Chapter CI: Section IV: Of the Treatment of Poisoning with Hydrocyanic Acid

Much attention has been lately paid to the treatment of this variety of poisoning; and the object of those who have studied it has naturally been the discovery of an antidote.

An antidote to hydrocyanic acid must either be a substance which renders it immediately insoluble, or one which exerts upon the body an action contrary to that excited by the poison, that is, a powerful stimulant action on the nervous system. Hence all such remedies as oil, milk, soap, coffee, treacle, turpentine, at one time thought serviceable, are quite inert.[1934]

Antidotes have hitherto been chiefly sought for among the powerful, diffusible stimulants. And it is plain, that even although a chemical antidote were known, a stimulant antidote is indispensable also, because the mischief done, before the poison can be rendered inert, is generally sufficient to cause death, unless counteracted by treatment.

Of the diffusible stimulants, _ammonia_ is considered by many the most energetic antidote. The first who made careful experiments with it was Mr. John Murray of London; and he was so convinced of its efficacy, that he expressed himself ready to swallow a dose of the acid large enough to prove fatal, provided a skilful person were beside him to administer the antidote.[1935] The favourable results obtained by Murray were afterwards confirmed by M. Dupuy.[1936] Afterwards, however, the efficacy of ammonia was called in question. Orfila stated in the third edition of his Toxicology that he had several times satisfied himself of the complete inutility of this as well as many other antidotes.[1937] And Dr. Herbst of Göttingen made some careful experiments, from which he concludes that ammonia, though useful when the dose of poison is not large enough to kill, and even capable of making an animal that has taken a fatal dose jump up and run about for a little, yet will never save its life.[1938] But farther experiments by Orfila have led him to modify his former statement, and to admit, that, although liquid ammonia is of no use when introduced into the stomach, yet if the vapour from it is inhaled, life may sometimes be preserved, provided the dose of the poison be not large enough to act with great rapidity. He remarked, that when from eight to fourteen drops of the medicinal acid were given to dogs of various sizes, they died in the course of fifteen minutes if left without assistance, but were sometimes saved by being made to inhale ammoniacal water, and recovered completely in little more than an hour.[1939] As this is very nearly the conclusion to which Mr. Murray was led by his experiments performed in 1822, it is rather extraordinary, that his name, as the undoubted discoverer of the remedy, has never been mentioned by the Parisian Professor. Buchner, it is right to add, had found this remedy useful in the same year in which Mr. Murray’s experiments were made.[1940] A gentleman who took an over-dose of two drachms of hydrocyanic acid while using it medicinally, and who seems to have been in great danger, owed his recovery to the assiduous use of carbonate of ammonia held to the nostrils, and spirit of ammonia internally. Relief was obtained immediately.[1941] Orfila suggests an important caution,—not to use a strong ammoniacal liquor, otherwise the mouth, air-passages, and even the alimentary canal may be attacked with inflammation,—as indeed happened to the French physician whose case was formerly mentioned. The strong _aqua ammoniæ_ should be diluted with several parts of water.

Another remedy of the same kind with ammonia as to action is _chlorine_. This substance was first proposed as a remedy in 1822 by Riauz, a chemist of Ulm, who found that, when a pigeon, poisoned with hydrocyanic acid, was on the point of expiring, it immediately began to revive, on being made to breathe chlorine, and in fifteen minutes was able to fly away.[1942] Buchner repeated Riauz’s experiments and arrived at the same results. More lately M. Simeon, apothecary to the hospital of St. Louis at Paris, apparently without being acquainted with the observations of the German chemists, was likewise led to suppose, that this gas might prove a useful antidote;[1943] and MM. Cottereau and Vallette have formed the same conclusion.[1944] Orfila in his paper already quoted expresses his conviction, that this remedy is the most powerful antidote of all hitherto proposed. His experiments have convinced him, that animals, which have taken a dose of poison sufficient to kill them in fifteen or eighteen minutes, will be saved by inspiring water impregnated with a fourth part of its volume of chlorine, even although the application of the remedy be delayed till the poison has operated for four or five minutes. In some of his experiments he waited till the convulsive stage of the poisoning was passed, and the stage of flaccidity and insensibility had supervened; yet the animals were obviously out of danger ten minutes after the chlorine was first applied, and recovered entirely in three-quarters of an hour.[1945]

The last remedy of this nature which deserves notice is the _cold affusion_. This was first recommended by Dr. Herbst of Göttingen, who, on account of the success he witnessed from it in animals, considers it the best remedy yet proposed. When the dose of the poison was insufficient to prove fatal in ordinary circumstances, two affusions he found commonly sufficient to dispel every unpleasant symptom. When the dose was larger, it was necessary to repeat the effusion more frequently. Its efficacy was always most certain when resorted to before the convulsive stage of the poisoning was over; yet even in the stage of insensibility and paralysis it was sometimes employed with success. In the latter instance the first sign of amendment was renewal of the spasms of the muscles. Many experiments are related by the author in support of these statements. But the most decisive is the following. Two poodles of the same size being selected, hydrocyanic acid was given to one of them in repeated small doses till it died. The whole quantity administered being seven grains of Ittner’s acid, this dose was given at once to the other dog. Immediately it fell down in convulsions, violent opisthotonos ensued, and in half a minute the convulsive stage was followed by flaccidity, imperceptible respiration, and failing pulse. The cold affusion was immediately resorted to, but at first without any amendment. After the second affusion, however, the opisthotonos returned, and was accompanied by cries; and on the remedy being repeated every fifteen minutes, the breathing gradually became easier and easier, the spasms abated, and in a few hours the animal was quite well.[1946] Professor Orfila repeated Dr. Herbst’s experiments, with analogous results; but he considers the cold affusion inferior to chlorine.[1947]—It is probably advantageous to apply the cold water rather in the form of cold douche to the head and spine than to the body at large. Dr. Robinson of Sunderland found that rabbits, which had taken doses adequate to occasion death, might be saved by pouring on the hindhead and along the spine cold water impregnated with common salt and nitre.[1948] A case, which seems to have been cured in this way, has been published by Mr. Banks of Lowth. A young woman took by mistake a solution containing very nearly a grain of real acid, and immediately became insensible and convulsed. Ordinary stimulants were of no use. But in fifteen minutes, when the convulsions had ceased, and she lay in a state of complete coma and general paralysis, the cold douche on the head first renewed the convulsions, then strengthened the pulse and restored some appearance of consciousness, and finally roused her, so that in a few hours she was quite well.[1949]

It is probable, that _bleeding from the jugular vein_ deserves more attention as a remedy than it has yet received. The right side of the heart is almost invariably found much gorged with blood in animals examined at the moment of death; and the contractions of the heart, in such circumstances imperfect or arrested altogether, have often been observed by experimentalists to be instantly restored on promptly removing the state of turgescence. Accordingly Dr. Cormack found that a dog, at the point of death after receiving a fatal dose of the acid, was speedily roused and eventually saved by bleeding from the jugular vein.[1950] And in a careful inquiry by Dr. Lonsdale, it was ascertained that the turgescence of the heart might be effectually diminished in this way, and that recovery might frequently be accomplished when the poison was otherwise amply sufficient to have occasioned speedy death.[1951] In a case treated by Magendie, that of a young lady poisoned by too large a medicinal dose, the chief remedies were ammonia and blood-letting from the jugular vein; and she recovered.[1952]

Few observations have hitherto been made on the chemical antidotes for hydrocyanic acid, or those substances which render it innoxious by converting it into an insoluble compound. It is plain that several probable antidotes of this kind exist. But toxicologists have been apparently deterred from trying them by the fearful rapidity with which the poison acts, and the consequent improbability that in practice any such antidote can be administered in time. It has lately been shown, however, by Messrs. T. and H. Smith of this city, that the effects of a fatal dose may be warded off by the timely administration of the reagents necessary for converting the acid into Prussian blue. They found that if a solution of carbonate of potash followed by a solution of the mixed sulphates of iron be given to animals very soon after the administration of a dose of thirty drops of the Edinburgh medicinal acid, containing three per cent. of real acid, recovery in general takes place, and sometimes little inconvenience seems to be sustained. The solutions they used were one of 144 grains of carbonate of potash in two ounces of water, and another composed of a drachm and a half of sulphate of protoxide of iron, together with two drachms of the same salt converted into sulphate of sesquioxide by means of sulphuric and nitric acids in the usual way. About 52 minims of each of these solutions will remove the whole acid contained in 100 grains of the Edinburgh medicinal acid; but for certainty, three or four times as much should be used,—which may be done with perfect safety.[1953]

On the whole, then, it appears that the proper treatment of a case of poisoning with hydrocyanic acid consists in the cold affusion applied to the head and spine, the inhalation of diluted ammonia or chlorine, venesection at the jugular vein, and the administration of carbonate of potash and the mixed sulphates of iron, if aid has been obtained in good time.

It is right to remember, however, that on account of the dreadful rapidity of this variety of poisoning, it will rarely be in the physician’s power to resort to any treatment soon enough for success;—and farther, that his chance of success must generally be feeble even though the case be taken in time, because when hydrocyanic acid is swallowed by man, the dose is commonly so large as not to be counteracted by any remedies.

_On the Vegetable Substances which contain Hydrocyanic Acid._

Hydrocyanic acid exists in several plants; which are consequently poisonous. I have considered it advisable to describe their effects separately from those of the pure acid.

The plants which have been thoroughly examined and found to yield it belong chiefly to the division _Drupaceæ_, of Decandolle’s Natural Family the _Rosaceæ_. These are the bitter almond, cherry-laurel, bird-cherry, and peach. The leaves and seeds of the nectarine and apricot, and the seeds of the plum and cherry, have the same taste with these four, and therefore will certainly be found to contain the acid also. The same inference may be drawn from the taste of some pomaceous seeds; and accordingly I have obtained a hydrocyanated oil from the seeds of the New York pippin, and those of the white-beam-tree, the _Pyrus aria_. The poison procured from these sources exists in two forms,—as a distilled water, and as an essential oil. Further, the acid has been discovered to constitute the active poison of the juice of the _Janipha manihot_, or bitter cassava [see p. 457].

The distilled waters yield hydrocyanic acid, as is shown by the blue precipitate they give with potass and the mixed sulphates of iron. They have a powerful, peculiar, grateful odour, which is usually likened to that of pure hydrocyanic acid. But the smell really bears very little resemblance to that of hydrocyanic acid, and is not owing to its presence: the odour remains equally strong after the acid is thrown down by the test now mentioned. The active part of the distilled water may be separated in the form of a volatile oil. This is colourless at first, afterwards yellowish or reddish, acrid, bitter, heavier than water, and very volatile. The essential oil of the bitter almond has been carefully examined by various chemists. Vogel, by subjecting it twice to distillation from caustic potass, procured hydrocyanate of potass in the residue; and a volatile oil was distilled over, which no longer contained hydrocyanic acid, but nevertheless had the odour of the original oil.[1954] This purified oil he considered equally poisonous with that which contains hydrocyanic acid, a single drop of it having killed a sparrow; and his opinion was confirmed by the experiments of Professor Orfila. But according to some careful experiments by Stange,[1955] which have been amply confirmed by Dr. Göppert of Breslau,[1956] and also by MM. Robiquet and Boutron-Charlard,[1957]—if the purified oil retains active poisonous properties, this must be owing to the acid not having been entirely removed. Göppert in particular remarked that twenty-five drops of the purified bitter-almond oil, cherry-laurel oil, or bird-cherry oil had very little effect on rabbits, not more indeed than the same quantity of the common essential oils. The purified oil, according to all these chemists, possesses the odour of the original oil, as Vogel first stated.

_Of the Bitter Almond._

The bitter almond was once extensively used in medicine, and is still much employed by confectioners for flavouring puddings, sweetmeats, and liqueurs. It is the kernel of the fruit of the _Amygdalus communis_. This species has two varieties, the _dulcis_ and the _amara_; which differ from one another in the fruit only. The fruit of the former yields the sweet, and of the latter the bitter almond. The bitter almond is the smaller of the two. The two plants, according to Murray, are convertible into each other,—the sweet variety becoming bitter by neglect,—the bitter becoming sweet by cultivation, or certain modes of management not well known,—and the seed of either variety producing plants of both.[1958] These statements as to the mutual convertibility of the two varieties require confirmation.

The bitter almond depends for its activity on the essential oil, which is common to all the vegetable poisons belonging to the present tribe. According to the researches of Robiquet and Boutron-Charlard, followed up by Liebig, the oil does not, like common essential oils, exist ready formed in the almond, but is only produced when the almond-pulp comes in contact with water. It cannot be separated by any process whatever from the almond without the co-operation of water,—neither, for example, by pressing out the fixed oil, nor by the action of ether, nor by the action of absolute alcohol. After the almond is exhausted by ether, the remaining pulp gives the essential oil as soon as it is moistened; but if it is also exhausted by alcohol, the essential oil is entirely lost. The reason is that alcohol dissolves out a peculiar crystalline principle, named amygdalin, which, with the co-operation of water, forms the essential oil by reacting on a variety of the albuminous principle in the almond, called emulsion or synoptase.

In some respects, therefore, the essential oil of almonds is quite peculiar in its nature, and quite different from the common essential or volatile oils.—The presence of hydrocyanic acid in it is easily proved by dissolving it with agitation in water, and treating the solution with caustic potass, followed by the mixed sulphates of iron and sulphuric acid.—The quantity of essential oil which may be procured from the bitter almond amounts, according to Krüger of Rostock, to four drachms from five pounds or a ninety-sixth part.[1959] The quantity of hydrocyanic acid in the oil varies considerably: Schrader got from an old sample 8·5 per cent., from a new sample 10·75;[1960] but Göppert got from another specimen so much as 14·33 per cent.[1961]

_Effects on Animals._—The bitter almond is a powerful poison, which acts in the same way as hydrocyanic acid, but likewise excites at times vomiting and other signs of irritation. The first good experiments on it are those related in Wepfer’s treatise on the Cicuta; but its properties seem to have been known even to Dioscorides. The symptoms it induces in animals are trembling, weakness, palsy, convulsions, often of the tetanic kind, and finally coma. But frequently it occasions vomiting before these symptoms begin, and the animal in that way may escape.[1962] According to Orfila, twenty almonds will kill a dog in six hours by the stomach if the gullet be tied; and six will kill it in four days when applied to a wound.[1963]

The essential oil is not much inferior in activity to the pure hydrocyanic acid. A single drop of it applied by Sir B. Brodie on the tongue of a cat caused violent convulsions and death in five minutes.[1964] But more generally a larger dose, or about seven drops, has been found necessary to kill a middle-sized dog. Five drops, according to Göppert, will kill a rabbit in six minutes. When entirely freed of hydrocyanic acid, it becomes, as already mentioned, not more poisonous than common volatile oils.

_Symptoms in Man._—The effects of the almond and of the oil upon man are equally striking with those of hydrocyanic acid.

In small doses the bitter almond produces disorder of the digestive organs, nausea, vomiting, and sometimes diarrhœa. These symptoms are occasionally brought on by the small quantities used for flavouring sweetmeats, if the confectioner has not been careful in compounding them. Virey says that accidents occasionally happen to children at Paris from their eating freely of macaroons, which are sometimes too strongly flavoured with the bitter almond.[1965] In this country accidents from the same cause may be with justice apprehended, as confectioners now generally use, not the bitter almond, but its essential oil, which is distilled for the purpose in London, and sold in the druggists shops under the name of peach-nut oil. Göppert suggests that this oil ought to be freed of its hydrocyanic acid by repeated distillation with caustic potassa, because the flavour is not in the least injured by the process, while its activity as a poison is greatly lessened.

In peculiar constitutions the minutest quantity, even a single almond, will cause a state resembling intoxication, succeeded by an eruption like nettle-rash. The late Dr. Gregory was subject to be affected in this way. Other vegetable bitters had the same effect on him, but none so remarkably as bitter almonds. They caused first sickness, generally tremors, then vomiting, next a hot fit with an eruption of urticaria, particularly on the upper part of the body. At the same time the face, and head swelled very much, and there was generally a feeling like intoxication. The symptoms lasted only for a few hours. The rash did not alternately appear and disappear as in common nettle-rash.[1966] A lady of my acquaintance is liable to be attacked with urticaria even from eating the sweet almond.

The quantity of bitter almonds which may be eaten with impunity is unknown; but Wibmer mentions an experimentalist who took half an ounce without any other effect besides headache and sickness.[1967] Two cases of death in the human subject from eating them have been quoted by Coullon from the Journal de Médecine of Montpellier. One is a doubtful case, but the other is unequivocal. A bath-woman gave her child the “expressed juice” of a handful of bitter almonds to cure worms. The child, who was four years old, was immediately attacked with colic, swelling of the belly, giddiness, locked jaw, frothing at the mouth, general convulsions, and insensibility, and died in two hours.[1968] Murray, however, asserts in his Apparatus Medicaminum that the expressed juice is sweet and not poisonous.[1969] But this apparent contradiction is easily explained by referring to the chemical relations of the almond,—the oil expressed without water being free from essential oil, while the milky fluid expressed from the pulp beat up with water is strongly impregnated with it.—Another case was published not long ago by Mr. Kennedy of London; but the symptoms were imperfectly ascertained. The person, a stout labourer, appeared to have eaten a great quantity of bitter almonds, which were subsequently found in the stomach. He was seen to drop down while standing near a wall; soon after which the surgeon who was sent for found him quite insensible, with the pulse imperceptible, and the breath exhaling the odour of bitter almonds; and death took place in no long time.[1970]

Coullon has noticed many other instances where alarming symptoms were produced by this poison, but were dissipated by the supervention of spontaneous vomiting.

The effects of small doses of the oil have been tried by Sir B. Brodie on himself; and a fatal case of poisoning with it has been recorded by Mertzdorff. In the course of his experiments Sir B. Brodie once happened to touch his tongue with the end of a glass rod which happened to be dipped in the oil; and he says he had scarcely done so before he felt an uneasy, indescribable feeling in the pit of the stomach, great feebleness of his limbs, and loss of power to direct the muscles, so that he could hardly keep himself from falling. These sensations were quite momentary.[1971]

Mertzdorff’s case is interesting, not only as being accurately related, but likewise on account of the exact resemblance of the symptoms to those observed in the celebrated case of Sir Theodosius Boughton, which will presently be mentioned. A hypochondriacal gentleman, 48 years old, swallowed two drachms of the essential oil. A few minutes afterwards, his servant, whom he sent for, found him lying in bed, with his features spasmodically contracted, his eyes fixed, staring, and turned upwards, and his chest heaving convulsively and hurriedly. A physician, who entered the room twenty minutes after the draught had been taken, found him quite insensible, the pupils immoveable, the breathing stertorous and slow, the pulse feeble and only 30 in a minute, and the breath strongly impregnated with the odour of bitter almonds, death ensued ten minutes afterwards.[1972] A fatal case occurred lately in London, where the individual, intending to compound a nostrum for worms with beech-nut oil, got by mistake from the druggist peach-nut oil, which is nothing else than the oil of bitter almond.—A singular case of recovery from a very large dose of this poison has been lately published by M. Chevasse. A shopkeeper, who swallowed half an ounce by mistake for spirit of nitric ether, had an attack of spontaneous vomiting, which was forthwith encouraged by sulphate of zinc. He nevertheless became pale and convulsed; the pulse disappeared; and delirious muttering ensued, with _risus sardonicus_, sparkling of the eyes, and panting respiration. Recovery, however, took place under the use of brandy and ammonia.[1973]

The morbid appearances are the same as in poisoning with the pure acid. In Mertzdorff’s case the whole blood and body emitted a smell of almonds; putrefaction had begun, though the inspection was made twenty-nine hours after death; the blood throughout was fluid, and flowed from the nostrils and mouth; the veins were every where turgid; the cerebral vessels gorged; the stomach and intestines very red.—In the case from the Medical and Physical Journal of poisoning with the almond itself, the vessels of the brain were much gorged, and the eyes glistening and staring as if the person had been alive.

_Of the Cherry-Laurel._

The cherry-laurel, or _Cerasus lauro-cerasus_, was at one time much used for flavouring liqueurs and sweetmeats. But it is now less employed than formerly, as fatal accidents have happened from its having been used in too large quantity. The custom, however, has not been altogether abandoned; for there is an account in an English newspaper in 1823 of two persons killed by ratifia’d brandy, which had been flavoured with this plant; and Dr. Paris has mentioned an instance of several children at an English boarding-school having been dangerously affected by a custard flavoured with the leaves.[1974] Almost every part of the plant is poisonous, especially the leaves and kernels; but the pulp of the cherry is not. The flower has a totally different odour from the leaves. The healthy vigorous shoots in the early part of summer, and the inner bark, both then and in autumn, smell strongly of the bitter almond when broken across. The kernels of the seeds have a strong taste of bitter almonds.—The plant yields a distilled water and an essential oil, which Robiquet found to have all the chemical properties of the oil of bitter almond.[1975]—A very peculiar source of danger in using the leaves of this plant, for imparting a ratafia flavour to sweetmeats and liqueurs, is that the proportion of oil varies excessively according to the age of the leaf. It abounds most in the young undeveloped leaves, and diminishes gradually afterwards. Hence, the leaves being evergreen and outliving more than two summers, the young leaves in May or June contain, as I have found, nearly ten times as much oil as the old ones at the same moment.

Cherry-laurel oil, according to Schrader, contains 7·66 per cent. of hydrocyanic acid;[1976] but according to Göppert, a specimen supposed to be genuine gave only 2·75 per cent.[1977] It is probably therefore a weaker poison than the oil of bitter almond. The latest experiments made with this oil are those of some Florentine physicians, performed at the laboratory of the Marquess Rodolphi, and described by Professor Taddei.[1978] Sixteen drops put on the tongue of rabbits killed them in nine, fifteen, or twenty minutes; and ten or twelve drops injected in oil into the anus killed them in four minutes. The symptoms were slow breathing, palsy of the hind-legs, then general convulsions; and death was preceded by complete coma. A very extraordinary appearance was found in the dead body,—blood extravasated abundantly in the trachea and lungs.

The cherry-laurel water, prepared by distillation from the leaves of this plant, was long the most important of the poisons which contain the hydrocyanic acid, as it was the most common before the introduction of the acid itself into medical practice. Water dissolves by agitation 3·25 grains of oil per ounce; which may be considered the proportion in a saturated distilled water. The water contains, according to Schubarth, only 0·25 per cent. of hydrocyanic acid;[1979] according to Schrader[1980] only half as much; and by long keeping even that small proportion will gradually disappear, as I have ascertained by experiment. Hence its strength must vary greatly,—a fact which will explain the very different effects of the same dose in different instances.

From experiments on animals by a great number of observers, it appears that, whether it is introduced into the stomach, or into the anus, or into the cellular tissue, or directly into a vein, it occasions giddiness, palsy, insensibility, convulsions, coma, and speedy death;—that the tetanic state brought on by the pure acid, is not always so distinctly caused by cherry-laurel water;—and that tetanus is most frequently induced by medium doses.

The attention of physicians was first called to this poison by an account, published by Dr. Madden in the Philosophical Transactions for 1737, of several accidents which occurred at Dublin in consequence of strong ratifia’d brandy having been prepared with it. Foderé has also given an account of two cases, caused by servants having stolen and drunk a bottle of it, which they mistook for a cordial.[1981] Being afraid of detection, they swallowed it quickly, and in a few minutes expired in convulsions. Murray has noticed several others in his Apparatus Medicaminum.[1982] In most of these cases the individuals suddenly lost their speech, fell down insensible, and died in a few minutes. Convulsions do not appear to have been frequent. Coullon has also related an instance where a child seems to have been killed by the leaves applied to a large sore on the neck.[1983]

The dose required to occasion these effects, and more especially to prove fatal, has not been determined with care. It must vary with the age of the sample used. It will vary also according as the water has been filtered or not; for what is not filtered often presents undissolved oil suspended in it or floating on its surface. One ounce has proved fatal;[1984] and half an ounce has caused only temporary giddiness, loss of power over the limbs, stupor, and sense of pressure in the stomach.[1985]

The appearances found in the dead body have varied. In general the blood has been fluid. The smell of bitter almond has commonly been distinct in the stomach.

The cherry-laurel water has attracted much attention in this country, in consequence of being the poison used by Captain Donnellan for the murder of Sir Theodosius Boughton. The trial of Donnellan, the most important trial for poisoning which ever took place in Britain, has given rise to some discrepance of opinion both among barristers and medical men, as to the sufficiency of the evidence by which the prisoner was condemned.[1986] For my part, taking into account the general, as well as medical circumstances of the case, I do not entertain a doubt of his guilt.

Leaving the general evidence out of view, however, as foreign to the objects of the medical jurist’s regard, it must be admitted that the medical evidence, taken by itself, was defective. It may be summed up shortly in the following terms:—Sir Theodosius was a young man of the age of twenty, and in perfect health, except that he had a slight venereal complaint of old standing, for which he occasionally took a laxative draught. On the morning of his death, his mother, Lady Boughton, remarked, while giving him his draught, that it had a strong smell of bitter almonds. Two minutes after he took it, she observed a rattling or gurgling in his stomach; in ten minutes more he seemed inclined to doze; and five minutes afterwards she found him quite insensible, with the eyes fixed upwards, the teeth locked, froth running out of his mouth, and a great heaving at his stomach and gurgling in his throat. He died within half an hour after swallowing the draught. The body was examined ten days after death, and the inspectors found great congestion of the veins every where, gorging of the lungs, and redness of the stomach. But the examination was unskilfully conducted. For the head was not opened; the fæces were allowed to rush from the intestines into the stomach; and, as a great quantity of fluid blood was found in each cavity of the chest, the subclavian veins must have been divided during the separation of the clavicles. Very little reliance, therefore, can be placed in the evidence from the inspection of the body.[1987]

On comparing these particulars with what has been said above regarding the effects of hydrocyanic acid and this whole genus of poisons, it will be seen that every circumstance coincides precisely with the supposition of poisoning with the cherry-laurel water. The symptoms were exactly the same as in Mertzdoff’s case of poisoning with the essential oil of almonds (p. 604). When to this are added, the smell of the draught, which Lady Boughton could hardly mistake, the rarity of apoplexy in so young and healthy a person as Sir Theodosius, and the improbability of either that or any other disease of the head proving fatal so quickly,—the conclusion at which, in my opinion, every sound medical jurist must arrive is, that poisoning in the way supposed was very probable. But I cannot go along with those who think that it was certain; nor is it possible to see on what grounds such an opinion can be founded, when the general or moral circumstances are excluded.

The medical evidence in Donnellan’s case has been much canvassed, and especially that of Mr. John Hunter. It would be foreign to the plan hitherto pursued in this work to analyze and review what was said by him and his brethren. But I must frankly observe, that Mr. Hunter’s evidence does him very little credit, and that his high professional eminence is the reverse of a reason for palliating his errors, or treating them with the lenity which they have experienced from his numerous critics.

_Of the Peach, Cluster-Cherry, Mountain-Ash, &c._

Little need be said of the other plants formerly mentioned among those which yield hydrocyanic acid, and act on the system in consequence of containing that substance.

The _Amygdalus persica_ or peach is the most active of them. Most parts of the plant exhale the odour of the bitter-almond, but particularly the flowers and kernels. According to the chemical researches of M. Gauthier, the fresh young shoots of the peach collected in July contain, weight for weight, even more essential oil than the bitter almond, or cherry-laurel leaves; for 250 grains yielded nearly five grains of it or two per cent.; and he found the oil may be easily procured by distilling the shoots without addition till the product begins to pass over clear.[1988] The kernels of the peach, when distilled with water, yield nearly one grain of hydrocyanic acid per ounce.[1989]

Coullon has collected two instances of poisoning with the peach-blossom. One is the case of an elderly gentleman, who swallowed a sallad of the flower to purge himself. Soon afterwards he was seized with giddiness, violent purging, convulsions, and stupor; and he died in three days. Here the poison must have proved fatal by inducing true apoplexy in a predisposed habit; at least poisoning with hydrocyanic acid never lasts nearly so long. The other, a child eighteen months old, after taking a decoction of the flowers to destroy worms, perished with frightful convulsions, efforts to vomit, and bloody diarrhœa.[1990] The peach-blossom would therefore appear to be rather a narcotico-acrid, than a narcotic.—Peach-leaves are represented to have produced even purely irritant effects. A man, who took a decoction of a handful boiled in a quart of water down to a third,—when of course no hydrocyanic acid could remain,—was attacked with tightness in the chest, a sense of suffocation, violent colic, pain in the stomach and frequent desire to vomit, followed by a hard pulse, restlessness, and flushing of the face. But he recovered slowly under the use of fomentations and opiates.[1991]

The bark of the _Prunus padus_, or cluster-cherry, a native of this country, owes its poisonous qualities to the same substance as the preceding plants. Heumann found that the distilled water obtained from two ounces of bark in March contains two grains of acid, two ounces of developed leaves half a grain, and two ounces of the seed a trifle less.[1992] Its distilled water has the odour of bitter almonds, contains the same essential oil with that of the bitter almond, and yields more hydrocyanic acid than the cherry-laurel water.[1993] The oil, according to Schrader, contains 9·25[1994] per cent. of hydrocyanic acid, according to Göppert only 5·5 per cent.[1995] Bremer, who has examined this plant with great care, found that both the distilled water and the essential oil kill mice when put into the mouth, eye, nose, ear, anus, or a wound; and that half an ounce of the water killed a dog in twelve minutes.[1996] The fruit is also poisonous. It has a nauseous taste, but communicates a pleasant flavour to spirituous liquors. The kernels yield by expression a transparent, fixed oil, concrete at 41° F., which contains a small quantity of the essential oil; and the cake which is left yields so much of the latter, that, as we are informed by M. Chancel of Briançon, a handful has proved fatal to cows in a short time.[1997] In these kernels, as in the bitter almond, the essential oil does not exist ready formed, but is developed only in consequence of the contact of water; and hence, if the fixed oil by expression contains a little of it, as Chancel says, this must arise from the kernels having been moist when squeezed.

The _Sorbus aucuparia_, mountain-ash, or Rowan-tree as it is called in Scotland, has been lately added to the list of plants which abound in the same poisonous principle. M. Grassmann of St Petersburgh has found that many parts of this tree, such as the flowers and the bark of the trunk and branches, contain more or less of the peculiar essential oil; and that the root in particular contains so much in the month of May as to smell strongly of it when broken across, and to yield a distilled water which holds fully as much hydrocyanic acid as that procured from an equal weight of cherry-laurel leaves.[1998]

Several other plants of the same natural order possess similar though weaker properties, such as the _Prunus avium_, or black-cherry, or mazzard, the _Prunus insititia_, or bullace, the _Prunus spinosa_, or sloe, the _Amygdalus nana_, or dwarf-almond, and even the leaves and kernels of the common cherry, the _Cerasus communis_. Twelve ounces of cherry kernels distilled with water, yield, according to Geiseler, seven grains of hydrocyanic acid.[1999] I have no doubt, from my experiments, that the seeds of _Pyrus malus_, the apple, _Pyrus aria_, the white-beam, and also, if the taste may be taken for a criterion, the whole seeds of the _Pomaceæ_, yield by distillation with water a large quantity of hydrocyanic acid.