Epidemics Examined and Explained: or, Living Germs Proved by Analogy to be a Source of Disease

by John Grove

Professor Kopp of Strasburg, says, "In a chemical point of view, the alkaloids are remarkable for their composition, for their special properties, both physical and chemical, and for the interesting reactions to which many of them give rise, when exposed to the influence of different reagents. Considered medically, the organic bases are distinguished by their energetic properties. They

constitute at the same time, the most violent and sudden poisons, and the most valuable and heroic remedies."

Upon this very intricate and interesting part of chemical philosophy, it is rather dangerous to enter without a thorough and practical knowledge of the subject. This, however, falls to the lot of few men. We, who are engaged in the study of disease, and of the best methods of cure, are obliged to take the investigations of the analytical chemist, and examine them for ourselves in the intervals of leisure allowed us during the active exercise of our calling. Though with less advantages for the study of these transcendental relations of organic and inorganic matter, we are not, nevertheless, precluded from forming our opinions on their practical bearings to the phenomena and treatment of disease.

That there is a matter of a poisonous nature concerned in the production of endemic and epidemic affections, cannot be doubted by any one; I believe indeed, that the chemical theorists admit this, at all events Liebig does, for he says, "The morbid poison changes in the blood are fermentative, just such as occur in beer making." If we start, then, with the consideration that poisons, in a chemical point of view, are the objects of our research; the obvious course to take is to enquire what is the source of poisons generally, and what their effects on the animal economy? The mineral poisons are entirely excluded from the enquiry by their

inaptitude for diffusion, and their uniform effects upon all persons, differing only in degree in their operation. The same objections apply to gaseous poisons, except that to them the property of diffusion would be admitted.[^[50]] We come then to the alkaloids, which constitute, as Kopp says, the most violent and sudden poisons. For the production of alkaloids by artificial means, organic products of some kind are required. Artificial heat, powerful chemical agents or length of time, are, as far as information at present extends, the indispensable requirements to induce these peculiar changes in matter. The only instance I can find, in which elementary matters can by artificial means be combined, so as to resemble the products of nature, is that of the conversion of carbon and nitrogen into cyanogen. But the process by which this is accomplished, leads rather to doubt whether it be really and simply by a combination of elementary carbon and nitrogen. I extract the following from the Annual Report of the Progress of Chemistry, for 1848. "H. Delbruck has performed some experiments on the important subject of the formation of cyanogen. He confirms the statements of Desfosses and Fownes, inasmuch as a weak but distinct formation of cyanogen was observed on igniting

sugar-charcoal[^[51]] with carbonate of potassa in an atmosphere of nitrogen." The use of sugar-charcoal, may be perhaps an explanation of the weak formation of cyanogen, for in these numerous and successive chemical changes of matter, it is impossible to say how many sources of error may arise. The constant contradictions of each other, and the opposite statements made by chemists, of equal eminence, leave us in a wilderness of doubt, from which we are not likely to be freed, until definite laws shall be discovered to act as a guide in the comprehension of the higher branches of Chemical Philosophy.

But supposing that the generation of alkaloids could take place in the body, or some analogous poisonous matter, we have yet to imagine a whole host of peculiar and essential conditions to effect this change, besides an atmospheric agent or agents to set in motion those compositions and decompositions, capable of bringing out these new products from the elements of blood. We are aware that in the blood, carbon and nitrogen are sufficiently abundant as well as saline compounds, to generate cyanides, and, with hydrogen also there in plenty, hydrocyanates, and thus from them many other poisonous products, but how is all this to be effected? And even if effected, it is yet a question if such compounds can in any way simulate the attacks of epidemic disease. We have

already shewn that the amount of most poisons necessary to destroy an individual, can be pretty clearly estimated, and their modus operandi is tolerably well understood. Again, the most essential part, in which all chemical theory fails, is an explanation of the reproduction of contagious matter.

The catalytic process, by which decompositions are said to be effected, and in which Liebig includes the various fermentations, is one of those chemical relations of matter to matter, considered by some as the probable cause of infection. Mr. Simon, in a late lecture, has said, "I consider the phenomena of infective diseases, to be essentially chemical, and I look to chemistry to enlighten the darkness of their pathology. Qualitative modifications, affecting the molecules of matter as to their modes of action and reaction, are such as form the subject of chemical science; and those humoral changes which arise as the result of infection clearly fall within the terms of its definitions." Further on he adds: "The phenomena of infected diseases appears then, in many respects, to be sui generis. Certainly they are chemical. Probably they belong to that class of chemical actions called catalytic."[^[52]]