as a defence that the arsenic was derived from shot used in the cleansing of bottles, from the bottles themselves, or from metal vessels, such as tea-pots, &c.
The arsenic in all these alloys being extremely insoluble, any solution to a poisonous extent is in the highest degree improbable. It may, however, be necessary to treat the vessels with the fluid or fluids which have been supposed to exert this prejudicial action, and test them for arsenic. The treatment should, of course, be of a severe and exhaustive character, and the fluids should be allowed to stand cold in the vessels for twenty-four hours; then the effect of a gentle heat should be studied, and, lastly, that of boiling temperatures. The analysis of the alloy itself, or of the glass, it would seldom be of value to undertake, for the crushed and finely divided substance is in a condition very different from that of the article when entire, and inferences drawn from such analytical data would be fallacious.
Arsenious anhydride is also used for the preservation of wood, and is thrown occasionally into the holds of vessels in large quantities to prevent vegetable decomposition. In India, again, a solution of arsenic is applied to the walls as a wash, in order to prevent the attacks of insects.
§ 716. Pharmaceutical, Non-officinal, and other Preparations of Arsenic.—(1) Pharmaceutical Preparations.—The Liquor arsenicalis (Fowler’s solution), or solution of arsenic of the pharmacopœia, is composed of:—
| Carbonate of Potash, | 87 grains (5·64 grms.) |
| Arsenious Acid, | 87 gra„ns(5·64 g„ms.) |
| Compound Tincture of Lavender, | 5 drachms (17·72 c.c.) |
dissolved in 1 pint (567·9 c.c.) of water; every ounce, therefore, contains 4·3 grains of arsenious acid (or 100 c.c. = ·9As2O3); the strength is therefore nearly 1 per cent.
Liquor Ammonii Arsenitis (not officinal) is made of the same strength, ammonium carbonate being substituted for potassic carbonate.
The hydrochloric solution of arsenic is simply arsenious acid dissolved in hydrochloric acid; its strength should be exactly the same as that of Fowler’s solution.
A solution of arseniate of soda[708] contains the anhydrous salt in the proportion of 4 grains to the ounce (·9 in 100 c.c.) of water.
[708] The formula for arseniate of soda is Na2HAsO47H2O, but it sometimes contains more water.
Liquor Arsenii et Hydrargyri Iodidi (Donovan’s Solution of Arsenic).—This is not officinal, but is used to some extent in skin diseases; it is a solution of the iodides of mercury and arsenic; strength about 1 per cent. of each of the iodides.
Arseniate of Iron, Fe3As2O8, is an amorphous green powder, used to some extent in medicine. It should contain 33·6 per cent. of metallic arsenic.
Clemen’s Solution.—A solution of the bromide and arseniate of potassium; strength equal to 1 per cent. arsenious acid. Officinal in U.S., France, and Norway.
Pilula Asiatica (not officinal) is composed of arsenious acid, extract of gentian, and black pepper. There is 1⁄12th of a grain (5·4 milligrams) of arsenious acid in each pill.
Dr. De Valanguis’ Solutio solventes mineralis is composed of 30 grains of As2O3 dissolved by 90 minims of HCl in 20 oz. of water; strength = 0·034 per cent. As2O3.
(2) Veterinary Arsenical Medicine.—Common veterinary preparations containing arsenic are:—A ball for worms, containing in parts—
| Calomel, | 1·3 | per cent. |
| Arsenious Acid, | 1·3 | per „ |
| Tin Filings, | 77·9 | per „ |
| Venice Turpentine,[709] | 19·5 | per „ |
[709] The Venice turpentine is rarely found in ordinary commerce, what is sold under that name consisting of black resin and oil of turpentine.
A common tonic ball:[710]—
[710] A similar preparation in common use has the addition of sulphate of zinc.
| Arsenious Acid, | 5 to 10 grains (·324 to ·648 grm.) | |||||
| Aniseed, | 1⁄2 oz. | ( | 14 | ·1744 | grms. | ) |
| Opium, | 30 grains | ( | 1 | ·94 | gr„ | ) |
| Treacle, | q. s. | |||||
An arsenical ball, often given by grooms to horses for the purpose of improving their coats, contains in 100 parts:—
| Arsenious Acid, | 2 | ·5 | per cent. |
| Pimento, | 19 | ·2 | „ |
| Extract of Gentian, | 78 | ·3 | „ |
Another ball in use is composed of arsenic and verdigris (acetate of copper), of each 8 grains (·518 grm.); cupric sulphate, 20 grains (1·3 grm.); q. s. of linseed meal and treacle.
(3) Rat and Fly Poisons, &c.—An arsenical paste sold for rats has the following composition:—
| Arsenious Acid, | 5 | ·0 | per cent. |
| Lampblack, | ·6 | „ | |
| Wheat Flour, | 46 | ·3 | „ |
| Suet, | 46 | ·3 | „ |
| Oil of Aniseed, a small quantity. | |||
Another rat poison is composed as follows:—
| White Arsenic, | 46 | ·8 | per cent. |
| Carbonate of Baryta, | 46 | ·8 | „ |
| Rose-pink,[711] | 5 | ·8 | „ |
| Oil of Aniseed, | ·2 | „ | |
| Oil of Rhodium, | ·2 | „ |
[711] Alum and carbonate of lead coloured with Brazil and peach woods.
Various arsenical preparations are used to kill flies; the active principle of the brown “papier moure” is arsenious acid. A dark grey powder, which used to be sold under the name of fly-powder, consisted of metallic arsenic that had been exposed some time to the air.
Fly-water is a strong solution of arsenious acid of uncertain strength, sweetened with sugar, treacle, or honey. Another fly-poison consists of a mixture of arsenious acid, tersulphide of arsenic, treacle, and honey.
(4) Quack and other Nostrums.—The analyst may meet with several quack preparations for external use in cancer. A celebrated arsenical paste for this purpose is composed of:—
| Arsenious Acid, | 8 | per cent. |
| Cinnabar, | 70 | „ |
| Dragon’s Blood, | 22 | „ |
Frères Come’s Cancer Paste is composed of arsenious acid, 1; charcoal, 1; red mercury sulphide, 4; water, q. s.
The tasteless “ague drops” used in the fen countries are simply a solution of arsenite of potash.
Davidson’s Cancer Remedy consists, according to Dr. Paris, of equal parts of arsenious acid and powdered hemlock.
In India, arsenic given as a medicine by native practitioners, or administered as a poison, may be found coloured and impure, from having been mixed either with cow’s urine, or with the juice of leaves, &c.[712]
[712] Chevers, Med. Jurisprudence for India, p. 116.
Arsenious acid is used by dentists to destroy the nervous pulp of decayed and painful teeth, about the twenty-fifth of a grain (2·5 mgrms.) being placed in the cavity. A common formula is arsenious acid, 2; sulphate of morphine, 1; creasote, q. s. to make a stiff paste. There is no record of any accident having resulted from this practice hitherto; but since the dentist seldom weighs the arsenic, it is not altogether free from danger.
(5) Pigments, &c.—King’s yellow should be As2S3, the trisulphide of arsenic or orpiment. It is frequently adulterated with 80 to 90 per cent. of arsenious acid, and in such a case is, of course, more poisonous. King’s yellow, if pure, yields to water nothing which gives any arsenical reaction.
A blue pigment, termed mineral blue, consists of about equal parts of arsenite of copper and potash, and should contain 38·7 per cent. of metallic arsenic (= to 51·084 As2O3H) and 15·6 of copper.
Schweinfurt green (Syn. Emerald-green), (CuAs2O4)3Cu(C2H3O2)2 is a cupric arsenite and acetate, and should contain 25 per cent. of copper and 58·4 per cent. of arsenious acid. In analysis, the copper in this compound is readily separated from the arsenic by first oxidising with nitric acid, and then adding to the nitric acid solution ammonia, until the blue colour remains undissolved. At this point ammonium oxalate is added in excess, the solution is first acidified by hydrochloric or nitric acid, and, on standing, the copper separates completely (or almost so) as Oxalate, the arsenic remaining in solution.
Another method is to pass SH2 to saturation, collect the sulphides on a filter, and, after washing and drying the mixed sulphides, oxidise with fuming nitric acid, evaporate to dryness, and again treat with nitric acid. The residue is fused with soda and potassic nitrate, the fused mass is dissolved in water, acidulated with nitric acid, and the copper is precipitated by potash; the solution is filtered, and in the filtrate the arsenic is precipitated as ammonio-magnesian arseniate or as trisulphide.[713]
[713] P. Gucci, Chem. Centrbl., 1887, 1528.
Scheele’s green (CuHAsO3) is a hydrocupric arsenite, and contains 52·8 per cent. of arsenious anhydride and 33·8 per cent. of copper.
(6) External Application of Arsenic for Sheep, &c.—Many of these are simply solutions of arsenic, the solution being made by the farmer. Most of the yellow sheep-dipping compounds of commerce are made up either of impure carbonate of potash, or of soda ash, arsenic, soft soap, and sulphur. The French bain de Tessier is composed of:—
| Arsenious Acid, | 1·00 | kgrm. |
| Ferrous Sulphate, | 10·00 | „ |
| Peroxide of Iron, | 0·40 | „ |
| Gentian Powder, | 0·20 | „ |
This is to be added to 100 kgrms. of water. Another common application consists of alum and arsenic (10 or 12 to 1), dissolved in two or three hundred parts of water.
(7) Arsenical Soaps, &c.—Arsenic is used in preserving the skins of animals. One of the compounds for this purpose, known under the name of Bécoeur’s arsenical soap, has the following composition:—
| Camphor, | 3·4 | per cent. |
| Arsenic, | 20·2 | „ |
| Carbonate of Potash, | 56·2 | „ |
| Lime,[714] | 20·2 | „ |
[714] The dust from the preserved skins of animals has caused, at least, one case of poisoning. Ann. d’Hyg. Pub. et de Méd. Lég., 2 sér., 1870, t. xxxiii, p. 314.
(8) Arsenical compounds used in pyrotechny:—
§ 717. Statistics.—During the ten years 1883-92 there were registered in England and Wales 113 deaths from arsenic; of these 57, or about half, were suicidal deaths, and 5 were classed under the head of “murder”; the rest were due to accident. The age and sex distribution of persons dying from accidental or suicidal arsenical poisoning are detailed in the following table:—
DEATHS FROM ARSENIC DURING THE TEN YEARS 1883-1892.
| Accident or Negligence. | ||||||
| Ages, | 1-5 | 5-15 | 15-25 | 25-65 | 65 and above | Total |
|---|---|---|---|---|---|---|
| Males, | 1 | 4 | 3 | 23 | 6 | 37 |
| Females, | 4 | ... | 3 | 4 | 3 | 14 |
| Total, | 5 | 4 | 6 | 27 | 9 | 51 |
| Suicide. | ||||||
| Ages, | 15-25 | 25-65 | 65 and above | Total | ||
| Males, | 3 | 32 | 2 | 37 | ||
| Females, | 5 | 12 | 3 | 20 | ||
| Total, | 8 | 44 | 5 | 57 | ||
§ 718. Law Relative to the Sale of Arsenic.—By the 14th of Vict. c. 12, every person selling arsenic is bound to keep a written record of every particular relative to each transaction, such as the name, abode, and calling of the purchaser, the purpose for which the poison is required, and the quantity sold, &c. These particulars are to be signed also by the purchaser. No person (sec. 2) is allowed to sell arsenic to any one unknown to the seller, unless in the presence of a witness whom the seller is acquainted with. The arsenic sold (sec. 3) is to be mixed with soot or indigo in the proportion of half an ounce of indigo to a pound of arsenic. It, therefore, follows that the coloured substance should not contain more than 70 per cent. of arsenious acid. The Act applies to all the colourless preparations of arsenic: but it is not to affect chemists in making up prescriptions for medical men, or in supplying medical men; nor is it to affect the wholesale dealers in supplying arsenic to retail shops, &c. The penalty for conviction is £20, or less.[715]
[715] Commercial arsenic is often much adulterated, especially with gypsum, chalk, &c. These are most readily detected by subliming the arsenic. The sublimed arsenic itself may not be entirely pure, sometimes containing arsenical sulphides and antimonious oxide.
§ 719. Dose.—The smallest dose of arsenic known to have proved fatal to a human being is ·16 grm. (21⁄2 grains). Farriers and grooms are in the habit of giving as much as l·3 grm. (20 grains) a day to a horse, so that the poisonous dose for this animal must be very large.
The maximum dose for the horned cattle appears to be from ·32 to ·38 grm. (5 to 6 grains); that for a dog is 16 mgrms. (1⁄4 grain), and even this may, in the smaller kinds, cause illness.
The following may be considered as dangerous doses of arsenic:—·13 grm. (2 grains) for an adult; 1·9 grm. (30 grains) for a horse; ·64 grm. (10 grains) for a cow; and 32 to 64 mgrms. (1⁄2 to 1 grain) for a dog.
§ 720. Effects of Arsenious Acid on Plants.—If the root or stem of a plant is immersed in a solution of arsenious acid, the hue of the leaves soon alters in appearance, the green colour becomes of a whitish or brownish hue, and the plant withers; the effect being very similar to that produced by hot water. The toxic action may be traced from below upwards, and analysis will detect minute quantities of arsenic in all portions of the plant.
It has, however, been shown by Gorup-Besanez,[716] that if arsenious acid be mixed with earth, and plants grown in such earth, they only take up infinitesimal quantities of arsenic. Hence, in cases of cattle poisoning, any defence based upon the alleged presence of arsenic in the pasture will be more ingenious than just.
[716] Annal. d. Chemie u. Pharmacie, Bd. cxxvii., H. 2, 243.
The influence of arsenical fumes as evolved from manufactories upon shrubs and trees is in general insignificant. Pines and firs, five to six years old, have been known to suffer from a disease in which there is a shedding of the leaves, the more tender herbage being at the same time affected. Whatever dangers the practice of steeping corn intended for seed in a solution of arsenious acid, as a preventive of “smut,” may possess, it does not appear to influence deleteriously the growth of the future plant.
Superphosphate of manure is frequently rich in arsenic. Dr. Edmund Davy asserts that plants to which such manure is applied take up arsenic in their tissues, and M. Andonard has made a similar statement. Tuson[717] has also undertaken some experiments, which confirm Andonard and Davy’s researches. The bearing of this with relation to the detection of arsenic in the stomachs of the herbivora needs no comment.
[717] Cooley’s Dictionary, Art. “Arsenic.”
§ 721. Effects on Animal Life—Animalcules.—All infusoria and forms of animalcule-life hitherto observed perish rapidly if a minute quantity of arsenious acid is dissolved in the water in which they exist.
Insects.—The common arsenical fly-papers afford numerous opportunities for observing the action of arsenic on ordinary flies; within a few minutes (five to ten after taking the poison into their digestive organs) they fall, apparently from paralysis of the wings, and die. Spiders and all insects into which the poison has been introduced exhibit a similar sudden death. It is said that in the neighbourhood of arsenical manufactories there is much destruction among bees and other forms of insect life.
Annelids.—If arsenious acid is applied to the external surface of worms or leeches, the part which it touches perishes first, and life is extinguished successively in the others. If a wound is made first, and the arsenious acid then applied to it, the effects are only intensified and hastened. There is always noticed an augmentation of the excretions; the vermicular movements are at first made more lively, they then become languid, and death is very gradual.
Birds.—The symptoms with birds are somewhat different, and vary according to the form in which the poison is administered, viz., whether as a vapour or in solution. In several experiments made by Eulenberg on pigeons, the birds were secured under glass shades, and exposed to the vapour of metallic arsenic vaporised by heat. It is scarcely necessary to remark that in operating in this way, the poisoning was not by metallic arsenic vapour, but by that of arsenious acid. One of these experiments may be cited:—A pigeon was made to breathe an atmosphere charged with vapour from the volatilisation of metallic arsenic. The bird was immediately restless; in thirty minutes it vomited repeatedly, and the nasal apertures were noticed to be moist; after a little while, the bird, still breathing the arsenious acid atmosphere, was much distressed, shook its head repeatedly, and yawned; in fifty minutes the respiration was laboured, and in fifty-nine minutes there was much vomiting. On removing the bird, after it had been exposed an hour to the vapour (·16 grm. of metallic arsenic having been evaporated in all), it rapidly recovered.
Six days after, the pigeon was again exposed in the same way to the vapour, but this time ·56 grm. of metallic arsenic was volatilised. In fifteen minutes there was retching, followed by vomiting. On taking it out after an hour it remained very quiet, ate nothing, and often puffed itself out; the breathing was normal, movements free, but it had unusual thirst. On the second and third day the excretions were frequent and fluid; the cardiac pulsations were slowed, and the bird was disinclined to move. On the fourth day it continued in one place, puffing itself out; towards evening the respirations slowed, the beak gaping at every inspiration. On attempting flight, the wings fluttered and the bird fell on its head. After this it lay on its side, with slow, laboured respiration, the heart-beats scarcely to be felt, and death took place without convulsions, and very quietly. On examining the organs after death, the brain and spinal cord were very bloodless; there were ecchymoses in the lungs; but little else characteristic. The experiment quoted has a direct bearing upon the breathing of arsenical dust; as, for example, that which floats in the air of a room papered with an easily detached arsenical pigment. Other experiments on birds generally have shown that the symptoms produced by arsenious acid in solution, or in the solid form, in a dose insufficient to destroy life, are languor, loss of appetite, and the voidance of large quantities of liquid excreta like verdigris. With fatal doses, the bird remains quiet; there are fluid, sometimes bloody, excretions; spasmodic movements of the pharynx, anti-peristaltic contraction of the œsophagus, vomiting, general trembling of the body, thirst, erection of the feathers, and laboured respiration. The bird becomes very feeble, and the scene mostly closes with insensibility and convulsions.
Mammals, such as cats, dogs, &c., suffer from symptoms fairly identical with those observed in man; but the nervous symptoms (according to P. Hugo) do not predominate, while with rabbits and guinea-pigs, nervous symptoms are more marked and constant.[718] There are vomiting, purging, and often convulsions and paralysis before death. It has been noticed that the muscles after death are in a great state of contraction. The slow poisoning of a dog, according to Lolliot,[719] produced an erythematous eruption in the vicinity of the joints, ears, and other parts of the body; there were conjunctivitis, increased lachrymal secretion, and photophobia; the hair fell off.
[718] Archiv f. exper. Path. u. Pharmakol, Leipzig, 1882.
[719] Étude Physiol. d’Arsène, Thèse, Paris, 1868.
§ 722. Effects of Arsenious Acid on Man.—The symptoms produced by arsenious acid vary according to the form of the poison—whether solid, vaporous, or soluble—according to the condition of bodily health of the person taking it, and according to the manner in which it is introduced into the animal economy, while they are also in no small degree modified by individual peculiarities of organisation and by habit, as, for instance, in the arsenic-eaters.
Arsenic-Eaters.—In all European countries grooms and horse-dealers are acquainted with the fact that a little arsenic given daily in the corn improves the coat, increases, probably, the assimilation of the food, and renders the horse plump and fat. On the Continent grooms have been known to put a piece of arsenic, the size of a pea, in a little oatmeal, make it into a ball, tie it up in a linen rag, and attach it to the bit; the saliva dissolves, little by little, the poison, while both the gentle irritation and physiological action excite a certain amount of salivation, and the white foam at the mouth, and the champing of the horse, are thought vastly to improve the appearance. Shot, which contains a small quantity of arsenic, have been used for the same purpose, and from half a pound to a pound of small shot has been given to horses. When a horse has been for a long time dosed with arsenic, it seems necessary to continue the practice; if this is not done, the animal rapidly loses his condition. The explanation probably is, that the arsenic stimulates the various cells and glands of the intestinal tract to a superaction, the natural termination of which is an enfeeblement of their secreting power—this especially in the absence of the stimulus. Turning from equine involuntary arsenic-eaters, we find the strange custom of arsenic-eating voluntarily pursued by the races of lower Austria and Styria, especially by those dwelling on the mountains separating Styria from Hungary. In India also (and especially in the Punjaub) the same practice prevails, and here it is often taken as an aphrodisiac. The mountaineers imagine that it increases the respiratory power, nor is there wanting some evidence to show that this is actually the fact, and medicinal doses of arsenic have been in use for some time in cases of asthma and other diseases of the chest. The arsenic-eaters begin with a very small dose, which is continued for several weeks or months, until the system gets accustomed to it. The amount is then slightly augmented until relatively large doses are taken with impunity. In one case[720] it appears that a countryman, in good health, and sixty years of age, took daily 4 grains of arsenious acid, a habit which he had inherited from his father, and which he in turn bequeathed to his son.
[720] Tardieu, op. cit.
The existence of such a custom as arsenic-eating, in its literal sense, has more than once been doubted, but all who have travelled over Styria and other places where the habit prevails have convinced themselves that the facts have not been overstated. For example, Dr. Maclagan, in company with Dr. J. T. Rutter,[721] visited Styria in 1865, and having carefully weighed 5 or 6 grains of arsenic, saw these doses actually swallowed by two men. On collecting their urine, about two hours afterwards, abundant quantitative evidence of its presence was found; but in neither of the men were there the slightest symptoms of poisoning. It is obvious that the existence of such a habit might seriously complicate any inquiry into arsenical poisoning in these regions.
[721] Edin. Med. Journ., April 1865; Brit. and For. Med. Chir. Journ., Oct. 1865.
§ 723. Manner of Introduction of Arsenic.—Arsenious acid exerts a poisonous action, whether it is taken by the stomach, or introduced into the system by any other channel whatever. The differences in the symptoms produced by external application (as through a wound), and by swallowing arsenious acid in substance or in solution, are not so marked as might be expected. It was probably Hunter who first distinctly recognised the fact that arsenic, even when introduced outwardly by application to an abraded surface, exerts a specific effect on the mucous membrane of the stomach. Brodie[722] states, “Mr. Home informed me that in an experiment made by Mr. Hunter himself, in which arsenic was applied to a wound in a dog, the animal died in twenty-four hours, and the stomach was found to be considerably inflamed. I repeated this experiment several times, taking the precaution of always applying a bandage to prevent the animal licking the wound. The result was that the inflammation of the stomach was commonly more violent and more immediate than when the poison was administered internally, and that it preceded in appearance the inflammation of the wound.”
[722] Phil. Trans., 1812.
§ 724. Cases of Poisoning by the External Application of Arsenic.—A mass-poisoning by the external use of arsenical violet powder to infants occurred in England some years ago. Two deaths from this cause were established by coroners’ inquests.[723] Dr. Tidy found the violet powders used in the two cases to have the following composition:—
[723] “Gleanings in Toxicology,” by C. Meymott Tidy, M.B.—Lancet, Aug. 21, 1878.
| 1. Per cent. | 2. Per cent. | |
|---|---|---|
| Arsenious Acid, | 38·5 | 38·3 |
| Starch (Potato), | 54·8 | 55·4 |
| Magnesia, &c. | 6·7 | 6·3[724] |
[724] Two recipes were handed in at the coroner’s inquest which pretty fairly represent the composition of ordinary commercial violet powder:—
| First Quality, sold at 7s. per gross. | |||
| Starch Powder, | 28 | lbs. | |
| Magnesia, | 1 | 1⁄2 | lb. |
| Orris-root, | 1 | lb. | |
| Violet Perfume, | 1 | oz. | |
| Essence of Roses, | 5 | drops. | |
| Second Quality, sold at 6s. per gross. | |||
| Terra Alba (Sulphate of Lime), | 14 | lbs. | |
| Potato Starch, | 21 | lbs. | |
| Magnesia, | 3 | lbs. | |
| Orris-root, | 1 | 1⁄2 | lb. |
| Violet Perfume, | 1 | 1⁄2 | oz. |
| Essence of Roses, | 5 | drops. | |
Although the children were poisoned by absorption through the skin (unless it is allowed that some may have found its way in the form of arsenical dust into the throat, or, what is still more probable, that the infants may from time to time have seized the puff-ball and sucked it), the large quantity of ·421 grm. (6·5 grains) of arsenious acid was separated in the one case, and ·194 grm. (3 grains) in the other. In these cases arose the question which is sure to recur in legal inquiries into poisoning by absorption, viz., whether the poison lying on the surface and folds of the skin could not have been mixed during the post-mortem examination with the organs of the body? In these particular cases special care appears to have been taken, and the answer was satisfactory. It is not amiss, however, to call attention to the extreme precaution which such instances necessitate.
A woman, aged 51, had used a solution of arsenious acid to cure the itch; erysipelas of the body, however, followed, and she died after a long illness—one of the symptoms noted being trembling and paresis of the limbs.[725] In a case recorded by Desgranges,[726] a young chambermaid had applied to the unwounded scalp an arsenical ointment for the purpose of destroying vermin. She also suffered from a severe erysipelas, and the hair fell off. Quacks have frequently applied various arsenical pastes to ulcers and cancerous breasts with a fatal result. Instances of this abound; in one, a charlatan applied to a chronic ulcer of the leg an arsenical caustic; the patient showed symptoms of violent poisoning, and died on the sixth day.[727] In another, a lady suffering from some form of tumour of the breast, applied to an unqualified practitioner, who made from fifteen to twenty punctures with a lancet in the swelling, covered a piece of bread with an arsenical compound, and applied the bread thus prepared to the breast. Twelve hours afterwards symptoms of violent gastric irritation commenced; and vomiting and a sanguinolent diarrhœa followed, with death on the fifth day. Arsenic was found in all the organs.[728] Such examples might be multiplied. Arsenic has been in more than one case introduced criminally into the vagina with a fatal result.[729] Foderé, e.g., has recorded the case of a maid-servant who poisoned her mistress by intentionally administering several arsenical enemata.[730] Arsenious acid again has been respired in the form of vapour. One of the best instances of this is recorded by Taylor, and was the subject of a trial at the York Lent Assizes, 1864. The prisoner placed some burning pyrites at the doorway of a small room, in which there were eight children, including an infant in the cradle. The other children were removed speedily, but the infant was exposed to the vapour for an hour; it suffered from vomiting and diarrhœa, and died in twenty-four hours. There was slight inflammation of the stomach and intestines, the brain and lungs were congested, and the lining membrane of the trachea of a bright red colour. Arsenic was detected in the stomach, in the lungs, and spleen. The pyrites contained arsenic, and the fatal fumes were in effect composed of sulphurous and arsenious acids.
[725] Belloc, Méd. Lég., t. iv. p. 124.
[726] Recueil de la Soc. de Méd. de Paris, t. vi. p. 22, An. vii.; also Tardieu, Étude Méd. Légale, sur l’Empoisonnement, Obs. xxvii. p. 457.
[727] Mean, Bibliothèque Méd., t. lxxiv., 1821, p. 401.
[728] Tardieu, op. cit., Obs. xxix.; Dr. Vernois, Ann. d’Hyg. et de Méd. Lég., t. xxxvi., 1st ser., p. 141, 1846.
[729] Ansiaulx, Clinique Chirurgicale. Mangor (Acta. Societ. Reg. Hafniens, iii. p. 178) gives the case of a man who poisoned his three wives successively with arsenic—the two last by introducing into the vagina a powder composed of flour and arsenic. Another similar case is related by Brisken. Mangor made experiments on mares, showing that when arsenic is applied to the vagina, death may result from inflammation.
[730] Méd. Légale, iv.
§ 725. Arsenic in Wall-Papers.—It is now an accepted fact that arsenical colours on wall-papers cause illness. The symptoms are those of chronic poisoning, and present nothing distinctive from the effects produced from small doses of arsenic.
Kirschgasser[731] has described the symptoms in detail of twenty-six cases. That arsenic is actually present in patients suffering is often susceptible of proof, by examining skilfully and carefully a considerable volume (from one to two days’ collection) of the urine; in most of the cases thus examined arsenic has been discovered. This poisoning is produced, sometimes from the dust, at others from a volatile compound of arsenic, which has the following properties:—It is very volatile (perhaps a gas), it has a strong alliaceous odour, it is not entirely decomposed by a solution of silver nitrate, but is apparently decomposed by a boiling acid solution of potassic permanganate. The author suggests that it may be a compound of CO and As, but this is only a supposition. The existence of this volatile substance has been settled beyond all question by the experiments of Gosio,[732] confirmed by those of Charles Robert Sanger.[733]
[731] Vierteljahr. f. gericht Med., N. F., ix. 96.
[732] Azione di alcune Muffe sui Compositi fissi d’Arsenico. Ministero dell’ Interno, Laboratori Scientifici della Direzione di Sanita, Roma, 1892.
[733] “On the Formation of Volatile Compounds of Arsenic from Arsenical Wall-Papers,” American Academy of Arts and Sciences, vol. xxix.
This substance appears to be readily enough produced by the action of the common moulds upon organic matter in the presence of small amounts of arsenic; the moulds vary in this property: Mucor, Mucedo, and Aspergillum glaucum react well; on the contrary, Penicillium glaucum, Mucor ramosus, and several others have either no action, or the action is but slight. One mould, the Penicillium brevicaule, has quite a special endowment in forming this peculiar arsenical compound; so much so, that Gosio has proposed its use as a reagent for arsenic, the garlic odour being perceived when the fungus is made to grow in solutions containing organic matter and only traces of arsenic.
§ 726. Forms of Arsenical Poisoning.—There are at least four distinct forms of arsenical poisoning, viz., an acute, subacute, a nervous, and a chronic form.
Acute Form.—All those cases in which the inflammatory symptoms are severe from the commencement, and in which the sufferer dies within twenty-four hours, may be called acute. The commencement of the symptoms in these cases is always within the hour; they have been known, indeed, to occur within eight minutes, but the most usual time is from twenty minutes to half an hour. There is an acrid feeling in the throat, with nausea; vomiting soon sets in, the ejected matters being at first composed of the substances eaten; later they may be bilious or even bloody, or composed of a whitish liquid. Diarrhœa follows and accompanies the vomiting, the motions are sometimes like those met with in ordinary diarrhœa and English cholera, and sometimes bloody. There is coldness of the extremities, with great feebleness, and the pulse is small and difficult to feel. The face, at first very pale, takes a bluish tint, the temperature falls still lower; the patient sinks in collapse, and death takes place in from five to twenty hours after the taking of the poison.
There can scarcely be said to be any clinical feature which distinguishes the above description from that of cholera; and supposing that cholera were epidemic, and no suspicious circumstance apparently present, there can be little doubt that a most experienced physician might mistake the cause of the malady, unless surrounding circumstances give some hint or clue to it. In the acute form diarrhœa may be absent, and the patient die, as it were, from “shock.” This was probably the cause of death in a case related by Casper,[734] that of Julius Bolle, poisoned by his wife. He took an unknown quantity of arsenic in solution at seven in the morning, and in about three-quarters of an hour afterwards suffered from pain and vomiting, and died in little more than three hours. There were no signs of inflammation in the stomach and intestines, but from the contents of the stomach were separated ·0132 grm. of arsenious acid, and ·00513 grm. from pieces of the liver, spleen, kidneys, lung, and blood. The dose actually taken is supposed not to have been less than ·388 grm. (6 grains).
[734] Case 188 in Casper’s Handbuch.
§ 727. The Subacute Form.—The subacute form is that which is most common; it exhibits some variety of phenomena, and individual cases vary much in the matter of time. The commencement of symptoms is, as in the most acute form, usually within the hour, but exceptions to this rule occur. In a case quoted by Taylor,[735] and recorded by M. Tonnelier, the poison did not cause any marked illness for eight hours; it was found, on post-mortem examination, that a cyst had been formed in the stomach which sheathed the arsenic over, and in some degree explained this delay. In another case, again, ten hours elapsed, and this is considered to be the maximum period yet observed. As with the acute form, there is a feeling of nausea, followed by vomiting, which continues although the stomach is quite empty; at first the ejected matter is a watery fluid, but later it may be streaked with blood. The tongue is thickly coated; there is great thirst, but the drinking of any liquid (even of ice-cold water) increases the vomiting. Nearly always pain is felt in the epigastrium, spreading all over the abdomen, and extending to the loin (which is tense and tender on pressure). Deglutition is often painful, and is accompanied by a sort of spasmodic constriction of the pharyngeal muscles. Diarrhœa follows the vomiting, and has the same characters as that previously described; occasionally, however, this feature is absent. In the case recorded by Martineau,[736] a man, aged 25, was seized at 10 A.M. suddenly with vomiting, which persisted all that day and the next, during which time the bowels were obstinately confined. On the second day a purgative was administered, whereupon diarrhœa set in, and continued until his death, which occurred in about two days and sixteen hours from the commencement of the symptoms. This case is also remarkable from the absence of pain or tenderness of the abdomen.
[735] Taylor’s Principles and Practice of Jurisprudence, vol. i. p. 251; Flandin, vol. i. p. 535.
[736] Tardieu, op. cit., Obs. xix.
In subacute cases the urine has several times been suppressed, and it is generally scanty and red in colour. Irregularity of the heart’s action and feebleness are tolerably constant phenomena. As the end approaches, there is excessive muscular weakness, the face is pale, the eyes hollow; the mucous membranes first, and then the skin, take a bluish tint; the skin itself is covered with perspiration, and there has been noticed a peculiar odour, which has been likened to arsine (arseniuretted hydrogen). The respiration is troubled, convulsive movements of the limbs have been observed, and cramps in the calves of the legs; death follows in a variable time—from twenty-four hours to several days. In certain cases there is a curious remission after violent symptoms, the patient rallies and seems to have recovered; but the appearance is deceptive, for the symptoms recur, and death follows. Recovery may also take place partially from the primary effects, and then inflammatory changes in the stomach, &c., set in, with fever and the ordinary symptoms which are common in all internal inflammation.
A single dose of arsenious acid may cause a prolonged and fatal illness, one of the best known examples being that of the suicide of the Duc de Praslin,[737] who took, with suicidal intent, on Wednesday, August 18, 1847, a dose of arsenious acid. The exact time of the act could not be ascertained, but the first effects appeared at 10 P.M.; there were the usual signs of vomiting, followed on the next day by diarrhœa, fainting, and extreme feebleness of the pulse. On Friday there was a remission of the symptoms, but great coldness of the limbs, intermittency and feebleness of the heart’s action, and depression. On Saturday there was slight fever, but no pain or tenderness in the abdomen, vomiting, or diarrhœa; on this day no urine was passed. On the Sunday he complained of a severe constriction of the throat, and deglutition was extremely painful; thirst was extreme, the tongue intensely red, as well as the mucous membrane of the mouth and pharynx, and the patient had a sensation of burning from the mouth to the anus. The abdomen was painful and distended, the heat of the skin was pronounced, the pulse frequent and irregular,—sometimes strong, at others feeble,—the bowels had to be relieved by injections, the urine was in very small quantity; during the night there was no sleep. The duke died at 4.35 A.M. on Tuesday the 24th, the sixth day; intelligence was retained to the last. As the end approached, the respiration became embarrassed, the body extremely cold, and the pulse very frequent.
[737] Tardieu, “Relation Médico-Légale de l’Assassinat de la Duchesse de Praslin,” Ann. d’Hyg. Pub. et de Médico-Lég., 1847, t. xxxviii. p. 390; also op. cit., Obs. xi.
§ 728. In the nervous form the ordinary vomiting and purging are either entirely suppressed, or present in but feeble degree; and under this heading are classed the rare cases in which, in place of the ordinary symptoms, affections of the nervous system predominate. Narcotism, paresis, deepening into paralysis, delirium, and even acute mania, as well as epileptiform convulsions, have all been recorded. In short, the symptoms show so much variety, that an idea of the malady produced in this very rare form can only be obtained by studying the clinical history of cases which have presented this aspect. In a case recorded by Guilbert,[738] a man, thirty-five years of age, had swallowed a solution of arsenic, half of which was immediately rejected by vomiting. A little while afterwards his respiration became laborious; the eyes were bathed with tears, which were so acrid as to inflame the eyelids and the cheeks; the muscles of the face were from time to time convulsed; he perspired much, and the perspiration had a fœtid odour; there was some diarrhœa, the urine was suppressed, and from time to time he was delirious. Afterwards the convulsions became general, and the symptoms continued with more or less severity for five days. On the sixth a copious miliary eruption broke out, and the symptoms became less severe. The eruption during fifteen days every now and again reappeared, and at the end of that time the patient was convalescent, but weak, liable to ophthalmia, and had a universal trembling of the limbs.
[738] Journal de Van der Monde, 1756, t. iv. p. 353; Tardieu, op. cit., Obs. xiii. p. 430.
In one of Brodie’s[739] experiments on rabbits, 7 grains of arsenious acid were inserted in a wound in the back; the effect of which was to paralyse the hind legs. In other experiments on animals, paralysis of the hind legs has been frequently noticed, but paralysis certainly is rare in man; in the case, however, recorded by Barrier,[740] of the five men who took by mistake a solution of arsenious acid, one of them was found stretched on the ground with the inferior extremities paralysed.
[739] “The Action of Poisons,” Phil. Trans., 1812.
[740] Journ. de Médecine, 1783, p. 353; Tardieu, op. cit., Obs. xiv. p. 431.
In a case of “mass” poisoning reported by Dr. Coqueret,[741] three persons ate by mistake an unknown quantity of arsenious acid—two of them only suffered slightly, but the third severely, vomiting occurring almost immediately, and continuing with frequency until the end of the fourth day. Two hours after swallowing the poison, the patient took the hydrated oxide of iron as an antidote. On the sixth day there was stupor and a semi-delirious state, with an eruption of a pustular character compared to that of the small-pox. These symptoms continued more or less until the fifteenth day, when they diminished, and ultimately the patient recovered. In a case related by Tardieu,[742] in which a person died on the eleventh day from the effects of the poison, towards the end, as a specially marked symptom, there was noted hyperæsthesia of the inferior extremities, so that the least touch was painful.
[741] Journ. de Connaiss. Méd. Chirurg., 1839, p. 155; Tardieu, op. cit., Obs. xv. p. 482.
[742] Op. cit., Obs. xvii. p. 434.
§ 729. Absence of Symptoms.—In a few cases there have been a remarkable absence of symptoms, and this both in man and animals. Seven horses were fed with oats accidentally mixed with arseniate of soda. The first succumbed three hours after taking the poison, without having presented any symptom whatever; he fell suddenly, and in a short time expired.[743] It is related by Orfila,[744] that a woman, aged 27, expired in about twelve hours from a large dose of arsenious acid; there were the usual post-mortem appearances, but in life no sign of pain, no vomiting, and but little thirst.
[743] Bouley (Jeune), Ann. d’Hyg. et de Médico-Lég., 1834, t. xii. p. 393.
[744] Tome i. Obs. iv. p. 314.
§ 730. Slow Poisoning.—Slow poisoning has been caused accidentally by arsenical wall-paper, in the manufacture of arsenical pigments, by the admixture of small quantities of arsenic with salt or other condiments, and repeated small doses have been used for criminally producing a fatal illness intended to simulate disease from natural causes. The illness produced by small intermittent doses may closely resemble in miniature, as it were, those produced by large amounts; but, on the other hand, they may be different and scarcely to be described otherwise than as a general condition of ill-health and malaise. In such cases there is loss of appetite, feebleness, and not unfrequently a slight yellowness of the skin. A fairly constant effect seen, when a solution of arsenious acid is given continuously for a long time, is an inflammation of the conjunctivæ, as well as of the nasal mucous membrane—the patient complains of “always having a cold.” This inflammatory action also affects the pharynx, and may extend to the air-passages, and even to the lung-tissue. At the same time there is often seen an exanthem, which has received a specific name—“eczema arsenicale.” Salivation is present, the gums are sore, at times lacerated. In chronic poisoning by arsenic, nervous symptoms are almost constant, and exhibit great variety; there may be numbness, or the opposite condition, hyperæsthesia, in the extremities. In certain cases fainting, paresis, paralysis, and sometimes convulsions occur; towards the end a sort of hectic fever supervenes, and the patient dies of exhaustion.
§ 731. The Maybrick Case.[745]—The Maybrick case may be considered an example of poisoning extending over a considerable period of time:—Mr. James Maybrick, a Liverpool cotton-broker, aged 49, married Florence Elizabeth, an American lady, aged 21. They had two children. The marriage proved an unhappy one. Some two years before his death in May 1889 they had occupied two separate rooms. Seven weeks before the husband’s death, Mrs. Maybrick went to London on a false pretext, and lived for some days at an hotel, ostensibly the wife of another man. Two days after her return, Mr. and Mrs. Maybrick attended the Grand National race meeting, and there a serious quarrel arose between them respecting the man with whom she had cohabited in London; they returned from the race, each separately, and she slept apart. Next day an apparent reconciliation took place through the intervention of Dr. Fuller, the family medical attendant.
[745] “The Maybrick Trial and Arsenical Poisoning,” by Thos. Stevenson, M.D., Guy’s Hosp. Rep., 1889.
On or about April 12-19th, 1889, Mrs. Maybrick purchased arsenical fly-papers. On April 13-20th Mr. Maybrick visited London, and consulted Dr. Fuller for dyspepsia, who prescribed nux vomica, acids, and mild remedies (but no arsenic); in one bottle of medicine, ostensibly made according to Dr. Fuller’s prescription, arsenic was subsequently found.
Up to Saturday, April 27th, Mr. Maybrick was in his usual health; he was then sick, numbed, and in pain, and had cramps; he told his clerk he had been an hour in the water-closet, but whether for diarrhœa or constipation does not appear; he ascribed the symptoms to an overdose of Fuller’s medicine. About this date fly-papers were found by the servants soaking in Mrs. Maybrick’s bedroom in a sponge-basin, carefully covered up. On the 29th she again purchased two dozen fly-papers from another chemist. On April 28th Mr. Maybrick was sick and ill; at 11 A.M. Dr. R. Humphreys was called in; Mr. Maybrick complained of a peculiar sensation about his heart, and said he was in dread of paralysis. He attributed his illness to a strong cup of tea taken before breakfast. On the following day he was better, and on the 30th still improving. On May 1st and 2nd Mr. Maybrick went to his office and lunched, both days, off revalenta food, prepared at home and warmed at his office in a new saucepan purchased for the occasion; on one of these days the lunch was forgotten, and was sent to Mr. Maybrick by his wife; and on one of the two days, it is not clear which, Mr. Maybrick complained that his lunch did not agree with him, and he attributed it to inferior sherry put into his food.
In a jug found at the office, and in which food had been taken there, a trace of the food still remained after Mr. Maybrick’s death, and arsenic was found therein.
On May 3rd the last fatal illness set in. It is uncertain what food he had after breakfast; he went to the office, and returned home between 5 and 6 P.M. He had been seen by Dr. Humphreys in the morning, and appeared then not quite so well; he found him at midnight suffering from what he thought was severe sciatica; the patient said he had been sick from revalenta. On May 4th he was continually sick, nothing could be retained on the stomach, but the sciatic pain was gone; on May 5th the vomiting continued, the patient complained of the sensation of a hair sticking in the throat, and of a filthy taste in the mouth. The throat and fauces were only slightly reddened, the tongue was furred.
On May 6th there was less vomiting, but otherwise the condition was the same, and Fowler’s solution ordered, but only a quantity equal to 1⁄300 grain was actually taken.
May 7th the condition was improved, but there was no increase of power. Dr. W. Carter was called in consultation. The vomiting was passing away, and diarrhœa commencing. The throat was red, dry, and glazed; there were incessant attempts to cough up an imaginary hair. No cramps, no pain in the stomach or intestines, nor conjunctivitis. On this day the first direct evidence of diarrhœa is recorded, the medical men actually seeing a loose motion. The result of the consultation was that Mr. Maybrick must have taken some irritant in his food or drink.
On the 8th a professional nurse took charge. During the 8th and 9th severe tenesmus set in with diarrhœa, and blood was observed in the fæces. Now arsenic was suspected, the urine was examined by Dr. Humphreys, and a rough analysis was made of some Neaves’ food which the patient had been taking.
The patient died on the 10th, at 8.30 P.M.
The post-mortem appearances were as follows:—
The tongue was dark, the top of the gullet slightly red, but otherwise healthy, save at the lower end, where the mucous membrane was gelatinous, and was dotted over with black dots, like frogs’ spawn.
There was a small shallow ulcer in the mucous membrane of the larynx at the back of the epiglottis. The free margin of the epiglottis was rough and eroded; and on the posterior aspect of the ericoid cartilage there were two small red patches. In the stomach were from 5-6 ozs. of brownish fluid. At the cardiac end there was a large vermilion-red patch, interspersed here and there with small dark ecchymoses (spoken of by Dr. Humphreys as a flea-bitten appearance); to this followed a non-inflamed space, and near the pyloric orifice, and extending 2 inches from it, was another red inflamed portion of mucous membrane. In the small intestine the mucous membrane was red and inflamed, from 3 inches below the pylorus to about 3 feet downwards. About 18 or 20 feet lower down, i.e., a little below the ileo-cæcal valve, the mucous membrane was again inflamed to a lesser extent over a space of about 2 feet; the lower end of the rectum was also red and inflamed. No arsenic was found in the stomach or its contents, or in the spleen. Arsenic was present in the liver, in the intestines, and in the kidneys. The quantity separated altogether amounted to over 0·1 grain. The liver weighed 48 ozs., and from 12 ozs. of the liver 0·076 grain of arsenic, reckoned as As2O3, was separated.
The whole course of the symptoms and the post-mortem examination showed that the deceased died from an irritant poison; and from the fact of a small quantity of arsenic having been found in the body, there can be little doubt but that the poison was arsenic. The symptoms were somewhat anomalous, but not more so than in other recorded cases of undoubted arsenical poisoning. The facts that tended to connect the accused with the death were as follows:—On the night of either May 9th or the 10th Mrs. Maybrick was observed to remove from the table an opened bottle of Valentine’s meat juice, and take it into an inner dressing-room, and then replace it—the acts being surreptitious. In replacing it, she was observed to take it either from the pocket of her dressing-gown or from an inner pocket. The lining of this pocket was found to be impregnated with As2O3. The juice was found to contain 0·5 grain As2O3, and the liquid was of lower gravity than commercial juice; it had probably, therefore, been diluted.
The following is a list of things containing arsenic:—
- Mrs. Maybrick’s dressing-gown.
- Mrs. Ma„brick’s apron.
- A handkerchief wrapped around a bottle.
- Packet of arsenic “for cats.” (Arsenious acid mixed with charcoal.) Tumbler containing milk, with handkerchief soaking in it; at least 20 grains of As2O3 in the tumbler mixed with charcoal.
- A portion of a handkerchief.
- A bottle containing a strong solution of arsenious acid and several grains of undissolved arsenious acid.
- A bottle containing from 15-20 grains of solid arsenic and a few drops of solution.
- A saturated solution of arsenious acid and some solid arsenious acid.
- Valentine’s meat juice.
- Price’s glycerin; 2⁄3 grain in the whole bottle.
- A bottle containing 0·1 grain of arsenious acid.
- A bottle from Mr. Maybrick’s office containing a few drops of medicine prescribed by Dr. Fuller (decidedly arsenical).
- Jug from the office with remains of food.
- Sediment from trap of w.c. and lavatory drain containing As2O3.
Mrs. Maybrick was convicted, but afterwards the sentence was commuted to penal servitude for life.
§ 732. Post-mortem Appearances in Animals.—P. Hugo[746] has made some minute researches as to the pathological appearances met with in animals. His experiments were made on seven dogs, eight guinea-pigs, five rabbits, two pigeons, and five cats—all poisoned by arsenious acid. According to Hugo, so far as these animals were concerned, changes were more constant in the intestine than in the stomach.
[746] Beiträge zur Pathologie der acuten Arsenikvergiftung., Archiv für exper. Pathol. u. Pharmakol., Leipzig, 1882.
Stomach.—Changes in the mucous membrane were especially noticed in the great curvature and towards the pylorus; the pylorus itself, and a part of the cardiac portion, remained unchanged. The mucous membrane in dogs and cats was red, with a tinge of blue—in many cases the redness was in streaks, with injection of the capillaries. The stomach of plant-eaters was less altered, and a microscopical examination of the mucous tissues did not show any fatty change.
The Intestines.—In dogs and cats changes were evident; in rabbits and guinea-pigs they were not so marked, but the intestines of the last were extremely tender and brittle, very moist, and filled with a slimy, serous, grey-white fluid; nevertheless, the changes in all these animals appear to be of essentially the same nature. The most striking effect is the shedding of a pseudo-membrane; in quite recent cases there is a layer of from 1 to 11⁄2 mm. wide of a transparent, frog-spawn-like jelly streaking the intestine. In later stages it becomes thicker, while occasionally it resembles a diphtheritic exudation. The mucous membrane itself is deep purple-red, showing up by the side of the pseudo-membrane. With regard to the villi, the epithelial layer is detached, and the capillary network filled with blood and enlarged.
The Liver.—Hugo met only occasionally with fatty degeneration of the liver, but there was marked steatosis of the epithelium of the gall-bladder of dogs. A fact not prominently noticed before, is (at all events, in dogs) a serous transudation into the pleural sac and acute œdema of the lungs; the exudation may be excessive, so that more than 100 c.c. of serous fluid can be obtained from the thorax; there is also usually much fluid in the pericardium. In two of Hugo’s experiments there was fluid in the cerebral ventricles; and in all there was increased moisture of the brain substance with injection of the capillary vessels, especially of the pia.
§ 733. Post-mortem Appearances.—A remarkable preservation of the body is commonly, but not constantly, observed. When it does occur it may have great significance, particularly when the body is placed under conditions in which it might be expected to decompose rapidly. In the celebrated Continental case of the apothecary Speichert (1876), Speichert’s wife was exhumed eleven months after death. The coffin stood partly in water, the corpse was mummified. The organs contained arsenic, the churchyard earth no arsenic. R. Koch was unable to explain the preservation of the body, under these conditions, in no other way than from the effect of arsenic; and this circumstance, with others, was an important element which led to the conviction of Speichert.
When arsenious acid is swallowed in substance or solution, the most marked change is that in the mucous membrane of the stomach and intestines; and, even when the poison has been absorbed by the skin, or taken in any other way, there may be a very pronounced inflammatory action. On the other hand, this is occasionally absent. Orfila[747] relates a case in which a man died in thirteen hours after having taken 12 grms. of arsenious acid:—“The mucous membrane of the stomach presented in its whole extent no trace of inflammation, no redness, and no alteration of texture.” Many other similar cases are on record; and, according to Harvey’s statistics, in 197 cases, 36 (about 18·2 per cent.) presented no lesion of the stomach.
[747] Tome i. Obs. v.
The usual changes produced by arsenious acid may be studied in the museums of the London hospitals. In Guy’s Hospital Museum there are three preparations. In preparation 179832 is seen a large stomach with the mucous membrane at certain points abraded, and at the great curvature the whole coats are thinned; it is also somewhat congested. In preparation 179864 is a portion of coagulated lymph, from the stomach of a lad, aged 14, who had taken accidentally a piece of cheese charged with arsenious acid, prepared for the purpose of destroying rats. He lived twenty-eight hours, and presented the ordinary symptoms. The lymph has a membranous appearance, and the rugæ of the stomach are impressed upon it. It is said when recent to have presented numerous bright bloody spots, although there was no visible breach of substance on the surface of the stomach. The mucous membrane of the stomach is stated to have been injected, and there was also diffuse injection of the duodenum. Preparation 179880 is the stomach of a person who survived thirteen hours after taking a fatal dose of arsenious acid; and in the same museum there is a wax model of the appearances which the fresh preparation exhibited, showing a large oval patch coated with mucus and the poison. The stomach was intensely inflamed, the cæcum injected. The rest of the intestine was healthy.
In the museum of University College there are two preparations, one[748] exhibiting intense swelling and congestion of the gastric mucous membrane, which is of a perfectly vermilion colour. Another preparation (No. 2868) shows the effect of a small dose of arsenic on the stomach; there are spots of arborescent extravasation, and slight congestion of the summits of the rugæ, but in other respects it is normal. There is also a cast of Peyer’s patches from the same case, showing great prominence of the glands, with some injection of the intestinal mucous membrane.
[748] This preparation at the time of my visit had no number.
In St. Thomas’ Hospital there is an interesting preparation (No. 8) showing the gastric mucous membrane dotted all over with minute ulcers, none of which have an inflammatory zone.[749] I have not, however, seen in any museum a preparation of the curious emphysematous condition of the mucous membrane, which has more than once been met with. For example, in a case related by Tardieu,[750] Schwann, a labourer, died from the effects of arsenic in thirty-six hours. The autopsy showed that the mucous membrane of the stomach and small intestine was covered with a pasty coating, and was elevated in nearly its whole extent by bullæ filled with gas, forming true emphysematous swellings which encroached upon the diameter of the intestine. There was neither redness nor ulceration, but the mucous membrane was softened.
[749] In a case related by Orfila, t. i. Obs. xv., death resulted from the outward application of arsenic; the mucous membrane of the stomach was natural in colour, but there were four ulcers, one of which was 50 centimetres in diameter.
[750] Op. cit., Obs. i. p. 468.
The author saw, many years ago, at Barnard Castle, an autopsy made on a gentleman who died from arsenic. In this case the mucous membrane of the stomach presented a peculiar appearance, being raised here and there by little blebs, and very slightly reddened.
§ 734. The inflammatory and other changes rarely affect the gullet. Brodie[751] never observed inflammation of the œsophagus as an effect of arsenic; but, when arsenic is swallowed in the solid state, as in the suicide of Soufflard, graphically described by Orfila,[752] it may be affected. In Soufflard’s case there was a vivid injection of the pharynx and gullet.
[751] Phil. Trans., 1812.
[752] T. i. p. 319.
In many instances, when the arsenic has been taken in the solid form, the crystals with mucus and other matters adhere to the lining membrane. I have seen in the stomach of a horse, poisoned by an ounce of arsenic, an exquisite example of this. The inflammatory changes may be recognised many months after death owing to the antiseptic properties of arsenic; nevertheless, great caution is necessary in giving an opinion, for there is often a remarkable redness induced by putrefactive changes in healthy stomachs. Casper,[753] on this point, very justly observes:—“If Orfila quotes a case from Lepelletier, in which the inflammatory redness of the mucous membrane of the stomach was to be recognised after nine months’ interment, and if Taylor cites two cases in which it was observed nineteen and twenty-one months after death respectively, this is in contradiction of all that I, on my part, have seen in the very numerous exhumed corpses examined by me in relation to the gradual progress of putrefaction and of saponification, and I cannot help here suspecting a confusion with the putrefactive imbibition redness of the mucous membrane.”
[753] Handbuch, vol. ii. p. 420.
If examined microscopically, the liver and kidneys show no change, save a fatty degeneration and infiltration of the epithelial cells. In the muscular substance of the heart, under the endocardium, there is almost constantly noticed ecchymosis. In the most acute cases, in which a cholera-like diarrhœa has exhausted the sufferer, the blood may be thickened from loss of its aqueous constituents, and the whole of the organs will present that singularly dry appearance found in all cases in which there has been a copious draining away of the body fluids. In the narcotic form of arsenical poisoning, the vessels of the brain have been noted as congested, but this congestion is neither marked nor pathognomonic. Among the rare pathological changes may be classed glossitis, in which the whole tongue has swollen, and is found so large as almost to fill the mouth. This has been explained, in one case, as caused by solid arsenious acid having been left a little time in the mouth before swallowing it. On the other hand, it has also been observed when the poison has been absorbed from a cutaneous application. When arsenic has been introduced into the vagina, the ordinary traces of inflammatory action have been seen, and, even without direct contact, an inflammation of the male and female sexual organs has been recorded, extending so far as gangrene. As a rule, putrefaction is remarkably retarded, and is especially slow in those organs which contain arsenic; so that, if the poison has been swallowed, the stomach will retain its form, and, even to a certain extent, its natural appearance, for an indefinite period. In corpses long buried of persons dying from arsenical poisoning, the ordinary process of decay gives place to a saponification, and such bodies present a striking contrast to others buried in the same graveyard. This retardation of putrefaction is what might, à priori, be expected, for arsenic has been long in use as a preservative of organic tissues.
§ 735. Physiological Action of Arsenic.—The older view with regard to the essential action of arsenic was, without doubt, that the effects were mainly local, and that death ensued from the corrosive action on the stomach and other tissues—a view which is in its entirety no longer accepted; nevertheless, it is perfectly true that arsenic has a corrosive local action; it will raise blisters on the skin, will inflame the tongue or mucous membranes with which it comes in contact; and, in those rapid cases in which extensive lesions have been found in the alimentary canal, it can hardly be denied that instances of death have occurred more from the local than the constitutional action. In the vast majority of cases, however, there is certainly insufficient local action to account for death, and we must refer the lethal result to a more profound and intimate effect on the nervous centres. The curious fact, that, when arsenic is absorbed from a cutaneous surface or from a wound, the mucous membrane of the stomach inflames, is explained by the absorption of the arsenic into the blood and its separation by the mucous membrane, in its passage exerting an irritant action. The diarrhœa and hyperæmia of the internal abdominal organs have been referred to a paralysis of the splanchnic nerves, but Esser considers them due to an irritation of the ganglia in the intestinal walls. Binz has advanced a new and original theory as to the action of arsenious acid; he considers that the protoplasm of the cells of many tissues possess the power of oxidising arsenious acid to arsenic acid, and this arsenic acid is again, by the same agency, reduced to arsenious acid, in this way, by the alternate oxidation and reduction of the arsenious acid, the cells are decomposed, and a fatty degeneration takes place. Thus arsenic causes fatty changes in the liver, kidney, and other cells by a process analogous to the action of phosphorus. T. Araki[754] also considers that both arsenic and phosphorus lessen oxidation, and points out that lactic acid appears in the urine when either of these poisons are taken, such acid being the result of insufficient oxidation. A notable diminution of arterial pressure has been observed. In an experiment by Hugo[755] ·03 grm. of As2O3 was injected intravenously, the normal arterial pressure being 178 mm. Ten minutes after injection the pressure sank to 47 mm.; in sixteen minutes it again rose to 127 mm. Accumulative action of arsenic does not occur. Hebra has given, in skin diseases, during many months, a total quantity of 12 grms. without evil result.
[754] Zeit. physiol. Chem., xvii. 311-339.
[755] Op. cit.
§ 736. Elimination of Arsenic.—Arsenic is separated especially by the urine,[756] then through the bile, and by the perspiration. The eruption often observed on the skin has been referred to the local action of small quantities of arsenic in this way eliminated. It is found in the urine first after from five to six hours, but the elimination from a single dose is not finished till a period of from five to eight days; it has often been looked for twelve days after taking it, but very seldom found. According to Vitali, the arsenic in the urine is not free, but probably displaces phosphorus in phospho-glyceric acid; possibly it may also replace phosphorus in lecithin.
[756] An old experiment of Orfila’s has some practical bearings, and may be cited here. A dog was treated by ·12 grm. of arsenious acid, and supplied plentifully with liquid to drink; his urine, analysed from time to time during ten days, gave abundant evidences of arsenic. On killing the animal by hanging on the tenth day, no arsenic could be detected in any of the organs of the body; it had been, as it were, washed out.
§ 737. Antidote and Treatment.—In any case in which there is opportunity for immediate treatment, ferric hydrate should be administered as an antidote. Ferric hydrate converts the soluble arsenious acid into the insoluble ferric arseniate, the ferric oxide being reduced to ferrous oxide. It is necessary to use ferric hydrate recently prepared, for if dried it changes into an oxyhydrate, or even if kept under water the same change occurs, so that (according to the experiments of Messrs. T. & H. Smith) after four months the power of the moist mass is reduced to one-half, and after five months to one-fourth.
It is obvious that ferric hydrate is not in the true sense of the word an antidote, for it will only act when it comes in contact with the arsenious acid; and, when once the poison has been removed from the stomach by absorption into the tissues, the administration of the hydrate is absolutely useless. Ferric hydrate may be readily prepared by adding strong ammonia to the solution or tincture of ferric chloride, found in every medical man’s surgery and in every chemist’s shop, care being taken to add no caustic excess of ammonia; the liquid need not be filtered, but should be at once administered. With regard to other methods of medical treatment, they are simply those suggested by the symptoms and well-known effects of the poison. When absorbed, the drinking of water in excess cannot but assist its elimination by the kidneys.
§ 738. Detection of Arsenic.—The analyst may have to identify arsenic in substance, in solution, in alloys, in wall-papers, in earth, and in various animal, fatty, resinous, or other organic matters.
Arsenious Acid in Substance.—The general characters of arsenious acid have been already described, and are themselves so marked as to be unmistakable. The following are the most conclusive tests:—
(1) A small fragment placed in the subliming cell ([p. 258]), and heated to about the temperature of 137·7° (286° F.), at once sublimes in the form of an amorphous powder, if the upper glass disc is cool; but if heated (as it should be) to nearly the same temperature as the lower, characteristic crystals are obtained, remarkable for their brilliancy and permanency, and almost always distinct and separate. The prevailing form is the regular octahedron, but the rhombic dodecahedron, the rectangular prism, superimposed crystals, half crystals, deep triangular plates like tetrahedra, and irregular and confused forms, all occasionally occur.
(2) A beautiful and well-known test is that of Berzelius:—A small hard-glass tube is taken, and the closed end drawn out to the size of a knitting needle. Within the extreme point of this fine part is placed the fragment (which may be no more than a milligramme) and a splinter of charcoal, fine enough to enter freely the narrow part, as shown in the [figure]. The portion of the tube containing the charcoal (e) is first heated until it glows, and then the extreme end; if arsenic is present, a mirror-like coating is easily obtained in the broader portion of the tube (d). That this coating is really arsenical can be established by the behaviour of metallic crusts of arsenic towards solvents (as given at [p. 557]). The portion of the tube containing the crust may also be broken up, put in a very short, wide test-tube (the mouth of which is occupied by a circle of thin microscopic glass) and heated, when the arsenic will sublime on to the glass disc, partly as a metal and partly as crystalline arsenious acid.
(3) Arsenious acid, itself inodorous, when heated on coal, after mixing it with moist oxalate of potash, evolves a peculiar garlic-like odour. To this test oxide of antimony adulterated with arsenic will respond, if there is only a thousandth part present. Simply projecting arsenious acid on either red-hot charcoal or iron produces the same odour.
(4) A little bit of arsenious acid, heated in a matrass with two or three times its weight of acetate of potash, evolves the unsupportable odour of kakodyl.
Arsenites and Arseniates, mixed with oxalate of soda and heated in a matrass, afford distinct mirrors, especially the arsenites of the earths and silver; those of copper and iron are rather less distinct.
Sulphides of Arsenic are reduced by any of the processes described on [p. 573] et seq.
In Solution.—An acid solution of arsenious acid gives, when treated with SH2, a canary-yellow precipitate, soluble in ammonia, carbonate of ammonia, and bisulphite of potash, and also a metallic sublimate when heated in a tube with the reducing agents in the manner described at [p. 575]. By these properties the sulphide is distinguished and, indeed, separated from antimony, tin, and cadmium.
The sulphides of tin and cadmium are certainly also yellow, but the latter is quite insoluble in ammonia, while the former gives no metallic sublimate when heated with reducing substances.
The sulphide of antimony, again, is orange, and quite insoluble in potassic bisulphite, and scarcely dissolves in ammonia.
A small piece of sodium amalgam placed in a test-tube or flask containing an arsenic-holding liquid, or the liquid made alkaline with soda or potash and a little bit of aluminium added, produces in a short time arsine, which will blacken a piece of paper, soaked in nitrate of silver, and inserted in the mouth of the flask. This is certainly the most convenient test for arsenic. No antimoniuretted hydrogen (stibine) is given off from an alkaline solution and no SH2.
Marsh’s Original Test for Arsenic consisted in evolving nascent hydrogen by zinc and sulphuric acid, and then adding the liquid to be tested. The apparatus for Marsh’s test, in its simplest form, consists of a flask provided with a cork conveying two tubes, one a funnel reaching nearly to the bottom of the flask; the other, a delivery tube, which is of some length, is provided with a chloride of calcium bulb,[757] and towards the end is turned up at right angles, the end being narrowed. By evolving hydrogen from zinc and sulphuric acid, and then adding portions of the liquid through the funnel, arseniuretted hydrogen in a dry state is driven along the leading tube, can be ignited on its issue, and on depressing a piece of cold porcelain, a dark metallic spot of arsenic is obtained.[758] Or, if any portion of the tube be made red-hot, the metal is deposited in the same way as a ring. The apparatus admits of much complication and variety. One of the most useful additions is, perhaps, the interposition of a small gasometer. This consists of a cylindrical glass vessel with entrance and exit tubes, open at the bottom, immersed in water in a larger vessel, and counterpoised by weights and rollers, exactly like the large gasometers used at gasworks; the exit tube must have a stop-cock, and the gas must pass over calcic chloride in order to dry it thoroughly.
[757] Otto recommends the first half of the drying tube connected with the development flask to be filled with caustic potash, the latter half with chloride of calcium (Ausmittelung der Gifte). Dragendorff approves of this, but remarks that it should be used when arsenic alone is searched for, since caustic potash decomposes stibine. The potash fixes SH2, and prevents the formation of chloride of arsenic; on the other hand, it absorbs some little AsH3.
[758] For identification of arsenical films, see [p. 557].
M. Blondlot has observed[759] that if pure zinc, a weak solution of arsenious acid, and a sulphuric acid containing nitric acid or nitrous compounds, be mixed together, the arsenic passes into a solid hydrate, which is deposited on the surface of the zinc; this is, however, prevented by the addition of a little stannous chloride dissolved in hydrochloric acid.
[759] Blondlot, “Transformation de l’arsenic en hydrure solide par l’hydrogène aissant sous l’influence des composés nitreux.”—Jour. de Pharm. et de Chim., 3e sér., t. xliv. p. 486.
The precautions to be observed in Marsh’s test are:—
(1) Absolute freedom of the reagents used from arsenic, antimony,[760] and other impurities.
[760] With regard to purity of reagents, Sonnenschein states that he has once found chlorate of potash contaminated with arsenic.—Sonnenschein, Gericht. Chemie, p. 139.
(2) The sulphuric acid should be diluted with five times its weight of water, and if freshly prepared should be cooled before use. Strong acid must not be employed.[761]
[761] M. A. Gautier uses sulphuric acid diluted with five times its weight of water; when the hydrogen has displaced the air, he adds to the arsenical matter 45 grms. of this acid and 5 grms. of pure sulphuric acid.—Bull. de la Société Chim. de Paris, 1875, t. xxiv.
(3) The fluid to be tested should be poured in little by little.
(4) Nitrous compounds, nitric acid, hydrochloric acid, chlorides, are all more or less prejudicial.
(5) The gas should come off regularly in not too strong a stream, nor out of too small an opening.
(6) The gas should pass through the red-hot tube at least one hour, if no stain is at once detected.
(7) Towards the end of the operation, a solution of stannous chloride in hydrochloric acid is to be added to the contents of the flask. This addition precipitates any arsenic present in a finely divided state, in which it is readily attacked by nascent hydrogen.[762]
[762] F. W. Schmidt, Zeit. anorg. Chem., i. 353-359.
The characteristics of the metallic stains which may occur either on glass or porcelain in the use of Marsh’s test, may be noted as under:—
| Mirror or Crust of Arsenic | Mirror or Crust of Antimony |
|---|---|
| Is deposited at a little distance from the flame. | Is deposited close to the flame, and on both sides of it, and is therefore notched. |
| An arsenical stain is in two portions, the one brownish, the other a glittering black. | The stain is tolerably homogeneous, and usually has a tin-like lustre. |
| On heating, it is rapidly volatilised as arsenious acid. | Volatilisation very slow; no crystalline sublimate obtainable. |
| On transmission of a stream of SH2, whilst immediately behind the stain a gentle heat is applied, the arsenic is changed to yellow sulphide;[763] if dry ClH is now transmitted, the arsenical sulphide is unchanged. | The same process applied in the case of antimony produces the orange or black sulphide; and on passing dry ClH, chloride of antimony volatilises without the application of heat. |
| Chloride of lime dissolves the arsenic completely. | Antimony not affected. |
| Protochloride of tin has no action on metallic arsenic. | Dissolves slowly but completely the antimony stain. |
| The arsenic stain, dissolved in aqua regia, or ClH and chlorate of potash, and then treated with tartaric acid, ammonia, and magnesia mixture, gives a precipitate of ammonia magnesian arseniate.[764] | No precipitate with antimony. |
[763] It is desirable to dissolve away the free sulphur often deposited with the arsenical sulphide by bisulphide of carbon.
[764] Schönbein has proposed ozone as an oxidiser of arsenical stains. The substance containing the stain, together with a piece of moist phosphorus, is placed under a shade, and left there for some time; the oxidisation product is, of course, coloured yellow by SH2 if it is arsenious acid, orange if antimony. The vapour of iodine colours metallic arsenic pale yellow, and later a brownish hue; on exposure to the air it loses its colour. Iodine, on the other hand, gives with antimony a carmelite brown, changing to orange.
An arsenical ring may be also treated as follows:—Precipitated zinc sulphide is made into a paste with a little water, and introduced into the end of the tube; the same end is then plunged into dilute sulphuric acid, and the ring heated, when the arsenical sulphide will be produced.
The mirror or crust of arsenic is usually described and weighed as being composed of the pure metal, but J. W. Rettgers has investigated the matter, and the following is an abstract of his results:—
There is no amorphous form of arsenic, the variety generally thus called being crystalline. Two modifications can be distinguished: the one being a hexagonal silver-white variety possessed of metallic lustre, specifically heavier and less volatile than the second kind, which is black in colour, crystallises apparently in the regular system, and constitutes the true arsenic mirror. The former modification corresponds to red hexagonal phosphorus (red phosphorus having been recently proved by the author to be crystalline), and the latter to yellow phosphorus, which crystallises in the regular system. Both modifications of arsenic are perfectly opaque; deposits which are yellow or brown, and more or less transparent, consist of the suboxide and hydride, As2O and AsH. The brown spot on porcelain produced by contact with a flame of arseniuretted hydrogen is not a thin film of As, but one of the brown solid hydride AsH, formed by the decomposition of AsH3. This view is confirmed by the fact that arsenic sublimed in an indifferent gas (e.g., CO2) is deposited in one or other of the modifications described above, the brown transparent product being obtained only in the presence of H or O. Moreover, pure arsenic is insoluble in all solvents, whereas the film on porcelain (AsH) is soluble in many solvents, including hydrocarbons of the benzene series (e.g., xylene), warm methylene iodide, and hot caustic potash.
Hence quantitative results from weighing arsenical mirrors can never be accurate, because the mirrors consist of mixtures of hydride and suboxide.
Reinsch’s Test.—A piece of bright copper foil, boiled in an acid liquid containing either arsenic or antimony, or both, becomes coated with a dark deposit of antimony or arsenic, as the case may be. The arsenical stain, according to Lippert, is a true alloy, consisting of 1 arsenic to 5 copper.[765] Properly applied, the copper will withdraw every trace of arsenic or antimony from a solution. Dr. John Clark[766] has lately introduced some improvements in Reinsch’s process. His experiments have been directed to the means of proving the presence of arsenic or antimony in the stain on the copper with greater certainty, and at the same time estimating the amount when they occur together.
[765] Journ. f. pract. Chem., xiii. 168.
[766] Journ. Chem. Soc., June 1893, 886.
The material to be tested is boiled gently in a porcelain vessel with dilute hydrochloric acid and a small strip of copper about 1 inch long by 1⁄4 inch broad, till the absence of arsenic or antimony has been ascertained, or a coating has been produced. When the coating is decided, the piece of copper is taken out, washed first with water, then with a little alcohol to get rid of fatty matter, and finally with water. It is then placed in a mixture of dilute caustic potash and peroxide of hydrogen, and allowed to digest in the cold. At the same time a second piece of copper is introduced into the material which has given a deposit on the first piece, the washings of the first piece being added, and the boiling continued.
The treatment of the first piece of copper by caustic potash and peroxide of hydrogen dissolves any antimony or arsenic and restores the copper to its original brightness; when this is accomplished, the second piece of copper is taken out and replaced by the first, and this second piece, if stained, is digested with potash, peroxide of hydrogen, and washed as in the former case. The process is repeated until the slips of copper cease to be stained in the slightest degree—until, in short, the whole arsenic or antimony has been withdrawn.
The alkaline liquid contains the arsenic, as arsenate of potassium; the antimony, if present, as antimonate; and the solution is also contaminated by a little hydrated copper oxide; this latter separates on boiling, and can be filtered off, and the filtrate is boiled down to a small bulk. The liquid is washed into a small distillation-flask with strong hydrochloric acid, ferrous chloride is added, the flask, fitted with a safety tube, is connected with a condenser, and the arsenic distilled into water. To obtain the last traces of arsenic it may be necessary to distil it twice in this way, adding, each time, fresh strong acid and distilling to dryness. The distillate is then tested for arsenic by adding an equal bulk of saturated SH2 water. The sulphide of arsenic may be dealt with as described ([p. 573]).
The residue in the flask is now tested for antimony by saturating with SH2; should antimony be present, the precipitate by SH2 will probably be dark coloured, because of a small quantity of copper. The precipitate is collected, dissolved in dilute caustic soda, boiled, filtered to remove copper sulphide, the filtrate acidified by hydrochloric acid, and sulphuretted hydrogen water added. If antimony was present, this time the precipitate will be of an orange colour, and may be dealt with as described ([p. 589]).
The test experiments with regard to this combined process appear satisfactory.
§ 739. Arsenic in Glycerin.—Arsenic has been frequently found in commercial glycerin, the quantity varying from 0·1 to 1 mgrm. in 100 c.c. The best method to detect the presence of arsenic in glycerin is as follows:—A mixture of 5 c.c. of hydrochloric acid (1 : 7) and 1 grm. of pure zinc is placed in a long test-tube, the mouth of which is covered with a disc of filter-paper previously moistened with one or two drops of mercuric chloride solution, and dried. If arsenic is present, a yellow stain is produced upon the filter-paper within fifteen minutes, and it subsequently becomes darker.[767]
[767] “Arsenic in Glycerin,” by Dr. H. B. H. Paul and A. J. Cownley, Pharm. Journ., Feb. 24, 1894.
§ 740. Arsenic in Organic Matters.—Orfila and the older school of chemists took the greatest care, in searching for arsenic, to destroy the last trace of organic matter. Orfila’s practice was to chop up the substance and make it into a paste with 400 to 700 grms. of water; to this ·010 grm. KHO in alcohol was added, and ·020 grm. of potassic nitrate. The substances were heated up to from 80° to 90° for some time, until they were pretty well dissolved; the organic matter was then burnt off in a Hessian crucible heated to redness, on which small quantities of the matters were placed at a time. When the whole had thus been submitted to red heat, the melted mass was run into an almost red-hot porcelain basin, and allowed to cool. Afterwards, it was again heated with concentrated sulphuric acid, until all nitric and nitrous fumes were dissipated; on dissolving and filtering in water, the liquid was introduced into a Marsh’s apparatus. Orfila never seems to have failed in detecting arsenic by this process. For an organ like the liver, he considered that 100 grms. of potash and 86 of strong sulphuric acid were necessary in order to destroy the organic matters.
The liability of the various reagents used to impurity, and the probability of loss in these operations, have tended to discredit destruction of the organic matter by a red heat, and chemists generally have preferred to oxidise animal matters by a moist process. The organic substance is divided finely and digested with dilute hydrochloric acid, and from time to time crystals of potassic chlorate are thrown in until all the fluid is very thin and capable of passing through a filter. The filtrate must now be submitted to the prolonged action of sulphuretted hydrogen,[768] and the sulphide of arsenic separated from free sulphur by dissolving in sodic sulphide. After filtering, the arsenic sulphide may be again thrown down by the addition of hydrochloric acid, collected on a filter, and still further purified by solution in ammonic carbonate; once more precipitated by hydrochloric acid, and lastly identified by conversion into magnesia pyro-arseniate (see [p. 572]). The above process is a general and safe way of detecting arsenic in almost any organic tissue, but the author prefers the distillation process described [p. 575] et seq.
[768] The SH2 should be washed by passing it through two or more washing bottles supplied with warm dilute HCl—a few samples of sulphide of iron give off an arseniferous gas, so that this precaution is necessary.
From ordinary pills, quack extracts, and similar preparations, drying, powdering, and exhaustion with boiling dilute HCl, will remove the whole of the arsenic, if in a soluble state.
Oils and matters consisting almost entirely of fat, suspected of containing arsenic, are gently heated, and allowed to deposit any insoluble matter they may contain; the oil is then decanted, and, if necessary, filtered from any deposit; saponified by alcoholic potash, the soap decomposed by HCl, the fatty acids separated, and the arsenic looked for both in the first deposit and in the solution, now fairly free from fat, and easy to treat.
In searching for arsenic in the fluids or tissues of the body, the analyst is generally at the mercy of the pathologist, and sometimes the work of the chemist leads to a negative result, solely from not having the proper organ sent to him.[769]
[769] For example, in cases of poisoning by external application, more than once merely the empty stomach and a piece of intestine have been forwarded to the writer.
Brodie long ago stated that when arsenious acid had been given in solution to any animal capable of vomiting, no arsenic could be detected in the stomach; this statement is too absolute, but in the majority of cases true.
In all cases the chemist should have portions of the brain, spinal cord, liver, kidneys, lungs, and muscular tissue, as well as the stomach and its contents.
According to the experiments of Scolosuboff,[770] arsenic is generally greatest in the marrow, then in the brain, next in the liver, and least in the muscles, and the following may be taken as a fairly accurate statement of the relative proportion in which arsenic is likely to be found in the body, 100 grms. being taken of each:—
[770] Bull. Soc. Chim. (2), xxiv. p. 124.
| Muscles, | 1 | |
| Liver, | 10 | ·8 |
| Brain, | 36 | ·5 |
| Spinal Marrow, | 37 | ·3 |
But Ludwig’s[771] experiments and conclusions are entirely opposed to this, since both in acute and chronic cases he found as follows (per cent. As2O3):—
[771] Ueber die Verhaltung des Arsens im thierischen Organismus nach Einverleibung von Arseniger Säure. Med. Jahrbuch, 1880.
| Brain, | ·0002 |
| Liver, | ·001 |
| Kidney, | ·0004 |
| Muscle, | ·00025 |
So that he detected in the liver five times more than in the brain. M. P. Hamberg has also confirmed the fact, that more is found in the liver and kidneys than in the nervous tissues.
Chittenden[772] found in a body the following quantities of arsenic estimated as arsenious acid:—
[772] American Chemical Journal, v. 8.
| Grain. | |
|---|---|
| Stomach and gullet, | 0·158 |
| Intestines, | 0·314 |
| Liver, | 0·218 |
| Kidney, | 0·029 |
| Lungs and spleen, | 0·172 |
| Heart, | 0·112 |
| Brain, | 0·075 |
| Diaphragm, | 0·010 |
The whole arsenic present was estimated as equal to 3·1 grains of arsenious acid, viz., 2·628 grains absorbed, and 0·472 unabsorbed; of the absorbed portion 8·3 per cent. was found in the liver.
With regard to the preliminary treatment of the stomach and fluids submitted to the analyst, the careful noting of appearances, the decantation, washing, and examination[773] (microscopical and chemical) of any deposit, are precautions so obviously dictated by common sense, that they need only be alluded to in passing. Of some considerable moment is the question which may be put to the analyst in court, in reference to the possible entrance of arsenic into the living body, by accidental and, so to speak, subtle means. Such are the inhaling of the fumes from the burning of arsenical candles,[774] and of emanations from papers (see [p. 541]),[775] as well as the possible entrance of arsenic into the body after death from various sources, such as arsenical earth, &c.[776]
[773] From some observations of Fresenius in a recent number of the Zeitschrift f. anal. Chem., it would seem necessary to test all glass vessels used; for it is difficult at present to purchase arsenic-free glass.
[774] See a case of poisoning (non-fatal) of a lady by the use of arsenical candles, Med. Times and Gazette, vol. iii., 1876, p. 367.
[775] To solve this question, it has been at times considered necessary to analyse an extraordinary number of things. In the “affaire Danval” (Journ. d’Hygiène, 2e sér., No. 108, July 1878), more than sixty different articles, comprising drugs, drinks, perfumes, bed-curtains, wall-paper, and other matters, were submitted to the experts.
[776] The following important case is related by Sonnenschein:—
Nicholas Nobel and his wife, Jerome, were buried two metres from each other in the churchyard at Spinal, the earth of which notoriously contained arsenic. A suspicion of poisoning arose. The bodies were exhumed, and arsenic was found in the stomach and intestines of Nobel, but not the slightest trace in the corpse of the wife. The remains of the bodies were reinterred, and after six months, on a fresh suspicion of poisoning arising, again exhumed. The corpse of the woman had been put naked in the moist earth during a heavy shower, but this time also no arsenic was detected in it.
§ 741. Imbibition of Arsenic after Death.—The arguments which are likely to be used, in favour of a corpse having become arsenical may be gathered from a case related by Sonnenschein:—Certain bodies were exhumed in two churchyards; the evidence went to show that they had been poisoned by arsenic, and this substance was actually found in the bodies, while at the same time it was discovered to exist also in traces in the earth of the churchyard. The theory for the defence was, that although the arsenic in the earth was in an insoluble state, yet that it might combine with lime as an arsenite of lime; this arsenite would become soluble by the action of carbonic acid set free by vegetation, and filter down to the corpse. Sonnenschein suspended a quantity of this earth in water, and passed CO2 through it for twelve hours; on filtering, the liquid gave no evidence of arsenic. A similar result was obtained when an artificial mixture of 1 grm. of arsenious acid and 1 pound of earth were submitted to the same process.
The fact would appear to stand thus: oxide of iron in ordinary earth retains arsenic, and requires treatment with a concentrated acid to dissolve it. It therefore follows that, if a defence of arsenical earth is likely to be set up, and the analyst finds that by mere extraction of the tissues by water he can detect arsenic, the defence is in all probability unsound. The expert should, of course, deal with this question on its merits, and without prejudice. According to Eulenberg,[777] in arsenical earth—if, after having been crushed and washed, it lies for some time exposed to the disintegrating action of the air—soluble arsenical salts are formed, which may find their way into brooks and supplies of drinking water. We may infer that it is hardly probable (except under very peculiar circumstances) for a corpse to be contaminated internally with an estimable quantity of arsenic from the traces of arsenic met with in a few churchyards.
[777] Gewerbe Hygiene, p. 234.
It occasionally happens that an exhumation is ordered a very long time after death, when no organs or parts (save the bones) are to be distinguished. In the case of a man long dead, the widow confessing that she had administered poison, the bones were analysed by Sonnenschein, and a small quantity of arsenic found. Conièrbe and Orfila have both asserted that arsenic is a normal constituent of the bones—a statement which has been repeatedly disproved. Sonnenschein relates:[778]—“I procured from a churchyard of this place (Berlin) the remnants of the body of a person killed twenty-five years previously, and investigated several others in a similar way, without finding the least trace of arsenic. Similar experiments in great number were repeated in my laboratory, but in no case was arsenic recognised.” The opinion of the expert, should he find arsenic in the bones, must be formed from the amount discovered, and other circumstances.
[778] Gerichtl. Chem., p. 212.
A difficult case on which to form an opinion is one recorded by William P. Mason,[779] as follows:—
[779] Chem. News, Feb. 23, 1894.
The deceased, a farmer, bachelor, sixty-five years of age, and in good health, was taken violently sick shortly after breakfast, with vomiting and distress in the stomach. Although a physician was summoned, the symptoms increased in severity, and a little after midnight death ensued. The funeral took place three days later. Certain very damaging pieces of circumstantial evidence having been collected, the housekeeper was arrested on the charge of murder, it having been shown, among other things, that on the day preceding the death she had purchased an ounce of white arsenic.
Thirty-five days after death (from March 20 to April 25) the body was exhumed, and found in a state of remarkable preservation, and free from cadaveric smell. The stomach presented evidences of inflammation.
Portions sent for analysis were the stomach, portion of intestine, portion of liver, one kidney, and the heart. Arsenic was found in all these parts. White octahedral crystals were found in the contents of the stomach, which on separation gave arsenical reaction.
The arsenic found was:—
| Stomach and intestine, | 0·2376 | grm. |
| Liver and kidney, | 0·0032 | „ |
| Heart, | 0·0007 | „ |
| Total as metallic arsenic, | 0·2415 | „ |
The amount of arsenic recovered and produced in court was in quantity sufficient to produce death. Some time after the analytical report was made to the coroner, it was learned that an embalming fluid, highly arsenical in character, had been used upon the body by the undertaker at the time of preparation for burial. No injection of this embalming fluid was practised, but cloths wrung out in the fluid were laid upon the face and chest, and were kept constantly wet therewith during a period of many hours. In all about two quarts of embalming fluid were so used. Its composition appeared to be a strongly acidified solution of sodium arsenite and zinc sulphate. Only the arsenic and zinc were determined quantitatively, and they were found to be, zinc (metallic), 1·978 per cent., and arsenic (metallic), 1·365 per cent. by weight. An amount of this fluid measuring 15·7 c.c. would thus contain a weight of arsenic equal to that actually recovered from the body.
Extended medical testimony was offered by the prosecution, tending to show that, under the given circumstances, no fluid of any kind could have reached the stomach through the nose or mouth after death, thus anticipating what the defence afterwards claimed, that the undertaker was responsible for the arsenic discovered in the remains.
In order to gather further light upon the possibility of cadaveric imbibition of embalming fluid through the unbroken skin, test was made for zinc in the heart and stomach, and distinct traces of the metal were found in each instance. That at least a portion of the arsenic found in the body was due to post-mortem causes was thus distinctly proven. A weighed portion (62 grms.) of the stomach and contents was then most carefully analysed quantitatively for both zinc and arsenic with the following results:—Arsenic, 0·0648 grm., and zinc, 0·0079 grm. Bearing in mind the relative quantities of the two metals in the embalming fluid, it will be seen that the arsenic found in the 62 grms. of the stomach was nearly twelve times larger than it should have been to have balanced the zinc which was also present. This fact, together with the discovery of crystals of white arsenic in the stomach, constituted the case for the prosecution, so far as the chemical evidence was concerned.
The defence made an unsuccessful effort to show that the crystals of the tri-oxide originated from the spontaneous evaporation of the embalming fluid. The prosecution met this point by proving that such fluid had been abundantly experimented upon by exposure to a very low temperature during an interval of several months, and also by spontaneous evaporation with a view of testing that very question, and that the results had in every case been negative. Special importance was given these experiments, because of the well-known separation of octahedral crystals during the spontaneous evaporation of a hydrochloric acid solution of the white oxide, it having also appeared that, in the manufacture of the embalming fluid, the arsenic was used as white arsenic.
A very strong point was finally raised for the defence by the inability of the expert on the side of the prosecution to state positively whether or not an embalming fluid of the above composition would diffuse as a whole through dead tissue, or its several parts would be imbibed at different rates of speed, the zinc portion becoming arrested by albuminoid material and being therefore outstripped by the arsenic, or vice versa. The prisoner was ultimately acquitted.
In a case which occurred in the Western States of America, there was good reason for believing that arsenic had been introduced into the corpse of a man after his decease. With regard to the imbibition of arsenic thus introduced, Orfila[780] says:—“I have often introduced into the stomach (as well as the rectum) of the corpses of men and dogs 2 to 3 grms. of arsenious acid, dissolved in from 400 to 500 grms. of water, and have examined the different viscera at the end of eight, ten, or twenty days. Constantly I have recognised the effects of cadaveric imbibition. Sections of the liver or other organs which touch the digestive canal, carefully cut and analysed, furnished arsenic, which could not be obtained sensibly (or not at all) from sections which had not been in contact with this canal. If the corpse remained long on the back after arsenious acid had been introduced into the stomach, I could obtain this metal from the left half of the diaphragm and from the inferior lobe of the left lung, whilst I did not obtain it from other portions of the diaphragm nor from the right lung.” Dr. Reece has also made some experiments on the imbibition of arsenic after death. He injected solutions of arsenious acid into the stomach of various warm-blooded animals, and found at various periods arsenic, not alone in the intestinal canal, but also in the spleen, liver, and kidneys.
[780] Op. cit., t. i. p. 309.
§ 742. Analysis of Wall-Paper for Arsenic.—The separation of arsenic from paper admits of great variety of manipulation. A quick special method is as follows:—The paper is saturated with chlorate of potash solution, dried, set on fire in a suitable plate, and instantly covered with a bell-glass. The ash is collected, pulverised, and exhausted with cold water, which has previously thoroughly cleansed the plate and bell-glass; the arsenic in combination with the potash is dissolved, whilst oxides of chromium, copper, aluminium, tin, and lead remain in the insoluble portion.[781]
[781] Kapferschlaeger: Rev. Universelle des Mines, 1876.
Fresenius and Hintz[782] have elaborated a method for the examination of wall-papers, fabrics, yarns, and similar substances, which, provided the reagents are pure, is accurate and easy. Twenty-five grms. of the substance are placed in a half-litre distilling flask or retort, and 250 c.c. of HCl, specific gravity 1·19, added; after digestion for an hour, 5 c.c. of a saturated solution of ferrous chloride are added, and the liquid slowly distilled until frothing stops any farther distillation. A further quantity of 100 c.c. HCl is then added, and distilled over. The receiver, in each case, contains water, and must be kept cool. The united distillates are diluted to 800 c.c. and saturated with SH2. The arsenious sulphide is collected on an asbestos filter. After partial washing, it is heated with bromine in HCl of 1·9 specific gravity, and the solution again distilled with ferrous chloride. The distillate, on now being treated with SH2, gives arsenious sulphide free from organic matter.
[782] Zeit. anal. Chem., xxvii. 179-182.
§ 743. Estimation of Arsenic.—Most of the methods for the quantitative determination of arsenic are also excellent tests for its presence. It may be regarded, indeed, as an axiom in legal chemistry, that the precise amount of every substance detected, if it can be weighed or estimated by any process whatever, should be accurately stated. Indefinite expressions, such as “a small quantity was found,” “traces were detected,” &c., are most objectionable. The more perfect of the methods of evolving arsenic can be made quantitative. For example, the galvanic process introduced by Bloxam may be utilised as follows:—A fractional part of the arsenical solution is taken for the experiment; the bottom of a narrow-necked bottle of about 100 c.c. capacity is removed, and replaced by a piece of vegetable parchment. The neck of the bottle carries a cork, which is pierced by (1) a platinum wire, which is attached to a platinum electrode; (2) a short tube, bent at right angles, and connected by piping with a longer tube, which has also a rectangular bend, and dips into a solution of silver nitrate; (3) an ordinary funnel-tube, reaching nearly to the bottom. The bottle is placed in a beaker of such a size as to leave a small interval between the two, and the whole apparatus stands in a large vessel of cold water. Dilute sulphuric acid is now put into the bottle, and also into the beaker, so that the fluid reaches exactly the same level in each. The positive platinum electrode of a battery of six of Grove’s cells, or other efficient combination, is immersed in the liquid outside the bottle, connection with the negative plate is established, and hydrogen very soon comes off, and passes over into the nitrate of silver solution. When all the air is expelled, a portion of the rectangular tube is heated to redness, and if there is no stain nor any reduction of the silver, the acid is pure. If the gas is passed for a long time into the silver solution, the silver will be reduced to some extent by the hydrogen, although arsenic-free;[783] so that it is better to rely upon the metallic ring or stain, which is certain to be formed on heating a portion of the tube red-hot, and keeping it at that temperature for at least ten minutes. The liquid is then passed through the funnel in successive portions; if arsenic is present, there will be a decided metallic ring on heating the tube as before, and if antimony is present, there will also be a stain; the distinctions between these stains have been described at [p. 557].
[783] Nitrate of silver solution is reduced by H2, CH3, PH3, and SbH3; hence it is absolutely necessary in any qualitative examination to prove that arsenious acid has actually been produced in the silver solution.
The tube is kept red-hot until the stain is very distinct; then the source of heat is removed, and the gas allowed to bubble through the argentic nitrate solution, which it decomposes, as before detailed ([p. 526]). This process is continued until, on placing the delivery tube in a sample of clear nitrate of silver solution, there is no darkening of colour. In certain cases this may take a long time, but the apparatus, once set to work, requires little superintendence. At the conclusion, the whole of the arsenic is separated,—part is in the silver solution as arsenious acid, part in the tube as a ring of metallic arsenic. The portion of the tube containing the metallic arsenic should be cut off with a file and weighed, the arsenic then removed and re-weighed; the loss is the metal approximately. Or, the weight of the film may be estimated by having a set of similar deposits of known weight or quantities, in tubes exactly corresponding to those used in the analysis, and comparing or matching them.
The arsenious acid in the nitrate of silver may be dealt with in several ways. The equation given ([p. 526]) shows clearly that pure arsine, passed into nitrate of silver solution, decomposes it in such a manner that, if either the silver deposited or the free acid is estimated, the quantity of arsenic can from such data be deduced. In operating on organic liquids, ammonia and other products may be given off, rendering either of the indirect processes inadvisable. A very convenient method, applicable in many cases, is to throw out the silver by hydrochloric acid, alkalise the filtrate by bicarbonate of soda, and titrate with iodine solution. The latter is made by dissolving exactly 12·7 grms. of pure dry iodine by the aid of 18 grms. of potassic iodide in one litre of water, observing that the solution must take place in the cold, without the application of heat. The principle of the titration is, that arsenious acid, in the presence of water and free alkali, is converted into arsenic acid—
As2O3 + 4I + 2Na2O = As2O5 + 4NaI.
The end of the reaction is known by adding a little starch-paste to the solution; as soon as a blue colour appears, the process is finished.
Another convenient way by which (in very dilute solutions of arsenious acid) the arsenic may be determined, is a colorimetric method, which depends on the fact that sulphuretted hydrogen, when arsenious acid is present in small quantity, produces no precipitate at first, but a yellow colour, proportionate to the amount of arsenic present. The silver solution containing arsenious acid is freed from silver by hydrochloric acid; a measured quantity of saturated SH2 water is added to a fractional and, if necessary, diluted portion, in a Nessler cylinder or colorimetric apparatus, and the colour produced exactly imitated, by the aid of a dilute solution of arsenious acid, added from a burette to a similar quantity of SH2 water in another cylinder, the fluid being acidified with HCl.
§ 744. Destruction of the Organic Matter by Nitric Acid, and Subsequent Reduction of the Arsenic Acid to Arsine (Arseniuretted Hydrogen), and final Estimation as Metallic Arsenic.—This process, which is essentially a combination of several, has been much improved in its details by R. H. Chittenden and H. H. Donaldson.[784] 100 grms. of the suspected matters, cut up into small pieces, are heated in a porcelain dish of suitable size, stirred by means of a glass rod with 23 c.c. of pure concentrated nitric acid, and heated up to from 150° to 160°. When the matters assume a yellow or orange colour, the bath is removed from the source of heat, and 3 c.c. of pure concentrated sulphuric acid added, and the mixture stirred, when the mass becomes brown, swells up, and evolves dense nitrous and other fumes. The vessel is again heated to 180°, and while hot 8 c.c. of pure concentrated nitric acid are added, drop by drop, with continual stirring. After this addition, it is heated to 200° for fifteen minutes, and the result on cooling is a hard carbonaceous residue wholly free from nitric acid. The arsenic is in this way oxidised into arsenic acid, which is easily soluble in water. The contents of the dish are, therefore, perfectly extracted by boiling water, the aqueous extract filtered, and evaporated to dryness. The next process is to obtain the arsenic in a metallic state:—
[784] American Chem. Journ., vol. ii., No. 4; Chem. News, Jan. 1881, p. 21.
The flask, a Bunsen’s wash-bottle of 200 c.c. capacity, is provided with a small separating funnel of 65 c.c. capacity, with glass stop-cock. This is a very material aid to the obtaining of a slow and even evolution of gas, an important desideratum when all loss is to be avoided; for with only a funnel tube, every time a small portion of fluid is added, a sudden rush of gas takes place, with probably a small, but still more or less appreciable, loss. But the separating funnel, filled with the acid mixture, can be so arranged as to give a constant and regular supply of fluid at the rate of two or three drops per minute, more or less. The gas generated is dried by a calcic chloride tube, and then passes through a tube of hard glass, heated to a red heat by a miniature furnace of three Bunsen lamps with spread burners, so that a continuous flame of 6 inches is obtained, and with a proper length of cooled tube not a trace of arsenic passes by. The glass tube where heated is wound with a strip of wire gauze, both ends being supported upon the edges of the lamp frame, so that the tube does not sink down when heated. The small furnace is provided with two appropriate side pieces of sheet metal, so that a steady flame is always obtained. When the quantity of arsenic is very small, the tube is naturally so placed that the mirror is deposited in the narrow portion; but when the arsenic is present to the extent of 0·005 grm., the tube should be 6 mm. in inner diameter, and so arranged that fully 2 inches of this large tube are between the flame and the narrow portion. When the quantity of arsenic is less, the tube can naturally be smaller.
Acids of different strengths are made as follows:—
| Acid No. 1. | |
| 545 | c.c. pure conc. H2SO4. |
| 5000 | c.c. H2O. |
| Acid No. 2. | |
| 109 | c.c. pure conc. H2SO4. |
| 1640 | c.c. Acid No. 1. |
| Acid No. 3. | |
| 218 | c.c. pure conc. H2SO4. |
| 1640 | c.c. Acid No. 1. |
| Acid No. 4. | |
| 530 | c.c. pure conc. H2SO4. |
| 1248 | c.c. H2O. |
25 to 35 grms. of granulated zinc, previously alloyed with a small quantity of platinum, are placed in the generator, and everything being in position, the apparatus is filled with hydrogen by the use of a small quantity of acid No. 2. After a sufficient time has elapsed, the gas is lighted at the jet, and the glass tube heated to a bright redness.
The arsenical solution in concentrated form is mixed with 45 c.c. of acid No. 2, and the mixture passed into the separating funnel, from which it is allowed to flow into the generator at such a rate that the entire fluid is introduced in one hour or one and a half; 40 c.c. of acid No. 3 are then added and allowed to flow slowly into the generator, and, lastly, 45 c.c. of acid No. 4. The amount of time required will vary with the amount of arsenic: 2 to 3 mgrms. of arsenic will require about two to three hours for the entire decomposition, while 4 to 5 mgrms. will need perhaps three to four hours. Where the amount of arsenic is small, only 25 grms. of zinc are needed, and but 45 c.c. of acid No. 2, 30 c.c. of acid No. 3, and 30 c.c. of acid No. 4; but when 4 to 5 mgrms. of arsenic are present, it is better to take the first mentioned quantities of zinc and acids.
The arsenic being thus collected as a large or small mirror of metal, the tube is cut at a safe distance from the mirror, so that a tube of perhaps 2 to 6 grms. weight is obtained. This is carefully weighed, and then the arsenic removed by simple heating; or, if the arsenic is to be saved (as in a toxicological case), dissolved out with strong nitric acid. The tube is then cleaned, dried, and again weighed, the difference giving the weight of metallic arsenic, from which, by a simple calculation, the amount of arsenious oxide can be obtained. Some test results are given as follows; they were obtained by introducing definite quantities of arsenious oxide in the form of a solution mixed with 45 c.c. of No. 2 acid, &c.:—
| Quantity of Arsenic introduced. | Wt. of Metallic Arsenic found. | Theoretical Wt. of Metallic Arsenic. | ||
|---|---|---|---|---|
| 0·005 | grm. | As2O3 | 0·00373 | 0·00378 |
| 0·005 | „ | „ | 0·00370 | 0·00378 |
| 0·004 | „ | „ | 0·00300 | 0·00303 |
| 0·002 | „ | „ | 0·00151 | 0·00151 |
Sanger estimates and tests for minute quantities of arsenic by the Marsh-Berzelius process, and uses a generator of hydrogen; that is to say, the hydrogen is evolved in the ordinary way from zinc and sulphuric acid, and the issuing gas dried by calcic chloride; but into this flask is also delivered from another flask, charged with sulphuric acid and zinc, pure hydrogen, so that into the second flask, little by little, may be added the solution to be tested; and, owing to the generating flask, the gas may be made to give a uniform current, and at the end of the operation all arsine swept out. To estimate the quantities of arsenic in the gas, the reduction tube is heated, and a mirror or mirrors obtained, and compared with a set of standard mirrors. The standard mirrors are made as follows:—One grm. of arsenious oxide, purified by repeated sublimation, is dissolved with the aid of a little sodic bicarbonate, and, after acidification with dilute sulphuric acid, made up to 1 litre. This standard solution contains 1 mgrm. of As2O3 in every c.c., and is used to make a second standard solution, containing 0·01 mgrm., to every c.c., by diluting 10 c.c. to a litre. Of this last solution, 1 c.c., 2 c.c., 3 c.c., and so on, are measured and introduced into the reduction flask, and the standard mirrors obtained. It is recommended, for obvious reasons, to make more than one standard for each quantity, for the appearance of the mirrors from the same amount of arsenic varies. The tubes are hermetically sealed, and, when not in use, kept in the dark.
This process is convenient for small amounts of arsenic; but, as stated before, the results are given as metallic arsenic, whereas the films appear never to be composed of pure metallic arsenic, but a mixture of hydride and suboxide. Test experiments give, however, fair results.[785]
[785] Proc. American Academy of Arts and Sciences, vol. xxvi.
§ 745. Arsine Developed from an Alkaline Solution.—Fleitmann discovered in 1851 that arsenic, mixed with finely divided zinc, and excess of soda or potash added, evolved arsine; but no stibine was evolved under the same conditions. In 1873 J. W. Gatehouse suggested the use of aluminium and sodic hydrate as a modification of Fleitmann’s test, for the purpose of distinguishing between arsenic and antimony; and this is now the usual process adopted. The hydrogen comes off regularly even in the cold, but it is best to apply a little heat. This test will evolve arsine from arsenious acid, and also from arsenic trisulphide; but it is not available for the detection of arsenic, when the arsenic is in the form of arsenic acid. According to Clark,[786] it is not adapted for quantitative purposes, because, owing to the formation of solid hydride, about one-fifth remains behind.
[786] Journ. Chem. Soc., 1893, 884.
E. W. Davy, in 1876, proposed the use of sodium amalgam for the generation of arsine; on the whole, it is, however, not so convenient as the aluminium process.
The liquid to be tested is made strongly alkaline with pure sodic or potassic hydrate placed in a flask connected with a tube dipping into a 4 per cent. solution of silver nitrate, a few pieces of sheet aluminium added, and the flask gently heated; any arsine present will reduce the silver. The silver solution thus blackened may be treated in the manner described ([p. 567]).
§ 746. Precipitation as Tersulphide.—Despite the advantages of some of the processes described, which are (to a certain extent) easy and accurate, not a few chemists still prefer the old method of precipitation with hydric sulphide SH2, because, although tedious, it has stood the test of experience. If this be used, it is well in most cases to pass sulphurous anhydride through the liquid until it smells strongly of the gas, for by this means any arsenic acid present is reduced, the sulphurous anhydride is quickly got rid of by a current of carbonic anhydride, and then the liquid is saturated with hydric sulphide. In the ordinary way, much time is often wasted in saturating the liquid with this gas. Those, however, who have large laboratories, and daily employ hydric sulphide, possess (or should possess) a water saturated with the gas under pressure; such a liquid, added in equal volume to an arsenical solution, is able to convert the whole of the arsenic into sulphide in a very few minutes. Those who do not possess this hydric sulphide water can saturate in an hour the liquid to be tested, by passing the gas in under pressure.[787] A convenient method is to evolve SH2 from sulphide of antimony and ClH; the gas passes first into a wash-bottle, and then into a strong flask containing the solution under trial. This flask is furnished with a safety-valve, proportioned to the strength of the apparatus; the two tubes dipping into the wash-bottle and the last flask are provided with Bunsen’s valves, which only allow the gas to pass in one direction. The hydric sulphide is then driven over by heat, and when sufficient gas has in this way passed into the liquid, the flame is withdrawn, and the apparatus allowed to stand for some hours, the valves preventing any backward flow of the liquid or gas. When the precipitate has settled to the bottom, the supernatant fluid is carefully passed through a filter, and the precipitate washed by decantation in the flask, without transference to the filter, if it can be avoided.
[787] Hydric sulphide gas has been liquefied, and is now an article of commerce, being sold in iron bottles.
The impure sulphide is washed with water, then with alcohol, then with carbon disulphide, then, after having got rid of the lead, again with alcohol, and finally with water; it is then dissolved in ammonia, the ammonia solution filtered, and the filtrate evaporated to dryness on a sand-bath, at a somewhat high temperature; in this way it is freed from sulphur and, to a great extent, from organic matter; after weighing, it may be purified or identified by some of the following methods:—
(a) Solution in Ammonia and Estimation by Iodine.[788]—The filter is pierced, the sulphide washed into a flask by ammonia water (which need not be concentrated), and dissolved by warming, filtered from any insoluble matter, and estimated by iodine and starch.
[788] P. Champion and H. Pellett, Bull. Soc. Chim. (2), xxvj. pp. 541-544.
(b) Oxidation of the Sulphide and Precipitation as Ammonia Magnesian Arseniate, or Magnesia Pyro-Arseniate.—The tersulphide, as before, is dissolved in ammonia (not omitting the filter-paper, which should be soaked in this reagent), the solution filtered, and evaporated to dryness. The dry residue is now oxidised by fuming nitric acid, taking care to protect the dish with a large watch-glass (or other cover) during the first violent action; the dish is then heated in the water-bath until all the sulphur has disappeared, and only a small bulk of the liquid remains; it is then diluted and precipitated by “magnesia mixture.”[789] The fluid must stand for several hours, and, if the arsenic is to be determined as the usual ammoniacal salt, it must be passed through a weighed filter, and washed with a little ammoniacal water (1 : 3). The solubility of the precipitate is considerable, and for every 16 c.c. of the filtrate (not the washings) 1 mgrm. must be allowed. The precipitate, dried at 100°, 2(NH4MgAsO4)H2O, represents 39·47 per cent. metallic arsenic.
[789] Magnesia Mixture:—
| Sulphate of magnesia, | 1 |
| Chloride of ammonium, | 1 |
| Solution of ammonia, | 4 |
| Water, | 8 |
Dissolve; then allow to stand for several days; finally filter, and keep for use.
The solubility of the magnesium arseniate itself, and the general dislike which chemists have to weighing in such hygroscopic material as a filter, are, perhaps, the main reasons for the variation of this old method, which has lately come into notice. Rose proposed some time ago the conversion of the double salt into the pyro-arseniate—a method condemned by Fresenius and Parnell, but examined and pronounced a practicable and accurate process by Remol, Rammelsberg, Thorpe, Fuller, Wittstein, Emerson, Macivor, Wood, and Brauner. The modification of Rose’s process, recommended by Wood,[790] and still further improved by Brauner,[791] may be accepted.
[790] Zeitschrift für anal. Chem., vol. xiv. p. 356.
[791] Ibid., xvj. pp. 57, 58.
The precipitation is effected by magnesia mixture, with the addition of half its bulk of alcohol. The solution is allowed to stand for several hours, until it is possible to decant the clear liquid from the precipitate; the latter is now dissolved in ClH, reprecipitated as before, thrown on a small filter, and washed with a mixture of one volume of ammonia, two volumes of alcohol, and three of water.
The precipitate is now dried, and transferred as completely as possible from the filter into a small porcelain crucible, included in a larger one made of platinum, moistened with nitric acid, covered and heated at first gently, lastly to a bright redness; the filter is then treated similarly, and the crucible with its contents weighed. Pyro-arseniate of arsenic (Mg2As2O7) contains 48·29 per cent. of metallic arsenic.
(c) Conversion of the Trisulphide of Arsenic into the Arsenomolybdate of Ammonia.—The purified sulphide is oxidised by nitric acid, the acid solution is rendered alkaline by ammonia, and then precipitated by a molybdenum solution, made as follows:—100 grms. of molybdic acid are dissolved in 150 c.c. of ordinary ammonia and 80 of water; this solution is poured drop by drop into 500 c.c. of pure nitric acid and 300 c.c. of water; it is allowed to settle, and, if necessary, filtered. The molybdic solution must be mixed in excess with the liquid under treatment, the temperature raised to 70° or 80°, and nitric acid added in excess until a yellow coloration appears; the liquid is then passed through a tared filter, and dried at 100°. It contains 5·1 per cent. of arsenic acid [3·3 As].[792]
[792] Champion and Pellett, Bull. Soc. Chim., Jan. 7, 1877.
(d) Conversion of the Sulphide into Metallic Arsenic.—If there should be any doubt as to the nature of the precipitated substances, the very best way of resolving this doubt is to reduce the sulphide to metal; the easiest method of proving this is to dissolve in potash and obtain arsine by the action of aluminium; or if it is desired to evolve arsine from an acid solution with zinc in the usual way, then by dissolving a slight excess of zinc oxide in potash or soda, and dissolving in this the arsenic sulphide; the zinc combines with all the sulphur, and converts the sulpharsenite into arsenite; the zinc sulphide is filtered off, and the filtrate acidified and introduced into Marsh’s apparatus. The original process of Fresenius was to mix the sulphide with carbonate of soda and cyanide of potassium, and place the mixture in the wide part of a tube of hard German glass, drawn out at one end to a capillary fineness. Carbonic anhydride, properly dried, was passed through the tube, and the portion containing the mixture heated to redness; in this way the arsenical sulphide was reduced, and the metal condensed in the capillary portion, where the smallest quantity could be recognised. A more elaborate and accurate process, based on the same principles, has been advocated by Mohr.[793]
[793] Mohr’s Toxicologie, p. 57.
A convenient quantity of carbonate of soda is added to the sulphide, and the whole mixed with a very little water, and gently warmed. The yellow precipitate is very soon dissolved, and then the whole is evaporated carefully, until it is in a granular, somewhat moist, adhesive state. It is now transferred to a glass tube, open at top and bottom, but the top widened into a funnel; this tube is firmly held perpendicularly on a glass plate, and the prepared sulphide hammered into a compact cylinder by the aid of a glass rod, which just fits the tube. The cylinder is now dried over a flame, until no more moisture is to be detected, and then transferred into a glass tube 4 or 5 inches long, and with one end drawn to a point (the weight of this tube should be first accurately taken). The tube is connected with the following series:—(1) A chloride of calcium tube; (2) a small bottle containing nitrate of silver solution; (3) a hydrogen-generating bottle containing zinc and sulphuric acid. The hydrogen goes through the argentic nitrate solution, leaving behind any sulphur and arsenic it may contain; it is then dried by chloride of calcium, and streams in a pure dry state over the cylinder of prepared sulphide (no error with regard to impurities in the gas is likely to occur; but in rigid inquiries it is advisable to heat a portion of the tube, previous to the insertion of the cylinder, for some time, in order to prove the absence of any external arsenical source); when it is certain that pure hydrogen, unmixed with air, is being evolved, the portion of the tube in which the cylinder rests is heated slowly to redness, and the metallic arsenic sublimes at a little distance from the source of heat. Loss is inevitable if the tube is too short, or the stream of hydrogen too powerful.
The tube after the operation is divided, the portion soiled by the soda thoroughly cleansed, and then both parts weighed; the difference between the weight of the empty tube and the tube + arsenic gives the metallic arsenic. This is the process as recommended by Mohr; it may, however, be pointed out that the glass tube itself loses weight when any portion of it is kept red-hot for some little time; and, therefore, unless the crust is required in the original tube, it is better to divide it, carefully weigh the arsenical portion, remove the crust, and then re-weigh. The method is not perfectly accurate. The mirror is not pure metallic arsenic (see [p. 571]), and if the white alkaline residue be examined, arsenic will be detected in it, the reason being that the arsenical sulphide generally contains pentasulphide of arsenic as well as free sulphur. Now the pentasulphide does not give up metallic arsenic when treated as before detailed; nor, indeed, does the trisulphide, if mixed with much sulphur, yield an arsenical crust. It is, therefore, of great moment to free the precipitate as much as possible from sulphur, before attempting the reduction.
The development of a reducing gas from a special and somewhat complicated apparatus is not absolutely necessary. The whole process of reduction, from beginning to end, may take place in a single tube by any of the following processes:—(1) The sulphide is mixed with oxalate of soda (a salt which contains no water of crystallisation), and the dry mixture is transferred to a suitable tube, sealed at one end. An arsenical mirror is readily obtained, and, if the heat is continued long enough, no arsenic remains behind—an excellent and easy method, in which the reducing gas is carbonic oxide, in an atmosphere of carbonic anhydride. (2) The sulphide is oxidised by aqua regia, and the solution evaporated to complete dryness. The residue is then dissolved in a few drops of water, with the addition of some largish grains of good wood charcoal (which absorb most of the solution), and the whole carefully dried. The mass is now transferred to a tube closed at one end, a little charcoal added in the form of an upper layer, and heat applied first to this upper layer, so as to replace the air with CO2, and then to bring the whole tube gradually to redness from above downwards. In this case also the whole of the arsenic sublimes as a metallic mirror.
There are various other modifications, but the above are trustworthy, and quite sufficient. Brugelmann’s method of determining arsenic, elsewhere described, would appear to possess some advantages, and to promise well; but the writer has had no personal experience of it with regard to arsenic.
§ 747. Conversion of Arsenic into Arsenious Chloride (AsCl3).—This process, first employed by Schneider and Fyfe, and afterwards modified by Taylor, differs from all the preceding, since an attempt is made to separate by one operation volatile metallic chlorides, and to destroy the organic matter, and thus obtain two liquids—one a distillate—tolerably clear and free from solid particles, whilst the mass in the retort retains such metals as copper, and is in every way easy to deal with.
Schneider and Fyfe employed sulphuric acid and common salt; but Taylor recommends hydrochloric acid, which is in every respect preferable. As recommended by Taylor, all matters, organic or otherwise, are to be completely desiccated before their introduction into a retort, and on these dried substances sufficient pure hydrochloric acid poured, and the distillation pushed to dryness. Every one is well aware how tedious is the attempt to dry perfectly the organs of the body (such as liver, &c.) at any temperature low enough to ensure against volatilisation of such a substance as, e.g., calomel. This drying has, therefore, been the great stumbling-block which has prevented the general application of the process. It will be found, however, that drying in the ordinary way is by no means necessary. The writer cuts up the solid organ (such as liver, brain, &c.) with scissors into small pieces, and transfers them to a retort fitted by an air-tight joint to a Liebig condenser; the condenser in its turn being connected with a flask by a tube passing through an india-rubber stopper dipping into a little water. Another tube from the same flask is connected with india-rubber piping, which is connected with a water-pump, the fall tube of which terminates in the basement of a house over a gully. The distillation is now carried on to carbonisation; on cooling, a second quantity of hydrochloric acid is added, and the last fraction of the distillate examined for arsenic. If any is found, a third distillation is necessary. At the termination of the operation the retort is washed with water, the solution filtered, and this solution and the distillate are each separately examined for arsenic. If properly performed, however, the second distillation brings over the whole of the arsenical chloride,[794] and none will be found in the retort. With the above arrangement there can be no odour, nor is there any loss of substance. In the distillate the arsenic can hardly be in the form of arsenious chloride, but rather arsenious acid and hydrochloric acid; for the chloride easily splits up in the presence of water into these substances. It is best to convert it into the trisulphide. Taylor[795] recommends evolving arsine in the usual way, and passing the arsine (AsH3) into solution of silver nitrate, finally estimating it as an arseniate of silver. Objections with regard to the impurity of reagents should be met by blank experiments. Kaiser[796] has proposed and practised a modification of this method, which essentially consists in the use of sulphuric acid and sodic chloride (as in Schneider and Fyfe’s original process), and in passing the distillate first into a flask containing a crystal or two of potassium chlorate, and thence into an absorption bulb; in the latter most of the arsenic is found in the form of arsenic acid, the chloride having been oxidised in its passage. The apparatus is, however, complicated in this way without a corresponding advantage.[797] Lastly, E. Fischer[798] has shown that it is a considerable advantage to add from 10 to 20 c.c. of a saturated solution of ferrous chloride before distilling with HCl. In this way all the arsenic, whether as arsenic or arsenious acids, is easily converted into chloride.
[794] Dragendorff asserts to the contrary; but we may quote the authority of Taylor, who has made several experiments, in which he obtained all the arsenic as chloride. The writer has performed the process many times, each time carefully testing the mass in the retort for arsenic; but the result proved that it had entirely passed over.
[795] Principles of Medical Jurisprudence, vol. i. p. 267.
[796] Zeitschr. f. anal. Chem., xiv. pp. 250-281.
[797] Selmi (Atti dell. Accademia dei Lincei, Fasc. ii., 1879) proposed a modification of Schneider’s process. The substances are treated with hot, pure sulphuric acid, and at the same time the liquid is traversed by a stream of hydrochloric acid gas. The resulting distillate is tested for arsenic by Marsh’s process. Selmi states that, operating in this way, he has detected 1⁄400 of a mgrm. of As2O3 in 100 grms. of animal matter.
[798] Scheidung u. Bestimmung d. Arsens; Liebig’s Annalen d. Chemie, Bd. ccvii. p. 182.
2. ANTIMONY.
§ 748. Metallic Antimony.—Atomic weight, 120·3 (R. Schneider), 120·14 (Cook[799]); specific gravity, 6·715; fusing-point about 621° (1150° F.). In the course of analysis, metallic antimony may be seen as a black powder thrown down from solutions; as a film deposited on copper or platinum; and, lastly, as a ring on the inside of a tube from the decomposition of stibine. At a bright red-heat it is volatilised slowly, even when hydrogen is passed over it; chlorine, bromine, and iodine combine with it directly. It may be boiled in concentrated ClH without solution; but aqua regia, sulphides of potassium and sodium readily dissolve it. The distinction between thin films of this metal and of arsenic on copper and glass are pointed out at [pp. 557] and [559]. It is chiefly used in the arts for purposes of alloy, and enters to a small extent into the composition of fireworks (vide [pp. 534] and [581]).
[799] Ann. Phys. Chem. (2), v. pp. 255-281.
§ 749. Antimonious Sulphide.—Sulphide of antimony = 336; composition in 100 parts, Sb 71·76, S 28·24. The commercial article, known under the name of black antimony, is the native sulphide, freed from silicious matter by fusion, and afterwards pulverised. It is a crystalline metallic-looking powder, of a steel-grey colour, and is often much contaminated with iron, lead, copper, and arsenic.
The amorphous sulphide (as obtained by saturating a solution of tartar emetic with SH2) is an orange-red powder, soluble in potash and in ammonic, sodic, and potassic sulphides; and dissolving also in concentrated hydrochloric acid with evolution of SH2. It is insoluble in water and dilute acid, scarcely dissolves in carbonate of ammonia, and is quite insoluble in potassic bisulphite. If ignited gently in a stream of carbonic acid gas, the weight remains constant. To render it anhydrous, a heat of 200° is required.
The recognition of arsenic in the commercial sulphide is most easily effected by placing 2 grms. or more in a suitable retort (with condenser), adding hydrochloric acid, and distilling. The chloride of arsenic passes over before the chloride of antimony; and by not raising the heat too high, very little antimony will come over, even if the distillation be carried almost to dryness. The arsenic is detected in the distillate by the ordinary methods.
Several lamentable accidents have happened through mistaking the sulphide of antimony for oxide of manganese, and using it with potassic chlorate for the production of oxygen. The addition of a drop of hydrochloric acid, it is scarcely necessary to say, will distinguish between the two.
Antimony is frequently estimated as sulphide. An amorphous tersulphide of mercury, containing a small admixture of antimonious oxide and sulphide of potassium, is known under the name of Kermes mineral, and has lately been employed in the vulcanising of india-rubber. Prepared in this way, the latter may be used for various purposes, and thus become a source of danger. It behoves the analyst, therefore, in searching for antimony, to take special care not to use any india-rubber fittings which might contain the preparation.
A pentasulphide of antimony (from the decomposition of Schleppe’s salt [Na3Sb6S4 + 9H2O], when heated with an acid) is used in calico-printing.
§ 750. Tartarated Antimony, Tartrate of Potash and Antimony, or Tartar Emetic, is, in a medico-legal sense, the most important of the antimonial salts. Its formula is KSbC4H4O7H2O, and 100 parts, theoretically, should contain 35·2 per cent. of metallic antimony. The B.P. gives a method of estimation of tartar emetic not free from error, and Professor Dunstan has proposed the following:—Dissolve 0·3 grm. of tartar emetic in 80 c.c. of water, add to this 10 c.c. of a 5 per cent. solution of sodium bicarbonate, and immediately titrate with a decinormal solution of iodine, using starch as an indicator. One c.c. of n⁄10 iodine = 0·0166 grm. tartar emetic; therefore, if pure, the quantity used by 0·3 grm. should be 18 c.c. Tartar emetic occurs in commerce in colourless, transparent, rhombic, octahedral crystals, slightly efflorescing in dry air.
A crystal, placed in the subliming cell ([p. 258]), decrepitates at 193·3° (380° F.), sublimes at 248·8° (480° F.) very slowly and scantily, and chars at a still higher temperature, 287·7° (550° F.). On evaporating a few drops of a solution of tartar emetic, and examining the residue by the microscope, the crystals are either tetrahedra, cubes, or branched figures. 100 parts of cold water dissolve 5 of tartar emetic, whilst the same quantity of boiling water dissolves ten times as much, viz., 50. The watery solution decomposes readily with the formation of algæ; it gives no precipitate with ferrocyanide of potassium, chloride of barium, or nitrate of silver, unless concentrated.
§ 751. Metantimonic Acid, so familiar to the practical chemist from its insoluble sodium salt, is technically applied in the painting of glass, porcelain, and enamels; and in an impure condition, as antimony ash, to the glazing of earthenware.
§ 752. Pharmaceutical, Veterinary, and Quack Preparations of Antimony.[800]
[800] The history of antimony as a drug is curious. Its use was prohibited in France in 1566, because it was considered poisonous, one Besnier being actually expelled from the faculty for transgressing the law on this point. The edict was repealed in 1650; but in 1668 there was a fresh enactment, confining its use to the doctors of the faculty.
(1) Pharmaceutical Preparations:—
Oxide of Antimony (Sb2O3) is a white powder, fusible at a low red heat, and soluble without effervescence in hydrochloric acid, the solution responding to the ordinary tests for antimony. Arsenic may be present in it as an impurity; the readiest means of detection is to throw small portions at a time on glowing charcoal, when very small quantities of arsenic will, under such conditions, emit the peculiar odour. Carbonate of lime appears also to have been found in the oxide of commerce.
Antimonial Powder is composed of one part of oxide of antimony and two parts of phosphate of lime; in other words, it ought to give 33·3 per cent. of Sb2O3.
Tartar Emetic itself has been already described. The preparations used in medicine are—
The Wine of Antimony (Vinum antimoniale), which is a solution of tartar emetic in sherry wine, and should contain 2 grains of the salt in each ounce of the wine (0·45 grm. in 100 c.c.).
Antimony Ointment (Unguentum antimonii tartarati) is a mechanical mixture of tartar emetic and lard, or simple ointment;[801] strength 20 per cent. There is no recorded case of conviction for the adulteration of tartar emetic; cream of tartar is the only probable addition. In such a case the mixture is less soluble than tartar emetic itself, and on adding a small quantity of carbonate of soda to a boiling solution of the suspected salt, the precipitated oxide at first thrown down, becomes redissolved.
[801] Simple ointment is composed of white wax 2, lard 3, almond oil 3 parts.
Solution of Chloride of Antimony is a solution of the terchloride in hydrochloric acid; it is a heavy liquid of a yellowish-red colour, powerfully escharotic; its specific gravity is 1·47; on dilution with water, the whitish-yellow oxychloride of antimony is precipitated. One drachm (3·549 c.c.) mixed with 4 ounces (112 c.c.) of a solution of tartaric acid (·25 : 4) gives a precipitate with SH2, which weighs at least 22 grains (1·425 grm.). This liquid is used on very rare occasions as an outward application by medical men; farriers sometimes employ it in the foot-rot of sheep.
Purified Black Antimony (Antimonium nigrum purificatum) is the purified native sulphide Sb2S3; it should be absolutely free from arsenic.
Sulphurated Antimony (Antimonium sulphuratum) is a mixture of sulphide of antimony, Sb2S3, with a small and variable amount of oxide, Sb2O3. The P.B. states that 60 grains (3·888 grms.) dissolved in ClH, and poured into water, should give a white precipitate of oxychloride of antimony, which (properly washed and dried) weighs about 53 grains (3·444 grms.). The officinal compound pill of subchloride of mercury (Pilula hydrargyri subchloridi composita) contains 1 grain (·0648 grm.) of sulphurated antimony in every 5 grains (·324 grm.), i.e., 20 per cent.
(2) Patent and Quack Pills:—
Dr. J. Johnson’s Pills.—From the formula each pill should contain:—
| Grains. | Grms. | |||
|---|---|---|---|---|
| Compound Extract of Colocynth, | 2 | ·5 | = | ·162 |
| Calomel, | ·62 | = | ·039 | |
| Tartar Emetic, | ·04 | = | ·002 | |
| Oil of Cassia, | ·12 | = | ·007 | |
| 3 | ·28 | = | ·210 | |
The oil of cassia can be extracted by petroleum ether; the calomel sublimed and identified by the methods given in the article on “[Mercury]”; the antimony deposited in the metallic state on platinum or tin; and the colocynth extracted by dissolving in water, acidifying, and shaking up with chloroform. On evaporating the chloroform the residue should taste extremely bitter; dissolved in sulphuric acid it changes to a red colour, and dissolved in Fröhde’s reagent to a cherry-red. It should also have the ordinary reactions of a glucoside.
Mitchell’s Pills contain in each pill:—
| Grains. | Grms. | |||
|---|---|---|---|---|
| Aloes, | 1 | ·1 | = | ·070 |
| Rhubarb, | 1 | ·6 | = | ·103 |
| Calomel, | ·16 | = | ·010 | |
| Tartar Emetic, | ·05 | = | ·003 | |
| 2 | ·91 | = | ·186 | |
The mineral substances in this are easy of detection by the methods already given; the aloes by the formation of chrysammic acid, and the rhubarb by its microscopical characters.
Dixon’s Pills probably contain the following in each pill:—
| Grains. | Grms. | |||
|---|---|---|---|---|
| Compound Extract of Colocynth, | 2 | ·0 | = | ·1296 |
| Rhubarb, | 1 | ·0 | = | ·0648 |
| Tartar Emetic, | ·06 | = | ·0038 | |
| 3 | ·06 | = | ·1982 | |
(3) Antimonial Medicines, chiefly Veterinary:[802]—
[802] There has long prevailed an idea (the truth of which is doubtful) that antimony given to animals improves their condition; thus, the Encyclop. Brit., 5th ed., art. “Antimony”:—“A horse that is lean and scrubby, and not to be fatted by any means, will become fat on taking a dose of antimony every morning for two months together. A boar fed for brawn, and having an ounce of antimony given him every morning, will become fat a fortnight sooner than others put into the stye at the same time, and fed in the same manner, but without the antimony.” Probably the writer means by the term antimony the impure sulphide. To this may be added the undoubted fact, that in Brunswick the breeders of fat geese add a small quantity of antimonious oxide to the food, as a traditional custom.
Liver of Antimony is a preparation formerly much used by farriers. It is a mixture of antimonious oxide, sulphide of potassium, carbonate of potassium, and undecomposed trisulphide of antimony (and may also contain sulphate of potassium), all in very undetermined proportions. When deprived of the soluble potash salts, it becomes the washed saffron of antimony of the old pharmacists. A receipt for a grease-ball, in a modern veterinary work, gives, with liver of antimony, cream of tartar and guaiacum as ingredients.
Hind’s Sweating-ball is composed of 60 grains (3·888 grms.) of tartar emetic and an equal portion of assafœtida, made up into a ball with liquorice-powder and syrup. The assafœtida will be readily detected by the odour, and the antimony by the methods already recommended.
Ethiops of Antimony, very rarely used now, is the mechanical mixture of the sulphides of antimony and mercury—proportions, 3 of the former to 2 of the latter.
The Flowers of Antimony is an impure oxysulphide of antimony, with variable proportions of trioxide and undecomposed trisulphide.
Diaphoretic Antimony (calcined antimony) is simply antimoniate of potash.
Glass of Antimony is a mixture of sulphide and oxide of antimony, contaminated with a small quantity of silica and iron.
A quack pill, by name, Ward’s Red Pill, is said to contain glass of antimony and dragon’s blood.
Antimonial Compounds used in Pyrotechny:—
| Blue Fire:— | ||
| Antimonious sulphide, | 1 | |
| Sulphur, | 2 | |
| Nitre, | 6 | |
This composition is used for the blue or Bengal signal-light at sea. Bisulphide of carbon and water are solvents which will easily separate the powder into its three constituents.
| Crimson Fire:— | |||
| Potassic Chlorate, | 17· | 25 | |
| Alder or Willow Charcoal, | 4· | 5 | |
| Sulphur, | 18· | ||
| Nitrate of Strontia, | 55· | ||
| Antimonious Sulphide, | 5· | 5 | |
The spectroscope will readily detect strontia and potassium, and the analysis presents no difficulty. In addition to these a very great number of other pyrotechnical preparations contain antimony.
§ 753. Alloys.—Antimony is much used in alloys. The ancient Pocula emetica, or everlasting emetic cups, were made of antimony, and with wine standing in them for a day or two, they acquired emetic properties. The principal antimonial alloys are Britannia and type metal, the composition of which is as follows:—
| Tin, per cent. | Copper, per cent. | Antimony, per cent. | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Britannia Metal, | Best, | 92 | ·0 | 1 | ·8 | 6 | ·2 | |||
| Common, | 92 | ·1 | 2 | ·0 | 5 | ·9 | ||||
| For Castings, | 92 | ·9 | 1 | ·8 | 5 | ·3 | ||||
| For Lamps, | 94 | ·0 | 1 | ·3 | 4 | ·7 | ||||
| Tea Lead, per cent. | Antimony, per cent. | Block Tin, per cent. | ||||||||
| Type Metal, | - | (1.) | 75 | 20 | 5 | |||||
| (2.) | 70 | 25 | 5 | |||||||
| Metal for Stereotype, | 84 | ·2 | 13 | ·5 | 2 | ·3 | ||||
There is also antimony in brass, concave mirrors, bell-metal, &c.
§ 754. Pigments.—Cassella and Naples yellow are principally composed of the antimoniate of lead.
Antimony Yellow is a mixture of antimoniate of lead with basic chloride of lead.
§ 755. Dose.—A medicinal dose of a soluble antimonial salt should not exceed 97·2 mgrms. (11⁄2 grain). With circumstances favouring its action, a dose of 129·6 mgrms. (2 grains) has proved fatal;[803] but this is quite exceptional, and few medical men would consider so small a quantity dangerous for a healthy adult, especially since most posological tables prescribe tartar emetic as an emetic in doses from 64·8 to 194·4 mgrms. (1 to 3 grains). The smallest dose which has killed a child appears to be 48·5 mgrms. (3⁄4 grain).[804] The dose of tartar emetic for horses and cattle is very large, as much as 5·832 grms. (90 grains) being often given to a horse in his gruel three times a day. 3·8 grms. (60 grains) are considered a full, but not an excessive, dose for cattle; ·38 grm. (6 grains) is used as an emetic for pigs, and half this quantity for dogs.
[803] Taylor, Guy’s Hosp. Reports, Oct. 1857.
[804] Op. cit.
§ 756. Effects of Tartar Emetic and of Antimony Oxide on Animals.—Large doses of tartar emetic act on the warm-blooded animals as on man; whether the poison is taken by the mouth, or injected subcutaneously, all animals able to vomit[805] do so. The heart’s action, at first quickened, is afterwards slowed, weakened, and lastly paralysed. This action is noticed in cold as well as in warm-blooded animals. It is to be ascribed to a direct action on the heart; for if the brain and spinal cord of the frog be destroyed—or even if a solution of the salt be applied direct to the frog’s heart separated from the body—the effect is the same. The weak action of the heart, of course, causes the blood-pressure to diminish, and the heart stops in diastole. The voluntary muscles of the body are also weakened; the breathing is affected, partly from the action on the muscles. The temperature of the body is depressed (according to F. A. Falck’s researches) from 4·4° to 6·2°.
[805] L. Hermann (Lehrbuch der experimentellen Toxicologie) remarks that the vomiting must be considered as a reflex action from the inflammatory excitement of the digestive apparatus, especially of the stomach. It is witnessed if the poison is administered subcutaneously or injected into the brain. Indeed, it is established that (at least, so far as the muscles are concerned) the co-ordinated movements producing vomiting are caused by excitement of the medulla oblongata. Giannussi and others found that after section between the first and third vertebræ of dogs, and subsequent administration of tartar emetic, no vomiting took place; and Grimm’s researches seem to show that the suspected vomit-centre is identical with the respiratory centre, so that the vomiting movement is only an abnormal respiratory movement. L. Hermann, however, considers the theory that when tartar emetic is introduced into the vessels the vomit-centre is directly excited, erroneous, for (1) in introducing it by the veins much larger doses are required to excite vomiting than by the stomach; and (2), after subcutaneous injection of the salt, antimony is found in the first vomit. His explanation, therefore, is that antimony is excreted by the intestinal tract, and in its passage excites this action. Majendie’s well-known experiment—demonstrating that, after extirpation of the stomach, vomiting movements were noticed—is not considered opposed to this view.
The effect of small doses given repeatedly to animals has been several times investigated. Dr. Nevin[806] experimented upon eleven rabbits, giving them tartar emetic four times a day in doses of 32·4 mgrms. (1⁄2 grain), 64·8 mgrms. (1 grain), and 129·6 mgrms. (2 grains). Five died, the first after four, the last after seventeen days; three were killed after one, three, and four days respectively, two after an interval of fourteen days, and one thirty-one days after taking the last dose. There was no vomiting; diarrhœa was present in about half the number; one of the rabbits, being with young, aborted. The chief symptoms were general dulness, loss of appetite, and in a few days great emaciation. Four of the five that died were convulsed before death, and several of the animals exhibited ulcers of the mucous membrane of the mouth, in places with which the powder had come in contact. Caillol and Livon have also studied the action of small doses of the white oxide of antimony given in milk to cats. A cat took in this way in 109 days ·628 grm. The animal passed gradually into a cachectic state, diarrhœa supervened, and it died miserably thin and exhausted.
[806] Lever, Med. Chir. Journ., No. 1.
§ 757. Effects of Tartar Emetic on Man.[807]—The analogy between the symptoms produced by arsenic and antimony is striking, and in some acute cases of poisoning by tartar emetic, there is but little (if any) clinical difference. If the dose of tartar emetic is very large, there may be complete absence of vomiting, or only a single evacuation of the stomach. Thus, in a case mentioned by Taylor, in which a veterinary surgeon swallowed by mistake 13 grms. (200 grains) of tartar emetic, vomiting after fifteen minutes could only be induced by tickling the throat. So, again, in the case reported by Mr. Freer, a man, aged 28, took 7·77 grms. (120 grains) of tartar emetic by mistake for Epsom salts; he vomited only once; half an hour after taking the poison he had violent pain in the stomach and abdomen, and spasmodic contraction of the abdomen and arms; the fingers were firmly contracted, the muscles quite rigid, and there was involuntary aqueous purging. After six hours, during which he was treated with green tea, brandy, and decoction of oak-bark, he began to recover, but suffered for many nights from profuse perspirations.
[807] Antimony occasionally finds its way into articles of food through obscure channels. Dr. Page has recorded the fact of antimonial lozenges having been sold openly by an itinerant vendor of confectionery. Each lozenge contained nearly a quarter of a grain (·16 mgrms.), and they caused well-marked symptoms of poisoning in the case of a servant and two children. How the antimony got in was unknown. In this case it appears to have existed not as tartar emetic, but as an insoluble oxide, for it would not dialyse in aqueous solution.—“On a remarkable instance of Poisoning by means of Lozenges containing Antimony,” by David Page, M.D., Medical Officer of Health, Lancet, vol. i., 1879, p. 699.
With more moderate and yet large doses, nausea and vomiting are very prominent symptoms, and are seldom delayed more than half an hour. The regular course of symptoms may therefore be summed up thus:—A metallic taste in the mouth, repeated vomitings, which are sometimes bloody, great faintness and depression, pains in the abdomen and stomach, and diarrhœa, which may be involuntary. If the case is to terminate fatally, the urine is suppressed, the temperature falls, the face becomes cyanotic, delirium and convulsions supervene, and death occurs in from two to six days. Antimony, like arsenic, often produces a pustular eruption. Solitary cases deviate more or less from the course described, i.e., severe cramps affecting all the muscles, hæmorrhage from the stomach, kidney, or bowel, and death from collapse in a few hours, have all been noticed. In a case recorded by Mr. Morley,[808] a surgeon’s daughter, aged 18, took by mistake an unknown quantity of antimonial wine; she soon felt sleepy and powerless, and suffered from the usual symptoms in combination with tetanic spasms of the legs. She afterwards had enteritis for three weeks, and on recovery her hair fell off. Orfila relates a curious case of intense spasm of the gullet from a large dose of tartar emetic.
[808] Brit. Med. Journ., Oct. 14, p. 70.
§ 758. Chronic Antimonial Poisoning.—The cases of Palmer and J. P. Cook, M. Mullen, Freeman, Winslow, Pritchard, and the remarkable Bravo case have, in late years, given the subject of chronic antimonial poisoning a considerable prominence. In the trials referred to, it was shown that medical men might easily mistake the effects of small doses of antimony given at intervals for the action of disease—the symptoms being great nausea, followed by vomiting, chronic diarrhœa, alternating with constipation, small frequent pulse, loss of voice, great muscular weakness, depression, with coldness of the skin and a clammy perspiration. In the case of Mrs. Pritchard,[809] her face was flushed, and her manner so excited as to give an ordinary observer the idea that she had been drinking; and with the usual symptoms of vomiting and purging, she suffered from cramps in the hands. Dr. Pritchard tried to make it appear that she was suffering from typhoid fever, which the symptoms in a few respects only resembled.
[809] Edin. Med. Journ., 1865.
According to Eulenberg, workmen, exposed for a long period to the vapour of the oxide of antimony, suffer pain in the bladder and a burning sensation in the urethra, and continued inhalation even leads to impotence and wasting of the testicles.[810]
[810] In the first operations of finishing printers’ types, the workmen inhale a metallic dust, which gives rise to effects similar to lead colic; and probably in this case the lead is more active than the associated antimony.
§ 759. Post-mortem Appearances.—The effect of large doses of tartar emetic is mainly concentrated upon the gastro-intestinal mucous membrane. There is an example in the museum of University College Hospital of the changes which resulted from the administration of tartar emetic in the treatment of pneumonia. These are ascribed in the catalogue, in part to the local action of the medicine, and in part to the extreme prostration of the patient. In the preparation (No. 1052) the mucous membrane over the fore border of the epiglottis and adjacent part of the pharynx has been destroyed by sloughing; the ulceration extends into the upper part of the œsophagus. About an inch below its commencement, the mucous membrane has been entirely removed by sloughing and ulceration, the circular muscular fibres being exposed. Above the upper limit of this ulcer, the mucous membrane presents several oval, elongated, and ulcerated areas, occupied by strips of mucous membrane which have sloughed. In other places, irregular portions of the mucous membrane, of a dull ashen-gray colour, have undergone sloughing; the edges of the sloughing portion are of colours varying from brown to black.
It is seldom that so much change is seen in the gullet and pharynx as this museum preparation exhibits; but redness, swelling, and the general signs of inflammation are seldom absent from the stomach and some parts of the intestines. On the lining membrane of the mouth, ulcers and pustules have been observed.
In Dr. Nevin’s experiments on the chronic poisoning of rabbits already referred to, the post-mortem appearances consisted in congestion of the liver in all the rabbits; in nearly all there was vivid redness of the stomach; in two cases there was ulceration; in some, cartilaginous hardness of the pylorus; while, in others, the small intestines presented patches of inflammation. In two of the rabbits the solitary glands throughout the intestines were prominent, yellow in colour, and loaded with antimony. The colon and rectum were healthy, the kidneys congested; the lungs were in most congested, in some actually inflamed, or hepatised and gorged with blood. Bloody extravasations in the chest and abdomen were frequent.
Saikowsky,[811] in feeding animals daily with antimony, found invariably in the course of fourteen to nineteen days fatty degeneration of the liver, and sometimes of the kidney and heart. In the experiment of Caillol and Livon also all the organs were pale, the liver had undergone fatty degeneration, and the lung had its alveoli filled with large degenerated cells, consisting almost entirely of fat. The mesenteric glands also formed large caseous masses, yellowish-white in colour, which, under the microscope, were seen to be composed of fatty cells, so that there is a complete analogy between the action of arsenic and antimony on the body tissues.
[811] Virchow’s Arch. f. path. Anat., Bd. xxv.; also, Centralblatt f. Med. Wissen., No. 23, 1865.
§ 760. Elimination of Antimony.—Antimony is mainly eliminated by the urine. In 1840, Orfila showed to the Académie de Médecine metallic antimony, which he had extracted from a patient who had taken ·12 grm. of tartar emetic in twenty-four hours. He also obtained antimony from an old woman, aged 80, who twelve hours before had taken ·6 grm. (91⁄4 grains)—a large dose, which had neither produced vomiting nor purging. In Dr. Kevin’s experiments on rabbits, antimony was discovered in the urine after the twelfth dose, and even in the urine of an animal twenty-one days after the administration of the poison had been suspended.
§ 761. Antidotes for Tartar Emetic.—Any infusion containing tannin or allied astringent principles, such as decoctions of tea, oak-bark, &c., may be given with advantage in cases of recent poisoning by tartar emetic, for any of the salt which has been expelled by vomiting may in this way be decomposed and rendered harmless. The treatment of acute poisoning which has proved most successful, has been the encouraging of vomiting by tickling the fauces, giving strong green tea and stimulants. (See [Appendix].)
§ 762. Effects of Chloride or Butter of Antimony.—Only a few cases of poisoning by butter of antimony are on record: its action, generally speaking, on the tissues is like that of an acid, but there has been considerable variety in the symptoms. Five cases are recorded by Taylor; three of the number recovered after taking respectively doses of 7·7 grms. (2 drachms) and 15·5 grms. (4 drachms), and two died after taking from 56·6 to 113 grms. (2 to 4 ounces). In one of these cases the symptoms were more like those of a narcotic poison, in the other fatal case there was abundant vomiting with purging. The autopsy in the first case showed a black appearance from the mouth to the jejunum, as if the parts had been charred, and extensive destruction of the mucous membrane. In the other case there were similar changes in the stomach and the upper part of the intestines, but neither the lips nor the lower end of the gullet were eroded. In a case recorded by Mr. Barrington Cooke,[812] a farmer’s wife, aged 40, of unsound mind, managed to elude the watchfulness of her friends, and swallowed an unknown quantity of antimony chloride about 1.30 P.M. Shortly afterwards she vomited several times, and had diarrhœa; at 2.30 a medical man found her lying on her back insensible, and very livid in the face and neck. She was retching, and emitting from her mouth a frothy mucous fluid, mixed with ejected matter of a grumous colour; the breathing was laboured and spasmodic; the pulse could not be felt, and the body was cold and clammy. She expired at 3.30, about one hour and a half from the commencement of symptoms, and probably within two hours from the taking of the poison. The autopsy showed no corrugation of the tongue or inner surface of the lining membrane of the mouth, and no appearance of the action of a corrosive upon the lips, fauces, or mucous membrane of the œsophagus. The whole of the mucous membrane of the stomach was intensely congested, of a dark and almost black colour, the rest of the viscera were healthy. Chemical analysis separated antimony equivalent to nearly a grm. (15 grains) of the chloride, with a small quantity of arsenic, from the contents of the stomach.
[812] Lancet, May 19, 1883.
§ 763. Detection of Antimony in Organic Matters.—In acute poisoning by tartar emetic it is not impossible to find a mere trace only in the stomach, the greater part having been expelled by vomiting, which nearly always occurs early, so that the most certain method is, where possible, to analyse the ejected matters. If it should be suspected that a living person is being slowly poisoned by antimony, it must be remembered that the poison is mainly excreted by the kidneys, and the urine should afford some indication. The readiest way to test is to collect a considerable quantity of the urine (if necessary, two or three days’ excretion), concentrate by evaporation, acidify, and then transfer the liquid to a platinum dish, in which is placed a slip of zinc. The whole of the antimony is in time deposited on the platinum dish, and being thus concentrated, may be subsequently identified in any way thought fit.
Organic liquids are boiled with hydrochloric acid; organic solids are extracted with the same acid in the manner described ([p. 51]); or, if the distillation process given at [p. 576] be employed, the antimony may be found partly in the distillate, and partly in the retort. In any case, antimony in solution may be readily detected in a variety of ways—one of the most convenient being to concentrate on tin or platinum, to dissolve out the antimonial film by sulphide of ammonium, and thus produce the very characteristic orange sulphide.
If a slip of pure tinfoil be suspended for six hours in a solution, which should not contain more than one-tenth of its bulk of ClH, and exhibit no stain or deposit, it is certain that antimony cannot be present. It may also conveniently be deposited on a platinum dish,[813] by filling the same with the liquid properly acidulated, and inserting a rod of zinc; the metallic antimony can afterwards be washed, dried, and weighed.
[813] According to Fresenius (Zeitschr. f. anal. Chem., i. 445), a solution which contains 1⁄10000 of its weight of antimony, treated in this way, gives in two minutes a brown stain, and in ten a very notable and strong dark brown film. When in the proportion of 1 to 20,000, the reaction begins to be certain after a quarter of an hour; with greater dilution it requires longer time, 1 to 40,000 giving a doubtful reaction, and 1 to 50,000 not responding at all to this test.
Reinsch’s and Marsh’s tests have been already described ([pp. 558] and [559]), and require no further notice. There is, however, a very beautiful and delicate means of detecting antimony, which should not be omitted. It is based upon the action of stibine (SbH3) on sulphur.[814] When this gas is passed over sulphur, it is decomposed according to equation, 2SbH3 + 6S = Sb2S3 + 3SH2, the action taking place slowly in diffused daylight, but very rapidly in sunshine. An ordinary flask for the evolution of hydrogen (either by galvanic processes or from zinc and sulphuric acid), with its funnel and drying-tubes, is connected with a narrow tube having a few fragments of sulphur, kept in place by plugs of cotton wool. The whole apparatus is placed in sunshine; if no orange colour is produced when the hydrogen has been passing for some time, the liquid to be tested is poured in gradually through the funnel, and if antimony should be present, the sulphur acquires a deep orange colour. This is distinct even when so small a quantity as ·0001 grain has been added through the funnel. The sulphide of antimony thus mixed with sulphur can, if it is thought necessary, be freed from the sulphur by repeated exhaustion with bisulphide of carbon. The stibine does not, however, represent all the antimony introduced, a very large proportion remaining in the evolution flask;[815] hence it cannot be employed for quantitative purposes. Moreover, the test can, of course, only be conveniently applied on sunny days, and is, therefore, in England more adapted for summer.[816] Often, however, as mentioned elsewhere, when the analyst has no clue whatever to the nature of the poison, it is convenient to pass SH2 in the liquid to saturation.[817] In such a case, if antimony is present (either alone or in combination with other sulphides), it remains on the filter, and must be separated and identified as follows:—The sulphides are first treated with a solution of carbonate of ammonia, which will dissolve arsenic, if present, and next saturated in situ with pure sulphide of sodium, which will dissolve out sulphide of antimony, if present. The sulphide of antimony will present the chemical characters already described, more particularly—
[814] See Ernest Jones on “Stibine,” Journ. Chem. Soc., vol. i., 1876.
[815] Rieckter, Jahresbericht, 1865, p. 255.
[816] The action of salts of cæsium with chloride of antimony might be used as a test for the latter. A salt of cæsium gives a white precipitate with chloride of antimony in concentrated ClH; it contains 30·531 per cent. of antimony, and corresponds to the formula SbCl3CsCl. Chloride of tin acts similarly.—E. Godeffroy, Berichte der deutschen Chem. Gesellschaft, Berlin, 1874.
[817] The solution must not be too acid.
(1) It will evolve SH2 when treated with HCl, and at the same time pass into solution.[818]
[818] By adding chloride of tin to a solution of chloride of antimony in sufficient quantity, and passing SO2 through the liquid, the whole of the antimony can be thrown down as sulphide, whilst the tin remains in solution. Thus,—
9SnCl2 + 2SbCl3 + 3SO2 + 12ClH = Sb2S3 + 9SnCl4 + 6OH2.
—Federow, Zeitschrift für Chemie, 1869, p. 16.
(2) The solution evaporated to get rid of free HCl gives with water a thick cheesy precipitate of basic chloride of antimony. This may be seen if only a drop or two of the solution be taken and tested in a watch-glass.
(3) If tartaric acid be added to the solution, this precipitation does not occur.
(4) The solution from (3) gives an orange precipitate with SH2.
Such a substance can only be sulphide of antimony. With regard to (2), bismuth would act similarly, but under the circumstances could not be present, for the sulphide of bismuth is insoluble in sodic sulphide.
§ 764. Quantitative Estimation.—The quantitative estimation of antimony is best made by some volumetric process, e.g., the sulphide can be dissolved in HCl, some tartrate of soda added, and then carbonate of soda to weak alkaline reaction. The strength of the solution of tartarised antimony thus obtained can now be estimated by a decinormal solution of iodine, the end reaction being indicated by the previous addition of a little starch solution, or by a solution of permanganate of potash, either of which should be standardised by the aid of a solution of tartar emetic of known strength.
3. CADMIUM.
§ 765. Cadmium, Cd = 112; specific gravity, 8·6 to 8·69; fusing-point, 227·8° (442° F.); boiling-point, 860° (1580° F.).—Cadmium in analysis is seldom separated as a metal, but is estimated either as oxide or sulphide.
§ 766. Cadmium Oxide, CdO = 128—cadmium, 87·5 per cent.; oxygen, 12·5 per cent.—is a yellowish or reddish-brown powder, non-volatile even at a white heat; insoluble in water, but dissolving in acids. Ignited on charcoal, it is reduced to metal, which volatilises, and is then deposited again as oxide, giving to the coal a distinct coat of an orange-yellow colour in very thin layers; in thicker layers, brown.
§ 767. Cadmium Sulphide, CdS = 144—Cd, 77·7 per cent.; S, 22·3 per cent.—known as a mineral termed Greenockite. When prepared in the wet way, it is a lemon-yellow powder, which cannot be ignited in hydrogen without loss, and is insoluble in water, dilute acids, alkalies, alkaline sulphides, sulphate of soda, and cyanide of potassium. The solution must not contain too much hydrochloric acid, for the sulphide is readily soluble with separation of sulphur in concentrated hydrochloric acid. It may be dried in the ordinary way at 100° without suffering any decomposition.
§ 768. Medicinal Preparations.—The Iodide of Cadmium (CdI2) occurs in white, flat, micaceous crystals, melting at about 215·5° (419·9° F.), and at a dull red heat giving off violet vapour. In solution, the salt gives the reactions of iodine and cadmium. The ointment of iodide of cadmium (Unguentum cadmii iodidi) contains the iodide in the proportion of 62 grains to the ounce, or 14 per cent.
Cadmium Sulphate is officinal in the Belgian, Portuguese, and French pharmacopœias.
§ 769. Cadmium in the Arts, &c.—Cadmium is used in various alloys. The sulphide is found as a colouring ingredient in certain toilet soaps, and it is much valued by artists as a pigment. The iodide of cadmium is employed in photography, and an amalgam of metallic cadmium to some extent in dentistry.
§ 770. Fatal Dose of Cadmium.—Although no deaths from the use of cadmium appear to have as yet occurred, its use in photography, &c., may lead to accidents. There can be no question about the poisonous action of cadmium, for Marmé,[819] in his experiments on it with animals, observed giddiness, vomiting, syncope, difficulty in respiration, loss of consciousness, and cramps. The amount necessary to destroy life can only be gathered from the experiments on animals. A strong hound died after the injection of ·03 grm. (·462 grain) subcutaneously of a salt of cadmium; rabbits are poisoned if from 19·4 to 38·8 mgrms. (·3 to ·6 grain) are introduced into the stomach. A watery solution of ·5 grm. (7·5 grains) of the bromide administered to a pigeon caused instant death, without convulsion; the same dose of the chloride killed a second pigeon in six minutes; ·25 grm. (3·85 grains) of sulphite of cadmium administered to a pigeon excited vomiting, and after two hours diarrhœa; it died in eight days. Another pigeon died from a similar dose in fourteen days, and cadmium, on analysis, was separated from the liver. From the above cases it would seem probable that 4 grms. (61·7 grains) would be a dangerous dose of a soluble salt of cadmium for an adult, and that in a case of chronic poisoning it would most probably be found in the liver.
[819] Zeitschr. f. rationelle Med., vol. xxix. p. 1, 1867.
§ 771. Separation and Detection of Cadmium.—If cadmium be in solution, and the solution is not too acid, on the addition of SH2 there is precipitated a yellow sulphide, which is distinguished from antimony and arsenical sulphides by its insolubility in ammonia and alkaline sulphides. Should all three sulphides be on the filter (an occurrence which will seldom, perhaps never, happen), the sulphide of arsenic can be dissolved out by ammonia, the antimony by sulphide of sodium, leaving the sulphide of cadmium as the residue.[820]
[820] It is unnecessary to state that absence of sulphur is presupposed.
The further tests of the sulphide are:—
(1) It dissolves in dilute nitric acid to a colourless fluid, with separation of sulphur.
(2) The solution, filtered and freed from excess of nitric acid by evaporation, gives with a solution of ammonic carbonate a white precipitate of carbonate of cadmium insoluble in excess. This distinguishes it from zinc, which gives a similar white precipitate, but is soluble in the excess of the precipitant.
(3) The carbonate thus obtained, heated on platinum foil, is changed into the brown-red non-volatile oxide.
(4) The oxide behaves on charcoal as already detailed.
(5) A metallic portion can be obtained by melting the oxide with cyanide of potassium; it is between zinc and tin in brilliancy, and makes a mark on paper like lead, but not so readily. There are many other tests, but the above are conclusive.
If cadmium in any case be specially searched for in the organs or tissues, the latter should be boiled with nitric acid. The acid solution is filtered, saturated with caustic potash, evaporated to dryness, and ignited; the residue is dissolved in dilute hydrochloric acid, and treated after filtration with SH2. Cadmium may also be estimated volumetrically by digesting the sulphide in a stoppered flask with ferric chloride and hydrochloric acid; the resulting ferrous compound is titrated with permanganate, each c.c. of a d.n. solution of permanganate = ·0056 grm. of cadmium.
II.—PRECIPITATED BY HYDRIC SULPHIDE IN HYDROCHLORIC ACID SOLUTION—BLACK.
Lead—Copper—Bismuth—Silver—Mercury.
1. LEAD.
§ 772. Lead, Pb = 207.—Lead is a well-known bluish-white, soft metal; fusing-point, 325°; specific gravity, 11·36.
Oxides of Lead.—The two oxides of lead necessary to notice here briefly are—litharge and minium.
Litharge, or Oxide of Lead, PbO = 223; specific gravity, 9·2 to 9·5—Pb 92·82 per cent., O 7·18—is either in crystalline scales, a fused mass, or a powder, varying in colour (according to its mode of preparation) from yellow to reddish-yellow or orange. When prepared below the temperature of fusion it is called “massicot.” It may be fused without alteration in weight; in a state of fusion it dissolves silicic acid and silicates of the earths. It must not be fused in platinum vessels.
Minium, or Red Lead, 2PbO, PbO2; specific gravity, 9·08, is a compound of protoxide of lead with the dioxide. It is of a brilliant red colour, much used in the arts, and especially in the preparation of flint-glass.
§ 773. Sulphide of Lead, PbS = 239; Pb, 86·61 per cent., S, 13·39 per cent., occurring in the usual way, is a black precipitate insoluble in water, dilute acids, alkalies, and alkaline sulphides. It dissolves in strong nitric acid with separation of sulphur, and in strong hydrochloric acid, with evolution of SH2. Fuming nitric acid does not separate sulphur, but converts the sulphide into sulphate.
§ 774. Sulphate of Lead, PbSO4 = 303; specific gravity, 6·3; PbO, 73·61 per cent., SO3, 26·39 per cent., when produced artificially is a heavy white powder, of great insolubility in water, 22,800 parts of cold water dissolving only one of lead sulphate; and if the water contains sulphuric acid, no less than 36,500 parts of water are required. The salts of ammonia (especially the acetate and tartrate) dissolve the sulphate, and it is also soluble in hyposulphite of soda. The sulphate can be readily changed into the carbonate of lead, by boiling it with solutions of the alkaline carbonates. The sulphate of lead, fused with cyanide of potassium, yields metallic lead; it may be also reduced on charcoal, and alone it may be fused without decomposition, provided reducing gases are excluded.
§ 775. Acetate of Lead, Sugar of Lead, Pb(C2H3O2)23OH2 = 379, is found in commerce in white, spongy masses composed of acicular crystals. It may, however, be obtained in flat four-sided prisms. It has a sweet metallic taste, is soluble in water, and responds to the usual tests for lead. The P.B. directs that 38 grains dissolved in water require, for complete precipitation, 200 grain measures of the volumetric solution of oxalic acid, corresponding to 22·3 grains of oxide of lead.
§ 776. Chloride of Lead, PbCl2 = 278; specific gravity, 5·8; Pb, 74·48 per cent., Cl, 25·52 per cent., is in the form of brilliant crystalline needles. It is very insoluble in cold water containing hydrochloric or nitric acids. According to Bischof, 1635 parts of water containing nitric acid dissolve one part only of chloride of lead. It is insoluble in absolute alcohol, and sparingly in alcohol of 70 to 80 per cent. It fuses below red heat without losing weight; at higher temperatures it may be decomposed.
Carbonate of Lead.—The commercial carbonate of lead (according to the exhaustive researches of Wigner and Harland[821]) is composed of a mixture of neutral carbonate of lead and hydrate of lead, the best mixture being 25 per cent. of hydrate, corresponding to an actual percentage of 12·3 per cent. carbonic acid. The nearer the mixture approximates to this composition the better the paint; whilst samples containing as much as 16·33 per cent., or as little as 10·39 per cent., of CO2 are practically useless.
[821] “On the Composition of Commercial Samples of White Lead,” by G. W. Wigner and R. H. Harland.—Analyst, 1877, p. 208.
§ 777. Preparations of Lead used in Medicine, the Arts, &c.
(1) Pharmaceutical:—
Lead Plaster (Emplastrum plumbi) is simply a lead soap, in which the lead is combined with oleic and margaric acids, and contains some mechanically included glycerin.
Lead Iodide, PbI2, is contained in the Emplastrum plumbi iodidi to the extent of 10 per cent., and in the Unguentum plumbi iodidi to the extent of about 12·5 per cent.
Acetate of Lead is contained in a pill, a suppository, and an ointment. The pill (Pilula plumbi cum opio) contains 75 per cent. of lead acetate, and 12·5 per cent. of opium, the rest confection of roses. The suppository (Suppositoria plumbi composita) contains 20 per cent. of acetate of lead, and 6·6 per cent. of opium, mixed with oil of theobroma. The ointment (Unguentum plumbi acetatis) contains 20·6 per cent. of lead acetate, mixed with benzoated lard.
The solution of subacetate of lead (Liquor plumbi subacetatis) is the subacetate, Pb(C2H3O2)2PbO, dissolved in water; it contains nearly 27 per cent. of subacetate.
A dilute solution of the stronger, under the name of Liquor plumbi subacetatis dilutus, and commonly called Goulard water, is prepared by mixing 1 part (by volume) of the solution and 1 part of spirit, and 78 parts of distilled water; the strength is equal to 1·25 per cent.
There is an ointment, called the Compound Ointment of subacetate of lead, which contains the subacetate in about the proportion of 2 per cent. of the oxide, the other constituents being camphor, white wax, and almond oil.
Carbonate of Lead.—The ointment (Unguentum plumbi carbonatis) should contain about 12·5 per cent. of the carbonate, and the rest simple ointment.
(2) Quack Nostrums, &c.:—
The quack medicines composed of lead are not very numerous.
Liebert’s Cosmetique Infaillible is said to have for its basis nitrate of lead.
One of “Ali Ahmed’s Treasures of the Desert,” viz., the antiseptic malagma, is a plaster made up of lead plaster 37·5 per cent., frankincense 25 per cent., salad oil 25 per cent., beeswax 12·5 per cent.
Lewis’ Silver Cream contains white precipitate and a salt of lead.
Goulard’s Balsam is made by triturating acetate of lead with hot oil of turpentine.
There are various ointments in use made up of litharge. Some herbalists in the country (from cases that have come under the writer’s own knowledge) apply to cancerous ulcers, &c., a liniment of linseed and other common oils mixed with litharge and acetate of lead.
Acetate of lead may also be found as a constituent of various eye-waters.
(3) Preparations of Lead used in the Arts, &c.:—
Ledoyen’s Disinfecting Fluid has for its basis nitrate of lead.
In various hair-dyes the following are all used:—Litharge, lime, and starch; lime and carbonate of lead; lime and acetate of lead; litharge, lime, and potassic bicarbonate. The detection of lead in the hair thus treated is extremely easy; it may be dissolved out by dilute nitric acid.
Lead Pigments.—The principal pigments of lead are white, yellow, and red.
White Pigments:—
White Lead, Flake White Ceruse, Mineral White, are so many different names for the carbonate of lead already described.
Newcastle White is white lead made with molasses vinegar.
Nottingham White.—White lead made with alegar (sour ale), often, however, replaced by permanent white, i.e., sulphate of baryta.
Miniature Painters’ White, White Precipitate of Lead, is simply lead sulphate.
Pattison’s White is an oxychloride of lead, PbCl2PbO.
Yellow Pigments:—
Chrome Yellow may be a fairly pure chromate of lead, or it may be mixed with sulphates of lead, barium, and calcium. The pigment known as “Cologne yellow” consists of 25 parts of lead chromate, 15 of lead sulphate, and 60 of calcic sulphate. The easiest method of analysing chrome yellow is to extract with boiling hydrochloric acid in the presence of alcohol, which dissolves the chromium as chloride, and leaves undissolved chloride of lead, sulphate of lead, and other substances insoluble in ClH. Every grain of chromate of lead should yield 0·24 grain of oxide of chromium, and 0·4 grain of chloride of lead.
Turner’s Yellow, Cassella Yellow, Patent Yellow, is an oxychloride of lead (PbCl27PbO) extremely fusible.
Dutch Pink sometimes contains white lead.
Red Pigments:—
Chrome Red is a bichromate of lead.
Red Lead or Minium is the red oxide of lead.
Orange Red is an oxide prepared by calcining the carbonate.
The chief preparations of lead which may be met with in the arts, in addition to the oxides and the carbonate, are—
The Nitrate of Lead, much used in calico-printing.
The Pyrolignite of Lead, which is an impure acetate used in dyeing; and
The Sulphate of Lead is a by-product in the preparation of acetate of aluminium for dyeing.
The alloys containing lead are extremely numerous; but, according to the experiments of Knapp,[822] the small quantity of lead in those used for household purposes has no hygienic importance.
[822] Dingl. Polytech. Journ., vol. ccxx. pp. 446-453.
§ 778. Statistics of Lead-Poisoning.—In the ten years, 1883 to 1892, no less than 1043 persons died from the effects of lead; of these, 3 only were suicidal, the remaining 1040 were mainly from the manufacture of white lead or from the use of lead in the arts or from the accidental contamination of food or drink.
The following table shows in what manner the 1040 were distributed as to age and sex:—
DEATHS FROM LEAD-POISONING IN ENGLAND AND WALES DURING THE TEN YEARS 1883-1892.
| Ages, | 0-1 | 1-5 | 5-15 | 15-25 | 25-65 | 65 and above | Total |
|---|---|---|---|---|---|---|---|
| Males, | ... | 4 | 14 | 44 | 733 | 36 | 831 |
| Females, | 3 | 5 | ... | 68 | 129 | 4 | 209 |
| Total, | 3 | 9 | 14 | 112 | 862 | 40 | 1040 |
§ 779. Lead as a Poison.—All the compounds of lead are said to be poisonous; but this statement cannot be regarded as entirely correct, for the sulphocyanide has been proved by experiment not to be so,[823] and the sulphide is also probably inactive. In the treatment of cases of lead-poisoning, the flowers of sulphur given internally appear to be successful.[824]
[823] Eulenberg, Gewerbe Hygiene, p. 712.
[824] Mohr’s Toxicologie, p. 78.
Lead-poisoning, either in its obscure form (producing uric acid in the blood, and, as a consequence, indigestion and other evils), or in the acute form (as lead colic and various nervous affections), is most frequent among those who are habitually exposed to the influence of the metal in its different preparations, viz., workers of lead, house-painters, artists, gilders, workers of arsenic, workers of gold, calico-printers, colourists, type-founders, type-setters, shot-founders, potters, faience makers, braziers, and many others.[825] In white-lead factories so large a number of the employés suffer from poisoning that it has excited more than once the attention of the Government.[826]
[825] The attention which the use of lead in the arts has always excited is evident from the fact that one of the oldest works on Trade Hygiene (by Stockhausen) is entitled, De lithargyrii fumo noxio, morbifico ejusque metallico frequentiori morbo vulgo dicto hüttenkatze, Gaslar, 1556.
[826] A departmental committee, appointed to inquire into the white lead and allied industries, in a report presented to the Home Secretary stated:—
“8. (a) It is known that if lead (in any form), even in what may be called infinitesimal quantities, gains entrance into the system for a lengthened period, by such channels as the stomach, by swallowing lead dust in the saliva, or through the medium of food and drink; by the respiratory organs, as by the inhalation of dust; or through the skin; there is developed a series of symptoms, the most frequent of which is colic. Nearly all the individuals engaged in factories where lead or its compounds are manipulated look pale, and it is this bloodlessness and the presence of a blue line along the margin of the gums, close to the teeth, that herald the other symptoms of plumbism. (b) A form of paralysis known as wrist-drop or lead-palsy occasionally affects the hands of the operatives. There is, in addition, a form of acute lead-poisoning, most frequently met with in young girls from 18 to 24 years of age, which is suddenly developed and is extremely fatal. In it the first complaint is headache, followed sooner or later by convulsions and unconsciousness. Death often terminates such a case within three days. In some cases of recovery from convulsions total blindness remains.
“9. There has been considerable doubt as to the channels by which the poison enters the system. The committee have taken much evidence on this subject, and have arrived at the conclusion (a) that carbonate of lead may be absorbed through the pores of the skin, and that the chance of this is much increased during perspiration and where there is any friction between the skin and the clothing; (b) that minute portions of lead are carried by the hands, under and round the nails, &c., on to the food, and so into the stomach; (c) but that the most usual manner is by the inhalation of lead dust. Some of this becomes dissolved in the alkaline secretions of the mouth, and is swallowed by the saliva, thus finding its way to the stomach. Other particles of dust are carried to the lungs, where they are rendered soluble and absorbed by the blood.”—Report of Chief Inspector of Factories for 1893.
Lead, again, has been found by the analyst in most of the ordinary foods, such as flour, bread, beer, cider, wines, spirits, tea, vinegar, sugar, confectionery, &c., as well as in numerous drugs, especially those manufactured by the aid of sulphuric acid (the latter nearly always containing lead), and those salts or chemical products which (like citric and tartaric acids) are crystallised in leaden pans. Hence it follows that in almost everything eaten or drunk the analyst, as a matter of routine, tests for lead. The channels through which it may enter into the system are, however, so perfectly familiar to practical chemists, that a few unusual instances of lead-poisoning only need be quoted here.
A cabman suffered from lead colic, traced to his taking the first glass of beer every morning at a certain public-house; the beer standing in the pipes all night, as proved by analysis, was strongly impregnated with lead.[827]
[827] Chem. News.
The employment of red lead for repairing the joints of steam pipes has before now caused poisonous symptoms from volatilisation of lead.[828] The use of old painted wood in a baker’s oven, and subsequent adherence of the oxide of lead to the outside of the loaves, has caused the illness of sixty-six people.[829]
[828] Eulenberg, Op. cit., p. 708.
[829] Annales d’Hygiène.
Seven persons became affected with lead-poisoning through horse-hair coloured with lead.[830]
[830] Hitzig, Studien über Bleivergiftung.
The manufacture of American overland cloth creates a white-lead dust, which has caused serious symptoms among the workmen (Dr. G. Johnson). The cleaning of pewter pots,[831] the handling of vulcanised rubber,[832] the wrapping up of various foods in tinfoil,[833] and the fingering of lead counters covered with brine by fishmongers, have all caused accidents in men.
[831] Med. Gazette, xlviij. 1047.
[832] Pharm. Journ., 1870, p. 426.
[833] Taylor, Prin. Med. Jurisprud., i.
The lead in glass, though in the form of an insoluble silicate, is said to have been dissolved by vinegar and other acid fluids to a dangerous extent. This, however, is hardly well established.[834]
[834] See Aerztl. Intelligenzbl. f. Baiern, Jahrg., 1869; Buchner’s Rep. Pharm., Bd. xix. p. 1; Med. Centrbl., Jahrg., 1869, p. 40.
§ 780. Effects of Lead Compounds on Animals.—Orfila and the older school of toxicologists made a number of experiments on the action of sugar of lead and other compounds, but they are of little value for elucidating the physiological or toxic action of lead, because they were, for the most part, made under unnatural conditions, the gullet being ligatured to avoid expulsion of the salt by vomiting. Harnack, in order to avoid the local and corrosive effects of sugar of lead, used an organic compound, viz., plumbic triethyl acetate, which has no local action. Frogs exhibited symptoms after subcutaneous doses of from 2 to 3 mgrms., rabbits after 40 mgrms.; there was increased peristaltic action of the intestines, with spasmodic contraction rising to colic, very often diarrhœa, and death followed through heart paralysis. Dogs given the ethyl compound exhibited nervous symptoms like chorea. Gusserno[835] has also made experiments on animals as to the effects of lead, using lead phosphate, and giving from 1·2 grm. to a rabbit and a dog daily. Rosenstein[836] and Heubel[837] used small doses of acetate, the latter giving dogs daily from ·2 to ·5 grm. The results arrived at by Gusserno were, mainly, that the animals became emaciated, shivered, and had some paralysis of the hinder extremities; while Rosenstein observed towards the end epileptiform convulsions, and Heubel alone saw, in a few of his cases, colic. A considerable number of cattle have been poisoned from time to time with lead, and one instance of this fell under my own observation. A pasture had been manured with refuse from a plumber’s yard, and pieces of paint were in this way strewn about the field in every direction; a herd of fifteen young cattle were placed in the field, and in two or three days they all, without exception, began rapidly to lose condition, and to show peculiar symptoms—diarrhœa, loss of appetite; in two, blindness, the retina presenting an appearance not unlike that seen in Bright’s disease; in three, a sort of delirium. Four died, and showed on post-mortem examination granular conditions of the kidneys, which was the most striking change observable. In the fatal cases, paralysis of the hind extremities, coma, and convulsions preceded death. In another case[838] seven cows and a bull died from eating lead paint; the symptoms were loss of appetite, obstinate constipation, suspension of rumination, dry muffle, quick breathing, and coma. In other cases a marked symptom has been paralysis. Cattle[839] have also several times been poisoned from eating grass which has been splashed by the spray from bullets, as in pastures in the vicinity of rifle butts; here we must allow that the intestinal juices have dissolved the metal, and transformed it into compounds capable of being taken into the system.
[835] Virchow’s Archiv. f. path. Anat., vol. xxi. p. 443.
[836] Ib., vol. xxxix. pp. 1 and 74.
[837] Pathogenese u. Symptome der chronischen Bleivergiftung, Berlin, 1871.
[838] See a paper by Professor Tuson, Veterinarian, vol. xxxviii., 1861.
[839] Ib.; also Taylor, Op. cit.
§ 781. Effects of Lead Compounds on Man—Acute Poisoning.—Acute poisoning by preparations of lead is not common, and, when it does occur, is seldom fatal. With regard to the common acetate, it would seem that a large single dose is less likely to destroy life than smaller quantities given in divided doses for a considerable period. The symptoms produced by a considerable dose of sugar of lead usually commence within a few minutes; there is immediately a metallic taste, with burning, and a sensation of great dryness in the mouth and throat; vomiting, which occurs usually within fifteen minutes, is in very rare cases delayed from one to two hours. The retching and vomiting are very obstinate, and continue for a long time; the matters thrown up are sometimes streaked with blood; there is pain in the abdomen of a colicky character—a pain relieved by pressure. The bowels are, as a rule, constipated, but occasionally relaxed. The stools at a later date are black from the presence of lead sulphide. The urine, as a rule, is diminished. The breath has a foul odour, and the tongue is coated; the skin is dry, and the pulse small and frequent. The full development of the toxic action is completed by the appearance of various nervous phenomena—headache, shooting pains in the limbs, cramps in the legs, and local numbness. All the symptoms enumerated are not present in each case; the most constant are the vomiting and the colic. If the sufferer is to die, death occurs about the second or third day. If the patient recovers, convalescence may be much retarded, as shown in the case of two girls,[840] who had each swallowed an ounce of lead acetate by mistake, and who suffered even after the lapse of a year from pain and tenderness in the stomach and sickness.
[840] Prov. Med. Journal, 1846.
There are “mass-poisonings” by acetate of lead on record, which afford considerable insight into the varying action of this salt on different individuals. A case (e.g.) occurred at Stourbridge in 1840,[841] in which no less than 500 people were poisoned by thirty pounds of lead acetate being accidentally mixed with eighty sacks of flour at a miller’s. The symptoms commenced after a few days; constriction of the throat, cramping and twisting pains round the umbilicus, rigidity of the abdominal muscles, dragging pains at the loins, cramps and paralysis of the lower extremities. There was obstinate constipation; the urine was scanty and of a deep red colour, and the secretions were generally arrested; the pulse was slow and feeble; the countenance depressed, often livid; and the gums showed the usual blue line. The temperature of the skin was low. In only a few cases was there sickness, and in these it soon ceased. It is curious that not one of the 500 cases proved fatal, although some of the victims were extremely ill, and their condition alarming. It was specially observed that, after apparent convalescence, the symptoms, without any obvious cause, suddenly returned, and this even in a more aggravated form. Remittance of this kind is of medico-legal import; it might, for example, be wrongly inferred that a fresh dose had been taken. In the 500 cases there were no inflammatory symptoms; complete recovery took some time. On examining the bread the poison was found so unequally distributed that no idea could be formed as to the actual amount taken.
[841] Recorded by Mr. Bancks, Lancet, May 5, 1849, p. 478.
There is also recorded[842] an outbreak of lead-poisoning among 150 men of the 7th Infantry at Tione, in the Southern Tyrol. One case proved fatal, forty-five required treatment in hospital. The symptoms were pallor, a blue line in the gums, metallic taste in the mouth, a peculiar odour of the breath, a loaded tongue with a bluish tint, obstinate constipation with loss of appetite whilst all complained, in addition, of dragging of the limbs and of the muscles of the chest, and difficulty of breathing. In the severer cases there were tetanic spasms, muscular tremors, and anæsthesia of the fingers and toes. The pulse and temperature were normal, save in a few cases in which there were fever and sweats at night. In none was there colic, but the constipation was obstinate. In two of the worst cases there was strangury. Acute cases occur occasionally from poisoning by the carbonate of lead. Dr. Snow recorded an instance (in 1844) of a child who had eaten a piece as big as a marble, ground up with oil. For three days the child suffered from pain in the abdomen and vomiting, and died ninety hours after taking the poison. In another case, in which a young man took from 19 to 20 grms. of lead carbonate in mistake for chalk as a remedy for heartburn, the symptoms of vomiting, pain in the stomach, &c., commenced after a few hours; but, under treatment with magnesic sulphate, he recovered.
[842] Königschmied, Centralbl. Allg. für Gesundheitspflege, 2 Jahrg., Heft 1.
The chromate of lead is still more poisonous (see Art. “[Chromium]”).
§ 782. Chronic Poisoning by Lead.—Chronic poisoning by lead—often caused by strange and unsuspected channels, more frequently an incident, nay, almost a necessity, of certain trades, and occasionally induced by a cunning criminal for the purpose of simulating natural disease—is of great toxicological and hygienic importance. In the white-lead trade it is, as might be expected, most frequently witnessed; but also in all occupations which involve the daily use of lead in almost any shape. The chief signs of chronic poisoning are those of general ill-health; the digestion is disturbed, the appetite lessened, the bowels obstinately confined, the skin assumes a peculiar yellowish hue, and sometimes the sufferer is jaundiced. The gums show a black line from two to three lines in breadth, which microscopical examination and chemical tests alike show to be composed of sulphide of lead; occasionally the teeth turn black.[843] The pulse is slow, and all secretions are diminished. Pregnant women have a tendency to abort. There are also special symptoms, one of the most prominent of which is often lead colic.
[843] The black line soon develops; Masazza has seen it in a dog, exposed to the influence of lead, in so short a period as three days (Riforma med., 1889, Nos. 248-257, 1).
In 142 cases of lead-poisoning, treated between 1852 and 1862 at the Jacob’s Hospital, Leipzig, forty-four patients (or about 31 per cent.) suffered from colic. Arthralgia—that is, pains in the joints—is also very common; it seldom occurs alone, but in combination with other symptoms. Thus, in seventy-five cases of lead-arthralgia treated at Jacob’s Hospital, in only seven were pain in the joints without other complications, fifty-six being accompanied by colic, five by paralysis, and seven by other affections of the nervous system. The total percentage of cases of lead-poisoning, in which arthralgia occurs, varies from 32 to 57 per cent.
Paralysis, in some form or other, Tanqueril[844] found in 5 to 8 per cent. of the cases, and noticed that it occurred as early as the third day after working in lead. The muscles affected are usually those of the upper extremity, then the legs, and still more rarely the muscles of the trunk. It is only exceptionally that the paralysis extends over an entire limb; it more usually affects a muscular group, or even a single muscle. Its common seat is the extensors of the hand and fingers; hence the expression “dropped-wrist,” for the hands droop, and occasionally the triceps and the deltoid are affected. The paralysis is usually symmetrical on both sides. Although the extensors are affected most, the flexors nearly always participate, and a careful investigation will show that they are weakened. If the paralysis continues, there is a wasting and degeneration of the muscle, but this is seen in paralysis from any cause. The muscular affection may cause deformities in the hands, shoulders, &c. Anæsthesia of portions of the skin is generally present in a greater or less degree. A complete analgesia affecting the whole body has been noticed to such an extent that there was absolute insensibility to burns or punctures; but it is usually confined to the right half of the body, and is especially intense in the right hand and wrist.
[844] Tanqueril des Planches, Traité des Maladies de Plomb, Paris, 1839. Tanqueril’s monograph is a classical work full of information.
§ 783. The older writers recognised the toxic effect of lead on the nervous system. Thus Dioscorides speaks of delirium produced by lead, Aretaeus of epilepsy, and Paul of Ægina refers to it as a factor of epilepsy and convulsions. But in 1830, Tanqueril first definitely described the production of a mental disease, which he called “lead encephalopathy.” This he divided into four forms—(1) a delirious form; (2) a comatose; (3) a convulsive; and (4) a combined form, comprising the delirious, convulsive, and comatose. Dr. Henry Rayner,[845] and a few other English alienists, have directed their attention to this question; and, according to Dr. Rayner’s researches, the number of male patients admitted into Hanwell Asylum, engaged in trades such as plumbing, painting, and the like, is larger in proportion to the number admitted from other trades than it should be, compared with the proportion of the various trades in the county of Middlesex, as ascertained from the census. Putting aside coarse lead-poisoning, which may occasionally produce acute mania, the insanity produced by prolonged minute lead intoxications possesses some peculiar features. It develops slowly, and in nearly all cases there are illusions of the senses, of hearing, taste, or smell, and especially of sight. Thus, in one of Dr. Rayner’s cases the patient saw round him “wind-bags blown out to look like men,” apparitions which made remarks to him, and generally worried him. Besides this form, there is also another which closely resembles general paralysis, and, in the absence of the history, might be mistaken for it.
[845] See an important paper, “Insanity from Lead-Poisoning,” by Drs. H. Rayner, Robertson, Savage, and Atkins, Journ. of Mental Science, vol. xxvi. p. 222; also a paper by Dr. Barton, Allgemeine Zeitschrift für Psychiatrie, Bd. xxxvij. H. 4, p. 9.
§ 784. The degenerative influence on the organ of sight is shown in six of Dr. Robertson’s patients, whose insanity was ascribed to lead—four of the six were either totally or partially blind.
The amaurosis has been known to come on suddenly, and after a very brief exposure to lead, e.g., a man, thirty-four years of age, after working for three days in a white-lead factory, was seized with intense ciliary neuralgia, had pains in his limbs and symptoms of lead-poisoning, and the right eye became amaurotic.[846] This form of impairment or loss of vision is different from the Retinitis albuminurica,[847] which may also be produced as a secondary effect of the poison; the kidneys in such cases being profoundly affected. The kind of diseased kidney produced by lead is the granular contracted kidney.
[846] Samelsohn, Monatsbl. f. Augenheilk., vol. xi. p. 246, 1873. See also a case of lead amaurosis, described by Mr. W. Holder, Pharm. Journ., Oct. 14, 1876.
[847] Ran, Arch. f. Ophthal., vol. i. (2), p. 205, 1858, and Schmidt’s Jahrbuch, Bd. cxxxiii. p. 116; Bd. cxliii. p. 67.
Eulenberg speaks of the sexual functions being weakened, leading to more or less impotence.
Lewy,[848] in 1186 patients suffering from lead-poisoning, has found caries or necrosis in twenty-two cases, or about 1·8 per cent.; fifteen were carious affections of the upper jaw, four of the fore-arm, two of the thigh, and one of the rib and sternum. Epilepsy and epileptiform convulsions occur in a few cases; it is very possible that the epilepsy may be a result of the uræmic poisoning induced by diseased kidneys.
[848] Die Berufskrank. d. Bleiarbeiter, Wien, 1873, S. 61.
Five cases of fatal poisoning occurred between 1884-6 among the employés of a certain white-lead factory in the east of London. The cases presented the following common characters. They were all adult women, aged from 18 to 33, and they had worked at the factory for short periods, from three to twelve months. They all exhibited mild symptoms of plumbism, such as a blue line round the gums, and more or less ill-defined indisposition; paralyses were absent. They were all in their usual state of health within a few hours or days preceding death. Death was unexpected, mostly sudden. In four cases it was preceded by epileptic fits and coma; but in the fifth case no convulsions were noted, although they may have occurred in the night.
The author[849] had an opportunity of investigating by chemical means the distribution of lead in the fourth and fifth cases in the liver, kidney, and brain.
[849] “The Distribution of Lead in the Brains of two Lead Factory Operatives,” Journ. of Mental Science, Jan. 1888.
In the fourth case, from 402 grms. of liver 24·26 mgrms. of lead sulphate were separated. The right kidney (weighing 81 grms.) yielded 5·42 mgrms. of lead sulphate. The brain was dehydrated with alcohol, and then treated with ether, hot alcohol, and chloroform until an albuminoid residue remained; lead was extracted from each of these portions, viz., the alcohol used for dehydration, the ethereal and chloroform extracts, and the albuminoid residue, as follows:—
| Mgrms. of Lead Sulphate. | |
|---|---|
| Soluble in cold alcohol, | 1·11 |
| Soluble in ether and chloroform and hot alcohol, | 25·47 |
| Albuminoid residue, | 7·76 |
| 34·34 |
In the fifth case, the brain was examined more in detail, and the lead present estimated in the following solutions and substances:—
1. Alcohol used for dehydration. This may be called “the watery extract,” for, after the brain has remained in strong alcohol for some weeks, the result is that the alcohol contains much water and substances extracted with water.
2. White matter—(a) from cerebrum; (b) from cerebellum.
3. Kephalin—(a) from cerebrum; (b) from cerebellum.
4. Ether extract, kephalin-free—(a) from cerebrum; (b) from cerebellum.
5. Substances soluble in cold alcohol—(a) from cerebrum; (b) from cerebellum.
6. The albuminoid residue—(a) from cerebrum; (b) from cerebellum.
The general results were as follows:—
| Cerebrum, 460·8 grms. Mgrms. of PbSO4. | Cerebellum, 156·2 grms. Mgrms. of PbSO4 | |
|---|---|---|
| White matter freed from kephalin by ether, | 0·0 | 5·0 |
| Kephalin, | 1·5 | 6·0 |
| Ether extract, kephalin-free, | 0·0 | 0·0 |
| Substances soluble in cold alcohol, | 0·0 | 0·0 |
| Albuminoid residue, | 40·0 | 6·0 |
| 41·5 | 17·0 |
The aqueous extract contained 1·5 mgrm. of lead sulphate. In neither of the cases did the pathologist ascertain the total weight of the brain, but, presuming that the weight was an average weight, and that the lead in the remainder of the brain was similarly distributed, the amount of lead calculated as sulphate would amount to 117 mgrms. From these results it appears to the author probable that lead forms a substitution compound with some of the organic brain matters. This view would explain the absence of changes apparent to the eye found in so many of the fatal cases of lead encephalopathy.
§ 785. Lead taken for a long time causes the blood to be impregnated with uric acid. In 136 cases of undoubted gout, 18 per cent. of the patients were found to follow lead occupations, and presented signs of lead impregnation.[850]
[850] “On Lead Impregnation in Relation to Gout,” by Dyce Duckworth, M.D., St. Barth. Hosp. Reports, vol. xvii., 1881.
Ellenberger and Hofmeister[851] found that, with chronic poisoning of sheep with lead, excretion of hippuric acid ceased, and the output of uric acid was diminished. This may be explained by the formation of glycocol being arrested.
[851] Arch. f. wiss. u. pract. Thierheilk., Bd. x., 1884.
§ 786. There are some facts on record which would seem to countenance the belief that disease, primarily caused by an inorganic body like lead, may be transmitted. M. Paul (e.g.) has related the history of the offspring (thirty-two in number) of seven men, who were suffering from lead-poisoning—eleven were prematurely born and one still-born; of the remaining twenty, eight died in the first year, four in the second, and five in the third year, so that of the whole thirty-two, only three survived three years.
The influence of the poison on pregnant women is, indeed, very deleterious. M. Paul noted that in four women who were habitually exposed to the influence of lead, and had fifteen pregnancies, ten terminated by abortion, two by premature confinement, three went the full term, but one of the three children was born dead, a second only lived twenty-four hours; so that, out of the whole fifteen, one only lived fully. In another observation of M. Paul’s, five women had two natural confinements before being exposed to lead. After exposure, the history of the thirty-six pregnancies of these women is as follows:—there were twenty-six abortions (from two to five months), one premature confinement, two infants born dead, and five born alive, four of whom died in the first year.
Chronic poisoning may be nearly always accounted for by the inhaling of lead dust, or by the actual swallowing of some form of lead; but, if we are to accept the fact narrated by the late Dr. Taylor, viz., that he himself had an attack of lead colic from sitting in a room for a few hours daily, in which there was a large canvas covered with white lead and drying oil, and one or two other similar cases,[852] we must allow that there is some subtle volatile organic compound of lead evolved. In the present state of our knowledge, it seems more reasonable to account for such cases by the suggestion that lead has entered the system by an unsuspected channel.
[852] The gate-keeper of a graveyard at Bordeaux continually used the remnants of crosses, covered with lead paint, to replenish his fire; the chimney smoked; gradually paralysis of the extensors of the right wrist developed itself, and he suffered from colic and other signs of lead-poisoning.—Marmisse, Gaz. des Hôpit., No. 25, 1866.
In 1882, a very interesting case occurred at Keighley, in which a mechanic, aged 42, died from the supposed effects of lead-poisoning, induced from drinking the town water, which was proved by Mr. Allen to contain about 3⁄5 of a grain of lead per gallon. For six months he had been out of health, and a week before his death he suffered from colic, vomiting, constipation, and a blue line round the gums, and occasional epileptiform seizures. After death the kidneys were found granular, and the heart somewhat enlarged. The viscera were submitted to Mr. Allen for analysis; no lead was found in the heart or brain, a slight, non-estimable trace in the kidneys, and about a grain was separated from the liver and spleen. Dr. Tidy, who was called in as an expert, gave a very guarded opinion, rather against the theory of direct lead-poisoning; and the verdict returned by the jury was to the effect that the deceased died from granular kidney, accelerated by lead-poisoning. Murder by the administration of doses of sugar of lead is rare, but such a case has occurred.
At the Central Criminal Court, in December 1882, Louisa Jane Taylor was indicted for poisoning Mary Ann Tregillis at Plumstead, and convicted. From the evidence it appeared that the prisoner, who was thirty-six years of age, came to reside with Mr. and Mrs. Tregillis, an aged couple of eighty-five and eighty-one years respectively. The prisoner was proved to have purchased at different times an ounce and half an ounce of sugar of lead, and to have added a white powder to the medicine of Mrs. Tregillis. The illness of the latter extended from about August 23 to October 23—a period of two months. It is difficult to say when the first dose could have been given, but it was probably some time between August 13 and 23, while the administration, without doubt, ceased on or before October 6, for on that date different nursing arrangements were made. The symptoms observed were nausea, vomiting, pain in the pit of the stomach, burning in the throat, very dark teeth, a blue line round the gums, and slight jaundice. There was great muscular weakness, with trembling of the hands, and a week before death there was paralysis of the right side.
Lead was discovered in most of the viscera, which were in great part normal, but the kidneys were wasted, and the mucous membrane blackened. The actual quantity of lead recovered by analysis was small, viz., 16·2 mgrms. (1⁄4 grain) from the liver; from 8 ounces of brain, 3·2 mgrms. (1⁄20 grain); from half of the stomach, 16·2 mgrms. (1⁄4 grain); and from the spleen, the kidneys, and the lungs, small quantities. It is, therefore, probable that, if the whole body had been operated upon, the yield would have been more than ·15 grm. (a little over 2 grains); but then, it must be remembered that the deceased lived, at least, seventeen days after the last dose.
§ 787. Post-mortem Appearances.—In acute cases of poisoning by the acetate, there may sometimes be found a slight inflammatory appearance of the mucous membrane of the stomach and intestines. Orfila considered that streaks of white points adherent to the mucous membrane were pathognomonic; but there have been several cases in which only negative or doubtful signs of inflammatory or other action have presented themselves. A general contraction of the intestines has often been noticed, and is of considerable significance when present; so also is a grey-black mucous membrane caused by deposited lead sulphide. Loen found in dogs and guinea-pigs, poisoned by lead, local inflammation areas in the lungs, liver, and kidneys; but in no case fatty degeneration of the epithelial cells of the liver, kidneys, or intestines. As a rule, no unabsorbed poison will be found in the stomach; the case related by Christison, in which a person died on the third day after taking at a single dose some large quantity of acetate of lead; and at the autopsy a fluid was obtained from the stomach, which had a sweet metallic taste, on evaporation smelt of acetic acid, and from which metallic lead was obtained—is so very extraordinary in every respect, that its entire accuracy is to be questioned. In death from chronic lead-poisoning, there is but little that can be called diagnostic; a granular condition of the kidneys, and all the pathological changes dependent on such a condition, are most frequently seen. If the patient has suffered from colic, a constriction of portions of the intestine has been noticed; also, in cases in which there has been long-standing paralysis of groups of muscles, these muscles are wasted, and possibly degenerated. In instances, again, in which lead has induced gout, the pathological changes dependent upon gout will be prominent. The blue line around the gums, and sometimes a coloration by sulphide of lead of portions of the intestines, may help a proper interpretation of the appearances seen after death; but all who have given any attention to the subject will agree that, simply from pathological evidence, it is impossible to diagnose chronic lead-poisoning.
§ 788. Physiological Action of Lead.—The action of lead is still obscure, but it is considered to have an effect mainly on the nervous centres. The paralysed muscles respond to the direct current, but not to the induced, leading to the suspicion that the intramuscular terminations of the nerves are paralysed, but that the muscular substance itself is unattacked. On the other hand, the restriction of the action to groups of muscles supports the theory of central action.
The lead colic is due to a true spasmodic constriction of the bowel, the exciting cause of which lies in the walls of the bowel itself; the relief given by pressure is explained by the pressure causing an anæmia of the intestinal walls, and thus lessening their sensibility. The slowing of the pulse produced by small doses is explained as due to a stimulation of the inhibitory nerves; and, lastly, many nervous phenomena, such as epilepsy, &c., are in part due to imperfect elimination of the urinary excreta, causing similar conditions to those observed in uræmia.
§ 789. Elimination of Lead.—When a large dose of acetate or carbonate is taken, part is transformed into more or less insoluble compounds—some organic, others inorganic; so that a great portion is not absorbed into the body at all, but passes into the intestines, where, meeting with hydric sulphide, part is changed into sulphide, colouring the alvine evacuations black. Some of the lead which is absorbed is excreted by the kidneys, but the search often yields only traces. Thudichum[853] states that in fourteen cases of lead-poisoning, in two only was obtained a weighable quantity from a day’s urine; in the remaining twelve lead was detected, but only by the brownish colour produced in an acid solution of the ash by hydric sulphide.
[853] Pathology of the Urine, p. 550.
The elimination of lead by the kidneys is favoured by certain medicines, such, for example, as potassic iodide. Annuschat found in dogs poisoned by lead from 3·8 to 4·1 mgrms. in 100 c.c. of urine; but, after doses of potassic iodide, the content of lead rose to 6·9 and even to 14 mgrms. Lead appears to be eliminated by the skin, being taken up by the epithelial cells, and minute, insoluble particles coming away with these cells. If a person who has taken small doses of lead for a time be placed in a sulphur water-bath, or have his skin moistened with a 5 per cent. solution of sodium sulphide, the upper layer of the epidermis is coloured dark; but the perspiration excited by pilocarpin or other agency contains no lead.
§ 790. Fatal Dose—(a.) Sugar of Lead.—It may almost be said that it is impossible to destroy human life with any single dose likely to be taken or administered. In three cases an ounce (28·3 grms.) has been taken without fatal result. Although it must be allowed that repeated moderate doses, extending over some time, are more dangerous to health and life than a single large dose, yet there seems to be in some individuals a great tolerance of lead. Christison has given ·18 grm. in divided doses daily for a long time without any bad effect, save the production of a slight colic. Swieten has also given daily 3·9 grms. (60 grains) in ten days without observing toxic effects. That, in other cases, less than a grain per gallon of some lead compound dissolved in drinking-water, or in some way introduced into the economy, causes serious illness, is most inexplicable.
(b.) The Basic Acetate in solution is more poisonous apparently than the acetate—60 c.c. (11⁄2 drms.) have caused serious symptoms.
(c.) The Carbonate of Lead.—Doses of anything like 28 grms. (an ounce) would probably be very dangerous to an adult; the only case of death on record is that of a child who took some unknown quantity, probably, from the description of the size of the lump, about 10 grms. (21⁄2 drms.).
§ 791. Antidotes and Treatment.—Soluble sulphates (especially magnesic sulphate) have been given largely in both acute and chronic cases; in the acute, it stands to reason that it is well to ensure the presence of plenty of sulphates in the stomach and intestines, in order to form the sparingly soluble lead sulphate, should any residue remain; but to expect this double decomposition to go on in the blood and tissues is not based upon sound observation. The chronic lead-poisoning is best treated by removal from the source of mischief, the administration of large quantities of distilled water, and medicinal doses of potassic iodide.
§ 792. Localisation of Lead.—In a dog, which was killed by chronic lead-poisoning, Heubel found in the bones 0·18 to 0·27 per 1000 of lead; in the kidneys, 0·17 to 0·20; liver, 0·10 to 0·33; spinal cord, 0·06 to 0·11; brain, 0·04 to 0·05; muscles, 0·02 to 0·04; in the intestines traces, 0·01 to 0·02; in the spleen, the blood, and the bile, he also only found traces. Ellenberger and Hofmeister found in the kidneys of the sheep, 0·44 to 0·47; liver, 0·36 to 0·65; pancreas, 0·54; salivary glands, 0·42; bile, 0·11 to 0·40; bones, 0·32; fæces, 0·22; spleen, 0·14; central nervous system, 0·07 to 0·18; blood, 0·05 to 0·12; flesh, 0·05 to 0·08; urine, 0·06 to 0·08; and in the unstriped muscles and the lungs, 0·03 per 1000 of lead.
Without going so far as to say that lead is a natural constituent of the body, it is certain that it may be frequently met with in persons who have been apparently perfectly healthy, and quite free from all symptoms of lead-poisoning. Legrip found in the liver and spleen of a healthy person, 5·4 mgrms. of lead oxide in every kilogram; Oidtmann, in the liver of a man fifty-six years of age, 1 mgrm. of lead oxide per kilogram, and in the spleen 3 mgrms. per kilogram. Hence, the analyst, in searching for poison, must be very careful in his conclusions. Grave and serious errors may also arise from complications; suppose, e.g., that a deceased person previous to death had partaken of game, and inadvertently swallowed a shot—if the analyst had not carefully searched the contents of the stomach for solid bodies, but merely treated them at once with acid solvents, he would naturally get very decided lead reactions, and would possibly conclude, and give evidence to the effect, that a poisonous soluble salt of lead had been administered shortly before death.
§ 793. Detection and Estimation of Lead.—A great number of fluids (such as beer, wines, vinegar, water, &c.), if they contain anything like the amount of one-tenth of a milligramme in 100 c.c., will give a very marked dark colour with SH2. It is, however, usually safest in the first place to concentrate the liquid, to add an acid, and deposit the lead on platinum, in the way to be shortly described. Nearly all the lead from oils and fatty matter may be dissolved out by shaking up the fat with dilute nitric acid; if necessary, the fat should previously be melted.
If (in the usual course of routine research) a hydrochloric acid solution is obtained from the treatment or destruction of organic substances by that agent, and lead sulphide (mixed possibly with other sulphides) is filtered off, any arsenical sulphide may first be extracted from the filter by ammonia, and any antimonious sulphide by sodic sulphide; then the sulphide may be extracted by warm hydrochloric acid, which will leave undissolved such sulphides as those of copper and mercury. On diluting the liquid, and filtration at a boiling temperature, crystals of lead chloride will be deposited on cooling.
If, however, organic matters are specially searched for lead, hydrochloric acid is not the best solvent, but nitric should always be preferred; and, if there is reason to think that the lead exists in the form of sulphate, then the proper solvent is either the acetate or the tartrate of ammonia; but, in either case, the solution should contain an excess of ammonia. It must, however, be remembered that organic matters retain lead with great tenacity, and that in all cases where it can with any convenience be effected, the substances should be not only carbonised, but burnt to an ash; for Boucher has shown[854] that carbon retains lead, and that the lead in carbon resists to a considerable extent the action of solvents.
[854] Ann. d’Hygiène, t. xli.
In the case of sulphate of lead, which may be always produced in an ash from organic substances by previous treatment with sufficient sulphuric acid, a very excellent method of identification is to convert it into sugar of lead. To do this, it is merely necessary to boil it with carbonate of ammonia, which changes it into carbonate of lead; treatment with acetic acid will now give the acetate; the solution may (if the lead is in very small quantity) be concentrated in a watch-glass, a drop evaporated to dryness on a circle of thin microscopic glass, and the crystals examined by the microscope; the same film next exposed to the fumes of SH2, which will blacken it; and lastly, the solution (which should be sweet) tasted. A crystalline substance, possessing a sweet taste, and blackening when exposed to SH2, can, under the circumstances, be no other substance than acetate of lead.
If the analyst does not care for this method, there is room for choice. Lead in solution can be converted into sulphide; in this case it is, however, absolutely necessary that there should be no great excess of acid, since as little as 2·5 per cent. of free hydrochloric acid will prevent all the lead going down. On obtaining the sulphide, the latter, as already described, can be converted into chloride by hydrochloric acid, and the crystalline chloride is extremely characteristic.
From the solution of the chloride the metal may be obtained in a solid state by inserting a piece of zinc in the solution contained in a crucible; the lead will be deposited gradually, and can be then collected, washed, and finally fused into a little globule on charcoal. A lead bead flattens easily when hit with a hammer, and makes a mark on paper. Solutions of the chloride also give a heavy precipitate of lead sulphate, when treated with a solution of sodic sulphate.
When lead is in very minute quantity, an electrolytic method is generally preferable; the lead is precipitated on platinum by using exactly the same apparatus as in Bloxam’s test, described at [p. 566]; the liquid to be tested being placed in the inner cell, the lead film may now be identified, dissolved in nitric acid, and estimated by a colorimetric process. For the estimation of the minute fractions of a grain by a colour method, it is merely necessary to have a very dilute solution of acetate of lead, to add a known volume of SH2 water to the liquid to be tested in a Nessler cylinder, noting the colour, and add to another a known quantity of the standard lead solution and the same quantity of SH2 as was added to the first.
The process has an advantage which is great, viz., that it either detects copper, or proves its absence at the same time; and there are few cases in which the analyst does not look for copper as well as for lead. Lead, if in sufficient quantity, may be most conveniently estimated as oxide, sulphate, or chloride; the chief properties of these substances have been already described.
§ 794. The Detection of Lead in Tartaric Acid, in Lemonade, and Aërated Waters.—To detect lead in tartaric acid a convenient method is to burn it to an ash, digest in a little strong sulphuric acid, and then add either sodic chloride or a drop of HCl; lead, if present, is precipitated as chloride, giving a pearly opalescence. Lemonades often contain minute quantities of iron and copper as well as lead. Neither copper nor iron are precipitated by ammonium sulphide in presence of potassic cyanide. On the other hand, the sulphide of lead is not soluble in the alkaline cyanides. Hence a liquid which, on the addition of potassium cyanide and then ammonium sulphide, becomes dark coloured, or from which a precipitate separates, contains lead.[855]
[855] F. L. Teed, Analyst, xvii. 142-143.
2. COPPER.
§ 795. Copper, Cu = 63·5; specific gravity, from 8·921 to 8·952; fusing-point, 1091° (1996° F.). Copper in analysis occurs either as a film or coating on such metals as platinum, iron, &c., or in a state of fine division; or, finally, as a bead. In thin films, copper has a yellowish or a yellowish-red colour; it dissolves readily in nitric, slowly in hydrochloric acid. If air be excluded, hydrochloric acid fails to dissolve copper, and the same remark applies to ammonia; but, if there be free access of air, ammonia also acts as a slow solvent. Metallic copper in a fine state of division can be fused at a white heat to a bright bluish-green globule, which, on cooling, is covered with black oxide.
§ 796. Cupric Oxide (CuO = 79·5; specific gravity, 6·5, composition in 100 parts, Cu 79·85, O 20·15) is a brownish-black powder, which remains in the absence of reducing gases unaltered at a red heat. It is nearly insoluble in water, but soluble in ClH, NO3H, &c.; it is hygroscopic, and, as every one who has made a combustion knows, is readily reduced by ignition with charcoal in the presence of reducing gases.
§ 797. Cupric Sulphide, CuS = 95·5, produced in the wet way, is a brownish powder so insoluble in water that, according to Fresenius, 950,000 parts of water are required to dissolve one part. It is not quite insoluble in ClH, and dissolves readily in nitric acid with separation of sulphur. By ignition in a stream of H it may be converted into the subsulphide of copper. It must always be washed by SH2 water.
§ 798. Solubility of Copper in Water and Various Fluids.—The solubility of copper in water and saline solutions has been very carefully studied by Carnelley.[856] Distilled water exerts some solvent action, the amount varying, as might be expected, according to the time of exposure, the amount of surface exposed, the quantity of water acting upon the copper, &c. It would appear that, under favourable circumstances, 100 c.c. of distilled water may dissolve ·3 mgrm. of copper (·2 grain per gallon).
[856] Journ. Chem. Soc., 1876, vol. ii. p. 4.
With regard to salts, those of ammonium exert a solvent action on copper more decided than that of any others known. With the others, however, the nature of the base exerts little influence, the action of the salt depending chiefly on the nature of its acid radical. Thus, beginning with the least effective, the following is the order of dissolving strength:—Nitrates, sulphates, carbonates, and chlorides. It will then at once be evident that a water, contaminated by sewage, and therefore containing plenty of ammonia and chlorides, might exert a very considerable solvent action on copper.
Almost all the oils and fats, as well as syrups, dissolve small quantities of copper; hence its frequent presence in articles of food cooked or prepared in copper vessels. In the very elaborate and careful experiments of Mr. W. Thompson,[857] the only oils which took up no copper, when digested on copper foil, were English neats’-foot oil, tallow oil, one sample of olive oil, palm-nut oil, common tallow oil, and white oil, which was protected from the air by a thick coating of oxidised oil on its surface.
[857] “Action of Fatty Oils on Metallic Copper,” Chem. News, vol. xxxiv. pp. 176, 200, 313.
The formation of copper compounds with the fatty acids takes place so readily that Jeannel[858] has proposed the green colouring of fats by copper as a test for the presence of copper; and Bottger[859] recommends a copper holding brandy to be shaken up with olive oil to free it from copper.
[858] L’Union pharmac., xvii. 81.
[859] Arch. de Pharm., 1853, cxxvi. 67.
Lehmann has made some useful researches on the amount of copper taken up by fats under different conditions. 100 c.c. of strongly rancid fat dissolved in fourteen days 8·7 mgrms. of copper; but when heated to 160° for one hour, and then allowed to stand, a similar amount was found. Some rancid butter was rubbed into a brass bowl of 90 c.c. capacity, and then allowed to stand for twenty-four hours; the butter became of a blue-green colour. Into this dish, thus partially attacked by fatty acids, 50 c.c. of rancid butter was poured in a melted condition, and allowed to stand for twenty-four hours. The amount taken up was found to be equal to 10 mgrms. of copper for every 100 c.c. of fluid butter.
Hilger found a fatty soup, which had stood twelve hours in a clean copper vessel, to contain 0·163 per cent. copper. According to Tschirch, the easiest fatty salt to form is the oleate, hydrated copper oxide dissolving in oleic acid with great ease, and even copper oxide dissolving to some extent; the palmitate and the stearate are not so readily produced; hence the amount of copper dissolved is greater in the case of olive oil and butter (both rich in oleic acids) than in the case of the firmer animal fats. Acid solutions, such as clarets, acetic acid, vinegars, and so forth, as might be expected, dissolve more or less copper. The amount likely to be dissolved in practice has been investigated by Lehmann. He steeped 600 square metres of copper sheeting or brass sheeting in vessels holding 2 litres of acid claret; the sheets were in some of the experiments wholly immersed, in others partly so. More copper was dissolved by the wine when the copper was partly immersed than when it was wholly immersed; and more copper was dissolved from brass sheeting than from pure copper sheeting. With a sheet of copper, partly immersed, claret may contain as much as 56 mgrms. per litre. Lehmann also investigated the amount of copper, as acetate, which could be dissolved in wine before the taste betrayed its presence: with 50 mgrms. per litre no copper taste; with 100 mgrms. there was a weak after taste; with 150 mgrms. it was scarcely drinkable, and there was a strong after taste; with 200 mgrms. per litre it was quite undrinkable, and the colour was changed to bluish-green. Vinegar, acting under the most favourable circumstances on sheet brass or copper, dissolved, in seven days, 195 mgrms. of copper per litre from the copper sheet, 195 from the brass sheet.
Lehmann discusses the amount of copper which may be taken at a meal under the circumstance that everything eaten or drank has been artificially coppered, but none “coppered” to the extent by which the presence of the metal could be betrayed by the taste; and the following is, he thinks, possible:—
| 300 c.c. of soup boiled in a copper vessel, | 20 | mgrms. Cu. |
| 1 litre of wine which has been standing in a copper vessel, | 50 | „ |
| 50 c.c. vinegar which has been kept in a copper vessel, | 10 | „ |
| 50 grms. of fat which has been used for frying in a copper vessel, | 5 | „ |
| 200 grms. of strongly coppered peas, | 50 | „ |
| 500 grms. of strongly coppered bread, | 60 | „ |
The total only amounts to 195 mgrms. of copper, which only slightly exceeds a high medicinal dose. The metal is tasted more easily in liquids, such as wine, than in bread; bread may be coppered so that at a meal a person might eat 200 mgrms. of a copper compound without tasting it.
It is pretty well accepted that cooking in clean bright copper vessels will not contaminate any ordinary food sufficiently to be injurious to health.
§ 799. Copper in the Vegetable and Animal Kingdom and in Foods.—Copper is widely distributed in the vegetable kingdom, and is a constant constituent of the chief foods we consume; the following quantities, for example, have been separated from the chief cereals:—
| Wheat, | 5 | ·2 | to 10·8 mgrms. | per kilo. | |
| Rye, | 5 | mgrms. | „ | ||
| Oats, | 8 | ·5 | mg„ | „ | |
| Barley, | 11 | ·8 | mg„ | „ | |
| Rice, | 1 | ·6 | mg„ | „ | |
| Bread, | 1 | ·5 | to 4·4 mgrms. | „ | |
It has also been found in vermicelli (2-10 mgrms. per kilo.), groats (1·6-3 mgrms. per kilo.), potatoes (1·8 mgrm. per kilo.), beans (2-11 mgrms. per kilo.). In similar small quantities it has also been found in carrots, chicory, spinach, hazel-nuts, blackberries, peaches, pears, figs, plums, tamarinds, black pepper, and many other fruits and spices. The most common food which has a high copper content is cocoa, which contains from 12 mgrms. to 29 mgrms. per kilo., the highest amount of copper being in the outer husk; copper has also been found in many supplies of drinking water, in aërated waters, in brandies, wines, and many drugs.
It has been calculated that the ordinary daily food of an average man contains the following:—
| Copper. | ||
|---|---|---|
| 900 grms. bread, | 0·45 | mgrm. |
| 260 grms. meat, | 0·25 | „ |
| 200 grms. fruit and vegetables, | 0·25 | „ |
| 0·95 | mgrm. | |
That is to say, that, neglecting altogether foods artificially contaminated with copper, each of us eats daily about 1 mgrm. of copper (0·015 grain).
In the animal kingdom it is a constant and natural constituent of the blood of the cephalopods, crustacea, and gasteropods, and is nearly always present in the liver and kidneys of domestic animals, as well as in men. Dr. Dupré[860] found ·035 to ·029 grain (1·8 to 2 mgrms.) in human livers, or about 1 part in 500,000. Bergeron and L. L’Hôte’s researches on fourteen bodies, specially examined for copper, fully substantiate those of Dr. Dupré; in twelve the copper was found in quantities of from ·7 to 1·5 mgrm.; in the remaining two the amount of copper was very minute, and was not estimated.[861] Copper is also found normally in the kidneys, and Dupré [862] detected in human kidneys about 1 in 100,000 parts; it is also found in the bile, and in minute traces in the blood.[863]
[860] Analyst, No. 13, 1877.
[861] Compt. Rendus, vol. lxxx. p. 268.
[862] Op. cit.
[863] Hoppe-Seyler, Handbuch der physiologisch. Analyse, p. 415.
In the kidneys and livers of the ruminants copper may always be found, a sheep’s liver containing about 1 part in 20,000.[864] Church found copper in the feathers of the wings of the turaco; melopsitt in the feathers of a parroquet (Melopsittacus undulatus).[865] In these cases the copper enters into the composition of the colouring matter to which the name of “turacin” has been given. Turacin contains 7 per cent. of copper, and gives to analysis numbers which agree with the formula of C82H81Cu2N9O32.
[864] Dupré, op. cit.
[865] Chem. News, xxviij. 212.
Copper has been discovered in aërated waters, its presence being due to the use of copper cylinders, the tin lining of which had been rendered defective by corrosion.[866]
[866] “On the Presence of Lead and Copper in Aërated Waters,” by Dr. James Milne, Chem. News, xxxi. p. 77.
Accidents may also occur from the use of copper boilers. Mr. W. Thompson found in one case[867] no less than 3·575 grains in a gallon (51 mgrms. per litre) in water drawn from a kitchen boiler.
[867] Chem. News, xxxi. No. 801.
At Roubaix, in France, sulphide of copper had been deposited on the roof, as a consequence of the use of copper flues; the sulphide was changed into sulphate by the action of the air, and washed by the rain into the water-tank.[868]
[868] Author’s Dictionary of Hygiène, p. 167.
That preserved vegetables are made of a bright and attractive green colour by impregnation with copper, from the deliberate use of copper vessels for this purpose, is a fact long known. Green peas especially have been coloured in this way, and a number of convictions for this offence have taken place in England.
§ 800. The “Coppering” of Vegetables.—The fact that green vegetables, such as peas, beans, cucumbers, and so forth, preserve their green colour, if boiled in copper vessels, has long been known. In this “coppering” the French have been more active than the English traders; the French operate in two different ways. One method is, to dip from 60 to 70 litres of the green vegetables in 100 litres of 0·3 to 0·7 per cent. of copper sulphate, to leave them there for from five to fifteen minutes, then to remove them, wash and sterilise in an autoclave. A second method is to put the vegetables into a copper vessel, the wall of which is connected with the negative pole of an electric current, the positive pole dips in a solution of salt in the same vessel, the current is allowed to pass for three minutes, and the vegetables are afterwards sterilised. Fruits are simply allowed to stand with water in copper vessels, the natural acidity of the juice dissolving sufficient copper.
The amount of copper taken up in this way is appreciable, but yet not so much as might be expected; the prosecutions for selling “coppered” peas in England have been based upon quantities varying from 1 to 3 grains per lb.; the highest published amount of copper found in peas artificially coloured is 0·27 per kilo., or 18·9 grains per lb.
The reason why vegetables preserve their green colour longer when treated with a copper salt has been proved by Tschirch[869] to be owing to the formation of a phyllocyanate of copper.
[869] Das Kupfer, Stuttgart, 1893.
Phyllocyanic acid is a derivative of chlorophyll, and allied to it in composition; the formula of C24H28N2O4 has been ascribed to it. Under the action of acids generally, mineral or organic, chlorophyll splits up into this acid and other compounds. Copper phyllocyanate, (C24H27N2O4)2Cu, contains 8·55 per cent. of copper; it forms black lamellæ, dissolving easily in strong alcohol and chloroform, but insoluble in water; it is a little soluble in ether, insoluble in petroleum ether, and dissolved neither by dilute acetic acid, nor by dilute nor concentrated hydrochloric acid. The compound dissolves in caustic alkali on warming. In alcohol it forms a beautiful non-fluorescent solution. A solution of 1 : 100,000 is still coloured strongly green.
This solution, in a stratum of 25 mm. thick, gives four absorption bands when submitted to spectroscopic observation, and Tschirch has worked out a process of estimation of the amount of copper phyllocyanate based upon the disappearance of these bands on dilution.
Green substances, so carefully treated that they only contain phyllocyanate of copper, would yield but small quantities of copper, and probably they would not be injurious to health; but the coppering is usually more extensive, and copper leguminate and other compounds are formed; for the vegetables, when exhausted by alcohol, give a residue which, successively exhausted by water, by soda-lye, and lastly by hydrochloric acid, parts with copper into the three solvents mentioned.
It might be argued that, from the insoluble character of the phyllocyanate of copper, and especially seeing that it does not dissolve in strong hydrochloric acid, that it would be perfectly innocuous; but Tschirch has proved that, whether the tartrate of copper (dissolving easily in water), or copper oxide (not dissolving at all in water, but soluble in hydrochloric acid), or phyllocyanate of copper (insoluble both in water and in hydrochloric acid) be used, the physiological effect is the same.
Copper may be found in spirits, owing to the use of copper condensers, a remark which applies also to the essential oils, such as oleum cajepute, menthæ, &c.[870] In France, it has been added fraudulently to absinthe, to improve its colour.[871] Green sweetmeats, green toys, green papers, have all been found to contain definite compounds of copper to a dangerous extent.
[870] According to Eulenberg (Gewerbe Hygiene, p. 716), Oleum cajepute, Menth. pip., Melissæ, Tanaceti, &c., are almost always contaminated with copper.
[871] Tardieu, Étude Méd. Lég. sur l’Empoisonnement.
§ 801. Preparations of Copper used in Medicine and the Arts.
(1) Medicinal Preparations:—
Sulphate of Copper, Cupri Sulphas, CuSO45H2O.—This well-known salt is soluble in water at ordinary temperature, 3 parts of water dissolving 1 of the sulphate; but boiling water dissolves double its weight; 1 part of copper sulphate dissolves in 21⁄2 of glycerin; it reddens litmus, and is slightly efflorescent; its solution responds to all the usual tests for copper and sulphuric acid. A watery solution of the salt to which twice its volume of a solution of chlorine has been added, gives, when treated with ammonia in excess, a clear sapphire-blue solution, leaving nothing undissolved, and thus showing the absence of iron. Besides iron, sulphate of copper has been found to contain zincic sulphate.
Nitrate of Copper, Cu(NO3)23H2O, is officinal; it is very soluble.
Cuprum Aluminatum.—A preparation, called cuprum aluminatum (Pierre divine), is in use in France and Germany, chiefly as an external wash. It is composed of 16 parts cupric sulphate, 16 potassic nitrate, 16 alum, fused in a crucible, a little camphor being afterwards added.
Regular and irregular medical practitioners, veterinary surgeons, farriers, and grooms, all use sulphate of copper (bluestone) as an application to wounds. Copper as an internal remedy is not in favour either with quacks or vendors of patent medicines. The writer has not yet found any patent pill or liquid containing it.
(2) Copper in the Arts.—Copper is used very extensively in the arts; it enters into the composition of a number of alloys, is one of the chief constituents of the common bronzing powders, is contained in many of the lilac and purple fires of the pyrotechnist, and in a great variety of pigments. The last-mentioned, being of special importance, will be briefly described:—
Pigments:—
Schweinfurt and Scheele’s Green[872] are respectively the aceto-arsenite and the arsenite of copper (see article “[Arsenic]”).
[872] The synonyms for Schweinfurt green are extremely numerous:—Mitic green, Viennic green, imperial green, emerald green, are the principal terms in actual use.
Brighton Green is a mixture of impure acetate of copper and chalk.
Brunswick Green, originally a crude chloride of copper, is now generally a mixture of carbonate of copper and chalk or alumina.
Mountain Green, or Mineral Green, is the native green carbonate of copper, either with or without a little orpiment.
Neuwieder Green is either the same as mountain green, or Schweinfurt green mixed with gypsum or sulphate of baryta.
Green Verditer is a mixture of oxide and carbonate of copper with chalk.
Verdigris is an acetate of copper, or a mixture of acetates. Its formula is usually represented as (C2H3O2)CuO. It is much used in the arts, and to some extent as an external application in medicine. Its most frequent impurities or adulterations are chalk and sulphate of copper.
§ 802. Dose—Medicinal Dose of Copper.—Since sulphate of copper is practically the only salt administered internally, the dose is generally expressed as so many grains of sulphate. This salt is given in quantities of from ·016 to ·129 grm. (1⁄4 to 2 grains) as an astringent or tonic; as an emetic, from ·324 to ·648 grm. (5 to 10 grains).
The sulphate of copper is given to horses and cattle in such large doses as from 30 up to 120 grains (1·9 to 7·7 grms.); to sheep, from 1·3 to 2·6 grms. (20 to 40 grains); rabbits, ·0648 to ·1296 grm. (1 to 2 grains).
§ 803. Effects of Soluble Copper Salts on Animals.—Harnack has made some experiments on animals with an alkaline tartrate of copper, which has no local action, nor does it precipitate albumin. 1⁄2 to 3⁄4 mgrm. of copper oxide in this form, administered subcutaneously, was fatal to frogs, ·05 grm. to rabbits, ·4 grm. to dogs. The direct excitability of the voluntary muscles was gradually extinguished, and death took place from heart paralysis. Vomiting was only noticed when the poison was administered by the stomach.[873] The temperature of animals poisoned by copper, sinks, according to the researches of F. A. Falck, many degrees. These observations are in agreement with the effects of copper salts on man, and with the experiments of Orfila, Blake, C. Ph. Falck, and others.
[873] On the other hand, Brunton and West have observed vomiting produced in animals after injection of copper peptone into the jugular vein.—Barth. Hosp. Rep., 1877, xii.
Roger[874] experimented on the effect of copper leguminate which was administered subcutaneously; he found gradual increasing paralysis of the motor spinal tracts, which finally destroyed life by paralysis of the breathing centre. The heart beat after the breathing had stopped. The irritability and contractility of the muscles of frogs were lost, while sensibility remained. He also found that, if the copper was injected into the intestinal vessels, the dose had to be doubled in order to destroy life; this is, doubtless, because the liver, as it were, strained the copper off and excreted it through the bile. Roger was unable to destroy life by large doses of copper given by the mouth, for then vomiting supervened and the poison in great part was removed.
[874] Revue de Médecine, 1877, xii.
Bernatzic[875] considers that the poisonous properties of copper are similar to those of zinc and silver. He says: “Silver, copper, and zinc are, in their medicinal application, so much allied that, with regard to their action, they graduate one into the other and show only minor differences; copper, which is a little the more poisonous of the three so far as its remote action is concerned, stands between the other two. If taken, in not too small a quantity, for a long time, the functional activity of the muscular and nervous systems is influenced injuriously, the development of the animal cells is inhibited, the number of the red blood corpuscles decreased, and therefore the oxidising process and metabolism are likewise diminished, leading ultimately to a condition of marked cachexia. . . . From a toxic point of view, the three metals named also stand near each other, and their compounds differ from other metals injurious to the organism in this, that they do not produce notable changes of the tissues or coarse functional disturbances leading to death as other poisonous metals, and therefore are not to be considered poisons in the same sense as lead, mercury, arsenic, antimony, phosphorus are considered poisons; for, on stopping the entry of the poison, any injurious effect is completely recovered from and the functions again become normal.”
[875] Encycloped. d. ges. Heilkunde, xi. S. 429.
Lehmann[876] has also experimented on the effects of copper; his experiments were made on both animals and men. He found that small quantities were more thoroughly absorbed than medium or large doses; the method of separation appeared to be different in different animals—thus, the chief copper-excreting organ in dogs is the liver; in rabbits, the intestine; and in man, the kidneys. Of 3 mgrms. of copper taken by a man in three days, 1 mgrm., or a third, was recovered from the urine. Lehmann experimented on 6 rabbits, 4 cats, and 1 dog. During the first few days the animals were given 10 to 30 mgrms. of copper, in the form of a salt, in their food; then the dose was raised to 50 mgrms. or even to 100 mgrms., and the experiment continued for from two to four months; in one case, six months. The sulphate, acetate, chloride, oleate, butyrate, and lactate were all tried, but no essential difference in action discovered. Apart from slight vomiting, and in a few cases, as shown by post-mortem, a slight catarrh of the stomach, the animals remained well. A few increased in weight. Nervous symptoms, cramps, convulsions, diarrhœa, or the reverse, were not observed. The analysis of the organs showed considerable copper absorption; the liver of the cats gave a mean amount of 12 mgrms. of copper, and in the other organs there was more copper than is found in cases of acute poisoning.
[876] Münch. med. Wochenschrift, 1891, Nr. 35 u. 36.
Lehmann has also made experiments upon himself and his pupils on the effect of the sulphate and the acetate when taken for a long time:—
| One of the experimenters took | for 50 | days | 10 | mgrms. | daily Cu as sulphate. | |||||
| One„of the expe„menters t„ | then for 30 | „ | 20 | „ | „ | |||||
| Another took | for | 3 | days | 5 | mgrms. | as acetate. | sulphate | |||
| „ | then | for | 10 | days | 10 | „ | „ | |||
| „ | „ | 1 | day | 15 | „ | „ | ||||
| „ | „ | 19 | days | 20 | „ | „ | ||||
| „ | „ | 18 | days | 30 | „ | „ | ||||
None of these daily doses had the least effect.
Five farther experiments showed that 75 to 127 mgrms. of copper in peas and beans, divided in two meals, could be taken daily without effect; but if 127 mgrms. were taken at one meal in 200 grms. of peas, then, after a few hours, there might be vomiting; and Lehmann concludes that doses of copper in food of about 100 mgrms. may produce some transient derangement in health, such as sickness, a nasty taste in the mouth, and a general feeling of discomfort, but nothing more; some slight colicky pains and one or two loose motions are also possible, but were not observed in Lehmann’s experiments.
§ 804. Toxic Dose of Copper Salts.—This is a difficult question, because copper salts generally act as an emetic, and therefore very large doses have been taken without any great injury. In fact, it may be laid down that a medium dose taken daily for a considerable time is far more likely to injure health, or to destroy life, than a big dose taken at once. In Tschirch’s[877] careful experiments on animals, he found 10 mgrm. doses of CuO given daily to rabbits, the weight of which varied from 1200 to 1650 grms., caused injury to health, that is, about 3·5 mgrms. per kilo. If man is susceptible in the same proportion, then daily doses of 227·5 mgrms. (or about 31⁄2 grains) would cause serious poisonous symptoms; although double or treble that quantity might in a single dose be swallowed and, if thrown up speedily, no great harm result. 120 grms. of sulphate of copper have been swallowed, and yet the patient recovered after an illness of two weeks.[878] Lewin[879] mentions the case of an adult who recovered after ten days’ illness, although the dose was 15 grms.; there is also on record the case of a child, four and a half years old, who recovered after a dose of 16·5 grms. (a little over half an ounce). On the other hand, 7·7 grms. have been with difficulty recovered from.[880] A woman died in seventy-two hours after taking 27 grms. (7 drms.) of copper sulphate mixed with 11·6 grms. (3 drms.) of iron sulphide; 56·6 grms. (2 ozs.) of copper acetate have caused death in three days; 14·2 grms. (0·5 oz.) in sixty hours.[881]
[877] Das Kupfer, Stuttgart, 1893.
[878] Referred to by Bernatzic, on the authority of Ketli, in Encycl. d. ges. Heilkunde, xi. S. 433.
[879] Toxicologie, S. 133.
[880] D Taylor, op. cit.
[881] Sonnenschein, op. cit.
§ 805. Cases of Acute Poisoning.—Acute poisoning by salts of copper is rare; in the ten years ending 1892, there were registered in England 8 deaths from this cause—3 suicidal (2 males, 1 female) and 5 accidental (4 males, 1 female). The symptoms produced by the sulphate of copper are those of a powerful irritant poison: there is immediate and violent vomiting; the vomited matters are of a greenish colour—a green distinguished from bile by the colour changing to blue on the addition of ammonia. There is pain in the stomach, and in a little time affections of the nervous system, as shown by spasms, cramps, paralysis, and even tetanus. Jaundice is a frequent symptom, if life is prolonged sufficiently to admit of its occurrence.
One of the best examples of acute poisoning by copper sulphate is recorded by Maschka.[882] A youth, sixteen years old, took an unknown large dose of powdered copper sulphate, mixed with water. Half an hour afterwards there was violent vomiting, and he was taken to the hospital. There was thirst, retching, constriction in the throat, a coppery taste in the mouth, and pain in the epigastrium, which was painful on pressure. The vomit was of a blue colour, and small undissolved crystals of copper sulphate were obtained from it. The patient was pale, the edges of the lips and the angles of the mouth were coloured blue, the surface of the tongue had also a blue tint, the temperature was depressed, the extremities cold, nails cyanotic, and the pulse small and quick. Several loose greenish-yellow evacuations were passed; there was no blood. The urine was scanty, but contained neither blood nor albumen. During the night the patient was very restless; the next morning he had violent headache, pain in the epigastrium, burning in the mouth and gullet, but no vomiting. The urine was scanty, contained blood, albumen, and colouring matter from the bile. On the fourth day there was marked jaundice. The mucous membrane was very pale, the temperature low, pulse frequent, and great weakness, cardiac oppression, and restlessness were experienced. There were diarrhœa and tenesmus, the motions being streaked with blood; the urine also contained much blood. The liver was enlarged. The patient died in a state of collapse on the seventh day.
[882] Wiener med. Wochenschr., 1871, Nro. 26, p. 628.
In 1836 a girl, sixteen months old, was given bluestone to play with, and ate an unknown quantity; a quarter of an hour afterwards the child was violently sick, vomiting a bluish-green liquid containing some pieces of sulphate of copper. Death took place in four hours, without convulsions, and without diarrhœa.
§ 806. Subacetate of Copper, Subchloride, and Carbonate, all act very similarly to the sulphate when given in large doses.
§ 807. Post-mortem Appearances.—In Maschka’s case, the chief changes noted were in the liver, kidneys, and stomach. The substance of the liver was friable and fatty; in the gall-bladder there were but a few drops of dark tenacious bile. The kidneys were swollen, the cortical substance coloured yellow, the pyramids compressed and pale brown. In the mucous membrane of the stomach there was an excoriation the size of a shilling, in which the epithelium was changed into a dirty brown mass, easily detached, laying bare the muscular substance beneath, but otherwise normal.
In a case of poisoning by verdigris (subacetate of copper) recorded by Orfila,[883] the stomach was so much inflamed and thickened that towards the pyloric end the opening into the intestine was almost obliterated. The small intestines throughout were inflamed, and perforation had taken place, so that part of the green liquid had escaped into the abdomen. The large intestines were distended in some parts, contracted in others, and there was ulceration of the rectum. In other cases a striking discoloration of the mucous membrane, being changed by the contact of the salt to a dirty bluish-green, has been noticed, and, when present, will afford valuable indications.
[883] Toxicologie, vol. i. p. 787 (5th ed.).
§ 808. Chronic Poisoning by Copper.—Symptoms have arisen among workers in copper or its salts, and also from the use of food accidentally contaminated by copper, which lend support to the existence of chronic poisoning. In the symptoms there is a very great resemblance to those produced by lead. There is a green line on the margin of the gums. Dr. Clapton[884] found the line very distinct in a sailor and two working coppersmiths, and the two men were also seen by Dr. Taylor. Cases of chronic poisoning among coppersmiths have also been treated by Dr. Cameron,[885] but this symptom was not noticed. Corrigan speaks of the line round the gums, but describes it as purple-red. Among workers in copper, Lancereaux[886] has seen a black coloration of the mucous membrane of the digestive canal; its chemical characters appear to agree with those of carbon.
[884] Med. Times and Gazette, June 1868, p. 658.
[885] Med. Times and Gazette, 1870, vol. i. p. 581.
[886] Atlas of Pathological Anatomy.
Metallic copper itself is not poisonous. A Mr. Charles Reed has published a letter in the Chemical News of Jan. 12, 1894, stating that he was, when a boy, wounded in the shin by a copper percussion-cap, and the cap remained in the tissues; it was removed from the shin after a sojourn thereof some twelve years; about the year 1873 he noticed that whenever a piece of clean iron or steel came in contact with his perspiration it was at once covered with a bright coating of copper, and this continued until the percussion-cap was removed. Presuming the truth of this, it shows conclusively that metallic copper deposited in the tissues is in itself not poisonous, and farther, that one method of elimination is by the skin. The experiments already cited throw doubt as to whether repeated small doses of copper taken for a long time produce in a scientific sense chronic poisoning; those which apparently support the view that there is such a thing as chronic poisoning by copper, have been produced by copper mixed with other metals; and there is the possibility that these cases are really due to lead or arsenic, and not to copper. The great use of late years of solutions of copper sulphate as a dressing to plants, for the purpose of preventing the ravages of various parasites, has provided, so far as animals are concerned, much material for the judgment of this question. Sheep have been fed with vines which have been treated with copper sulphate, oxen and pigs have consumed for a long time grass treated with a 3 per cent. of copper sulphate, without the least health disturbance. Mach[887] has fed cows with green food coppered up to 200 mgrms. of copper sulphate, without observing the slightest bad effect, for long periods of time; and Tschirch[888] summarises the evidence as to chronic poisoning as follows:—“So it appears the contention that there is no chronic poisoning in men or animals is at present uncontradicted; it is farther to be considered proved that the small amounts of copper naturally in food, or carefully introduced into food, are not injurious to the health of those that take such food, because the liver, kidneys, and other organs excrete the copper through the urine and bile, and prevent a pernicious accumulation.” At the same time, Tschirch does not consider the question is definitely settled; the experiments should, he thinks, have been continued not for months, but for years, to obtain a trustworthy judgment.
[887] Mach, Bericht über die Ergebnisse der im Jahre 1886 ausgeführten Versuche zur Bekämpfung der Peronospora, St. Michele, Tyrol.
[888] Op. cit.
It may also be remarked that, if we are to rely upon the separation of copper by the kidneys and the liver, those organs are presumed to be in a healthy state, which is not the case with a percentage of the population; to persons whose liver or kidneys are unsound, even the small amounts of copper found in “coppered” peas may act as a poison, and the experiments previously detailed throw no light upon the action of copper under such circumstances.
§ 809. Detection and Estimation of Copper.—Copper may occur either in the routine process of precipitating by SH2, or it may, as is generally the case, be searched for specially. If copper is looked for in a precipitate produced by SH2, it is taken for granted that the precipitate has first been treated successively by carbonate of ammonia, sulphide of sodium, and hydrochloric acid; in other words, arsenic, antimony, and lead have been removed. The moist precipitate is now treated with warm nitric acid, which dissolves out copper sulphide with separation of sulphur; if there is sufficient copper, the fluid shows a blue colour, which of itself is an indication of copper being present. The further tests are—(1) Ammonia gives a deeper blue; (2) ferrocyanide of potash a brown-red colour or precipitate; (3) a few drops mixed with a solution of tartrate of soda, alkalised with sodic hydrate, and boiled with a crystal or two of grape-sugar, gives quickly a red precipitate of oxide of copper; (4) a needle or a clean iron wire, or any simple galvanic combination, immersed in, or acting on, the liquid, soon becomes coated with the very characteristic reddish metallic film. Various other tests might be mentioned, but the above are ample.
Special Examinations for Copper.
(1) In Water and Liquids generally.—The liquid may be concentrated, and the copper separated by electrolysis. A simple method is to place the liquid in a large platinum dish, and insert a piece of zinc, adding a sufficient quantity of ClH to dissolve the zinc entirely; the copper is found as an adherent film on the inner surface of the dish. It is neater, however, and more accurate, to connect the platinum dish with the negative plate of a battery, suspending in the liquid the positive electrode. The modifications of this method are numerous; some chemists use (especially for small quantities of copper) two small platinum electrodes, either of foil or of wire, and on obtaining the film, weigh the electrode, then dissolve the copper off by nitric acid, and re-weigh. Such solid substances as peas are conveniently mashed up into a paste with water and ClH; an aliquot part is carefully weighed and put in a platinum dish, connected, as before described, with a battery; at the end of from twelve to twenty-four hours all the copper is deposited, and the dish with its film dried and weighed. The weight of the clean dish, minus the coppered dish, of course equals the copper. Fat and oils are best thoroughly washed with hot acid water, which will, if properly performed, extract all the copper. By the use of separating funnels and wet filters, the fat or oil can be separated from the watery liquid.
A galvanic test has been proposed, which is certainly very delicate, 1⁄100 of a mgrm. in solution being recognised with facility. A zinc platinum couple is made with two wires; on leaving this in an acid liquid containing a mere trace of copper, after several hours the platinum will be found discoloured. If the discoloration is from copper, on exposing the wire to hydrobromic acid fumes (easily produced from the action of potassic bromide and sulphuric acid) and bromine, the wire will become of a violet colour. This colour is easily recognised by rubbing the wire on a piece of porcelain.[889]
[889] Chem. News, Nov. 30, 1877.
(2) Animal Matters, such as the liver, brain, spinal cord, &c., are best entirely burnt to an ash, and the copper looked for in the latter.[890] The same remark applies to bread and substances consisting almost entirely of starchy matters. Any injurious quantity of copper can, however, be extracted with hydrochloric acid and water; and, although this method of extraction is not quite so accurate, it is quicker.
[890] In exhumation of long buried bodies, it may be necessary to know the composition of the soil. Sonnenschein mentions a skull, now in the museum at Madrid, which was dug out of an old Roman mine, and is quite green from copper compounds.—Sonnenschein’s Handbuch, p. 83.
§ 810. Volumetric Processes for the Estimation of Copper.—A number of volumetric processes have been devised for the estimation of copper, but for the purposes of this work it is unnecessary to detail them. When copper is in too small a quantity to be weighed, it may then be estimated by a colorimetric process.
One of the best of these is based upon the brown colour which ferrocyanide of potash produces in very dilute solutions of copper. A standard copper solution is obtained by dissolving sulphate of copper in a litre of water, so that each c.c. contains 0·1 mgrm. Cu, and a solution of ferrocyanide of potash in water is prepared, strength 4 per cent. It is also convenient to have a solution of nitrate of ammonia, which is found to render the reaction much more delicate.
The further details are on the well-known lines of colorimetric estimations.
3. BISMUTH.
§ 811. Bismuth, Bi = 210; sp. gr., 9·799; fusing-point, 264° (507·2° F.).—Bismuth, as obtained in the course of analysis, is either a black metallic powder or an extremely brittle bead of a reddish-white colour. The compounds which it will be necessary to briefly notice are the peroxide and tersulphide.
§ 812. The peroxide of bismuth, Bi2O3 = 468; sp. gr., 8·211; Bi, 89·64 per cent., O, 10·36 per cent., as prepared by igniting the carbonate or nitrate, is a pale lemon coloured powder, which can be fused without loss of weight, but is reduced on charcoal, or in a stream of carbon dioxide, to the metallic state. It is also reduced by fusion with potassic cyanide or by ignition with ammonium chloride.
§ 813. The Sulphide of Bismuth, Bi2S3 = 516; Bi, 81·25 per cent., S, 18·75 per cent., occurs, in the course of analysis, as a brownish-black or quite black precipitate, insoluble in water, dilute acids, alkalies, alkaline sulphides, sulphate of soda, and cyanide of potassium, but dissolving in moderately concentrated nitric acid with separation of sulphur. It continually increases in weight when dried in the ordinary way, and is completely reduced when fused with cyanide of potassium.
§ 814. Preparations of Bismuth used in Medicine and the Arts.
(1) Pharmaceutical Preparations:—
Bismuthi Subnitras, BiONO3.H2O.—A heavy white powder, insoluble in water, and responding to the usual tests for bismuth and nitric acid. The formula should yield 77 per cent. of bismuth oxide. Commercial preparations, however, vary from 79 to 82 per cent.
Bismuth Lozenges (Trochisci bismuthi) are composed of subnitrate of bismuth, magnesia carbonate, precipitated lime carbonate, sugar, and gum, mixed with rose water. Each lozenge should contain 0·13 grm. (2 grains) of subnitrate of bismuth.
Solution of Citrate of Bismuth and Ammonia (Liquor Bismuthi et Ammoniæ citratis), a colourless neutral or slightly alkaline fluid, sp. gr. 1·07, responding to the tests for bismuth and ammonia. As an impurity lead may be present, citric acid being so frequently contaminated with lead. Carbonate of bismuth (Bismuthi carbonas), (Bi2O2CO3)2H2O is a fine white powder answering to the tests for carbon dioxide and bismuth; it should yield 89·1 per cent. of bismuth oxide.
A Nitrate of Bismuth, Bi(NO3)3, an oleate of bismuth, an oxide of bismuth, a subgallate of bismuth (dermatol), and a subiodide of bismuth are also used in medicine.
(2) Bismuth in the Arts.[891]
[891] Bismuth is contained in all copper coinage—from the Bactrian coins to our own; in all cupreous ores, except the carbonates, and in nearly all specimens of commercial copper.—Field, Chem. News, xxxvi. 261.
The chief use of bismuth is in alloys and solders. The Chromate is employed in calico-printing, and the subnitrate as a paint under the name of pearl-white.
The salts of bismuth also occur in washes for the hair, and pearl-white is used as a cosmetic, but only to a small extent.
§ 815. Medicinal Doses of Bismuth.—The subnitrate and carbonate are prescribed in doses from ·0648 to 1·296 grm. (1 to 20 grains); the valerianate, from ·1296 to ·648 grm. (2 to 10 grains); and the solution, from 1·7 c.c. to 5·2 c.c. (1⁄2 drachm to 11⁄2 drachm).
§ 816. Toxic Effects of Bismuth.—From the researches of Meyer and Steinfeld[892] on animals, it appears that if birds or mammals are poisoned with bismuth salts introduced subcutaneously, or by direct injection, into the veins, death follows in from twenty-four to forty-eight hours, the fatal issue being preceded by convulsions; after death, the colon is intensely blackened, and it may be ulcerated, while the small intestines and the stomach are healthy. If, however, sulphur preparations are given by the mouth, there is then blackening of the stomach, and there may also be ulcers. Meyer is of the opinion that SH2 precipitates bismuth in the parenchyma, and the particles occluding the capillaries thus cause small local necroses; that which escapes precipitation is mainly excreted by the kidneys. Poisonous symptoms in man have been known to occur from the treatment of wounds with bismuth preparations;[893] the symptoms have been somewhat similar to mercurial poisoning; there have been noticed stomatitis with salivation, loosening of the teeth, a black colour of the mucous membrane of the mouth and ulceration, also catarrh of the intestines, and the inflammatory condition of the kidneys usual when that organ has to excrete metallic substances not natural to the body, the “metallniere,” or metal kidney, of the German writers. One case is recorded of death in nine days of an adult after taking 7·7 grms. (2 drms.) of bismuth subnitrate. The recorded symptoms were a metallic taste in the mouth, pain in the throat, vomiting, purging, coldness of the surface, and spasms of the arms and legs. A post-mortem examination showed inflammatory changes in the gullet, windpipe, and throughout the intestinal canal. Recovery has, however, taken place from a single dose three times the amount mentioned. It is possible that the fatal case was due to impure bismuth.
[892] L. Feder-Meyer, Rossbach’s pharmak. Unters., iii., 1882, No. 23; Steinfeld, Wirkung des Wismut. Inaug. Diss., Dorpat, 1884; Arch. exp. P., Bd. xx. 1886.
[893] B. Med. Journal, 1887, i. 749.
§ 817. Extraction and Detection of Bismuth in Animal Matters.—Bismuth appears to be excreted principally by the bowels as sulphide of bismuth; but it has also been detected in the urine, spleen, and liver; and Lubinsky has found it in the saliva and in the epithelium of the mouth of persons taking one of its preparations. Without denying the possibility of its existing in a soluble state in the saliva, its presence in the mouth may, under such circumstances, be ascribed to the lodgment of particles of subnitrate or subcarbonate of bismuth in the interstices of the teeth, &c. It will then be evident that, if a person is supposed to have been poisoned by a large dose of bismuth, and the analyst fail to find it in the stomach, the contents of the bowels should be next examined.
The extraction of bismuth must be undertaken by nitric acid, and boiling for at least two hours may be necessary to dissolve it out from the tissues. Such organs as the liver and spleen are boiled in a finely divided state with a litre of dilute nitric acid (strength, 5 per cent.), for the time mentioned, filtered, and the filtrate evaporated to dryness; the remainder is then carbonised by strong nitric acid; and, finally, the charcoal is boiled with equal parts of nitric acid and water, and the whole evaporated to dryness. By this method every trace of bismuth is extracted. The dry residue may now be brought into solution, and tested for bismuth. The best solvent for the nitrate of bismuth is dilute nitric acid 50 per cent.; the dry residue is therefore dissolved in 100 or 200 c.c. of the acid, and fractional parts taken for examination:—
(1) The solution, poured into a large volume of warm distilled water, gives a crystalline precipitate of subnitrate of bismuth. The only metal giving a similar reaction is antimony, and this is excluded by the method employed.
(2) The filtered fluid gives on addition of sodic chloride a precipitate of oxychloride. This, again, is distinguished from oxychloride of antimony by its insolubility in tartaric acid.
(3) Any bismuth precipitate, fused with soda on charcoal, gives a brittle bead of bismuth; the coal is coated whilst warm a dark orange-yellow, on cooling citron-yellow.
(4) The bead may be identified by powdering it, placing it in a short subliming tube, and passing over it dry chlorine. The powder first turns black, then melts to an amber-yellow fluid, and finally, by prolonged heating, sublimes as terchloride of bismuth.
(5) A very delicate test proposed by Abel and Field, in 1862,[894] specially for the detection of bismuth in copper (but by no means confined to mineral analysis), utilises the fact that, if iodide of lead be precipitated from a fluid containing the least trace of bismuth, instead of the yellow iodide the scales assume a dark orange to a crimson tint. A solution of nitrate of lead is used; to the nitric acid solution ammonia and carbonate of ammonia added; the precipitate washed, and dissolved in acetic acid; and, finally, excess of iodide of potassium added. It is said that thus so small a quantity as ·00025 grm. may be detected in copper with the greatest ease, the iodide of lead becoming dark orange; ·001 grain imparts a reddish-brown tinge, and ·01 grain a crimson.
[894] Journ. Chem. Soc., 1862, vol. xiv. p. 290; Chem. News, vol. xxxvi. p. 261.
(6) A solution of a bismuth salt, which must contain no free HCl, when treated with 10 parts of water, 2 of potassium iodide, and 1 part of cinchonine, gives a red orange precipitate of cinchonine iod.-bismuth.[895]
[895] E. Légar, Bull. de la Soc. Chim., vol. iv., 1888, 91.
(7) Van Kobell’s test, as modified by Hutchings,[896] and proposed more especially for the detection of bismuth in minerals, is capable of being applied to any solid compound suspected of containing the metal:—A mixture of precipitated and purified cuprous iodide, with an equal volume of flowers of sulphur, is prepared, and 2 parts of this mixture are made into a paste with 1 part of the substance, and heated on a slip of charcoal on an aluminium support by the blowpipe flame. If bismuth be present, the red bismuth iodide will sublime, and on clean aluminium is easily distinguishable.
[896] Chem. News, vol. xxxvi. p. 249.
There are many other tests, but the above are sufficient.
§ 818. Estimation of Bismuth.—The estimation of bismuth, when in any quantity easily weighed, is, perhaps, best accomplished by fusing the sulphide, oxide, or other compound of bismuth, in a porcelain crucible with cyanide of potassium; the bismuth is reduced to the metallic state, the cyanide can be dissolved out, and the metallic powder washed (first with water, lastly with spirit), dried, and weighed.
Mr. Pattison Muir has shown[897] that bismuth may be separated from iron, aluminium, chromium, and manganese, by adding ammonia to the acid solutions of these metals.
[897] Pattison Muir on “Certain Bismuth Compounds,” Journ. Chem. Soc., p. 7, 1876.
This observation admits of many applications, and may be usefully taken advantage of in the separation of bismuth from the nitric acid solution of such animal matters as liver, &c. The acid liquid is partially neutralised by ammonia, and, on diluting with warm water containing a little sodium or ammonium chloride, the whole of the bismuth is precipitated as oxychloride, which may be collected, and fused with cyanide of potassium, as above.
If the bismuth precipitate is in small quantity, or if a number of estimations of bismuth are to be made, it is most convenient to use a volumetric process. In the case first mentioned, the oxychloride could be dissolved in nitric acid, sodium acetate added in excess, and sufficient acetic acid to dissolve any precipitate which has been produced, and then titrated by the following method, which we also owe to Mr. Pattison Muir:—
Estimation of Bismuth by Potassium Dichromate.[898]—A solution of recrystallised potassium dichromate (strength, 1 per cent.) is prepared. A known weight of pure bismuthous oxide (Bi2O3) is dissolved in excess of nitric acid, and a solution of sodium acetate is added to this liquid until a copious white precipitate is thrown down; acetic acid is then added in quantity sufficient to dissolve the precipitate completely, and to insure that, when the liquid is made up with water to a fixed volume, no precipitate shall be formed. A certain volume of this liquid is withdrawn by means of a pipette, placed in a beaker, and heated to boiling; the potassium dichromate is then gradually run in from a burette, the liquid being boiled between each addition of the solution, until a drop of the supernatant liquid gives a faint reddish-brown coloration when spotted with silver nitrate on a white slab.
[898] Pattison Muir on “Certain Bismuth Compounds,” Journ. Chem. Soc., vol. i. p. 659, 1879.
Another very generally applicable volumetric method for bismuth has been proposed by Mr. Muir.[899] This depends on the fact (observed by Sonchay and Leussen),[900] that normal bismuth oxalate splits up on boiling into a basic oxalate of the composition Bi2O32C2O3 + OH2, but slightly soluble in nitric acid. The process is performed by precipitating the bismuth by excess of oxalic acid, dissolving the precipitate (first purified from free oxalic acid) in dilute hydrochloric acid, and lastly, titrating by permanganate. The absence of free hydrochloric acid before precipitating must be insured.
[899] Ibid., 1877.
[900] Ann. Chem. Pharm., vol. cv. p. 245.
4. SILVER.
§ 819. Silver = 108; specific gravity, 10·5; fusing-point, 1023° (1873° F.).—Silver, as separated in analysis, is either a very white, glittering, metallic bead, or a dull grey powder. It does not lose weight on ignition, and is soluble in dilute nitric acid.
§ 820. Chloride of Silver, AgCl = 143·5; specific gravity, 5·552; Ag, 75·27 per cent., Cl, 24·73 per cent., is a dense, white, curdy precipitate, when produced in the wet way. It is very insoluble in water, dilute nitric acid, and dilute sulphuric acid; in many warm solutions (especially aqueous solutions of the chlorides generally), the alkaline and alkaline-earthy nitrates, and tartaric acid solutions, the silver is dissolved to an appreciable extent, but deposited again on diluting and cooling. The complete solvents of chloride of silver are—ammonia, cyanide of potassium, and hyposulphite of soda. Chloride of silver cannot be fused at a high heat without some slight loss by volatilisation; on coal in the R.F., it fuses very easily to a globule. It can with soda be reduced to metal, and can also readily be reduced by ignition in a current of hydrogen, carbon oxide, or carburetted hydrogen gas.
§ 821. Sulphide of Silver, Ag2S = 248; specific gravity, 7·2; Ag, 87·1 per cent., S, 12·9 per cent., when prepared in the wet way, is a black precipitate, insoluble in water, dilute acids, and alkaline sulphides. If ignited in hydrogen it may be reduced to the metallic state; it is soluble in nitric acid, with separation of sulphur.
§ 822. Preparations of Silver used in Medicine and the Arts.
(1) Medicinal Preparations:—
Nitrate of Silver, AgNO3; Ag, 63·51 per cent., N2O5, 36·49 per cent. This salt is either sold crystallised in colourless rhombic prisms, or in the form of small white pencils or sticks. It gives the reactions for silver and nitric acid, and stains the skin black. 100 parts, dissolved in distilled water, should give, with hydrochloric acid, a precipitate which, when washed and dried, weighs 83·4 parts. The silver is, however, far more quickly estimated by the blowpipe than in the wet way. One grm. fused in a cavity on charcoal should give a little globule of metallic silver, weighing about ·6351 grm. The chief adulterations of this substance are copper, lead, and nitrate of potash. If all the silver is precipitated by hydrochloric acid, carefully filtered off, and the filtrate evaporated to dryness, any residue will denote adulteration or impurity.
Argenti Oxidum, Oxide of Silver, Ag2O = 232; Ag, 93·19 per cent.—A dark olive-brown powder, soluble in ammonia and nitric acid. By ignition it readily yields metallic silver. The P.B. directs that 29 grains of the oxide should yield 27 of metallic silver.
Nitrate of Silver and Potash (Argentum nitricum cum kali nitrico), AgNO3 + KNO3.—This preparation is in most of the pharmacopœias, Austrian, German, Danish, Swedish, Russian, Swiss, and the British; it is directed by the B.P. to be composed of 1 part of silver nitrate and 1 part of potassic nitrate fused together. A “toughened silver nitrate” is made by fusing together potassic nitrate 5, silver nitrate 95. Mild caustic points are used by oculists by fusing 1 of silver nitrate with 2, 3, 31⁄2, and 4 parts of potassic nitrate.
(2) Silver in the Arts.—The uses of the metal in coinage, articles for domestic purposes, for ornament, &c., are too well known to require enumeration. The only forms in which silver is likely to give rise to accident are the salts used in medicine, photography, in the dyeing of hair, and in the manufacture of marking inks.
Hair-dyes.—About one-half of the hair-dyes in use are made with nitrate of silver. The following are only a few of the recipes:—
Aqua Orientalis.—Grain silver 2 drms., nitric acid 1 oz., steel filings 4 drms., distilled water 11⁄2 oz.—the whole finally made up to 31⁄2 fluid ozs., and filtered.
Argentan Tincture.—Nitrate of silver 1 drachm, rose water 1 fluid oz., sufficient nitrate of copper to impart a greenish tint.
Eau d’Afrique.—Two solutions—one of nitrate of silver, the other of potash, containing ammonium sulphide.
The photographer uses various salts of silver, the chief of which are—the nitrate, iodide, bromide, cyanide, and chloride of silver.
Marking Inks.—Some of the more important recipes for marking ink are as follows:—
Nitrate of silver 1·0 part, hot distilled water 3·6 parts, mucilage, previously rubbed with sap-green, 1·0 part. With this is sold a “pounce,” or preparation consisting of a coloured solution of sodic carbonate. Another preparation is very similar, but with the addition of ammonia and some colouring matter, such as indigo, syrup of buckthorn, or sap-green. A third is made with tartaric acid and nitrate of silver, dissolved in ammonia solution, and coloured.
Redwood’s Ink consists of equal parts of nitrate of silver and potassic bitartrate, dissolved in ammonia, with the addition of archil green and sugar; according to the formula, 100 parts should equal 16·6 of silver nitrate.
Soubeiran’s Ink is composed of cupric nitrate 3, argentic nitrate 8, sodic carbonate 4, and the whole made up to 100 parts, in solution of ammonia. In one of Mr. Reade’s inks, besides silver, an ammoniacal solution of a salt of gold is used.
§ 823. Medicinal Dose of Silver Compounds.—The nitrate and the oxide of silver are given in doses from ·0162 to ·1296 grm. (1⁄4 grain to 2 grains). Anything like ·1944 to ·2592 grm. (3 or 4 grains) would be considered a large, if not a dangerous dose; but nothing definite is known as to what would be a poisonous dose.
§ 824. Effects of Nitrate of Silver on Animals.—Nitrate of silver is changed into chloride by the animal fluids, and also forms a compound with albumen. Silver chloride and silver albumenate are both somewhat soluble in solutions containing chlorides of the alkalies, which explains how a metallic salt, so very insoluble in water, can be absorbed by the blood.
The action of soluble salts of silver on animals has been several times investigated. There appears to be some difference between its effects on warm and cold-blooded animals. In frogs there is quickly an exaltation of the functions of the spinal cord, tetanic convulsions appear, similar to those induced by strychnine; later, there is disturbance of the respiration and cessation of voluntary motion.
The first symptoms with dogs and cats are vomiting and diarrhœa; muscular weakness, paralysis, disturbance of the respiration, and weak clonic convulsions follow. Rouget, as well as Curci, considers that the action of silver is directed to the central nervous system; there is first excitement, and then follows paralysis of the centres of respiration and movement. Death occurs through central asphyxia. According to the researches of F. A. Falck, subcutaneous injections of silver nitrate into rabbits cause a fall of temperature of 6·7° to 17·6°, the last being the greatest fall which, in his numerous researches on the effect of poisons on temperature, he has seen.
Chronic poisoning, according to the experiments of Bogoslowsky on animals, produces emaciation, fatty degeneration of the liver, kidneys, and also of the muscles—a statement confirmed by others.
§ 825. Toxic Effects of Silver Nitrate in Man—(1) Acute Poisoning.—This is very rare. Orfila relates an attempt at suicide; but most of the cases have been accidental, and of these, in recent times, about five are recorded, mostly children. The accident is usually due to the application of the solid nitrate to the throat, as an escharotic, the stick breaking or becoming detached, and being immediately swallowed; such an accident is related by Scattergood.[901] A piece of silver nitrate 3⁄4 inch long, slipped down the throat of a child, aged fifteen months—vomiting immediately occurred, followed by convulsions and diarrhœa; chloride of sodium was administered, but the child died in six hours. In other cases paralysis and an unconscious state has been observed.
[901] Brit. Med. Journal, May 1871.
(2) Chronic Poisoning.—Salts of silver taken for a long period cause a peculiar and indelible colour of the skin, the body becomes of a greyish-blue to black colour, it begins first around the nails and fingers, then patches of a similar hue appear in different parts of the body, and gradually coalesce, being most marked in those parts exposed to the light. The colour is not confined to the outer skin, but is also seen in the mucous membranes. There is also a slight inflammation of the gums, and a violet line around their edge. Ginpon observed this line after two months’ treatment of a patient by silver nitrate; the whole quantity taken being 3·9 grms. (about 60 grains). The peculiar colour of the skin is only seen after large dose; after 8 grms. taken in divided doses Chaillon could not observe any change, but after 15 grms. had been taken it was evident. So also Riemer has recorded a case, in which, after a year’s use of silver nitrate (total quantity 17·4 grms.) a greyish-black colour of the face was produced, and, when nearly double the quantity had been taken, the colour had invaded the whole body.
§ 826. Post-mortem Appearances.—In the acute case recorded by Scattergood, the mucous membranes of the gullet, of the great curvature of the stomach, and parts of the duodenum and jejunum were eroded, and particles of curd-like silver chloride adhered to the mucous membrane.
In the case recorded by Riemer of the long-continued use of silver nitrate, the serous and mucous membranes were coloured dark; the choroid plexus was of a blue-black; the endocardium, the valves of the heart, and the aorta pale to dark grey, as well as the rest of the vessels; the colouring was confined to the intima. The liver and kidney also showed similar pigmentation. The pigment (probably metallic silver) was in the form of very fine grains, and, as regards the skin, was situate under the rete Malpighia in the upper layer of the corium, and also in the deeper connective tissue and in the sweat glands. Liouville has also found the kidneys of a woman similarly pigmented, who took silver nitrate daily for 270 days, in all about 7 grms., five years before her death.
§ 827. Detection and Estimation of Silver.—The examination of the solid salts of silver usually met with (viz., the nitrate, bromide, iodide, cyanide, and chloride) is most speedy by the dry method on charcoal; in this way in less than 120 seconds any practical chemist could identify each compound. The nitrate, bromide, iodide, and cyanide, all, if ignited on charcoal, yield buttons of metallic silver—deflagration, bromine vapours, iodine vapours, and cyanogen vapours being the respective phenomena observed. Chloride of silver fuses to a pearl-grey, brown, or black globule on charcoal, according to its purity; but is only in the R.F. gradually reduced to metal. With soda, or fused in hydrogen or coal gas, the reduction is rapid enough.
Nitrate of Silver in solution might be identified by a very large number of tests, since it forms so many insoluble salts. In practice one is, however, satisfied with three tests, viz.: (1) A curdy precipitate of chloride, on the addition of hydrochloric acid or alkaline chlorides, soluble only in ammonia, cyanide of potassium, or hyposulphite of soda; (2) a yellow precipitate, but little soluble in ammonia, on the addition of iodide of potassium; and (3) a blood-red precipitate on the addition of chromate of potash.
The separation of silver from the contents of the stomach is best ensured by treating it with cyanide of potassium; for, unless a very large quantity of silver nitrate has been taken, it is tolerably certain that the whole of it has passed into chloride, and will, therefore, not be attacked easily by acids. The contents of the stomach, then, or the tissues themselves, are placed in a flask and warmed for some time with cyanide of potassium, first, if necessary, adding ammonia. The fluid is separated from the solid matters by subsidence (for an alkaline fluid of this kind will scarcely filter), and then decomposed by hydrochloric acid in excess. The flask containing this fluid is put on one side in a warm place, and the clear fluid decanted from the insoluble chloride. The latter is now collected on a filter, well washed with hot water, and then dried and reduced on charcoal; or it may be put in a little porcelain crucible with a rod of zinc and a few drops of hydrochloric acid. The silver is soon deposited, and must be washed with water, then with sulphuric acid. By the aid of a wash-bottle the particles of silver are now collected on a small filter, again washed, and on the moist mass a crystal of nitrate of potash and a little carbonate of soda laid. The whole is then dried, and all the filter cut away, save the small portion containing the silver. This small portion is now heated on charcoal until a little button of pure silver is obtained, which may first be weighed, then dissolved in nitric acid, and tested by the methods detailed.
In a similar way hair, suspected of being dyed with silver, can be treated with chlorine gas, and the chloride dissolved in potassic cyanide.
Spots on linen, and, generally, very small quantities of silver, may be detected by a simple galvanic process:—The substance is treated with solution of cyanide of potassium, and submitted to a weak galvanic current, using for the negative plate a slip of copper, for the positive, platinum; the silver is deposited on the former.
5. MERCURY.
§ 828. Mercury, Hg = 200; specific gravity, 13·596; boiling-point, 350° (662° F.); it becomes solid at -39·4 (-39 F.). This well known and familiar fluid metal evaporates and sublimes to a minute extent at all temperatures above 5°.
When precipitated or deposited in a finely divided state, the metal can be united into a single globule only if it is fairly pure; very slight fatty impurities especially will prevent the union. It is insoluble in hydrochloric acid, soluble to a slight extent in dilute cold sulphuric acid, and completely soluble in concentrated sulphuric and in nitric acids. It combines directly with chlorine, bromine, and iodine, which, in presence of free alkali, readily dissolve it. It is unalterable at 100°, and, when exposed to a high temperature, sublimes unchanged.
Mercurous Chloride (Calomel, HgCl = 235·5; specific gravity, 7·178; subliming temperature, 111·6°; Hg, 84·94 per cent., Cl, 15·06 per cent.), when prepared in the wet way is a heavy white powder, absolutely insoluble in cold, but decomposed by boiling water. It may be converted into the mercuric chloride by chlorine water and aqua regia. Chloride of ammonium, potassium, and sodium, all decompose calomel into metallic mercury and mercuric chloride. It is easily reduced to metal in a tube with soda, potash, or burnt magnesia.
§ 829. Sulphide of Mercury (HgS, Hg, 86·21 per cent., S, 13·79 per cent.) is a black powder, dissolving in nitromuriatic acid, but very insoluble in other acids or in water. It is also insoluble in alkaline sulphides, with the exception of potassic sulphide.
§ 830. Medicinal Preparations of Mercury.—Mercury in the liquid state has been occasionally administered in constipation; its internal use is now (or ought to be) obsolete. Gmelin has found samples contaminated with metallic bismuth—a metal which only slightly diminishes the fluidity of mercury; the impurity may be detected by shaking the mercury in air, and thus oxidising the bismuth. Mercury may also contain various mechanical impurities, which are detected by forcing the metal by means of a vacuum pump through any dense filtering substance. Tin and zinc may be dissolved out by hydrochloric acid, and all fixed impurities (such as lead and bismuth) are at once discovered on subliming the metal.
Mercury and Chalk (Hydrargyrum cum creta).—Mercury, 33·33 per cent.; chalk, 66·67.
Blue Pill (Pilula hydrargyri).—Mercury in a finely divided state, mixed with confection of roses and liquorice root; the mercury should be in the proportion of 33·33 per cent.[902]
[902] The chemical composition of blue pill varies according to its age. Harold Senier has made a careful series of analyses, with the following result (Pharm. Journ., Feb. 5, 1876):—
| Age. | Metallic Mercury. | Mercuric Oxide. | Mercurous Oxide. | Ash. | Organic Matter. | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 18 | hours, | 32 | ·49 | none. | a trace. | 1 | ·20 | 66 | ·31 | ||
| 2 | 3 | weeks, | 32 | ·26 | ·09 | ·25 | 1 | ·20 | 66 | ·20 | ||
| 3 | 3 | months, | 32 | ·60 | ·24 | ·62 | 1 | ·18 | 66 | ·36 | ||
| 4 | 3 | „ | 31 | ·15 | ·44 | 1 | ·60 | 1 | ·12 | 65 | ·69 | |
| 5 | 6 | „ | 32 | ·44 | ·50 | ·80 | 1 | ·70 | 64 | ·56 | ||
| 6 | 14 | „ | 29 | ·86 | ·98 | 2 | ·60 | 1 | ·20 | 65 | ·36 | |
| 7 | 19 | „ | 31 | ·59 | ·50 | 2 | ·50 | 1 | ·00 | 64 | ·41 | |
| 8 | 2 | years, | 28 | ·40 | 1 | ·80 | 4 | ·22 | 2 | ·10 | 63 | ·48 |
| 9 | (?) | 30 | ·23 | 1 | ·06 | 3 | ·24 | 1 | ·05 | 64 | ·44 | |
Mercury Plaster (Emplastrum hydrargyri).—Made with mercury, olive oil, sulphur, and lead plaster; it should contain Hg, 33 per cent.; sulphur, 18 per cent.
Ammoniac and Mercury Plaster (Emplastrum ammoniaci cum hydrargyro).—Gum, ammonia, mercury, olive oil, and sulphur; it should contain 20 per cent. of Hg, and ·1 per cent. of sulphur.
Mercurial Ointment (Unguentum hydrargyri).—Mercury mixed with lard and suet, the strength should be nearly 50 per cent. mercury; commercial samples often contain as little as 38 per cent.
Compound Mercury Ointment (Unguentum hydrargyri compositum).—Made with ointment of mercury, yellow wax, olive oil, and camphor; it should contain 22·2 per cent. Hg.
Liniment of Mercury (Linimentum hydrargyri) is made of mercurial ointment, solution of ammonia, and liniment of camphor; it contains about 161⁄2 per cent. of mercury.
Mercurial Suppositories (Suppositoria hydrargyri).—Composed of ointment of mercury and oil of theobroma. Each suppository should weigh 15 grains and contain 1⁄3 of its weight of mercurial ointment.
Acetate of Mercury (Mercurous acetate) is not contained in the B.P., but is officinal on the Continent. It is a salt occurring in white micaceous scales, soluble in 133 parts of cold water, giving the reactions of acetic acid and mercury, and very readily decomposed.
Mercuric Ethyl Chloride (Hydrargyrum æthylo-chloratum) is used as a medicine on the Continent. It occurs in white, glittering, crystalline scales, which take on pressure a metallic appearance, and possess a peculiar ethereal odour; it is but little soluble in water and ether, with difficulty in cold alcohol, but copiously soluble on boiling, and depositing crystals on cooling. It sublimes at about 40° without residue; on quick heating it burns with a weak flame, developing a vapour of metallic taste and unpleasant odour. It gives no precipitate with silver nitrate, nor with albumen.
Corrosive Sublimate (Mercuric chloride), HgCl2 = 271; Hg, 73·8 per cent., Cl, 26·1 per cent.—In commerce this salt occurs in transparent, heavy, colourless masses, which have a crystalline fracture; if placed in the subliming cell described at [p. 258], it sublimes at about 82·2° (180° F.), and melts at higher temperatures. The sublimate is generally in groups of plates drawn to a point at both ends, in crystalline needles, or in octahedra with a rectangular base. It dissolves in 16 parts of cold water and about 3 of boiling, and is very soluble in solutions of the alkaline chlorides; it dissolves also in ether, and can be, to a great extent, withdrawn from aqueous solutions by this agent. Alcohol dissolves nearly one-third its weight of the salt, and its own weight when boiling. It combines with albumen; gives, when in solution, a precipitate of mercuric oxide when tested with solution of potash; a white precipitate with ammonia; a scarlet with iodide of potassium; and a black precipitate of finely divided mercury with protochloride of tin. If a crystal (when placed in the subliming cell) gives a crystalline sublimate at about the temperature mentioned, and this sublimate becomes of a red colour when treated with a droplet of iodide of potassium, it can be no other substance than corrosive sublimate.
Solution of Perchloride of Mercury (Liquor hydrargyri perchloridi) is simply 10 grains of perchloride of mercury and chloride of ammonium in a pint of water; 100 c.c. therefore should contain 114 mgrms. corrosive sublimate.
Yellow Mercurial Lotion (Lotio hydrargyri flava).—Perchloride of mercury, 18 grains, mixed with 10 ounces of solution of lime.
Calomel[903] (Hydrargyri subchloridum).—The properties of calomel have been already [described]. It sometimes contains as an impurity corrosive sublimate, which may be dissolved out by ether. Carbonate of lead, sulphate, and carbonate of baryta, gum, and starch, are the usual adulterants mentioned. If on the application of heat calomel entirely sublimes, it must be free from the substances enumerated.
[903] It would appear that in America a cosmetic is in use, consisting of calomel mixed into a paste with water.—Vide “A Dangerous Cosmetic,” by C. H. Piesse, Analyst (25), 1878, p. 241.
Oleate of Mercury (Hydrargyri oleatum) is composed of 1 part of yellow oxide and 9 parts of oleic acid.
Black Mercurial Lotion (Lotio hydrargyri nigra).—Calomel, 30 grains, mixed with 10 fluid ounces of lime-water.
Compound Pill of Subchloride of Mercury.—Calomel and sulphurated antimony, each 1 ounce, guiac resin 2 ounces, castor-oil 1 fluid ounce. One grain (·0648 grm.) of calomel, and the same quantity of antimony sulphide, are contained in every 5 grains (324 mgrms.) of the pill mass, i.e., calomel 20 per cent.
Ointment of Subchloride of Mercury (Unguentum hydrargyri subchloridi).—Calomel mixed with benzoated lard; strength about 1 : 61⁄2.
White Precipitate (Hydrargyrum ammoniatum, NH2HgCl).—A white, heavy powder, subliming by heat without residue, and insoluble in water, alcohol, and ether. With soda, it yields a metallic sublimate. When boiled with potash, ammonia is evolved, the yellow oxide of mercury formed, and chloride of potassium passes into solution. It should contain 79·5 per cent. of mercury.
The fusible white precipitate of the pharmacopœia of the Netherlands does not appear to be of constant composition, varying between 69·4 to 65·6 per cent. of mercury.[904] It melts on heating, and leaves as a residue chloride of sodium.
[904] Hirsch, Die Prüfung der Arzeneimittel.
Commercial white precipitate is frequently adulterated; Barnes has found carbonates of lead and lime, the latter to the extent of nearly 2 per cent.[905] Calomel, according to Nickles,[906] has been substituted for white precipitate, but this was several years ago. The methods for detection are obvious.
[905] Proceed. Brit. Pharm. Conf., 1867, p. 10.
[906] Journ. Pharm. et Chim., le Série, 1858, vol. viij. p. 399.
Ointment of Ammoniated Mercury (Unguentum hydrargyri ammoniati).—1 part of ammoniated mercury mixed with 9 parts of simple ointment.
Red Iodide of Mercury (Hydrargyrum iodidum rubrum, HgI2).—A crystalline powder of a scarlet colour, becoming yellow on gentle heating. It is very insoluble in water, one part requiring from 6000 to 7000 parts; soluble in 130 parts of cold, 150 of hot alcohol; and dissolving freely in ether, or in aqueous solution of iodide of potassium.
Ointment of Red Iodide of Mercury (Unguentum hydrargyri iodidi rubri).—16 grains of the substance mixed with an ounce of simple ointment.
Green Iodide of Mercury (Hydrargyri iodidum viride, HgI).—A dingy, greenish-yellow powder, darkening on exposure to light, and easily decomposed into the red iodide.
Red Oxide of Mercury (Hydrargyri oxidum rubrum), HgO = 216; Hg, 92·12 per cent.; specific gravity, 11 to 11·3; small, red, shining, crystalline scales, very insoluble in water, requiring about 20,000 parts; entirely soluble in hydrochloric acid. By a heat below redness it may be volatilised, and at the same time decomposed into mercury and oxygen. Its principal impurity is nitric acid, readily detected by the usual tests, or by heating in a test-tube, when, if nitric acid is present, orange vapours will be evolved. Fixed red powders (such as brick-dust and minium) are detected by being left as a residue, after the application of heat sufficient to volatilise the mercury. An ointment (strength 1 : 8) is officinal.
Sulphate of Mercury.—A white crystalline powder, decomposed by water into the very insoluble basic salt of mercury, known as Turbith mineral, HgSO42HgO.
Turbith, or Turpeth, Mineral is contained in the French pharmacopœia, HgSO42HgO; Hg, 82·4 per cent.; specific gravity, 8·319. It requires for solution 2000 parts of cold, and 600 of boiling water; but dissolves with tolerable ease in hydrochloric acid.
The Sulphide of Mercury, known in commerce under the name of Ethiops mineral, is officinal in France, the Netherlands, and Germany. Its properties have been already described. The German and Dutch pharmacopœias require in it 50, the French only 331⁄3 per cent. of metallic mercury.
Hahnemann’s Soluble Mercury (Hydrargyrum solubile Hahnemanni) is officinal in the Dutch pharmacopœia. As found in commerce it contains metallic mercury, nitric acid, and ammonia. The mercury should be in the proportion of 86·33 per cent., the ammonia 2·44 per cent.
Crystallised Nitrate of Mercury (Hydrargyrum nitricum oxidulatum) is officinal in the pharmacopœias of Germany, Switzerland, and France. The salt is in white crystals, giving the reactions of nitric acid and mercury, decomposed by the addition of water, but fully soluble in water, if first moistened with nitric acid. The formula of the neutral salt is Hg2NO3HgO2H2O, which requires 69·4 per cent. of mercury. An acid solution of mercuric nitrate is officinal.
An Ointment of Nitrate of Mercury (Unguentum hydrargyri nitratis) (often called citrine ointment) is contained in the B.P.; it is made with 4 parts of mercury, nitric acid 12, lard 15, olive oil, 32; the strength is about 1 in 151⁄2.
A Chloride of Mercury and Quinine exists in commerce, prepared by mixing 1 part of corrosive sublimate in solution with 3 parts of quinine chloride, evaporating, and crystallising.
Cyanide of Mercury, HgCy, is contained in the French pharmacopœia. It occurs in small, colourless, prismatic crystals, easily soluble in water. If to the solution chloride of tin be added, a black precipitate of reduced metal and stannous oxide is thrown down, and the odour of prussic acid is developed.
Mercuric Sulphide (Sulphide of Mercury, Cinnabar, Vermilion) is officinal in Germany, the Netherlands, and France; HgS = 232; specific gravity, solid, 8·2; Hg, 86·21 per cent., O, 13·79 per cent. For medicinal purposes it is made artificially. It is a beautiful red powder, insoluble in all alkaline and all acid liquids, with the exception of aqua regia. The solution gives the reactions of a sulphide and mercury. On heating, it must burn away entirely without residue; adulterations or impurities are—minium, lead, copper, and other metals. The detection of minium is conveniently executed in the dry way. Pure cinnabar, when heated in a matrass, gives a black sublimate, which becomes red on friction. If minium is present, sulphide of lead remains as a residue, and may be recognised on coal; the same remark applies to sulphide of antimony. If it be desired to take the percentage of mercury in cinnabar, equal parts of oxalate and cyanide of potassium should be well mixed with the cinnabar, and heated in the bent tube described at [p. 654]; by this means the whole of the metallic mercury is readily obtained.[907]
[907] Dr. Sutro has published a case (quoted by Taylor), in which the vapour of vermilion, applied externally, produced poisonous symptoms; yet, according to Polak, the Persians inhale it medicinally, smoking it with tobacco, catechu, mucilage, &c., the only bad effect being an occasional stomatitis.—Eulenberg, Gewerbe Hygiene, p. 741.
§ 831. Mercury in the Arts.—The use of mercury in the arts is so extensive, that any one in analytical practice is almost certain occasionally to meet with cases of accidental poisoning, either from the vapour[908] or some of its combinations.
[908] A singular case is cited by Tardieu (Étude méd.-légal sur l’Empoisonnement), in which a man, supposing he had some minerals containing gold, attempted the extraction by amalgamation with mercury. He used a portable furnace (for the purpose of volatilising the mercury) in a small room, and his wife, who assisted him, suffered from a very well-marked stomatitis and mercurial eruption.
Quicksilver is used in the extraction of gold, the silvering of mirrors, the construction of barometers, and various scientific instruments and appliances; also for the preservation of insects, and occasionally for their destruction.[909] An alloy with zinc and cadmium is employed by dentists for stopping teeth; but there is no evidence that it has been at all injurious, the mercury, probably, being in too powerful a state of combination to be attacked by the fluids in the mouth.[910] Cinnabar has also been employed to give a red colour to confections, and it may be found in tapers, cigarette papers, and other coloured articles. The nitrate of mercury in solution finds application in the colouring of horn, in the etching of metals, in the colouring of the finer sorts of wool, and in the hat manufacture.
[909] Forty-three persons were salivated from fumigating rooms with mercury for the purpose of destroying bugs (Sonnenschein’s Handbuch, p. 96).
[910] More danger is to be apprehended from the vulcanised rubber for artificial teeth; and, according to Dr. Taylor, accidents have occurred from the use of such supports or plates.
The sulphocyanide of mercury gives, when burnt, a most abundant ash, a fact utilised in the toy known as Pharaoh’s serpent; the products of combustion are mercurial vapours and sulphurous anhydride. That the substance itself is poisonous, is evident from the following experiment:—·5 grm. was given to a pigeon without immediate result; but ten hours afterwards it was indisposed, refused its food, and in forty hours died without convulsions.[911]
[911] Eulenberg, Op. cit., p. 472.
§ 832. The more Common Patent and Quack Medicines containing Mercury.
Mordant’s Norton’s Drops.—This patent medicine is a mixture of the tincture of gentian and ginger, holding in solution a little bichloride of mercury, and coloured with cochineal.
Solomon’s Anti-impetigines is a solution of bichloride of mercury, flavoured and coloured.
Poor Man’s Friend.—An ointment of nitrate of mercury.
Brown’s Lozenges.—Each lozenge contains 1⁄2 grain of calomel, and 31⁄2 grains of resinous extract of jalap; the rest is white sugar and tragacanth.
Ching’s Worm Lozenges.—Each lozenge contains 1 grain of calomel; the rest white sugar and tragacanth, with saffron as a colouring matter.
Storey’s Worm Cakes.—Each cake 2 grains of calomel, 2 grains of cinnabar, 6 grains of jalap, 5 grains of ginger, and the remainder sugar and water.
Wright’s Pearl Ointment is said to be made up of 8 ozs. of white precipitate rubbed to a cream in 1 pint of Goulard’s extract, and to the mixture is added 7 lbs. of white wax and 10 lbs. of olive oil.
Keyser’s Pills.—The receipt for these pills is—red oxide of mercury 11⁄2 oz., distilled vinegar (dilute acetic acid) 1 pint; dissolve, add to the resulting solution manna 2 lbs., and triturate for a long time before the fire, until a proper consistence is attained; lastly, divide the mass into pills of 11⁄2 grain each.
Mitchell’s Pills.—Each pill contains aloes ·8 grain, rhubarb 1·6 grain, calomel ·16 grain, tartar emetic ·05 grain.
Many Antibilious Pills will be found to contain calomel, a few mercury in a finely divided state.
§ 833. Mercury in Veterinary Medicine.—Farmers and farriers use the ointment (blue ointment) to a dangerous extent, as a dressing for the fly, and wholesale poisoning of sheep has been in several instances the consequence.[912] Ethiops mineral and Turpeth mineral are given to dogs when affected by the distemper, worms, or the mange. Mercury, however, is not very frequently given to cattle by veterinary surgeons, ruminants generally appearing rather susceptible to its poisonous effects.
[912] Twenty-five tons of blue ointment are said to have been sold to farmers by a druggist in Boston, Lincolnshire, in the course of a single year.—Taylor’s Medical Jurisprudence, vol. i. p. 279.
§ 834. Medicinal and Fatal Dose—Horses.—Cinnabar 14·2 grms, (1⁄2 oz.), calomel 14·2 grms. (1⁄2 oz.) or more, corrosive sublimate ·13 to ·38 grm. (2 to 6 grains), and as much as 1·3 grm. (20 grains) have been given in farcy.
Cattle.—Mercury with chalk 3·8 to 11·6 grms. (1 to 3 drms.), calomel 3·8 to 7·7 grms. (1 to 2 drms.) for worms; ·65 to 1·3 grm. (10 to 20 grains) as an alterative; Ethiops mineral, 7·7 to 15·5 grms. (2 to 4 drms.).
Dogs.—Ethiops or Turpeth mineral ·13 to 1·3 grm. (2 to 20 grains), according to the size.
Fowls.—Mercury and chalk are given in fractions of a grain.
Hogs are also treated with mercury and chalk; the dose usually given does not exceed ·32 grm. (5 grains).
It may be remarked that many of the doses quoted appear very large; the writer cannot but consider that 20 grains of corrosive sublimate administered to a horse would be more likely to kill the animal than to cure the disease.
Man.—Corrosive sublimate has been fatal in a dose so small as ·19 grm. (3 grains); white precipitate has caused dangerous symptoms in doses of from 1·9 to 2·6 grm. (30 to 40 grains); the cyanide of mercury has killed a person in a dose of ·64 grm. (10 grains)—Christison; and Turpeth mineral has proved fatal in doses of 2·6 grms. (40 grains).
Other preparations of mercury have also been fatal, but a doubt has existed as to the precise quantity. Sometimes, also, there is probably a chemical change in the substance, so that it is impossible to state the fatal dose. For example, it is well known that calomel, under the influence of alkaline chlorides, can be converted into the bichloride—a fact which probably explains the extensive corrosive lesions that have been found after death from large doses of calomel.
§ 835. Poisoning by Mercury—Statistics.—In the Registrar-General’s death returns for the ten years ending 1892, it appears that in England the deaths from mercurial poisoning[913] were 40 males, 19 females; of these, 16 males and 18 females were cases of suicide, the remainder were referred to accident.
[913] The deaths are registered under the term “Mercury,” but the majority are poisonings by “Corrosive Sublimate.”
The effects of the different compounds of mercury may be divided into two groups, viz., (1) Those caused by the finely divided metal and the non-corrosive compounds; (2) the effects caused by the corrosive compounds.
§ 836. (1) Effects of Mercurial Vapour, and of the Non-Corrosive Compounds of Mercury.
(a) Vegetable Life.—Priestly and Boussingault have shown that plants under a glass shade in which mercury is exposed in a saucer, first exhibit black spots on the leaves; ultimately, the latter blacken entirely, and the plants die.
(b) Animal Life.—Mercury in the form of vapour is fatal to animal life, but it is only so by repeated and intense application. Eulenberg[914] placed a rabbit under a large glass shade, and for four days exposed it daily for two hours to the volatilisation of 2 grms. of mercury on warm sand; on the sixth and seventh day 1·5 grm. was volatilised. On the fifteenth day there was no apparent change in the aspect of the animal; 5 grms. of mercury were then heated in a retort, and the vapour blown in at intervals of ten minutes. Fourteen days afterwards the gums were reddened and swollen, and the appetite lost; the conjunctivæ were also somewhat inflamed. The following day these symptoms disappeared, and the animal remained well.
[914] Op. cit., p. 728.
In another experiment 20 grms. of mercury were volatilised, and a rabbit exposed to the vapour under a small glass shade. The following day the conjunctivæ were moist and reddened; two days afterwards 10 grms. of mercury were volatilised in the same way; and in two days’ interval other 10 grms. were volatilised in three-quarters of an hour. There was no striking change noticeable in the condition of the animal, but within forty-eight hours it was found dead. The cause of death proved to be an extravasation of blood at the base of the brain. The bronchia were reddened throughout, and the lungs congested. Mercury, as with man, is also readily absorbed by the broken or unbroken skin; hence thousands of sheep have been poisoned by the excessive and ignorant external application of mercurial ointment as a remedy against the attacks of parasites. The sheep become emaciated, refuse food, and seem to be in pain, breathing with short quick gasps.
In experiments on rabbits, dogs, and warm-blooded animals generally, salivation and stomatitis are found to occur as regularly as in man; so also in animals and man, paralytic and other nervous affections have been recorded.
§ 837. (c) Effects on Man.—In 1810[915] an extraordinary accident produced, perhaps, the largest wholesale poisoning by mercurial vapour on record. The account of this is as follows:—H.M.S. “Triumph,” of seventy-four guns, arrived in the harbour of Cadiz in the month of February 1810; and in the following March, a Spanish vessel, laden with mercury for the South American mines, having been driven on shore in a gale, was wrecked. The “Triumph” saved by her boats 130 tons of the mercury, and this was stowed on board. The mercury was first confined in bladders, the bladders again were enclosed in small barrels, and the barrels in boxes. The heat of the weather, however, was at this time considerable; and the bladders, having been wetted in the removal from the wreck, soon rotted, and mercury, to the amount of several tons, was speedily diffused as vapour through the ship, mixing more or less with the bread and the other provisions. In three weeks 200 men were affected with ptyalism, ulceration of the mouth, partial paralysis, and, in many instances, with diarrhœa. The “Triumph” was now ordered to Gibraltar, the provisions were removed, and efforts were made to cleanse the vessel. On restowing the hold, every man so employed was salivated. The effects noted were not confined to the officers and ship’s company, for almost all the stock died from the fumes—mice, cats, a dog, and even a canary bird shared the same fate, though the food of the latter was kept in a bottle closely corked up. The vapour was very deleterious to those having any tendency to pulmonic affections. Three men, who had never complained before they were saturated with mercury, died of phthisis; one, who had not had any pulmonic complaint, was left behind at Gibraltar, where his illness developed into a confirmed phthisis. Two died from gangrene of the cheeks and tongue. A woman, confined to bed with a fractured limb, lost two of her teeth; and many exfoliations of the jaw took place.
[915] “An Account of the Effect of Mercurial Vapours on the Crew of His Majesty’s Ship ‘Triumph,’ in the year 1810.”—Phil. Trans., 113, 1823.
Accidents from the vapour of mercury, quite independently of its applications in the arts, have also occurred, some of them under curious circumstances; such, for example, is the case mentioned in the [footnote] to p. 639. Witness, again, a case mentioned by Seidel,[916] in which a female, on the advice of an old woman, inhaled for some affection or other 2·5 grms. of mercury poured on red-hot coals, and died in ten days with all the symptoms of mercurial poisoning.
[916] Maschka’s Handbuch, Bd. ii. 295.
The metal taken in bulk into the stomach has been considered non-poisonous, and, probably, when perfectly pure, it is so; we have, however, the case of a girl who swallowed 41⁄2 ozs. by weight of the liquid metal, for the purpose of procuring abortion—this it did not effect; but, in a few days, she suffered from a trembling and shaking of the body and loss of muscular power. These symptoms continued for two months, but there was no salivation and no blue marks on the gums. This case is a rare one, and a pound or more has been taken without injury.
§ 838. Absorption of Mercury by the Skin.—Mercury in a finely divided form, rubbed into the skin, is absorbed, and all the effects of mercurialism result. This method of administering mercury for medicinal purposes has long been in use, but, when the inunction is excessive, death may occur. Thus, Leiblinger records a case in which three persons were found dead in bed; the day before they had rubbed into the body, for the purpose of curing the itch, a salve containing 270 grms. of mercury finely divided.
It is difficult to say in what proportion workers in mercury, such as water-gilders, &c., suffer. According to Hirt, not only do 1·5 to 2·1 per cent. of the workmen employed in smelting mercury ores suffer acutely, but as high a proportion as 8·7 per cent. are slightly affected.
§ 839. Symptoms of Poisoning by Mercury Vapour.—The symptoms of poisoning by mercury vapour, or by the finely divided metal, are the same as those which arise from the corrosive salts, with the exception of the local action. In mild cases there is pallor, languor, and sore mouth (from slightly inflamed gums), fœtid breath, and disorder of the digestive organs. If the action is more intense, there is an inflammation of the gums and, indeed, of the whole mouth, and salivation, which is sometimes so profuse that as much as two gallons of saliva have been secreted daily. The saliva is alkaline, has a bad odour, and its specific gravity in the early stages is increased, but ultimately becomes normal; the gums are raised into slight swellings, which gradually enlarge and coalesce. The teeth that are already carious, decay more rapidly; they become loose, and some may be shed; the inflammatory action may extend to the jaw, and necrosis of portions of the bone is no unusual occurrence. On recovery, the cheeks sometimes form adhesions with the gums, and cicatrices always mark the loss of substance which such an affection entails. With the stomatitis there are disturbances of the gastro-intestinal tract—nausea and vomiting, pain in the stomach, and diarrhœa alternating with constipation. Conjunctivitis is very common, both in man and animals, from exposure to mercury vapours. The further action of the metal is shown in its profound effects on the nervous system. The patient is changed in his disposition, he is excitable, nervous, or torpid; there are sleeplessness and bad dreams, at the same time headache, noises in the ears, giddiness, faintings, &c.
§ 840. Mercurial Tremor.—Mercurial tremor[917] may follow, or accompany the above state, or it may be the chief and most prominent effect. It specially affects the arms, partly withdrawing the muscles from the control of the will, so that a person affected with mercurial tremor is incapacitated for following any occupation, especially those requiring a delicate and steady touch. In cases seriously affected, the tremor spreads gradually to the feet and legs, and finally the whole body may be invaded. The patient is no longer master of his muscles—the muscular system is in anarchy, each muscle aimlessly contracting and relaxing independently of the rest—the movement of the legs becomes uncertain, the speech stuttering, the facial expressions are even distorted into grimaces, and the sufferer sinks into a piteous state of helplessness. The convulsive movements generally cease during sleep. The tremors are accompanied by interference with the functions of other organs: the respiration is weakened and difficult; dyspnœa, or an asthmatic condition, results; the pulse is small and slow; paresis, deepening into paralysis of the extremities, or of a group of muscles, follows; and, lastly, if the condition is not alleviated, the patient becomes much emaciated and sinks from exhaustion. Pregnant women are liable to abortion, and the living infants of women suffering from tremor have also exhibited tremor of the limbs.
[917] A case of mercurial tremor (in Bericht. des K. K. Allgem. Krankenhauses zu Wien im Jahre 1872, Wien, 1873) is interesting, as showing the influence of pregnancy. A woman, twenty years of age, employed in making barometers, had, in 1869, mercurial tremor and salivation. During a three months’ pregnancy the tremor ceased, but again appeared after she had aborted. She again became pregnant, and the tremor ceased until after her confinement in November 1871. The tremor was so violent that the patient could not walk; she also had stomatitis; but ultimately, by treatment with galvanism and other remedies, she recovered.
In the case of the “mass poisoning” on board the “Triumph,” it has been mentioned that several of the sailors became consumptive, and the same effect has been noticed among all workers in the metal; it is now, indeed, an accepted fact that the cachexia induced by mercurialismus produces a weak habit of body specially liable to the tuberculous infection.
The course of the poisoning is generally more rapid when it has resulted from the taking of mercury internally as a medicine than when inhaled by workers in the metal, e.g., a patient suffering from mercurial tremor shown to the Medical Society by Mr. Spencer Watson in 1872, had resisted for seven years the influence of the fumes of mercury; and then succumbed, exhibiting the usual symptoms. Idiosyncrasy plays a considerable rôle; some persons (and especially those whose kidneys are diseased) bear small doses of mercury ill, and are readily salivated or affected; this is evidently due to imperfect elimination.
§ 841. Mercuric Methide, Hg(CH3)2.—This compound is obtained by the action of methyl iodide on sodium amalgam in the presence of acetic ether. It is a dense, stable liquid, of highly poisonous properties. In 1865, mercuric methide, in course of preparation in a London laboratory, caused two cases of very serious slow poisoning.[918] One was that of a German, aged 30, who was engaged in preparing this compound for three months, and during this time his sight and hearing became impaired; he was very weak, his gums were sore, and he was ultimately admitted into St. Bartholomew’s Hospital, February 3rd, 1865. His urine was found to be albuminous, and his mental faculties very torpid. On the 9th he became noisy, and had to be put under mechanical restraint. On the 10th he was semi-comatose, but there was no paralysis; his breath was very offensive, his pupils dilated; at intervals he raised himself and uttered incoherent howls. There was neither sensation nor motion in the left leg, which was extended rigidly; the knee and the foot were turned slightly inward. On the 14th he died insensible.
[918] St. Barth. Hosp. Reports, vol. i., 1866, p. 141.
The only appearance of note seen at the autopsy was a congestion of the grey matter in the brain; the kidneys and liver were also congested, and there were ecchymoses in the kidneys.
The second case—a young man, aged 23, working in the same laboratory—was admitted into the hospital, March 28th, 1865. In the previous January he had been exposed to the vapour of mercuric methide for about a fortnight; during the illness of the other assistant he felt ill and weak, and complained of soreness of the gums and looseness of the teeth. He had also dimness of vision, pain and redness of the eyes, giddiness, nausea and vomiting, the ejected matters being greenish and watery. At the beginning of March his sight and taste became imperfect—all things tasted alike; his tongue was numb and his gums sore, he was also salivated slightly. A week before admission he lost his hearing, and first his hands and then his feet became numb; on admission his breath was very offensive, his pupils dilated; the sight impaired; he was very deaf, and his powers of speech, taste, and smell were deficient. There was anæsthesia of the body, and the movement of the limbs was sluggish and difficult. He continued in the hospital for nearly a month, with but little change. On April 24th, it was noticed that he was getting thinner and slightly jaundiced; he moved his arms aimlessly in an idiotic manner, and passed his urine involuntarily. On April 27th he was more restless, and even violent, shrieking out and making a loud, incoherent noise, or laughing foolishly; he passed his motions and urine beneath him. On July 7th he was in a similar state—perfectly idiotic. He died on April 7th, 1866, about a year and three months from his first exposure to the vapour; the immediate cause of death was pneumonia. The post-mortem appearances of the brain and membranes differed little from the normal state; the grey matter was pink, but otherwise healthy; there was a considerable amount of cerebro-spinal fluid; the arachnoid along the longitudinal fissure was thickened; the total weight of the brain with medulla was 41 ozs. The stomach was of enormous size; the pyramids of the kidneys were congested, as was also the small intestine; the lungs showed the usual signs of pneumonia.[919]
[919] St. Barth. Hosp. Reports, vol. ii. p. 211.
§ 842. Effects of the Corrosive Salts of Mercury.—The type of the corrosive salts is mercuric chloride, or corrosive sublimate—a compound which acts violently when administered, either externally or internally, in large doses.[920] If the poison has been swallowed, the symptoms come on almost immediately, and always within the first half hour; the whole duration also is rapid. In 36 cases collected by F. A. Falck, 11 died on the first or second day, and 11 on the fifth day; so that 61 per cent. died in five days—the remainder lived from six to twenty-six days. The shortest fatal case on record is one communicated to Dr. Taylor by Mr. Welch; in this instance the man died from an unknown quantity within half an hour.
[920] The effects on animals are similar to those on man. Richard Mead gave a dog with bread 3·8 grms. (60 grains) of corrosive sublimate:—“Within a quarter of an hour he fell into terrible convulsions, casting up frequently a viscid frothy mucus, every time more and more bloody, till, tired and spent with this hard service, he lay down quietly, as it were, to sleep, but died the next morning.”
In the very act of swallowing, a strong metallic taste and a painful sensation of constriction in the throat are experienced. There is a burning heat in the throat extending downwards to the stomach. All the mucous membranes with which the solution comes in contact are attacked, shrivelled, and whitened; so that, on looking into the mouth, the appearance has been described as similar to that produced by the recent application of silver nitrate. The local changes may be so intense as to cause œdema of the glottis, and death through asphyxia. In a few minutes violent pain is felt in the stomach; so much so, that the sufferer is drawn together, and is in a fainting condition; but there are rare cases in which pain has been absent. There are nausea and vomiting, the ejected matters being often streaked with blood; after the vomiting there is purging; here also the motions are frequently bloody.[921] The temperature of the body sinks, the respiration is difficult, and the pulse small, frequent, and irregular. The urine is generally scanty, and sometimes completely suppressed.[922] Sometimes there is profuse hæmorrhage from the bowel, stomach, or other mucous membrane, and such cases are accompanied by a considerable diminution of temperature. In a case recorded by Lœwy,[923] after a loss of blood by vomiting and diarrhœa, the temperature sank to 33·4°. The patient dies in a state of collapse, or insensibility, and death is often preceded by convulsions.
[921] The mixture of blood with the evacuations is more constantly observed in poisoning by corrosive sublimate than in poisoning by arsenic, copper, or lead.
[922] In a case recorded by Dr. Wegeler (Casper’s Wochenschrift, January 10, 1846, p. 30), a youth, aged 17, swallowed 11·6 grms. (3 drachms) of the poison. No pain was experienced on pressure of the abdomen; he died on the sixth day, and during the last three days of life no urine was secreted.
[923] Vierteljahrsschr. für ger. Med., 1864, vol. i. p. 187.
§ 843. Two remarkable cases of death from the external use of corrosive sublimate are recorded by Anderseck. An ointment, containing corrosive sublimate, was rubbed into the skin of two girls, servants, in order to cure the itch. The one, during the inunction, complained of a burning of the skin; the other also, a little while after, suffered in the same way. During the night the skin of each swelled, reddened, and became acutely painful. There were thirst and vomiting, but no diarrhœa, On the following day there was an eruption of blebs or little blisters. On the third day they had diarrhœa, tenesmus, fever, and diminution of the renal secretion; on the fourth day, fœtid breath, stomatitis, hyperæsthesia of the body, and a feeling of “pins and needles” in the hands and feet were noted. The first girl died in the middle of the fifth day, fully conscious; the other died on the sixth. So also Taylor[924] gives the case of a girl, aged 9, who died from the effects of an alcoholic solution of corrosive sublimate (strength, 80 grains to the oz.) applied to the scalp as a remedy for ringworm. The same author[925] further quotes the case of two brothers who died—the one on the fifth, the other on the eleventh day—from the effects of absorbing corrosive sublimate through the unbroken skin.
[924] Op. cit.
[925] Poisons, 1848, p. 394.
§ 844. The Nitrates of Mercury are poisons, but little (if at all) inferior in corrosive action to mercuric chloride. Death has resulted from both the external and internal use. Application of the nitrate as an escharotic to the os uteri, in one case,[926] produced all the symptoms of mercurial poisoning, but the woman recovered; in another case,[927] its use as a liniment caused death.
[926] Med. Gazette, vol. 45, p. 1025.
[927] Edin. Monthly Journal, 1864, p. 167.
§ 845. When taken internally, the symptoms are scarcely different from those produced by corrosive sublimate. It seems an unlikely vehicle for criminal poisoning, yet, in the case of Reg. v. E. Smith (Leicester Summer Assizes, 1857), a girl was proved to have put a solution of nitrate of mercury in some chamomile tea, which had been prescribed for the prosecutrix. The nauseous taste prevented a fatal dose being taken; but the symptoms were serious.
§ 846. Mercuric Cyanide acts in a manner very similar to that of corrosive sublimate, 1·3 grm. (about 20 grains) in one case,[928] and in another[929] half the quantity, having destroyed life.
[928] Orfila, i. p. 735.
[929] Christison, p. 427.
§ 847. White Precipitate (ammoniated mercury), as a poison, is weak. Out of fourteen cases collected by Taylor, two only proved fatal; one of these formed the subject of a trial for murder, Reg. v. Moore (Lewes Lent Assizes, 1860). The effects produced are vomiting, purging, &c., as in corrosive sublimate.[930] Other preparations of mercury, such as the red iodide, the persulphide, and even calomel,[931] have all a more or less intense poisonous action, and have caused serious symptoms and death.
[930] See Dr. Th. Stevenson, “Poisoning by White Precipitate,” Guy’s Hospital Reports, vol. xix. p. 415.
[931] Seidel quotes a case from Hasselt, in which a father, for the purpose of obtaining insurance money, killed his child by calomel.
§ 848. Treatment of Acute and Chronic Poisoning.—In acute poisoning, vomiting usually throws off some of the poison, if it has been swallowed; and the best treatment seems to be, to give copious albuminous drinks, such, for example, as the whites of eggs in water, milk, and the like. The vomiting may be encouraged by subcutaneous injections of apomorphine. The after-treatment should be directed to eliminating the poison, which is most safely effected by very copious drinks of distilled water (see “[Appendix]”).
The treatment of slow poisoning is mainly symptomatic; medicinal doses of zinc phosphide seem to have done good in mercurial tremors. Potassic iodide is also supposed to assist the elimination of mercury.
§ 849. Post-mortem Appearances.—The pathological effects seen after chronic poisoning are too various to be distinctive. In the museum of the Royal College of Surgeons there is (No. 2559) the portion of a colon derived from a lady aged 74.[932] This lady had been accustomed for forty-three years to take a grain of calomel every night; for many years she did not suffer in health, but ultimately she became emaciated and cachectic, with anasarca and albuminuria. The kidneys were found to be granular, and the mucous membrane of a great part of the intestine of a remarkable black colour, mottled with patches of a lighter hue, presenting somewhat the appearance of a toad’s back. From the portion of colon preserved mercury was readily obtained by means of Reinsch’s test. The black deposit is in the submucosa, and it is, without doubt, mercurial, and probably mercury sulphide. In acute poisoning (especially by the corrosive salts) the changes are great and striking. After rapid death from corrosive sublimate, the escharotic whitening of the mouth, throat, and gullet, already described, will be seen. The mucous membrane right throughout, from mouth to anus, is more or less affected and destroyed, according to the dose and concentration of the poison. The usual appearances in the stomach are those of intense congestion, with ecchymoses, and portions of it may be destroyed. Sometimes the coats are very much blackened; this is probably due to a coating of sulphide of mercury.
[932] Path. Soc. Trans., xviii. 111.
In St. George’s Hospital Museum (Ser. ix. 43, y. 337) there is a stomach, rather large, with thickened mucous coats, and having on the mucous surface a series of parallel black, or black-brown lines of deposit; it was derived from a patient who died from taking corrosive sublimate. With the severe changes mentioned, perforation is rare.[933] In the intestines there are found hyperæmia, extravasations, loosening of the mucous membrane, and other changes. The action is particularly intense about the cæcum and sigmoid flexure; in one case,[934] indeed, there was little inflammatory redness of the stomach or of the greater portion of the intestine, but the whole surface of the cæcum was of a deep black-red colour, and there were patches of sloughing in the coats. The kidneys are often swollen, congested, or inflamed; changes in the respiratory organs are not constantly seen, but in a majority of the cases there have been redness and swelling of the larynx, trachea, and bronchi, and sometimes hepatisation of smaller or larger portions of the lung.
[933] There is only one case of perforation on record.
[934] Lancet, 1845, p. 700.
In St. George’s Hospital Museum, there are (from a patient dying in the hospital) preparations which well illustrate what pathological changes may be expected in any case surviving for a few days. The patient was Francis L——, aged 45, admitted to the hospital, February 27, 1842. He took a quantity of corrosive sublimate spread on bread and butter, was immediately sick, and was unable to take as much as he had intended. The stomach-pump and other remedies were used. On the following day his mouth was sore, and on March 1st his vision was dim; his mouth was drawn over to the right side, and he lost power over the left eyelid, but he had no pain; he passed some blood from the bowel. On the 2nd he passed much blood, and was salivated; still no pain. On March 4, on the evening of the sixth day, he expired; he was drowsy during the last day, and passed watery evacuations.
Prep. 14a, Ser. ix., shows the pharynx, œsophagus, and tongue; there is ulceration of the tonsils, and fibrinous exudation on the gullet. The stomach (43b, 199) shows a large dark slough, three inches from the cardiac extremity; the margin surrounding the slough is thickened, ulcerated, and irregular in shape, the submucous tissue, to some extent, being also thickened; there is fibrine in the ileum, pharynx, and part of the larynx. The action extended to the whole intestine, the rectum in prep. 145a, 36, is seen to be thickened, and has numerous patches of effused fibrine.
It is a curious fact that the external application of corrosive sublimate causes inflammatory changes in the alimentary canal of nearly the same intensity as if the poison had been swallowed. Thus, in the case of the two girls mentioned ante ([p. 647]), there was found an intense inflammation of the stomach and intestines, the mucous tissues being scarlet-red, swollen, and with numerous extravasations.
§ 850. The effects of the nitrate of mercury are similar to the preceding; in the few cases which have been recorded, there has been intense redness, and inflammation of the stomach and intestines, with patches of ecchymosis. White precipitate, cyanide of mercury, mercuric iodide, and mercurous sulphide (turpeth-mineral) have all caused inflammation, more or less intense, of the intestinal tract.
§ 851. Elimination of Mercury.—The question of the channels by which mercury is eliminated is of the first importance. It would appear certain that it can exist in the body for some time in an inactive state, and then, from some change, be carried into the circulation and show its effects.[935] Voit considers that mercury combines with the albuminous bodies, separating upon their oxidation, and then becoming free and active.[936]
[935] Tuson gave a mare, first, 4 grains, and afterwards 5 grains of corrosive sublimate twice a day; at the end of fourteen days, in a pint of urine no mercury was detected, but at the end of three weeks it was found.
[936] Voit, Physiol. chem. Unters., Augsburg, 1857.
Ullmann[937] found most mercury in the following order:—Kidneys, liver, spleen, a small quantity in the stomach, no mercury in the small intestine, but some in the large intestine; small weighable quantities in the heart and skeletal muscles, also in the lungs; but no mercury, when the dose was small, in brain, the salivary glands, abdominal glands, thyroid glands, the bile, or the bones.
[937] Chem. Centr., 1892, ii. 941.
The main channel by which absorbed mercury passes out of the body is the kidneys, whilst mercurial compounds of small solubility are in great part excreted by the bowel. A. Bynssen,[938] after experimenting with mercuric chloride (giving ·015 to ·15 grm., with a little morphine hydrochlorate), came to the conclusion that it could be detected in the urine about two hours, and in the saliva about four hours, after its administration; he considered that the elimination was finished in twenty-four hours.
[938] Journal de l’Anat. et de Physiol., 1872, No. 5, p. 500. On the separation of mercury by the urine, see also Salkowsky in Virchow’s Archiv, 1866.
From the body of a hound that, in the course of thirty-one days, took 2·789 grms. of calomel (2·368 Hg) in eighty-seven doses, about 94 per cent. of the substance was recovered on analysis:—
| Mercurous Sulphide. Grms. | ||
|---|---|---|
| In the | fæces, | 2·1175 |
| „ | urine, | 0·0550 |
| „ | brain, heart, lungs, spleen, pancreas, kidneys, scrotum, and penis, | 0·0090 |
| „ | liver, | 0·0140 |
| „ | muscles, | 0·0114 |
| 2·2069 | ||
This equals 1·9 of metallic mercury.[939] Thus, of the whole 2·2 grms. of mercuric sulphide separated, over 95 per cent. was obtained from the fæces.
[939] Riederer, in Buchner’s Neues Repert. f. Pharm., Bd. xvii. 3, 257, 1868.
This case is of considerable interest, for there are recorded in toxicological treatises a few cases of undoubted mercurial poisoning in which no poison had been detected, although there was ample evidence that it had been administered by the mouth. In such cases, it is probable that the whole length of the intestinal canal had not been examined, and the analysis failed from this cause. When (as not unfrequently happens) the mercurial poison has entered by the skin, it is evident that the most likely localities are the urine, the liver, and the kidneys.[940]
[940] A woman died from the effects of a corrosive sublimate lotion applied by a quack to a wound in her leg. The writer found no poison in the stomach, but separated a milligramme of metallic mercury from the liver; the urine and intestines were not sent.
In a case related by Vidal,[941] the Liquor Bellostii (or solution of mercuric nitrate) was ordered by mistake instead of a liniment. Although externally applied, it caused salivation, profuse diarrhœa, and death in nine days. The whole of the intestinal tract was found inflamed with extravasations, and mercury detected in the liver.
[941] Gaz. des Hôp., Juillet 1864.
In any case of external application, if death ensues directly from the poison, evidence of its presence will probably be found; but too much stress must not be laid upon the detection of mercury, for, as Dr. Taylor says, “Nothing is more common than to discover traces of mercury in the stomach, bowels, liver, kidneys, or other organs of a dead body.”[942]
[942] Taylor, Medical Jurisprudence, i. p. 288.
§ 852. Tests for Mercury.—Mercury, in combination and in the solid form, is most readily detected by mixing the substance intimately with dry anhydrous sodic carbonate, transferring the mixture to a glass tube, sealed at one end, and applying heat. If mercury be present, a ring of minute globules condenses in the cool part of the tube. If the quantity of mercury is likely to be very minute, it is best to modify the process by using a subliming cell ([p. 258]), and thus obtain the sublimate on a circle of thin glass in a convenient form for microscopical examination. If there is any doubt whether the globules are those of mercury or not, this may be resolved by putting a fragment of iodine on the lower disc of the subliming cell, and then completing it by the disc which contains the sublimate (of course, the supposed mercurial surface must be undermost); on placing the cell in a warm, light place, after a time the scarlet iodide is formed, and the identification is complete. Similarly, a glass tube containing an ill-defined metallic ring of mercury can be sealed or corked up with a crystal of iodine, and, after a few hours, the yellow iodide, changing to scarlet, will become apparent. There are few (if any) tests of greater delicacy than this.
Mercury in solution can be withdrawn by acidulating the liquid, and then inserting either simply a piece of gold foil, gold wire, or bright copper foil; or else, by a galvanic arrangement, such as iron wire wound round a gold coin, or gold foil attached to a rod of zinc; or, lastly, by the aid of gold or copper electrodes in connection with a battery. By any of these methods, mercury is obtained in the metallic state, and the metal with its film can be placed in a subliming cell, and globules deposited and identified, as before described.
The Precipitating Reagents for mercury are numerous: a solution of stannous chloride, heated with a solution of mercury, or any combination, whether soluble or insoluble, reduces it to the metallic state.
Mercurous Salts in solution yield, with potash, soda, or lime, a black precipitate of mercurous oxide. Mercuric Salts, a bright yellow precipitate of mercuric oxide.
Mercurous Salts yield black precipitates, with sulphides of ammonium and hydrogen. Mercuric Salts give a similar reaction, but, with sulphuretted hydrogen, first a whitish precipitate, passing slowly through red to black.
Mercurous Salts, with solutions of the chlorides, give a white precipitate of calomel; the Mercuric Salts yield no precipitate under similar circumstances. Mercurous Salts, treated with iodide of potassium, give a green mercurous iodide; Mercuric, a scarlet.
§ 853. The Detection of Mercury in Organic Substances and Fluids.—Ludwig’s process, previously described, is found in practice the best. Fluids, such as urine, must be evaporated to dryness, and then treated with hydrochloric acid. Such organs as the liver are cut up and boiled in 20 per cent. HCl. Distinct evidence of mercury in the liver has been obtained on a piece of copper gauze, in a case where a child had been given 2 grains of calomel before death. “Four ounces of the liver were treated with hydrochloric acid and water, and a small piece of pure copper placed in the acid liquid while warm, and kept there for about forty-eight hours. It acquired a slight silvery lustre, and globules of mercury were obtained from it by sublimation.”
To detect the cyanide of mercury may require special treatment, and Vitali[943] recommends the following process:—The fluid is acidified with tartaric acid and neutralised by freshly precipitated CaCO3; a slight excess of hydric sulphide is added, and the flask allowed to rest for twenty-four hours in the cold. Then a further quantity of SH2 is added, and a current of hydrogen passed through the liquid; the effluent gas is first made to bubble through a solution of bismuth nitrate in dilute nitric acid (for the purpose of absorbing SH2), and then through aqueous potash (to absorb HCl); in the first flask the analyst will separate and identify mercury sulphide, while in the last flask there will be potassic cyanide, which will respond to the usual tests.
[943] L’Orosi, xii. 181-196.
In those cases where no special search is made for mercury, but an acid (hydrochloric) solution is treated with sulphuretted hydrogen, mercury is indicated by the presence of a black precipitate, which does not dissolve in warm nitric acid.
The further treatment of the black sulphide may be undertaken in two ways:—
(1) It is collected on a porcelain dish, with the addition of a little nitric acid, and evaporated to dryness in order to destroy organic matter. Hydrochloric and a few drops of nitric acid are next added; the action is aided by a gentle heat, the solution finally evaporated to dryness on the water-bath, and the residue taken up by warm distilled water. The solution is that of a persalt of mercury, and the mercury can be separated by electrolysis, or indicated by the tests already detailed.
(2) The other method, and the most satisfactory, is to mix the sulphide while moist with dry carbonate of soda, make it into a pellet which will easily enter a reducing or subliming tube, dry it carefully, and obtain a sublimate of metallic mercury.
A neat method of recognising mercury when deposited as a film on copper has been proposed by E. Brugnatelli:[944] the copper, after being washed, is transferred to a glass vessel, and a porcelain lid, on which a drop of gold chloride solution has been placed, adjusted over the dish. The whole is heated by a water-bath. The mercury vapour reduces the gold chloride, and gold is deposited as a bluish-violet stain; 1⁄10 mgrm. mercury may by this test be identified.
[944] Gazzetta, xix. 418-422.
Of special methods for the separation and detection of mercury, Ludwig’s[945] is, without a doubt, the best when organic matters have to be dealt with; the finely divided solid substances are boiled for some hours with hydrochloric acid, strength 20 per cent.; then the liquid is cooled to 60°, and potassic chlorate added in half gramme quantities until the dark liquid becomes clear; the liquid is cooled and filtered, and the substances on the filter washed with water. To the filtrate 5 grms. of zinc dust are added, and the liquid is violently shaken from time to time; a second portion is afterwards added, and also vigorously shaken. After some hours the clear liquid is separated from the zinc and the zinc washed, first with water, then with a little soda solution, and finally, again with water. The zinc is now collected on a glass-wool filter, treated with absolute alcohol to remove water, and dried by suction in a stream of air. The zinc is put into a combustion-tube, the tube being drawn out into a thin capillary extremity, and a combustion made, the mercury collecting at the capillary part. It is a necessary refinement, should the zinc be contaminated with a trace of organic matter, to pack the combustion-tube as follows:—First, the zinc dust on which any mercury present has been deposited, then a plug of asbestos; next, some cupric oxide; and lastly, some pure zinc dust. Bondzynski[946] prefers to use copper rather than zinc; for he says that zinc so frequently contains cadmium, which latter metal also gives a mirror, so that, unless the mercury is afterwards identified by turning it into an iodide, error may be caused.
[945] Zeit. f. physiolog. Chemie, 1882, i. 495; Chem. Centrblt., 1892, ii. 941.
[946] Zeit. f. anal. Chem., xxxii. 302-305.
§ 854. Estimation of Mercury.—All pharmaceutical substances containing mercury, as well as the sulphide prepared in the wet way, and minerals, are best dealt with by obtaining and weighing the metal in the solid state. The assay is very simple and easy when carried out on the method that was first, perhaps, proposed by Domeyko. A glass tube (which should not be too thin), closed at one end, is bent, as shown in the [figure], the diameter should be about three lines, the length from 7 to 8 inches, the shorter arm not exceeding 2 inches. The powdered substance is mixed with two or three times its weight of litharge, and introduced into the tube at a. The portion of the tube containing the mercury is at first heated gently, but finally brought to a temperature sufficient to fuse the substance and soften the glass. The mercury collects in an annular film at b in the cooler limb, and may now, with a little management of the lamp, be concentrated in a well-defined ring; the portion of the tube containing this ring is cut off, weighed, then cleansed from mercury, and reweighed. Many of the pharmaceutical preparations do not require litharge, which is specially adapted for ores, and heating with sodic carbonate (in great excess) will suffice. Mercury mixed with organic matter must be first separated as described, by copper or gold, the silvered foil rolled up, dried, introduced into the bent tube, and simply heated without admixture with any substance; the weight may be obtained either by weighing the foil before and after the operation, or as above.
§ 855. Volumetric Processes for the Estimation of Mercury.—When a great number of mercurial preparations are to be examined, a volumetric process is extremely convenient. There are several of these processes, some adapted more particularly for mercuric, and others for mercurous compounds. For mercuric, the method of Personne[947] is the best. The conversion of the various forms of mercury into corrosive sublimate may be effected by evaporation with aqua regia, care being taken that the bath shall not be at a boiling temperature, or there will be a slight loss.
[947] Comptes Rendus, lvi. 68; Sutton’s Vol. Anal., 177.
Personne prefers to heat with caustic soda or potash, and then pass chlorine gas into the mixture; the excess of chlorine is expelled by boiling, mercuric chloride in presence of an alkaline chloride not being volatilised at 100°. The standard solutions required for this process are:—
(1) 33·2 grms. of potassic iodide in 1 litre of water, 1 c.c. = 0·01 grm. Hg, or 0·01355 grm. HgCl2.
(2) A solution of mercuric chloride containing 13·55 grms. to the litre, 1 c.c. = 0·1 grm. Hg.
The process is founded on the fact that, if a solution of mercuric chloride be added to one of potassic iodide, in the proportion of one of the former to four of the latter, mercuric iodide is formed, and immediately dissolved, until the balance is overstepped, when the red colour is developed; the final reaction is very sharp, and with solutions properly made is very accurate. The mercuric solution must always be added to the alkaline iodide; a reversal of the process does not answer. It therefore follows that the solution to be tested must be made up to a definite bulk, and added to a known quantity of the potassic iodide until the red colour appears.
Mercurous Salts may be titrated with great accuracy by a decinormal solution of sodic chloride. This is added to the cold solution in very slight excess, the calomel filtered off, the filtrate neutralised by pure carbonate of soda, and the amount of sodic chloride still unused found by titration with nitrate of silver, the end reaction being indicated by chromate of potash. Several other volumetric processes are fully described in works treating upon this branch of analysis.
III.—PRECIPITATED BY HYDRIC SULPHIDE FROM A NEUTRAL SOLUTION.
Zinc—Nickel—Cobalt.
1. ZINC.
§ 856. Zinc—At. wt., 65; specific gravity, 6·8 to 7·1; fusing-point, 412° (773° F.)—is a hard, bluish-white, brittle metal, with a crystalline fracture. Between 100° and 150° it becomes ductile, and may be easily wrought, but at a little higher temperature it again becomes brittle, and at a bright red heat it fuses, and then volatilises, the fumes taking fire when exposed to the air. In analysis, zinc occurs either as a metallic deposit on a platinum foil or dish, or as a brittle bead, obtained by reducing a zinc compound with soda on charcoal.
The salts of zinc to be briefly described here are the carbonate, the oxide, and the sulphide,—all of which are likely to occur in the separation and estimation of zinc, and the sulphate and chloride,—salts more especially found in commerce, and causing accidents from time to time.
§ 857. Carbonate of Zinc, in the native form of calamine, contains, as is well known, 64·8 per cent. of oxide of zinc; but the carbonate obtained in the course of an analysis by precipitating the neutral hot solution of a soluble salt of zinc by carbonate of potash or soda, is carbonate of zinc plus a variable quantity of hydrated oxide of zinc. Unless the precipitation takes place at a boiling temperature, the carbonic anhydride retains a portion of the oxide of zinc in solution. By ignition of the carbonate, oxide of zinc results.
§ 858. Oxide of Zinc (ZnO = 81; specific gravity, 5·612; Zn, 80·24, O, 19·76) is a white powder when cool, yellow when hot. If mixed with sufficient powdered sulphur, and ignited in a stream of hydrogen, the sulphide is produced; if ignited in the pure state in a rapid stream of hydrogen gas, metallic zinc is obtained; but, if it is only a feeble current, the oxide of zinc becomes crystalline, a portion only being reduced.
§ 859. Sulphide of Zinc (ZnS = 97; specific gravity, 4·1; Zn, 67·01, S, 32·99).—The sulphide obtained by treating a neutral solution of a soluble salt of zinc by hydric sulphide is hydrated sulphide, insoluble in water, caustic alkalies, and alkaline sulphides, but dissolving completely in nitric or in hydrochloric acid. When dry, it is a white powder, and if ignited contains some oxide of zinc. The anhydrous sulphide is produced by mixing the precipitated sulphide with sulphur, and igniting in a crucible in a stream of hydrogen gas.
Pharmaceutical Preparations.—The officinal compounds of zinc used in medicine are the acetate, carbonate, chloride, oxide, sulphate, sulphocarbolate, and valerianate.
Sulphate of Zinc (ZnSO47H2O 161 + 126; specific gravity, crystals, 1·931).—This salt is officinal in all the pharmacopœias, is used in calico-printing, and is commonly known as white vitriol. By varying the temperature at which the crystals are allowed to be formed, it may be obtained with 6, 5, 2, or 1 atoms of water. The commercial sulphate is in crystals exactly similar to those of Epsom salts; it is slightly efflorescent, and gives the reactions of zinc and sulphuric acid.
§ 860. Chloride of Zinc is obtained by dissolving zinc in hydrochloric acid, or by direct union of zinc and chlorine. Chloride of zinc is the only constituent in the well-known “Burnett’s disinfectant fluid.” A solution of chloride of zinc may be heated until it becomes water-free; when this takes place it still remains fluid, and makes a convenient bath, for warmth may be applied to it above 370° without its emitting fumes to inconvenience; at a red heat it distils. A concentrated solution of zinco-ammonic chloride (2H4NClZnCl2) is used for the purpose of removing the film of oxide from various metals preparatory to soldering.
§ 861. Zinc in the Arts.—The use of zinc as a metal in sheeting cisterns, articles for domestic use, alloys, &c., is well known; oxide of zinc enters largely into the composition of india-rubber. Sulphide of zinc has been employed as a substitute for white lead, and may possibly supersede it. Zinc white is further employed as a pigment, and, mixed with albumen, is an agent in calico-printing; it is also used in the decoloration of glass, in the polishing of optical glasses, and in the manufacture of artificial meerschaum pipes.[948]
[948] Artificial meerschaum pipes are composed of zinc white, magnesia usta, and caseine ammonium.
Chromate of Zinc (ZnCrO4) is used in calico-printing, and there is also in commerce a basic chromate known as zinc yellow. Zinc green, or Rinman’s green, is a beautiful innocuous colour, formed by igniting a mixture of dry zincic and cobaltous carbonates.
The use of zinc vessels in the preparation of foods may occasionally bring the metal under the notice of the analyst. When exposed to a moist atmosphere, zinc becomes covered with a thin film of oxide, perfectly insoluble in ordinary water; but, if the water should be charged with common salt, a considerable quantity may be dissolved. It may generally be laid down as a rule that the solvent power of water on zinc has a direct relation to the chlorides present, whilst carbonate of lime greatly diminishes this solubility.[949]
[949] Ziurek, indeed, found in a litre of water contained in a zinc cistern no less than 1·0104 grm. of zinc, and the same water showed only 0·074 grm. of common salt to the litre.—Vierteljahrsschr. für gericht. Medicin, 1867, Bd. 6, p. 356.
Milk may become contaminated by zinc; for, it is a matter of common knowledge, that milk contained in zinc vessels does not readily turn sour. This may be explained by the zinc oxide combining with the lactic acid, and forming the sparingly soluble lactate of zinc 2(C3H5O3)Zn + 3H2O, thus withdrawing the lactic acid as fast as it is formed, preventing the coagulation of the casein. With regard to this important practical subject, MM. Payne and Chevallier made several experiments on the action of brandy, wine, vinegar, olive oil, soup, milk, &c., and proved that zinc is acted on by all these, and especially by alcoholic, acetic, and saline liquids. M. Schaufféle has repeated these experiments, and determined the amount of zinc dissolved in fifteen days by different liquids from a galvanised iron as well as a zinc vessel.
The amount found was as follows:—
| The liquid from the zinc vessel, grms. per litre. | The liquid from the galvanised iron vessel, grms. per litre. | |||
|---|---|---|---|---|
| Brandy, | 0 | ·95 | 0 | ·70 |
| Wine, | 3 | ·95 | 4 | ·10 |
| Orange-flower water, | 0 | ·50 | 0 | ·75 |
| Vinegar, | 31 | ·75 | 60 | ·75 |
| Fatty soup, | 0 | ·46 | 1 | ·00 |
| Weak soup, | 0 | ·86 | 1 | ·76 |
| Milk, | 5 | ·13 | 7 | ·00 |
| Salt water, | 1 | ·75 | 0 | ·40 |
| Seltzer water, | 0 | ·35 | 0 | ·30 |
| Distilled water, | traces. | traces. | ||
| Ordinary water, | traces. | traces. | ||
| Olive oil, | none. | none. | ||
§ 862. Effects of Zinc, as shown by Experiments on Animals.—Harnack, in experiments with sodium-zinc oxide pyrophosphate, has shown that the essential action of zinc salts is to paralyse the muscles of the body and the heart, and, by thus affecting the circulation and respiration, to cause death; these main results have been fully confirmed by Blake, Letheby, and C. Ph. Falck. For rabbits the lethal dose is ·08 to ·09 grm. of zinc oxide, or about ·04 per kilogrm. The temperature during acute poisoning sinks notably—according to F. A. Falck’s researches on rabbits, from about 7·3° to 13·0°. Zinc is eliminated mainly by the urine, and has been recognised in that fluid four to five days after the last dose. It has also been separated in small quantity from the milk and the bile.
§ 863. Effects of Zinc Compounds on Man—(a) Zinc Oxide.—The poisonous action of zinc oxide is so weak that it is almost doubtful whether it should be considered a poison. Dr. Marcett has given a pound (453·6 grms.) during a month in divided doses without injury to a patient afflicted with epilepsy; and the workmen in zinc manufactories cover themselves from head to foot with the dust without very apparent bad effects. It is not, however, always innocuous, for Popoff has recorded it as the cause of headache, pain in the head, cramps in the calves of the legs, nausea, vomiting, and diarrhœa; and he also obtained zinc from the urine of those suffering in this manner.[950] Again, a pharmacy student[951] filled a laboratory with oxide of zinc vapour, and suffered from well-marked and even serious poisonous symptoms, consisting of pain in the head, vomiting, and a short fever. It must be remembered that, as the ordinary zinc of commerce is seldom free from arsenic, and some samples contain gallium, the presence of these metals may possibly have a part in the production of the symptoms described.
[950] The so-called “zinc fever” has only been noticed in the founding of brass; it is always preceded by well-marked shivering, the other symptoms being similar to those described.
[951] Rust’s Magazin, Bd. xxi. § 563.
§ 864. (b) Sulphate of Zinc.—Sulphate of zinc has been very frequently taken by accident or design, but death from it is rare. The infrequency of fatal result is due, not to any inactivity of the salt, but rather to its being almost always expelled by vomiting, which is so constant and regular an effect, that in doses of 1·3 grm. (20 grains), sulphate of zinc is often relied upon in poisoning from other substances to quickly expel the contents of the stomach. In a case reported by Dr. Gibb, an adult female swallowed 4·33 grms. (67 grains), but no vomiting occurred, and it had to be induced by other emetics; this case is unique. It is difficult to say what would be a fatal dose of zinc sulphate, but the serious symptoms caused by 28 grms. (1 oz.) in the case of a groom in the service of Dr. Mackenzie, leads to the view that, although not fatal in that particular instance, it might be in others. The man took it in mistake for Epsom salts: a few minutes after he was violently sick and purged, and was excessively prostrated, so that he had to be carried to his home; the following day he had cramps in the legs, and felt weak, but was otherwise well.
In a criminal case related by Tardieu and Roussin, a large dose of zinc sulphate, put into soup, caused the death of an adult woman of sixty years of age in about thirty hours.[952] The symptoms were violent purging and vomiting, leading to collapse. From half of the soup a quantity of zinc oxide, equal to 1·6 grm. of zinc sulphate, was separated. Zinc was also found in the stomach, liver, intestines, and spleen—(see also a case of criminal poisoning recorded by Chevallier).[953]
[952] Taylor notices this case, but adds that she died in three days. This is a mistake, as the soup was taken on the 12th of June, probably at mid-day, and the woman died on the 13th, at 8 P.M.
[953] “Observations toxicologiques sur le zinc,” Annales d’Hygiène Publique, July 1878, p. 153.
§ 865. (c) Zinc Chloride.—Chloride of zinc is a powerful poison, which may kill by its primary or secondary effects; its local action as a caustic is mainly to be ascribed to its intense affinity for water, dehydrating any tissue with which it comes in contact. The common use of disinfecting fluids containing zinc chloride, such as Burnett’s fluid, leads to more accidents in England than in any other European country. Of twenty-six cases of poisoning by this agent, twenty-four occurred in England, and only two on the Continent. Death may follow the external use of zinc chloride. Some years ago, a quack at Barnstaple, Devon, applied zinc chloride to a cancerous breast; the woman died with all the general symptoms of poisoning by zinc, and that metal was found in the liver and other organs.
The symptoms observed in fatal cases of chloride of zinc poisoning are—immediate pain in the throat, and burning of the lips, tongue, &c. There is difficulty in swallowing, an increase in the secretion of saliva, vomiting of bloody matters, diarrhœa, collapse, coma, and death. In some cases life has been prolonged for days; but, on the other hand, death has been known to occur in a few hours. In those cases in which either recovery has taken place, or in which death is delayed, nervous symptoms rarely fail to make their appearance. In a case recorded by Dr. R. Hassall, 3 ounces of Burnett’s fluid were swallowed. The usual symptoms of intense gastro-intestinal irritation ensued, but there was no purging until the third day; after the lapse of a fortnight, a train of nervous symptoms set in, indicated by a complete perversion of taste and smell. In other cases, aphonia, tetanic affections of groups of muscles, with great muscular weakness and impairment of sight, have been noticed. Very large doses of zinc chloride have been recovered from, e.g., a man had taken a solution equivalent to about 13 grms. (200 grains) of the solid chloride. Vomiting came on immediately, and there was collapse, but he recovered in sixteen days. On the other hand, ·38 grm. (6 grains) has destroyed life after several weeks’ illness.
§ 866. Post-mortem Appearances.—In poisoning by sulphate of zinc, the appearances usually seen are inflammation, more or less intense, of the mucous membrane of the stomach and bowels. In the museums of the London hospitals, I could only find (1882) a single specimen preserved illustrating the effects of this poison. This preparation is in St. George’s Hospital Museum, and shows (ser. ix. 43 and 198) the stomach of a man who died from zinc sulphate, and whose case is reported in the Lancet, 1859. The mucous membrane is wrinkled all over like a piece of tripe; when recent it was vascular and indurated, but uniformly of a dirty grey colour; the lining membrane of the small intestine is very vascular, and in the duodenum and upper part of the jejunum the colour is similar to that of the stomach, but in a less marked degree; the stomach and intestines are contracted.
The pathological appearances after chloride of zinc vary according to the period at which death takes place. When it has occurred within a few hours, the lining membrane of the mouth and gullet shows a marked change in texture, being white and opaque, the stomach hard and leathery, or much corrugated or ulcerated. In cases in which life has been prolonged, contractions of the gullet and stomach may occur very similar to those caused by the mineral acids, and with a similar train of symptoms. In a case which occurred under Dr. Markham’s[954] observation, a person died ten weeks after taking the fatal dose, the first symptoms subsiding in a few days, and the secondary set of symptoms not commencing for three weeks. They then consisted mainly of vomiting, until the patient sank from exhaustion. The stomach was constricted at the pyloric end, so that it would scarcely admit a quill.
[954] Med. Times and Gazette, June 11, 1859, p. 595.
In Guy’s Hospital there is a good preparation, 179935, from the case of S. R., aged 22; she took a tablespoonful of Burnett’s fluid, and died in about fourteen weeks. There were at first violent vomiting and purging, but she suffered little pain, and in a day or two recovered sufficiently to move about the house; but the vomiting after food continued, everything being ejected about five minutes after swallowing. Before death she suffered from pneumonia. The stomach is seen to be much contracted—5 inches in length; it is ulcerated both near the pylorus and near the gullet; at the latter part there is a pouch-like portion of the mucous membrane of the stomach adherent to the spleen, which communicates by a perforation with an abscess formed and bounded by the stomach, diaphragm, and spleen; it contained 3 ozs. of dirty-looking pus. At the pylorus, in the centre, there is a second perforation, but extravasation of the contents is prevented by the adherent omentum and transverse colon. The muscular coats are thickened.
§ 867. Detection of Zinc in Organic Liquids or Solids.—In cases where the poison has been expelled from the stomach by vomiting, the muscles and bones would appear to be the best tissues to examine chemically; for Matzkewitsch investigated very carefully a dog poisoned by 100 parts of zinc, subcutaneously injected in the form of acetate, and found it distributed over the several organs of the body in the following ratios:—Muscles 60·5, bones 24·41, stomach and intestines 4·63, skin 3·70, place of injection 2·19, liver 1·75, lungs and heart 1·68, kidneys, bladder, and urine 1·14.
The only certain method of detection is to produce the sulphide of zinc, best effected by saturating a neutral or feebly acid liquid with hydric sulphide. If an organic liquid, which can be easily filtered, is operated upon, it may be strongly acidulated with acetic acid, and at once treated with hydric sulphide. If, however, zinc is sought for as a part of a systematic examination (as will most likely be the case), the solution will have been treated with hydrochloric acid, and already tested for arsenic, antimony, lead, &c., and filtered from any precipitate. In such a case the hydrochloric acid must first be replaced by acetic, which is effected by adding a slight excess of sodic acetate; the right quantity of the latter is easily known, if the hydrochloric acid originally added was carefully measured, and its specific gravity ascertained; 3·72 of crystallised sodic acetate saturating one of HCl. Lastly, should the distillation process, given at [p. 49], have been adopted, the contents of the retort will only require to be treated with water, filtered, and saturated with sulphuretted hydrogen. In any of the above cases, should a white, dirty white or lightish-coloured precipitate (which is not sulphur) be thrown down, zinc may be suspected; it will, however, be absolutely necessary to identify the sulphide, for there are many sources of error. The most satisfactory of all identifications is the production of Rinman’s green. The supposed sulphide is dissolved off the filter with hot nitric acid, a drop or more (according to the quantity of the original precipitate) of solution of cobalt nitrate added, the solution precipitated with carbonate of soda and boiled, to expel all carbonic anhydride; the precipitate is then collected on a filter, washed, dried, and ignited in a platinum dish. If zinc be present in so small a proportion as 1·100,000 part, the mass will be permanently green.
§ 868. Other methods of procedure are as follows:—The supposed zinc sulphide (after being well washed) is collected in a porcelain dish, and dissolved in a few drops of sulphuric acid, filtered, nitric acid added, evaporated to dryness, and heated to destroy all organic matter. When cool, the mass is treated with water acidulated by sulphuric acid, and again filtered. The solution may contain iron as well as zinc, and if the former (on testing a drop with ferrocyanide of potash) appears in any quantity, it must be separated by the addition of ammonia in excess to the ammoniacal filtrate; sodic carbonate is added in excess, the liquid well boiled, and the precipitate collected on a filter and washed. The carbonate of zinc thus obtained is converted into zinc oxide by ignition, and weighed. If oxide of zinc, it will be yellow when hot, white when cold: it will dissolve in acetic acid; give a white precipitate with sulphuretted hydrogen; and, finally, if heated on charcoal in the oxidising flame, and moistened with cobalt nitrate solution, a green colour will result. Zinc may also be separated from liquids by electrolysis. The simplest way is to place the fluid under examination in a platinum dish of sufficient size, acidify, and insert a piece of magnesium tape. The metallic film so obtained may be dissolved by hydrochloric acid, and the usual tests applied.
2. NICKEL—COBALT.
§ 869. The salts of nickel and cobalt have at present no toxicological importance, although, from the experiments of Anderson Stuart,[955] both may be classed as poisonous. The experiments of Gmelin had, prior to Stuart’s researches, shown that nickel sulphate introduced into the stomach acted as an irritant poison, and, if introduced into the blood, caused death by cardiac paralysis. Anderson Stuart, desiring to avoid all local irritant action, dissolved nickel carbonate in acid citrate of soda by the aid of a gentle heat; he then evaporated the solution, and obtained a glass which, if too alkaline, was neutralised by citric acid, until its reaction approximated to the feeble alkalinity of the blood; the cobalt salt was produced in the same way. The animals experimented on were frogs, fish, pigeons, rats, guinea-pigs, rabbits, cats, and dogs—in all 200. The lethal dose of nickelous oxide, when subcutaneously injected in the soluble compound described, was found to be as follows:—frogs, ·08 grm. per kilogram; pigeons, ·06; guinea-pigs, ·030; rats, ·025; cats, ·01; rabbits, ·009; and dogs, ·007. The cobaltous oxide was found to be much less active, requiring the above doses to be increased about two-thirds. In other respects, its physiological action seems to be very similar to that of nickelous oxide.
[955] “Nickel and Cobalt; their Physiological Action on the Animal Organism,” by T. P. Anderson Stuart, M.D., Journ. of Anat. and Physiol., vol. xvii., Oct. 1882.
§ 870. Symptoms—Frogs.—A large dose injected into the dorsal lymph sac of the frog causes the following symptoms:—The colour of the skin all over the body becomes darker and more uniform, and not infrequently a white froth is abundantly poured over the integument. In an interval of about twenty minutes the frog sits quietly, the eyes retracted and shut; if molested, it moves clumsily. When quiet, the fore limbs are weak, and the hind legs drawn up very peculiarly, the thighs being jammed up so against the body, that they come to lie on the dorsal aspect of the sides of the frog, and the legs are so much flexed that the feet lie on the animal’s back, quite internal to the plane of the thighs. Soon fibrillary twitchings are observed in the muscles of the abdominal wall, then feeble twitchings of the fingers, and muscles of the fore limbs generally; lastly, the toes are seen to twitch, and then the muscles of the hind limbs—this order is nearly always observed; now spasmodic gaping and incoördinate movements are seen, and the general aspect is not unlike the symptoms caused by picrotoxin. After this, tetanus sets in, and the symptoms then resemble those of strychnine; the next stage is stupefaction and voluntary motor paresis; the respiratory movements become feeble, and the paresis passes into paralysis. The heart beats more and more slowly and feebly, and death gradually and imperceptibly supervenes. The post-mortem appearances are well marked, i.e., rigor mortis, slight congestion of the alimentary tract, the heart with the auricle much dilated and filled with dark blood, the ventricle mostly small, pale, and semi-contracted. For some time after death, the nerve trunks and muscles react to the induction current.
Pigeons.—In experiments on pigeons the symptoms were those of dulness and stupor, jerkings of different sets of muscles, and then death quietly.
Guinea-pigs.—In guinea-pigs there were dulness and stupefaction, with some weakness of the hind limbs.
Rats.—The symptoms in rats were almost entirely nervous; they became drowsy and apathetic, and there was paralysis of the hind legs.
Rabbits.—In rabbits, also, the symptoms were mainly those caused by an affection of the nervous system. There was paralysis, which affected either the hind legs only, or all four limbs. The cervical muscles became so weak that the animal was unable to hold its head up. Diarrhœa occurred and persisted until death. If the dose is not large enough to kill rapidly, the reflex irritability is decidedly increased, so that the slightest excitation may cause the animal to cower and tremble all over. Now appear twitchings and contractions of single groups of muscles, and this excitement becomes general. The respirations also become slower and more difficult, and sometimes there is well-marked dilatation of the vessels of the ears and fundi oculi. Convulsions close the scene.
§ 871. Circulation.—The effect of the salt on the frog’s heart was also studied in detail. It seems that, under the influence of a soluble salt of nickel, the heart beats more and more slowly, it becomes smaller and paler, and does not contract evenly throughout the whole extent of the ventricle; but the rhythm of the ventricular and auricular contractions is never lost.
It is probable that there is a vaso-motor paralysis of the abdominal vessels; the blood-pressure falls, and the heart is not stimulated by the blood itself as in its normal state. In support of this view, it is found that, by either pressing on the abdomen or simply inverting the frog, the heart swells up, fills with blood, and for a time beats well.
Nervous System.—The toxic action is referable to the central nervous system, and not to that of peripheral motor nerve-endings or motor nerve-fibres. It is probable that both nickel and cobalt paralyse to some extent the cerebrum. The action on the nerve-centres is similar to that of platinum or barium, and quite different from that of iron.
§ 872. Action on Striped Muscle.—Neither nickel nor cobalt has any effect on striped muscle. In this they both differ from arsenic, antimony, mercury, lead, and iron—all of which, in large doses, diminish the work which healthy muscle is capable of performing.
§ 873. Separation of Nickel or Cobalt from the Organic Matters or Tissues.—It is very necessary, if any case of poisoning should occur by either or both of these metals, to destroy completely the organic matters by the process already detailed on [p. 51]. Both nickel and cobalt are thrown down, if in the form of acetate, from a neutral solution by sulphuretted hydrogen; but the precipitation does not take place in the presence of free mineral acid; hence, in the routine process of analysis, sulphuretted hydrogen is passed into the acid liquid, and any precipitate filtered off. The liquid is now made almost neutral by potassic carbonate, and then potassic acetate added, and a current of sulphuretted hydrogen passed through it. The sulphides of cobalt and nickel, if both are present, will be thrown down; under the same circumstances zinc, if present, would also be precipitated. Cobalt is separated from zinc by dissolving the mixed sulphides in nitric acid, precipitating the carbonates of zinc and cobalt by potassic carbonate, collecting the carbonates, and, after washing, igniting them gently in a bulb tube, in a current of dry hydrochloric acid; volatile zinc chloride is formed and distils over, leaving cobalt chloride.
§ 874. To estimate cobalt, sulphide of cobalt may be dissolved in nitric acid, and then precipitated by pure potash; the precipitate washed, dried, ignited, and weighed; 100 parts of cobaltous oxide (Co3O4) equals 73·44 of metallic cobalt. Cobalt is separated from nickel by a method essentially founded on one proposed by Liebig. The nitric acid solution of nickel and cobalt (which must be free from all other metals, save potassium or sodium) is nearly neutralised by potassic carbonate, and mixed with an excess of hydrocyanic acid, and then with pure caustic potash. The mixture is left exposed to the air in a shallow dish for some hours, a tripotassic cobalticyanide (K3CoCy6) and a nickelo-potassic cyanide (2KCy, NiCy4) are in this way produced. If this solution is now boiled with a slight excess of mercuric nitrate, hydrated nickelous oxide is precipitated, but potassic cobalticyanide remains in solution, and may be filtered off. On carefully neutralising the alkaline filtrate with nitric acid, and adding a solution of mercurous nitrate, the cobalt may then be precipitated as a mercurous cobalticyanide, which may be collected, washed, dried, decomposed by ignition, and weighed as cobaltous oxide. After obtaining both nickel and cobalt oxides, or either of them, they may be easily identified by the blowpipe. The oxide of nickel gives, in the oxidising flame with borax, a yellowish-red glass, becoming paler as it cools; the addition of a potassium salt colours the bead blue. In the reducing flame the metal is reduced, and can be seen as little greyish particles disseminated through the bead. Cobalt gives an intense blue colour to a bead of borax in the oxidising flame.
IV.—PRECIPITATED BY AMMONIUM SULPHIDE.
Iron—Chromium—Thallium—Aluminium—Uranium.
1. IRON.
§ 875. It was Orfila’s opinion that all the salts of iron were poisonous, if given in sufficient doses; but such salts as the carbonate, the phosphate, and a few others, possessing no local action, may be given in such very large doses, without causing disturbance to the health, that the statement must only be taken as applying to the more soluble iron compounds. The two preparations of iron which have any forensic importance are the perchloride and the sulphate.
§ 876. Ferric Chloride (Fe2Cl6 = 325).—Anhydrous ferric chloride will only be met with in the laboratory. As a product of passing dry chlorine over red-hot iron, it sublimes in brown scales, is very deliquescent, and hisses when thrown into water. There are two very definite hydrates—one with 6 atoms of water, forming large, red, deliquescent crystals; and another with 12 of water, less deliquescent, and crystallising in orange stellate groups.
The pharmaceutical preparations in common use are:—
Stronger Solution of Perchloride of Iron (Liquor Ferri Perchloridi Fortior).—An orange-brown liquid of specific gravity 1·42, and containing about 58 per cent. of ferric chloride.
Tincture of Perchloride of Iron (Tinctura Ferri Perchloridi), made by diluting 1 part of the strong solution with 1 volume of rectified spirit, and adding distilled water to measure 4.
Solution of Perchloride of Iron (Liquor Ferri Perchloridi).—Simply 5 volumes of the strong solution made up to 20 by the addition of water; hence, of the same strength as the tincture.
§ 877. Effects of Ferric Chloride on Animals.—A very elaborate series of researches on rabbits, dogs, and cats was undertaken a few years ago by MM. Bérenger-Féraud and Porte[956] to elucidate the general symptoms and effects produced by ferric chloride under varying conditions. First, a series of experiments showed that, when ferric chloride solution was enclosed in gelatine capsules and given with the food of the animal, it produced either no symptoms or but trifling inconvenience, even when the dose exceeded 1 grm. per kilogrm.; anhydrous ferric chloride and the ferric chloride solution were directly injected into the stomach, yet, when food was present, death did not occur, and the effects soon subsided. In animals which were fasting, quantities of the solution equal to ·5 grm. per kilogrm. and above caused death in from one hour to sixteen hours, the action being much accelerated by the addition of alcohol—as, for example, in the case of the tincture: the symptoms were mainly vomiting and diarrhœa, sometimes the vomiting was absent. In a few cases the posterior extremities were paralysed, and the pupils dilated: the urine was scanty or quite suppressed; death was preceded by convulsions.
[956] “Étude sur l’empoisonnement par le perchlorure de fer,” par MM. Bérenger-Féraud et Porte, Annales d’Hygiène Publique, 1879.
§ 878. Effects on Man.—Perchloride of iron in the form of tincture has been popularly used in England, from its supposed abortive property, and is sold under the name of “steel drops.” It has been frequently taken by mistake for other dark liquids; and there is at least one case on record in which it was proved to have been used for the purpose of murder. The latter case[957] is peculiarly interesting from its great rarity; it occurred in Martinique in 1874-1876, no less than four persons being poisoned at different dates. All four were presumed to have had immoral relations with a certain widow X——, and to have been poisoned by her son. In three of the four cases, viz., Char——, Duf——, and Lab——, the cause of death seems pretty clear; but the fourth, Ab——, a case of strong suspicion, was not sufficiently investigated. All three took the fatal dose in the evening, between eight and nine o’clock—Lab—— the 27th of December 1874, Duf—— the 22nd of February 1876, and Char—— on the 14th of May 1876. They had all passed the day in tippling, and they all had eaten nothing from mid-day, so that the stomach would, in none of the three, contain any solid matters. The chloride was given to them in a glass of “punch,” and there was strong evidence to show that the son of the widow X—— administered it. Char—— died after about thirteen hours’ illness, Duf—— and Lab—— after sixty-five hours’ illness; Ab—— lived from three to four days. With Char—— the symptoms were very pronounced in an hour, and consisted essentially of violent colicky pain in the abdomen and diarrhœa, but there was no vomiting; Duf—— had also great pain in the abdomen and suppression of the urine. Lab—— had most violent abdominal pains; he was constipated, and the urinary secretion was arrested; there was besides painful tenesmus. According to the experiments of Bérenger-Féraud and Porte,[958] the perchloride in the above cases was taken under conditions peculiarly favourable for the development of its toxic action, viz., on an empty stomach and mixed with alcohol.
[957] Fully reported in Bérenger-Féraud’s paper, loc. cit.
[958] Dub. Med. Press, February 21, 1849.
There have been several cases of recovery from large doses of the tincture, e.g., that of an old man, aged 72, who had swallowed 85 c.c. (3 ozs.) of the tincture; the tongue swelled, there were croupy respiration and feeble pulse, but he made a good recovery. In other cases,[959] 28·3 c.c. (an ounce) and more have caused vomiting and irritation of the urinary organs. The perchloride is not unfrequently used to arrest hæmorrhage as a topical application to the uterine cavity—a practice not free from danger, for it has before now induced violent inflammation and death from peritonitis.
[959] Provincial Journal, April 7 and 21, 1847, p. 180; see also Taylor’s Principles and Practice of Medical Jurisprudence, vol. i. p. 320, 2nd Edition.
§ 879. Elimination of Iron Chloride.—Most of the iron is excreted in the form of sulphide by the fæces, and colours them of a black hue; a smaller portion is excreted by the urine.
§ 880. Post-mortem Appearances.—In the experiments on animals already referred to, the general changes noted were dryness, pallor, and parchment-like appearance of the cavity of the mouth, the mucous membrane being blackened by the contact of the liquid. The gullet was pale and dry, not unfrequently covered with a blackish layer. The mucous membrane of the stomach was generally healthy throughout; but, if the dose was large and very concentrated, there might be one or more hyperæmic spots; otherwise, this did not occur. The internal surface of the intestines, similarly, showed no inflammation, but was covered with brownish coating which darkened on exposure to the air. The liver, in all the experiments, was large and gorged with black and fluid blood; there were ecchymoses in the lungs and venous congestion. The kidneys were usually hyperæmic, and contained little hæmorrhages. There was also general encephalic engorgement, and in one experiment intense congestion of the meninges was observed. Few opportunities have presented themselves for pathological observations relative to the effects produced by ferric chloride on man. In a case related by Christison, in which a man swallowed 42·4 c.c. (11⁄2 oz.) of the tincture, and died in five weeks, there was found thickening and inflammation of the pyloric end of the stomach.
The case of Char——, already alluded to, is that in which the most complete details of the autopsy are recorded, and they coincide very fairly with those observed in animals; the tongue was covered with a greenish fur, bordered at the edges with a black substance, described as being like “mud”; the lining membrane of the gullet was pale, but also covered with this dark “mud.” The stomach contained a greenish-black liquid; the liver was large and congested; the kidneys were swollen, congested, and ecchymosed; the cerebral membranes were gorged with blood, and the whole brain hyperæmic.
§ 881. Ferrous Sulphate, Copperas, or Green Vitriol, FeSO47H2O = 152 + 126; specific gravity, anhydrous, 3·138; crystals, 1·857; composition in 100 parts, FeO, 25·92; SO3, 28·77; H2O, 45·32.—This salt is in beautiful, transparent, bluish-green, rhomboidal prisms. The crystals have an astringent, styptic taste, are insoluble in alcohol, but dissolve in about 1·5 times their weight of water; the commercial article nearly always responds to the tests, both for ferrous and ferric salts, containing a little persalt. The medicinal dose of this salt is usually given as from ·0648 to ·324 grm. (1 to 5 grains), but it has been prescribed in cases requiring it in gramme (15·4 grains) doses without injury. Sulphate of iron has many technical applications; is employed by all shoemakers, and is in common use as a disinfectant. The salt has been employed for criminal purposes in France, and in this country it is a popular abortive. In recorded cases, the symptoms, as well as the pathological appearances, have a striking resemblance to those produced by the chloride. There are usually colic, vomiting, and purging; but in one case (reported by Chevallier), in which a man gave a large dose of sulphate of iron to his wife, there was neither vomiting nor colic; the woman lost her appetite, but slowly recovered. Probably the action of ferrous sulphate, like that of the chloride, is profoundly modified by the presence or absence of food in the stomach. Anything like 28·3 grms. (an ounce) of sulphate of iron must be considered a dangerous dose, for, though recovery has taken place from this quantity, the symptoms have been of a violent kind.
§ 882. Search for Iron Salts in the Contents of the Stomach, &c.—Iron, being a natural component of the body, care must be taken not to confound the iron of the blood or tissues with the “iron” of a soluble salt. Orfila attempted to distinguish between the two kinds of iron by treating the contents of the stomach, the intestines, and even the tissues, with cold acetic acid, and allowing them to digest in it for many hours before filtering and testing for iron in the filtrate, and this is generally the process which has been adopted. The acid filtrate is first treated with sulphuretted hydrogen, which gives no precipitate with iron, and then with sulphide of ammonium, which precipitates iron black. The iron sulphide may be dissolved by a little hydrochloric acid and a drop of nitric acid, and farther identified by its forming Prussian blue when tested by ferrocyanide of potash, or by the bulky precipitate of oxide, when the acid liquid is alkalised by ammonia. In the case of Duf——, the experts attempted to prove the existence of foreign iron in the liver by taking 100 grms. of Duf——’s liver and 100 grms. of the liver of a non-poisoned person, and destroying each by nitro-muriatic acid, and estimating in each acid solution the ferric oxide. Duf——’s liver yielded in 100 parts ·08 mgrm. of ferric oxide, the normal liver ·022—nearly three times less than Duf——’s.
To obtain iron from the urine, the fluid must be evaporated down to a syrup in a platinum dish, a little nitric acid added, heated, and finally completely carbonised. The residue is dissolved in hydrochloric acid. Normal urine always contains an unweighable trace of iron; and, therefore, any quantity, such as a mgrm. of ferric oxide, obtained by careful precipitation of the hydrochloric acid solution out of 200 to 300 c.c. of urine, would be good evidence that a soluble salt of iron had been taken. The hydrochloric acid solution is first precipitated by ammonia and ammonic sulphide. The precipitate thus obtained will not be pure iron sulphide, but mixed with the earth phosphates. It should be redissolved in HCl, precipitated by sodic carbonate, then acidified by acetic acid and sodic acetate added, and the solution well boiled; the iron will then be precipitated for the most part as oxide mixed with a little phosphate of iron.
Since, as before mentioned, a great portion of the iron swallowed as a soluble salt is converted into insoluble compounds and excreted by the fæces, it is, in any case where poisoning by iron is suspected, of more importance to examine chemically the fæces and the whole length of the alimentary canal, than even the contents of the stomach. In particular, any black material lying on the mucous membrane may be sulphide of iron mixed with mucus, &c., and should be detached, dissolved in a little hydrochloric acid, and the usual tests applied.
In the criminal cases alluded to, there were iron stains on certain linen garments which acquired an importance, for, on dissolving by the aid of nitric acid, they gave the reactions of chlorine and iron. Any stains found should be cut out, steeped in water, and boiled. If no iron is dissolved the stain should then be treated with dilute nitric acid, and the liquid tested with ferrocyanide of potash, &c. It need scarcely be observed that iron-mould is so common on shirts and any fabric capable of being washed, that great care must be exercised in drawing conclusions from insoluble deposits of the oxide.
2. CHROMIUM.
§ 883. The only salts of chromium of toxicological importance are the neutral chromate of potash, the bichromate of potash, and the chromate of lead.
Neutral Chromate of Potash, CrO3K2O = 194·7, containing 56·7 per cent. of its weight of chromic anhydride, CrO3.—This salt is in the form of citron-yellow rhombic crystals, easily soluble in water, but insoluble in alcohol. Its aqueous solution is precipitated yellow by lead acetate or basic acetate; the precipitate being insoluble in acetic acid. If chromate of potash in solution is tested with silver nitrate, the red chromate of silver is thrown down; the precipitate is with difficulty soluble in dilute nitric acid.
§ 884. Potassic Bichromate, CrO3K2O = 295·2, containing 68·07 per cent. of its weight of chromic anhydride, CrO3.—This salt is in beautiful large, red, transparent, four-sided tables; it is anhydrous and fuses below redness. At a high temperature it is decomposed into green oxide of chromium and yellow chromate of potash. It is insoluble in alcohol, but readily soluble in water. The solution gives the same precipitates with silver, lead, and barium as the neutral chromate. On digesting a solution of the bichromate with sulphuric acid and alcohol, the solution becomes green from the formation of chromic oxide.
§ 885. Neutral Lead Chromate, PbCrO4 = 323·5, composition in 100 parts, PbO, 68·94, CrO3, 31·06.—This is technically known as “Chrome Yellow,” and is obtained as a yellow precipitate whenever a solution of plumbic acetate is added, either to the solutions of potassic chromate or bichromate; by adding chrome yellow to fused potassic nitrate, “chrome red” is formed; it has the composition CrO32PbO. Neutral lead chromate is insoluble in acids, but may be dissolved by potassic or sodic hydrates.
§ 886. Use in the Arts.—Potassic bichromate is extensively used in the arts—in dyeing, calico-printing, the manufacture of porcelain, and in photography; the neutral chromate has been employed to a small extent as a medicine, and is a common laboratory reagent; lead chromate is a valuable pigment.
§ 887. Effects of some of the Chromium Compounds on Animal Life.—In the chromates of potash there is a combination of two poisonous metals, so that it is not surprising that Gmelin found the chloride of chromium, CrCl3, less active than the neutral chromate of potash; 1·9 grm. of the last, administered to a rabbit by the stomach, caused death within two hours, while 3 grms. of chromous chloride had no action. Subcutaneous doses of ·2 to ·4 grm. of neutral chromate (according to the experiments of E. Gergens[960] and Carl Posner[961]) act with great intensity on rabbits. Immediately after the injection the animals are restless, and show marked dyspnœa; death often takes place within a few hours.
[960] Arch. f. experiment. Pathol. u. Pharmakol., Bd. 6, Hft. 1 and 2, § 148, 1875.
[961] Virchow’s Archiv f. path. Anat., Bd. 79, Hft. 2, § 333, 1880.
Diarrhœa does not seem, as a rule, to follow when the salt is administered by subcutaneous injection to animals; but Gmelin’s rabbits had considerable diarrhœa when 1·9 grm. was introduced into the stomach. The same quantity, injected beneath the skin of a dog, caused loss of appetite, and, after six days, there was a dry exanthem on the back, and the hair fell off in patches; there was, however, neither diarrhœa nor vomiting. Bichromate of potash causes (according to the researches of Pelikan)[962] symptoms similar to those produced by arsenic or corrosive sublimate; it acts as a powerful irritant of the stomach and intestinal canal, and may even cause inflammation; on its absorption a series of symptoms are produced, of which the most prominent are albuminuria, bloody urine, and emaciation. From ·06 to ·36 grm. (1-51⁄2 grains) is fatal to rabbits and dogs.
[962] Beiträge zur gerichtl. Medicin, Toxikol. u. Pharmakodynamik, Würzburg, 1858.
§ 888. Effects of some of the Chromium Salts on Man—Bichromate Disease.—In manufacturing potassic bichromate, the workmen exposed to the dust have suffered from a very peculiar train of symptoms, known under the name of “bichromate disease.” It was first described in England by Sir B. W. Richardson.[963] It appears that if the workmen inspire the particles chiefly through the mouth, a bitter and disagreeable taste is experienced, with an increase of saliva. This increase of the buccal secretion gets rid of most of the poison, and in that case but little ill effect is experienced; but those who keep the mouth closed and inspire by the nose, suffer from an inflammation of the septum, which gradually gets thin, and ultimately ulcerated; finally the whole of the septum is in this way destroyed. It is stated that when a workman has lost his nasal septum, he no longer suffers from nasal irritation, and has a remarkable immunity from catarrh. The Chemical Works Committee of Inquiry report (1893) that the manufacture of bichromate of potash or soda is practically in the hands of three firms at Glasgow, Rutherglen, and Falkirk, and that they visited all of them, and found “that almost all the men working where dust was prevalent, more especially between the furnaces and the dissolving tanks, had either perforation of the septum of the nose, or had lost the septum altogether.” The bichromate also causes painful skin affections—eruptions akin to eczema or psoriasis; also very deep and intractable ulcerations. These the workers call “chrome holes.” These cutaneous maladies start from an excoriation; so long as the skin is not broken, there seems to be little local effect, if any. The effects of the bichromate are also seen in horses employed at the factories; the salt getting into a wound or crack in the leg, produces ulceration: horses may even lose their hoofs.
[963] Brit. and For. Med. Chirurg. Review, Oct. 1863. See also a paper by the same writer, read before the Medical Society, reported in the Lancet, March 11, 1882.
§ 889. Acute poisoning by the chromates is rare. In the ten years ending 1892, in England and Wales, 4 accidental deaths are ascribed to potassic bichromate and 1 to chromic acid. Falck has, however, been able to find in medical literature 17 cases, 6 of which were suicidal, 10 accidental, and in 1 the bichromate was used as an abortive. In a case of poisoning by the chromate of potash (related by Maschka),[964] in which a woman, aged 25, took for a suicidal purpose a piece of potassic chromate, which she described as the size of a hazel-nut (it would probably be at least 6 grms. in weight), the chief symptoms were vomiting, diarrhœa, pain in the stomach, and rapid collapse; death took place fourteen hours after swallowing the poison.
[964] Prager Vierteljahrsschr. f. d. prakt. Heilk., Bd. 131, § 37, 1877; Schmidt’s Jahrb. 1878, Bd. 178, § 237. See also Schuchardt in Maschka’s Handbuch, Bd. ii. p. 3.
In poisoning by potassic bichromate, there may be much variety in the symptoms, the more usual being those common to all irritant poisons, i.e., vomiting, diarrhœa, and collapse, with cramps in the limbs and excessive thirst; and the rarer affecting more especially the nervous system, such as narcosis, paralysis of the lower limbs, and dilatation of the pupils; occasionally there is slight jaundice.
In a case recorded by Dr. Macniven,[965] a man took a lump of bichromate of potash, estimated to be over 2 drachms (7·7 grms.). The symptoms commenced in fifteen minutes, and consisted of lightness in the head, and a sensation of great heat in the body, which was followed by a cold sweat; in twenty minutes he vomited; he then suffered from great pain in the stomach, giddiness, specks before the eyes, a devouring thirst, and there was loss of power over the legs. These symptoms, again, were followed by severe rigors and great coldness of the extremities. On the patient’s admission to hospital, two hours after taking the poison, it was noted that the pupils were dilated, the face pale and cold, and the pulse feeble. He complained of intense epigastric pain, and a feeling of depression; there was some stupor; the stomach was emptied by emetics and by the stomach-pump, and the patient treated with tepid emollient drinks, whilst subcutaneous doses of sulphuric ether were administered. He made a good recovery.
[965] “On a Case of Poisoning with Bichromate of Potash,” by Ed. O. Macniven, M.B., Lancet, Sept. 22, 1883.
In a case recorded by Mr. Wilson,[966] a man, aged 64, was found dead in his bed twelve hours after he had gone to rest. During the night he was heard to snore loudly; there were no signs of vomiting or purging, and bichromate of potash was found in the stomach.[967]
[966] Med. Gazette, vol. 33, 734.
[967] See also cases recorded by Dr. M’Lachlan, Glasgow Med. Journ., July 1881; Dr. M’Crorie, ibid., May 1881; Dr. R. A. Warwick, Lancet, Jan. 31, 1880; and Dr. Dunbar Walker, ibid., Sept. 27, 1879—a summary of all of which may be found in Dr. Macniven’s paper, loc. cit.
§ 890. Chromate of lead has also caused death. In one case[968] the breathing of chromate of lead dust seems to have been fatal; and there is also a double poisoning recorded by Dr. Linstow,[969] of two children, aged three and a half and one and three-quarter years respectively, who ate some yellow ornaments,[970] which were used to adorn a cake, and which contained chrome yellow (chromate of lead). The younger died in two and the elder in five days. The symptoms were redness of the face, dulness, and an inclination to sleep; neither complained of pain; the younger one had a little diarrhœa, but the elder neither sickness nor purging.
[968] Ueber tödtliche Vergiftung durch Einathmen des Staubes von mit Chromsäuren Blei-Oxyde gefärbten Garne.—Vierteljahrsschr. f. ger. Med., 1877, Bd. xxvii. Hft. i. p. 29.
[969] Ibid., Bd. xx. s. 60, 1874.
[970] The ornaments were imitations of bees; each contained ·27 grm. gum tragacanth, ·0042 grm. neutral lead chromate.
§ 891. Post-mortem Appearances.—We possess some very exact researches[971] upon the pathological changes induced by subcutaneous injections of solutions of potassic bichromate on animals, and especially on the changes which the kidneys undergo. If the animal is killed, or dies a few hours after the injection, there are apparently no striking appearances, but a closer microscopical examination shows considerable changes. The epithelium of the tubuli contorti exhibits a yellow cloudiness, and the outline of the cells is irregular and jagged. The glomeruli are moderately injected, and their capsules contain an albuminous exudation; the canaliculi are filled with round cells imbedded in a fluid which, on heating, coagulates, and is therefore albuminous or fibrinous; probably this is the first stage of the formation of fibrinous casts.
[971] C. Posner, op. cit.
In the case quoted of the woman who poisoned herself with potassic chromate, very striking changes were found in the stomach and intestines. The stomach contained above a litre of dark chocolate fluid of alkaline reaction; the mucous membrane, in the neighbourhood of the cardiac and pyloric extremities, was swollen and red in sharply defined patches; portions of the epithelial layer were detached, the rest of the mucous membrane was of a yellow-brown colour, and the whole intestine, from the duodenum to the sigmoid flexure, was filled with a partly bloody, partly treacly-looking fluid; the mucous membrane, throughout its entire extent, was swollen, with numerous extravasations, and in places there were losses of substance. Similar appearances to these have been found in other instances; the anomalous case recorded by Mr. Wilson ([ante]) is an exception. In this instance a pint of inky, turbid liquid, which yielded to analysis potassic bichromate, was found in the stomach; but there were no marked changes anywhere, save a slight redness of the cardiac end of the gullet. In Linstow’s two cases of poisoning by lead chromate, there were found in both fatty degeneration of the liver cells, and red points or patches of redness in the stomach and intestines. In the elder boy the changes in the duodenum were very intense, the mucous membrane was swollen and easily detached, in the upper part strongly injected with blood; in one place there was a perforation, and in several places the membrane was extremely thin. In the younger boy the kidneys seem to have been normal, in the elder congested and containing pus. Although it was clear that the two children died from lead chromate, a chemical analysis gave no result.
§ 892. Detection of the Chromates and Separation of the Salts of Chromium from the Contents of the Stomach, &c.—If in the methodical examination of an acid liquid, which has been already filtered from any precipitate that may have been obtained by sulphuretted hydrogen, this liquid is made alkaline (the alkali only being added in slight excess), and hydrated chromic oxide is thrown down mixed, it may be with other metals of the second class, the precipitate may then be fused with nitre and potassic carbonate, and will yield potassic chromate, soluble in water, and recognised by the red precipitate which it gives with silver nitrate, the yellow with lead acetate, and the green colour produced by boiling with dilute sulphuric acid and a little alcohol or sugar. If by treating a complex liquid with ammonium hydrosulphide, sulphides of zinc, manganese, and iron are thrown down mixed with chromic oxide, the same principles apply. If a chromate is present in the contents of the stomach, and the organic fluid is treated with hydrochloric acid and potassic chlorate, chromic chloride is formed, and dissolving imparts a green colour to the liquid—this in itself will be strong evidence of the presence of a chromate, but it should be supplemented by throwing down the oxide, and transforming it in the way detailed into potassic chromate.
A general method of detecting and estimating both chromium and barium in organic matters has been worked out by L. de Koningh.[972] The substances are burnt to an ash in a platinum dish. The ash is weighed; to the ash is added four times its weight of potassium sodium carbonate and the same amount of potassium nitrate; and the whole is fused for fifteen minutes. The fused mass is boiled with water and filtered; if chromium is present, the filtrate is of a more or less pronounced yellow colour, but manganese may produce a green colour and mask the yellow; this colour is removed by boiling with a little alcohol. The liquid is concentrated down to 20 c.c., filtered into a test-tube, and a colorimetric estimation made of the chromium present by imitating the colour by a solution of potassium chromate of known strength. To prove that the colour is really due to chromium, acetic acid and lead acetate are added, when the yellow chromate of lead is at once thrown down. (If lead was in the ash, a yellow precipitate may appear on the addition of acetic acid.) To the portion of ash insoluble in water strong hydrochloric acid is added, and to the acid solution a large excess of calcium sulphate is added; this precipitates barium as sulphate free from lead sulphate, for, if the latter should be present, it does not, under the circumstances, come down, being soluble in strong hydrochloric acid.
[972] Arch. Pharm. (3), xxvii. 944.
3. THALLIUM.
§ 893. Thallium was discovered by Crookes in 1861. Its atomic weight is 204; specific gravity, 11·81 to 11·91; melting-point, 290°. It is a heavy diamagnetic metal, very similar to lead in its physical properties. The nitrate and sulphate of thallium are both soluble in water, the carbonate less so, requiring about 25 parts of water for solution, while the chloride is sparingly soluble, especially in hydrochloric acid.
§ 894. Effects.—All the salts of thallium are poisonous. One of the earlier experimenters on the physiological action, Paulet, found 1 grm. (15·4 grains) of thallium carbonate sufficient to kill a rabbit in a few hours; there were loss of muscular power, trembling of the limbs, and death apparently from asphyxia. Lamy[973] used thallium sulphate, and found that dogs were salivated, and suffered from trembling of the limbs, followed by paralysis. The most definite results were obtained by Marmé,[974] who found that ·04 to ·06 grm. of a soluble thallium salt, injected subcutaneously or directly into the veins, and ·5 grm. administered through the stomach of rabbits, caused death. The action is cumulative, and something like that of mercury: there are redness and swelling of the mucous membrane of the stomach, with mucous bloody discharges; hæmorrhage may also occur from the lungs. Thallium is eliminated through the urine, and is also found in the fæces; it passes into the urine from three to five minutes after injection: the elimination is slow, often taking as long as three weeks. It has been found in the milk, in the tears, in the mucous membrane of the mouth, of the trachea, in the secretion of the gastric mucous membrane, and in the pericardial fluid; and in these places, whether the poison has been introduced by subcutaneous injection, or by any other channel. It seems probable that the reason of its being detected so readily in all the secretions is the minute quantity which can be discovered by spectroscopic analysis.
[973] Chem. News, 1863.
[974] Göttinger Gelehrt. Nachrichten, Aug. 14, No. 20.
§ 895. Separation of Thallium from Organic Fluids or Tissues.—The salts of thallium, if absorbed, would only be extracted in traces from the tissues by hydrochloric acid, so that, in any special search, the tissues are best destroyed by either sulphuric or nitric acid, or both. In the ordinary method of analysis, when an acid liquid is first treated with sulphuretted hydrogen, and then made alkaline by ammonia and ammonic sulphide, thallium would be thrown down with the manganese and iron of the blood. From the mixed sulphides, thallium may be separated by oxidising and dissolving the sulphides with nitric acid, evaporating off the excess of acid, dissolving in a very little hot water, and precipitating thallous chloride by solution of common salt. The ease, however, with which thallium may be separated from solutions of its salts by galvanism is so great as to render all other processes unnecessary: the best way, therefore, is to obtain a deposit of the metal on platinum by a current from one or more cells, and then to examine the deposit spectroscopically. Thallium gives, when heated in a Bunsen flame, a magnificent green line, the centre of which corresponds with wave length 534·9; a second green line, the centre of which coincides with W.L. 568, may also be distinguished.
4. ALUMINIUM.
§ 896. Aluminium and its Salts.—A strong solution of acetate of alumina has irritant properties, and has given rise to accidents. The term alum, in a chemical sense, is given to a class of bodies of the type of AlKSO4. Common alum is at the present time ammonia alum, NH4Al(SO4)2 + 12H2O; when made anhydrous by heat it is known by the name of burnt alum, and possesses caustic properties.
§ 897. Action of Alum Salts.—Death or illness has hitherto only taken place from the ingestion of large doses of alum or the acetate, and the symptoms in these cases have been those of an irritant poison; we are, however, indebted to Paul Siem[975] for a research on the absorbed substance, in which the local effects as far as possible have been reduced.
[975] Ueber die Wirkungen des Aluminiums u. Berylliums, Inaug. Diss., Dorpat, 1886; Schmidt’s Jahrbuch, vol. ccxi. 128.
Siem’s research was made on frogs, cats, and dogs. For frogs he employed a double salt, consisting of sodic and aluminic lactate, to which he ascribed the formula Al2(C3H5O3)3(C3H4NaO3)3, equal to 15·2 per cent. of Al2O3. Twenty to thirty mgrms., administered by subcutaneous injection to frogs, caused death in from ten to twenty-four hours. After the injection there was restlessness, and, ultimately, general paralysis of the central nervous system. The circulation was not affected; the heart was the last to die.
For warm-blooded animals he used the double tartrate of sodium and aluminium. Beginning with a small dose subcutaneously administered, he gradually increased it, and found, under these circumstances, that the lethal dose for rabbits was 0·3 grm. per kilo. of body weight; for dogs 0·25 grm., and for cats 0·25 to 0·28 grm.; if, however, a single dose was administered, then cats could be killed by 0·15 grm. per kilo. The symptoms commenced ten to twelve hours after the injection of a large dose, but with a medium dose the symptoms might be delayed for from three to four days, then there was loss of appetite, constipation, emaciation, languor, and a disinclination to move. Vomiting and loss of sensation to pain followed, the power of swallowing even saliva was lost, and a condition supervened similar to bulbar paralysis. However true this picture may be when large doses are given subcutaneously, it does not follow that hydrate of alumina in small doses, given by the mouth, mixed with food, produces any symptoms whatever.
Alum baking-powders, containing from 30 to 40 per cent. of alum mixed with carbonate of soda, are in commerce, and have been for a long time, many tons being sold yearly. When water is added to such powders decomposition takes place, the result being sodic sulphate and aluminic hydrate, carbonic acid being given off. Were the hydrate, in small doses, capable of producing indigestion or disease of the central nervous system, it seems astonishing that, considering the enormous number of persons who use alum baking-powders, there should not be some definite evidence of its effect. The author and his family for months together have used alum baking-powders without any apparent injury, and there is little doubt that alumina hydrate passes out of the system mainly by the bowel, without being absorbed to any great extent. In a trial with regard to an alum baking-powder at Pontypridd (1893), the prosecution advanced the theory, and supported it by eminent scientific opinion, that aluminium hydrate was dissolved by the hydrochloric acid of the gastric juice, forming chloride of aluminium, some of which might be absorbed and enter the circulation; that which was not absorbed in the stomach passed on, and, meeting the alkaline fluids of the intestines, was again separated as aluminium hydrate, and as such absorbed.
If this does occur, still there is no direct evidence of its toxic influence in the small quantities used in baking-powder. It may be pointed out, also, that with regard to the possible lethal effect of a non-corrosive salt of alum, presuming that the lethal dose for man is the same as that for a cat, the amount of alumina to kill a 68-kilogramme man would have to be equal to 17 grms., or about 3 ozs. of ammonia alum. This important question can only be settled by careful feeding of animals carried on for a long period of time.
§ 898. Post-mortem Appearances.—In the few cases in which persons have been killed by large doses of alum or its salts there have been found corrosion of the mouth, throat, and stomach, and hyperæmia of the kidneys and intestine. In the animals experimented upon by Paul Siem, hyperæmia of the intestine, fatty degeneration of the liver and hyaline degeneration of the kidneys were the chief changes noted.
§ 899. Detection of Alumina.—In all operations for the detection of alumina, glass and porcelain vessels are to be avoided. The substances should be burned to an ash in a platinum dish, the ash treated with hydrochloric acid, the acid driven off by heat, and a few drops of nitric acid added, and dissolved in hydrochloric acid, and the solution boiled and filtered. If organs of the body are operated upon, iron and phosphoric acid will be present in the ash; this will, indeed, be the case with most organic substances. The filtered solution is boiled, and, while boiling, poured into a strong solution of sodic hydrate contained in a silver or platinum dish; the iron will now separate as oxide, and can be filtered off. To the filtrate is added a little sodic phosphate; it is then feebly acidified with hydrochloric acid, and ammonia added just sufficient to render it alkaline; a light whitish cloud of alumina phosphate, should alumina be present, is thrown down, and can be collected, thoroughly washed, dried, ignited, and weighed as alumina phosphate.[976] The alumina phosphate is then fused with sodic sulphate in a platinum dish or crucible, and the fused mass treated with hot water; the sodic phosphate dissolves, and the alumina oxide may be filtered off and dissolved in a little hydrochloric acid or sulphuric acid.
[976] One part of al. phosphate is equal to 0·42 Al2O3, 3·733 ammonia alum, and 4·481 potash alum.
A solution thus prepared has the following properties:—
Ammonium sulphide; white precipitate of hydroxide.
Potash or soda; white precipitate, soluble in excess.
Ammonia; white precipitate, only slightly soluble in excess.
There is also a blowpipe-test: if a little of the hydroxide be collected, moistened with cobalt nitrate, and heated on charcoal by the oxidising flame, alumina, under these circumstances, becomes of a blue colour.
5. URANIUM.
§ 900. Uranium.—The salts of uranium are intensely poisonous. The nitrate of uranium is used in photography and the arts, and is a common reagent in chemical laboratories.
According to Kowalewsky,[977] the acetate of uranium possesses an unusual power of uniting with albumin; the other soluble uranium salts act also in a similar way. Hence concentrated solutions of uranium salts corrode the mucous membranes, transforming, for example, the walls of the stomach into a dead uranic albuminate. If a non-corrosive salt of uranium is injected subcutaneously, glycosuria is produced, with fatty degeneration of the walls of the blood-vessels, and fatty changes in the kidneys, liver, &c. The animal wastes and ultimately dies; 0·5 to 2·0 mgrms. of UO3 per kilogrm. will kill a cat, dog, or rabbit, if injected subcutaneously. The nitrate or acetate, when given by the mouth, produces gastro-enteritis and nephritis, with hæmorrhages in the substance of the kidney. Uranium is not used in medicine.
[977] Ztschr. f. Anal. Chemie, xxiv., 1885, p. 551.
§ 901. Detection and Estimation of Uranium.—Uranium forms uranous and uranic salts. Both classes of salts are not precipitated by SH2, but are precipitable by ammonium sulphide, and, therefore, in toxicological analyses are likely to be met with in conjunction with iron.
The sulphides of iron and uranium may be dissolved in strong hydrochloric acid, boiled to expel SH2, and the solution then oxidised with a little nitric acid; the solution is now alkalised with ammonium carbonate, which precipitates the iron as oxide and leaves the uranium in solution. On now acidifying with nitric acid in slight excess, a solution of sodic phosphate will precipitate uranium phosphate as a white precipitate, alkalies will give a yellow precipitate, alkaline carbonates a yellow precipitate soluble in excess. Barium carbonate also gives a precipitate, and is useful in separations. Uranium oxide gives a green glass in the oxidising flame with borax or with sodic metaphosphate.