this has been rare. He continues to exclude flesh meat from his diet.
His breakfast consists of roasted potatoes and toasted bread, with
a little butter; his dinner, bread and milk; supper, the same as the
breakfast. His only drink is water. Once his fingers were tremulous,
now they are perfectly steady; and his memory, which was alarmingly
impaired, is very much improved.
A physician, with whom I was intimately acquainted, during the greater
part of his medical pupilage, which included the latter part of his
tobacco experience, has given the following account of his own case.
He has a preference for withholding his name from the public, and has
described himself as 'the patient.' The circumstances of the case as
related, may be relied on. I was present each time when he threw away
his tobacco.
"The patient," says he, "at the early age of fourteen, under the
impression that it was a manly habit, commenced chewing tobacco;
and a long and painful course of training was required before the
stomach could be brought to retain it. At length the natural
aversion of this organ to the poison was so overcome, that an
exceedingly large quantity might be taken without producing nausea.
For several years the patient continued its uninterrupted use,
swallowing all the secretions of the mouth saturated with this
baneful narcotic, without experiencing much disturbance of health.
At length he began to be harassed with heart-burn, attended with
copious eructations of an intensely acid fluid, together with other
indications of dyspepsia. A watery stomach was suspected, and
smoking was at once recommended in addition to chewing, to alleviate
the accumulation of water in the stomach and to assist digestion.
Smoking was accordingly practised after every meal, with little
alleviation of the difficulty. The patient, however, being determined
to be benefited by its use, resorted to it more frequently, smoking
not only after eating, but several times between meals. Yet to
his great surprise, his troublesome symptoms were gradually
augmented, notwithstanding his strenuous adherence to the practice.
"To the heart-burn and acid eructations, soon succeeded nausea,
loss of appetite, a gnawing sensation in the stomach, when empty,
a sense of constriction in the throat, dryness in the mouth and
fauces, thickening or huskiness of the voice, costivene
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