iDioiw jo Aavaan ivnouvn indiqiw jo uviim in ATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF ME ' /£S%h. ••» .A7£\-./>r7 " Vtv--a^V ? V 4 ^i^i^fA Ni3ia3w jo Aavaan ivnouvn inhioiw jo Aavaan i*- % X iS*ik « M IATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF M ! /^f\ y £ y-^ • ^*- NDioiw jo Aavaan ivnouvn inokjiw jo Aavaan iv>. -^ IATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF Mil iNisiaiiM jo Aavaan ivnouvn ikdiqiw jo Aavaan l J /Vi . IUVN 3NI3I03W JO ABVaail IVNOUVN 3NI3II13W JO A8V1 ICINE NATIONAL LIBRARY OF MEDI CINE N A T I O N A I L I B R A R ICINE NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRA* >■ \ /VS iiivn 3NI3IQ3W jo Aavaan ivnouvn indioiw jo uvi ik fcffct&t^ %* «V\ V TEMPERANCE P R I Z IV E S SA%Y.S. DRS. MUSSEY AND LINDSLY. HooXo ffJFasJjfnjjton: PUBLISHED BY DUFF GREEN. 1835. r)V PREFACE. Among the numerous obstacles which have retarded the progress of that great benevolent enterprize, the Temperance Reformation, and which seem to stand in the way of its entire .suc- cess, there is none greater than the prevalent im- pression, that Ardent Spirit, in the treatment of disease, is not only useful, but that it sometimes is indispensable as an article of medicine. If this impression be well founded, it is clear, that although Alcoholic Liquors be discarded as a common drink, they will still continue to enter into the beverage of the invalid, and find, it is to be feared, too secure a lodgment in the sick room. 3 4 PREFACE. With a view to procure a full investigation of this subject from the most competent sources, and to ascertain how far the objection urged on this score to the entire disuse of Ardent Spirit is founded in truth, and also to acquire more satisfac- tory information as to its origin, history, and introduction into medical practice, the following notice was given in the public papers, which resulted in eliciting the present, with several other Essays :— TEMPERANCE PRIZE QUESTION. With the. laudable design of promoting the temperance reformation, which has been so successfully commenced in the United States, the Pennsylvania State Temperance Society has united with several individuals for the pur- pose of raising a sum as a premium to be awarded to the author of the best dissertation embracing the following questions, viz ;— 1. What is the history of the origin of Atident Spitut, and of its introduction into medical practice ? 2. What are its effects upon the animal economy ? And 3, Is there any condition of the system, in health or PREFACE. 5 disease, in which its use is indispensable, and for which there is not an adequate substitute ? It is desirable that the premium should be at least five hundred dollars, and efforts will be made to raise it to one thousand dollars. At present however we are autho- rized to pledge a premium of but three hundred dollars, which will be awarded in money, a gold medal, or in plate with a suitable inscription, at the option of the suc- cessful writer. Dissertations must be transmitted, post paid, to the Rev. W. W. Niles, New York city, on or before the 1st January, 1834. The dissertation should have upon its title page a device, or motto, corresponding with one upon an accompanying sealed letter, containing the author's name, title, and residence. The seal of the letter accompanying the successful dissertation only will be broken, while all others, with their dissertations, will remain at the disposal of their authors. The Board of Adjudicators consist of— Johu C. Warren, M. D., Professor of Anatomy and Sur- gery, Harvard University, Boston. Thomas Sewall, M. D., Professor of Anatomy ana Phy- siology, Columbian College, Washington, D. C. Roberts Vatjx, Esq., President of the Pennsylvania State Temperance Society, Philadelphia. 1* 6 PREFACE. Parker Cleaveland, M. D., Professor of Chemistry and Materia Medica, Bowdoin College, Maine. Vanbratjgh Livingston, Westchester county, N. Y, Benjamin Silliman, M. D. Professor of Chemistry, Yale College, New Haven, Conn. Fbancis Watland, D. D., President of Brown Univer- sity, Providence, Rhode Island. William Goodell, editor of the ' Genius of Temper- ance,' New York City. Rev: W. W. Niles, Secretary of the Board. Agreeably to the foregoing publication, a number of dissertations were received by the secretary, and after a careful perusal of them by the Board of Adjudicators, several were found to possess great merit, and two of them were adjudged worthy of approval, having fulfilled •the design for which the prize was offered. To the first, designated by the motto'Deo Juvante----,' was awarded the prize of three hundred dollars. Upon opening the accompanying sealed letter, it was found to be the production of R. D. Mussey, M. D., Professor of anatomy and surgery, in Dartmouth college, N. H. To the second dissertation, designated by the motto {Palor et genae pendulae ooulorum ulcera tremulse mnnus, furiales somni, inqvies nocturna* was awarded a prize of three hundred dollars. Upon opening the accompa- PREFACE. 7 nying sealed letter it was found to be the production of Harvet Lindslt, M. D., city of Washington. W. W. Niles, Secretary of the Board. In pursuance of the original design the Com- mittee of Publication are now enabled to present to the American public the successful Essays. They have no hesitation in affirming that they will be found to contain a mass of facts and rea- sonings on the nature, history, and effects of alcoholic agents of the utmost moment to the cause of Temperance, and thereby to the interests of humanity. The writers have given no super- ficial view of the several points submitted to their investigation. Historically and physiologically they have probed the subject to the bottom; and yet the results of their inquiries are presented in a form so perspicuous, attractive, and popular, that they cannot fail to be read with intense in- terest wherever the subject of temperance has been agitated. 8 PREFACE. From the nature of the topics considered, and the circumstances of the writers acting without concert or privity to each other's plan, it was hardly to be expected that they should not occa- sionally, especially in the historical parts, have had recourse to the same authorities. This ma*y perhaps, in some few instances, have led them over nearly the same ground, and occasioned the repetition of some few matters of fact; but these instances are so rare, and so slight, as not to form the least objection to the plan of giving both the Essays in their original form without subject- ing them to any modification on this account. The respective writers have adopted their own peculiar modes of treating the subject, and if substantially the same idea should occasionally occur, it will be found to be presented in different lights and bearing different relations, so that nothing shall be abated on this account of the gene- ral interests of the discussion. The Essays are therefore submitted with entire confidence in their PREFACE. 9 superior intrinsic merit, and in sanguine hopes of their extensive usefulness to the friends of Temperance in every part of our country. By TftE Committee. ESSAY ARDENT SPIRITS, AND ITS SUBSTITUTES AS A MEANS OF INVIGORATING HEALTH- "Deo Jnvante—-'•' vA / 6l0 Br REUBEN D. MUSSEY, M.D. Professor of Anatomy and Surgery, Dartmouth College, N. Hampshire ; President New Hampshire Medical Society; and Fellow of the American Aoademy of Sciences, he, kc Entered according to Act of Congress of 1831, by Dutf Green, in the clerk's office of the district court of the Dis- trict of Columbia. Page ERRATA. 14 - for Deucation read Deucalion. 80 „ Thodosius n Theodosius. 81 „ Bcerhaave 99 Boerhaave. 82 4th line „ acquire 99 acquired. 83 23d line „ acquesus 91 acqueous 100 - „ celeb atum 99 celebratum. - „ suspiciendum „ suscipiendum • „ revelatuum 9) revelaturum. 116 note „ corius • 9) ebrius. 133 - „ Leth 99 Lethe. 136 note „ edenlutum 99 edentulum. 148 8th line „ water 99 matter. 163 23d line » by *9 of. 7 ESSAY, &c. Quest. I. What is the -history of the origin of ar- dent spirit, and of its introduction into medi- cal practice ? Quest. II. What are "its effects upon the animal ECONOMY J Quest, in. Is there any condition of the system in HEALTH OR DISEASE IN WHICH ITS USE IS INDISPENSABLE, AND FOR WHICH THERE IS NOT AN ADEQUATE SUBSTI- TUTE ? CHAPTER I. History. Ardent Spirit or Alcohol is a thin color- less fluid, lighter than water, somewhat volatile, of a pungent smell and taste, readily inflaming by the application of a lighted taper, and burning with a dim blue or purple flame. It is pro- Physica] pr0. duced only by the decomposition of pertiesand <>ri- , , , , • 1 i_i •* • gin of alcohol. vegetable and animal substances,* in a state of fermentation. It is the intoxicating principle of all fermented liquors, as wine, cider, beer, &c, and may be separated from them by dis- tillation and other processes. •The Tartars and Chinese make a kind of wine and ardent spirit from the flesh of sheep. 2 13 14 HISTORY. Fermented liquors derived from the juices of fruits, and from the farinaceous grains, were used in periods of high antiquity. The first wine invent- authentic record we have of wine, re- fers to a period scarcely less remote than that of the deluge. Noah planted a vineyard and drank of the fruit of it; and the hypotliesis that he was the inventor of wine, receives coun- tenance from the assertion of Hecataeus, the Mi- lesian historian, that the use.of wines was first discovered in iEtolia by Orestes the son of Deuca- tion. This last personage, it is well known, was the hero of the deluge among those heathen nations whose records and traditions recognise that great event. The early history of alcohol in its uncombined state, or in the form .of ardent spirit, is obscure. Theperiodat Had Mahometan fanaticism spared which distilled the Alexandrian library, the curiosity spirit was . J J invented—ob- ol our own times might perhaps have been gratified by a knowledge of the period of its discovery, as well as with the name and residence of the individual whose researches gave to the world a poisqn, which, in countries where its use has become general, has caused more human suffering than any other invention of man. There is indeed some probability that China may claim the discovery of the process of distilla- DUtillation tion- *In tnat Country,' says More- discovered in wood, ' which has preserved its civil polity for so many thousand years, the art of distillation was known far beyond the date of its authentic records.' The same writer, refer- ring to the authority of Du Halde, Martini, Gro- HISTORY. 15 sier and others, says, that there is abundant proof of the Chinese having been well versed in that branch of alchemy which has for its object a. pana- cea, or universal medicine, long before this fancy engaged the attention of European practitioners.' The search after this elixir of life is said to have originated with the disciples of Lao Chiun, who flourished six hundred years before the Christian era. If this statement be authentic, „..... . . . 11,1 Distilled spir- there can remain scarely a doubt that it possibly the Chinese were acquainted with dis- Chinese y2ooo tilled spirit more than two thousand years ag0- years ago. With a knowledge of the process of distillation, and impelled by a motive so strong as the hope of finding an elixir, a single draught of which would confer an immunity from 'disease, decay, and death, the alchemists could hardly have failed early to subject to this process every kind of be- verage which was known to exert an exhilarating influence upon the actions of life. The infatua- tions of alchemy still existed in China in times comparatively modern, for neTi'ree iangs three of her kings, two in the ninth, kj!led h/vAe . . , ° , elixir of life. and one in the sixteenth century, pe- rished from a draught of the elixir of life, prepared by the alchemists, and taken with a view to at- tain to immortality. To Arabia, however, Europe appears to have been wholly indebted for a knowledge of the art of distillation. It has been suggested, that, as the Arabians at a very early period for commercial purposes penetrated into China, even as far as to Canton, there might have been an interchange 16 HISTORY. in the scientific discoveries of the two nations. , . As the result of their intercourse Distillation probably dis- must probably always remain a mat- Arlbiaf m ter of conjecture, it is not unreasona- ble to allow to the Arabians, what has usually been accorded to them, the credit of having found out the process of distillation, whether they were the only inventors or not. A knowledge of chemistry came with the Saracens into Spain, and to this day, several terms purely Arabic, are retained in the nomenclature of Eu- ropean chemistry, as alcohol, alcali, &c. Geber, whose period'and country are question- able, but who is regarded by many as of Saracen Geber in the origin, and who is generally supposed 7th century. ^o have lived in the seventh century of the Christian era, is so particular in his des- criptions as to show, that in his time not only the art of distillation, but the methods of conducting various pharmaceutical processes were well un- derstood. Distillation was certainly known in in the 9th SPain as earIJ as t,ie ninth century, century in and there is a high degree of proba- bility that, along with other mechan- ical arts, it was brought there by the Saracens in the early part of the eighth century. Rhazes, who was a most scientific and distin- guished Arabian physician, born about the middle of the ninth century, and who resided at the court of Almansor in Seville, gives minute directions for making a particular pharmaceutical preparation in a glass retort. At what precise period the hemists learned the art of extracting alcohol 'ora fermented liquors it is impossible^ deter- HISTORY. 17 mine;but from the fact of their being .Ardent spi- ... . . . . °. rit probably constantly engaged in the pursuit ot known in the the elixir of life, and from other con- possibly earlier! siderations already suggested, there can be but little doubt of its having been known at or before the time of Rhazes. The ardent thirst for discovery, and the guarded secresy with which chemical processes were at that time conducted, the great facility of disguising alcohol by a multi- tude of odorous and colored substances, together x with the hope that in some shape or combina- tion it would turn out to be the long sought elixir, might prevent the mode of its preparation from becoming public for a long period of time, possi- bly for centuries. We are not informed when it was first used as a medicine. Its pungent and exhilarating pro- perties would easily give it a place among resto- rative remedies, more especially as it might easily be reinforced or modified by the addition of me- dicinal agents, from the vegetable and mineral kingdoms. The first spirit we have any account of in Eu- rope was made from the grape, and sold as a medicine in Spain and Italy under the Arabian term alcohol.* The Genoese were a .. the first who prepared it from grain, medicine by . • 1 j 1 j ji ,i • the Genoese in and are said to have made, in the thir- the i3th cen- teenth century, a gainful traffic by tuiy* selling it in small bottles at a high price, under the name of aqua vitse, or water of life. Distillation was known in France in 1313, and to this day *The original signification of the word 'alcohol,' is a substance which is odorous, and easily evaporates. 2* 18 HISTORY. the common distilled spirit of that country bears the name of water of life. In the 14th century medicated spirits were manufactured and sold in Hungary. A queen of that country is said to have become famous by making a preparation of aqua vitse with rosemary, which was thought to possess extraordinary medicinal vir- aue°en ofHun- tues. The medicated spirit called garyinthe nth pin, which is distilled with juniper- century. » '. . •» r berries, is said to have been first pre- pared in Holland in the 17th century.* It is still in vogue among those who labor un- nthcentury!16 der certain local obstructions, occa- sioned by irregular and intemperate habits. Thus introduced as a medicine, ardent spirit gradually found its way from one region and king- dom to another, and is now used both as a medi- cine and a beverage in every civilized country in the world. The only regions where no kind of intoxicating liquor is manufactured, are New- Zealand, New-South Wales, and Van Dieman's Land.t • Morewood. f Dr. Thompson. EFFECTS ON THE ANIMAL ECONOMY. 19 CHAPTER II. Effects of Jlrdent Spirit upon the animal economy. The first effect of ardent spirit upon the living fibre is stimulating. This has been observed on its application to the web of the foot of a frog. By the aid of the microscope, it appeared that the blood in the small vessels circulated, for a short time, more rapidly than before. Rubbed upon the human skin, or snuffed into the nostrils in the form of liquid or of vapor, it augments the sen- sibility and quickens the circulation upon the sur- faces with which it is brought in contact. Taken into the stomach in a concentrated state, it instan- taneously occasions a burning pain. When swallowed in a. state sufficiently di- luted, it throws through the stomach Upon thc a glow or grateful warmth, which in stomach. many cases is transmitted to the remote organs of the body. The brain and the nerves of the senses partake in the exhilaration. The eye glis- tens, the hearing is more acute, the colloquial powers are exalted, and the expressions of the countenance are vivid and emphatic, changing in quick succession, in conformity with Brain,nwves, the rapidly shifting topics of conver- &c sation, denoting that the movements of the mind are led by the influence of its more remote and capricious associations. As the alcoholic excitation increases, the pas- 20 EFFECTS ON THE ANIMAL ECONOMY. sions are easily unfolded, as pity, hatred, gener- osity, revenge, while the reasoning powers and the moral sense are weakened and perverted, and The passions the degradation of these noblest at- excited. tributes of human nature is manifest- ed by indecent, profane, idiotic, or pugnacious garrulity. Under the still deeper and more protracted in- Effects of fluence of this poison, the functions of large doses. the senses and the operations of the mind are slower and less coherent; the volu y muscles at the same time indicating theit en- feebled condition, by the falling eye-lid, the open mouth, the driveling lip, and the hanging head ; and the exhausted brain and nerves at length leave the whole system to sink into a state of un- consciousness or profound insensibility, which sometimes terminates in death. The free and habitual use of ardent spirit, is Effects of f°H°wed by habitual languor in the spirits used ha- functions of the organs of the senses, and in fact of every organ of the body. The physiognomy tells what has been done. All the exquisite delineations of benevolence, of deli- cacy, and of high moral and religious feeling, are effaced from the countenance, as their prototypes are from the mind, and stupidity and selfishness, occupy their places. Even strong passion is but faintly portrayed by the half palsied muscles of ,the face, and sluggishness dwells in that mind which was once impelled by a spirit of activity and en- lerprize. The powers of digestion, and nutrition having been effectually invaded, the stomach ad- mits less food than before", and the whole svstem EFFECTS ON THE ANIMAL ECONOMY. 21 is but imperfectly supplied with nourishment. Numerous chronic diseases, with melancholy and madness in their train, put in their claim for a re- sidence in the decaying organs of the body; and when acute forms of disease, as thoracic inflamma- tion and pestilential fever make an attack, the work of ruin, thus begun and prosecuted by al- cohol, is completed by death. In deep drunkenness there is lethargy and stupor, the face is often pale, some- „. . ±. \a i i , i- • i j 1'r.ysiognomy times flushed, very rarely livid and of drunken- sivollen, and still more rarely natural.* The breathing is generally slow, sometimes stertorous or laborious, seldom rapid or calm. The respiratory movements are chiefly or whol- ly abdominal; the separate acts of inspiration and expiration, particularly the former, occupying but a short time. The puffing of the cheeks as in apoplexy exceedingly rare. The extremities are almost invariably cold; the pulse feeble and slow, and not unfrequently imperceptible ; the pupil generally dilated, though sometimes contracted."t * Dr. Ogston'a cases. ■(■ Remedies for a Jit of intoxication. 1. Dislodge the spirit from the stomach by emetic*! aid- ed by pressure upon the pit of the stomach, or by the use of the stomach pump. 2. Sometimes inject warm water to dilute the glairy mucus, or to distend this organ to the point of action, when not sufficiently distended by its contents. 3. Cold affusion to the head, especially when the head is hot. 4. The vigorous and persevering application of a cot- skin whip, or of small rods to the gluteal eminences. This last is a most effectual remedy in rousing the op- pressed energies of the brain and nerves. 22 EFFECTS ON THE ANIMAL EC01V0MY. Ir the bodies of persons dead from Appearances a fit of drunkenness, the following ap- after deatn- pearances have been observed, viz. The Brain. Its peripheral or exterior parts, commonly firm; its blood vessels engorged; tur- bid serum beneath the arachnoid membrane; and turbid or slightly bloody serum, often several ounces, in the ventricles. The Heart and great vessels filled with fluid blood; the right side of the heart more distended than the left; sometimes bloody serum in the pe- ricardium. The Lungs. Frothy mucus in the air tubes and cells; lower portion of the lungs charged with fluid blood ;—sometimes hepatized. The Stomach contracted and small; its walls sometimes three or four times their natural thick- ness and indurated ; the folds of its lining mem- brane sometimes of a deep red color; the whole membrane soft, and easily torn. The Intestines. Inflammation, thickening and softening of the lining membrane; ulcerations of this membrane in the terminal portion of the small intestine; occasionally preternatural adhesions of them to the other viscera as the duodenum and the " pancreas. The Liver large and firm ; its surface frequently uneven, pale, mottled, or orange colored, its inte- rior orange colored, exhibiting fatty degenerations. The Kidneys paler than natural, large, and flab- by ; their cut surfaces sometimes bloody. It should be observed, that of the foregoin°- marks of disease, some, as the serum under the arachnoid membrane and in the ventricles of the EFFECTS ON THE ANIMAL ECONOMY. 23 brain, the fluidity of the blood in the heart and great vessels, and perhaps the deep red upon parts of the lining membrane of the stomach, are to be regarded as the effects of the last or fatal fit of in- toxication ; while others, as the striking firmness confidently alleged by some anatomists to have been observed in the superficial parts of the brain;—the thickening, induration, contraction, and ulceration of the stomach and intestines—the enlargement, unevenness, hardness, fatty deposits, and orange color of the liver—the unnatural color, size, and flabby texture of the kidneys, must have resulted from the more gradual opera- tion of the habitual use of strong drink. It is well known, that often in cases of death by lightning, the blood does not co- Biood re- agulate, but remains in the form of a mains fluid, homogeneous fluid, the principle of life having been suddenly and wholly extinguished by the electrical shock. The same thing is observable when death takes place from the influence of cer- tain poisons, as the woorara, ticunas, and tobacco. This is also the case when a draught of alcoholic liquor proves fatal. The blood in the heart, the large vessels, and the lungs, is entirely fluid; so effectual is this poison in preventing the last na- tural act of vitality in the blood, its coagulation. A difference of opinion has existed among phy- siologists as to the manner in which Modes by alcohol acts upon the animal machine ^^aea spi,^ in producing its peculiar effects. The effects. sudden exhilaration and glow in distant organs, occasioned by the swallowing of a small quantity of it, result, probably, from the impressions made 24 EFFECTS ON THE ANIMAL ECONOMY. . upon the nerves of that organ being By sympathy. r . ,, B. ., 8 communicated by sympathy to those of distant parts. From experiments practiced by Rayer, it appears that an impression made by al- cohol upon a sensitive surface of great extent is speedily fatal. Injected into the peritoneum of a rabbit, it extinguished life in less than a minute ; an effect altogether too sudden to admit of expla- nation by absorption. This view will also explain the sudden recovery which takes place upon the stomach being entirely emptied, in those cases of inebriation which arise from a single and large draught, and in which the symptoms have existed only for a period too short to admit of absorption to any extent. Mr. Brodie, indeed, from some of his experi- ments made upon animals, inferred, that this article is not at all absorbed or carried into the cir- culation. A sufficient number of facts, however, By absorption. Prove its capability of passing into the circulation, and sometimes in large quantities. Mr. Magendie, in an experiment upon a dog, half an hour after tying up the outlet m the wood. «f the stomach and injecting it with alcohol, found a strong odor of this fluid in the blood, and obtained it also from the blood by distillation. A healthy laboring man in London, about thir- ty years of age,« drank at a single draught, a quart of gin for a wager;' within a quarter of an hour he fell down insensible, and died in about three hours from the time of falling. In the Westmin- m the brain. ster Hospital his body was dissected, and in the ventricles of the brain was EFFECTS ON THE ANIMAL ECONOMY. 25 found a considerable quantity of limpid fluid, dis- tinctly impregnated with gin, both to the sense of smell and taste, and even to the test of inflam- mability. The liquid appeared to the senses of the examining students, as strong as one-third gin to two-thirds water.* Another case in point is related by Dr. Ogston. lle'says, ' that on the 23d of August, 1831, he ex- amined, in company, with another medical man, the body of a woman aet. 40, who was believed to have drowned herself in' a fit of intoxication no one having witnessed the act.' 'We found,' says he, 'nearly four ounces of fluid in the ventricles of the brain, having all the physical qualities of alcohol, as proved by the united testimony of two other medical men who saw the body opened and examined the fluid. The sto- mach also smelt of this fluid.' That spirit exists in the circulation is obvious, from the fact of its being present in many cases in the breath, after its entire removal from the stomach,! as is shown by a careful examination of its contents, dis- charged by vomiting, or through the aid of the • stomach pump. Does spirit pass into the circulation by the route of lacteal absorption ? It has been indubitably established by a great variety of experiments,! that numerous articles, some of them slowly, others expeditiously, may be imbibed directly by the walls or coats of the blood vessels, and thus * Cook on nervous diseases.—Hare on the stomach. ■J- Ogston. , j Made by Magendie, Fodera, Dutrachet, Coates, Law- rence, and others. 3 26 EFFECTS ON THE ANIMAL ECONOMY. pass into the blood. In one experiment, less than three minute's were occupied in the passage of a strong watery solution of nux vomica through the coats of the jugular vein of a dog. In the other experiment with the dog, already referred to, in which M. Magendie found spirit in the blood, there was none detected in the chyle. Spirit, then, may sometimes enter the circula- tion by direct imbibition through the coats of the blood vessels; and when it has arrived at the blood, it unites with its watery part, for which it has a strong affinity, and circulates along with it through every organ, deranging, oppressing, or extinguishing the actions of life. In the brain, when a portion of the watery part of the blood is thrown into the ventricles to relieve the gorged vessels, alcohol is deposited with it; and from its strong affinity for water, it is probable that a pro- portion of it is deposited along with the thin fluids secreted by the large glands, as the mammary glands, and kidneys; and there can be no doubt of its being exhaled in large quantities from those surfaces, as the skin and bronchial membrane, from which there is a free transpiration of aque- ous matter, whether in a liquid or seriform state. The inhalation, only, of the vapor of distilled inhaling the *Pirit or of w™e. may be carried so wpor of spirit far,as to produce deep intoxication orofwinemay -o , \ .. ""-«-p 1u10A.lCd.llOU. cau«c drunk- Keceived in this manner, it is proba- bly imbibed by the blood in the fine vessels distributed upon the walls of the air cells of the lungs, and then conducted by the route of the circulation to the brain and other distant or- gans. EFFECTS ON THE ANIMAL ECONOMY. 27 In so far as we are acquainted with the powers of the stomach, we have no evidence that it is ca- pable of digesting or decomposing alcohol. Dr. Beaumont, in his experiments with St. Martin, ob- served that neither alcohol nor fermented liquors, nor other fluids, not holding aliment in solu- tion, are changed by the gastric juice, but very soon after being received, pass out of the stomach either through the pylorus or by absorption. And from the fact of an alcoholic exhalation from the lungs existing for several hours after the drinking of any kind of intoxicating liquor, as appears from the odor of the breath, it is to be inferred that no healthy animal process whatever can accom- plish its dissolution. The stomach and its aux- iliary organs act upon the thousands of nutrient articles, decomposing them, changing their nature, and preparing them to become a component part of the organs themselves; but the versatile and wonder working agencies of animal chemistry seem powerless when brought to operate upon this uncongenial and refractory material. In the stomach it is alcohol, in the lungs it is alcohol, in brain it is alcohol: and as the organs are unable to break down its elements and render it nutritive or harmless, they throw it out at every emunc- tory and pore; not, however, until it has left upon the vital tissues and movements the impress of mischief, which being reiterated from day to day and year to year, brings premature decay, disease, and dissolution. 28 CONDITION OF THE SYSTEM CHAPTER III. Is there any condition of the system in health or disease, in which its use is indispensable, and for which there is not an adequate substitute ? Of the effects of alcohol as a beverage in health, Alcohol as a there ought to be but one opinion. beverage. The whole history of spirit drinking, whether simple, or combined with the different ingredients existing- in fermented or brewed li- quors, affords abundant proof of its being uncon- genial with the most natural and healthy actions of the bodily organs. How wide from the truth is the notion that spirit, aids the stomach in the process of digestion. Dr. Beddoes observed that, animals to whom he impairs di- had given spirits along with their food, gcstion. had digested nearly one half less than other like animals to whom none had been given.' Under the habitual use of spirit, the daily dose may give a temporary alleviation to the irritated nerves of the stomach already enfeebled, but in- stead of conferring tone or vigor to that or«-an, it only serves to perpetuate its disease or debility. In the case of St. Martin, the young man before in the case mentioned, into whose stomach through of st. Martin, the side, a large opening was left after the healing of a severe wound, Dr. Beaumont frequently observed diseased appearances ;__as IN HEALTH OR DISEASE. 29 red or purple spots upon the lining membrane of the stomach, from some of which exuded small drops Of glUinOUS blood ;—aphthous Or Changes in the cankery patches upon the same mem- the 3tomach- brane; 'the gastric fluids mixed with a large propor- tion of ropy mucus, and muco-purulent matter slightly tinged with blood, resembling the discharge from the bowels in some cases of dysentery.' It is worthy of remark that these, beginnings of disease were not always accompanied with external signs or symptoms of disorder. When of considerable standing, however, these appearances were occa- sionally observed to be attended with sympathetic ' an uneasy sensation and tenderness effects- at the pit of the stomach, and some dizziness and dimness and yellowness of vision on stooping down and rising again,' also, with a brown coat upon the tongue, and a slight sallowness of the coun- tenance. ' Improper indulgence in eating and drinking,' says Dr. Beaumoht, 'has been the most Spiritof wine common precursor of these diseased produces these conditions of the coats of the stomach. The free use of ardent spirits, wine, beer, or any intoxicating liquor, when continued for some days, has invariably produced these morbid changes.' In evidence of the directly poisonous influence of alcoholic drinks upon the constitution, is the fact, that men long accustomed to their daily use may be taken off suddenly and en- Men may tirely from them, not only without im- deniy1"" pairing the health, but with a certainty of im- proving it. In the summer of 1829, Mr. Powers, S* 3Q CONDITION OF THE SYSTEM agent and keeper of the Penitentiary at Auburn, libumPris- N. Y. declared, that during several on. years' residence in that institution, he had never known an individual whose health had not been benefited by the total abstraction of spirit and every other stimulant drink and nar- cotic from his diet. This testimony is very im- portant, inasmuch as a large proportion of the whole number of convicts when admitted to that establishment are drinkers of alcoholic liquors, from tippling to beastly drunkenness. ' These drinkers,' said Mr. P. are generally very uneasy and nervous, and sometimes greatly distressed for ten or fifteen days after being put upon water as their exclusive beverage; but after that period they have a good appetite, increase in flesh, and become healthy.' A considerable number are annually received and discharged; the average number remaining in the penitentiary, was six hundred. I have never seen so large a congrega- tion of men so healthy looking as these convicts, when they came into the chapel on Sabbath morning to hear a sermon from their chaplain. Some of these men were sixty years old when ad- mitted, and were confirmed drunkards. The evidence furnished by all our state prisons, where similar discipline is practised, is of the same cha- racter. A wealthy farmer in Sullivan county, New Hampshire, had been in the habit of drinking spirit for a number of years, and during the hay- ing season he often used it freely. With more than ordinary activity of mind and a vigorous bodily constitution, he attained the age of seven- IN HEALTH OR DISEASE. 31 ty-five years; much broken down case of p and decayed however, under occa- farmer- sional attacks of gout, which he called rheuma- tism. At this period he broke off suddenly and wholly from the use of spirit; and within two years, that is, at the age of seventy-seven, he was so much recruited as to appear several years younger, and he assured me that in the last two haying seasons he had accomplished more person- al labor than in any other two haying seasons for the last ten or twelve years. He expressed him- self in the most decisive and energetic manner when remarking upon the effects, in his own case, of total abstinence from spirituous drinks; he had not only not been injured, but had been an un- speakable gainer by the change. This case, and others like it, show the^ futility of the opinion that it is unsafe for. persons of -any age suddenly to break the habit of spirit drinking, and that those advanced in life should either not attempt to discontinue it, or should do it in the most cautious and gradual manner. The truth is, that the ef- fects, whether immediate or remote, of alcohol, whenever they are so distinct as to be estimated, are always those of an unnatural; unhealthy, or poisonous agent; and soon after the daily poison is withdrawn, the vital powers, relieved from their oppression, rally, the organs act with more freedom and regularity, and the whole machinery of life exhibits something like a renovation. Spirit has been erroneously supposed to afford a protective influence against the effects of severe cold. A sea captain of Boston, Massachusetts, in- formed me that in a memorable cold Friday in the 32 CONDITION OF THE SYSTEM year 1816, he was on a homeward protection a- passage off our coast not far from the gainst coid. ktitude of Boston. Much ice made upon the ship, and every person on board was more or less frozen, excepting two individuals, and they were the only two who drank no spirit. 'In 1619, the crew of a Danish ship of sixty men, well supplied with provisions and ardent spirit, attempted to pass the winter in Hudson's bay; but fifty-eight of them died before spring. An English crew of twenty-two men, however, destitute of ardent spirit and obliged to be almost constantly exposed to the cold, wintered in the same bay, and only two of them died. Eight En- glishmen did the same in like circumstances, and all returned to England. And four Russians, left without spirit or provisions in Spitzburgen, lived there six years and afterwards returned home.' Facts of this nature might be multiplied to any extent. So far, also, from guarding the animal fabric Againstheat. against the depressing and irritating effects of heat, spirit tends to produce inflamma- tory diseases. A distinguished medical officer, Marshall, who was subjected to great exertion and exposure in a tropical climate, observes, < I have always found that the strongest liquors'were the most enervating; and this in whatever quantity they were consumed : for the daily use of spirits is an evil which retains its pernicious character through all its gradations; indulged in at all it can produce nothing better than a diluted or mi- tigated kind of mischief.' IN HEALTH OR DISEASE. 33 Those ships' crews who now visit hot and sick- ly climates without spirit, have an average of sick- ness and mortality strikingly less than those who continue the use of it as formerly. ' The Brig Globe, Captain Moore,' says the anniversary Re- port of the Pennsylvania Temperance Society for 1831, 'has lately returned from a voyage to the Pacific Ocean. She had on board a crew of ten persons, and was absent nearly eighteen months. She was, during the voyage, in almost all the climates of the world; had not one person sick on board, and brought the crew all back orderly and obedient. All these advantages Captain Moore attributes, in a great measure, to the absence of spirituous liquors. There was not one drop used in all that time; indeed there was none on board the vessel.' To a place among preventives of disease, spirit- uous drinks can present but the most gpirit as a pre. feeble claims. If, under occasional ventive of dis- drinking during the period of alco- holic excitement, a temporary resistance may be given to those morbid influences which bring acute disease, be it occasional or epidemic, that excite- ment, by the immutable laws of vital action, is necessarily followed by a state of relaxation, de- pression, or collapse, in which the power of resist- ance is weakened, and this too in proportion to the previous excitement. In order therefore to obtai» from alcoholic stimulus any thing like a protec- tive influence against the exciting causes of disease, the exposure to these causes must be periodical, precisely corresponding with the stage of artificial excitation. If, however, such accuracy of adjust- 34 CONDITION OF THE SYSTEM ment between the powers of vital resistance arti- ficially excited, and the unhealthy agencies which tend to produce disease be wholly impracticable, then the danger must be increased by resorting under any circumstances to spirit as a preserva- tive ; and if not, other articles would do as well. The best protection against disease is derived from a natural, healthy, unfluctuating state of vital action, sustained by plain articles of nutriment taken at regular intervals, uninfluenced by any innutritious stimulus which operates upon the whole nervous power. The habitual drinking of ardent spirit creates a multitude of chronic or subacute organic irritations and derangements, upon which acute disease is most easily, nay, often necessarily ingrafted; hence tiplers and drunk- ards, exposed to the exciting causes of inflamma- tory, epidemic, and contagious diseases, are liable to an attack, and when attacked, having the vital powers unnecessarily wasted, they die in larger numbers. These results are witnessed in epide- mic pleurisies, lung fevers, the severe forms of influenza, pestilential fevers, and cholera. Most appalling evidence is afforded by the his- choiera. • tory of this last disease of the perni- cious influence of intoxicating liquors in preparino- the human constitution for its attack. In India, Ramohun Fingee, a native physician, declares that in India. ' people who do not take spirits or opi- um do not catch the disorder, even when they are with those who have it.' In the army under the command of the Marquis of Hastings in India, consisting of eighteen thousand men, more than half of the men died in the first twelve days ; the IN HEALTH OR"DISEASE. 35 free use of intoxicating liquors in a hot climate will assist in explaining this extraordinary mor- tality. In China, according to Dr. Reiche,' the disease selected its victims from among such of the people as live in tilth and intemperance.' China. Mr. Huber, who saw 2160 perish in twenty- five days in one town in Russia, says, * It is a most remarkable- circumstance, that Russia. persons given to drinking have been swept away like flies. In Tiflis, containing 20,000 inhabi- tants, every drunkard has fallen! all are dead— not one remains? A physician of Warsaw says, 'that the disease spared all those who led regular lives, and resided in healthy situations ; whereas they whose consti- tutions had been broken down by ex- Poland. cess and dissipation, were invariably attacked. Out of one hundred individuals destroyed by cho- lera, it was proved that ninety had been addicted to the free use of ardent spirits.' In Paris, of the 30,000 persons destroyed by cholera, it is said that a great propor- France. tion were intemperate or profligate. It has been computed that ' five-sixths of all who have fallen by this disease in England. England, were taken from the ranks of the intern' perateand dissolute.' Dr. Rhinelander, who visited Montreal during the prevalence of cholera there in the Montreal. summer of 1832, says, • that the victims of the disease are the intemperate—it invariably cuts them off.' In that city, after there had been twelve hundred cases of the malady, a Montreal journal 36 CONDITION OF THE SYSTEM states, that * not a drunkard who has been attacked has recovered, and almost all the victims have been at least moderate drinkers.' Dr. Sewall of Washington city, while on a visit to the cholera hospitals in the city of New York, the same season, writes to a friend, that' of 204 cases of cholera in the Park Hospital, there were New York, only six temperate persons, and that those had recovered, while 122 of the others. when he wrote, had died;' and that the facts were 'similar in all the other hospitals.' In Albany, the same season, cholera prevailed for several weeks, attended with a severe mor- tality ; and it is a remarkable fact, that during its Albany. whole period it is not known that more than two individuals, out of the five thousand members of Temperance Societies in that city, became its victims. Water is the natural and proper drink of man. Indeed it is the grand beverage of organized na- ture. It enters largely into the composition of the water, the na- blood, and juices of animals and plants, turai beverage. forms an important ihgredient in their organized structures, and bears a fixed and unal- terable relation to their whole vital economy. It was the only beverage of the human family in their primeval state. In that garden, where grew ' every tree pleasant to the sight and good for food,' producing all the richness and variety of < fruit and flower' which an omnipotent and all-bountiful Creator could adapt to the relish of his senses, and the evi.rencies of his ent.re organization, it cannot for a moment be doubted that man was in a condition the best IN HEALTH OR DISEASE. 37 suited to secure to him the uninterrupted, as well as the highest aftd best exercise and enjoyment, of his physical, mental, and moral powers. His drink was water. A river flowed from Paradise. From the moment that river began to ' water the garden/till the present, no human invention has equalled this simple beverage; and all the attempts to improve it by the admixture of other substances, whether alcoholic, narcotic, or aromatic, have not only failed, but have served to deteriorate or poi- son it, and render it less healthful and safe. Water is as well adapted to man's natural ap- petite, as to the physical wants of his Water ad A organs. A natural thirst, and the to man's appe- pleasure derived from its gratification, were given us to secure to the vital machinery the supply of liquid necessary to its healthy move- ments. When this natural thirst occurs, no drink tastes so good, and in truth none is so good as wa- ter; none possesses adaptations so exact to the vital necessities of the organs. So long as a fresh supply of liquid is not needed, so long there is not the least relish for water; it offers no temptation, while its addition to the circulating fluids would be useless, or hurtful. This topic has been most ably discussed by Dr. Oliver, as follows:—' The waste of the fluid parts of our bodies requires the use of drink Dr. Oliver. to repair it, and we derive a sensible gratification from quenching our thirst. What use do we make of this fact? Why, to try if we cannot find something that we shall take pleasure in drinking, whether we are thirsty or not; and in this search mankind have been remarkably successful. To 4 38 CONDITION OF THE SYSTEM such a degree indeed have we succeeded in vary- ing avA increasing a pleasure which was designed by nature merely as an incentive to quench our thirst, that to quench thirst is become one of the last things that people drink for. It is seldom indeed that people in health have any natural thirst, except perhaps after exercise, or labor in a hot day. Under all other circumstances; we anti- cipate the sensation by drinking before it comes on, so as but seldom to enjoy the natural and healthful gratification of drinking because we are thirsty. Who has not observed the extreme satis- faction which children derive from quenching their thirst with pure water, and who that has perverted his appetite for drink, by stimulating his palate with bitter beer, sour cider, rum and water, and other brewages of human invention, but would be a gainer even on the score of mere animal gratifi- cation, without any reference to health, if he could bring back his vitiated taste to the simple relish of nature. Children drink because thev are dry. Grown people drink, whether dry or not, because they have discovered a way of making drinkino- pleasant. Children drink water because this is a beverage of Nature's own brewing, which she has made for the purpose of quenching a natural thirst. Grown people drink any thing but water, because this fluid is intended to quench only a natural thirst, and natural thirst is a thing which they sel- dom feel. 'One of the evils, though not the only or the greatest one, of perverting the natural appetite of thirst, is, that it leaves us without a guide to direct us when we need drink, and when we do IN HEALTH OR DISEASE. 39 not. There is no danger, it is true, that this want will mislead us into drinking too little; the dan- ger is, that we shall be betrayed into drinking too much, i. e. when nature does not require it; and such no doubt is frequently the case. If a man is fond of some particular drink (and most people I believe have their favorite liquor,) he will be tempted to take it when he does nqt really need it. This consideration points out the wisdom of na- ture in providing for us a beverage which has no- thing to tempt us to drink, except when we are really thirsty. At all other times, water is either perfectly indifferent!, or it is disagreeable to us; but when we labor under thirst, i. e., when nature requires drink, nothing is so delicious to a pure, unadulterated taste. While we adhere to this simple beverage we shall be sure to have an uner- ring prompter to remind us when we really require drink; and we shall be in no danger of being- tempted to drink when nature requires- it not. But the moment we depart from pure water, we lose this inestimable guide, and are left, riot to the real instincts of nature, but to an artificial taste in deciding on actions intimately connected with health and long life. What is more common than for a man to take a glass of beer, or cider, or wine, or rum and water, not because he is thirsty, and really needs drink, but because opportunity makes it convenient, and he thinks it will taste well. And this is true, not only of fermented or dis- tilled .liquors which are directly injurious in ottier modes, but in a less degeee of any addition made to pure water to make it more palatable. Let me not be misunderstood. I am far from insinuating 40 CONDITION OF THE SYSTEM that lemonade, soda water, and milk and water, are hurtful drinks. Far'froinit. But I say, that in using even these mild and healthful beverages we lose one important advantage we should derive from the use of pure water alone. If they are more palatable to us than water (and otherwise we should have no motive to use them,) we shall be tempted to take them oftener, and in greater quantities than is required by nature, and may thus unconsciously do ourselves an injury. It is rare for a person to drink a glass of water when he is not thirsty, merely for the pleasure of drink- ing ; and as thirst is the natural guide, if he drinks when not thirsty, he takes more fluid than nature points out as proper; and so far violates one of her obvious laws. But it may be asked if any in- jury can result from drinking more than nature absolutely requires. Not perhaps in particular instances, but the habit of drinking more may undoubtedly be injurious. It is a sufficient an- swer to all these questions to say that our Creator knows best. Under the guidance of the instincts he has implanted in us we are safe. But as soon as we leave these, and place ourselves under the direction of our own educated appetites, we are constantly liable to be led into danger. It is cer- tainly hurtful to drink habitually more than was intended by nature, because it imposes upon the constitution the task of removing the excess- or else it is retained in the system, and there may leafl to dropsy, or some other of the consequences of plethora, or redundance of fluids in the sys- tem.' Dr.Cullen, formerly a distinguished professor ' IN HEALTH OR DISEASE. 41 of Medicine at Edinburgh, after speak- Dr. Cuiien. ing of the general use of water, both by man and the brute creation, remarks,—' Simple water is, without any addition, the proper drink of mankind.' Dr. Gregory, the successor of Cullen, in his Conspectus Medicinae Theoretical, Dr. Gregory. says, that * pure spring water, when fresh and cold, is the most wholesome drink, and the most grate- ful to those who are thirsty, whether they be sick or well; it quenches thirst, cools the body, dilutes, and thereby obtunds acrimony—often promotes sweat, expels noxious matters, resists putrefac- tion, aids digestion, and, in fine, strengthens the stomach.' Dr. James Johnson, an eminent physician now residing in London, remarks upon Dr. j. Joim- water as follows: ' There can be no son- question that water is the best and the only drink which nature has designed for man; and there is as little doubt but that every person might, gradu- ally, or even pretty quickly, accustom himself to this aqueous beverage. The water drinker glides tranquilly through life without much exhilaration, or depression, and escapes many diseases to which he would otherwise be subject. The wine drinker experiences short but vivid periods of rapture, and long intervals of gloom; he is also more sub- ject to disease. The balance of enjoyment then, turns decidedly in favor of the water drinker, leaving out his temporal prosperity and future an- ticipations ; and the nearer we keep to his regi- men, the happier we shall be.' How congenial is this fluid to the human organi- zation, adapted as it is to its necessities under 4* 42 CONDITION OF THE SYSTEM every variety of constitution, and vicissitude of climate, from the equator to the arctic circles. Dr. Mitchel, in reference to facts already quoted,, and others like them, respecting ships' crews win- tering in icy regions, says, ' that in all the frequent attempts to sustain the intense cold of winter in Dr. Mitchei. the arctic regions, particularly in Hud- son's Bay, Greenland, and Spitzbergen, those crews or companies which had been well supplied with provisions and liquors, and enabled thereby to indulge in indolence and free drinking, have generally perished; while at the same time the greatest number of survivors have been uniformly found among those who were accidentally thrown upon the inhospitable shores, destitute of food and spirituous liquors, compelled to maintain an inces- sant struggle against the rigors of the climate in procuring food, and obliged to use water alone as drink.' In hot climates, too, water is the only safe drink. Dr. Moseiy. Dr. Mosely, on tropical diseases, uses the following language: * I aver, from my own knowledge and custom, as well as from the cus- tom and observations of others, that those who drink nothing but water, or make it their principal drink, are but little affected by the climate, and can undergo the greatest fatigue without incon- venience.' The Arabs of the desert are among the most Arabs. hardy of the human race, enduring the greatest fatigue and exposure under a burning sun, and their habitual drink is water. The effects of water drinking in a burning cli- mate are well marked in the following account IN HEALTH OR DISEASE. 43 given by Mr., afterwards Sir James M'Gregor, of the march in Egypt of a division of the British army sent from Hindostan to aid the main army in opposing the French under Napo- sh-j. M'Gre- leon. ' After crossing the Great De- e« in Egypt. sert in July 1801, from a difficulty in procuring carriage, no ardent spirit was issued to the troops in upper Egypt. At this time there was much duty of fatigue,which, for want of followers, was done by the soldiers themselves; the other duties were severe upon them; they were frequently ex- ercised, and were much in the sun ; the heat wa,s excessive: in the soldiers' tents in the middle of the day the mercury in the thermometer of Fah- renheit stood at from 114 degrees to 118 degrees, but at no time was the Indian army so healthy.' Dr. Johnson, from whom an opinion Remarksand on the superiority of water to wine as ^se by Dr. , 1111 • Johnson. a beverage has already been given, remarks, in his Tropical Hygiene, that' it might appear very reasonable that in a climate where ennui reigns triumphant, and an unaccountable languor pervades both mind and body, we should cheer our drooping spirits with the mirth-stirring bowl; a precept which Hafiz has repeatedly en- joined. But Hafiz, though an excellent poet, and, like his predecessor, Homer, a votary of Bacchus, was not much of a physician; and without doubt his 'liquid ruby,' as he calls it, is one of the worst of all prescriptions for a * pensive heart.' I re- member a gentleman at Prince of Wales' Island, (Mr. S.) some years ago, who was remarkable for his convivial talents, and flow of spirits. The first time I happened to be in a large company 44 CONDITION OF THE SYSTEM with him, I attributed his animation and hilarity to the wine, and expected to see them flag, as is usual, when the first effects of the bottle were past off; but I was surprised to find them main- tain a uniform level, after many younger heroes had bowed to the rosy god. I now contrived to get near him and enter into a conversation, when he disclosed the secret, by assuring me he had drunk nothing but water for many years in India: that in consequence his health was excellent—his spirits free—his mental faculties unclouded, al- though far advanced on time's list; in short, that he could conscientiously recommend the ' antedi- luvian' beverage, as he termed it, to every one that sojourned in a tropical climate.'* Facts and opinions, corresponding with the foregoing, from physicians and others, might be cited to a much greater extent, but it is deemed unnecessary. Not only at the present day, but Eminent Pny- in times gone bJ» and even far back Bicians in ditie- up to the remote periods of regular rent ages com- ,. . . ... ouuu mend water medicine, eminent physicians have asadrink. commended water as the best, or as * Hon. J. S. Bucking-ham, Esq., member of Parliament, says, that < the finest and strongest men he ever saw in his life, were a tribe residing upon the Himalaya mountains They came to Calcutta as Athletae, to show their skill iri wrestling, boxing, throwing the quoit, and other athletic exercises; they were pitted against British grenadiers and sailors, the strongest that could be found ; the result was that one of them was a match for any three, and yet these men never tasted any drink stronger than milk or water from their infancy upwards. He had himself traveled from Diarbekir to Bagdad, a distance of eight hundred miles, on horseback in ten days, with the thermometer ranging from 100 at sunrise, to 125 or 130 degrees in the IN HEALTH OR DISEASE. 45 the only proper and healthful beverage for man. Among them may be mentioned Parr, Cheyne, Arbuthnot, Sydenham, Haller, Stahl, Van Swie- ten, Boerhaave, Hoffmann, and even Celsus, Galen, and Hippocrates. These were like so many me- teors shooting here and there amid the darkness which for ages hung over men's minds; but upon this darkness a broad light has at length broken, which, it is believed, is a sure presage of ' perfect day.' The experiment has been made on a large scale, and many thousands of witnesses in our country may now be referred to for an opinion furnished by their own personal experience, on the effects of water as the habitual and only drink. Multitudes of farmers, mechanics, manufacturers, sea-faring, and professional men, give their voice in its favor.* afternoon, without drinking any thing but water, and he was as fresh and as strong at the end of his journey as when he set out.' * ' More than 1000 American vessels are now afloat on the ocean in which ardent spirit is not used.'—Annual Report of the American Temperance Society. May, 1834. Of 186 whaling vessels belonging to New Bedford, Massachusetts, 168 furnish no spirits for their crews; and the uniform opinion of the owners and captains of these, as well as of merchant vessels in different ports, as fur- nished to the executive committee of the New York State Temperance Society is, that the use of intoxicating drinks for sea-faring riven in any climate, and under any circum- stances, are not necessary, but injurious ; and they assert that observation and experience prove that sailors are more healthy, more orderly, and perform their duty alto- gether better without these liquors. Vide ' Testimony of American merchants and sea captains.'—American Quar- terly Temperance Magazine for August, 1834. So fully impressed are commercial men with the belief 46 CONDITION OF THE SYSTEM As a vehicle for medicinal agents, alcohol has held a distinguished place. An ex- Alcoholas a . » r . vehicle for me- tensive list or tinctures, or spirituous (hemes. infusions of vegetable articles, and of alcoholic solutions of mineral substances, is still found in our dispensatories. In a highly scientific work of this kind, lately published in this coun- try, there are given the methods of preparing about one hundred and fifty tinctures ! Vegetable to- The tonic barks, and roots, and nics- woods, impart more or less their me- dicinal properties to distilled spirit; and thus im- parted, these properties are preserved for a con- siderable length of time. Of these preparations, however, it may be observed, that the spirit often that disasters at sea are very often connected with the use of intoxicating drinks, that an insurance company in Bos- ton, and more recently all the marine insurance compa- nies in New York, in all amounting to ten, have engaged to return five per cent, on the premium of every vessel navigated without spirit.% «At a meeting of the board of underwriters, held at the office of the American Insurance Company, in the city of New York, on the second of October, 1834, it was _ Resolved, That the different marine insurance compa- nies in the city of New York will allow a deduction of five per cent, on the net premiums which may be taken after this date on all vessels, and on vessels together with their outfits, ,f on whaling and sealing voyages, termi- natmg without loss, provided the master ami mate'make affidavit, after the termmation of the risk,, that no ardent spirits had been drunk on board the vessel by the officers and crew during the voyage or term for which the vessel or outfits were insured. Walter R. Jones, Secrecy of^Wd ' **"**"*• Novlmbetrm" ^^ TemI— Magazine for IN HEALTH OR DISEASE. 4.7 so modifies the impression made upon the stomach, brain, or blood vessels, as to prevent their being given in doses sufficient for the objects intended. This is the case in certain forms of gastric and intestinal irritation, accompanied with an unna- tural irritability, not only of the ganglionic nerves, but of those belonging to the cerebro-spinal sys- tem. Cases not unfrequently occur where the decoction or watery infusion of the Peruvian bark is altogether preferable to the tincture; and per- haps there is never a case in which some prepara- tion of quinia, as the sulphate for example, is not decidedly better for the patient than any alcoholic infusion of the bark. The spirituous preparations of opi- Opium. um are in many, if not in all cases, inferior to the black drop. The stomach has been known, in a state of great irritability after excessive vomit- ing, to retain the black drop, or one of the salts of morphia, when the tincture of opium was per- severingly rejected. In those cases of excessive irritability of the stomach, accompanied with spasms of For external its muscular coat, and also that of the aPPlication- intestines, in which external anodyne applications are indicated, the warm black drop upon the ab- domen, or the (dry) acetate of morphia applied to a blistered surface, is altogether more efficient than the tincture of opium. I have. repeatedly witnessed a much happier effect from the simple acetous solution of opium locally applied, than from the spirituous solutions, in relieving the ago- nizing pain of phlegmasia dolens. The medicinal quatities of the tonic and nar- 48 CONDITION OF THE SYSTEM • vi re- C0^C vegetables may be preserved parationBofve; without decay in the form of the ele- ones Vefera- gant preparations, which owe their ?tuousthe sp'r existence to the perfection in chemical processes invented in our own times; and these preparations may be employed without alcoholic or any other admixtures which would serve to modify or impair their effects. The ma- teria medica then would sustain no loss if alcohol were wholly given up as a vehicle for these classes of medicines. The same is true of its combina- tion with the active principle of the Spanish fly. This article yields to water and to vinegar its active properties. A strong vinegar of flies is a be'tter vesicant than the alcoholic infusion; and the chemical extract named cantharidin unites readily with oil as a vehicle, and in this form may be most conveniently employed for the purpose of making a blister. The essential oils, the balsams, and the resins, Essential oils, may unite" with, or become diffused in balsams, kc. water by tfae aid Qf sugar ^ ^ arable, or by the admixture of ammonia, where this can be done without too far modifying their medicinal effects. Emulsions These mixtures, called emulsions, admit of the medicinal article being taken at any requisite degree of dilution. They are ereatly to be preferred to the alcoholic solutions? inas- much as these last are precipitated in the form of a white or brown cloud, or in a mass of small globules the moment they are thrown into water, and are thus less equably diffused in the water than when combined with it through the medium IN HEALTH OR DISEASE. ' 49 of sugar, or some other suitable arti- camphor. cle. Camphor may be very effectually commi- nuted and diffused in water by rubbing it with calcined magnesia, and adding .water slowly.* This is a more uniform mixture, and more con- venient for internal exhibition, than can be made by mixing the spirituous solution with water. The emulsions then of these articles, as medi- cines to be taken into the stomach, are decidedly preferable to the alcoholic solutions, or tinctures as they are called. If an attempt be made to swallow these tinctures without diluting them, they are not only found too pungent, or acrid, but they are at once precipitated by the fluids of the mouth and throat; and when the tincture of guai- acum or of tolu is taken, the resinous matter is at once spread out upon the surface of the tongue and mouth in the form of an adhesive coating or varnish, which is dislodged with difficulty. As a remedy itself, in various forms of disease alcoholic stimulus has long been re- Alcohol as a garded with high consideration. In medlcine- the slight departures from the equable healthy living actions of the body, marked by exhaustion from fatigue, loss of blood, hunger, thirst, and exposure to great heat or cold, which approach the state of syncope or fainting:, some in slight de- ,., /.., ... t " partures from kind ot intoxicating liquor is gene- healthy action. rally resorted to as if it were the only remedy; but in some of these states this kind of stimulus is not quite safe, and in none of them is it abso- lutely necessary. ' * 'Camphor is soluble in strong acetic acid.'—Tur- ner's Chemistry. 5 50 CONDITION OF THE SYSTEM A draught of bland liquid, as simple water, or sweetened water, or milk and water, or cocoa, or various sub- some other simple nutritious sub- stitutes, stance, as some liquid farinaceous pre- paration, or the pulpy or juicy part of fruits; or the tea of some aromatic herb ; or a drop or two of one of the essential oils, as those of the mint tribe, dif- fused in water by the aid of sugar, or a small dose of carbonate of ammonia; or simple ammonia well diluted with water—taken, one or more of them, at a temperature suited to the state of the stomach and of the circulation, and repeated at proper intervals, will accomplish every good purpose of alcoholic stimulants, and in most cases with less exposure of some of the functions to undue or dangerous excitation. In the prostration, for ex- ample, occasioned by long exposure to cold, the introduction of a stimulus so exciting and uncon- genial as distilled spirit into the stomach, makes an impression upon its nerves too strong and un- natural, and a transition from a state of languor and exhaustion to that of activity, too sudden to comport with an economical expenditure of the vital power, tending to create a predisposition to some form of disease, if not speedily to excite it.* in a fainting In a complete syncope, or fainting fit- fit, cold water dashed upon the head * Captain Harding gives his own experience as follows. «In answer to your eighth question I say, that when I was in the habit of using ardent spirits when wet and fatigued at sea, on going below to refresh and shift myself, I thought a little toddy was absolutely necessary to prevent taking cold; but now that I am more than fifty years old, I can get wet, cold, and fatigued, go below and put on dry clothes, and, if thirsty, take a drink of water, and IN HEALTH OR DISEASE. 51 and face; ammonia, or some essential oil, or both, passed into the nostrils, or into the mouth and throat, will do more than any preparation of alco- hol, towards a speedy and effectual resuscitation. Ammonia and the essential oils exert an agency different in kind from that made by alcohol. If in a sense they are diffusible, their impressions bring readily transmitted from one part to another, they are not intoxicating. They seem to stimu- late the brain only indirectly, perhaps through the medium of a slightly increased action of the bloodvessels, causing like muscular exertion a brisker motion of the blood in the brain ; but they do not make the same apparently direct, unna- tural, poisonous, bewildering, and exhausting im- pression upon the whole power of the brain and nerves as that which is derived from alcoholic stimulus. In dyspepsia the alcoholic treatment is now for- tunately almost universally abandoned. Dyspepsia. Experience has at length taught physicians that the irritations, chronic or subacute, of the lining mem- brane of the alimentary canal, the capricious ex- citements of the nervous system, and the slight but obstinate deviations from the healthy standard in the circulation, may be more easily and per- manently controlled, under the influence of a plain diet, suitable clothing, bathing, frictions, ex- feel no inconvenience whatever; so that in this case I answer from actual experience. Samuel Hatidixg, master, ship Romulus, of Brunswick, Me.' Vide Letter to Mr. Delavan, American Quarterly Tem- perance Magazine for August, 1834. 52 CONDITION OF THE SYSTEM ercise in the open air, proper hours for sleep, and a light and agreeable occupation of the mind, than under the use of any kind of intoxicating drink, in any manner administered. Scrofula. In strumous constitutions, and un- der the local developments of scrofula, ardent spirit was formerly employed. But who, at this day, would think of placing it in competition with the preparations of iodine, employed at the hospi- tal of St. Louis in Paris, and in other places, joined with proper diet, bathing, frictions, exer- cise, air, &c. ? In the whole range of nervous diseases alcohol, Nervous dis- in any shape, is entitled to but very eases. limited confidence. It seems to be incapable of doing any thing better than to cause a transient alleviation, while its ultimate effects are pernicious; with the exception perhaps of that state of the brain and nerves exemplified in trau- matic tetanus, which requires a narcotic influence. For this purpose the combinations of morphia, either internally given, or externally applied, especially to a blistered surface, are* to be pre- ferred. A tonic or sustaining power in the treat- ment of this disorder may better be derived from the judicious use, in addition to the morphia,of some vegetable tonic, as-the sulphate of quinia, joined perhaps with carbonate of ammonia, than from spirituous drinks'. In inflammations, whether deep-seated or su- innamma- perficial, the vascular and nervous a ™tations "equally observed to be increased by the use of alcoholic liquors some- times a soothing effect is seen to follow the appli- IN HEALTH OR DISEASE. 53 cation of spirit to an inflamed part. But how is this accomplished, if the internal exhibition of it be pernicious ? Without much doubt, by the great abstraction of morbid heat caused by the rapid evaporation of the spirit from the inflamed part, and by its anodyne or stupifying influence which is ultimately exerted upon the irritated nerves, unremittingly drenched in it by its persevering application. The brain, at the same time, and the nerves not directly involved in the inflammation, receive but a slight impulse from the spirit so cir- cumscribed in its application ; the morbid impres- sion they may receive from the medicine being more than compensated for by the diminution of local heat and irritation. But all the anodyne effects of spirit in such cases, as well as that by which heat is abstracted, may be had from other agents. Watery infusion of opium, or the solution of the salts of morphia, or a poultice of-the petals of the poppy, and as a lotion to cool the part, simple water will accom- plish every good object that can be obtained from the spirit. Besides, the persevering local use of alcohol appears to enfeeble, as it might be expected to do, the vital powers of the part, while water may be applied for any length of time required by the inflammation, widiout an undue local ex- haustion of vitality. In a case of simple fracture of the leg of a boy, several years ago, in which common spirit diluted with water was locally employed for two or three weeks, there was in five weeks so slight a union of the fracture that a very small force broke it down. This effect seemed fairly to be attributable, chiefly 5* 54 CONDITION OF THE SYSTEM at least,to the influence of the spirit, in part over and above what resulted from the escape of heat by evaporation; especially as the limb was so covered as to prevent the sensation of cold, the fragments were kept in undisturbed contact, and the general health was pretty good. A consider- able number of surgeons at the present day prefer simple water to every other lotion for the purpose of moderating excessive excitement in local in- flammation. In the treatment of gangrene, intoxicating drinks Gangrene or bear no comparison with opium or the mortificauon. saits 0f morphia, carbonate of ammo- nia, and sulphate of quinia. To the morbid conditions of the system in fe- Fevera. vers, alcohol, as a remedial agent, is far from being well -adapted. It bears no com- parison with the sulphate of quinia as an article intermittent suited to break up the morbid associa- and remittent. tions in intermittent and remittent fevers after suitable evacuations. In the apyrexia, or remission of the paroxysm continued, of continued fever, there are probably but few physicians in our country wno have seen a large febrile practice during the last twenty-five years, who have not had occasion to reoret its un- favorable effects. Under the stimulant practice, trains of morbid symptoms are often aggravated, new centres of irritation established, and which, if not sufficient to destroy the patient, prolong the period of the fever, and frequently cause relapses or a lingering and interrupted convalescence. In the occasional states of depression occurring in continued fever, those internal stimulants should IN HEALTH OR DISEASE. 55 be preferred, if any be used, which exhaust the nervous power less than the intoxicating articles. In this connexion may be named the carbonate of ammonia, camphor, and some of the essential oils. In the collapse and prostration of Cholera. cholera the spirit practice is now very generally acknowledged to have been unfortunate. Indeed it would have been remarkable if an article which so strongly predisposes to this disease as alcoholic stimulus should have proved to be its best remedy. The evidence of the mischievous effects of spir- ituous drinks in cholera is too generally diffused to require its being introduced here in a formal manner. Ice, cold water, or even ice in small bits, swallowed at short intervals, may be more relied on for allaying the deadly nau- Tn d bi]it' sea of cholera than any form of in- after acute dis- toxicating liquor. For the purpose of restoring the strength in the debility which fol- lows acute disease, is alcohol necessary ? If the fever or inflammation have been early treated with the proper evacuants, and the pro- gress duly watched, and local determinations pre- vented or obviated, the debility which remains on the subsidence of the disease is easily removed The patient may be greatly reduced in strength, but when free from disease, his convalescence is rapid under the most simple treatment. But when the stimulant plan has been perseveringly pursued with a view to remove the disease, or the debility subsequent to it, how often if the constitution can resist the action both of the disease and the me- dicines, is the patient observed to linger for weeks, and perhaps months, before his health is re-esta- 56 CONDITION OF THE SYSTEM blished ; and how often is he subjected to some new form of disease, either subacute or chronic, or perhaps both in succession ; a cough, or difficult breathing from bronchial or thoracic irritation or effusion, an enfeebled and irregular action of the alimentive organs, a swollen limb, &c. In illus- tration of these remarks, the following sketches of actual cases are given, the facts of which may be fully relied on. Dr. R., set. twenty-five, possessing a good con- stitution, had, in February 1806, a severe typhus Cases. fever which showed symptoms of crisis on the twentieth day. He took, early in the dis- ease, purgative doses containing calomel, and afterwards small doses at short intervals of the same article, which in ten or twelve days occa- sioned a slight soreness of the mouth; soon after this, aphthae being observed in the throat, bark and wine were prescribed. The bark however was soon omitted on account of the great distress it seemed to have occasioned at the pit of the stomach, but the wine was continued. In three or four days after the symptoms of crisis were observed, a cough arose which was very trouble- some for about a week, but as it subsided a swel- ling attended with pain and heat seized the whole left lower limb. In six weeks from the attack of the fever the patient began by the aid of a staff to hobble out of his chamber. The swelling of the limb, however, although bandaging was employed for several weeks, was never wholly removed; and from that day to the present, upwards of twenty-seven years, the leg has exhibited a vari- cose state of its superficial veins, and the whole IN HEALTH OR DISEASE. 57 limb including the foot has been larger and less vigorous than the other, proving that its organiza- tion was permanently affected. Before the fever, and until after the crisis, this limb was, in the estimation of the patient, as sound in every re- spect as the other. If in this case the processes of nature had not been interfered with by an un- natural excitation of the nerves and bloodvessels, is it probable that any form of local disease would have shown itself simply as the effect of the fever ? One result, rather inconvenient to the patient as he has often remarked, of the use of wine during his convalescence was the acquisition of a strong relish for that beverage which he had never before felt, and which at various periods since it has re- quired some effort properly to control. 'Mr. F., set. eighteen, tall, and of fair com- plexion, having I believe always enjoyed good health, was attacked with continued fever in au- tumn. He was bled repeatedly, and took purga- tives and antimonials. At the end of the second week it was thought that he would bear tonics- Mild articles were resorted to, and continued about a week. The symptoms remaining nearly the same, sulphate of quinia and wine were pre- scribed. In a few days he had cough and difficult breathing, with symptoms of effusion in the chest. Auscultation readily detected a fluid in the right cavity. Blisters and diuretics with active cathar- tics were now employed. He was soon relieved, and in about a week his symptoms were very much as when he began to take the wine and quinia, excepting that the debility was greater. Wine and the sulphate of quinia were again given, and 58 CONDITION OF THE SYSTEM soon the same train of symptoms appeared as be- fore, with an effusion of fluid ,in the left cavity of the chest. Under the use of diuretics and blisters, these symptoms were removed. A third time the wine and quinia were resorted to, and the result was a swelling of one of the lower limbs with heat and pain, resembling some- what the appearances in phlegmasia dolens. All tonics and stimulants were now laid aside, and at a time when he was unable to turn himself in bed. A mild diet was now prescribed, together with ablutions and frictions; and he very gradually and uniformly recovered, so as to have acquired a tolerable degree of health in about four months. In the course of the treatment, valerian, car- bonate of soda, carbonate of ammonia, camphor, serpentaria, and sulphuric acid, were employed. We varied the combination of the medicines a great many times ; a measure which seemed to be rendered necessary by the sickness at stomach which invariably followed each combination in a day or two. At the time when he rejected stimu- lants, and in fact all medicines, he could retain articles of food.' Mr. H., a?t. twenty-five, of a fine constitution, had remittent fever. In one full day of his sick- ness, that is in twenty-four hours, he took three pints of brandy, and in addition, a small pill of opium every two hours, besides a small dose of sulphate of quinia at the same interval through the night. Spirit was taken freely for several days, although the quantity, as well as that of the opium and quinia, cannot be vouched for. Two years after this sickness the patient had not re- IN HEALTH OR DISEASE. 59 covered his health, but was still feeble, with im- paired digestion, and swollen limbs. There is probably no case in which pure wine would not answer as good a purpose as ardent spirit; especially if the acidity of stomach rarely attending its use should be corrected by some alkaline article; and there is one ground of pre- ference due to wine, if the use of any sort of in- toxicating liquor be insisted upon, nantely, that it is probably rather less liable to establish the habit of intemperate drinking than distilled spirit. But there are agents of higher importance than alcohol or fermented liquors, which may safely be employed to sustain the sinking powers in fevers. and to restore the lost strength after they have subsided. Of these, the first to be named is Air a tonic. pure air. ' I believe,' says Mr. James in his valu- able work on inflammation, ' there is no poison more injurious than foul air—no restorative more effectual than pure air; and it runs no risk of dis- ordering the digestive organs, as bark often does, or stimulating the vessels too much, like wine.' The restorative powers of the blood depend on its purity, and the purity of this fluid cannot be secured without pure air; hence the absolute necessity of the most strict and persevering atten- tion to ventilation and cleanliness. Another agent is water. This is the Water. proper beverage when a beverage is needed. Nothing is so grateful in the thirst of fever, and nothing so good; and its febrifuge, Appued «o as well as tonic or invigorating power, tt>o surface of judiciously applied to the surface of 60 CONDITION OF THE SYSTEM the body is most striking. Either pure, or im- pregnated with soap, or saline substances, it may be used by way of affusion, ablution, or sponging, at a temperature warm, cool, or cold, according to circumstances. The successful use of cold water by Dr. Currie applied to the body in fevers is well known. Dr. r. Jack- Dr. Robert Jackson, speaking of the son's remarks. fever3 0f Jamaica, says, that ' after obviating particular symptoms of a fatal tendency, it was the principal indication to support the gene- ral powers of life, or to excite the tone and vigor of the system.' For this purpose he mentions ' cold bathing' as ' the most important remedy in the cure of the fevers of the West Indies.' For the purpose of removing the prostration and lan- guor accompanying a form of fever prone to attack foreigners arriving in hot climates, he observes, that' the principal trust was placed in warm and cold bathing, which under proper management seldom failed of answering every expectation com- pletely, or of speedily removing the chief symp- toms of danger.' This gentleman was in the habit of frequently impregnating the water strongly with common salt. Often have I witnessed in fits of distressing prostration, joined sometimes with great irrita- bility of the nerves, both during and after the subsidence of the severity of acute disease, a far more refreshing and invigorating effect from sponging the head,* body, and limbs with simple water, or weak warm soap-suds, followed by gen- tle friction, than from any doses of spirit, wine, • The hair having been previously sheared ofF. IN HEALTH OR DISEASE. 61 or porter, I have ever seen administered. It is a striking remark of the celebrated Hoffman, that if there be in nature a universal remedy, that remedy is waters' Among the means of restoring the strength, one of great value is exercise, especially in the open air. Indeed there seems to be no adequate sub- stitute for this remedy. Who has not felt its in- vigorating effects? Dr. Jackson, already quoted, observed the most happy effects in the restoration of the bodily powers reduced by yellow fever, from his patients when too weak to raise their heads, being carried out daily in carts or wagons. Passive exercise in the sick chamber, /or the je- moval from it to an adjoining room on a truckle- bed or chair, may be made very useful to the sick patient, when his strength is too much reduced to admit of his being carried abroad. In addition to the common articles of plain, unstimulating food, may be mentioned as an im- portant restorative agent, fresh, ripe fruit. This, especially if acidulo-saccharine and juicy, often presents to the'stomach precisely the stimulus it craves, and may be borne when spirit and wine cannot be taken without disturbing the circulation. The man who shall invent a cheap and easy me- thod of preserving without decay the well ripened, juicy, and pulpy fruits, will be entitled to the thanks of succeeding generations. Could the grape, instead of being manufactured into wine, be carried fresh and distributed freely in distant countries, in place of the intoxicating liquor with which it now supplies them, an unspeakable 62 CONDITION OF THE SVSTEM amount of health and comfort would result to the human family. With prescribed attention to ventilation, clean- liness, ablutions, and frictions, plain, nourishing food, including often fresh fruits, joined with early and persevering exercise, I have known patients to recover with a rapidity greater than I remember to have observed from any use vvhat- ever of intoxicating drinks and narcotics. Under a more perfect acquaintance with the functions of life, and with the influences exerted upon it by remedial agents, may it not be hoped that the period will arrive when not only ardent spirit, but all intoxicating liquors, will be regarded as not absolutely necessary in the practice of physic or surgery ? It may perhaps be worth re- marking, that throughout the wide-spread king- Alcohol never doms of animal and vegetable nature, getabieCor0aiai- not a particle of alcohol in any form mai secretion. or combination whatever has been found as the effect of a single living process, but that it arises only out of the decay, the dissolu- tion, and the wreck of organized matter, or of its ever varied and wonderful productions; and is it probable that the beneficent author of such a count- less multitude of medicinal agents as exist in the products of vital action, would have left, to be generated among the results of destructive che- mistry, an article essential to the successful treat- ment even of a single disease ? objects of The profession of medicine has an the medical extensive scope. It looks into the profession. , , c • , i • . . structure ot animal machinery, it in- vestigates the laws of its vital movements, both IN HEALTH OR -DISEASE. 63 in health and disease, and contemplates a variety of influences by which its complicated processes are accelerated, retarded, >suspended, or de- stroyed. It learns, that to the functions of life belongs a standard rate of action, beyond which they cannot be safely excited or driven ; that al- coholic and narcotic stimulants derange and con- fuse the healthy movements, exhaust the vital power more than nature intended, and induce premature decay, and dissolution. This profes- sion claims the strictest alliance with the cause of humanity; it cherishes good will, and proffers substantial blessings to men. It extends its hand not only to the exhausted, bed-ridden patient, and to the tottering and dejected invalid, but even to the healthy man, to save him from the pain and suffering which ignorance, or custom, or reckless- ness might bring upon him. Let physicians then be true to their profession. Let them study the duties they owe to the com- munities with whom they live and labor. Let them teach the means of preserving health, as well as of combating disease; let them show, as it is in their power to do, that the taking of medicine in health in order to prevent disease is most absurd and mischievous; that the surest guarantee of health is a correct rep-imen, and that the best treat- ment of acute disease is often very simple. Let them explain, as far as practicable to those around them, the mechanism of their physical or- ganization, and when it can be done,'knife in hand,' the work will be easy. Let them expound, so far as known, the beautiful and harmonious hiws enstamped upon this organization, by which 64 CONDITION OF THE SYSTEM its complicated movements and diversified pheno- mena are sustained; laws as immutable in their nature, and inflexible in their operation, as those that hold the planetary system together; and like them originating in the same incomprehensible and mighty mind, which, acting in the strength of its own philanthropy and unchangeableness, gave to man a moral code from amidst the smoke and thunders of Sinai. No law coining from this high source can be violated with impunity; and he who infringes a law of the vital economy, receives, in an injury done to the machinery of life, the pe- nalty of his transgression with no less certainty than he who leaps from a tower heedless of gra- vitation. With all its given power of accommo- dation to circumstances, no possible training or education of this machinery can change the nature of its primitiye adaptations, and make an article congenial and healthful, which was originally repulsive and noxious. No human ingenuity or perseverance can render impure air as wholesome as that which is pure, or any form of intoxicating liquor as healthful as water. So long as alcohol retains a place among sick patients, so long there will be drunkards; and who would undertake to estimate the amount of responsibility assumed by that physician who pre- scribes to the enfeebled, dyspeptic patient the daily internal use of spirit, while at the same time he knows that this simple prescription may ultimately ruin his health, make him a vagabond, shorten his life, and cut him off from the hope of heaven. Time was when it was used only as a medicine, and who will dare to offer a guaranty IN HEALTH OR DISEASE. 65 that it shall not again overspread the world with disease and death ? Ardent spirit—already under sentence of pub- lic condemnation, and with the prospect of under- going an entire exclusion from the social circle, and the domestic fire-side—still lingers in the sick chamber, the companion and pretended friend of its suffering: inmates. It rests with medical men to say how long this unalterable, unrelenting foe of the human race shall remain secure in this sa- cred, but usurped retreat. They have the power, and theirs is the duty to perform the mighty ex- orcism. Let the united effort soon be made, and the fiend be thrust forth from this strong but un- natural alliance and companionship with men, and cast into that' outer darkness' which lies beyond the precincts of human suffering and human enjoyment. 6* C1 AN ESSAY ORIGIN AND INTRODUCTION INTO MEDICAL PRACTICE, &c. &c, ARDENT SPIRITS Pallor et genie, pendulae oculorum ulcera, tremulee manus, furialea jomni, inquies noctuma.—Pliny. / By HARVEY LINDSLY, M. D. ""H, The author of the following Essay has deviated somewhat from the plan contained in the original advertisement of the Prize Committee. But he has omitted nothing referred to by them ; and his object in' embracing more, was to form a work which, while it would answer the purpose intended by the Committee, might also serve as a book of medical reference for the whole subject of intem- perance. 69 ■ CONTENTS. CHAPTER I—page 75. Distillation not known by the ancients, nor in the time of our Saviour—Strength of the wine increased by the. addition of various articles. Pliny ignorant of any stronger liquor than wine—Dioscorides collected essential oil on the fleece of a sheep—'Galen speaks of distillation per de- scensum—Saracens made great advances in the arts—> Description of mode of distillation used by Geber—Disco- very of Alcohol generally attributed to European alchy mists—By some referred to the Chinese—This idea unsup- ported by facts, and improbable—Alcohol discovered about 1050 or 1100. CHAPTER II—p. 19. Introduction into Medical Practice. Used extensively immediately after its discovery— Brandy did not come into general use until towards the end of the fifteenth century—Spirit of wine first used in the composition of medicines in the thirteenth century- Hungary water, why so called, and recipe for making it—■ Aqua vitse early introduced intfl Ireland—Considerable article of commerce in the reign of Queen Elizabeth—■' Held in much higher estimation when first known 'thanf afterwards. •> 72 CONTENTS. CHAPTER III.—p. 106. General Observations. Intemperance has prevailed from the earliest periods- Various inebriating drinks known to the ancients besides wine—Intemperance very prevalent at Rome during the latter part of its history—The reverse the fact during the early ages—Wine forbidden to females—Drunkenness less prevalent in southern than northern latitudes—Savage nations particularly intemperate. CHAPTER IV.—p. 114. Immediate Effects of Ardent Spirits on the Physical Con- stitution. Various phenomena observable after excessive drink- ing—During the paroxysm of drunkenness the body ex- ceedingly insensible to external impressions—Ardent spirits, when taken upon an empty stomach, intoxicate sooner than when that organ is full, &c. CHAPTER V.—p. 119. Remote Effects of Ardent Spirits on the Physical Con- stitution. , Question whether alcohol is absorbed or not— I opinions—His view of the subject not adopted by m< writers—Effects of Ardent Spirits on the Stomach, Liver, Brain-Ophthalmia, Gout, Corpulency, Epilepsy, Hyste :, —Perspiration altered—Ulcers—Gutta Rosacea—Change of Temperament—Tremors—Mania-a-potu—Melancholy —Madness—Premature old age. CHAPTER VI.—p. 138. Effects of Intemperance on the Moral Character. The temper is rendered fretful—The drunkard r u f CONTENTS. 7.3 less of right and wrong—Disregards the happiness of others—Has a contempt of the good opinion of the world —Forms idle and profligate habits. CHAPTER VII.—p. 143 Intellectual Evils of Intemperance. AH the intellectual powers injured by intemperance, CHAPTER VIII.—p. 147. Effects of Alcohol influenced by the Intoxicating Article. Theories respecting the existence of alcohol in differ,- ent wines—Extract from Paris's Pharmacologia—Brande's table of the alcoholic strength of liquors—Brandy said to be the worst form in which it can be taken—Peculiar properties of ardent spirits—Of wine—Of malt liquors, CHAPTER IX.—p. 157. Spontaneous Combustion of Drunkards. Disbelieved by some—Cases related—Cause of this phenomenon—Ascribed by some to sulphuretted hydro* gen. CHAPTER X-—p. 160. Do Alcoholic Stimulants Contribute to Strength ? Lord Bacon's remark—Debility can be removed by two methods, one gradual, the other rapid—Which of these modes is to be preferred ?—Great labors performed by the Greek and Roman armies—Styjnulants may be ben?- ficial in disease, although detrimental in health, 7 74 CONTENTS. CHAPTER XI.—p. 167 Causes of Intemperance. Very numerous—Force of Custom—Parents giving it to children—Alcoholic medicines—Idleness. CHAPTER XII.—p. 174. Method of Curing the Habit of Drunkenness. Exceedingly difficult—But not impossible to reform the drunkard—Perfectly safe for him to break off at once—Several authorities on this point, Rush, Sir Anthony Carlisle, and Cheyne—Useless to employ force—Various articles used to disgust the drunkard with his drink—Tar- tar emetic contained in most of these—Chambers' medi- cine—A feeling of opposition sometimes effectual for this purpose—Sickness also. CHAPTER XIII.—p. 183. Substitutes for Ardent Spirits in the Practice of Medicine. Medical use of these articles frequently produces in- temperance—Cases in which ardent spirits are supposed to be beneficial or necessary—Other articles of the mate- ria medica amply sufficient as substitutes—Duty of the medical profession in relation to this subject. • ESSAY, &c. CHAPTER I. Origin of Ardent Spirits. We shall perhaps be as unsuccessful as those who have preceded us, in the attempt to ascertain the precise period of the discovery of alcohol. But although we may not succeed in the main object of our pursuit, yet it will not be uninteresting to collect what is known in relation to this subject; and to trace the gradual steps by which the pro- cess of distillation has advanced from the rude manner in which it was practised by its first in- ventors to the present perfect and convenient mode. Much discussion has taken place among histo- rians and antiquaries on the question whether dis- tillation was known at all by the ancients. Some contending that it was practised before and during the time of our Saviour, and others that it was discovered by the alchymists as late as the eighth century. 76 ORIGIN OF We have every reason to suppose that it was entirely unknown to the sacred writers of the old Testament, as no mention of it is airy where to be found among them : and we cannot doubt that it would have been referred to had any such pro-- cess been in vogue during the period at which these works were written. It has been asserted by some that the use of the still was partially known in our Lord's time, as, say they, he alluded to the distillation of herbs for medicinal purposes, when he employed, in Matthew vi. SO, the word ;twC*iw, speaking of die grass of the field ' which today is, and tomorrow is cast into the oven,' or according to others it should be translated • into the still.' But this idea seems rather fan- ciful, as there is nothing in any other author to corroborate it.* The most ancient physicians, whose writings have descended to us, seem entirely ignorant of the mode of extracting any of the essential oils by steam or vapor. In the works of Hippocrates, who flourished 400 years before the Christian era, not a single word can be found which would in- duce us to think that an alembic or retort had been used by him for medicinal or any other pur^ poses. Although the ancients were thus ignorant of the mode of obtaining by distillation a liquor of a Stronger intoxicating power than their wines, yet they contrived to add somewhat to the strength of the latter by other means. In order to increase the inebriating effect of wine, as well as to im^ * Morewood's Essr.y, p. 11. ARDENT SPIRITS. 77 prove its flavor (ut odor vino contingat, et saporis quaedam acumina), it was not unusual to sprinkle pounded pitch* or resin on the must, or to infuse the flowers of the vine, the leaves of the pine or cypress, bruised myrtle berries, the shavings of cedar-wood, southern-wood, bitter almonds, and a great variety of other articles. Indeed, from the great attention which was paid to this subject by the ancients, from the skill displayed in the evaporation of must as well as on account of the extensive scale in which it was carried on, it seems surprising that they had not discovered the mode of extracting brandy by distillation. Salt, and occasionally even honey, were an- ciently employed for the purpose of preserving dead bodies. Pharnaces placed the dead body of his father Mithridates in salt brine in order to send it to Pompey.t Eunapius also in the fifth century speaks of the heads of martyrs being pre- served in salt,J and we are told by Sigebert, who died in 1113, that even then the same process was employed with the body of St. Guibert, that it might be kept during a journey in summer.§ We may suppose from this circumstance that spirit of wine or alcohol was not known, or at least was not in common use as late as the beginning of the twelfth century, for had it been it would no doubt have been used for this purpose instead of salt. * Henderson on Wines—London, 1824—p. 44. fSalis natura, corpora adstringans, siccans, alligans: defuncta etiam a putrescendo vindicans, ut durent ita per wcula.—Plin. lib. 31. cap. 9. t Eunapius in Aedesio. § Sigebertus in Acta Sancti Guiberti, cap. 6. 78 . 0RIC.IN OF Pliny the elder, who was nearly cotemporary with our Saviour, seems entirely ignorant of any stronger liquor than that produced by fermenta- tion. He mentions a variety of drinks used in Egypt, and also in France and Spain, which were made from grain steeped in water, and were dis- tinguished by the names zythum, ccelia, ceria, ceris vinum, curmis cervisia, &c, which seem to be equivalent to our ale or beer.* No little discus- sion has arisen as to his precise meaning, when after enumerating these beverages he says, ' Heu, mira vitiorum solertia ! inventum, est quemadmo- dum aqua quoque inebriaret'—' Alas, the surpri- sing skill of vice! it was discovered that water also might be made to intoxicate.'! Some authors assert that Pliny here obviously refers to a liquor obtained by distillation,! and the passage uncon- nected with what precedes it, would certainly seem to justify such an inference; but when con- sidered in connexion with the context, it evidently refers to the intoxicating quality acquired by the water during the fermenting process. He also speaks of a mode of obtaining artificial quicksil- ver by distillation. The apparatus employed consisted of two earthen pots, and an iron pan, but he does not mention its application to the ex- traction of the juices of vegetable matter, if we * Plin. b. xiv. chap. 22. f Plin. b, xiv. sec. 29. * This idea is adopted by Murphy in his translation of Tacitus.—' Pliny the elder,' says he,' observes that the Egyptians had their intoxicating liquors distilled from grain, which they produced in great abundance— De Moribus German, v, iv. p. 26. ARDENT SPIRITS. 79 except his account of the manner in which oil was obtained from pitch in book xv., ch. 7—the vapor arising from the boiling pitch was collected on fleeces of wool spread over the pots, and after- wards extracted from them by expression.' As no other mode of distillation is mentioned by Pliny, we can reasonably infer that this imperfect process was all that was known of the art in his daj\ Although the Arabian word alembic, which means a vessel for distillation, is derived from the Greek (*^t/2/|), yet it does not follow that this latter people made the same use of it as the Arabians did.* And indeed it seems probable that they hardly knew as much about distillation as the Ro- mans ; for Dioscorides, who was cotemporary with Pliny, and physician to Cleopatra, collected essential oil on the fleeces of a sheep, which seems a conclusive proof that he knew of no other mode of distilling. One hundred and thirty years subsequent to this lived the celebrated Galen of Pergamus, who wrote many works on medical and philosophical subjects. He speaks of distillation per descensum, but it is generally supposed that he meant nothing more by this than what regarded the melting of metals. It is thought by some that St. Paul in Romans xii. 20. alluded metaphorically to this practice, which is thus expressed by the poet,—- « So artists melt the sullen ore of lead By heaping coals of fire upon its head— In the kind warmth the metals learn to glow, And pure from dross the silver runs below.' • Le Clerc's Histoire de Medecine, p. 641. 80 ORIGIN OF In the same way Caligula, according to Pliny,* endeavored to collect gold from orpiment, a mine- ral substance found in various parts of the world. In the reign of Dioclesian who succeeded Nu- merian in the year 287, according to some au- thors, the Egyptians had carried their speculations in chemistry so far as to induce that emperor to publish an edict for the suppression of all the an- cient books that treated of the art of making gold and silver, fearing lest the power and wealth of the Egyptians should excite them to rebel against his authority.! This account however is rejected by De Pauvv, and some other authors, as entirely fabulous. But still it would appear from a commentary oil the second book of Aristotle's Meteors, written by Olympiodorus, a peripatetic philosopher who flourished under the second Thodosius in the ear- lier part of the fifth century, that distillation was not then known in a state at all more advanced than it was 400 years before: for he says, that * sailors, when they labor under a scarcity of fresh water at sea, boil the sea-water, and suspend large sponges from the mouth of a brazen vessel to im- bibe what is evaporated, and in drawing this off from the sponges they find it to be sweet water.'} This, although a probable, is not a positive proof that a more perfect process of distillation was not known at that time. Olaus Borrichius, the learned Danish professor, has exhibited in his * Hermetis et Egyptiorum Sa- • Plin. b. 33. c. 4. fLe Clerc Histoir. de Med., p. 770. $ More wood, p. 25. ARDENT SPIRITS. 81 pientia/ some figures of a distilling apparatus, Which are said to be contained in the works of Zosimus the Panoplite, who lived at the close of the fourth century or the beginning of the fifth. According to some authors, this Zosimus was the first who used the word ' Chemia,' which in the Arabic signifies concealment, and from which Boerhaave and others have derived the word che- mistry.* Le Clerc however quotes a remark of Joseph Scaliger, in which he says Julius Firmicus Maternus, who lived at the beginning of the fourth century, is the most ancient of all authors now extant, who have used the word alchemy or che- mistry.t While chemistry however was making slow but gradual and regular advances toward a higher degree of usefulness, an event occurred which did more to retard the progress of letters than almost any other recorded in history. During the sixth century the Saracens, at that time a rude and bar- barous race, besieged and captured Alexandria, and with reckless ferocity committed to the flames the splendid and extensive library which it had been the pride and glory of the Ptolemies to col- lect. Thus were destroyed more than 700,000 volumes, comprising the most valuable works of •Histoir. de Medecin., p. 770, f Some authors say that the word chemistry is of Egyp- tian origin, as that nation was the first who cultivated the science. Those who maintain this opinion, as Olaus Bor- richius, found it upon the fact that there are now various papers of Hermes on chemistry to be found in some of the European Cabinets. They derive the term from Cham, the name which the ancient Egyptians gave to Egypt in their own language. 82 ORIGIN OF which the world could then boast. But this in- genious and enterprising people soon made amends for the devastation they had committed: tor, as their conquests made them more extensively ac- quainted with other nations, they acquire a taste for literature and science, and become inventors and cultivators of a new art which was destined in after ages to confer innumerable benefits on the world, and to illustrate with new force and power the intellectual greatness of the human mind. Alchemy and medicine became the favorite pur- suits of this hitherto barbarous people. Their works on these subjects are very numerous, and they did more than all the Grecian writers to in- crease the powers of the medical art, and extend the boundaries of science. Many of the Caliphs themselves made great progress in the learning of the day. Almamur, in particular, who ascended the Moslem throne in the 198th year of the Hegira (813th of the Chris- tian era), was much distinguished for his profi- ciency in various branches of science. He devoted large sums of money to the purchase of books from every quarter, and employed the most learned men to translate them; and encouraged by his own patronage and example the study of science and literature to the greatest possible extent. Among the earliest of their eminent physicians, whose names have descended to us, are Isac Is- raelite, adopted son of Salomon, king of Arabia, Serapion, and Avenzoar. The first of these, ac- cording to the calculation of Rene Moreau,* * De missione sanguinis in pleuritide. ARDENT SPIRITS. 83 flourished in the seventh century, and the second about the year 762. To these followed Geber, an Arabian prince, who was eminently proficient in the knowledge of alchemy, and lived according to the generally received opinion in the seventh century.* His works contain some interesting directions as to the mode of conducting distilla- tions ; and in one of his works he has given much curious matter relative to the nature and formation of aqua fortis, as well as of acids and salts in general. And this renders more probable the story that is told of Almokanna the veiled pro- phet, that when in danger of being taken by the troops under the command of Almohdis' general, in the year 780, to avoid falling into the hands of his enemies, he threw himself into a vessel of aqua fortis, a preparation which could not be ob- tained but by distillation. In Morewood's essay is contained a translation of the twelfth chapter of the second book of Geber's ' Liber Investigation is Magisterii.' ' Distillation,' says he, ' is the raising of aque- sus vapor in any vessel in which it is placed. There are various modes of distillation. Some- * Much discussion has taken place as to the age in which Geber flourished. Some authors contending that he lived in the seventh century—others in the eighth, and others making him as late as the ninth. But the weight of authority seems to be in favor of the opinion stated in the text. Geber signifies king, which perhaps accounts for his being called king of India ; and in another place king of Arabia. Some say he was nephew to Mahomet. His works are written in Arabic, and were presented in manuscript by Golius to the University of Leyden. 84 ORIGIN OF times it is performed by means of fire, sometimes without it. By means of fire the vapor either ascends into a vessel, or descends: such as when oil is extracted from vegetables. The object of distillation is to free liquors from drugs, and to preserve them fresh: since every thing distilled possesses greater purity, and is less liable to pu- trescency. The object of distillation by a still is to get water free from earthy substances, by which both medicines and spirits are injured. The motive for distilling by a filtre is to obtain pure water. There are two modes of distilling by fire : the one is performed in an earthen vessel full of coals or embers : the other with water in a vessel, with herbs on wool, arranged in order lest the cucurbit or still be burst before it is completed. The first is conducted by a strong, the latter by a gentle, and equal fire. Thus it happens that the heavy and grosser parts are raised by the first means, whilst by the latter we obtain a more subtile spirit, approaching nearly to the nature of com- mon water. It is well known that when we distil oil by embers, we obtain oil without any altera- tion : but when we distil oil by means of water, we obtain fair and clear oil from what appeared excessively red at first. By means of water then we must proceed with every vegetable and thing of the same nature to ascertain the elementary parts. By the descensive mode must we proceed with every kind of oil. The arrangement of that which is performed by embers is this: take a strong earthen pot and fit it to a furnace of the same shape as that which is used for sublimation; ARDENT SPIRITS. 85 around its bottom let sifted embers be placed, and covered with them up to the neck: then put in the substance to be distilled : finally let the cucurbit, or receiving vessel, be attached and luted to the neck of the still, that nothing may escape. Let the still and receiver be of glass, and increase the fire as circumstances may require, until the whole is distilled. The second mode is like the first both in vessel and still, but different in requiring a brazen or an iron pot fitted to the furnace as the former, and then upon the bottom of the pot must be placed two or three inches of herbs or wool to prevent the receiver from being broken, and let the receiver be covered with the same herbs in something similar up to the neck of the still, and upon these herbs let flexible twigs be strewed, and on them let heavy stones be placed that may com- press the still, receiver, and herbs, to prevent the contents from rising, which would break the ves- ■ sel, and destroy the distillation. Fill the pot with water, and apply the fire until the operation is completed. The arrangement of that which is performed by descent is this: take a glass vessel having a proper descent, with a lid which must be luted, to the descending vessel: put in what is to be distilled, and place the fire upon the lid. The arrangement of that which is performed by filtre is this : place what is to be distilled in a hollow stone, and let the broad part of the filtre be well washed, and water be placed in the hollow part: let the slender part project over the edge of the stone, under Which let a vessel be placed to re- ceive the filtered substance. If not pure at first, put it back until sufficiently pure. N. B. At first 8 86 ORIGIN OF it will send over only the water with which it was moistened—then the liquor to be distilled.'* It is obvious from this extract, and from other remains of the writings of Geber, that the process of distillation had attained no inconsiderable degree of perfection even at that early period, and that the mode of conducting pharmaceutical pre- parations was also much advanced. We may also infer that distillation must have been known before the time of Geber, as he does not speak of the invention of any process, but merely describes the mode then in use. At the period in which he flourished, a love of science and literature had been extensively dif- fused, and continued to keep pace with the con- quests of the caliphs, whose empire now extended from the gulf of Persia and the borders of Tar- tary to the mediterranean and Indian seas, and from the isthmus of Suez to the Atlantic Ocean. The collection of books and curiosities at Bag- dad alone was such as would do honor to the proud- est and most literary capitol of modern Europe, even in the present age of scientific taste and research. The fondness for extensive libraries was carried to such a pitch, that we read of a physi- cian who declined the invitation of the Sultan of Bochara to reside at his court because the carriage of his books alone would require four hundred camels. Cairo in Egypt contained a library of 100,000 volumes handsomely copied and bound; and these rich and abundant treasures of know- * The figures in the print will give a good idea of part of the apparatus employed by Geber. ARDENT SPIRITS. 87 Tertius Distill. Modus. Quartus Distill. Modus. Ignis. Coopertorium W. jfjf Baculi. 83 88 ORIGIN OF ledge were liberally thrown open for the use of students and learned men who resorted to that city from various parts of the world. In Spain too, the most ample opportunities existed for the promotion of science, and the advancement of the arts; for there the caliphs had collected 600,000 volumes in one library—forty-four of which were employed in the mere catalogue.* While the means of acquiring information and knowledge were so abundant, and so accessible by • The splendor and wealth of the caliphs of the East, as well as those of Spain, were quite equal to the munifi- cence with which they patronised literature and learned men. Besides all that he expended on his numerous wars, and splendid buildings, the Sultan Almanzor left behind him a treasure amounting to £30,000,000 sterling. His son Mahadi, in a single pilgrimage to Mecca, expended 6,000,000 of dinars of gold; and at the nuptials of his grandson Almamon, one thousand pearls of the largest size were showered on the head of the bride. His palace was adorned with 38,000 pieces of tapestry, 12,500 of which were of silk, embroidered with gold. A hundred lions were exhibited with a keeper to each lion. Among other objects of show and splendor was a tree of gold and silver spreading into eighteen large branches, on which and on the small boughs sat a variety of birds which, as well as the leaves of the trees, were made of the same costly materials. The birds sang melodious notes, while the branches and leaves moved in harmony, as if impelled by the winds of heaven. The vizier of a Sultan expended two hundred thousand pieces of gold In founding a college at Bagdad, and endowed it with an annual revenue of 15,000 dinars. Six thousand pupils were here instructed of every grade, from the highest noble to the lowest mechanic: indigent scholars were sup- ported out of the public funds; and the professors and teachers were rewarded by handsome salaries.__See Morewood's Essay—Gibbon's decline and fall of the Ro- man Empire—Murphy's Spain, &c. &c. ARDENT SPIRITS. 89 all, we need not be surprised that important dis- coveries in science, and great improvements in the arts were made by the Saracens. And in fact we cannot doubt for a moment that this people, in some respects at least, excelled all who had pre- ceded them: and although we have to regret that so much of their skill and ingenuity was wasted in the vain and frivolous pursuits of alchemy— in endeavoring to find the philosopher's stone, and to discover an elixir of life, yet the science of chemistry may almost be said to have owed its origin to them. They in all probability invented and named the alembic for the purposes of dis- tillation—they analyzed the subtances of the three kingdoms of nature: discovered the three mineral acids—distinguished the vegetable and mineral alkalies from each other—and though perhaps a knowledge of gunpowder* was derived from the East, yet they greatly improved its mode of pre- paration, and found out new ways of employing ' * It is a singular fact that the two agents (alcohol and gunpowder) which have perhaps proved more destruc- tive of human life than any others should, with respect to the period of their origin, be involved in the same mys- terious darkness, and yet should, so far at least as we can ascertain, have been invented about the same time. Gun- powder seems to have become known first in Europe in the thirteenth century. Albertus Magnus, and Roger Bacon, who died in 1*278, are the first who mention it. Beckman (vol. 4, p. 525) in his learned and interesting work, thinks it probable that it was invented in India, and brought by the Saracens to Europe; while other authors contend that it was invented by the Chinese, and that its use among that ancient and singular people was coeval with their most ancient historic records*—Du Halde, Bar- row, Morewood, &c, 8* 90 ORIGIN OF it in war. It is also certain that the Arabian physicians introduced many new medicines into practice, such as (among others) manna, senna, rheubarb, cassia, &c. They also used sugar more extensively than had hitherto been done—honey having been employed by their predecessors in- stead of it. It is said to have been known to the Greeks, but, according to Le Clerc, it was of a different kind from that now in use. The disco- very of sugar enabled the Arabians to make use of many preparations unknown to the Greeks, as syrups, julaps, &c. According to Sorsannus, the disciple and biogra- pher of Avicenna, the latter, who was born at Assera near Bochara A. D. 980, and who wrote a work on alchemy, makes no mention of any chemical medicines in any of his works which have descended to us except rose water; and it is pro- bable that this article was obtained by distillation, because Mesue mentions the same thing, and expressly distinguishes that which was made by distillation, from that which was obtained by simple infusion of roses in common water. The author of the book entitled * Liber Servitoris' is not con tent with mentioning rose water, but also teaches the manner of making it, and describes the furnaces and vessels employed in its distillation. He adds that the manner of making this water was extensively known in his time. ' Aqua rosa- rum operatio scita est apud multas gentes.' As no mention of any chemical medicine occurs in the writings of preceding physicians, and as these, viz., Avicenna and Mesue are the first who have spoken of any medicines of this kind, it ARDENT SPIRITS. ^~I seems proper to fix upon the age of Avicenna* as the earliest period at which this class of remedies was introduced into medical use. It is possible, to be sure, that these remedies, some of them at least, had been discovered before this time by al- chemists, and perhaps been used by a small num- ber of curious physicians who had profited by their labor. But as we can find no trace or vestige of them in the works of Galen, who lived in the second century, nor in those of Aetius, Oribasus, or other Greek physicians who lived in the fourth century, although they have described a great va- riety of medicaments; nor in the writings of the first Arabian physicians, which were composed in the seventh century, we may safely infer that che- mical preparations prepared by distillation were not then known, or used ; and of course alcoholt among the number. Although the discovery of alcohol has been almostuniversally ascribed to European alchemists of the middle ages, there are not wanting respecta- ble authorities^ who contend that it was first em- ployed in China; and they even assert that this beverage was known among the Chinese far be- yond the date of their most authentic records, or • Who was born as already mentioned in the tenth cen- ^tThe intelligent reader will not of course confound the invention of the process of distillation with the discovery of alcohol, or ardent spirit. . The former, as we have already seen, was practiced in an imperfect marnier" early as the seventh century; while the latter did not be- come known till long afterwards. * Morewood, Du Halde, Le Compte, Osbeck, Grosier, &c. &c. 92 ORIGIN OF at least long before its introduction into any other part of the world. It seems that their philoso- phers were engaged in the pursuit of the elixir of life a great while before this fancy engaged the attention of their brethren in Europe, since some of their empirics have from an early age boasted of a specific which could confer immortality on all who partook of its virtues. It is said that the pursuit of this chimera* commenced with the dis- ciples of the philosopher Lao-Kium, about 600 years before the Christian era. And these au- thors, who contend for the antiquity of civiliza- tion and science among the Chinese, assert farther that their knowledge of distillation should be re- ferred to a period as remote as this, which is greatly anterior to the time of its introduction into other parts of the world. But however this may be, they say it is certain that the process of distillation has been known there for so long a time, that the precise period of its introduction is • Hyen-Tsong, in the year of the Christian era 820, procured some of this liquor, with which it is thought his eunuchs had mixed poison, as he died immediately after drinking it, at the age of forty-three. Sween-Tsong it appears had no sooner taken it in the year 859, than he became a prey to worms which swarmed in his body, and killed him in a few days, at the age of fifty. Shi-Tsong or Ky-a-Tsing, also died of this liquor in 1556, at the age of fifty-eight. It is said of the emperor Vu-Ti, who reigned in China in the year 177 before Christ, that when about to put one of his ministers to deatli for drinking a cup of this liquor, which had been prepared for himself, he was convinced of his weakness and follv by the fol- lowing wise and sensible remonstrance of his minister. •If this drink, sir, hath made me immortal, how can von put me to death? But if you can, how does such a fri- volous theft deserve it?'—Morewood, and Du Halde. ARDENT SPIRITS. 93 lost in the lapse of ages, and that owing to the little intercourse which the Chinese have with the rest of the world, and the care and jealousy with which they exclude strangers from among them, it is very possible that this art may have existed for ages in that country without becoming known to Europeans. We must confess however that these accounts are so intermingled with fable* that very little dependance can be placed on their accuracy, and the utmost circumspection is neces- sary in receiving them. It would seem that the Jesuit missionaries, and the earlier travelers in China, were either completely deceived by the national spirit of vanity and exaggeration so remarkable in that people, or else they were wil- ling coadjutors in purposes of deception for the * The following circumstances are gravely detailed by Du Halde, and as gravely repeated by Morewood, as au- thentic history. Under the government of the emperor Yuor TaYu, 2207 years before Christ, the making of ale or wine from rice was invented by an agriculturist by the name of I-tye (who is sagely conjectured to be one of the immediate descendants of Noah), and that as the use of this liquor was likely to be attended with evil consequen- ces, the emperor expressly forbade the manufacture or drinking of it under the severest penalties. He even ► renounced it himself, and dismissed his cup-bearer, lest, as he said, the princes, his successors, might suffer them- selves to be enervated by so delicious a beverage. This however bad not the desired effect, for the people having once tasted it could never afterwards entirely abstain from the bewitching draught. It was even at a very early period carried to such excess, and consumed in such abundance, that the emperor Ky-a, the Nero of China in the year 1836 before Christ, ordered 3000 of his subjects to jump into a large lake which he had prepared, and filled with it. 94 ORIGIN OF sake of creating an interest in their narrations at home. And it is very certain that the extravagant notions formerly propagated respecting the great antiquity, the wonderful mechanical skill, and the profound scientific acquirements of the Chinese are not at all confirmed by modern, and more authentic observations. The medical skill, in particular of the Chinese, which has been so much celebrated by the Jesuits, makes a very contempti- ble figure in the descriptions of more recent travelers; and indeed seems to be elevated but a shade above the empirical practice of the Abori- ginese of our own country. Abel* says that they are entirely ignorant of anatomy, and that one of their most intelligent surgeons remarked to Mr Manning that anatomical plates would be the most valuable present which could be made to his coun- trymen. They had heard of the heart, lungs, &c, but placed them all on the wrong side of the body. Dobel remarks that they had no correct idea of the circulation of the blood: they think it flows differently on different sides of the body ; ' hence,' said one of their most learned doctors, ' a Chinese physician feels the pulse in both arms.'t On the whole then it would appear that vague and uncer- tain, and unsatisfactory as are the fragments which have been collected respecting the progress of the * Embassy to China. f The following is a specimen of the Chinese skill in medicine. ' The cheyal de mer,' a creature like a sea- horse, and about six inches long, is very useful, as it will enable a woman whose life is threatened ' accoucher sans effort.' ' II suffit de le mettre dans la main de la femme, et elle se de livrera de son fruit, avec la meme facihte qu'une brebis, dont le terme est arrivee.' ARDENT SPIRITS. 95 art of distillation in Europe during the dark ages; at least as much dependance can be placed upon them as upon those which can be gathered from the East. Inasmuch as the writings of Avicenna, or at least a considerable number of them, have descended to us, and as they contain no notice of alcohol or spirit of wine, we have good reason to believe it was unknown in his day, especially as we cannot suppose so important an article would have been overlooked by so accurate an observer and so good a chemist. It would seem that the period of the discovery of alcohol is nowhfere mentioned in any works now extant; and we can therefore only make an approximation to this period by placing it between the time of Avicenna (who was born A. D. 980), that of Thaddeus the Florentine (born A. D. 1190), who is the first author who speaks of the spirit of wine. Arnoldus de Villa Nova, a Frenchman, or accord ing to some authors a Spaniard, who flourished a few years later than the preceding authors, is the first who recommends the spirit of wine, impreg- nated with certain herbs, as a valuable remedy. He speaks at length of its virtues. He says some call it the « water of life,'' the water which confers immortality,' ' the water of gold.' < It is with reason,' he remarks ' that they call it the water of life, for it strengthens the limbs and whole body, and prolongs life.' < . He mentions also the diseases for which it is the proper remedy, either alone or when charged with the virtues of herbs, which were frequently added to it, as rosemary, sage. &c. &c. 'The 96 ORIGIN OF ARDENT SPIRITS. water of life,' he remarks, ' on account of it*1 simplicity, readily receives the impressions Of all odors, savors, and qualities.' It seems singular that the discovery of alcohol should be attributed to Arnold as has frequently been done,' since we cannot doubt that, if this had been the case, frequent reference would have been made to so interesting and important a fact in his writings, and in those of his disciple Raymond Lully. The absence of all such reference there- fore seems conclusive proof that the discovery was not made by him, but must be ascribed to an earlier period. From a consideration therefore of the whole ground, we are led irresistibly to the conclusion that the discovery of alcohol must have taken place between the age of Avicenna (A. D. 980), who does not mention it, and that of Thaddeus the Florentine (A. D. 1190), who does speak of it; and as it seems pretty well known in Arnold's time, it was no doubt brought into use sometime previous, probably as earlyt as 1050, or 1100 • Hall's distiller, &c. &c. f I am aware that this is 150 or 200 years anterior to the time at which this discovery is commonly supposed to have occurred ; but I think any one who will candidly examine the point for himself will arrive at the above conclusion. INTRODUCTION INTO MEDICAL PRACTICE. 97 CHAPTER II. Introduction into Medical Practice. There is little reason to doubt, both from the nature of the article, and the extravagant com- mendations bestowed on its qualities, that alcohol was used extensively as a remedial agent soon after its discovery. When physicians and others thought so highly of a medicine as to call it' the water of life,' ' the water which confers immor- tality,' &c. &c, we cannot suppose for a moment that they would suffer it to lie idle, but on the con- trary that it would be introduced in numberless instances to cure diseases, as well as to preserve beauty and prolong life. We have now perhaps no means of ascertain- ing at what period alcohol began to be extensively manufactured, but in all probability like other inventions it gradually extended from small be- ginnings, and moderate quantities, until in the sixteenth and seventeenth centuries* it had spread over the greater part of Europe. It was at first manufactured exclusively from spoiled wine, after- wards from the dregs ofbeer, wine, &c, and then from wheat, rye, barley, &c. Alexander Tassoni relates that the Modonese were the first in Europe who in consequence of * From a passage in the Testamentum Novissimum of Raymond Lully, who was a disciple of Arnold, and born it Majorca in 1234, we may infer that brandy was well known, even at that early period. 9 98 INTRODUCTION INTO a superabundant vintage, made considerable quan- tities of it. It was first extensively used among the German miners as an ordinary drink, and hence the demand for it soon became so great that the Venetians were induced to share wifh the Modonese the lucrative commerce to which it gave rise. It would appear however that brandy did not come into general use until the end of the fifteenth century. In the reformation of the archbishopric of Cologne, early in the sixteenth century, brandy is not mentioned among the articles which the people were prohibited from using, as it probably would have been had any serious abuses existed from its consumption. William II, Landgrave of Hesse, about the beginning of tne sixteenth century, ordered that no vender of brandy suffer it to be drunk in his house, and that no one should offer it for sale be- fore the church doors on holidays. In 1524 Philip, Landgrave of Hesse, totally prohibited the sale of burnt wine or brandy. In 1595, in the electorate of Saxony, burnt wine was expressly forbidden to be made except from wine-lees, and the dregs of beer, because it was thought an unpardonable use of grain to ap- propriate it for this purpose. In 1582 brandy was prohibited at Frankfort on the Maine, because the surgeon-barbers asserted that it was injurious in the prevailing disorders. From the same cause the prohibition was renewed in 1605. It appears from various passages in authors of the latter part of the sixteenth, and during the MEDICAL PRACTICE. 99 seventeenth centuries, that the intemperate use of alcoholic stimulants had at that early period made dreadful havoc of the health, and lives, and morals of the human race; and that then, as now, the warning voice of the philosopher, the divine, and the patriot, was raised against this destructive vice, and its dreadful consequences. A forcible writer, in a volume published in London in 1582,* remarks, 'that the Russians, Swedes, and Danes have so naturalized brandy, aqua vitas, beer, rum, &c, that they usually drink our Englishmen to death, so that the most in- genious author of the Vinetum Britannicum con- cludes that' temperance (relatively speaking) is the cardinal virtue of the English.' And in ano- ther passage—' How many instances have we had yearly of men's dying suddenly from drinking of brandy ? In short, brandy burns the hearts of his majesty's subjects out; in a few years it hath been the destruction of some thousands.'! As remarked above, we know that spiiit of wine was used for sometime after its discovery as a medical agent; although we have no means of ascertaining with precision the particular diseases it was supposed to cure, or the peculiar states of the system to which it was thought best adapted. It was likewise introduced and used in the composition of medicines not long after its dis- covery. HallJ asserts, though upon what authority * Quoted in the Harleian miscellany, vol. U2, p. 38. | It is stated, that at this time in England brandy sold at two-pence, or at most at three-pence a quartern, and rum at sixpence a quart. t Hall's distiller, preface, 100 INTRODUCTION INTO he does not inform us, that it was first used for this purpose by the Arabian physicians so late as 1333. But Hall is undoubtedly mistaken in this matter, for Zapata, an Italian physician, who wrote in the sixteenth century, says that the method of making spirit of rosemary (in which aqua vitoe is used) was known to Arnold de Villa Nova, who, as we have already seen, died in 1310. In an edition of his works with this titlepage— ' Joh.Bapt.Zapatae, medici Romani, Mirabiliaseu secreta medico-chirurgica—per Daviden Sple- issium, ulmiaj 1696—is the following passage, p. 49: * Ab Arnoldo de villa Nova, vinum rorisma- rini magnis laudibus celebatum componebatur, qui ut encomii cumulumeiadderet, de Anaxagora^ memorat, quod in Babylone degens, ex medico quodam Saraceno satis de crepito, virtutem roris- marini summis precibus percontatus, ab ipso id responsi tulerit: se nee cuiquam secretum sibi suspiciendum revelatuum,' &c. The process as employed by Arnold is very im- perfect, but still serves to show that spirit of wine was employed in the composition of medicines as early at least as 1275. A more scientific mode of manufacturing spirit of rosemary, or Hungary water, is detailed by John Prevost in a work pub- lished by his sons in 1659,* from which it appears that this more perfect process was employed by Elizabeth, Queen of Hungary (whence the name * With the following title—Selectiora remedia multi- plici usu comprobata, quae inter secreta medica jure re- censeat. Auctore Johanne Prsvotio, Rauraco, in Patav. gymnasio olim medicinae professore et horti medici prx- fecto. Libellus posthumus a Johan. Bapt. et Theob. auctoris fil. in lucem editus—12mo. MEDICAL PRACTICE. 101 of Hungary water), who died in 1380, or 1381. It.may not be uninteresting to insert the account which, although mingled somewhat with fable, according to the custom of the age, is still sup- posed to be substantially true. In page sixth the following passage occurs: ' For the gout in the hands and feet.' ' As the wonderful virtue of the remedy given below has been confirmed to me by the cases of many, I shall relate by what good fortune I happened to meet with it. In the year 1606 I saw among the books of Francis Podoca- th'er, of a noble Cyprian family, with whom I was extremely intimate, a very old breviary, which he held in very high veneration, because he said it had been presented by St. Elizabeth, Queen of Hungary, to some of his ancestors as a testimony of the friendship which subsisted between them. In the beginning of this book he showed me a remedy for the gout, written by the Queen's own hand in the following words, which I copied :— 'I, Elizabeth, Queen of Hungary, being very infirm, and much troubled with the gout, in the seventy-second year of my age, used for a year this receipt given me by an ancient hermit whom I never saw before nor since : and was not only cured, but recovered my strength, and appeared to all so remarkably beautiful, that the King of Poland asked me in marriage, he being a widower and I a widow. I however refused him for the love of my Lord Jesus Christ, from one of whose angels I believe I received the remedy.' The receipt is as follows:— Take of aqua vitae four times distilled, 3 parts, Tops and flowers of rosemary, .2 parts, v 9* 102 INTRODUCTION INTO put them together in a close vessel, let them stand: in a gentle heat fifty hours, and then distil them. Take one dram of this in the morning once every week, either in your food or drink, and let your face and the diseased limb be washed with it every morning. It renovates the strength, brightens the spirits, purifies the marrow and nerves, and preserves the sight, and prolongs life.'* According to Campion,! aqua vita? was very early introduced into Ireland, and used there in immense quantities as it has been ever since. He says (p. 13) that in his time, ' on account of the marshy and watery state of Ireland, the inhabi- tants, but particularly new comers, were very subject to rheums, distillations, and fluxes, for remedy whereof they used ordinary drink of aqua vitoe (usquebagh), so qualified in the making, that it dryeth more and inflamcth less than other hot confections.' It is also remarked by the same author, that' in haste they squeeze out the blood of raw flesh, and ask no more dressing thereto, the rest boileth in their stomachs with aqua vita?, which they swill after such a surfeit by quarts and pottles.' Speaking of a famine that occurred in 1316, he observed ' that it was caused by the sol- diers eating flesh and drinking aqua vitas in Lent; and in another place he says, that a knight named Savage, who lived in 1350, while leading an army against the Irish* gave every soldier before he * For most of the above particulars I am indebted to the history of inventions by the ingenious and learned Beckman. -j- Campion's History of Ireland. MEDICAL PRACTICE. 103 engaged with the enemy, a mighty draught of aqua vitas.'* Ledwich remarks, that for some time aqua vita? was used only as a medicine: and its operation in preserving health, dissipating humors, strength- ening the heart, curing the colic, dropsy, palsy, quartan fever, stone, and prolonging life, was firmly believed on the faith of physicians, and made it eagerly sought for. At what period, con- tinues this author, it reached Ireland is not ascer- tained. It was called aqua vita? very early in England. In Ireland it was at one period as well known by the name of buil-ceann as usquebagh.* The former application was very expressive—buil signifying madness, and ceann the head, indi- cating its infuriating effects. In 1556 an act of Parliament was passed at Drogheda against distilling aqua vita?, 'a drink nothing profitable to be daily drunken and used, now universally made throughout this realm, especially in the borders of the Irishry, whereby much corn, grain, and other things are consumed,' &c. &c. The act forbids the manufacture of it without the Lord Deputy's license, under the great seal, on pain of imprisonment, and fine of four pounds. But gentlemen of ten pounds per annum in lands for life, or inheritance, and free- men of towns' corporate, had liberty to make aqua vita?. In the reign of Queen Elizabeth aqua vita? was a considerable article of trade, but notwithstand- • See also Morewood's essay. t Our word whiskey is said to be derived from this lat-_ tar name. 104 INTRODUCTION INTO ing its great abundance, the wealthy and luxu* rious indulged extensively in the use of expensive wines. Hollinshead in his chronicle relates that the great Shane O'Neil, who was so bitter an oppo- nent to Queen Elizabeth, usually had in his cellar at Dundrun 200 tons of wine, of which as well as of usquebagh he drank copiously, and to such excess that his attendants were often obliged to bury him in the earth chin-deep until the heating effects of intoxication had subsided. From the earliest period, with the exception already mentioned, no restriction had been laid on the distillation of spirits until the year 1661, when a duty of fourpence per gallon was levied upon all the aqua vita? in the kingdom. Alcohol, as already mentioned, seems to have been held in much higher estimation as a remedial agent shortly after its discovery than at any sub- sequent period. It seems at first to have been prescribed and used as a sort of universal pana- cea, and to have been confided in as a medicine, which was to expel disease and misery, if not death, from our world. Bitter experience how- ever soon convinced mankind that its virtues had been greatly overrated; and in a short time it sunk down to the subordinate rank which it now occupies among the articles of the materia medica. We accordingly find it but seldom mentioned by authors who flourished later than the fifteenth century, and when referred to at all, it is merely as aiding in the preparation of other medicines. Riverius, who lived about the year 1600, speaks pf it occasionally as employed in the administra- tion and preparation of other remedies. Tlje MEDICAL PRACTICE. 105 following is a specimen of his prescriptions:— •Claret water,' says he, 'is made thus.'—Take of cinnamon grossly powdered two ounces: steep them in one pint of aqua vita? in a glass: in ano- ther glass put six ounces of sugar with half an ounce of rose water.' In page 256 he remarks : 'Moreover wine plentifully taken assuageth hunger according to Hippocrates, and especially the spirit of wine or aqua vita?.' ( Thos. Willis in his ' Diatriba de medicamen- torum operationibus in humano corpore,' published in 1675, in speaking of the causes of pleurisy, gays, < Hue spectant caloris et frigoris excessus, pororum constipatio subita, crapula,vini autliquo- rum ardentium potus.' He also mentions the 'potus aquarum arden- tium,' as among the causes of jaundice. 106 GENERAL OBSERVATIONS. CHAPTER III. General Observations. Habits of intemperance have no doubt been more or less prevalent from the earliest ages of the world. The first instance of intoxication of which we have any record is that of Noah ; and from the time of this ancient patriarch to the present day, a thirst for intoxicating liquors has pervaded every nation, and has been the fruitful source of poverty, wretchedness, and crime. Various inebriating drinks besides wine were known and used long before the invention of the process of distillation. The ancient Egyptians, according to Herodotus, made great use of beer extracted from barley: and in the time of Cam- bvscs, 529 years before the Christian era, the Svrians were skilled in the manufacture of palm wine. And Xenophon, in his history of the cele- brated retreat of the 10,000, remarks that the people in that part of Armenia called Curdistan, had a mode of preparing a powerful liquor from what appeared to be barley. Morewood observes that this is probably the same liquor as that called Zythem, made in some of the provinces of Asia Minor, mentioned by Diodorus Siculus more than 300 years afterwards. Tacitus speaks of ale or beer as a common drink among the Germans of his time. The liquor called arrack, which possesses a powerfully GENERAL ODSERVATIONS. 107 Intoxicating quality, is supposed to have been used in the island of Java as well as in Hindostan from time immemorial. Ale was a favorite beve- rage with the old Saxons ; and so great was their attachment to its use that they made the glory and felicity of valballa (their paradise) to consist in drinking it from the skulls of their enemies slain in battle. But the ancients were not only acquainted with a variety of intoxicating beverages, they also em- ployed them to as great an extent perhaps as the more modern nations, at least such seems to have been the fact among the Romans just before and after the decline and fall of the republic. Some remarkable instances are related by Pliny of immense quantities of wine swallowed by the drunkards of his day. Norvellius Torquatus was knighted by Tiberius Claudius with the title Of Tricongius, or the three-gallon knight, because he could drink three gallons of wine at a draught.* It is said of Caius Piso during the reign of Tibe- rius, that he would sit for two days and nights drinking almost without intermission. And we also read that the Emperor Maximilian performed still greater feats in this way, for he could carry six gallons without being guilty of a debauch.t A son of the celebrated orator Cicero, from whom better things might have been expected, was sur- named Bicongius, because he was accustomed to * Pliny, b. xiv., chap. 22. f Sinclair in his code of health says, that a Mr. Vanhorn of more modern times drank, in the course of twenty- three years, 35,688 bottles, or 59 pipes of red port: a feat equal pcrhaoa to any of hi3 predecessors. 108 GENERAL OBSERVATIONS. drink two congii or eight bottles at a sitting; and even the elder Cato allowed his slaves during the saturnalia four bottles of wine per diem. Their poets too seem to have been seized with the mania ' for drinking. Martial thus speaks of the cup— 'Regnatnocte calix, volvuntur biblia mane, cum Phoebo, Bacchus dividit imperium.' • All night I drink, and study hard all day , Bacchus and l'hocbus hold divided sway.' The ancients had the same fancy for keeping wines to a great age, which so much distinguishes our modern wine-bibbers. In Pliny's time there were some wines which were 200 years old, and which from their great excellence could not be purchased with money.* If a small quantity of this wine were mixed with others more recent, it is said they communicated an astonishing flavor. The Empress Julia Augusta often said she was indebted to the goodness of the Percine wine for living to the age of eighty-two. But although there is so much to condemn in the customs and habits of the ancients in this respect, yet we should not forget that there is also much to admire and imitate. It seems probable that the Romans were a very temperate people, for at least 600 years after the foundation of their city; for, before that period according to Pliny, wines were so scarce that the * At Bremen there is a wine cellar where five hogs- heads of Rhenish wine have been kept since 1625 'If,' says an antiquary, < a calculation be made, it will be found that the original cost (£50) at compound interest would now amount to 100,000 millions of pounds sterling • a SnOA??6 W°Uld amountto jE9°8v311, and one glass to GENERAL OBSERVATIONS. 109 libations to the gods Were made with milk. Numa, the successor of Romulus, enacted, on account of the great scarcity of wine, that no man should besprinkle the funeral pile with it: and when the offer of wine was allowed in sacrifice at all, it was decreed, with the intention of encouraging the cultivation of the grape, that all wine thus offered should be the produce of such plants as had been cut and pruned. In the early ages of Rome women were pro- hibited from using wine, and hence their near relations were allowed to salute them in order that they might ascertain by the sense of smell if they had been drinking it. We learn from Dionysius Halicarnassensis that Romulus made a law that a husband might kill his wife for drinking, as well as for adultery. And Fabius Pictor in his annals relates that a Roman lady was stoned to death by her own relations for having picked the lock of a chest in which were the keys of the wine cellar. Pliny also tells us that Cneius Domitius, a judge in Rome, in a similar case pronounced sentence against a woman because 'it seemed she had drunk more wine without her husband's knowledge than was necessary for the preservation of her health,' and that therefore she should lose the benefit of her dowry.* Every one knows the contempt and * The customs of females seem sadly changed in Sene- ca's time, for he complains that this prohibition was almost universally violated. 'Women,' says he, 'now value themselves upon carrying excess of wine to as great an extent as the most robust men : like them they pass whole Bights at table, and with a full glass of unmixed wine in their hands they glory in vying with them, and if they can in overcoming them.' 10 HO GENERAL OBSERVATIONS. abhorrence with which drunkenness was regarded by the hardy and intrepid inhabitants of ancient Sparta; and although the benevolent and consci- entious mind cannot approve the means employed by them to disgust their children with the vile and odious practice, yet we must give them the meed of approbation for the end they had in view. The shafts of wit and ridicule were then as now occasionally directed against intemperance. 'There li;ni:s a bottle of wine,' exclaimed the Roman soldiers as they pointed to the body of the drunken Bonosus*, who in a fit of despair had hung himself on a tree. ' If you wish to have a shoe of durable materials,' says Matthew Langs- berg, ' you should make the upper leather of the mouth of a hard drinker, for that never lets in the water.' In comparing the manners and customs of the present day with those of the dark ages, and of still more remote antiquity, although perhaps an amendment can be perceived in the increased temperance of the higher classes; yet we cannot doubt that a very great deterioration has taken place among the middle and lower ranks. The substitution of rum, gin, whiskey, brandy, &c, for the more innocent and less intoxicating beve- rages of former times, has been productive of the most mischievous and ruinous consequences to the health, morals, and happiness of the community. Intemperance is certainly the crying sin of Our age, but it is much more prevalent in some coun- tries than in others. 'Drunkenness,' says Dr. M'Nish, 'prevails to a much greater extent in northern than in southern latitudes. The nature GENERAL OBSERVATIONS. Ill of the climate renders this inevitable, and gives to the human frame its capabilities of withstand- ing liquors: hence a quantity, which scarcely ruffles the frozen current of a Norwegian's blood, would scatter madness and fever into the brain of the Hindoo. Ev*n in Europe the inhabitants of the south are far less adapted to sustain intoxica- ting agents than those of the north. Much of this depends upon the coldness of the climate, and much also upon the peculiar, physical, and moral frame to which that coldness gives rise. The natives of the south are a lively, versatile people: sanguine in their temperament, and susceptible to an extraordinary degree of every impression. Their minds seem to inherit the brilliancy of their climate, and are rich with sparkling thoughts and beautiful Imagery. The northern nations are the reverse of all this. With more intensity of pur- pose, with greater depth of reasoning powers, and superior solidity of judgment, they are in a great measure destitute of that sportive and creative brilliancy which hangs like a rainbow over the spirits of the, south, and clothes them in a per- petual sunshine of delight. The one is chiefly led by the heart, the other by the head. The one possesses the beauty of the flower garden, the other the sternness of the rock mixed with its severe and naked hardihood. Upon constitutions so differently organized it cannot be expected that a given portion of stimulus will operate with equal power. The airy, inflammable nature of the first is easily roused to excitation, and manifests feel- ings which the second does not experience till he has partaken much more largely of the stimulating 112 GENERAL OBSERVATIONS. cause. On this account the one may be inebriated and the other remain comparatively sober upon a similar quantity. In speaking of this subject, it is always to be remembered that a person is not to be considered a drunkard because he consumes a certain portion of liquor; but because what he does consume produces certain effects upon his system. The Russian therefore may take six glasses a day and be as temperate as the Italian who takes four, or the Indian who takes two. But even when this is acceded to, the balance of sobriety will be found in favor of the south; the inhabitants there not only drink less, but are bona fide more seldom intoxicated than the others. Those who have contrasted London and Paris, may easily verify this fact: and those who have done the same of Moscow and Rome? can bear still stronger testimony. Who ever heard of an Englishman sipping eau .wcrr'r, and treating his friends to a glass of lemonade ? Yet such things are common in France: and of all the practices of that country, they are those most thoroughly visited by the contemptuous malisons of John Bull.' It is very doubtful however whether the inge- nious idea of Dr. M'Nish, that it will take more to intoxicate a Russian or an Englishman than a Frenchman or an Italian can be sustained, at least $o the extent to which he seems to carry it. Savage nations seem particularly fond of intoxi- cating liquors, and with scarcely an exception have contrived by some means or other to enjoy. that luxury. Among them the inhabitants of Kamtsehatka are perhaps as much devoted to the use of ardent spirits as any other people. GENERAL OBSERVATIONS. 113 Such as cannot distil it themselves, procure it from the Russian and Cossack merchants, who, knowing their blind attachment to its bewitching qualities, sometimes take advantage of their weak- ness, as the following anecdote related by Lesseps will fully illustrate. A Kamtschatdale had given a sable for a glass of brandy. Inflamed with a desire of drinking another, he invited the seller into his house. The merchant thanked him, but said he was in a hurry. The Kamtschatdale re- newed his solicitations, and proposed a second bargain : he prevailed :—' Come, another glass for this sable : it is a finer one than the first.' ' No, I must keep the rest of my brandy; I have pro- mised to sell it at a certain place, and I must be gone:' ' Stay a moment: here are two sables.' 'Tis all in vain.' ' Well, come, I will add ano- ther.' ' Agreed—'drink.' Meanwhile the three sables were seized, and the hypocrite made a fresh pretence to get away : his host redoubled his im- portunities to retain him, and demanded a third glass. Further refusals, and further offers were made. The higher the chapman raised his price, the more the Kamtschatdale was prodigal of his furs. Who would have supposed that it would end in the sacrifice of seven most beautiful sables for the glass! They were all he had. 10* 114 immediate Errrxvy-s CHAPTER IV. Immediate Effects of Ardent Spirits on the Physical Constitidion. The effects of ardent spirits are so various, so extensive in their ramifications, give rise to so many diseases, and influence the constitution in so many ways, that this division of the subject alone would require a volume to discuss it fully; and therefore we can only give a brief outline of its most prominent effects. Whenever alcohol in any form is taken into the stomach an almost immediate effect is produced on the system ; the pulse rises—the skin glows—the spirits become light and joyous—care vanishes— sorrow is forgotten—business is neglected; as the potations increase, other and more striking symp- toms are produced; the head becomes sensibly affected—the patient (for patient the drunkard may now be called) sees double—he talks immoderately and foolishly—he pours out the profoundest secrets of his bosom—laughs without cause, or weep9 without knowing it; although conscious of the ridiculous part he is acting, and perhaps deeply mortified at it, he cannot restrain himself; the power of volition is much impaired or totally lost; and now as glass after glass is quaffed by the wretched and insensate animal, the scene thickens, his remaining powers of mind and body rapidly ON THE CONSTITUTION. 115 disappear; if he attempts to walk, his limbs refuse to perform their office—he is vociferous or musical, and generally quarrelsome—takes offence at the slightest provocation, or at no provocation at all— makes the most ridiculous mistakes, and miscalls his most intimate acquaintances—asks pardon where he has done no wrong—talks to and of per- sons who are absent or dead as if they were actu- ally before him: the expression of his countenance now becomes idiotic—his mouth is wide open—his eye is sunken and listless—his head hangs on his shoulder—he is no longer able to articulate—he staggers, reels, and falls, for he is dead drunk. If the drunkard escape an apoplectic fit (of which he is in no little danger) he should be carried to bed, where he is soon destined to experience the appalling effects of his brutish debauch; perhaps he will fall into a profound sleep as com- plete and total as that of death, or more probably he will be harassed and annoyed by 'thick-coming fancies;' he may dream of his past carousal, of his drunken companions, of their noisy mirth and hideous yells, or what is still more likely to occur, if the tipler be but a beginner in the path of in- temperance, his stomach will revolt at the load imposed upon it—nausea will succeed, and a vio- lent emesis will somewhat relieve the oppressed debauchee. But, however the night may be passed, when * Morning comes, his cares return With ten-fold rage.' He awakes with a burning fever—his skin is hot and dry—his hands hard and parched—he has a 116 IMMEDIATE EFFECTS violent head-ache—his eye is inflamed and intole- rant of light—a distressing nausea prevails, and his appetite has fled. A thirst almost unquenchable torments him*—his spirits are depressed, and all his sensations are of the most painful nature, and in the agony of his distress and mortification he perhaps solemnly vows never again to touch the enticing bowl; a vow alas ! which melancholy experience daily proves is too soon violated. Such are the principal appearances which are generally exhibited during, and immediately after, a fit of intoxication. These phenomena are much varied, according to the temperament and habits of the individual. Some are gay and talkative and frolicsome—others are silent, reserved, and sullen. One will be mild, gentle, and obliging; another will be furious, revengeful, and malicioui. One like the ferocious Alexander will plunge his dagger into the bosom of his dearest friend, while another will shed tears of sympathy at even a fabulous tale of human suffering. It is an old adage, that' in vino Veritas,' and it is generally believed that the drunkard during his fit of intoxication will display his most prominent traits of character. The sensualist will exhibit his amorous propensities—the petulant will quarrel— the calumniator will slander his friend—even the miser, it is said, will display as it were ' the ruling passion, strong in death,' and not give a farthing to alleviate the direst distresses of suffering humanity. * The action of the kidneys is always increased. 1' corius interdum improviso mingit, et alvum exonerat. ON THE CONSTITUTION. 117 The description given above of the drunken fit, is perhaps in most of its particulars, more appli- cable to the man who has seldom indulged in the phrenzy of the bottle, than to the habitual drunk- ard, for in the latter the frequent repetition of the habit causes considerable variation in the pheno- mena : he enjoys few or none of those agreeable sensations which beset the path of the inexperi- enced tipler, and allure him on to dissipation and ruin. Like all other human gratifications, the pleasure, whatever it be, which is derived from indulgence in ardent spirits, grows le9s and less by repetition, while the quantity required to pro- duce any impression is constantly increasing in an almost geometrical ratio. The body of the inebriate during the paroxism of intoxication is exceedingly insensible to ex- ternal impressions of every kind. It is related of a sailor in the British navy, that during a drunken fit he quarreled with his wife, and in the midst of his passion seized a butcher's clever and cut off two of his own fingers. The wound was dressed, and the man put to bed. On his awaken- ing in the morning he had no recollection of what had happened, and manifested the greatest sorrow and mortification on learning that the misfortune had occurred through his own rashness and folly. It is an interesting fact, that the drunken fit can be broken by any sudden excitement, as over- whelming fear, intense joy, or acute sorrow. The same effect will also frequently be produced by throwing a bucket of qold water over the drunk- ard, or by his falling into a stream. The same quantity of alcoholic stimulus will 118 IMMEDIATE EFFECTS produce very different effects at different times on the same individual. A much smaller quantity will intoxicate when taken upon an empty stomach than after a full meal. This is shown by daily experience and observation. Every one therefore who wishes to avoid the exciting effects of this stimulus as much as possible, will never drink fasting. Captain Bligh relates in his narrative, that when during a scarcity of provision in one of his voyages the allowance of food and water to each man was reduced to almost nothing, even a tea spoonful of rum would frequently produce intoxication. In some forms of disease, as tetanus, gangrene, and retrocedent gout, much greater quantities of alcohol can be borne than in a state of health, without causing intoxication. An individual who has been accustomed to any strong stimulus will often be unaffected by it, while one much weaker will produce an immediate and powerful effect upon him. * I have known people,' says M'Nish, * who will drink eight or ten glasses of raw spirits at a sitting without feel- ing them much, become perfectly intoxicated by half the quantity made into toddy.' And some- times a change from one kind to another, even where the strength of the liquor is precisely the Bame, is productive of violent consequences. ON THE CONSTITUTION. 119 CHAPTER V. Remote Effects of Ardent Spirits on the Physical Constitution. We will now proceed to detail the principal morbid derangements, and give an account of the principal diseases caused by the habitual use of ardent spirits, reserving the consideration of its effects on the moral and intellectual character for another chapter. It does not seem yet to be fully settled whether alcohol is absorbed into the circulation, and thus produces its deleterious consequences, or whether its influences are confined chiefly to the nerves. It is at least certain that it sometimes operates exclusively in the latter mode. This is the case undoubtedly: when taken in very large quantities into the stomach it produces instantaneous insen- sibility, and even death, before time has been allowed for absorption. Orfila, in his Toxicologic Generale, states that alcohol, when injected into the cellular substance of a dog, produced but slight effects: but when thrown into the stomach, the consequences were decided and immediate. Even when injected into the veins of a dog, alcohol would not cause death for several hours, while a small quantity of opium used in the same manner was fatal in a few minutes. 120 REMOTE I.IKECTS Brodie is of opinion that there is no absorption whatever of alcohol, and for the following rea- sons: 1st. 'In experiments where animals have been killed by the injection of spirits into the stomach I have found this organ to bear the marks of great inflammation, but never any preterna- tural appearances whatever in the brain. 2d. the effects of spirits taken into the stomach in the last experiment were so instantaneous that it appears impossible that absorption should have taken place before they were produced. Sd. A person who is intoxicated frequently becomes suddenly sober after vomiting. 4th. In the experiments which I have just related, I mixed tincture of rhubarb with the spirits, knowing from the experiments of Mr. Home, and Mr. Brande, that this (rhubarb) when absorbed into the circulation, was readily separated from the blood by the kidneys, and that very small quantities might be detected in the urine by the addition of potash: but though I never failed to find urine in the bladder, I never detected rhubarb in it.' The contrary opinion however is maintained by most writers on this subject, and indeed it seems impossible to resist this conclusion after a candid consideration of the following facts: 1st. The blood of a drunkard is darker than that of a com- mon man. 2d. His breath and perspiration are strongly marked with the smell of alcoholic liquors. 3d. His perspiration is said frequently to be of the color of his ordinary drink, as claret! port, &c; and even his linen will occasionally be tinged by it. ON THE CONSTITUTION. 121 1. Effects of Ardent Spirits on the Stomach. No organ of the body probably is so much de- ranged by the habitual use of alcoholic stimulants as the stomach, while there is none the healthy state of which is so important to the regular ope- rations of animal life. Alcohol used constantly, and in considerable quantities, causes inflamma- tion of this delicate organ, which is generally of the chronic kind. This disease is insidious in its character, and slow in its effects, but it invariably advances while the noxious cause is continually applied, until great induration, scirrhus,and some- times cancers are the deplorable consequences. The pyloric and cardiac orifices become occa- sionally indurated and contracted, and when this is the case death soon puts an end to the tanta- lizing suffering of the wretched victim. This disordered state of the cardiac and pyloric orifices, and the organ generally, renders it very difficult for the patient to retain any food on the stomach, it being ejected almost as soon as swal- lowed. And even the small quantity which does remain is imperfectly digested, and gives rise to flatulency, pyrodinia, &c. Obstinate costiveness, or a profuse diarrhoea, is also a frequent attendant, and emaciation to an extreme degree rapidly fol- lows. From the disordered state of the stomach and other chylopoietic viscera, dyspepsia, in its most harassing and peace-destroying form, invariably attends the drunkard. An appetite for breakfast, which is always considered indicative of health, 11 122 REMOTE EFFECTS « is a luxury unknown to him. The loss of fi appetite is perhaps the first step towards dyspepsia and hypochondriacism. The stomach from being over-stimulated becomes torpid, and is disinclined to the simple and proper lbod which naturally forms our breakfast. The drunkard when he rises in the morning is nervous, agitated, and distressed, until the bottle is resorted to, to impart anew a momentary life and activity. He cannot endure the sight of food before his stomach is goaded on to fresh exertion and renewed efforts by potations of his favorite drink. But this excitement is of necessity followed by greater depression, and then cardialgia, flatulency, nausea, acidity, all con- spire to increase the bitterness of his situation, and enhance the acute misery of his feelings. Towards the close of the drunkard's career the powers of the stomach seem to become almost exhausted, and although he still feels as keen a relish as ever for the intoxicating bowl, he cannot bear it as well as formerly. A much smaller quantity will intoxicate him. This no doubt arises from the weakness of this organ, owing to the- long-continued excitement in which it has been constantly kept. He is also now harassed with continual nausea and frequent vomiting. His appetite deserts him, and he seems to retain a relish for nothing, and to enjoy nothing but the liquid fire which has been so long undermining his constitution, and consuming his very vitals. In this wretched state he resorts to bitters mixed with ardent spirits. But this last ati< mp; to restore the wonted energy of the stomach i» completely ineffectual. Bitters, which so : ; hk ON THE CONSTITUTION. 123 benefit dyspeptics from other causes, rather aggra- vate the drunkard's wretchedness. 2. Effects on the Liver. Next to the stomach the liver suffers most severely from a long course of intemperance. The sudden changes of temperature to which the drunkard is so much exposed from carelessness and inattention, may have some effect in bringing on inflammation of this organ: but the chief cause is undoubtedly the alcoholic stimulus. Intoxicating liquors have been known from the earliest ages to affect this viscus: and the story of Prometheus is generally supposed to allude to the effects of wine upon the human body, and the punishment to which he was doomed of having his liver devoured by a vulture, was the penalty for excessive indulgence in the pleasures of drink- ing. Other animals besides man suffer in the same way. Hogs which are kept upon the refuse of breweries and distilleries have diseased livers. Dealers in fowls are likewise said to increase the size of the livers in these animals, which are con- sidered a great delicacy, by mixing gin with their food. ... As the liver is an organ of great insensibility, it is frequently much diseased, and may even give rise to serious attacks of indigestion without the patient feeling pain, or being conscious of disease. But a greater or less derangement of this impor- tant part is the penalty which almost invariably attends the. excessive and long-continued use of vinous or spirituous potations. 124 REMOTE EFFECTS It sometimes becomes enlarged and tuberculated, and even wholly disorganized: and the conse- quences of this extensive state of disease are necessarily injurious to health, although the pa- tient may not suffer much immediate pain. The bile will not be secreted in its usual quantity, or of proper quality, and of couVse digestion is iin paired. The bowels, being deprived of their na- tural stimulus, are torpid and costive, and their discharges clay-colored. Jaundice follows, and the skin becomes dry, rough, and yellow. Dropsy also is a consequence of diseased liver in the drunkard : or it arises from general debility of the system, brought on by dram drinking. In the former case it will probably be confined to the abdomen, while in the latter it will extend over the whole body. 3. Its Effects on the Brain. The brain likewise often suffers intensely from excessive drinking. Inflammation of this organ may arise immediately after a debauch, or accord- ing to Dr. M'Nish, it may be caused secondarily during the stage of debility, and even an abstrac- tion of stimulus, as by applying too much cold water to the head, may bring it on in this latter state. The inflammation is frequently of a chronic and insidious nature. It is said to occur oftener after forty years of age than before that period. The dura and pia mater are thickened, and less trans- parent than in a state of health. The substance ON THE CONSTITUTION. 125 of tne organ itself is either preternaturally hard, or morbidly soft. Effusion also occurs in the dif- ferent cavities. These manifestations of disease in this delicate and important organ will account for the intellec- tual degradation, the deranged memory, and the gradual extinction of the mental powers which are so conspicuous in the confirmed drunkard. Having shown the effects of ardent spirit on some of the principal organs of the body, I pro- ceed now to a consideration of the particular diseases it occasions. 1. Ophthalmia. The eyes of drunkards are always or generally in a state of inflammation. This did not escape the observation of the wisest of men. « Who hath woe? Who hath sorrow? Who hath conten- tions ? Who hath babbling ? Who hath wounds without cause? Who hath redness of eyes? They that tarry long at the wine: they that go to seek mixed wine.' This delicate organ is so constructed that it readily exhibits the effects of increased circula- tion by the swollen vessels in the tunica adnata, and hence no part of the body so soon betrays a debauch as this. Long-continued intemperance not only brings on ophthalmia, but actually im- pairs vision. And the tunica adnata from frequent inflammation finally loses its original clearness and transparency.* * Inflammation of the nostrils, and redness of the nose frequently attend upon the drunkard. Shakspeare with hi 126 REMOTE EFFECTS 2. Gout. This disease is one of the most painful in the whole catalogue of human ills, and is a penalty almost invariably exacted by nature of the copious wine-bibber. It seems but seldom to attack the drinker of ardent spirits, for his diseases are of a more destructive and incurable character. Gout, perhaps, more than any other complaint, is caused solely by excessive indulgence in wine and malt liquors. Doctor Garnet remarks, 'I believe there never was an instance of a person having the gout who totally abstained from every form of alcohol, however he might live in other respects; and I doubt very much if the gout ever returned after a person had abstained from fer- mented or spirituous liquors for two years.' This seems conclusively proved by gout being almost exclusively confined to the higher and more luxurious classes, and never attacking the industrious and laborious poor. It is a legacy handed down from generation to generation by the rich and noble as a portion of their inheritance. Probably in most instances nothing more is needed to effect a radical cure of this disease, than to abstain in toto from alcohol in every form. The celebrated Sydenham remarks, ' if an em- piric could give small beer only to gouty patients as a nostrum, and persuade them to drink no other his usual discrimination has noticed this circumstance. Falstaff.—Thou art our admiral: thou bearest the lan- thorn in the poop : but 'tis in the nose of thee : thou art the knight of the burning lamp. ON THE CONSTITUTION. 127 spirituous fluids, he might rescue thousands from this disease, and acquire a fortune for his inge- nuity.' Among the Persians the gout and stone are scarcely known, because the use of wine is pro- hibited by their religion, while both are very fre- quent among those people where wine abounds, as the inhabitants of the banks of the Rhine, the Austrians, Italians, and others. 3. Corpulency. This uncomfortable and unnatural state of the body is well known to be an ordinary attendant upon the excessive use of wine and malt liquors: while the contrary and not less distressing extreme is the consequence of drinking ardent spirits. The excessive protuberance of wine-drinkers is owing to the great accumulation of fat upon the omentum and abdominal muscles: and it is a sin- gular fact, that as this is the first part to become enlarged, so it is the last to part with its supera- bundance of fat; and hence we sometimes see individuals with prodigious stomachs while their legs are no larger than spindles. 4. Epilepsy. Intemperance frequently brings on attacks of this distressing malady; and there are some indi- viduals so predisposed to it that a paroxysm is the inevitable consequence of even a slight indulgence 128 REMOTE EFFECTS. in the use of ardent spirits. These attacks seem to be owing to the increased determination of blood to the head, which is the natural effect of alcohol stimulants. The unhappy victims are of course, during such periods, doubly exposed to numerous and distres- sing accidents. Doctor Trotter relates that two men in this condition fell overboard ship and were drowned. 5. Hysterics. Females, who are addicted to the disgusting vice of intemperance, are very frequently attacked with hysterics during the paroxysm. There is a delicacy of constitution, both mental and physi- cal, in the female sex which places them pecu- liarly under the control of external excitements. Hence the exhilaration produced by wine and ardent spirits, not unfrequently ends in a violent hysteric fit. 6. Perspiration Altered. The perspiration of a habitual drunkard often has a decided alcoholic odor. It is said by some authors occasionally to partake even of the color of the liquor, upon which the debauch has been committed; as in the instance of claret and port drinkers.* { • M'Nish's Anatomy of Drunkenness. ON THE CONSTITUTION. 129 7. Ulcers. Nothing can exceed the loathsome and disgust- ing condition of a drunkard's leg when covered, as is often the case, with ulcers, And every phy- sician knows to his sorrow how difficult is their cure and how obstinate their nature. A bruise which on a healthy skin, would get well in a few hours without medical aid, on a. drunkard's will spread into a large, foul, ill-conditioned sore, which can with difficulty be healed in weeks. 8. Gutta Rdsacea. Eruptions of various stee and color appear about the face and various parts of the body of the inebriate, but more especially about his nose. Trotter thinks that these are to be attributed to the chemical qualities of alcohol, probably by the evolution of hydrogen in the course of the circu- lation, and perhaps in part to the increased flow of blood to the head. This deformity is always disgusting, but par- ticularly in females. 9. Change of Temperament. A long continued and excessive use of alcoholic drinks gradually effects a change in the tempera- ment or nervous system of the drunkard. The habits, as the practice continues, seem to be en- 130 REMOTE EFFECTS tirely changed, and the victim becomes as it were a new man. He is rendered fretful, nervous, and peevish; he is affected with hypochondiiacism, and the whole train of nervous diseases; and a confirmed nervous temperament is not unfre- quently the consequence. 10. Tremors. Every one has remarked the universal tremu- lousness of the sot. His gait is tottering, and his whole frame is shaken. His hand trembles, and cannot without great difficulty carry the poisoned chalice toliis lips. This is particularly the case in the nlorn'iHg when this affection exists to so great a degree, that lintil the potations are re- peated, the drunkard is unfit and ashamed to appear before his associates. But he makes use 6f a prescription unheard of in any other case, viz : employing as a remedy the very means which have caused all the' mischief—drinking to remedy the effects of drinking; and as might be expected he* is only addirig fuel to the fire. 11. Mania apotu, or Temporary Madness. This disease, with all its attendant horrors, is the legitimate consequence of intemperance, and is caused by it alone. It is of the most ferocious and intractable nature. The patient is violent and outrageous, attacks'every one around him, and can only be restrained by a strait-jacket. The ON THE CONSTITUTION. 131 fit is sometimes short-lived, continuing only a few hours, or a day or two-; while in other cases it will last for two or three weeks, or even longer. It in general attacks confirmed drunkards only, and usually comes on after a debauch of several days' continuance. It sometimes commences with loss of appetite, lassitude, and frequent rigors. The pulse is feeble and increased in. frequency, and the body is covered with a clammy sweat. Sleep seldom blesses the unhappy victim with its presence, and where it does it is of a disturbed and frightful character. The,, most fantastic or the most horrid dreams disturb and affright him. Muscat volitantes, oc objects still niore annoying, and even terrific, are constantly floating before his disordered vision.' He is in the greatest afflic- tion about his own affairs, which he thinks are in the most chaotic disorder; and he not unfre- quently imagines that those around him, and par- ticularly his most intimate friends, are engaged in a conspiracy to defraud and ruin him. AfteT con- tinuing in this state for a period, which varies from a few hours to several days, the patient will frequently sink into a profound sleep, from which he will awake perfectly sane, and scarcely recol- lecting'any thing that had occurred during his ' iUometimes however proves fatal, and at others ends in.permanent madness, or conficmed idiocy. 12. Melancholy. No idea is a" more mistaken one than to ima- gine the drunkard a happy, or even a merry man, 135 REMOTE EFFECTS I mean taking the average of the twenty-four hours. The forced and unnatural excitement which follows the too free use of the convivial glass, is succeeded by depression and misery which, to be fully understood, must be practically experienced. The drunkard is in fact the most melancholy man in existence.' * The following anecdote will be found interesting, and not unaptly illustrates the depressing effects of inebriety, by whatever article it may be caused. An English ambassador lately sent to a Mahometan 11 prince, was conducted upon >his arrival at the palace through several richly decorated and spacious apartments crowded with officers arrayed in superb dresses, to a room small in dimensions, but ornamented with the most splendid and costly furniture : the attendants withdrew. After a,short interval two persons of superior mien en« tered the saloon followed by state bearers, carrying under a lofty canopy a litter covered with delicate silks, and the richest cashmere shawls, upon which lay a human form, to all appearance dead, except that its head was dangling loosely from side to side as the bearers moved into the room. Two officers, holding rich fillagree salvers, car- ried each a chalice, and a vial containing a black fluid. The ambassador considering the spectacle to be connected with some court ceremony of mourning, endeavored to retire. But he was soon undeceived by seeing the offi- cers hold up the head of the apparent corpse, and after gently chafing the throat, and returning the tongue which hung from a mouth relaxed and gaping, they poured some of the black liquid into the throat and closed the jaws until it sank down the passage. After «ix or seven times repeating the ceremony, the figure opened its ■ \ s and closed its mouth voluntarily. It then swallow 1 t large portion of the, black fluid, and within the hour ;m animated being sat on the couch with blood return! nu; into his lips, and the feeble power of articulation. In tin Persian language he addressed his visitor, and inqiiin ! the particulars of his mission. Within two hours tins extraordinary person became alort, and his mind capalk ON THE CONSTITUTION. 133 Every thing wears a dismal and gloomy aspect during his sober moments; ' an aching void is felt which nothing can fill but a renewal of the cup,' and every renewal is followed by additional wretchedness. Nothing can exceed the unuttera- ble misery of the drunkard's morning hours—he is a prey to remorse and the keenest anguish ari- sing from mispent time and wasted property, and blasted expectations. ' Brandy and gin have not the effect of the waters of Leth. 13. Madness. Sir John Sinclair remarks that'the excessive use of spirituous liquors among the lower ranks of people is justly considered a great cause of that deplorable evil, insanity, to which they are liable, as well as those bilious and dropsical complaints of arduous business. The ambassador, after apologizing for the liberty, ventured to inquire into the cause of the scene he had just witnessed. •Sir,' said he, 'I am an inveterate opium taker ; I have by slow degrees fallen into this melancholy excess. Out of the diurnal twenty-four periods of time, 1 continually pass eighteen in this reverie. Unable to move, or to speak, I am yet conscious, and the time passes away amid the phantoms of this pleasing imagination , nor should I ever awake from the wanderings of this state had I not the most faithful and attached servants, whose regard and religious duty impel them to watch my pulse. As soon as my heart begins to falter, and ijy breathing m imper- ceptible, except on a mirror, they immediately pour the solution of opium into my throat, as you have seen. Within four hours I shall have swallowed many ounces, and much time will not pass away ere I relapse into my ordinary torpor.' j,-. 134 REMOTE EFFECTS formerly so little known.' Drunkenness itself is a temporary madness; but in addition to this it is one of the most frequent causes of permanent derangement, as is proved by the melancholy de- tails of our insane asylums and hospitals. And indeed how can it be otherwise when, as was shown in a former section, the brain is so seriously and constantly affected by intemperance ? Wc all know that there is a mutual dependance be- tween the mind and the body, and that the one invariably sympathizes with the other. But In - dependantly of organic lesion, caused by long- continued habits of inebriety, madness may be brought on by the sudden and outrageous excite- ment of a violent debauch; and this derangement, although thus suddenly brought on, may be per- manent. Shakspeare thus delineates it: ' O thou invisible spirit of wine, if thou hast no name to be known by, let us call thee----Devil ! I remember a mass of things, but nothing distinctly: a quarrel, but nothing wherefore. 0 ! that men should put an enemy in their mouths to steal away their brains! that we should with joy, revel, pleasure, and applause, transform ourselves into beasts ! I will ask him for my place again: he shall tell me I am a drunkard! Had I as many mouths as hydra, such an answer would stop them all. To be now a sensible man, by and by a fool, and pre- sently a beast! 0, strange ! Every inordinate cup is unblessed, and the ingredient is a devil!' ON THE CONSTITUTION. 135 14. Effects of Inebriety on the Offspring of In- temperate Parents. There can be no doubt, for it is as well esta- blished as any other fact in medicine, that the temperament, general degree of health, habits, predispositions, &c, of the parent are very apt to descend to the child. And if the health of the father or mother has been impaired by a long course of inebriety, or their intellectual power much deteriorated, we may expect to see its la- mentable consequences in the debilitated bodies and enervated minds of their unhappy progeny. Probably this effect is more striking, and its results more appalling, where the mother is a devotee of this disgusting practice, than if the father only be in the habit of it. The influence of the mother's habits over the physical as well as the moral and intellectual character of the children seems to be of a more decided nature than that of the father. How doubly awful then does the guilt of this vice appear when viewed in this two-fold aspect! In connexion with the influence of the mother's habits upon the health and constitution of the child, we cannot too strongly reprobate the perni- cious practice, still but too common, of nursing women employing habitually brandy and other alcoholic stimulants, in order, as is said, to afford them strength to sustain the new call made upon them. To say nothing of the danger to the mo- ther herself of forming in this way habits of intemperance, is there not great danger of sen- 136 REMOTE EFFECTS ously affecting the health of the child,* if not m early instilling into it a taste for ardent spirits : We all know that the milk of the nurse is not » little influenced by the diet and medicines sli- may use. The infant can be purged by oil or calomel taken bv the nurse: and have we not ;h much reason to fear that the constant employment of such powerful agents as brandy, cordials, ., may exert an equally powerful influence upon tl tender and susceptible, and excitable frame of ;,n infant? "We have all seen these, deleterious in- fluences, when the intemperate habits of the parens have been carried to a very great extent, in tl production of dropsy of the brain, imbecility of mind, and a long train of physical and intellectual evils, which perhaps at the time may have been attributed to hereditary predisposition, or to other causes. There cannot be the least excuse for this indulgence on the part of the nurse, for it is not only always useless, but positively injurious.! A suitable and nutritious diet will be amply sufficient to sustain a woman while nursing, and she may rest assured will be much more condu- cive to her own health and that of her tender charge, than the artificial stimulus of ardent spirits can possibly be. * In pueritia lac, sensim dilutuis, rleinde aqua in robore aetatis, in senectute vinum molle, edenlutum.—Boerhaave. f Doctor North remarks, that children nursed by in- temperate women are peculiarly liable to derangements of the digestive organs and convulsive affections ; and that he has seen the latter almost instantly removed by the child being transferred to a temperate woman. ON THE CONSTITUTION. 137 15. Premature Old Age. This is an universal and striking effect of in- temperate habits. The drunkard ' does not live out half his days.' Long before the winter of age has come on we can see in the inebriate the de- structive effects of his beastly habits—in his wrinkled face—his sunken eye—his quivering lip—his stammering tongue—his feeble and un- certain and tottering step—and his hoary head, which looks as if bleached by the frosts of many years. Nor is the mind—'that nobler part of man'—less a wreck than the body. Loss of me- mory, deficiency of judgment, excess of timidity, depression of spirits, want of energy, all indicate a mind enervated and overthrown by debauchery and dissipation. 12* 1S8 EFFECTS ON THE CHATER VI. Effects on the Moral Character. The destructive—I may say the awful effects of intemperance on the moral character of man all admit, for all behold them. This branch of the subject it is my intention to touch but curso- rily, leaving it to the divine and the moralist to treat it as its overwhelming importance demands. 'Intemperance! Poverty! Villany! Deso- lation ! "What an assemblage is here ! how dread- ful and how real! can it be read without concern, or is it possible it should be seen every day with indifference?' Ardent spirits, freely and habitually taken, as effectually weaken and destroy the moral sense as they debilitate and undermine the physical constitution. Drunkenness seems to corrupt men, and lead them on to villany and to crime, not only by taking away the restraints which generally control and overawe them, but also by adding the tempta- tions of poverty which are apt to be too powerful for persons of this description to resist, whose views are usually limited by the desire of present , gratification. Drunkenness is the parent of idleness, and idle- ness of poverty; and poverty too frequently of vice, degradation, and crime. MORAL CHARACTER. 139 The drunkard is apt to consider his situation as desperate—that his character is irretrievably |08t—that all respectable men despise and dis- trust him, and that his circumstances in these respects cannot possibly be worse. These reflec- tions are rapidly preparing him for any act of villany, however awful or appalling. With these feelings he meets his half-intoxicated companions, whom a similar course of vice and folly has re- duced to a similar situation; and they readily become associated in the highway robbery, or the midnight murder. The following are some of the moral evils pro- duced by intemperance. 1. The temper is always sooner or later rendered peevish, fretful, and iras- cible. The least contradiction, or the slightest Inconvenience, throws the habitual drunkard into a violent passion. He is continually disposed to quarrel and find fault with those around him, and especially with his nearest relations and best friends. His wife and children it affords him pe- culiar pleasure to contradict, harrass, perhaps even to beat. Those slight vexations which it is the lot of humanity continually to encounter, and which a temperate man would scarcely regard for a moment, are serious evils in the view of the drunkard, and effectually destroy his peace of mind for hours. His acquaintances are obliged to be constantlv on their guard from fear of giving offence, for he" frequently flies into a rage at a word or a look, when no offence was intended or imagined. 140 EFFECTS ON THE £. A regularly increasing Contempt for the restraints of Moral Obligation. This disregard of moral rectitude is a gradual but almost invariable attendant upon intempe- rance.* The drunkard perhaps first becomes regardless of his appointments or engagements. He will break or neglect them without shame or remorse. He will defer or refuse to pay his debts. He forfeits his character as a man of veracity. His word cannot be depended on even where he has no interest in falsifying. From these devia- tions from the path of moral rectitude he proceeds with rapid strides to crimes of greater magnitude and deeper dye. 3. A total disregard for the happiness of others. The drunkard is eminently a selfish being. He cares for no one but himself. Give him his bottle and gratify his personal wishes; and family and friends will form no object of solicitude or anxiety to him. His friends may be mortified—his pro- ertymay be wasting—his wife maybe unhappy— is children may be starving—but all—all will be unheeded in his downward road to destruction. • The suitor, to whom Philip had not done justice, Mid, *I appeal from Philip drunk to Philip sober.' MORAL CHARACTER. 141 4. A Contempt of the Good Opinion of the World. No man, whose moral sense is delicate and refined, can be insensible to the estimation in which he is held by his fellow men. But the drunkard will sacrifice re^uti'Jion—character—all. that the wise and good hold dear, rather than re- linquish the intoxicating bowl. He is heedless of the blast of infamy. He is regardless alike of the contempt and the admonitions of those around him. 5. Idleness and Prodigal Habits. These consequences never fail to follow in. the train of intemperance. The drunkard is, we had almost said, necessarily a spendthrift. He not only expends Iris property in buying the intoxi- cating draught, but he squanders it in silly ex- penses, or wastes it by ridiculous and foolish bargains. And indeed this latter circumstance, against which no drunkard can be secure, is often more destructive of his property than idleness and the actual expense of the liquor combined. 6. Intemperance leads to a neglect of, and contempt for Religion and its Institutions* * ' I wept because I thought of my own condition—of that there is no hope that it should ever change. The waters have gone over me. But out of the black depths could I be heard, I would cry out to all those who have but set a foot in the perilous flood. Could the youth— 142 EFFECTS ON THE MORAL CHARACTER. to whom the flavor of his first wine is delicious as the opening scenes of life, or the entering upon some newly. discovered paradise—look into my desolation, and be made to understand what a dreary thing it is when a man shall feel himself going down a precipice with open eyes and a passive will—to see his destruction and have no power to stop it, and yet to feel it all the way emanating from himself: to perceive all goodness emptied out of him, and yet not to be able to forget a time when it was otherwise : to bear about the piteous spectacle of his own self-ruin:—could he sec my fevered eye, feverish with last night's drinking, and feverishly looking for- ward to this night's repetition of the folly : could he feel the body of the death out of which I cry hourly with feebler and feebler outcry to be delivered—it were enough to make him dash the sparkling beverage to the earth in all the pride of its mantling temptation : to make him clasp his teeth, «And not undo 'em ; To suffer wet damnation to run through 'em.' ' Confessions of a Drunkard.' INTELLECTUAL EVILS. 143 CHAPTER VII. Intellectual Evils of Intemperance. Although perhaps the intellectual are r.c>t so completely wrecked as the moral powers by intem- perance, yet they are beyond a doubt not a little impaired and weakened. Possibly some of the lighter faculties of the mind, as the imagination may in some rare cases, even be quickened by the exciting effects of alcohol, but this i^ only a tem- porary result, while the permanent effect is de- cidedly injurious. The drunkard soon loses that vivacity and sprightliness of intellect which is characteristic of mental and corporeal health. His mind be- comes clouded, his perceptions are obscure, and he is, so far as his intellectual powers are con- cerned, like one exhausted by a long fit of sick- ness. His judgment is impaired, and he loses the power of weighing and discriminating different motives which may be presented to influence his conduct. His memory also is affected. He can- not recollect or relate distinctly any circumstance which requires a considerable exertion of this faculty. The inebriate also loses that method and regu- larity in his pursuits which perhaps distinguished him in his sober days. Every thing is in confu- 144 INTELLECTUAL evils sion. Trouble,perplexity,doubt,and uncertain! are obvious in his whole course, of conduct: liU a man in a confused and ill-assorted dream, In never knows when he is doing a thing in its |.rn|>n place, or in the right manner. Another misfortune experienced by the drunk- ard is the loss of all energy of character. Miri- ness—which before was entered upon with pleasure and alacrity, and* pursued with zeal and niei-n-y— now terrifies and perplexes. The slightest obsta- cles, or the most trifling embarrassments, over- come the drunkard, and induce him to relinquish in disgust and despair any plan however necessary or important. Exertion of every kind is oppres- sive and distressing; and long-continued, perse- vering labor is entirely out of the question. Doctor South asks, ' who has a stupid intellect, * a broken memory, and a blasted wit; and, which is worse than all, a blind and benighted conscience, but the intemperate and luxurious, the epicure and the smell-feast ? So impossible is it for a man to turn sot without making himself a block- head too.' The human mind is susceptible of excitement without the application of powerful stimulants; and we may rank the comparative talents of different individuals pretty nearly as they possess, or are destitute of this capability. How revolting and degrading then is it for intellectual and immortal beings to resort to ardent spirits for that stimulus and excitement which they should receive from a contemplation of the wonderful works of nature, and from the exertion OF INTEMPERANCE. 145 of those Godlike mental powers with which their Creator has endowed them ! There is not a single faculty of the mind but what is sooner or later impaired and weakened by intemperate habits. Invention, memory, judg- ment, imagination, are all affected, and sometimes almost destroyed. The most profound and solid judgment—the most brilliant and discursive ima- gination—the most retentive and effective memory —the most pungent and sarcastic wit have all been exhibited in men remarkable for temperance and sobriety. Milton,* Newton, Franklin, Sir Wm. Jones, Washington, president Edwards, are striking exemplifications of this truth. The inebriate loses all relish for the sublime in nature, and the beautiful in composition. 'The noble passages,' say the confessions of a drunk- ard, ' which formerly delighted me in history, or poetic fiction, now only draw a few weak tears allied to dotage. My broken and dispirited na- » The following is Milton's description of his morning 0C«MyUmorning haunts are where they should be, at home! Not sleeping or concocting; the surfeits of an irregular feast, but up and stirring* in winter often eie the sound of any be 1 awake men p> labor, or to devo- Son Tsummer7 as oft with the bi/d that first rises or not much tardier to read good authors, or cause thento be read, till attention be weary, or memory have its lull fcighT then with useful and generous labor preserving Kody's health and hardiness, to render hgh some dear and not lumpish, obedience to the mind, to the cauTe of reliSon and our country's liberty, when it shall reqSrefirmTearts in sound bodies to stand and cover SsUtions, rather than tofSee the: ruir.of our protest* tion, and the enforcement of a slavish 'life. 15 146 INTELLECTUAL f.vils of INTEMPERANCE. ture seems to sink before any thing great or admi- rable. I perpetually catch myself in tears from any cause or none. It is inexpressible how much this infirmity adds to a sense of shame, and a general feeling of deterioration.' alcohol with intoxicating ARTICLES. 147 CHAPTER VIII. Effects of Alcohol influenced by the intoxicating article. The same quantity of alcohol drunk daily will produce very different effects on the system, according to the article which is made use of. Thus a bottle of wine, althotfgh it may contain as much alcohol as a pint of brandy, will affect an individual very differently, especially if habitu- ally taken; and even rum, gin, whiskey,.&c, vary in their consequences from brandy, and from each other; and malt liquors from all. It has been demonstrated that wines of the same specific gravity, and of course containing the same absolute proportion, of spirit, possess very different intoxicating powers : and hence it was formerly supposed that alcohol must necessarily exist in wine in a very different condition from that in which we know it in a separate state— that its elements only could be found in the vinous liquor, and that their union was caused, and of course alcohol produced by the action of distil- lation. Rouelle maintained that alcohol was the product, not the educt of distillation, and that it was not completely formed until the temperature was raised to the point of distillation: this doctrine 148 effects of alcohol was more recently revived and promulgated by Fabbroni in the memoirs of the Florentine aca- demy. Gay Lussac however has refuted this opinion by separating the alcohol by distillation at the temperature of 66 degrees Fahrenheit, and by the aid of a vacuum it has since been effected at 56 degrees, and besides it has been shown by precipitating the coloring water and some of the other elements of wine by sub-acetate of lead, and then saturating the clear liquor with sub-car- bonate of potass, that the alcohol may be com- pletely separated without any elevation of tem- perature, and in this way Mr. Brande has been enabled to construct a table exhibiting the pro- portions of combined alcohol which exist in the several kinds of wine. No reasonable doubt therefore can remain upon this subject, and the difference in the effect of the same quantity of &fCohol upon the human system in various states of combination is owing to the unintelligible power of chemical combination in modifying the activity of different substances. 'In the present instance the alcohol is so combined with the extractive matter of the wine that it is probably incapable of exerting its full specific effects upon the stomach before it becomes altered in its properties, or, in other words, digested; and this view of the subject may be fairly urged in explanation of the reason why the intoxicating effects of the same wine are so liable to vary in degree in' the same individual, from the peculiar state of his digestive organs at the time of his potation. Hitherto we have only spoken of pure wino, but it is essential to state that the stronger wines of Spain, Portu- WITH INTOXICATING ARTICLES. 149 gal, and Sicily, are rendered remarkable in this country by the.addition of brandy, and must con- sequently contain uncombincd alcohol, the pro- portion of which however will not necessarily bear a ratio to the quantity added, because at the period of its admixture a renewed fermentation is produced by the scientific vintner, which will assimilate and combine a certain portion of the foreign spirit with the wine: this manipulation in technical language is ca\\ed fretting-in. The free alcohol may, according to the experiments of Fabbroni, be immediately separated by saturating the vinous fluid with sub-carbonate of potass, while the combined portion will remain undis- turbed: in ascertaining the fabrication and salu- brity of a wine, this circumstance ought always to constitute a leading feature in the inquiry; and the tables of Mr. Brande would have been greatly enhanced in practical value had the relative pro- portions of uncombined spirit been appreciated in his experiments, since it is to this, and not to the combined alcohol that the injurious effects of wine are to be attributed. It is well known, observes Dr. Macculloch, that diseases of the liver are the most common, and the most formidable of those produced by the use of ardent spirits; it is equally certain that no such disorders follow the intempe- rate use of pure wine, however long indulged in: to the concealed and unwitting consumption of spirit, therefore, as contained in the wines com- monly drunk in this country is to be attributed the excessive prevalence of those hepatic affec- tions which are comparatively little known to our continental neighbors. Thus much is cerfein^ IS* 150 EFFECTS OF ALCOHOL that their ordinary wines contain no alcohol but what is disarmed of its virulence by the prophy- lactic energies of combination.'* The following is Mr. Brande's table of the alcoholic strength of liquors :— Proportion of Spirit per cent, per meauurc. 1. Lissa . - 26.47 Ditto - . - 24.35 Average -v ----25.41 2. Raisin wine . , - 26.40 Ditto . - 25.77 Ditto . - 23.20 Average - ----25.12 3, Marsala . 26.03 Ditto . - 25.05 Average - ----25.09 4- Madeira . - 24.42 Ditto . - 23.93 Ditto (Sircial) . - 21.40 Ditto . - 19.41 Average - ----22.27 5. Currant wine . - 20.55 6. Sherry - - 19.81, Ditto . - 19.83 Ditto . - 18.79 Ditto . - 18.25 Average . ----19.17 f. Teneriffe - . - 19.79 8. Colares . - 19.75 9. Lachryma Christi . - 19.70 10. Constantia (white) - - 19.75 11. Ditto (red) . - 18.92 12. Lisbon . - 18.94 13. Malaga (1666) - . - 18.94 14. Bucellas . - 18.49 15. Red Madeira . - 22.30 Ditto . - 18.40 Average . ----20.35 l§. CapeMuschat - - 18-25 * Paris's pharmacologia, WITH INTOXICATING ARTICLES. 151 We will now offer a few remarks on the pecu- liar effects of the ordinary intoxicating drinks. Proportion of Spirit per cent, per measure. 17. Cape Madeira - 22 94 Ditto - 20.50 Ditto - 18.11 Average ----20.51 18. Grape wine - 18.11 19. Calcavella - 19.20 Ditto • 18.10 Average ----18.65 20. Vidonia - 19.25 21. Alba Flora - 17.26 22. Malaga - 17.26 23. White Hermitage - 17.43 24. Rousillon - 19.00 Ditto - 17.26 Average ----18.13 25. Claret - 17.11 Ditto - 16.32 Ditto - 14.08 Ditto - 12.91 Average ----15.10 26. Malmsey Madeira - 16.40 27. Lunel - ,- - 15.52 28. Shiraz - 15.52 29. Syracuse - - • - 15.28 30. Sauterne . ' - 14.22 31. Burgundy - 16.60 Ditto 15.22 Ditto - 14.53 Ditto - 11.95 Average ----14.57 32. Hock 14.37 Ditto . 13.00 Ditto (old in cask) 8.88 Average ----12.08 33. 34. Barsac .* 13.86 35. Tent . 13.30 152 EFFECTS OF ALCOHOL 1. Ardent Spirits. It is now well ascertained that although brandy, rum, gin, whiskey, and cider spirits contain nearly Proportion of Spirit per cent, per measure 36. Champaign (still) - - 13.80 Ditto (sparkling) - - 12.80 Ditto (red) - - - 12.56 Ditto (ditto) - - - 11.30 Average - - - ----12 ol 37. Red Hermitage - - - 12.32 38. Vin de Grave - - - 13.94 Ditto - -• - 12.80 Average - - - ----13.37 39. Frontignac" - - - 12.79 40. Cote Rotie - - - 12.32 41. Gooseberry wine - - 11.84 42. Orange wine—average of six samples made by a London manufacturer 11.26 43. Tokay .... 9.88 44. Elder wine ... 9.88 45. Cider, highest average 9.87 Ditto, lowest average ■*- 5.21 46. Perry, average of four samples 7.26 47. Mead - ... 7.32 48. Ale (Burton) 8.88 Ditto (Edinburgh) 6.20 Ditto (Dorchester) 5.56 Average ---- 6.87 49. Brown stout 6.80 50. London porter, average 4.20 51. London small beer, average 1.28 52. Brandy .... 53.39 53. 53.68 54. Gin..... 51.60 55. Scotch whisky 54.32 56. Irish (ditto) 53.90 WITH INTOXICATING ARTICLES. 153 the same proportion of alcohol, yet their effects on the human system are considerably varied; and from causes which are not yet perfectly un- derstood. It was formerly supposed, that of these brandy was the least prejudicial to health; but Shannon, in his elaborate and useful work on brewery, contends that brandy is the worst form in which alcohol can be taken ; and in this opinion he is sustained by most of the late writers on this subject. I am inclined to think however that more stress is laid upon this point than its importance justifies. It is probable that, as gin and whiskey possess considerable diuretic properties, this may in some measure diminish their injurious tendency, and thus render their destructive effects less to be dreaded than those of brandy. But their general operation is unquestionably very similar: their immediate and remote consequences are alike disastrous and appalling. Compared with wine and malt liquors their in- fluence is more rapidly and decidedly felt. They intoxicate sooner, and are more apt to give rise to inflammatory complaints than the former. They are also vastly more destructive of human life. When taken in large quantities they cause imme- diate prostration, coma, stupor, and even death. The drinker of ardent spirits may always be known by his wrinkled and dejected visage, bloated and sallow countenance, inexpressive eye, quivering lip, and stammering tongue. If they be taken habitually, instead of becom- ing corpulent, the tippler almost invariably grows emaciated—is harassed with dyspepsia-indurated 154 EFFECTS OF ALCOHOL liver—dropsy—and a wretched and premature old ao-e__or a miserable death soon overtakes him. 2. J Vines. The exhilarating and intoxicating effect of wine, like that of ardent spirits, is soon felt upon the system. But its remote effects on the health and happiness of the individual when taken habitually and in large quantities, although abundantly dele- terious, are much less so than those of ardent spirits. Unlike the brandy drinker, the wine bibber, with Falstaff, can boast the «paunch well lined with capon ;" and with this superabundance of body he is also blessed with a full rotundity of face. The diseases too which afflict the two races of topers are, in a considerable degree, different. ' Wine,' says Rush,' attacks the extremities, while rum, like a bold invader, seizes at once upon the vitals, and takes the citadel by storm.' Wine produces gout—brandy dyspepsia, scirrhous liver, and dropsy. 3. Malt Liquors. Some authors assert that the evil consequences resulting from an excessive use of malt liquors are even more to be dreaded than those of alcohol in other forms. They contend that this is the case, because, in addition to the intoxicating prin- ciple, some poisonous ingredients are generally added for the purpose of preserving them, and WITH INTOXICATING ARTICLES. 155 giving them their bitter taste. We have good reason for believing, that occasionally the most deadly narcotic poisons are actually employed for this purpose, as opium, belladonna, cocculus Indi- cus, hyosciamus,* lauro cerasus,-&c. * This plant was employed by the Assassin Prince, com- monly called the ' old man of the Mountain,' to intoxicate those whom he wished to engage in his service. The following eloquent passage from a modern writer will prove interesting : «There was at Alamoot, and also at Masiat in Syria, a delicious garden encompassed with lofty walls, adorned with trees and flowers of every kind—with murmuring rooks and translucent lakes—with bovvers of roses and trellisses of the vine—airy balls and splendid kiosks, fur- nished with carpets of Persia, and silks of Byzantium. Beautiful maidens and blooming boys were the inhabi- tants of this delicious spot, which resounded with the melody of birds, the murmur of streams, and the tones and voices of instruments—all respired contentment and pleasure. When the Chief had noticed any youth to be distinguished for strength and resolution, he invited him to a banquet, where he placed him beside himself, con- versed with him on the happiness reserved for the faith- ful, and contrived to administer to him an intoxicating draught prepared from the hyosciamus. While insensible he was conveved to the garden of delight, and there awakened by "the application of vinegar. On opening his eyes all paradise met his view ; the black-eyed and blue-robed houris surrounded him obedient to his wishes; sweet music filled his ears , the richest viands were served up in tlie most costly vessels, and tlie choicest wines sparkled in golden cups. The fortunate youth believed himself really in the paradise of the Prophet, and the language of his attendants confirmed this delusion. When he had had his fill of enjoyment, and nature was vieldineto exhaustion, the opiate was again administered, and the sleeper transported back to the side of the Chief, to whom he communicated what had passed, and wfto assured him of the truth and reality of all he had experi- 156 ALCOHOL WITH INTOXICATING AK1ICLKS. But this seems rather a forced view of the sub- ject, for although it cannot be denied that these ingredients are occasionally made use of, yet this is certainly not the case generally. And we have good reason for believing that malt liquors are the most innocent form in which alcohol can be taken, if we except perhaps pure cider, and the light wines. The immoderate use of this beverage however is attended with no little inconvenience, and sometimes even with danger. The porter drinker becomes immoderately fat—his intellect is rendered stupid and inert, and his eyes are heavy and destitute of expression. His circula- tion is slow and impeded, and his respiration ster- torous and difficult. He is in continual danger of apoplexy and palsy, and is often carried off by these fell foes of the drunkard. The great relief afforded by even a slight bleeding to the clogged and heavy machine of the porter drinker, sufficiently indicates the excess of blood with which he is loaded. enced, telling him such was the bliss reserved for the obedient servants of the Imaum, and enjoining at the same time the strictest secrecy. Ever after the rapturous vision possessed thcimagination of the deluded enthusiast, and he panted when the hour of death, received in obey- ing the commands of his superior, should dismiss him to the bowers of paradise.'—Von Hammer's History of the Assassins COMBUSTION OF DRUNKARDS. 157 CHAPTER IX. Spontaneous Combustion of Drunkards.* It is now several years since accounts of the spontaneous combustion of habitual drunkards were first published to the world. But the facts teemed so incredible—so contrary to the ordi- nary course of events, that the medical profession and the philosophic public were very slow in giving credence to them. At present however these cases have multiplied so much, and have been attested by such good authority, and in so many different ways, that it seems impossible to doubt the reality of their existence. So far as I know, the earliest case on record is the following, contained in the Journal de Phy- sique by Pierre Ame Lair. ' A woman of the lower class in Copenhagen in 1692, who had used spirituous liquors to such extent that she would take no other nourishment, having sat down one evening on a straw chair to sleep, was consumed in the night time, so that next morning no part of her was found but the skull and the extreme joints of the fingers: all the rest of her body, says Jaco- boeus, was reduced to ashes.' The following striking case is related by Doctor Peter Schofield of the province of Upper Canada. * See Appendix. 14 158 SPONTANEOUS COMBUSTION Speaking of cases of spontaneous combustion in drunkards he says—;One happened under my own observation. It was the case of a young man about twenty-five years of age : he had been an habitual drinker for many years. I saw him about nine o'clock in the evening on which it happened. He was then, as usual, not drunk, but full of liquor. About eleven the same evening I wa* called to see him. 1 found him literally roasted from the crown of his head to the soles of his feet He was found in a blacksmith's shop just across the way from where he had been. The owner all of a sudden discovered an extensive light in his shop as though the whole building was in one general flame. He ran with the greatest precipi- tancy, and on flinging open the door discovered a man standing erect in the midst of a widely extended silver-colored blaze, bearing, as he de- scribed it, exactly the appearance of the wick of a burning candle in the midst of its own flame. He seized him by the shoulder and jerked him to the door, upon which the flame was instantly extinguished. There was no fire in the shop, neither was there any possibility of fire having been communicated to him from any external source. It was purely a case of spontaneous ignition. A general slough- ing soon came on, and his flesh was consumed, or removed in the dressing, leaving the bones and a few of the larger bloodvessels standing. The blood nevertheless rallied around the heart, and maintained the vital spark until the thirteenth day, when he died, not only the most loathsome, ill- featured, and dreadful picture that was ever pre- OF DRUNKARDS. 159 gented to human view, but his shrieks, his cries, and lamentations, were enough to rend a heart of adamant. He complained of no pain of body— his flesh was gone. He said he was suffering the torments of hell; that he was just upon its thres- hold, and should soon enter its dismal caverns; and in this frame of mind gave up the ghost. 0, the death of a drunkard ! Well may it be said to beggar all description. I have seen other drunkards die, but never in a manner so awful and affecting. They usually go off senseless and stupid as it regards a future state!' This whole subject is one of great interest to the philosophic inquirer, and deserves further and more scientific investigation than has yet been bestowed upon it. Various theories have been proposed to account for this singular phenomenon. Some have supposed it was owing to the formation of phosphuretted hydrogen in the body. This gas, it is well known, will take fire on exposure to the air; but there seems no proof that (if found at all in the human system), it is produced in such quantities as to account for the combustion of the whole body. We must therefore content ourselves with declaring our ignorance as to the causes of spontaneous combustion; although there can be nV doubt, after all the evidence that has been adduced on this subject, that such instances have actually occurred.* * I am indebted to Professor Silliman for the following remark—«The entire body having become saturatea S aTcohol absorbed into all its tissues. ^^X inflammable, as indicated by the vapor jluch£e*s 1; INTEMPERANCE. Man is emphatically a creature of fashion. If the practice of drinking ardent spirits in any in London, was about to return to his native land. He descanted with some satire and considerable vivacity upon the manners and customs of England, • but of all cus- toms,' said he, ' the most ridiculous appears to me to be the mode in which you drink healths : one would think that drunkenness was a virtue, and that in order to incite men to it, it was necessary to persuade them to swallow large potations, by associating with the glass the friend we value, or the mistress we iove. I arrived in the great metropolis with a desire to profit by the sources of im- provement which it affords; and, in order to acquire useful commercial information, I had many recommenda- tions to your first merchants, but the cup of knowledge was for ever put from my lips by the cup of Circe, and the morning's wish to be a man was* fatally counteracted by the daily conspiracy which invariably made me a beast It was in vain that I pleaded my dislike to wine, my ina- bility to understand the political sentiment which I was called upon to pledge, or the toast, the name of a man of whom 1 had never heard : I was answered by some trite remark of compliance with custom; which was enforced by an adage of * doing at Rome as others do :' this pro- verb is translated very literally by an Englishman for the benefit of all foreigners, but he can never be made to un- derstand it in any country but his own. Having survived a course of dinners, with much suffering of body and mind, I saw an election impending, and felt that I must retreat or die. I prepared for my departure, not with- out many imprecations upon the demon so falsely called hospitality—how unlike the household deity I had been wont to worship ! It was necessary, before I left the country, that I should entertain in return. My friends were invited, and my friends came. The dinner was pre- pared at one of their best taverns, and my orders were observed, for it was plentiful and profuse :—when that silent satisfaction prevailed, which declares that every man has eat as much as he possibly can, I addressed my guests to the following purport :— 'I am very sensible of your kindness to a stranger : I CAUSES OF INTEMPERANCE. I H9 md every form could once be rendered unfash- ionable—could be denounced as ungentcel, much, nay, we may say, every thing would be done to- wards banishing intemperance from our country— the victorv would be won. But so long as it is fashionable to drink—so long as the nauseous custom of treating (as the vulgar phrase it) is universal—so long as the office-seeker deals out whiskey and rum to the office-giver—so long as the farmer distributes the bottle to his laborers, and the mechanic to his journeymen, and the ma- do not see one man here who has not vied with his neigh- bor in performing the rites of hospitality in pursuance ot [rood old customs, and for the glory of England. You have taught me how to be kind, and I m my way will endeavor to requite you.' Upon giving a signal a large Westphalia ham was set upon the table, and each man furnished with implements for eating. Having cut a large piece, and put it upon my fork, I stood up with much Solemnity and said, "the King!" My guests endeavored to evade this : Gentlemen, said I, I call you to order : this is not a matter of choice, and I shall fine every man a bumper of ham who does not eat to the glory of that vn- tuous monarch. It was in vain that my friends repeat- edly assured me that they could not eat that they disliked very sort of swine's flesh! that they should be seriously ill i God forbid that you should not be sick, sard I, my fear friends -which of vou ever suffered me to depart 3 or\n my senses ? I trust that I am not less hosp,- S oHess aUve to the merits of the great man you have teught me to reverence. Not an orator in either nouseX be forgotten, not an admiral, or a^eneraUhat shall not have his corresponding p.ece of ham. Why recollected with advantage when I am far from them. 15 170 C.WSKS OF INTEMPERA.VK. nufacturer to his workmen—so long as men of all classes consider the proffer of ardent spirits a9 indicative of the spirit of hospitality—just so long will intemperance be rife in our land, and we be a nation of drunkards. Another cause of intemperance is the deplora- ble practice of parents indulging and encouraging it in their children, by giving them ardent spirits on all occasions, and keeping it continually on their sideboards within the reach of all in the house. . Nothing can be expected of children where such a custom is adopted, but that they should be confirmed drunkards. It is serving a regular apprenticeship to intemperance. Another circumstance which, I am persuaded, has not a little influence, is the stimulating food, and especially the alcoholic medicines adminis- tered to children during infancy. At a period when the diet should be of the most bland and unirritating nature, how frequently do we see nurses and mothers feeding the little sufferer with toddy in various forms, peppermint, and a great variety of the most heating articles! If the child, from overfeeding, or any other cause, happens to have pain in its stomach or bowels— nothing, says the skillful nurse, so good for colic as brandy toddy—it removes the wind, and ena- bles the patient to digest his food ! If the stomach, after being loaded to excess, should fortunately reject the heterogeneous mass with which it has been gorged, why nothing is so effectual in reliev- ing nausea as peppermint and gin ! If the infant should be restless and cry, paregoric, made of alcohol, spices, and opium, must be administered. CAUSES OF INTEMPERANCE. 1T1 Thus every indisposition, however trifling or however caused, is made an excuse for crowding down, in some form or other, alcohol and the most stimulating articles which the materia medica fur- nishes. As if the nurse were making an expe- riment to see how much injury, moral, intellectual, and physical she could contrive to inflict on the helpless being committed to her charge ! Is it not a natural result from such a course, that the sto- mach being accustomed to a stimulating diet in infancy when the system is susceptible to impres- sions, and easily controlled by habit, should at a more mature age require a continuance of the same stimulus ? The natural delicacy of the mucous membrane of the mouth and stomach being impaired and injured by a long course of stimulation—food of the ordinary kind becomes insipid and tasteless, and recourse must be had to bitters and tonics in order to supply the deficiency. I have no doubt that many a sot has been made by the injudicious use of alcoholic medicines, and a stimulating regimen in infancy and early youth. Allied to this practice is another perhaps not less fatal—that of using spirituous tinctures and alcoholic bitters for the cure of dyspepsia and its attendant evils. The unhappy victim is thus bed on blindfold to the very brink of destruction, lie does not know that, while he is thus endeavoring to relieve his dyspeptic evils, he is forming a habit, and creating a taste which will never desert him till they have wrought his ruin, and brought him to an early and untimely grave. Females are particularly exposed in this way to form intempe- ate habits, and I am inclined to believe that more 17'2 CAUSES OF INTEMPERANCE. female drunkards ate made by this means than by any other. They are peculiarly subject to dyspeptic and nervous diseases from want of exercise in the open air, from keeping late hours, and other causes: and for the relief of these dis- tressing affections they are very apt to resort to tinctures, stomachic elixirs, &c. The desire and taste for alcoholic stimulants may thus be formed and strengthened without the patient being aware of the danger to which she is exposed. She is only taking medicine, and this too perhaps by the advice of her physician ! Her conscience is paci- fied, and she does not know, for she does not reflect, that she is drinking ardent spirit—the bare idea of which would probably fill her with appre- hension and alarm. Every medical man assumes a fearful responsibility whenever he advises a patient to take habitually an article which can by possibility lead to habits of intemperance. Alco- holic bitters are never indispensable—seldom desirable, and if we can get along without them, why should we ever induce our patients to run such tremendous risks in taking them ? Idleness is not unfrequently a remote cause of intemperance. We seem so constituted by nature that excitement of some kind is essential to our happiness; and if this stimulus be not furnished by intellectual or coporeal labor it will be sought in other ways, and hence the idle man is peculiarly exposed to the formation of habits of dissipation and inebriety. While upon this subject we cahnot forbear re- ferring to the lamentable practice, formerly almost universal, and still by far too common, of farmers regularly furnishing ardent spirits to the laborers CAUSES OF INTEMPERANCE. 173 in their employ. The ration of whiskey, generally to the amount of a pint for each individual, is measured out in the morning with as much punc- tuality as his meals. If the object particularly in view had been to form drunkards, a more effectual mode than this could hardly have been devised. It has often been remarked that this destructive vice not unfrequently prevails in particular fami- lies, descending from parent to child for several generations, but whether from the force of exam- ple or from hereditary predisposition is a disputed point, though both circumstances probably exert some influence. , . The stimulus arising from ardent spirits is sometimes resorted to by the timid and feeble minded in order to drown the recollection of mis- fortune. But no man of energetic character, or lofty intellect, or decided purpose, could ever be so weak and silly as to make use of ardent spir.ts for such an object. He knows too well the tran- sient nature of the relief afforded, as well as the tremendous evils which so certainly follow in its train, ever to depend upon it to alleviate misfor- tune, or drive away care. But unfortunate y there are men, deficient in moral firmness and intel- lectual vigor, upon whom misfortunes in business, domestic "disquietudes, or the disappointments of ambition, press with so heavy a weight ap to. "luce then, to frequent the bar-room and the, tp- ling shop for solace and relief But alas what wretched consolation for an afflicted mind ! *o- lin-is gained by it but temporary relief, and for this are sacrificed for ever, health, reputation, hap- pines and all that our nature holds most dear. 174 METHOD OK CHAPTER XII. Method of Curing the Habit of Drunkenness. To break the chain of habit which binds the drunkard to his bottle, like Prometheus to the rock, is a labor of great, nay, of almost insur- mountable difficulty. There is not perhaps a single habit within the whole circle of human conduct which exerts so powerful, we might say so uncontrollable an in- fluence on the mind as that of intemperance—and not one from which deliverance is so seldom ob- tained. So complete and absorbing is the drunk- ard's devotion to his cups—^so bitter and over- whelming is his wretchedness when deprived of this stimulus—that he will sacrifice health, repu- tation, friends, family, every thing, to gratify this all-powerful appetite. In contending with the habit of intemperance we have a double war to wage, for not only isv the body enslaved by this vice, but the mind also is carried captive and debased; and thus those moral considerations, by which we must chiefly expect to operate upon the inebriate, lose much, and sometimes all of their influence. But although the difficulty of breaking up this disasterous fascination by which the drunkard is CURING DRUNKENNESS. 175 hurried onward in his course is very great, yet we fortunately have learned from experience that it is not always insuperable. The question has frequently been asked in re- lation to this subject, whether it is better that the intemperate should relinquish the inebriating cup wholly at once or by degrees? It is contended on the one hand that where the habit of drinking is firmly fixed, and has been of long continuance, that there will be no little danger to the health, and perhaps the life of the individual if the prac- tice be totally and suddenly abandoned—and that the agony and suffering are so great on this plan that we have little reason to suppose that men can be brought voluntarily to undergo it. On the other side it is asserted that all experience is in favor of immediate and total abstinence—that there is no danger to life or health if proper pre- caution be observed—that although the suffering from so entire a change in the habits maybe great, vet it is not greater on the whole than from the gradual plan-and that we have good reason tor believing from all past experience that it is vastly more effectual, and that fewer relapses into in- temperate habits occur, where immediate and total, than where gradual abstinence is attempted.' . o- » 4!,„„«• rnrlisle whose opinions deservedly carr> * Sir Anthony Cailisle, wnos 1 f u j observations with them grearweight makes ^° |,ence in my upon this subject.— Long-cm . BaMcu toans.tion from the d^yerni^^^ ^^ Tlus 176 MiTiion ok No one, in mv opinion, tan take an extensive view of the course of events in this country lor the last few years in relation to intemperance without being "convinced that total and immediate abstinence from every species of alcoholic stimu- lants is a course perfectly safe as it regards the health of the individual, and the only one which can be depended on as ensuring a radical cure of the drinking mania. The adamantine chain of habit is thus effectually sundered, and for ever too —but if from an apprehension of its effects upon the corporeal powers, the wretched drunkard i.-i allowed to take a little of the bewitching draught, it will still exercise its magic influence over him, and the power of the habit will be as far as ever from being broken. The best way to unloose the gordian knot which binds us to this pernicious practice is boldly to cut it asunder. The apprehension so frequently expressed that the emaciated and broken down frame of the drunkard will sink, if the stimulus so long and so freely applied be withdrawn, is proved by every day's experience and observation to be utterly groundless. It is a well known fact, that in our public hospitals men of the most intemperate habits are often admitted, and immediately de- prived of the use of ardent spirits; and yet this course, so far from being injurious, is decidedlv beneficial. If this plea will answer for the debili- tated and diseased inmates of a hospital, we might argue, a fortiori, that it would do still better for because I am assured from extensive observation that whenever fermented liquors decidedly produce or keep gp disorder, every small quantity of them is poisonous,' CURING DRUNKENNESS. 177 those who are in comparative health. ' In a public hospital,' remarks a distinguished British surgeon, 'to which 1 have been one of the surgeons for twenty years, it has been my practice in all cases of desperate operations and dangerous accidents to debar the patient instantly from all strong liquors, although very often the previous habits of such unhappy persons were most notoriously intemperate, and I am assured of the advantage of such practice, and in general of the consequent immediate danger of death, as when large quanti- ties of cold water have been drunk. 6. To remedy the disagreeable taste and the supposed injurious qualities of bad or impure water, particularly in cities, and on ship-board. 7. As an external application when the surface requires vesication or stimulation. 8. To enable laboring men the better to sustain the extremes of hot and cold weather, and the vicissitudes to which they are exposed in their arduous avocations. 1. In Dyspepsia. There is perhaps scarcely one disease in the treatment of which the patient more frequently commits mistakes than in this. He feels languid and wretched—his food is badly digested—flatu- lency continually harasses him—an uneasy in- describable sensation of oppression in the epigas- tric region, is a constant, companion—and to relieve these disagreeable feelings he has been taught by those around him to resort to the stimulus of bit- ters and ardent spirits. He perhaps receives temporary relief, and he is encouraged to proceed —another and another, and another dose is taken, but the relief becomes more and more transient; and in order to obtain even this he is compelled to increase his libations. He will however very soon 188 SUBSTITUTES IN THE discover to his sorrow that his disease, instead of being cured, is continually becoming worse. In short, he has mistaken his remedy—and this will invariably be the result with every one who en- deavors to break up such a disease by such means. Dyspepsia requires a very different treatment. Where anything of a stimulant or tonic character is required, the usual bitters, as Peruvian bark,* camomile flowers, columba, quassia, gentian, &c, or the preparations of steel will be amply sufficient. There cannot be the least doubt that great, and sometimes essential injury has been inflicted on the unhappy dyspeptic by recommending alcohol * The sulphate of quinine is a most excellent article in cases of ianguor, debility, and loss of appetite, and might be employed advantageously much more frequently than it is. There is no bitter, 1 am inclined to think, in the materia medica, whose effects are so prompt and de- cided as this—and which gives such immediate and com- plete relief in those cases of simple debility which occur so frequently during our warm summers—and more espe- cially among men of sedentary habits—and females of delicate constitution. I have repeatedly seen ladies, whose strength has been prostrated, and their lives ren- dered wretched by the languor consequent upon the oppressive warmth of the summer season, restored to elasticity of spirits and perfect health, by a few doses of this article repeated for three or four days. And I have also been particularly gratified in being able occasionally to prevail upon the laboring man to leave off his alcoholic bitters and resort to this pleasant and efficient stimulant, and always without a single ex- ception has he declared himself pleased with the change. lie would say that the quinine was much more efficient in increasing his appetite, and dispelling that languor that was so oppressive to his feelings—while it was never fol- lowed by the headache and subsequent depression which are such common attendants on the use of ardent spirits. PRACTICE OF MEDICINE. 189 to strengthen his digestive powers, and increase his appetite. So delicate an organ as the stomach cannot with safety be loaded with so powerful a stimulus, and especially when in a state of suba- cute inflammation, as is frequently the case in dyspepsia. Independantly therefore of the immi- nent danger of the patient's becoming addicted to habits of intemperance, the advice too fre- quently given, I am afraid even by physicians, to drink brandy and water cannot be too strongly deprecated on account of its immediate effects on the system itself. Where any thing in this dis- ease of a more stimulant nature than tonics and bitters is required, good wine is much preferable to ardent spirits, and no doubt even this is pre- scribed much more frequently than is necessary. 2. In low Typhoid states of the System. Where the strength has been exhausted, and a low typhoid state has come on, after a long-con- tinued fever, it is a very general impression among the profession that a stimulus of a different nature from the ordinary tonics and bitters is required to quiet the irritable and frequent pulse, to clear the black and coated tongue, and to resuscitate the exhausted energy of the body. In this peculiar state most medical men have been in the habit of using alcohol very freely in the form of wine or brandy. But, surely, when we consider the great number, and vast variety of stimulants furnished by the materia medica, we can hardly believe that amongst all these it would not be possible to select 190 SUBSTITUTES IN THE an article or articles which would be proper for almost any form of this disease., and every idio- syncrasy of constitution. When we consider the great and varied powers of the Peruvian bark, ammonia, camphor, cayenne pepper, &c. &c, can we doubt that resort need never be had to ardent spirits where these can be obtained ? But although perhaps there are cases where wine cannot readily be dispensed with, yet I have no hesitation in asserting that there never was an instance where there was the least necessity for using ardent spirits in any form or shape whatever. Indeed, the only, or the principal plea for the employment of brandy or rum in these cases is, that wine sometimes disagrees with the stomach by turning acid. It is rather a favorite notion with some practitioners that brandy is less apt to disagree in this respect than wine, but I must say that 1 have never found the least difficulty where the wine was of a good quality, and the proper kind had been selected. Sometimes one kind of wine will suit better than another, and some little judgment is required to select that which is best adapted to the peculiarities of the constitution and the disease. Should there however-be a case in which wine could not be taken, good porter or ale could still be resorted to, and would be more suitable and advantageous than ardent spirits. I have no hesitation then in repeating that there are no cases of typhoid fever where ardent spirits are ever desirable, and very few if any in which wine is absolutely indispensable. PRACTICE OF MEDICINE. 191 3. As an External Application in Cases of Hemorrhage. It would be absurd to attempt a labored denial of the importance of ardent spirits in this par- ticular case, as probably not one sober medical man in a hundred would ever think of resorting to them for any such purpose. 4. Alcohol is frequently given, in some form or other, to infants to remove flatulency, relieve pain, make them sleep, 8rc. This idea has already been discussed in a pre- vious part of our work (chapter XL), and what was there remarked need not be repeated. I will only add, that there is not probably a single ima- ginable state of the infant's system in which other articles could not be used with more advantage for these purposes than ardent spirits. 5. In cases of sudden emergency in Which the vital powers seem extinct, and tlie patient is in imme- diate danger of death—as when large quantities of cold water have been drunk. Where accidents of this kind have taken place nothing is more common than to see both practi- tioner and the standers by pouring down brandy or gin into the stomach of the unhappy victim— not once reflecting that in all probability he has 192 SUBSTITUTES IN TH V. already half a pint of alcohol in his system, and without which his alarming situation never would have occurred. Nothing is more certain, than that in nine cases out of ten, where injury has been suffered from drinking cold water in warm weather, it takes place in persons of intemperate habits, the powers of whose system have been prostrated by previous indulgence, and which have not suffi- cient energy to bear the sudden introduction of a large quantity of cold water. The drinking of cold water by persons whose habits have been pre- viously good, and whose health is perfect, is sel- dom, if ever, attended by fatal Consequences, and indeed generally by nothing more than slight and transient pain. Is it not absurd then for us to prescribe, as a remedy, an additional quantity of the very article which has caused all the mischief? Although no doubt stimulants are the proper remedies in cases of this kind, yet there can be as little doubt that there are other articles much more efficacious and suitable than ardent spirits. Ammonia, cayenne pepper, camphor, laudanum, together with exter- nal applications of mustard, cantharides, turpen- tine, heat, friction—all can be employed to much greater advantage than alcohol in any form, and will be amply sufficient for every possible emer- gency. 6. To remedy the disagreeable taste and the sup- posed injurious qualities of bad or impure water, particularly in cities, and on ship-board. Although this plea for the use of ardent spirits PRACTICE OF MEDICINE. 193 cannot be sustained by a single rational argument, yet I have no doubt it has frequently been the means of inducing intemperate habits. It is a very common practice in our large cities, and perhaps still more common on board our ships, to plead this excuse in justification of the daily and habitual use of alcoholic liquors. But a moments conside- ration would be sufficient to convince any reflect- ing ntan that such a course is only making the evil greater. If the water be unwholesome, the mix- ture with it of brandy, which is itself injurious, cannot render it otherwise; and if the object be to disguise its disagreeable taste, there is a great variety of other articles which could be employed quite as effectually for this purpose, and which are free from every objection, either on the score of morals or of health. 7. There are so many other things (as tincture of cantharides, spirits of turpentine, mustard, &c. &c.) which can be used in this case, that not a word need be wasted on the subject. 8. The vulgar opinion, or rather what was the vul- gar opinion a few years since, that the laboring man requires the stimulation of ardent spirits to enable him to perform his arduous duties, and to defend him against the vicissitudes of our change- able climate, is wholly unfounded. It would be easy to prove this from a philo- sophical consideration of this subject,* but a still * The reader will find some reflections upon this ques- tion in chapter X. 17 194 SUBSTITUTES IN THE more infallible guide (experience) puts it beyond all controversy. Since the formation of tempe- rance societies it has been found by the experience of thousands, ascertained in every possible way too, that those laboring men who abstain entirely from the use of ardent spirits, can perform more labor, and are in less danger from the vicissitudes of our climate than those who use them habitually. Within the last ten years, thousands of farms have been cultivated, hundreds of ships have been navigated, and every variety of manufacture car- ried on without a drop of ardent spirits—and the unanimous and decided testimony of the indi- viduals concerned has been, not only that money has been saved, and morals promoted, but that lives have been preserved, and health benefited by this abstemious course. On a dispassionate review of this whole subject then, I think it will be admitted by every candid and reflecting medical man, that the use of ardent spirits in the practice of medicine is never indispensable, and seldom, if ever, even useful; and that in this latter case there is a great variety of remedies which are amply sufficient as substitutes. If this be the case, what is the duty of every physician in relation to this article, which has spread such misery, desolation, and ruin throughout this coun- try and the world ? Shall not physicians who have always been pre-eminent in the labors of love and the exertions of philanthropy—shall not they do something for the promotion of the tem- perance cause—that greatest and best of the benevolent enterprizes of this benevolent age ? And in what way can this be done so effectu- PRACTICE OF MEDICINE. 195 ally as by discouraging the medical use of ardent spirits? No one can doubt that such use has made many a drunkard, and filled many a drunk- ard's grave: and shall we not then relinquish its employment, and resort to other articles equally efficacious, and at the same time perfectly safe ? The apathy which has so long been felt by the medical profession in relation to this important subject—thanks to the Temperance Societies and the reforming spirit of the age—is beginning to disappear, and more enlarged views of professional duty and professional responsibility are beginning to be felt. Already has the seal of reprobation been put on the medicinal use of ardent spirits by numbers of the most eminent of the medical faculty; and may we not hope that this spirit will spread yet more widely and extensively until every physician shall be brought under its influence, and shall unite with the patriot and the christian in the expulsion from its last strong hold of this most destructive of human vices, and direst of human foes? APPENDIX. A Table op the principal cases op Spontaneous Combustion fhom the Dictionaibe de Medecine. Works in which they arc reported. By whom. Time. Age. Combustion Complete. v Immediate Cause. Habit of Life. Situation of the Remains. 1 Actes de Co-penhague. Jacobceus. 1692 Except a part of the skull and the last joints of the fingers. Abuse of spirits for three years. Upon a chair. 2 Anual Regis-ter. Blanchinede Verone. 1763 62 Except the skull, a part of the face, and three fingers. A lamp. Frequent fomentations of camphor-ated spirits. Upon the floor. 3 Anual Regis ter. Wilmer. 50 Except the thigh and one leg. A light upon a chair near the bed. Having drunk for a length of time a pint of rum daily. Upon the floor near the bed. 4 Encyc. Method. 50 Except a few bones. Habitually drunken. 5 Acta Medica. Except the skull and fingers. She drank brandy as her only drink. " 6 Memoirs upon spon-taneous combus. Lecat. 1744 60 Except a part of the head and limbs. A pipe which she was smoking. A drunkard. Near the chimney 7 8 Ibid. Ibid. 1745 Ibid. A fire. Habitually drunken. Upon the hearth. Ibid. Ibid. 1749 80 Except a black skeleton. Fire of the hearth. Drinking brandy only for many years. Sitting upon a chair before the fire. 9 Jour, de Medecine. 1779 Except a few bones, a hand, and a foot. A foot stove under her feet. A drunkard. 10 Ibid. 1782 60 Ibid. A fire of the hearth. Ibid. Upon the hearth. In bed. 11 Revue Medicale. Julia Fontenelle. 1820 90 Except the skulf and a portion of skin. A candle. Abuse of wine and eau de Cologne. 12 Ibid. ■L'LIbid. 1830 66 Except the right leg. Ibid. w. Ibid. In the same bed ; these two burnt together. 13 Gen. Wm. Kepland very old. Except a few parts of the body. A lighted pipe. Upon the floor. 14 Journal de Florence. Joseph Battaylia. 1786 The skin of the right arm, and of the right thigh were burnt. A lamp. Upon the floor ; he lived foul days. 15 Revue Medicale Robertson. 1799 Combustion incomplete. Abuse of brandy. Upon a bench. Cured. 16 Ibid. M. Marchand. Hand and thigh only burnt. 17 Jour. hosp. Hamb. 17 One finger of the right hand burnt. A candle. Cured. 18 19 Die. de Med. Alph. Deven-gee. 1829 51 The muscles of the trunk, thighs, superior extremities, burnt. Combustion almost general. A foot stove. A foot stove. Abuse of spirits. Upon a chair. Ibid. 1 Upon the floor. All of these were females except Nos. 14, 15, 16. I pfr-'V' \/ 8853