gradually returned, and in one year was pretty good; his flesh and strength were greatly increased, and he now has a younger look than when he laid aside his narcotic."

April, 1834.

The case of Mr. L. B., a shoemaker, now about fifty-two years of age, exhibits strikingly the injurious effects of tobacco. About fourteen years ago, he consulted me on account of dyspepsia, obstinate costiveness, and palpitation of the heart, which symptoms had existed for several years. The palpitation he had observed about seven years before. In a small degree it occurred almost daily. For years a slight fluttering was generally felt, in the morning, for a short time after breakfast, which compelled him to sit still, avoiding mental as well as muscular exertion. After an hour or more, he was better. He was, besides, subject to severe paroxysms of palpitation, occurring at irregular periods. Six or seven of these took place in a year. These turns were excited under stomach irritations or oppression from indigestible food. They came on instantaneously, and often left in a moment; 'the pulse was nothing but a flutter.' So great was the prostration, that, during the paroxysm, he was obliged to lie still upon the bed. The length of the paroxysm was various; sometimes an hour, sometimes several hours.

He was in the habit of using tobacco in all its forms of cud, cigar and snuff; he drank tea and coffee freely, and spirit and cider moderately. I advised him to the entire disuse of tobacco, tea, coffee, and all other drinks, save water, and to live on plain and unstimulating food. He followed the advice in regard to drinks, in so far as to confine himself to water, and threw away the cud and cigar, but continued to take snuff. Under this change his health was improved, and the turns of palpitation were less frequent, and generally less severe. Two years afterwards, he abandoned flesh meat as an article of diet, and still indulged himself in the habit of snuff-taking. In this way he continued for about six years, his general health being considerably improved; he was subject, however, to an occasional attack of palpitation. At length he had a paroxysm, which was so terribly severe and protracted, as to keep him nine hours and an half motionless upon his back, under the incessant apprehension of immediate dissolution. In the course of this nine and an half hours he made up his mind to take no more snuff. He has kept his resolution, and has not had an attack since, now about six years. He says he has sometimes felt a slight agitation or tremor, but this has been rare. He continues to exclude flesh meat from his diet. His breakfast consists of roasted potatoes and toasted bread, with a little butter; his dinner, bread and milk; supper, the same as the breakfast. His only drink is water. Once his fingers were tremulous, now they are perfectly steady; and his memory, which was alarmingly impaired, is very much improved.

A physician, with whom I was intimately acquainted, during the greater part of his medical pupilage, which included the latter part of his tobacco experience, has given the following account of his own case. He has a preference for withholding his name from the public, and has described himself as 'the patient.' The circumstances of the case as related, may be relied on. I was present each time when he threw away his tobacco.

"The patient," says he, "at the early age of fourteen, under the impression that it was a manly habit, commenced chewing tobacco; and a long and painful course of training was required before the stomach could be brought to retain it. At length the natural aversion of this organ to the poison was so overcome, that an exceedingly large quantity might be taken without producing nausea. For several years the patient continued its uninterrupted use, swallowing all the secretions of the mouth saturated with this baneful narcotic, without experiencing much disturbance of health. At length he began to be harassed with heart-burn, attended with copious eructations of an intensely acid fluid, together with other indications of dyspepsia. A watery stomach was suspected, and smoking was at once recommended in addition to chewing, to alleviate the accumulation of water in the stomach and to assist digestion. Smoking was accordingly practised after every meal, with little alleviation of the difficulty. The patient, however, being determined to be benefited by its use, resorted to it more frequently, smoking not only after eating, but several times between meals. Yet to his great surprise, his troublesome symptoms were gradually augmented, notwithstanding his strenuous adherence to the practice.

"To the heart-burn and acid eructations, soon succeeded nausea, loss of appetite, a gnawing sensation in the stomach, when empty, a sense of constriction in the throat, dryness in the mouth and fauces, thickening or huskiness of the voice, costiveness, paleness of the countenance, languor, emaciation, aversion to exercise, lowness of spirits, palpitations, disturbed sleep; in short, all the symptoms which characterize dyspepsia of the worst stamp. He was well nigh unfitted for any kind of business, and his very existence began to be miserably burdensome.

"At last, being advised to abandon the use of tobacco in all its forms, and being fully persuaded that he either must relinquish it voluntarily, or that death would soon compel him to do it, 'he summoned all his resolution for the fearful exigency, and after a long and desperate struggle, obtained the victory.' 'All the inconvenience' he experienced, 'was a few sleepless nights, and an incessant hankering after the accustomed fascinating influence of the cigar and cud.'

"In a few days a manifest improvement in health was apparent, his appetite and strength returned, his sleep became more sound and refreshing, and he directly found himself in the enjoyment of better health than he had possessed at any time during ten years of vile submission to a depraved and unnatural appetite.

"After abstaining from it about two months, he again, by way of experiment, returned to the cud, cigar, and pipe; and but a few days were requisite to recall all his former dyspeptic symptoms. He again relinquished the habit, under the full conviction that tobacco was the sole cause of his illness, and he firmly resolved never to make further use of it."

After recovering a second time from the effects of his poison, this gentleman assured me that, at times, his feelings had bordered on those of mental derangement; he thought every body hated him; and he in turn hated every body. He had often, after lying awake for several hours in the night, under the most distressing forebodings, arisen, smoked his pipe to procure a temporary alleviation of his sufferings, in fitful and half delirious slumbers. He even thought of suicide, but was deterred by the dread of an hereafter. In a few weeks after relinquishing the indulgence, all these feelings were gone; and when I last saw him, about two years, I believe, after quitting his tobacco, he was in fine health and spirits.

The following letter from Dr. Moore describes his own case.

"Wells, (Me.) April 10, 1833.

"Dear Sir,—

"It was not until this late hour, that I received your letter of the 4th inst. With pleasure I hasten to answer your inquiries with regard to my experience in the use of tobacco.

"In the autumn of 1817, I commenced (I know not why) the use of tobacco. It was not until the spring of 1825, that I experienced any ill effects from it, except now and