On the action of various absorbents as promoting or retarding
putrefaction.
The whimsical and ill-grounded hypotheses which were framed by the
chymists of the sixteenth century, had, unhappily, too much influence,
on the medical practice of that and the succeeding age. Among other
false theories which the physicians had adopted from them, was that of
attributing the origin of most diseases either to an acid or alkaline
cause: but the former, being more obvious to the senses, was supposed
to be the most frequent parent of diseases. Among others, fevers,
even of the putrid kind, were imagined to be occasioned by an acid,
and from hence the testaceous medicines acquired so high a degree of
reputation, as to be deemed the grand correctors of acrimony, and were
almost universally prescribed as alexipharmics; and the most celebrated
compositions which are ranged under that head, contain a large
proportion of these powders.
But a very learned physician, by a series of accurate and ingenious
experiments on septics and antiseptics, has proved that chalk and all
the testaceous powders accelerate the corruption of animal flesh, and
from the result of one he made on bile with crab's eyes, he naturally
concluded that all these substances would produce the same effect on
that humour, as they had all uniformly proved septic to flesh. Yet,
even upon this supposition, he candidly allows, that in some fevers,
they may have their uses, even where no offending acid exists; as
in order to cure some diseases, it may be requisite to attenuate
the humours, and relax the fibres by a degree of putrefaction, and
that possibly the crisis of fevers of this kind, may be hastened or
perfected by the testaceous powders. In diseases, however, where the
disposition to putrescency is already too strong, all medicines, which
in the smallest degree increase such tendency should be studiously
avoided; and, on this account, the administration of the testacea in
putrid, malignant fevers has of late been condemned by some ingenious
writers. I was myself fully convinced of the rectitude of this opinion,
and, in drawing up an account of the medicinal uses of Magnesia,
had therefore suggested the impropriety of prescribing them where a
bilious acrimony prevails. But not being able to recollect, that the
septic powers of Magnesia had ever been experimentally proved,[r] I
thought it would be most satisfactory to determine them by that method;
little doubting but that the event would justify my doctrine. My
inquiries evince the accuracy with which Sir John Pringle has made
his experiments, but as I was induced to carry the investigation of
this subject further than he has proceeded, very different practical
inferences, from those I at first expected, may, perhaps, be deduced
therefrom.
EXPERIMENT II.
Two drachms of fresh beef, two scruples of Magnesia, and two ounces
of distilled water were mixed in one bottle; and in another the same
quantity of beef with two ounces of distilled water only: the meat
was cut small, and the bottles were placed uncorked in a heat rather
inferior to that of the human blood. In twenty four hours the beef in
the mixture with Magnesia was become quite putrid. The standard was
perfectly sweet, and remained for some days, before it acquired the
true putrid fœtor.
Being thus convinced that Magnesia is possessed of the property of
hastening the putrefaction of animal flesh, in common with the rest
of the absorbent tribe, it was imagined, that it might be of some
consequence to practice, to determine how far it exceeded or was
inferiour to the calcareous and testaceous earths as a septic; and also
whether calcination produced any difference in it, in this respect. In
reciting the experiments, where I only mention Magnesia, I always
would be understood to mean that powder in its uncalcined state, the
calcined shall constantly be distinguished by that epithet. It also
appeared to be a convenient opportunity of repeating the inquiry, how
far the addition of the testacea might take effect in diminishing the
antiseptic qualities of the contrayerva root.
EXPERIMENT III.
Into one phial were put two scruples of Magnesia, into a second the
same weight of calcined Magnesia, and into three others the same
quantity of chalk, pulv. e chel. cancr. comp. and pulv. contrayerv.
comp. To each of these, two drachms of fresh beef, and two ounces of
distilled water were added. A sixth phial was kept as a standard, and
contained only the same proportions of beef and water. The bottles,
distinguished in the order they are mentioned by the numbers 1, 2, 3,
4, 5, and 6, were placed in the same heat as that to which the Magnesia
was exposed in the former experiment, and were frequently shaken up and
examined.
In twelve hours, number 1 began to smell; an intestine motion was
perceptible in numbers 3, 4, 5, and 6, but especially in the chalk. In
twenty-four hours, number 1 was become highly putrid, number 3 smelled
offensively, number 4 had acquired a very slight fœtor, as had
number 5 which fermented briskly. The standard had acquired a vinous
smell, but number 2 remained unchanged.
In thirty six hours, number 3 was very putrid, numbers 4 and 5 had
made little progress since the last examination, though number 5
was rather more putrid than the other, allowance being made for the
peculiar odour of the contrayerva; but in four hours more they both
stunk intolerably. The standard continued two or three days longer
before it became absolutely putrid, and the calcined Magnesia preserved
the beef untainted for several days longer, when it was removed to make
room for other phials. The water which was mixed with the calcined
Magnesia differed from all the others in not becoming bloody, nor did
the beef in it seem so tender as when infused in lime water.
When I made the first experiment, I had not observed any discharge of
air from the Magnesia and beef, and in the present one no fermentation
was perceptible either in number 1 or 2. As this was an unexpected
circumstance in the former, I repeated the experiment several times,
but the event was always the same.
Magnesia was afterwards compared with crab's eyes, burnt hartshorn, and
prepared coral. The mixture with Magnesia grew putrid first, afterwards
that with the crab's eyes; the other two remained for some hours longer
before the putrid fœtor came on.
From the above experiments it appears that Magnesia Alba, when replete
with fixed air, is a stronger septic to animal flesh than any other
absorbent which was compared with it; and yet when deprived of its air
by calcination, it powerfully resists putrefaction. Dr. Macbride has
endeavoured to account for this difference between calcareous earths
and quick-lime, by supposing the particles of the lime to insinuate
themselves intimately into the texture of the beef, and to prevent
the escape of the fixed air, by attracting, absorbing, and thus
confining it within the substance of the beef. How far this theory
is satisfactory is not my province to determine; and the matter is
so obscure, that I do not presume to offer any conjecture of my own,
relative to the reason of it.
Nitre is found to be a strong antiseptic when applied to animal flesh,
but to resist the putrefaction of bile with a very disproportionate
force: and Dr. Percival has lately observed the same difference in
the action of the Columbo root. These variations encouraged me to
try the effect of Magnesia on gall; but being strongly prepossessed
with the notion of its septic quality, I entertained very small hopes
of a different event. I was also desirous to compare the action of
the calcined Magnesia with the other. The heat used in the succeeding
experiments was the same as that in the preceding trials.
EXPERIMENT IV.
To two drachms of fresh ox gall, were added two scruples of Magnesia,
and two ounces of water, in one phial. Two scruples of calcined
Magnesia with the same quantity of gall and water were placed in
another; and a third containing two drachms of bile without any other
addition than water, served as a standard, which began to have a rank
smell in forty-eight hours, and in sixty hours was highly offensive.
The calcined Magnesia and bile emitted a sweetish smell, something
resembling that of the urine in a diabetes: the liquor which swam above
was quite pellucid and colourless, whereas that of the other Magnesia
was turbid and tinged green with the bile. Both were perfectly free
from any putrid fœtor; the latter continued so for ten days, and
the bile with the calcined Magnesia remained unchanged as long as any
notice was taken of it.
EXPERIMENT V.
Twenty grains of Magnesia preserved six drachms of ox's gall free
from any signs of corruption for twenty-four hours after the standard
containing gall and water, of each six drachms, had become putrid. A
scruple of the calcined Magnesia mixed with the same proportions of
gall and water, remained without any alteration as long as they were
attended to, which was about ten days.
EXPERIMENT VI.
The putrid liquor which had been used as a standard in the fourth
experiment, was divided into four parts, one of which was continued
as a standard, to another was added about half a drachm of Magnesia,
and an effervescence was procured by some drops of oil of vitriol.
The offensive smell continued for a few minutes, but was soon much
abated, and at length entirely sweetened. To another portion was added
twenty grains of Magnesia only, this in fifteen minutes had almost
lost its putrid smell, and in two or three hours became quite sweet.
To the fourth was added the same weight of calcined Magnesia, which
almost instantly deprived the liquor of every degree of putridity. The
standard was then mixed with a scruple of crab's eyes, which, for about
a minute, seemed to diminish the fœtor, but it then returned as
strongly as ever; whereas the others continued sweet for several days.
EXPERIMENT VII.
Two drachms of putrid bile, which had been kept closely corked in a
phial since the year 1770, and smelled very offensively, were mixed in
a cup with twenty grains of Magnesia, and half an ounce of water, and
thereby restored to sweetness. Twenty grains of calcined Magnesia were
also added to two drachms of the same bile: on stirring them a pungent
smell was observed, like that of volatile salts, and half an ounce of
water being put to the mixture, the bile was totally deprived of any
putrid smell. Even five grains of the same powder sweetened two drachms
of putrid gall.
EXPERIMENT VIII.
Magnesia, calcined Magnesia, chalk, crab's eyes, pulv. e chel.
cancr. c. and pulv. contrayerv. comp. each in the proportion
of two scruples to two drachms of ox gall and two ounces of water,
were exposed to the usual warmth. The crab's eyes mixture grew rank
in twenty-four hours, and in forty-eight was absolutely putrid: the
bile with the chalk was in the same condition in twelve hours more.
The Magnesia mixture became putrid on the ninth day; the pulvis e
chel.[s] on the tenth; but the pulvis contrayerv. comp. preserved
the bile from corruption about three weeks, and no change was
perceptible in that with the calcined Magnesia when examined above a
month after their first admixture.
EXPERIMENT IX.
Twenty grains of Magnesia, and the same quantity of chalk, were
separately neutralized with distilled vinegar, and their effects on ox
gall compared with that of thirty grains of the artificial Epsom salt
dissolved in a sufficient quantity of water. The bile in this solution
became putrid in about sixty hours. That in the solutions made in the
vegetable acid retained its sweetness for several days longer.
These experiments, which terminated so very differently from what I had
expected, seem to justify, in some degree, the practice of giving the
testaceous and absorbent medicines in fevers of a putrescent type, at
the same time that they point out some of that class which ought to
be avoided, and evince how fallacious a method it is to judge of the
effects of medicines a priori.
As the bile is, by many, supposed to be the great source of putrid
diseases, ought not the antiseptics which may be prescribed in these
cases, to be such as more particularly impede the corruption of this
fluid, rather than that of flesh?
On account of the superiour antisepticity of the calcined Magnesia
to most of the absorbents, and its greater purity and solubility,
together with the probability of its acting as an evacuant, as well as
a corrector of putrid bile, does it not appear to merit a preference
to all other medicines of this class?
In diseases where an acid cacochymy prevails, and an alkalescent diet,
such as wild fowl, fish, &c. is prescribed, but from the scarcity of
these articles in some countries, cannot be complied with; may not
taking Magnesia or the testaceous powders, immediately before or after
meal time, coincide with this intention, by increasing the putrefactive
fermentation of other animal food in the stomach, which in these
disorders is almost totally subdued by the superabundant acid?
But where animal food is used in putrescent diseases, either through
necessity, or the obstinacy of the patient, ought not Magnesia, in an
uncalcined state, and all the calcareous and testaceous earths to be
carefully abstained from?
Dr. Percival, in a volume of very ingenious experiments and
observations which have been before referred to, has mentioned a
physician of his acquaintance, who always observed his stools to be
more particularly offensive after having taken Magnesia. Might not
this proceed from the action of the Magnesia on the animal food he had
eaten; and is it not reasonable to suppose that the effect might have
been very different where a vegetable or milk diet had been used, as is
generally the case in putrid fevers, and in young children?
I know a person whose stools are, in common, very little tinged with
bile, who after taking calcined Magnesia, evacuates fæces of a very
bilious appearance, though less fœtid than usual. It is a fact
worthy of observation, that in the experiments which were made with
calcined Magnesia and bile, the latter was absorbed by, and had united
with the former; and another remarkable circumstance was, that the
watery part of all the mixtures which resisted putrefaction, acquired a
very pungent, saline taste.