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قراءة كتاب A Dissertation on the Medical Properties and Injurious Effects of the Habitual Use of Tobacco

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A Dissertation on the Medical Properties and Injurious Effects of the Habitual Use of Tobacco

A Dissertation on the Medical Properties and Injurious Effects of the Habitual Use of Tobacco

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دار النشر: Project Gutenberg
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gathers thick upon his brow, the pulse flutters or ceases to beat, a universal tremor comes on, with slight spasms and other symptoms of dissolution. As an emetic, few articles can compare with it for the promptness and efficiency of its operation; at the same time there are none which produce such universal debility. As a cathartic, it produces immediate and copious evacuations, with great prostration of strength; but its dose can with difficulty be regulated.

If such be a fair statement of its effects on the human system; if it requires all the skill of the most experienced practitioner to guard against those sudden depressions which uniformly follow its use, when administered with the utmost circumspection; and if, with all this caution, its operation is still followed by the most alarming, and even fatal consequences—what shall we say of those who habitually subject their constitutions to the destructive influence of this worse than "Bohan Upas?"

To an individual unacquainted with the fact, it would seem incredible that a weed, possessed of properties so poisonous, should ever have been sought as an article of luxury. Yet it has not only been sought, but even credulity startles at the extent to which it has been used. "Like opium, it calms the agitations of our corporeal frame, and soothes the anxieties and distresses of the mind." Its powers are felt and its fascinations acknowledged, by all the intermediate grades of society, from the sot who wallows in the mire of your streets, to the clergyman who stands forth a pattern of moral excellence, and who ministers at the altar of God. For it the Arab will traverse, unwearied, his burning deserts; and the Icelander risk his life amidst perpetual snows. Its charms are experienced alike, by the savage who roams the wilds of an American forest, and the courtier who rolls in luxury and prescribes rules of refinement to the civilized world; by the miscreant who wrings from the cold hand of charity the pittance that sustains his life, and the monarch who sways his sceptre over half the globe; by him who is bent with woes and years, and him whose cheek is covered yet with boyhood's down. Hence we might conclude it capable of giving strength to the weary, vivacity to the stupid, and wisdom to men void of understanding; capable of soothing the sorrows of the afflicted, of healing the wounds of the spirit, and assuaging the anguish of a broken heart. But how it fulfils these desirable indications, will be our next business to inquire.

Tobacco, as a luxury, has been used for the two last centuries over all the civilized, and the greater portion of the uncivilized world. The modes have been snuffing, smoking, and chewing. Its effects, when habitually used in each of these modes, will now be examined. As far as my observations extend, few, if any, of all the devotees to this stupefying substance, ever resort to its use without some supposed necessity; and often, alas too often, by the advice of physicians.

The benefit to be derived from the exhibition of a medicine in the cure of disease, should not alone induce us to prescribe it, without due regard to the injury which may result to the constitution. Had this rule been observed relative to the subject under consideration, I apprehend the use of this baneful drug would have been less extensive.

Snuff has been prescribed for a variety of complaints, among which are headache, catarrh, and some species of opthalmia, and no doubt sometimes with very good effect; as I have, in a very few instances, witnessed. But the fact seems to have been overlooked, that its only power to relieve these complaints arises from the copious discharge of mucus from the nostrils, during the violent paroxysm of sneezing which invariably attends its first application; and that its salutary influence ceases, whenever these peculiar effects cease to accompany its exhibition. Hence in all cases where it is continued an indefinite time, or until the schneiderian membrane loses its sensibility, it not only fails of its medicinal effect, but actually becomes pernicious; aggravating the very disease it was intended to cure. It not only does this, but goes on committing great ravages on the whole nervous system, superinducing hypocondria, tremors, and premature decay of all the intellectual powers. A thickening of the voice, is also the unavoidable result of habitual snuff-taking. This disagreeable consequence is produced, either by partially filling up the nasal avenues, or by destroying the sensibility of the parts. Be that as it may, we would say of the change, in the forcible language of Cowper: "O! it is fulsome, and offends me more than the nasal twang, heard at conventicle from the pent nostril, spectacle bestrid."

It also occasions loss of appetite, frequent sickness at the stomach, with many other disagreeable symptoms. A case in point, is related by Dr. Cullen, of a woman who had been in the habit for twenty years. At length she found on taking a pinch before dinner, she had no appetite. This having frequently occurred, she was induced to postpone her pinch till after dinner, when she ate her meal with her accustomed relish, and went on snuff-taking in the afternoon without inconvenience.

Another instance is related by the same author, of the injurious effects of this habit. A lady, who had been accustomed to take snuff freely, was seized with a severe pain in her stomach, which continued unabated notwithstanding many remedies were applied; until accidentally her snuff was omitted for a few days, when the pain was found to subside, and did not return until she again had recourse to her snuff. Then, to her utter astonishment, it immediately came with all its former severity, and would yield to no treatment without a relinquishment of the snuff-box, which (strange to tell) the woman laid aside, and recovered her health.

Most persons in the constant habit of taking snuff, are led on insensibly, until they consume enormous quantities. But as they are accustomed both to its stimulant and narcotic effects, they are not aware of the pernicious consequences. In the midst of interesting conversation, they frequently transcend the bounds assigned them by habit, and the consequence is, sickness, faintness, and trembling, with some vertigo and confusion of head. During this paroxysm of snuffing, particles of the powdered tobacco are carried back into the fauces, and thence into the stomach; which occasions not only sickness at the time, but is long after followed with dyspepsia and other symptoms of disordered abdominal viscera.

The second mode of habitually using this drug, is smoking. This, too, has been prescribed by reputable members of the faculty. And for what purpose has this disgusting practice been recommended? "For weakness of the stomach," to be sure. Persons who have a craving appetite, and consume more food, particularly at dinner, than their stomach will readily digest, experience considerable uneasiness for some time after eating. The mouth and fauces sympathize with the overloaded organ, and an increased quantity of fluid is poured from the mucous follicles and salivary glands, to aid in the process of digestion. Under these accumulating difficulties, the man calls on the "Doctor," who very wisely imagines these symptoms are sufficient evidence that he has a "weak and watery stomach," and the pipe and cigar are recommended to carry off the superabundant humors, which still are unable to assimilate the enormous load with which, from time to time, the stomach is crowded. But as the application of the burnt oil of tobacco to the mouth and fauces, from its stimulant and

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