The chief vegetable purgatives are aloes, colocynth, gamboge, jalap,
scammony, seeds of castor-oil plant, croton-oil, elaterium, the
hellebores, and colchicum. All these have, either alone or combined,
proved fatal. The active principle in aloes is aloin; of jalap, jalapin;
of white hellebore, veratria; and of colchicum, colchicin. Morrison's
pills contain aloes and colocynth; aloes is also the chief ingredient in
Holloway's pills
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Poisoninng by Vegetable irritant
1. Dr Mohd Kaleem Khan
Assistant Professor
Department Of Forensic Medicine
JNMCH AMU Aligarh
2. Abrus Precatorius Indian Liquorice/ Ratti
⢠All parts of plants are poisonous esp. seeds.
⢠Seeds are size of small pea, red in colour, egg shape,
having black spot on one end or may be white or yellow
⢠active principle:
â Abrin ( toxic protein that disables ribosomes, inhibits protein
synthesis, antigenic properties, hemolytic properties);
â Abrine- an amino acid; haemagglutinin,
â Abralin- a glycoside
3. ⢠Abrus precatorius,
Known commonly as
â Jequirity, crab's eye,rosary pea, precatory pea or bean, john
crow bead, indian licorice, akar saga,
â Gidee gideeor jumbie bead in trinidad & tobago,
â Is a slender, perennial climber that twines around trees,
shrubs, and hedges.
â It is a legume with long, pinnate-leafleted leaves.
6. MOA
⢠Inhibit RNA polymerase
⢠Binds to endoplasmic reticulum of gut mucosal cells
l/t diarrhoea.
⢠F.D. : 1 seed
⢠F.P. : 3- 5 days
7. USES
â The seeds of abrus precatorius are much valued in native jewelry for their
bright color.
â There have been cases of death by a finger-prick while boring the seeds for
beadwork.
â These seeds to weigh gold using a measure called a ratti, where 8 ratti = 1
masha; 12 masha = 1 tola (11.6 grams.
â In siddha medicine, the white variety is used to prepare oil that is claimed to be
an aphrodisiac .
â Ayurveda because it is said to promote/stimulate hair growth.
8. Sign and Symptom
⢠On ingestion:
⢠Abdominal pain, nausea, vomiting, bloody diarrhoea,
⢠Vertigo, tinnitus, and giddiness,
⢠Cold clammy skin, irregular pulse, laboured breathing,
convulsions,
⢠Haemolysis, oliguria and death d/t cardiac failure.
⢠Injected:
⢠Resembles viperine snake bite.
⢠Inflammation, oedema, oozing of fluid.
⢠Painful swelling and necrosis of muscles and regional lymph node
may occur.
9. TREATMENT
⢠Gastric lavage
⢠Suis should be excised
⢠Anti abrin
⢠A mixture of dilute hydrochloric acid and pepsin
⢠Symptomatic treatment
10. Medicolegal Aspect
â Accidental in children
â Suis made from opium, dhatura, onion and spirit
and used for animal poisoning
â Seeds act as abortificient
â Malingering: conjunctivitis
â Arrow poison
11. Ricinus communis (Castor, Arandi)
⢠Entire plant is poisonous esp. seeds except oil.
⢠Seeds are smooth, flat, oval, mottled, dark brown
marking, bright and polished and occur in large and
small form.
Active principle:
⢠Toxalbumin RICIN, a water soluble glycoprotein
14. MOA:
⢠Antigenic- causes agglutination, hemolysis and cell
destruction
⢠Blocks protein synthesis through inhibition of RNA
polymerase
⢠Ricin has special binding protein that gains access to
the endoplasmic reticulum of GIT causing diarrhoea
15. Sign and Symptom
⢠Dust of seeds causes:
⢠Watering of eyes, conjunctivitis
⢠Rhinitis, acute nasal inflammation
⢠Headache, pharyngitis, bronchitis
⢠Dermatitis
⢠Gastric upset
⢠Ingestion
⢠GIT: burning pain in throat, colicky abdominal pain, cramping,
nausea, thirst, vomiting and diarrhea.
⢠CNS: vertigo, drowsiness, delirium, convulsions coma
⢠Uremia, jaundice, feeble pulse, shock and dehydration
17. PM Appearance:
⢠Mucosa congested, softened, inflamed, erosions, fragment of
seeds may be present
⢠Dilatation of heart, pleural Hg, edema of Liver, kidney spleen
and lung
MLI:
⢠Accidental in children
⢠Rarely homicidal( The Umbrella Murder Case)
⢠Bioterrorism
18.
19. Croton tiglium (jamal gota)
⢠Croton tiglium, known as Purging Croton, is a plant species
in the Euphorbiaceae family.
⢠C. tiglium is also called Jamaal Gota in Hindi and Urdu.
⢠Seeds are dark brown, oval, similar to croton but not
mottled and lustureless.
⢠All parts of plant are poisonous but seeds contain
maximum conc. of Active principle.
21. Uses
⢠C. tiglium is used in traditional Chinese medicine,
â˘
⢠C. tiglium is known as Japaala/or "Jayapala" in Sinhala and
used in Sinhala traditional medical system of Sri Lanka.
⢠Seeds have a powerful purge.
⢠Is a valuable remedy in diarrhoea, summer complaint, and
Skin affections, in Homeopathic remedies
22.
23. Toxic effect
⢠Active principle:
â Crotin (toxalbumin)
â Crotoniside ( glycoside
Ingestion
â Burning pain in throat and stomach, salivation, colicky abdominal
pain, cramping, nausea, thirst, vomiting and bloody diarrhoea.
â Prostration circulatory and respiratory collapse
â Applied to skin
â Burning redness and vesication
24. ⢠F.D. : 4 crushed seeds or 3 drops of oil
⢠F.P. : 6-3 days
⢠Treatment:
⢠GL
⢠Emetics and demulscents
⢠Morphine and atropine
⢠symptomatic
25. PM Appearance:
⢠Mucosa congested, softened, inflamed, erosions,
fragment of seeds may be present
⢠Dilatation of heart, pleural Hg, oedema of Liver,
kidney spleen and lung
⢠MLI:
⢠Accidental
⢠Rarely homicidal and suicidal
⢠Roots and oil as abortificient
⢠Arrow poison
26.
27.
28.
29. Calotropis gigantea/ calotropis
procera
madar or akdo
⢠Dried root freed from the outer cortical is
called Madar
⢠Active principle: uscharin, calotoxin,
calactin, calotropin (cardiac glycoside) and
gigantin (contained in serum)
30. Uses:
⢠Flowers: digestive , carminative, tonic
⢠Leaves: purgatives, emetic
⢠Milky juice : vesicant, depilatory and t/t of
chronic skin condition
⢠Tincture of bark or root: dysentry
⢠Dried bark: expectorant, emetic and
purgative
31. Sign and symptoms
⢠External â irritant vasication, conjunctivitis
⢠Internal â gastrointestinal and cerebral
poison
32. Medico- legal importance
⢠Madar juice is commonly used as an
abortifacient,
⢠May be used for homicide , suicide or
infanticide
⢠Animal poison
⢠Artificial bruise
⢠Arrow poison
33.
34.
35.
36. Plumbago rosea/ plumbago
zeylinca
lal chitra/ chitra
⢠Roots are most poisonous
⢠Active principle: plumbagin (glycoside) â
strong irritant and in small doses it
stimulates contractions of heart, intestine
and uterus and in large doses causes
respiratory failure.
37. Medico-legal importance
⢠Abortion
⢠Homicide
⢠paste of stem or leaves : for artificial
bruise
⢠Powdered leaves and roots: t/t of leprosy,
scabies and influenza
38.
39. Semecarpus anacardium
marking nut/ bhilawan
⢠Fruit is black, heart shape, having rough
projection at base.
⢠Fleshy pericarp contains thick, oily, acrid
juice which turns black when mixed with
lime and exposed to air
⢠Active principle: bhilawanol, semicarpol
40. Sign and symptoms
⢠On skin: irritation and painful blister.
⢠lesion resembles bruise which may
ulcerate and slough
⢠F.D.: 5- 10 gm
⢠F.P. : 12- 24 hr
44. Ergot
⢠Dried fungus Claviceps purpurea which
grows on stale grains particularly rye ,
wheat, barley and maize
⢠Active principle: alkaloids- ergotoxin,
ergotamine and ergometrine
⢠MoA: vaso-constricting agent and
stimulates smooth ms contraction of
arterioles , intestine and uterus
45. Acute poisoning
⢠Nausea , vomiting and diarrhoea
⢠Respiratory distress
⢠Paraesthesias, ms cramps
⢠Dizziness, dilated pupil, bleeding from
nose, unconciousess
⢠F.D. : 1-2 gm
46. Chronic poisoning
⢠Convulsive type: twitching, tingling,
numbness and painful contraction of
voluntary muscles, headache, drowsiness,
giddiness, formification and convulsions
⢠Gangrenous type: resembles raynaudâs
disease (St. Anthonyâs fire), numbness
tingling anaesthesia, may be dry gangrene
in fingers toes, ears, nose, hands
47. Treatment
⢠Symptomatic
⢠emesis
⢠Nitroprusside or nitroglycerine
⢠Prazocine, captopril, nifedipine and
cyproheptidine for limb ischaemia
⢠phenobarbital