LIBRARY OF CONGRESS. m^w^.. @]qn|ri# ^a* Shelf^y.O)>^_ .V2 UNITED STATES OF AMEEICA. SOME SPECIAL BOOKS FOR NEIGHBORHOOD CLUBS. To meet the growing demand for books for young people which shall be as entertaining as stories, and at the same time educational in influ- ence, we suggest the following : I. The Reading" Union Library, a series prepared for the Chautauqua Young Folks' Reading Union, $x.oo a volume, fully illus- trated ; four volumes now ready, others in preparation : (a) Magna Charta Stories^ thrilling tales of the world's great struggles for liberty, edited by Arthur Oilman ; (b) Old Ocean, the romance and wonders of the sea, by Ernest Ingersoli ; (c) Dooryard Folks, fascinating natural history, by Miss A. B. Harris, and including the author's curious experi- ments with " A Winter Garden " ; (d) The Great Composers, a con- densed, comprehensive story of music and musicians, by H, Butterworth. II. Our Business Boys. The ways to success in business life, the rocks of danger, as described "^^j eighty-three business tnen, in re- sponse to inquiries by the author. Rev. F. E. Clark. Price, 60 cents. III. For reading after or in connection with, the above, there are three volumes about those who have worked and won : (a) Men of Mark, ft)) Noble iVorkers, (c) Stories of Success ; to which may well be added (d) A Noble Life ; or, Hints for Living t by Rev. O. A. Kingsbury; each volume, $1.25. IV. Charlotte M. Youge's Young Folks' Histories, $1.50 a Yolume : Young Folks* History of Germany. Young Folks' History of England. Young Folks' History of Greece. Young Folks' History of France, Youag Folks' History of Rome. Young Folks' Bible History. V. Lothrop's Library of Entertaining History. Edi- ted by Arthur Gilman, M. A. Each volume has one hundred illustra- tions. These histories are designed to furnish in a succinct but interesting form, such descriptions of the lands treated as shall meet the wants of those busy readers who cannot devote tnemselves to the study of detailed and elaborate works, but who wish to be well-informed in historical matters. $1.50 per volume. Atnerica,hy kx^Mx Gilman, M. A. ; India^hy Fannie Roper Feudge; Egypt, by Mrs. Clara Erskine Clement ; Spain, by Prof. James Albert Harrison ; Switzerland, by Miss Harriet D. S. Mackenzie. VI. Popular Biogrraphies, of great and good men, whose ef- forts and accomplishments cannot fail of helpful suggestions to young people. Each volume illustrated. Price ^1.50. Abraham Lincoln. Daniel Webster. Benjamin Franklin. Horace Greeley. Charles Sumner. Amos Lawrence. Henry Wilson. James A. Garfield. Israel Putnam. Bayard Taylor. George Peabody. Jp^" ^- Whittier^ Henry W. Longfellow. Charles Dickens. David Livingstone. Washington. William the Silent. Oliver Wendell Holmes. The above books sent, post-paid on receipt of price. Send for full catalogue of more than a thousand volumes, mcluding many volume* of story, biography, travel and adventure equally desirable with the aboTt for neighborhood clubs and reading circlot. THE TEMPERANCE TEACHINGS OF SCIENCE INTENDED FOR THE GENERAL PUBLIC AND ESPECIALLY FOR YOUNG PEOPLE BY A. B. PALMER, M. D., LL.D. Professor of Pathology, Practice of Medicine, and Clinical Med- icine, in tke College of Mediicne and Surger}^, in the University of Michigan, Author of **The Sci- ence and Practice of Medicine," " Ep- idemic Cholera and Allied Diseases," etc., etc. ^fe j^* O '- INTRODUCTION BY ^ MARY A. LIVERMORE ' WASH BOSTON D. LOTHROP AND COMPANY FRANKLIN AND HAWLEY STREETS HVro& Copyright, 1886, by D. LoTHROP & Company. CONTENTS. Page. Introduction. The Need of Knowing the Facts 5 I. Half a Century's Study of the Ques- tion 15 II. The Production of Alcohol and the Composition of Alcoholic Liquors 2 1 III. The Parts and Qualities of the Hu- man System .... 32 IV. The Effects of Alcohol upon the Stomach ..... 42 V. The Action of Alcoholics upon the Liver S^ VI. The Action of Alcohol upon the Lungs 62 VII. The Action of Alcoholics upon the Heart 73 VIII. The Effects of Alcohol upon the Kidneys . . . . . 87 IX. The Nervous System and Narcotics 95 CONTENTS. Page. X. The Action of Alcohol upon the Brain, Spinal Cord and Nerves . 105 XI. The Action of Alcohol upon the Brain, and Nervous System {con?) 117 XII. Further Influence of Alcoholics upon the Brain , . . 130 Appendix 143 NOTE. Throughout this volume no opinions have been ex- pressed as to the particular methods of what is called "Temperance Work." Nothing has been said as to the propriety or efficacy of pledges, moral suasion, political agi- tation, or legislative enactments. Important questions are connected with these subjects, but the sole object has been to bring all, and especially young people, who may honor this little book with a perusal, to the rational conclusion and firm resolve, that in whatever form, as an article of " diet," of luxury, or as a beverage, alcohol is harmful ; is useless ; we will not take it. INTRODUCTION. By Mary A. Livermore. THE NEED OF KNOWING THE FACTS. LESS than a quarter of a century ago, our na- tion was in the agony of a protracted san- guinary conflict. To-day, we speak of it as " The War of the Rebellion." For four years the people of the North and South were arrayed against each other in deadly hostilities. And not until hundreds of thousands had been slain on battle-fields, or had died in hospitals, was peace declared. During this war, " recruiting offices " were opened in all the large towns and cities of the country, where men were enlisted as soldiers. For soldiers were in continual demand, not only to augment the army, 5 O INTRODUCTION, but to make up for the losses incurred on battle- fields, and in hospitals. Not only did the country need a large army, it needed an army of strong, sound, healthy men. So when a man had " enlisted," he was sent from the recruiting office to the "examining surgeon," to undergo rigid bodily inspection. If the surgeon found disease in the heart, or lungs, or brain, or in any part of the body, if the enlisted man had defects of vision, or hearing, if he had lost a front tooth, and could not bite off the end of a cartridge, or a right thumb, and could not cover the vent-hole of a can- non, if he was maimed, deformed, defective or un- sound in body, the Government refused to accept him as a soldier. He could not be "mustered in." For the business of war requires the highest bodily efficiency, and feeble or crippled men are not equal to its tremendous demands. Every young man and maiden of our country is on the verge of a longer and more important con- flict than were the soldiers of the War of the Re- bellion. For the world is a vast encampment, and every human being is a soldier, drafted for service. THE NEED OF KNOWING THE FACTS. 7 No substitute can take another's place, nor can a discharge be obtained from the battle of life, till God grants it at death. " War a good warfare ! '* is the order that rings down the ranks from the great Captain who commands these hosts. Even more important to success are bodily- strength and efficiency in the battle of life, where all do service, than they were in the War of the Rebellion, where only a million were mustered in. For a good physical condition is one of the great pre-requisites to successful living. To live worth- ily or happily, to accomplish much for one's self or others, when suffering from disease and pain, is attended with great difficulty. The very morals suffer from disease of the body. " Every sick man is a rascal," said the great Doctor Johnson. The importance of physical education to the young cannot be unduly emphasized. For out of the schoolroom of to-day are to come the skilled workmen and women of the next generation — the physicians, clergy, lawyers, judges, legislators, mer- chants, manufacturers and navigators — all who are to carry on the work of the world. 8 INTRODUCTION. Civilization has already outrun the bodies of men and women. Its complicated work taxes body and brain almost beyond endurance. In addition, the self-indulgence of the age is so general and waste- ful that it creates physical degeneracy, and mental imbecility. It crowds the hospitals, peoples the asylums, increases the tenants of almshouses, fills the prisons, empties the churches, dethrones man- hood, and brutalizes alike the rich and poor. I al- lude to the indulgence in intoxicating drinks. All the while, the severity of the struggle for life in- creases, and the difficulties of earning a livelihood grow intenser with every generation. What is to be done ? The young must be taught the hygiene of intoxi- cating drinks. It must enter into their school edu- cation. They must be carefully instructed in the damaging physiological results of indulgence in the cider, beer and wine, so largely used as beverages, and which, in the main, become as destructive as the stronger alcoholic liquors. They must be trained to maintain serene dominion over appetite — to lead lives of wholesomeness — to practice rigid THE NEED OF KNOWING THE FACTS. 9 total abstinence from all that can intoxicate. Plato laid down the rule that boys must not taste wine until they were eighteen years old. The early Romans forbade its use till a man had reached the age of thirty. The Spartans denied intoxicating drinks to their sons, and compelled their slaves — the Helots — to get drunk in presence of their young men, that they might witness the degrada- tion of drunkenness. Their great aim was to de- velop a superb physical manhood. Science to-day teaches that alcohol is not only not a food, but a poison. When we say a man is " intoxicated," we simply say that he is poisoned. For our word " intoxicate " comes from the Latin word " toxicum," which means poison. From this we have the word " toxicology," which is the science that treats of poisons. If one takes into the stom- ach meat, bread, potatoes, or other food, it is di- gested, and converted into muscle, brain, bone, or some other part of the body. Thus by food the waste of the human system is repaired, which is occasioned by the work of life. But when alcohol is taken into the stomach, that organ resents its lO INTRODUCTION. intrusion, and drives it into the liver, which, in turn, forces it to the heart, and that throws it into the lungs — and so it goes on, in its unwelcome and compulsory tour through the body. Every organ rejects and expels it, the liver, bowels, kidneys, lungs and skin all throwing out a portion of it, un- til the system is rid of it. In this process of ex- pulsion, every organ, by and by, becomes seriously damaged. At last, both body and mind are ruined. The perceptions are bewildered, the memory weakened, the reasoning power clouded, the moral sense be- numbed, the will dethroned, the self-respect dead, and there is no vice or crime to which the victim is not liable. A terrible dipsomania is established, when there is only an insatiate craving for alcohol, that knows no bounds, and for which there is rarely any cure. When to the wreck of the individual are added the appalling facts that four fifths of all the crimi- nals in the prisons, four fifths of all the paupers in the almshouses, three fifths of the insane in asylums, and one half of the idiots are the direct THE NEED OF KNOWING THE FACTS. II products of Strong drink, how ghastly is the record ! Ought not these facts to constitute a powerful array of reasons why the youth of to-day should vow in high honor absolute and life-long aloofness from all that can intoxicate ? THE TEMPERANCE TEACH- INGS OF SCIENCE. THE TEMPERANCE TEACH- INGS OF SCIENCE. CHAPTER I. HALF A century's STUDY OF THE QUESTION". I HAVE been requested to state to the young people of our country some things that I know, and that many of them may not, respecting the drinks called spirituous and fermented liquors, that many people use. It is thought by good and wise men and women, that young persons should be in- structed about these liquors, because through ig- norance of their nature and effects multitudes begin to drink them, and acquire a love for them, which goes on increasing the more they are used, until very great injury is done to the bodies, minds, and character of those who take them ; a great deal of poverty, distress and mis- ery is produced in families, neighborhoods and towns, many crimes are committed, and a vast amount of evil of different kinds is spread over 15 1 6 TEMPERANCE TEACHINGS OF SCIENCE. the whole country, and a large part of the world. It is important that young persons should have correct views of all matters pertaining to their wel- fare, their happiness and usefulness in after life. In my own case, strong impressions were made upon my mind respecting these drinks when I was a small boy, and these impressions have had an in- fluence upon my whole long life. In the first years of my going to school in the country town where I was born, now a favorite summer resort in the in- terior of New York, I passed by a house where a man lived who was frequently drunk. When so, he was apt to be boisterous, staggering about and abusing his poor, heart-broken wife. Whenever I saw him, or heard him, in that condition, I was terribly frightened, and hurried past the place as fast as I could. In a few years after my first re- membrance of these frights the poor wife died, when her husband gave himself entirely up to drinking. In a dark, rainy night after drinking freely at one country tavern, he was sent out, and was going to another. On his way he fell down by the side of a little ditch, and apparently, in his at- HALF A century's STUDY OF THE QUESTION. 1 7 tempt to get up, he fell over upon his back in the narrow ditch, in which, from the rain, water was running. Owing to the weakness produced by in- toxication, he was unable to rise ; and his body- damming up the stream, the water ran over his head, and he was drowned. The next day his body was found, and as there was no morgue in the coun- try — no place such as there is in many cities, where friendless or unknown bodies are taken, when found, the body was brought to my mother's house, which was near. A coroner's court was there held to de- termine the cause of death. The jury said it was accidental drowning. No one was blamed. The . sad funeral occurred, and nothing was said at that funeral of the evils of drink, or the blame of drink- ing or selling it, though the young man that sold this drunkard the liquor and sent him out in the night, saw clearly afterwards how wrong it was ; and for many years, though he repented and trusted God had forgiven him, he wore on his conscience a burden of " bloodguiltiness " for having a part in that terrible death. The horror of that whole affair haunted me like 1 8 TEMPERANCE TEACHINGS OF SCIENCE. an evil spirit for many months after. But one day an old friend of my father's, a member of the same church, called on a friendly visit at my mother's house. My oldest brother, who was then the head of the family, brought out, as was the general cus- tom, a decanter of liquor and offered the visitor. He politely said, " I thank you for what you intend as a kindness, but I have concluded to drink no more liquor." In reply to the surprise which all countenances expressed, he said, "I know this liquor does an immense amount of harm, I believe^ as a beverage, it does no good, and therefore I shall take it no more." I saw at once, boy as I was, that if his premises were correct, his conclusion was logical, and the only one to which a good man could consistently come. This was the first temperance argument I had ever heard. I was most painfully sensible of the harm that liquor had done, though I had but the dimmest conception of its extent, and if it really did no good — if it did not help the harvest men to do their work better, if the " bitters " taken in the morning and " toddy " at night, did not im- HALF A century's STUDY OF THE QUESTION. 1 9 prove the health and strength — if liquor did not warm the body when it was cold, nor protect it from the effects of heat — if it was really useless as a beverage, it seemed to me the argument was con- clusive, overwhelmingly so, in favor of abstaining from it. I soon began to inquire, to observe, and to think about these propositions : Is it useless ? In what manner and to what extent is it harmful ? What is it in the liquor that does the harm, or does not do the good ? How are its evils to be prevented ? These are not trivial questions. They are worthy of the most careful and protracted consideration of any mind. They have received no inconsider- able portion of my attention for more than fifty years. When I was still quite young I studied chemistry, as it was then taught, and learned what the article in liquors that produces these effects was. I learned that it was called alcohol — I learned of what it was composed, and how it was produced. I afterwards studied anatomy, physio- ' logy, pathology and therapeutics ; that is, I studied the structure of the body, what it does in health, 20 TEMPERANCE TEACHINGS OF SCIENCE. what happens to it in disease ; how and by what it is injured ; how injuries are to be prevented, and how, when they occur, they are to be mitigated or removed. In other words, I studied to be a doc- tor ; and after I had completed a certain course of study I commenced practising as a doctor, and afterwards I tried to teach others the science and art of medicine ; and all through these studies, this experience, and these teachings, I have made care- ful observations, have tried some experiments, and read accounts of many others, respecting alcohol ; have studied the subject at home and in oihei countries, and I now propose to tell you some of the things that I know about it, and believe to be very important truths. When we get through, we shall see whether we do not come to the conclusion that the statement, the belief, and the conclusion of the first temper- ance argument that I ever heard were correct : A/- cohol is harmful; it is useless ; we will not take it. CHAPTER 11. THE PRODUCTION OF ALCOHOL AND THE COMPO- SITION OF ALCOHOLIC LIQUORS. THE article in all intoxicating drinks that does the harm is called Alcohol, I propose to tell you what it is, how it is produced, where it is found, and what it does when taken into peo- ple's stomachs. Alcohol is a thin, colorless liquid, lighter than water, more easily evaporated, and boiling, which makes it into a vapor, at a lower temperature than water. When touched with a burning match it is 5et on fire and burns with a blue flame, producing much heat and but a little light. You may have seen it burning in a spirit lamp. It is a ver}^ defi- nite chemical compound, and is the same wherever found. Its character is not changed by anything with which it is mixed, and it continues the same, unless it is burned up or destroyed. Those of you 21 22 TEMPERANCE TEACHINGS GF SCIENCE. who have studied chemistry, have learned that there are a few original or simple elements which when combined together in various proportions form all the ordinary substances we see and use. There are four substances or elements which, when com- bined, form the chief part of all our foods, and only three of these enter into the composition of some articles which we take. These four elements are called oxygen, carbon, hydrogen, and nitrogen. When each of these sub- stances is alone, three of them, oxygen, hydrogen, and nitrogen, are gases, without color and invisible, like the air we breathe, or the gas we burn for lights. Indeed, the air is composed of two of these, oxygen and nitrogen. Carbon, when alone, is a solid substance. It is almost pure in charcoal and in lampblack, and is quite pure in the diamond. When, however, it is combined with the other sub- stances, its compounds take different forms — some- times the form of gas, sometimes the form of liq- uids, and sometimes the form of solids. When combined with a certain proportion of oxygen it forms carbonic acid gas, which bubbles off in a THE PRODUCTION OF ALCOHOL. 23 glass of soda water. When united with a certain proportion of oxygen and hydrogen it forms sugar, a solid, sweet substance, as you know ; and when united with the same oxygen and hydrogen, but in different proportions, it forms alcohol — this liquid that we are to find out about. Now, then, the different substances mentioned and many others, though formed from the same elements but in different proportions, have, many of them, entirely different appearances, properties, and effects — are all quite different materials. These are chemical facts which many people do not understand ; hence they make mistakes when they talk about alcohol. Some, in their ignorance, say it is in all our food, that it must be in grain or it could not be got out of it, that our food is changed into alcohol in our stomachs, and various other ab- surd things. It does not exist anywhere in Nature^ either in grain, or fruit, or anything else. But you are desirous of knowing from what and how alcohol is produced. It is always produced from sugar^ by an artificial p7'0 cess. When grape sugar — the sweet substance exist- 24 TEMPERANCE TEACHINGS OF SCIENCE. ing in grapes and various other fr.uits — is dissolved and diluted in water, and at the ordinary tempera- ture of the air, and has a particle of yeast added, a change goes on in it. It " works," as it is said. I have already indicated that sugar is composed of carbon, hydrogen, and oxygen in certain propor- tions, and have said that when the proportions of the elements in a substance were changed the na- ture of the product was changed, often completely. Now, in this " working," such a change takes place in the elements of the sugar, by changes in their proportions and relations, that the sugar is de- stroyed, as sugar, as much as wood is destroyed when it is burned — that is, it is changed in the form and character of its substance ; and instead of sugar we have two new substances produced, al- cohol, a liquid, and carbonic acid, a gas. The car- bonic acid passes off in the bubbles, as the liquid — cider, for instance — " works ; " but the alcohol re- mains in the cider, having a strong affinity for the water that is present. When common cane or maple sugar is dissolved and largely diluted with water, and yeast is added, THE PRODUCTION OF ALCOHOL. 25 the sugar is first slightly changed from cane to what is called grape sugar, and then into alcohol and carbonic acid, as in the other case. Also when pure starch is taken, or when grain, or rice, or po- tatoes, all of which contain starch, are ground up and mixed with water, and yeast is added, fermen- tation takes place ; the starch is first changed to sugar, and then to alcohol and carbonic acid, as in the case of the fruit juice, and of the sugar and water. In the yeast which produces these changes are living plants, so small they cannot be seen without a magnifying glass ; these multiply rapidly, when they are in a proper vehicle, as the sugar and water, or starch and water, and cause all this " working ^' and change. Now these little plants do not have leaves and roots like larger plants that grow from the ground, nor do they have flowers and seeds, like many larger plants. They are more like mush- rooms, but not of their shape. They are only little rod-shaped particles, linked together and sometimes branching off, something like old treetops. There are many such very small, living, growing 26 TEMPERANCE TEACHINGS OF SCIENCE. bodies, some very much smaller than the common yeast plant, found in common water, and floating in the air ; and they produce particles much smaller than themselves, which serve a similar purpose to seeds of larger flowering plants ; and these, which are called spores^ are so very small they go into al- most every place where the air goes, and they get into apple juice and grape juice, when it is exposed to the air, and grow up into the little plants, and cause fermentation ; so that it is not necessary to add yeast to apple juice to produce fermentation and alcohol. In fermenting grain, to make beer or whiskey, yeast is added to cause the changes. To make strong alcoholic cider out of apple juice, all that is necessary is to leave it in the bar- rels, and to give it vent by the bung when it " works." To make wine, the grapes are crushed and left in tubs or vats when the fermentation takes place ; the skins and seeds of the grapes settle to the bot- tom, and are called lees^ and the wine is drawn or dipped off and put in casks or bottles, where in time other slight changes take place, which produce THE PRODUCTION OF ALCOHOL. 27 particular flavors ; but the alcohol produced from the sugar remains the same, and there is more oi* less of it, according to the amount of sugar which is fermented and changed. In making beer grain is used, mostly barley. Some of the barley is moistened and kept in a warm place until it sprouts, or sends out little roots. In this process much of the starch in the grain is changed into sugar. Then the sprouted barley is dried and roasted, and this is called Malt. The malt is mixed with other ground grain and hops, and sometimes aloes, quassia, and other bitter things are added, the whole is heated together, and yeast is put in — brewers' yeast — the fermentation takes place, the same alcohol is formed, and the liquid is put up in casks or bottles, like the wine. Whiskey is made by treating the grain in a simi- lar manner, but no hops are added ; and when the fermentation has taken place and the alcohol is formed, instead of leaving it in that condition, it is all put in a still, or a large boiler with a tight cover, but with a tube or pipe attached, making altogether what is called a retort. This tube extends on and 28 TEMPERANCE TEACHINGS OF SCIENCE. is twisted round into a large coil, or " worm," whicli is placed in a tub, into which cold water is con- stantly running — the tube passing out of this and emptying into a vessel. Heat is now applied to the retort, or boiler, and the alcohol which is in the water with the remains of the grain, being lighter and more readily formed into vapor, passes up into the tube and is cooled in the coil in the water, so as to come into the liquid form again, and runs out into the vessel to receive it. Some steam from the water passes over with the alcohol and is condensed and discharged with it, and the whole, after proper rectifying, constitutes whiskey. To get more pure alcohol separated from the water and any remains of the grain, repeated dis- tillations are necessary. You see by these state- ments, that distillation does not produce the al- cohol, but merely separates it from other substan- ces. Genuine brandy is made by distilling wine, or the fermented products of the grape. Rum is made by the distillation of the fermented products of the sugar cane ; gin, by distilling grain products like THE PRODUCTION OF ALCOHOL. 29 the whiskey, with the addition of juniper berries and leaves, or the oil of turpentine, to give it a peculiar flavor. Whiskey, gin, rum, and brandy are called Arderu Spirits, They all contain alcohol and water, in nearly equal proportions. What is called proof spirit contains fifty parts in a hundred of pure al- cohol by measure. Pure, or genuine wine from fermentation of grape- juice, contains from ^\^ to sixteen parts in a hun- dred of pure alcohol ; but the wines in the market sometimes have twenty-five parts in a hundred of the alcohol, as more alcohol is added to it, after the grape juice is fermented. Beer contains from four or five to twelve or more parts of alcohol in a hundred ; and cider nearly the same, according to the amount of sugar contained in the apples of which it was made. Current wine, elderberry, and other wines are sometimes made and drunk even by temperance people, who do not know they contain the same alcohol as whiskey. Some juice of th^ berries is mixed with water and sugar and allowed to ferment, 30 TEMPERANCE TEACHINGS OF SCIENCE. often producing a strong alcoholic liquor. This is just as bad as any other drink which has the same amount of alcohol in it. Alcohol readily mixes with many things besides water. It dissolves resins, making varnishes, and also essential oils, such as the oil of peppermint, cinnamon, etc., making essences. It also dissolves the active medicinal principles of many drugs, mak- ing tinctures ; and it is used for making various med- icines and coloring materials where the alcohol is driven off before they are finished. It is thus, like various other poisons, such as lead, arsenic, mer- cury, aqua fortis, etc., useful in the arts ; but this does not prove that it is innocent when used in any of its mixtures as a drink. I have taken so much space to tell about the pro- duction of alcohol, because I think it important that all should understand about it. It is partic- ularly important to know that distilling — making the alcohol into vapor by heat, and bringing it back to the liquid form by cold — does not change its character. Water is sometimes distilled in a retort to separate it from other things, but when it THE PRODUCTION OF ALCOHOL. 3 1 comes from steam into liquid again, it is the same water. A kind of distillation is going on around us with water all the time. It goes up in vapor from the earth and the sea, and comes down in dew and rain, the same water that rises. So the alcohol that is made into vapor and brought back to a liquid in a still is the same thing, unchanged. I said alcohol was the same wherever it was found. It is the same in wine and beer as in whiskey and brandy ; and the drunk-making qual- ity of any liquor depends upon the amount of al- cohol it contains. A glass of very strong wine will produce essentially the same effect as the same glass filled with half whiskey and half water. A glass of weaker wine containing twelve and a half parts of alcohol in a hundred^ would be equal to a glass of whiskey and water that has twice as much water in it as the last. Other things in the wine and beer make them taste differently, but the effects in the blood and upon the brain and the nerves are the same — there is no difference in drinking wine or beer, and in drinking whiskey or brandy with a certain amount of water added. CHAPTER IIL PARTS AND QUALITIES OF THE HUMAN SYSTEM. THE subject of the effects of alcohol upon the living body is one of very great interest and importance, and its importance is now recognized by very many people. That the use of alcoholic liquors as beverages is liable to do, and actually does in thousands of cases, all the harm so forcibly stated in the preface by Mrs. Livermore, no one who has common intelligence on the subject will deny. But many persons think, or at least say, and act as though they believed, that indulgence in a quantity of alcoholic liquors not " excessive," is at least innocent ; and some will even say, bene- ficial. Those who think this true very naturally oppose restrictions upon the use of such liquors, or any rigid restrictions upon their sale. They are apt to say that they and others ought not to be 32 PARTS AND QUALITIES OF THE HUMAN SYSTEM. 33 prevented from the use of articles good for them, because some abuse them. I have heard men say it would be as proper to condemn and prevent the use of water, because some drink too much of it, as to condemn and interfere with the use of al- coholic liquors, because some use too much of these. They must admit that the common practice and example of drinking lead many to excessive indul- gence and ruin ; and they know that St. Paul said, that if eating meat should cause his brother to offend, he would abstain from eating so innocent a thing as meat while the world should stand. They must acknowledge that they have not as high a standard of moral and Christian conduct as St. Paul, but would rather ask with another character in Scripture history, " Am I my brother's keeper ? " If alcoholic liquors are good as drinks, there is at least a question as to whether they should be unsparingly denounced, and their use and sale forbidden or restricted. If, however, they are use- less, and especially if they are injurious and dan- gerous as beverages, in whatever quantities taken, then there is every reason for denouncing them, 34 TEMPERANCE TEACHINGS OF SCIENCE. and endeavoring to suppress their sale and use, in view of the great harm they are acknowledged to do. It is plain, then, that in this whole matter of temperance agitation as a hygienic, a social, a moral, or a legal question, much, if not everything, depends upon the question as to whether these drinks, in their habitual or even occasional use, are good or evil things. If it should be thought they were good or innocent when taken in mod- eration, then it would be important to determine what was moderation, and this has never been defined. A very small quantity of other poi- sons, of arsenic for instance, may be taken for a long time, or occasionally certainly, without doing very much harm — without doing harm that would be perceptible to all ; yet however small the quantity, some harm would be done, certainly no good, and it would be folly, on account of its slight effects when little enough was taken, to encourage or tolerate the habitual or even occasional use of it. But coming to the inquiry as to the effects of alcoholics upon the human system, some statements PARTS AND QUALITIES OF THE HUMAN SYSTEM. 35 seem necessary as to the parts and qualities of that system. The organs most concerned in the action of alcohol are the stomach, the liver, the heart, the kidneys, and the brain and nervous system — though all parts of the body are affected by it. 'The stomach, as all know, is the organ into which is received our food and drink, and in which the food is chiefly digested and prepared to nour- ish the body. The food, thus digested, is largely absorbed, or soaked up, from this organ into the blood through the coats of the veins, and carried to the liver, where it undergoes farther changes, is converted largely into blood and mingled with it, and is then carried to the right side of the heart, which pumps it into the lungs, where it is acted upon by the oxygen in the air we breathe, chang- ing it from the dark blood of the veins to the bright red blood of the arteries. This blood is then car- ried on to the left side of the heart, and from it pumped out through the arteries to all parts of the body. It goes from larger to smaller arteries, until it comes into some very small vessels called capillaries. It passes through these minute ves- 36 TEMPERANCE TEACHINGS OF SCIENCE. sels slowly, and its nourishing particles are taken up into the different parts, affording them nourish- ment, contributing to their growth in young per- sons, and to the maintenance of the strength and activity of all persons and all parts. The small veins then take up the altered blood which is not appropriated by the tissues, together with the materials which result from the wearing out of particles in the acts of life, and this blood is carried from all parts of the body, from smaller to larger veins, until it comes back to the right side of the heart and is again carried to the lungs, to be restored to arterial blood by the air; and so the process goes on perpetually during our whole life. The fluids taken into the stomach are absorbed into the veins like the foods, which are all dis- solved and brought to a liquid state, and these fluids are carried in the blood to the liver, and then to the heart and lungs. Some of the foods and fluids swallowed pass out of the stomach intc^ the intestines, are changed and digested farther there, and are absorbed from this situation partly by the veins and partly by a spe- PARTS AND QUALITIES OF THE HUMAM SYSTEM. 37 cial set of vessels called lacteals, and, like those substances absorbed from the stomach, are finally carried into the blood. In the stomach the food meets with a fluid called the gastric juice, secreted by the coats of the stom- ach, and which dissolves and digests or changes the food, and fits it for absorption,* and for the far- ther changes in the system. Shakespeare says, " the stomach is the storehouse and workshop of the whole body ; " and the office of this organ could not be more briefly and accu- rately expressed. The liver is also an important organ. It is a large, solid body, situated to the right of the stom- ach under the ribs, and it performs several offices. It changes the food carried to it, and converts a part of it into blood. It produces heat, by the chemical changes effected there, and prepares waste material in the blood for being carried out of the system ; and it secretes bile. This bile is carried by ducts from the liver into the intestines, and is a material that is useful in digesting food that passes from the stomach into the bowels ; and it promotes 38 TEMPERANCE TEACHINGS OF SCIENCE. proper action of those organs. When the liver is changed in its structure or its action, the whole sys- tem is deranged. The heart is one of the vital organs which must be constantly in action, or life will speedily end. Its office is to circulate the blood, and if this fluid fails to be sent to any organ, even for a short time, that organ ceases its action ; and when a large num- ber of organs cease their action, death occurs. When the heart acts improperly, more or less de- rangement results. The lungs^ again, perform an office which is im- mediately essential to life, and are also called vital organs. In the passage of the blood through the tissues it loses its oxygen, and carbon compounds are formed, which are injurious to the tissues ; or, at any rate, this venous blood is not capable of sustaining life-actions in the organs and tissues. This venous blood constantly flowing into the lungs must be as constantly changed into arterial blood by the action of the oxygen of the air upon it. The union of oxygen in the lungs with carbon and hydrogen is a kind of combustion, PARTS AND QUALITIES OF THE HUMAN SYSTEM. 39 and by it the heat of the body is kept up, while the blood at the same time is purified. If the lungs should cease to perform their office — if we stop breathing even for a few minutes — death will fol- low. Anything which interferes with the proper action of the lungs, or hinders the purification of the blood and the addition to it of the proper amount of oxygen, interferes with all the functions of the body, reduces the temperature, and in vari- ous ways does mischief to the system. The kidneys perform a very important office in carrying out of the body and the blood effete or worn-out materials that result from muscular and other actions, and from the changes of the foods taken. These foreign matters, if retained for a considerable time, ^re certain to poison the whole system, cause stupor, and generally convulsions, and always death. Anything, again, which inter- feres with the proper action of the kidneys deranges the whole body. But the brain and nervous system is, if possible, the most essential — is certainly the most central, the most characteristic, and the most important 40 TEMPERANCE TEACHINGS OF SCIENCE. part of the human being. It not only presides over and is essential to every action of the body, but is the special organ of the mind. Its proper conditions and actions are essential to proper think- ing and proper feeling, to the existence of proper moral qualities, and to the sustaining of proper conduct and proper social relations. A bad brain makes a bad man. It hardly needs to be said that anything which acts specially and injuriously upon the brain and nervous system deranges every department of the character and of the conduct, physical and mental. The bloody though not an organ like the stomach or the brain, is a vital fluid, an essential medium of communication between all parts, the carrier of the food and the oxygen to all the tissues, and is the agent of nutrition, of growth, of maintenance, and of purification of the body — and this nutrition is the ultimate and essential life-action. When this ceases, death occurs, and when this is de- ranged, disease is present. The Bible says the blood is the life of the body, and certainly anything that destroys the blood de- PARTS AND QUALITIES OF THE HUMAN SYSTEM. 41 stroys life ; and anything that deranges or corrupts the blood deranges the actions and corrupts the very source and agent of life. We shall endeavor to show the action of alcohol on all these parts, and upon the system at large — upon body, mind, and character. CHAPTER IV. EFFECTS OF ALCOHOL UPON THE STOMACH. /^^UR bodies are dependent for their growth, ^<-^ their support and activity upon substances taken into them. The air so necessary to our life is taken into the lungs ; and some other materials are taken with it in the form of gases and vapors, but these latter are not for support or growth, and many are injurious. By far the greater number of sub- stances, whether for necessary and useful purposes, or with injurious effects, are taken into the stomach. These ingesta, as they are called, may be divided into Foods, Simple Drinks, Medicines, and Poisons ; and besides these there are certain materials used as luxuries which are modifiers of action, and are regarded variously as foods, medicines, or as capa- ble of producing injurious effects. Condiments, spices, coffee, tea and chocolate belong to this class. 42 EFFECTS OF ALCOHOL UPON THE STOMACH. 43 There are also other substances taken into the stomach which are inert — incapable of solution and absorption — and which have no effect except such as is caused by their bulk or the shape of their particles. The hard fibres in fruits and veg- etables, the husks of seeds and grains, and some mineral substances are examples. Doctor Martin of Johns Hopkins University, in his work on the Human Body^ says : ^ Foods may be defined as substances which when taken into the alimentary canal are absorbed from it, and these serve either to supply material for the growth of the body, or for the replacement of matter which has been removed from it. Food^ in order to be such, must fulfil certain con- ditions. It must contain the elements which it is to replace in the body, and those necessary to build up the tissues. It must be capable of being ab- sorbed from the stomach or intestines, and carried to the tissues ; and, lastly, neither the substance it- self, nor any of the products arising from its changes, or from combinations with other substances, must 44 TEMPERANCE TEACHINGS OF SCIENCE. be injurious to the structure or activity of any organ. If these injurious effects are produced " it is a poison and not a food." Water is the simple diluent Drink. This liquid constitutes about two thirds of the whole weight of the body. It is contained in every tissue as well as in every fluid of the system ; and its loss, which is constantly going on, must from time to time be sup- plied. Many drinks in use contain other ingredi- ents, but all contain water. The other materials may be foods, as in milk ,♦ may be modifiers of ac- tions, as in infusions of coffee and tea ; or they may be medicines or poisons. Medicines are substances which are taken for the purpose of modifying beneficially wrong actions or conditions of the system ; or, in other words, for the alleviation of suffering and the removal of disease. Poisons are substances which, either by them- selves, or by the materials produced by their changes and combinations, inflict injury upon the system or some of its parts, and which are usually capable, independently of their bulk or mere physi- EFFECTS OF ALCOHOL UPON THE STOMACH. 45 cal qualities, of producing death. The same article may be a medicine, or a poison, according to the manner and object of its use. Thus arsenic, though a poison that inflicts injury when taken by a person in health, and in any considerable quantity causes death, may yet be given in such small doses as to counteract wrong actions and aid in removing diseases. In like manner morphine, when a few grains are taken, will destroy life, and always in flicts injury in whatever quantity when taken by the well; yet in a proper dose given to the sick, it re- lieves pain, procures sleep, prevents suffering and may overcome disease. Its habitual use, though in quantities which may not only be endured but may produce for tlie time agreeable sensations, is ac- companied by consequences the most deplorable. The statement of these facts will enable the readers who wish to know the trutli, the better to understand the place alcoholic drinks occupy, after we have considered their particular eflEects on the different organs and functions of the human body. These drinks are taken into the stomach, and we are first to inquire as to their effects upon that or- 46 TEMPERANCE TEACHINGS OF SCIENCE. gan. Although the most injurious action of alcohol, as it is commonly taken, is not upon the stomach, yet its effects on this workshop of the body are often of the most serious character ; but as with all other substances, poisonous or otherwise, its par- ticular action and results depend much upon the quantity taken, the degree of concentration or strength in which it is used, and upon the materials in the stomach at the time, and the particular con- dition of the organ ; and these effects are further modified by its habitual or only occasional use. When an ordinary dram of spirit and water, or of wine, is taken by one not accustomed to it, the first noticeable effect on the stomach is to produce a feeling of warmth in it. If the stomach be empty this effect is more decided than when taken at the time of a meal or soon after. When food is pres- ent the liquor mingles with it, is diluted and makes less impression on the coats of the stomach, and is more slowly absorbed. It causes in a short time re- laxation and enlargement of the blood-vessels, and more blood is contained in them. There is pres- ent a state of irritation. There is in some cases a EFFECTS OF ALCOHOL UPON THE STOMACH. 47 more free secretion from the glands, but it is more or less perverted. This irritation, however, may increase the appetite, and cause more food to be taken, but its digestion is likely to be impaired, and if much alcohol is taken the gastric juice is so changed by its direct action upon it that digestion is arrested. An unnatural condition of the nerves and vessels and of the whole tissue of the mem- brane is induced. If the alcohol is often repeated the vessels become permanently dilated, the sur- face redder than natural ; and according to the ob- servations of Dr. Beaumont upon the stomach of St. Martin, which was open to inspection by a wound in the side, a degree of congestion and a blush of in- flammation, and often small points of oozing blood appeared after each indulgence in a common drink. When the drinking is free, though it may not be carried to the extent of drunkenness, the stomach is apt to be more seriously and permanently changed. The coats become thickened, the organ is sometimes much contracted, the secretion of the gastric juice greatly perverted and diminished. Then very little food can be taken and digested, in- 48 TEMPERANCE TEACHINGS OF SCIENCE. digestion, distress and vomiting come on, and great depression and death follow. I recall cases in my experience where these results have followed the free use of spirits in men not regarded as drunkards, and who continued in successful business until the disease of the stomach arrested their course. Some- times small and scattered ulcerations are produced and then bleeding, pain, and more frequent vomit- ing are likely to occur, and death is apt to soon fol- low. Even when these conditions exist, though pro- duced by the alcohol, the taking of a dose of the same article will, by its narcotic effect upon the brain and nerves, give for a time relief to the dis- tressed feelings, and make the victim of the habit think that he cannot give up his drink, and that it is even doing him good. When great excesses are indulged in, causing drunkenness, more immediate and violent effects upon the stomach are often produced. The organ becomes congested and inflamed so that days may be required for recovery from a drunken fit. When much alcohol is taken into the stomach as strong as clear spirits, or spirits but moderately diluted, the EFFECTS OF ALCOHOL UPON THE STOMACH. 49 gastric juice which digests the food is coagulated or thickened and its power of digestion is destroyed. Those who take sufficient alcohol with a late dinner or supper to produce drunkenness, often vomit the food after some hours entirely undigested. But these effects upon the stomach do not always follow from the use of alcohol ; and in consequence of this many are encouraged to continue its use, and even advocate it as an innocent if not a useful thing. Some persons who commence taking it in moder- ate quantities largely diluted, as in wane and beer or in whiskey or brandy with much water, and es- pecially if they take it at meal-time, do not have their stomachs materially injured though they carry the indulgence so far as to seriously and even fatally injure them in other organs and in other ways. No poisonous article operates in the same manner upon every person ; and some will endure an amount of arsenic, or opium, or other poisons, when slowly introduced, without very marked effects, which would soon prove much more injurious or even fatal to others, especially if taken without the gradual training. This is the case with alcohol. 50 TEMPERANCE TEACHINGS OF SCIENCE. Some stomachs will endure a considerable quantity for a long time without very serious effects upon them while others will suffer many or all of the bad results before described. When the injurious effects of alcohol upon the stomach are urged as a reason for not taking it, some old drunkard or free drinker is often referred to as having a good stomach not- withstanding his habits. Such cases though not un- frequent are still exceptional. The many whose stomachs are injured by the drink, and who have been forced to abandon it, or who are suffering or have died from it, are lost sight of, and the few who have endured it and survived, are regarded as ex- amples of all. As well might one say that a battle or the storm- ing of a battery was not dangerous or destructive, since many old soldiers have gone through the or- deal with but slight injuries. The dangers of alcohol to the stomach are great, especially when taken in form of ardent spirits and between meals, and are often disastrous, though some escape this form of injury. The greater in- jury falls upon other organs and functions. CHAPTER V. ACTION OF ALCOHOLICS UPON THE LIVER. IN the preceding chapter the qualities of foods, medicines, and poisons and the differences between them were pointed out. This was done to determine the place of alcoholics. The word " intoxicants," which means poisons, so generally and properly applied to these articles, indicates where they belong. As with other poisons, a me- dicinal effect from alcohol is possible ; but the poisonous action is the chief, and, in the absence of disease, the essential or only one. All scientific men in writing upon poisons class alcohol among them, and no one denies to this article poisonous properties. Like other poisons independent of its bulk, it not only deranges life- actions but is capable of causing speedy death. The account given of its action upon the stomach SI 52 TEMPERANCE TEACHINGS OF SCIENCE. shows its capability of inflicting severe injury upon that organ, but its injurious effects are not confined to the stomach even while remaining within it. The impressions made there effect other parts of the system. The nerves, which are distributed throughout every part of the body, carry impres- sions which are made upon one part to others, and thus change the actions and conditions of distant parts, and often of the whole system. When a swallow or two of brandy or whiskey is taken, an impression is made upon the nerves of the stom- ach which is at once conveyed to other parts, es- pecially to the brain and heart, causing, for a time, an excitement of these parts. This is not the same in all persons ; but usually an excited sen- sation is felt in the head, and the heart beats more rapidly. In faintness from whatever cause, the heart beats very feebly, and when one entirely " faints away " the beating ceases entirely, and the blood is not circulated in the brain. In this con- dition the impression of alcohol in the stomach may arouse those other organs to action, just as a smell of hartshorn, or the dashing of water upon ACTION OF ALCOHOLICS UPON THE LIVER. 53 the face, or the application of a hot iron, or a tingling blow will do, and thus relieve the f aintness. It is this effect of alcohol which makes people think it a stimulant — an exciter or increaser of strength and action ; and in the sense that a strong odor, a hot iron, or a smart slap is a stim- ulant, the alcohol is a stimulant. But this effect of a drink of spirit lasts but a short time, usually but a few minutes. If the impression is very strong, if a large quantity is taken, instead of any stimulation, depression immediately follows, and as in the case of an extensive burn, or a severe blow over the stomach, death may speedily be produced. Men, and more specially children, have died in a fqw minutes from a large dose of whiskey. But the principal, the more characteristic, and the much more permanent effects of alcohol are from its absorption from the stomach into the blood, its operation upon that fluid, and upon the organs and tissues to which it is carried. Though alcohol while in the stomach acts upon the gastric juice, impairing its digestive power, and when the alcohol is much concentrated destroying 54 TEMPERANCE TEACHINGS OF SCIENCE. its digestive action, yet under no circumstances does this digestive fluid change the alcohol. This is not capable of being digested, but is taken up by the vessels of the stomach simply diluted, mingling with the fluids it meets. It is first carried to the liver and then to the brain and the rest of the system, and its principal action upon the liver I shall now attempt to de- scribe. The liver and brain have more attraction for alcohol than any other parts of the body. When an animal or a person is killed by a large dose of this poison being absorbed, more of it is found in these organs than in any others. The first effect of the alcohol on the liver is to irritate it, just as it irritates the mouth and the stomach, or, when applied strong enough, the skin. It causes distension of the bloodvessels, and the accumulation of a larger amount of blood in them than there should be. This results in swelling of the organ, partly from the larger quantity of blood in the vessels, and partly from effusion into it and an increase of the tissue. This change in the con- ACTION OF ALCOHOLICS UPON THE LIVER. 55 dition of the liver causes a change in its action ; and even without much change in its size or struc- ture, decided changes occur from the alcohol in its actions, and its important work of preparing the food carried to it and making it ready for the uses of the body, its office of making blood, of changing waste matter so that it can be carried out of the system by other organs, and its work of secreting bile are all imperfectly done. This defective work leads to general derange- ment of the whole system. There is what is called biliousness — disturbance of the stomach, a coated tongue, foul breath, deranged bowels, headache, dizziness, dimness of sight, distressing dreams, a feeling of fullness in the side and stomach, and general uncomfortable sensations. Notwithstand- ing that these unpleasant effects are so frequently produced by what are regarded as moderate quan- tities of wine, beer, or spirits, yet each drink, by its narcotic or soothing effect upon the brain and nerves, may make the person feel better for the time, just as the distress produced by opium eat- ing is temporarily relieved by repeating the dose. 56 TEMPERANCE TEACHINGS OF SCIENCE. But much more serious effects are in some cases produced by alcoholics, and beer is more apt to act in the way about to be mentioned than whiskey. An accumulation of fat is often produced in the liver, causing its greater and more permanent en- largement, and impairing more permanently its action. When this is the case stopping the use of the drink does not produce the same rapid improve- ment as in the cases before mentioned. But where the fat is deposited between the proper liver cells or structures, without taking the place of them, abstaining from drinking may in time be followed by much improvement. There is another fatty change much worse than this, where particles of fat take the place of the structure. This is called fatty degeneration, and when it occurs other organs are likely to be af- fected in a similar way ; and this disease before a great while ends in death. When any portion of the liver tissue is changed into fat, that part cannot do its work, and as the change goes on action will cease and death must follow. ACTION OF ALCOHOLICS UPON THE LIVER. 57 But Other changes take place in the liver, and the one now to be mentioned is oftener produced by ardent spirits than by beer or wine. I am quite aware that voung people, or older ones, who have not learned about the particular structures of the body will not be able fully to under- stand minute descriptions of these changes should they be given, and such persons will therefore not be interested in these details. But some useful ideas on the subject may be received by reading these more general statements ; and by making in- quiries of parents or others w^ho are able to make explanations, satisfactory knowledge may be ob- tained by even very young persons who are desirous of learning. I will here only say that there is a disease of the liver called Cirrhosis from its yellow color, and the hob-nail liver from there being upon its surface rounded projections, looking like the large nails on the soles of an English laborer's shoes ; and this disease is also called gin-liver from its always being produced by drinking strong liquor. The liver though swollen at first, becomes shrivelled 58 TEMPERANCE TEACHINGS OF SCIENCE. and much smaller later, and all through it are small masses causing the inside to look like a cake of beeswax in which, when it was melted, yellow peas had been mixed. In this condition the blood cannot properly cir- culate through it, it cannot perform its proper func- tions, dropsy follows; and when the disease is established, death always occurs in a few months, or at the longest in a very few years. As with certain alcoholic diseases of the stomach, particularly Cirrhosis and contraction of its walls, even the abandonment of the alcohol comes too late. This Cirrhosis, as well as other structural alco- holic diseases, is more likely to occur from steady drinking, though it be not carried to the extent of positive drunkenness, than from occasional de- bauches, however excessive, and however morally and' socially degrading and disastrous. These structural changes of the liver from the effects of alcohol, though sufficiently common to be very familiar to physicians, are not nearly so frequent as the derangements of action of this important ACTION OF ALCOHOLICS UPON THE LIVER. 59 organ from the same cause, without distinguishable changes of its structure. Dr. Murchison, late of London, a physician of the very highest authority on this subject, in his stan- dard work on Diseases of the Liver, says these affections are exceedingly common in his country ; and Sir Henry Thompson, one of the very first surgeons of the present time, says, "Few are aware of the great mischief which what is regarded as the moderate use of fermented liquors [ beer and wine] is doing in England." Dr. Murchison, writing on the management of these cases, says: "A man first gives up malt liquors, and in succession, port wine, Madeira, champagne, etc. ; then tries brandy or whiskey largely diluted with water. At last unless misled by the fashionable [as it was then in England] but to my mind erroneous doctrine of the present day, that alcohol in one form or another is neces- sary for digestion, or to enable a man to get through his mental or bodily work, he finds that he enjoys best health when he abstains altogether from wine and spirits in any form or quantity, and drinks 6o TEMPERANCE TEACHINGS OF SCIENCE. plain water." The particular diseases which re- sult from these derangements of the liver, produced or aggravated by alcoholics, are very numerous. Dr. Murchison makes nine classes with several varieties in each class. Among them he mentions as very frequent in England, ^'gout, urinary calculi, biliary calculi, degeneration of the kidneys, struc- tural diseases of the liver, and in fact lowering and degeneration of tissue, throughout the body." In an approach to old age, in those of even moderate alcoholic habits, there is a likelihood of fatty and calcareous or chalky matter taking the place of natural structures throughout the body. The increase of fat so frequent in beer and wine drinkers, mostly produced by the action of these articles upon the liver, makes some people think that these drinks are healthy, but such fat is an evidence of deranged nutrition and of lowered life power. There is a bloated condition which in- terferes with the ability to labor, and prevents the vigorous action of all the life forces. In the latter stages of "alcoholism "emaciation may take place, especially in spirit drinkers. ACTION OF ALCOHOLICS UPON THE LIVER. 6 1 Bacchus, the god of drunkenness, was repre- sented by the ancients as corpulent, never as ema- ciated ; but with the ancients alcoholic drinks were in the form of wine, not made stronger by the ad- dition of more alcohol, as in nearly all the wines in our markets. Still some old drunkards were doubtless emaciated in the times of Grecian and Roman art ; but it was not the object of that art, as it is not the object of much of our literature, to represent the repelling evils of the wine cup, but rather to paint in attractive colors its short and spurious pleasures. History has here as elsewhere repeated itself. Ancient art represented the god of wine in the bloom of youth and in rosy plumpness, concealing the advanced bloating, and the occasional haggard emaciation. Modern literature sings the praises of the sparkling wine, but fails to tell of the woes which follow. The inspiration of truth, however, says. At last it biteth like a serpent and stingeth like an adder. CHAPTER VI. ACTION OF ALCOHOL UPON THE LUNGS. ALCOHOL, though first carried from the stomach to the liver, making there an early and lasting impression, does not stop there, but is carried on through the right side of the heart to the lungs; and its action upon these organs will now be considered. When the alcohol reaches the lungs it makes an impression upon them ; but from causes now to be mentioned its immediate local effect upon them is not very striking. It tends, however, to produce an impression on their delicate structures similar to its first local effect upon the stomach and liver, though in a less marked degree. The small blood- vessels are doubtless dilated and some retardation of the circulation through them results. This, however, is not great when only a moderate quan- ^2 'action of alcohol upon the lungs. 63 tity is taken, and observations on this point have not been exact and conclusive. The lungs are exceedingly porous, filled with open tubes and minute cells, or cavities, which are surprisingly numerous ; and as the lungs are large bodies filling nearly the whole cavity of the chest, the surface of these tubes and cells is wonderfully large. All the blood in the body comes to the lungs and passes through them, and the alcohol which is gradually absorbed and brought there is mixed with so large a quantity of blood, and is dis- tributed over so large an area, and so soon passes on to the left side of the heart to be sent to all parts of the body, that but a small quantity can at any one time be present in any particular part ; hence the slighter primary local effect upon the tissue of those organs than upon many others. Its effects, however, upon the actions which take place here are more important. The function of the lungs is to change the blood from an impure, dark, venous fluid, unfit for the uses of the system and even poisonous to it, to a pure, vivifying one which is essential to all the 64 TEMPERANCE TEACHINGS OF SCIENCE. activities of the body. This change is effected by the oxygen of the air taken in by the act of breath- ing, a portion of which unites with certain of the impure matters in the blood, changing their char- acters, and causing them to pass out of the body by the expelled breath, while another portion of the oxygen unites with the blood-corpuscles and is carried by them to the rest of the body, impart- ing life and activity to all the parts and tissues. The principal material in the blood that needs to be removed is carbon. The oxygen unites with this material and produces carbonic acid gas, or, as chemists now call it, dioxide of carbon. If this, or its base — the carbon — be retained in the blood, very injurious effects result ; and this gas passes off with the air which is breathed out. The alcohol which is in the blood is not known to be oxidized or changed in the lungs. Some passes off in vapor with the breath, but most of it passes on with the blood to the left side of the heart to be sent to the rest of the system. The more complete the oxidation and purifica- tion of the blood, the more pure oxygen is united ACTION OF ALCOHOL UPON THE LUNGS. 65 with the blood-corpuscles, the more real vigor is imparted to the system. When one has been long in a close room where the air is exhausted of a considerable portion of its oxygen and is contam- inated with carbonic acid, the blood is not prop- erly purified or vivified by the limited oxygen, and one feels stupid, and often faint and dizzy. Going into the pure, open air will produce a most reviv- ing effect, as everybody knows. When persons remain a large part of the time in a confined and impure atmosphere, or when from any cause their blood is not properly purified by the free action of the oxygen upon it, weakness and derangements follow, severe diseases of various kinds are likely to occur, and prominent among them is consump- tion. Now it is well known that the presence of al- cohol in the blood diminishes the action of oxygen on the carbon and other impurities, and prevents the complete purification of the blood and the perfect change of venous into arterial blood. This is proved beyond all doubt by the diminished quantity of carbonic acid given off in the breath 66 TEMPERANCE TEACHINGS OF SCIENCE. of one who has been drinking alcoholics, by the blueness of the surface often noticed, caused by the darker and more venous blood in the vessels ; and it is also proved by the greater liability of drinking persons to those diseases which are pro- duced or made worse by the impurity of the blood. The warmth of the body, called the animal heat, is largely caused by the union of oxygen with car- bon and hydrogen in the lungs. A slow kind of combustion or burning takes place there, which, like the more intense burning of wood or coal, causes heat. It is well known by all physiologists that when alcohol is taken less heat is produced, and that this diminution is in proportion to the quantity used. From the narcotic or benumbing effect of the alcohol the person may not feel colder, and the surface of the body by expansion of the vessels of the skin may have more blood in it, and the skin is sometimes temporarily warmer; but the blood throughout the system and in the deeper parts is colder as is shown by the thermometer in the mouth; and it is well known that persons under the influence of liquor perish much sooner ACTION OF ALCOHOL UPON THE LUNGS. 67 when exposed to the cold. No physiologist or intelligent doctor will deny these statements; and their truth is confirmed by the experience of all arctic explorers — by Dr. Kane among others. All this goes to prove that alcohol diminishes combus- tion, heat-production, and purification in the lungs, and contributes to all the results dependent upon such diminution. From the general effect of alcohol in lowering and perverting vitality and nutrition, the lungs suffer with other tissues of the body, and several diseases of these organs are more likely to occur in those using this article ; and these diseases, when occurring from any cause, are much more likely to be severe. When inflammation of the lungs attacks a free drinker, a fatal result is vastly more likely to occur than when it attacks one who abstains. All medical men are agreed in this. Some years ago an opinion originated in this country (it was not received from any authority abroad") and became quite prevalent even among physicians, that the use of alcoholics, particularly 68 TEMPERANCE TEACHINGS OF SCIENCE. of whiskey, in free quantities, tended to prevent that dreaded disease of the lungs, consumption. It is difficult to say precisely how this opinion obtained such prevalence, as investigation shows that no substantial ground exists for it. It was probably, however, the result of an extreme reac- tion from the bleeding and other depressing treat- ment in this disease, and from the mistaken opinion that alcohol was essentially a tonic and supporting agent. It is most rational to conclude that anything which lowers the vitality and integ- rity of tissues, as certainly the free use of alcohol is known to do, will tend to the production of a disease which is acknowledged to depend upon depressing influences, and diminished life force. This conclusion of reason is sustained by carefully observed facts. There are no statistics — no recorded observa- tions and comparisons of numbers of cases — which afford the slightest indication that the use o:^alcohol in any form or quantity prevents consumption. This is not the place for an elaborate discussion of this subject, but some things may be mentioned, ACTION OF ALCOHOL UPON THE LUNGS. 69 which even the younger readers of these chapters can understand. British soldiers, when in their own islands in time of peace and living in barracks, are well known to be free drinkers. In proof of this the second most frequent severe disease among them is delirium tremens, which occurs only in free drinkers. At the same time the most frequent serious and fatal disease among them is consump- tion. It is stated upon the authority of Dr. Lom- bard, in his Treatise 07i Medical Climatology^ that forty-six out of every hundred of the deaths in the English army in garrison at home are from con- sumption. If whiskey prevented the disease in any degree it is readily seen that this would not be the case. It never happened among any large number of abstaining temperance people, that forty-six per cent., or almost one half, had con- sumption, or that this proportion of deaths was from that disease. The statistics of this army show that alcoholic drinking is a cause rather than a prevention of consumption. As the opinion is still entertained by some 70 TEMPERANCE TEACHINGS OF SCIENCE. (though fortunately not by as many as a few years ago) that whiskey antagonizes and prevents con- sumption, and as it is still taken for that purpose, the opinions of some of the highest medical author- ities, men who have given special attention to the disease, may be referred too. No man is higher authority on this subject than Doctor Lebert, a voluminous writer and original investigator, and who has had an extensive prac- tice in this disease in Germany, France, and Switz- erland. He emphatically states and reiterates, that the free use of alcohol is a cause of consumption, and nowhere in his work on the subject does he intimate that in any quantity it antagonizes or pre- vents the disease. In England no names are of higher authority on this subject than those of Doctors Williams, Chambers, and Peacock. None of them intimate that alcohol prevents consumption, but all state that its free use is among the prominent causes of the disease, particularly of the variety called fibroid consumption. In London there is a large Insti- tution called the "Brompton Hospital for Con- ACTION OF ALCOHOL UPON THE LUNGS. 7 1 sumptives," where large numbers of these cases are treated, and the disease and all its relations, its causes, treatment, and the changes which occur from it in the lungs, are carefully studied. One of the physicians there. Dr. R. E. Thompson, in a work on the examination of such cases, declares that " alcoholic intemperance has a very distinct effect upon the condition not only of the body gen- erally, but also especially upon the lungs." He speaks of a particular form of the disease in free beer-drinkers, and another, the fibroid form, in spirit-drinkers, and speaks of these forms of the affection as produced by these indulgences. In- deed, the Fibroid form of consumption is by all medical writers allowed to be most frequently pro- duced by the use of alcohol. Other authorities of an equally high character might be referred to. My own opinion, the result of long experience in private and hospital practice, is that alcohol has no claim to be regarded as antagonizing consump- tion, or as preventive of the disease — none what- ever — but that it is the chief cause of what is called Fibroid Phthisis. I have seen many made 72 TEMPERANCE TEACHINGS OF SCIENCE. drunkards, some in whom I had the greatest friend- ly and fraternal interest; but I have never seen a case where I had evidence that whiskey prevented or cured the disease. An irritated and inflamed condition of the throat, often extending to the tubes of the lungs, produc- ing a hoarseness and a husky cough, especially in the morning, is a common occurrence in free drink- ers. I have dwelt so long upon this subject because of its great importance — because so many have been led into injurious and fatal practices irom what I am confident are false views. May not this be another instance illustrative of the wisdom and truth of the Scriptural declaration, that Wme is a mocker^ strong drink is ragifig, and whosoever is deceived thereby is not wise ? CHAPTER VII. ACTION OF ALCOHOLICS UPON THE HEART. THE subject of the action of alcohol upon the heart is of great importance. There is an old and still-prevailing opinion, even among mem- bers of the medical profession, that the different alcoholic liquors stimulate that organ, whatever else they may do ; that is, that they increase its power and cause it to circulate the blood with more activity and force ; and it is for this sup- posed effect that they are most frequently pre- scribed as medicines, and taken as fancied aids in the performance of labor. The expression that " Wine cheers the heart," is regarded as meaning that it strengthens and sustains its physical action, and that it or some other alcoholic liquor is use- ful, if not positively needed, in low conditions of the system with feeble heart force, and that it 23- 74 TEMPERANCE TEACHINGS OF SCIENCE. acts as a strengthener or tonic. That under peculiar circumstances of shock or great suffering a stimulating effect is temporarily realized from alcohol, I am not prepared to deny; but that this is its most essential action, or that it acts thus at all in ordinary conditions, is opposed to the pres- ent state of physiological knowledge. The truth in this matter it will be one of the objects of this chapter to set forth. In preceding chapters we have traced the alco- hol which has entered the stomach into the blood, through the liver, and into the lungs. When it reaches these last organs, a small part of it imme- diately passes off in the breath, giving an odor which is readily perceived. But very much the greater portion is hurried on with the blood to the left side of the heart, and from this through the arteries to every part of the body, and in the round of the circulation comes back to the heart. While in that organ in its first and subsequent passages it makes an impression upon it, and the character of that impression is what at present interests us. The decision of the question as to whether it ACTION OF ALCOHOLICS UPON THE HEART. 75 directly increases or depresses the heart's action by its presence there, does not positively deter- mine the more important question as to its benefi- cial or injurious effects, either in health or disease ; but such decision establishes principles which have a most important bearing upon the practical ques- tion of its utility or harmfulness in various condi- tions. It is held by physiologists that the direct action of an agent upon the muscular tissue and nerves of the heart, and upon its power and motions, is essentially the same in the lower animals and in man, and that whatever effect is demonstrated in the one is regarded as proof of the same in the other. It is this similarity in animals and man that makes experiments upon animals of such great im- portance -to the interests of humanity. Within the last few years experiments of the most exact and conclusive character have been made by skilled investigators, to determine the action of alcohol on the hearts of animals. To give the details of such experiments, even if fully intelligible to young readers, would occupy more 76 TEMPERANCE TEACHINGS OF SCIENCE. space than is at our command. I must be content with stating the conclusions arrived at by acknowl- edged experts of the highest authority in these modes of investigation. Among the most careful and skilful experiments on this subject are those of Drs. Sidney Ringer and Harrington Gainsbury, of London, reported in The Practitioner (a leading medical journal) for May, 1883, and restated by myself, with comments, in the Journal of the American Medical Associa- tion, Vol. I, p. 272. These experiments made upon the hearts of frogs were instituted for the purpose of determin- ing the comparative effects of the different alco- hols in their direct action upon that organ. It was found that all the alcohols (including common alcohol, the active principle in all our liquors) diminished the force of the heart's action, and arrested it in a shorter or longer time, in exact proportion to the strength of the respective arti- cles and the quantity applied. A long series of experiments furnished the same results and dem- onstrated their correctness. Common alcohol is ACTION OF ALCOHOLICS UPON THE HEART. 77 weaker and lighter than some of the other rarer alcohols, but heavier and stronger than others; but the effect in character was the same in all, differing only in degree. These eminent experi- menters, in closing their report on these articles, declared : " That by their direct action upon the cardiac tissue, these drugs are cltzxly paralyzant (and not stimulating), and that this appears to be the case from the outset, no stage of increased force or contraction precedingj^ Professor Martin, of Johns Hopkins University, Baltimore, who has written an excellent work on Physiology, and who stands among the very high- est in this country as an experimental physiologist, has made experiments on the heart of the dog, with the view of determining the precise effect of common alcohol, when in the blood in certain pro- portions, upon that organ. A report of his exper- iments was published in the Maryland Medical Journal for September, 1883. Professor Martin states the results of his exact and conclusive obser- vations as follows : ^' Blood containing one eighth per cent, of alcohol [that is, in the proportion of 78 TEMPERANCE TEACHINGS OF SCIENCE. one eighth of an ounce, or one teaspoonful, to one hundred ounces, or six and a quarter pints] has no immediate perceptible action on the isolated heart. Blood containing one fourth per cent, by- volume [that is, two teaspoonfuls to six pints and a quarter] almost invariably remarkably diminishes within a minute the work done by the heart ; blood containing one half per cent., that is five parts in a thousand [or four teaspoonfuls to six pints and a quarter], always diminished it ^ and may even bring the amount pumped out of the left ventricle to so small a quantity that it is not sufficient to supply the coronary arteries." Professor Martin estimates that an ordinary, and what would be regarded as a moderate, drink of brandy or whiskey, containing half an ounce of pure alcohol, or an ounce of the whiskey or brandy, would supply to the blood of an ordinary sized man the proportion of two and a half parts per thou- sand, the quantity he always found diminishing so positively the force of the heart's action, as tested upon the heart of the dog by instruments of pre- cision. The results of these experiments have not ACTION OF ALCOHOLICS UPON THE HEART. 79 been contradicted by any other experiments of a similar character, and they conclusively prove that the direct action of alcohol on the heart \s paralyz- ing^ and not stimulating. It is true that alcohol often, indeed generally, increases \h^ freqiuncy oi the heart's action but not its force, when in a previously healthy state ; except perhaps in cases where it excites feverishness, which is a diseased condition. Great frequency of the pulse is an evidence of weakness rather than of strength. These conclusions of scientific experiment are not contradicted by correct observations upon persons. In faintness or depression from the shock of an injury or great suffering, a dose of alcohol, like a dose of opium, or the inhalation of chloroform or ether, by relieving the shock or the suffering will often temporarily increase the action of the heart, by its ' soothing action through the brain and nerves ; but this action is indirect and not permanent, and when no morbid condition is present to be relieved by its anodyne action, the alcohol, like opium and chloroform, produces de- 8o TEMPERANCE TEACHINGS OF SCIENCE. pression and diminishes action. Either of these articles may reUeve a sense of weakness without producing strength. The temporary effect of alcohol in relieving shock, and the relief it often affords to the feeling of fatigue, together with the slight and brief ex- citement it sometimes produces when first taken into the stomach, have given and keep up the notion of its essential stimulating effect upon the heart, which is so positively disproved by direct experiments and accurate observations. There is an instrument called a sphygmograph which, when applied over an artery, as to the pulse at the wrist, accurately measures and records the force with which the heart sends the blood through the ves- sel. It is proved by this, as well as by the exper- iments on animals, that a healthy heart has its force diminished, rather than increased, by alcohol taken into the blood and carried to it. It is well known that extreme doses arrest the action of the heart, and the person dies with this organ para- lyzed and distended. But in corroboration of these more conclusive ACTION OF ALCOHOLICS UPON THE HEART. 8 1 experiments we have the opinions of those who have most carefully investigated the action of al- coholics upon the human body, and especially upon the heart, by the common methods of scien- tific observation. No man has given this subject more careful attention than the late Dr. Anstie of London. He concludes his statement respecting it by the following declaration : " A general review of the phenomena of alcohol-narcosis enables me to coma to the distinct conclusion, the importance of which appears to be very great, namely, that (as in the case of chloroform and ether) the symptoms which are so commonly described as evidences of excitement depending on a stimula- tion of the nervous system [and through it he might have added, of the heart] preliminary to the occurrence of narcosis, are in reality an essen- tial part of the narcotic, that is, the /faraly fie phe- nomena,,^' Dr. Samuel Wilks, of London, one of the high- est living authorities in the medical profession in England, says : " Alcohol, for all intents and pur- poses, may be regarded as a sedative or narcotic 82 TEMPERANCE TEACHINGS OF SCIENCE. rather than a stimulant." These declarations ap- ply to the heart as well as to other parts of the body. No man in this country has studied the action of alcohol on the body longer or more carefully than Dr. N. S. Davis of Chicago. He has come to conclusions entirely in accordance with those already quoted. The effects of alcohol taken in the common manner are, he says, " those of an anaesthetic and organic sedative^ Other authority to the same effect might be quoted, but the fore- going must suffice. Facts in the personal experience of individuals, and in observations of large bodies of men, are quite as conclusive in proving that alcohol pro- duces weakness of the body, including the heart, rather than strength. It is now well known and acknowledged by scientific men, that less muscular labor can be performed under the influence of alcohol, in whatever quantity, than without it. In the performance of great feats of strength and en- durance, as in the case of Weston, the famous pedestrian, alcohol has been avoided ; and in the ACTION OF ALCOHOLICS UPON THE HEART. 83 harvest field and the workshop, and with contest- ants in ancient Roman games, the advantage has ever been with abstainers. The most conclusive tests have been in armies in severe marches, where accurate observations on a large scale have been made by intelligent medical and commanding offi- cers. In all such tests, whether in hot or cold climates and seasons — in Africa, India, Russia, and Canada — in our own country, and everywhere, it has been shown that those soldiers who ab- stained from alcohol could accomplish and endure more than those who indulged in it, however mod- erately or freely. In emergencies, those officers who allow its use at all, find that it must be given when the men have accomplished their day's work, and are resting after their labor. It may then blunt the sense of fatigue, and promote sleep, but, unfortunately, it lessens the power of work for the next day, and if its use becomes habitual, other mischief, as we shall see, will be done. The effects of the habitual or long-continued use of alcoholics upon the heart are similar to those upon the body at large. Whether taken in the form of beer, 84 TEMPERANCE TEACHINGS OF SCIENCE. wine, or spirits, the general effect is, lowering of vitality^ degeneration of structure^ and diminution of power. That the heart is rendered more liable to undergo morbid structural changes, all patholo- gists know. As with the liver, it is more liable to become loaded with and obstructed by fat, and to undergo fatty degeneration. Its vessels, its yalves, and its general tissues are more likely to be im- paired, and its force abates at a much earlier period ; and these effects are likely to be in pro- portion to the amount taken. In wine drinkers the condition called the " gouty heart " is a not unfrequent occurrence. The heart is then liable to attacks of severe pain, of irregular actions, and of sudden failure. It is often the seat of " mis- placed '^ gouty inflammation ; and gout, in whatever form, is always the result of indulgence in alcohol, either by the individual or his ancestors. The gout is unknown among peoples, such as the Mo- homedans, who hftve never used alcoholics. Notwithstanding the essential weakening effect of alcohol upon the heart, in those who have es- tablished the alcohol habit, as with those who ACTION OF ALCOHOLICS UPON THE HEART. 85 have established the opium or the tobacco habit, the privation of the accustomed indulgence is often followed by a feeling of depression, and sometimes of real weakness, which will be relieved . by a repetition of the dose. No one supposes that tobacco is a strengthening article, and yet it in- creases the strength of an habitual user who has for a short time been deprived of it. It is so with alcohol when an habitual, but not an excessive, quantity is taken. This effect contributes to the false belief that it is a stimulating or strengthening agent. I have occupied so much space on this subject because of its great importance, and because of the prevailing errors respecting it; and have treated it by reference to scientific experiments and medical authorities (which may seem better adapted to an advanced class of medical students than to young and non-professional readers) because there seemed no other way of conveying truths in a convincing manner, that are essentially scientific. Long established and prevailing error is not to be overcome by the unreasoning declara- 86 TEMPERANCE TEACHINGS OF SCIENCE. tions of a single individual, without appealing to other authority, and to well observed and recorded facts. Technical language has been avoided as much as it seems possible to do in the discussion of a physiological subject. i 1 CHAPTER VIII. EFFECTS OF ALCOHOL ON THE KIDNEYS. THE kidneys are two darkish red organs, about four inches in length, two in breadth, and one inch in thickness, with a convex outer and a concave inner surface, situated one on each side of the abdomen, the right just below the liver, and the left below the stomach and spleen, and both near the backbone. Their office is to carry out of the body, by straining them from the blood, various substances dissolved in that fluid, and held in solu- tion by the water passing out with them. Some of these substances are formed in the body from worn- out materials of tissues, and some are matters taken into the system from without, and which are not appropriated to its uses. The kidneys are supplied with large blood vessels which carry to and from them large quantities of ^7 88 TEMPERANCE TEACHINGS OF SCIENCE. . blood ; and the water, with the other ingredients in it, which is separated from the blood is conveyed from each of these organs by a tube to the bladder, from which from time to time it is expelled as waste and useless or injurious matter. This is an office so important that if it is sus- pended for any considerable time, blood and tissue poisoning, and especially brain poisoning, is pro- duced, and death soon follows. If this office is imperfectly performed, more or less derangement results according to the degree of such imperfection. Whatever, then, injures the kidneys and impairs their action inflects a serious injury upon the sys- tem. We are now to consider the action of alcohol on these organs. ^ Any substance taken into the body and passing into the blood, and not changed in its form or appro- priated to the uses of the system, is carried out of it, and to a large extent by the kidneys. Poisons and medicines are thus removed from the blood as it is constantly passing through these organs. As alcohol is not digested in the stomach but passes unchanged into the blood, and is not converted, or, EFFECTS Of alcohol ON THE KIDNEYS. 89 if at all, only in small quantities, into any other sub- stances to be appropriated to any uses in the system, it is certainly mostly carried out of the body as it entered it, partly by the lungs and skin, giving its odor to the breath and the perspiration, but largely also by the kidneys. It thus comes in contact with the very delicate structure of these organs, and makes its impression upon them. As is the case with other organs, that impression varies with the quantity taken, with the length of time it is used, and with the power of resistance to morbid impressions. The first effect of alcohol on the kidneys, as it passes through them in the current of blood which goes to them for purification, is to produce more or less irritation. This is marked in some instances and scarcely perceptible in others. It should be understood that the liver, the lungs, the heart, and the kidneys have large quantities of blood carried to them to be acted upon by these organs respect- ively, as well as blood to nourish them in common with all other organs. The vessels conveying the blood to and through go TEMPERANCE TEACHINGS OF SCIENCE. the kidneys for whatever purpose, are dilated by the alcohol, the organs are more or less congested, and usually their secretion is temporarily increased. Sometimes decided inflammation of these organs is induced by this irritation, especially where a free quantity of the alcohol is taken, or if in addition there is exposure to cold and wet, as when in a state of intoxication one is exposed to rain, or lies upon the ground. Cases are not infrequent where, after a fit of drunkenness and the exposure apt to attend it, an acute inflammation results, with such impairment of the structure and action of the kid- neys as to lead to convulsions and death, or to the laying of the foundation for general dropsy, and other forms of more chronic but equally fatal disease. The most frequent morbid effect on the kidneys of the long continued indulgence in alcohol is the much dreaded and generally fatal Bright's Disease. This affection is not always produced by alcohol, but all agree that tippling is the most frequent cause of its occurrence. In this disease the kid- neys, by repeated irritation and a slow inflam- EFFECTS OF ALCOHOL ON THE KIDNEYS. 9 1 mation, undergo such changes that they fail to separate from the blood the materials that should be carried out of the system, and these matters, being retained, poison the brain and other parts, causing a variety of diseased conditions and symp- toms. The kidneys are in some stages and cases enlarged, and in others contracted. They undergo fatty and other forms of degeneration, and the symptoms produced are dropsy, debility, blindness, paralysis or loss of power, stupor, convulsions, and, almost certainly in time, death. Besides failing to carry off these injurious mat- ters, the kidneys, by these changes which they under- go, allow the rich portions of the blood (the albu- men) to pass through them, thus depriving the body of nutritious elements, aiding in the promotion of weakness, paleness, and exhaustion, increasing the dropsy, and hastening the patient on to a fatal end. A particular condition of the kidney sometimes occurs, called the Gouty Kidney. This is asso- ciated with other symptoms of gout, and is a form of Bright's Disease, attended with its consequences ; and gout is dependent upon the use of alcohol, 92 TEMPERANCE TEACHINGS OF SCIENCE. either in the individual or his ancestors. Those peoples, as the Mahomedans, who, from their relig- ious teachings, or from other causes, abstain from Kvine and other alcoholics, never have this disease so common in wine and beer drinking England. Alcohol, in all its combinations in different liquors, in its action upon the kidneys, whenever its effects are noticeable, produces nothing but mischief, and no intelligent physician pretends that it serves any useful purpose so far as these organs are concerned. I remember meeting a prominent medical gen- tleman of my acquaintance years ago, when the subject of the use of alcohol was introduced. In opposition to my own views he contended that, when used " temperately," it was not objectionable. He said, no man abhorred drunkenness or despised drunkards more than he. He said he was never drunk in his life, and to the end I presume he never was. He never drank in saloons, and very seldom at other than meal times ; but his bottle of whiskey, he said, was on his table and by his plate as regu- larly as his knife and fork, and he always took a EFFECTS OF ALCOHOL ON THE KIDNEYS. 93 drink with his food. His digestion was, he thought, not impaired by it, and his sensations were more agreeable and his general condition better, when he took his accustomed dram, than when on rare occasions he went without it. As for the example, he said he was not responsi- ble for others' excesses, and, in fact, he said he set a good example by his moderation. He should therefore continue to have his whiskey bottle by his plate and use it as he had done. No more favorable statement in favor of its use than this can be made, and he used it in a manner as little likely to do harm, considering the amount taken and its continuance, as was possible. Taken with his food and mingled with it, and diluted with water, though probably neutralizing a portion of the gastric juice, it was not applied in a concentrated form to the coats of his stomach ; and it produced but little or no apparent irritation there. It was slowly introduced into the blood, and no sudden or strong impression seemed to be made upon the liver, the lungs, the heart, or the brain. His sensations were more agreeable 94 TEMPERANCE TEACHINGS OF SCIENCE. after each dose, on the same principle that opium, tobacco, and other narcotics than alcohol produce agreeable sensations. They all produce more agreeable feelings than those which are experienced when the accustomed quantity is omitted. These feelings of uneasiness, of depression, and distress, that result from abstinence from the indulgence, though produced by the habit, are wonderfully re- lieved for the time by a repetition of the usual dose. But the alcohol, however taken, must be gotten rid of, and a large portion of it is carried out by the kidneys. Its repeated and long continued pres- ence in them is apt to tell upon these organs ; and in the case of this gentleman, in two or three years after this conversation, he was reported to have Bright's Disease of the kidneys, and soon after re- tired from his city work to the country, where in a few months he died, in the prime of his years. This is not a solitary case. It is rather a typical example, and it illustrates the insidious manner in which this deceiver often produces in the end its evil effects. I CHAPTER IX. THE NERVOUS SYSTEM AND NARCOTICS. IN the preceding chapters the effects of alcohol upon those organs of the body directly con- cerned in digestion, nutrition, respiration, circula- tion, secretion, and the purification of the blood, were discussed. These all are important organs, and the functions they perform are indispensable. When these organs are diseased — when they are lowered in their vitality and degenerated in their structure, in the manner that alcohol tends to affect them — the whole system suffers, but this suffering is primarily and chiefly physical. The mind, the most important part of the man — the feelings, impulses, and purposes, mental and moral, the in- telligence, the knowing and reasoning faculties, and the governing will, are, by the impressions upon these organs, affected only secondarily. 95 96 TEMPERANCE TEACHINGS OF SCIENCE. We come now to consider the action of the nar- cotics on the Brain and Nervous System^ and espe- cially that of alcohol where its most characteristic effects are produced. This Nervous System, of which the brain is the chief or crowning part, but which includes the spinal cord and the nerves, is regarded by all phys- iologists as the central and most important part of the organism. It is the most important part for different reasons. It establishes connections and relations and main- tains a harmony between the different parts of the body, and none of its actions are independent of the brain and nerves. It would require a long time and much study for any one to learn what is well known by anatomists and physiologists respecting the nervous system, to say nothing of the theories and discoveries which still lack demonstration. The brain especially, but also the spinal cord, has many curious and delicate parts which perform a great variety of functions. There are myriads of cells which originate actions and receive impressions, and as many minute THE NERVOUS SYSTEM AND NARCOTICS. 97 tubes which convey impressions and forces to and from the cells to the different parts of the body. The details respecting the kinds of actions are too numerous to state ; and it must answer our pres- ent purpose to say, that not only every organ of the body has a ner\'Ous supply, but ever}' minute part of a living tissue, performing any action, having any power of motion or capability of feeling — every part constructing blood corpuscles or effecting secre- tions — is furnished with a little nerve fibre control- ling its action ; and any wrong state in the cells of the brain or the fibres of the nerves causes wrong actions, more or less marked, in the parts influ- enced by them. But besides this, and what is of much more import- ance in relation to our subject, the brain is the organ of the mind. Eyerything we call mind, every feeling, emotion, disposition, impulse and de- sire ; all ideas, knowledge, reason and thought, and all purpose, determination and will — the power to feel, the power to think, and the power to act — all that pertains to our character or conduct, shows itself, or is expressed, through and by the 98 TEMPERANCE TEACHINGS OF SCIENCE. brain; and character and actions are influenced and determined by the conditions of the brain. Anything that acts upon the brain and the nerves — the appendages and servants of the brain — changing their conditions, changes the conditions and actions not only of the body but of its immate- rial inhabitant, the mind. Now, not only the most characteristic but by far the most marked action of alcohol is upon the nervous system — upon the brain, the spinal cord, and the nerves. The brain has more attraction for alcohol than the other organs of the body. In case of death from direct alcoholic poisoning in men, as some- times happens by accident, or in animals as pro- duced by experiments, more of the poison is found in the brain and liver than in other parts, and there is a larger proportion in the brain than in the liver. But alcohol has not only a special aptitude to be in the brain, but to act upon its soft and delicate structures, and to change its important functions. There is a class of agents, including alcohol, opium, belladonna, ether and chloroform, which are THE NERVOUS SYSTEM AND NARCOTICS. 99 called narcotics. Their effects are peculiar, all agreeing with each other in many respects, but dif- fering in some minor particulars. Their action is specially upon the nervous system, and upon those portions of it concerned in mental operations. They are generally described as first exciting and then depressing nervous action, and as particularly operating upon the intellectual part of the brain. The excitement which these narcotics produce is usually very brief, and is, often at least, indirect, and may be produced by the resistance of the sys- tem to the intrusion of an unnatural agent. The cause of a fever, though a depressing poison, pro- duces an excitement of the circulation, and often of the operations of the mind, but neither this or the narcotics increase muscular strength or any regulated or any useful form of activity ; and the excitement produced by the narcotics is soon fol- lowed by the depression which is their most decided and characteristic effect. Many of their apparently exciting effects can be accounted for on the sup- position that their entire action is depressing or paralyzant. Some nerves excite action in the lOO TEMPERANCE TEACHINGS OF SCIENCE. organs which they supply, and others restrain ac- tion ; and the performance of proper functions depends upon the balance of these exciting and restraining nervous influences. Those that restrain and thus regulate action are called Inhibitory nerves, and when those supplying an organ are weak- ened, paralyzed, or destroyed, certain actions of that organ are increased, but these actions become irregular, and real permanent force is not produced. Some apparently stimulating effects are known to be caused by paralysis of the inhibitory nerves, and not by a stimulating effect upon the excitor nerves ; and this is likely to be the case in more instances than have yet been demonstrated. But whatever and however apparently increased action is produced by narcotics, it is irregular and tran- sient, and is accompanied by unfavorable activity, certainly when the narcotics are taken by persons in health, and such action is followed by the charac- teristic depression. Among the most marked effects of opium is the production of sleep, of belladonna the production of delirium, of chloroform and ether the production THE NERVOUS SYSTEM AND NARCOTICS. 1 01 of insensibility; but the two latter articles, when not carried to the extent of causing insensibility, temporarily produce the state called inebriation or drunkenness. The effect of alcohol is similar to tkese, but more lasting, and when carried to a suffi- cient extent it likewise produces insensibility. All these narcotics when given in sufficient doses cause death by paralyzing necessary life functions. But these narcotics, even when not carried to the extent of entire insensibility, by their paralyzing effects on the brain and nerves relieve pain when present, opium most of all, and all modify the feel- ings so as often to produce agreeable sensations and emotions, and all disturb in one way or another the natural operations of the mind. Another quality all the narcotics possess, but some more than others, and that is, when taken repeatedly they create a desire for the continuance of these repetitions, and tend strongly to the for- mation of a habit^ which it is difficult, and in some cases apparently impossible, to resist. It is not possible fully and scientifically to ex- plain the force of the ?iarcotic habits. They are I02 TEMPERANCE TEACHINGS OF SCIENCE. allied to each other, and to a certain extent one may take the place of the other — at least the for- mation of 6ne of these habits tends to the production of others. They are much more readily acquired by some than by others. The children of parents who have acquired such habits, from an inherited im- pulse are much more liable to form them ; and the use of some of the narcotic articles has a stronger tendency to become tyrannously habitual than that of others. The opium habit, though readily formed, is, per- haps, more difficult to break than any of the rest, but it will serve, in some respects, to illustrate them all. A dose of opium produces with many persons agreeable sensations, bodily and mental. It quiets restlessness, soothes irritation, and sometimes pro- duces a temporary elevation of thought and a dreamy pleasure. This leads to a desire to again excite such agreeable feelings. But the after effects of the doses are unpleasant. Depression, uneasi- ness, and often pains are felt. These are readily mitigated or removed by repeating the dose, and the agreeable feelings take their place. This state THE NERVOUS SYSTEM AND NARCOTICS. T03 of things naturally leads to repetitions, until the indulgence beconies habitual, and larger and still larger quantities are required to relieve these secondary sufferings and to cause the agreeable sensations. But besides and beyond this, there is a force in narcotic habits not fully understood. Repeated indulgence in any of these articles which make a strong impression on the nervous system, whether that impression at first be disgusting and distress- ing, as in the case of tobacco, or more immedi- ately agreeable, as in the case of opium and alco- holic drinks, produces a fascination and an en- thrallment that those alone who feel their force can appreciate. A changed condition is induced with unnatural wants and propensities, which call for and insist upon gratification, however disastrous the results. But whether explained or not, these facts are too familiar to be questioned and too im- portant to be ignored. Alcohol is a powerful narcotic and has all the essential properties of the class ; and though so small a quantity of any of them may be taken, or 104 TEMPERANCE TEACHINGS OF SCIENCE. they may be so seldom indulged in, that their more disastrous consequences are resisted, yet there is always danger in their indulgence, and injury more or less is produced and in proportion to the extent of their use. Though alcohol has many properties in common with the class to which it belongs — has a similar- ity of action on the nervous system with the others — yet it has qualities peculiar to itself, and its more particular actions on this system are next to be described, CHAPTER X. ACTION OF ALCOHOL UPON THE BRAIN, SPINAL CORD AND NERVES. IN the last chapter some of the effects of the Narcotics, as a class, on the nervous system were pointed out, and their liability to produce nar- cotic habits was dwelt upon. Nothing relating to our existence is more inter- esting in Science, or more important to our well- being, than the formation of habits. Men are sometimes said to consist of bundles of habits^ and certainly our habits largely determine our charac- ters, our usefulness, and our happiness. They not only make us what we are, but what we shall be. Habit is defined as a quality given to our organism by use. The primary law of habit is, that all vital actions tend to repeat themselves, or to become easier of performance, and more likely to be per- formed the more they are repeated. Every act, 105 1 56 TEMPERANCE TEACHINGS OF SCIENCE. physical or mental, performed or suffered, leaves an impression upon the organ performing it, ren- dering the organ more able and more inclined to perform it again. There are exceptions to this broad statement, but it is strictly true in reference to the formation of habits. As we have seen, many strong impressions upon the nervous system create an intense desire for their repetition, and acts in general tend to be habitual. Addison, the essayist, long since said, " Do that whicfi is best, and habit will render it most agreeable ; " and when we do what is worst, habit renders it, if not most agreea- ble, at least more easy and more likely to be continued. The habitual acts of young people es- tablish in them dispositions and characteristics which are seldom materially changed, and almost never completely eradicated; and the qualities thus acquired become so fixed and constitutional as to be transmitted from generation to generation. It is by this law of transmission that the sins, or evil qualities, of the fathers are visited upon the children ; and by the same law blessings come to thousands who on the part of their ancestors and themselves ACTION OF ALCOHOL UPON THE BRAIN, I07 keep the commandments — obey the physical and moral laws. A wicked disposition, acquired by wicked habits, desires wickedness; and a narco- tized brain desires narcotism, and is followed in after generations by brains more inclined to acquire the narcotized state. These facts of habits and their hereditary trans- mission are so important as to justify their repeated statement in a series of articles intended to convey scientific truths which have a bearing upon the deepest interests of all for w^hom they are designed. But what are the effects, immediate and remote, which alcohol, in the different degrees and modes of its use, has upon the Brain and Nervous Sys- tem, and through these organs upon character and destiny ? In answering this question it will be well to con- sider, Jirst, the more immediate effects of a single or a few doses, and then the effects of its continued use in different quantities. It should be borne in mind that we are not discussing the strictly medic- inal effects of alcoholics in special diseases, or in the shock of accidents. These are questions which I08 TEMPERANCE TEACHINGS OF SCIENCE. belong to the medical profession, and respecting which those without the profession are not supposed to have definite opinions, at any rate, not more than they should have about arsenic, strychnine, or other powerful medicinal agents. We are con- sidering the essential action of alcoholic drinks on ^ the system without reference to their modifying influence upon diseases ; though the opinions en- tertained respecting their essential or what is called their physiological action, should largely govern their omission or use in diseases. The first impression alcohol makes upon the brain, after being taken into the stomach, is that conveyed from the latter organ by nervous sympa- thy, or by that peculiar relation between different parts of the body established by the everywhere prevailing nerves, by means of which an impression upon one part produces an impression of some kind on other parts. The sympathy between the stomach and brain is very intimate, as is well known generally, and is especially understood by those who are dyspeptic. This first impression of alcohol upon the brain ACTION OF ALCOHOL UPON THE BRAIN. IO9 by sympathy with the stomach, is very speedily produced, and is comparatively short; or if con- tinued longer, it is obscured by the stronger and more enduring effect produced by its being ab- sorbed and carried by the blood to this organ. This first sympathetic impression, when only a fairly moderate quantity of the alcohol is taken, is to a certain extent, and in a certain way, often exhil- arating. In depressed conditions it often arouses the system, and it relieves fainting almost as speed- ily as dashing water upon the face ; indeed it acts upon a similar principle, though rather more perma- nently. It is this sympathetic, transient, apparently exhilarating effect that gives the idea, which is so common, that alcohol is a stimulant ; though it is not so in its direct effect by its presence in an organ, as was shown in the experiments upon the heart, an account of which has already been given. But very soon after being taken into the stomach the alcohol begins to be absorbed and carried to other organs, and it speedily reaches the brain. Free portions of it are retained there, and produce other effects to be described. no TEMPERANCE TEACHINGS OF SCIENCE. Though alcohol is a narcotic producing a more ordinary effect, like other narcotics, by its peculiar relations to the vital properties of the brain, yet unlike most of them it has chemical or mechanical effects upon the brain's structure. From the pecu- liar composition of this organ, and perhaps from its containing more moisture than other organs, a larger quantity of alcohol, after its imbibition, is found in its substance than in other tissues of the body. By its great affinity for water, it takes from the soft, delicate and moist tissue a portion of its moisture ; and when the alcohol is free in quantity, it takes the water to such an extent as sometimes to coagulate the jelly-like matter ; but ordinarily it produces a slighter physical change in the brain^s structure, but which nevertheless interferes with those minute motions which take place in the per- formance of proper functions. The long-continued use of quantities not imme- diately so disastrous, produces various structural changes, which are often markedly perceptible ; and in chronic alcoholic disease, hardening of the brain structure, increase of the connective tissue, ACTION OF ALCOHOL UPON THE BRAIN. Ill with diminution of the proper brain cells, thicken- ing of the membranes, and effusions of serous fluid into the ventricles or cavities, are among the appear- ances often found. All these changes are usually accompanied with more or less inflammatory and other degenerative processes, with a lowering and perversion of function, and with premature decay of all mental and physical powers. But the more common and therefore more im- portant effects of alcohol upon the brain, usually produced by smaller quantities than cause the gross chemical and mechanical effects just referred to, are produced by its narcotic or vital^ rather than its chemical or physical properties. Other narcotics, such as morphine, atropine, nicotine, prussic acid, produce their effects independently of any recog- nized chemical or physical action, and alcohol pro- duces its more ordinary effects by properties which do not produce these gross changes. The special cause .of such effects — the particular change pro- duced in the brain and nerves, is not in all cases known. But the fact is know^n that changes in the vital conditions and actions of these important 112 TEMPERANCE TEACHINGS OF SCIENCE. organ do occur ; and when enough of the poison is taken, all action is arrested and death is pro- duced, although no gross changes of composition and structure are discovered. Without further attempts to explain the cause of the peculiar action of alcohol on the brain and nerves, I shall endeavor to describe the leading phenomena which we see that it produces. Alcohol, chloroform, arsenic, opium, or any other narcotic or poisonous substance, may be taken in such minute quantities as to produce very little or no perceptible effect. A single whiff of chloroform may make an impression upon the sense of smell without any further effects being noticeable. So a single sip of wine, or a small quantity of brandy, as used in cooking, may impart a flavor, and possi- bly cultivate a taste, but without producing any other observed change in the organism. When, however, sufficient of any of the alcoholic liquids is taken to produce appreciable or more marked effects upon the brain and nerves, four stages of effects may be observed. These stages shade off into each other, and are determined by ACTION OF ALCOHOL UPON THE BRAIN. II3 the quantity taken and the susceptibility and other conditions of the person. When a moderate quantity, as a glass or two of wine, or of spirits and water, is taken by one not much accustomed to the use of these articles a flush of nervous action is immediately experienced, and, as already stated, is chiefly from an impression conveyed from the stomach. There is usually an increased disposition to motion or to some form of action, a greater sensibility to some impressions and a more ready response to them. There is often, perhaps generally, a more rapid flow of ideas, and more agreeable feelings are commonly expe- rienced ; and if there be a sense of fatigue, it is apt to be relieved. A feeling of coldness, if exist- ing, is abated ; and by an impression made upon the nerves controlling the vessels of the surface they become expanded, more blood is brought to the skin, especially of the face, and increased ex- ternal warmth is often perceived. The heart, by the same nervous impression, is generally increased in the frequency of its beat, and possibly for a very short time in its force, especially 114 TEMPERANCE TEACHINGS OF SCIENCE. if the person is fatigued, or depressed from any temporary morbid influence ; but when the alcohol reaches the heart through the blood and is thus applied to its substance, the force of that organ is diminished^ as was shown from the experiments recorded in a previous chapter. This is the first mild stage of alcoholic action upon a person in a state of comparative health, and all these effects soon pass away where so small a quantity is taken, leaving only a slight feeling of languor behind. In the second stage when more has been taken, or when that taken has had its more full effect, the alcohol having accumulated in the brain, the flush of the face may continue, or become purplish, or in rarer cases it may fade ; the temperature of the surface may continue, or it may be less, but that of the internal parts of the body, as a rule, is dimin- ished ; there is now a degree of mental confusion, with less precision of muscular motion, though there may be increase of the flow of ideas and of words from weakening or partial paralysis of the regulating and restraining functions ; and for the same reason there is a more ready excitement of ACTION OF ALCOHOL UPON THE BRAIN. II5 the feelings of mirth or anger, of affection or hatred, and a more ready and unrestrained expres- sion of such feelings. Indiscreet confidence, silly- sentiment, extravagance and boasting, are apt to be indulged. There is now, in different degrees, the condition of " tipsiness." The man regards himself as stronger, wittier, and wiser than he is. The cares and responsibilities of life rest less heavily upon him, and in this condition he is less careful of proprieties and of obligations. With many the sensations are now more agreeable and a sensuous hilarity is experienced. This release from care and these agreeable sensations have given rise to many a eulogy in song upon the ** pleasures of the wine cup," and have inspired the worship of Bacchus. It is claimed that the feelings of friendship are more ardent when pledges are made in wine; but it should be remembered that feelings of hatred are as apt to be excited as those of love, as is attested by the quarrels in the cups ; and in lower natures impurity and fights are apt to result. In these lower natures, recklessness and criminality in this state are common. Il6 TEMPERANCE TEACHINGS OF SCIENCE. But if indulgence was never carried beyond this point, was only occasional, and was practised only by men of well-regulated minds and characters, the immediate individual results would not be so disastrous, though often when the drinking is indulged only to this extent, the effects are mark- edly injurious upon the health of both the body and the mind ; and constantly the short pleasure is followed by a much longer period of depression, and the sum of happiness is diminished rather than increased by ever so judicious an indulgence. The great objection, however, to such indulgence is, that a taste is developed and a habit formed which in so many instances carry the victim far beyond these limits, producing results which are to be described as we proceed — results not con- fined to the individual, but extending to his associates, to his family, to society, and to his off- spring to after generations. If the pleasure of this moderate indulgence were much greater, it could not compensate for the danger to the individual, and the injury of the example to others which such a drinking custom would inflict. CHAPTER XL ACTION OF ALCOHOL UPON THE BRAIN AND NER- VOUS SYSTEM {continued). IN the preceding chapter, the milder acute or immediate stages of alcoholic action were briefly described. In these milder stages, amounting in the highest degree only to what is called *' tipsiness," as well as in the more pro- nounced stages of intoxication, the peculiar action of alcohol on the brain \x\^\xz^^ feeU7tgs of strength, of self-importance, and of well-being, which are entirely deceptive. This is demonstrable with the muscular power. The tipsy man boasts of his strength and is ready to use it in contests, but he is more readily defeated than in his natural state ; and in lifting at weights, where there are accurate tests, it is found that every degree of alcoholic ac- tion upon a healthy system diminishes muscular power, "7 Il8 TEMPERANCE TEACHINGS OF SCIENCE. But the more advanced, or third stage, presents more striking phenomena. In this stage the man is regarded as intoxicated^ or drunk. The face may now be purplish, or pallid, the temperature is re- duced, the motions of the heart are usually dimin- ished, often in frequency, but more constantly in force ; vascular tension, or the pressure of blood in the arteries, is less ; there is marked failure of muscular direction or control, and of muscular power ; the gait is unsteady, the tongue is thick, the lips and limbs are more or less paralyzed, there is sometimes double vision ; and now there is more marked obscurity and confusion of intellect, and more change of mental feeling. There is gen- erally either an increase of irritability of temper, or a development of foolish sentimentality, with still greater recklessness of conduct, a loss of a sense of propriety, and often a disregard of the rights of others ; and now pugnacity, brutality, violence and criminality are apt to appear. When not too advanced, this is the stage of brawls and fights, of shooting and stabbing in saloons and in the streets, of beating of wife and ACTION OF ALCOHOL UPON THE BRAIN. 1 19 children at home, of profanity and obscenity every- where, and of all the horrors so familiar to the frequenters at public places, the visitors at the homes of drunkards, and the readers of the daily papers. This stage may terminate in an unnatu- ral sleep, with restless mutterings, semi-convul- sions, or more quiet narcotism. In tliQ fourth stage, or that of dead drunkenness, there is the full development of alcoholic narcotism. The anaesthetic phenomena, or those of insensibil- ity, such as appear under the influence of chloro- form or ether, are present. There are muscular palsies, irregular and stertorous breathing ; feeble, often intermitting, heart action, great fall of tem- perature, with utter insensibility and unconscious- ness ; and the next step is death. Death is more likely to occur when the same degree of narcotism is produced from alcohol than from chloroform or ether, because of its longer continuance. The alco- hol necessery for these effects is larger in amount and slower in leaving the system than the chloro- form or ether. The awakening from the oblivious- ness of the more advanced degrees of drunkenness, I20 TEMPERANCE TEACHINGS OF SCIENCE. whatever may be the sensations and visions in falling into it, is a painful reality. Confusion, depression, and distress ; and, before the drunkenness becomes habitual, remorse and shame are keenly felt in all but the lowest natures. For hours, and often for days after, there is pain in the head, often sickness of the stomach, the tongue is coated, the hands tremble, there is frequently feverishness ; and lan- guor and inefficiency continue for a longer time. With some, in these fits of intoxication, violent and repeated convulsions occur ; and with some others there is active delirium — crazy drunkenness — but such cases are not common. It is a curious and most unfortunate fact, that however painful these results, however strong the motive and firm the resolve not to repeat the debauch, there is in many cases an imperative impulse to indulge again in the same manner, especially if any, even the least, intoxicant is taken ; and in spite of a knowl- edge of consequences and the remonstrance and persuasion of family and friends, the terrible practice becomes habitual. The strong resemblance between the narcosis of ACTION OF ALCOHOL UPON THE BRAIN. 121 alcohol and that of chloroform or ether is apparent ; but that of alcohol is much more likely to become habitual. The essential character of the condi- tions is so similar that the same terms may be ap- plied to each. If chloroform is a narcotic, so is alcohol ; if one is a depressing, lethal agent, so is the other. If chloroform is a poison, so is alco- hol. The greatest difference in their immedi- ate action is, that the chloroform is more speedy in its effects and sooner over ; and its secondary consequences are less severe. But in studying the effects of alcohol on the brain and nervous system, we must go beyond the speedy action of a single or a few doses, and con- sider the more important, because the more perma- nent, effects of its continued use. These affects are varied by the quantity used, the length of time it is continued, and by the temperament and power of endurance of the drinker. In its habitual use, four stages of alcoholic change are recognized, corresponding in many respects with the four acute stages that have been described. 122 TEMPERANCE TEACHINGS OF SCIENCE. There is a mild first stage where only small quantities are used, as where an occasional glass of light wine or beer is taken with the meals, and where such limits are not exceeded. In this the condition of the brain and nerves is but little changed from the physiological or natural state. There is a second stage where a change from the normal state is more perceptible — where the force and regularity of brain and nerve action is impaired, but not in an extreme degree ; but where the tone of the intellectual and particularly of the moral character is lowered, but yet where the subject of it is not regarded as a drunkard. There is a third stage where there is unques- tionable intemperance or inebriety — where the subject is called a " hard drinker '' or " drunkard '' according to the degree of indulgence ; and there is still a more advanced ox fourth stage, where the victim is a complete sot, given up to continued and extreme indulgence, whenever the means are^ within his reach, where there is the greatest de- basement, physical, mental, and moral, where there is advanced alcoholism or alcoholic disease, where ACTION OF ALCOHOL UPON THE BRAIN. 1 23 the wretched victim is tottering on the verge of destruction, unfit for any useful occupation or re- spectable association, a disgrace to himself and friends, and a nuisance to all about him. These stages shade off into each other with no abrupt line of demarkation, but are different degrees of the one general process of abnormal change. The first two milder stages will require more dis- cussion, as respecting them there are the chief differences of opinion ; but this discussion will not be entered upon until a fuller account has been given of the more advanced stages. All are ready to admit the very great, the almost inexpressible, evils to the brain and nerv^es of in- dividuals, to the happiness of families, to the in- terests of communities and the countr}-, of the third and fourth stages of habitual alcoholic indulgence. The changes of the brain usually discoverable in its structure, but which more certainly exist in its functions — in its actions and tendencies — are most profound; and are all in the direction of physical, mental, and moral degradation. The structure of the brain is changed in various 124 TEMPERANCE TEACHINGS OF SCIENCE. ways from its normal state. It is sometimes hard- ened from the increase of its connective tissue, and sometimes softened from a form of fatty change ; and in both cases the proper brain cells — the seat of cerebral action, of physical and mental power — are more or less diminished in number, altered in structure, and impaired in ac- tivity. The vessels are often found degenerated, and are liable to great distention and rupture, constituting congestion and apoplexy. The mem- branes of the brain are often found inflamed and thickened, their transparency and pliability im- paired ; and, in short, the whole organ is degene- rated, enfeebled and perverted. Under the immediate effect of the liquor, the drunkard is regardless of his duties and obligations to himself, his family, and to society. He is in- efficient, improvident, unthrifty, unreliable; often violent, dangerous, and criminal. When deprived of his accustomed dram, he is morose, despondent, and often unendurably wretched, with a craving for the liquor, which in the perverted state of his brain is irresistible. His depression and despair ACTION OF ALCOHOL UPON THE BRAIN. 1 25 sometimes lead to suicide, preceded, it may be, by the murder of his family, with the motive of reliev- ing himself and them from their living death. Min- gled with this despair are often fits of fury which the drink excites ; and his causeless and unreason- ing vengeance may be inflicted indiscriminately on himself, his family, his friends, or strangers, as well as on imagined or real foes. In many cases nothing is too absurd or too depraved for him to do, and no suffering is too severe for him to en- dure. The drink which for a time relieved his agony, at length fails to do so unless carried to the extent of stupefaction and approaching unconsciousness. This quantity is therefore taken, and this increas- ing indulgence, if it does not induce sooner some fatal form of disease, brings him to the fourth and extreme stage of habitual drunkenness, which usually soon results in death. Besides rendering other diseases and accidents much more severe and fatal, this excessive drink- ing produces several particular diseases of the brain and nervous system. 126 TEMPERANCE TEACHINGS OF SCIENCE. The one best known to persons not of the medi- cal profession, because of the striking character of the symptoms, is Delirium Tremens. In this terrible disease the brain becomes so affected by the alcoholic poison that all its functions, physical and mental, are performed in the most irregular and fearfully perverted manner. There is usually a premonitory stage in which the patient is restless, wakeful, and apprehensive of some violence, mis- fortune, or calamity. When attempting to sleep he is awakened with frightful dreams which are so vivid as to appear to be realities for a time after awaking. These and other symptoms may cause the patient to stop his drink, but too late to pre- vent its effects. In other cases, quite as numerous, the premonitory symptoms are less regarded, and the full development of the disease comes on in the midst of gross indulgence in drink ; but the phenomena in either case are similar. The face now becomes paler, the surface is covered with a profuse sweat, there is trembling in every muscle, the patient looks wildly about him, seeing in his delusions frightful objects in every quarter; and ACTION OF ALCOHOL UPON THE BRAIN. I27 though his pulse is weak and fluttering and his whole appearance indicates great debilit}^, he still moves about restlessly, and often actively, :ind he frequently exerts himself violently to escape from imaginary enemies. His whole mental functions are perverted even more than his bodily ones. The most characteristic mental condition is fear^ which is always present. His ever-present halluci- nations, or morbid imaginings of sight, sound, and feeling are of a frightful character. He thinks he is pursued by " a man wdth a hot poker,'' that "snakes are in his boots," that disgusting bugs are crawling over him, that great bats are flapping their skinny wings in his face, that vampires are sucking his blood, or that demons are about to seize him ; and he cries out and struggles in mortal agony. He may make a fatal leap from a high window, or, escaping from his room, may run half- naked through the streets. No condition of men- tal suffering can exceed this state. The ancient ideas of Gorgons and Furies must have been de- rived from this disease, which occasionally oc- curred among the wine-bibbers of the time. 128 TEMPERANCE TEACHINGS OF SCIENCE. In this disease, left to itself, sleep and rest 'are banished, and death by exhaustion is likely to oc- cur in from a few days to a week. Many cases, however, under proper management recover from 2l firsts and some from a second or third attack. It would seem from such a warning that the first at- tack would be the last — that the cause would be avoided. But the desire to return to drinking is so great, the force of habit so strong, the self-con- trol through brain impairment so feeble, that indul- gence again occurs, and subsequent attacks gener- ally follow. With each recurrence of the disease the chances of recovery diminish, until death closes the earthly scene. Subsequent attacks of this par- ticular disease may not occur, death following from other forms of alcoholism, or from complications of other diseases ; but when the brain is so far im- paired as to produce delirium tremens, permanent reform is almost hopeless, and the victim is almost sure to die a drunkard. Death to our natural instincts is a fearful thing, come in what form it may ; fearful when amid friends, and family, and loving care ; made less ACTION OF ALCOHOL UPON THE BRAIN. 1 29 appalling by affection earned by years of self-con- trol, of duty done, of virtue, kindness and love. It is a terror even when life passes away with these surroundings, in resignation and hope, and ceases as gently as music from a slumbering harp-string. What then must be this dread event to him, who drives from his death chamber, or perhaps his gloomy cell, by his raving violence or his profane mutterings, his family and kin, who may have but the tattered remnants of abused affection, while he puffs out his last foul breath, a token of the cor- ruption within, and nothing remains but an inheri- tance of painful memories, and, possibly, of pro- pensities w^hich may lead his offspring to repeat his career. Can it be possible that an article which so often produces the effects upon the brain and nervous system which have been sketched in mere outline, is, as a beverage, ever necessary, useful or safe ; or indeed entirely innocent, habitually used in any quantity however moderate ? CHAPTER XIL FURTHER INFLUENCE OF ALCOHOLICS. IN the last chapter, some of the effects of the habitual, excessive use of alcoholics were men- tioned, especially delirium tremens. Insanity is another morbid condition of the brain caused by chronic alcoholic indulgence. The sta- tistics of all insane asylums bear evidence of this fact. In the list of causes of this most terrible of calamities, intemperance occupies a prominent place ; but those who have given most attention to the subject express the opinion that this disease is more likely to attack the offspring of drunkards, than the drunkards themselves. These latter cases- are not usually charged, in the statistics, to intem- perance, though they are the remote consequences of it. The first attack of insanity in the drunkard is 130 FURTHER INFLUENCE OF ALCOHOLICS. 131 usually recovered from under asylum treatment and where further indulgence is prevented ; but the patient too often returns to his drink when re- leased, and subsequent attacks are very liable to occur, from which the patient is far less likely to recover. Occurring in the children of drunkards, the first attack is more liable to be permanent. Idiocy, blindness, deafness, and other defects of the nervous system are painfully common in the children of the intemperate. In what is called Chronic Alcoholism, paralysis from brain and nerve impairments is a not infre- quent occurrence. It takes different forms as it affects different parts, and usually indicates such an advanced and extreme state of alcoholic poison- ing as renders recovery very rare. Fits of apoplexy, often speedily fatal in the first paroxysm, and almost inevitably so when repeated, are another result of intemperance ; and when partial recovery takes place, brain impairment remains, frequently accompanied by palsy. Epilepsy is another dis- ease of the brain and nervous system sometimes produced by alcoholism. 132 TEMPERANCE TEACHINGS OF SCIENCE. The term Inebriety, or Dipsomania, is applied to a condition in which the subject of it is supposed to be incapable of self-control, and is given up to periodical or constant drunkenness. There has been much discussion of the question as to whether this state should be considered a dis- ease^ or a vice. That it is a disease or a morbid state of the nervous system, there can be no reason- able doubt, but it is a disease produced by alcoholic indulgence, and that indulgence, while controllable and in view of its probable effects, must be consid- ered as a vice. Theologians generally consider drunkenness in all its forms as a vice, and there seems ground for this opinion in the Scriptural declaration, " No drunkard shall inherit the kingdom of Heaven." But in the case of the confirmed dipsomaniac the sin, if sin there be, was committed before disease had rendered the person irresponsible — before the brain became so diseased as to deprive the victim of self-control. But whether it should be called a disease or a vice, it is the effect of alcohol upon the nervous FURTHER INFLUENCE OF ALCOHOLICS. 133 system ; the tendency to the condition often being hereditary — generally from alcoholic indulgence in parents — but developed into the actual morbid state by the indulgence of the individual. Whether a disease or a vice, it is very difficult of cure, and if temporarily relieved, either by physical or moral means, it is exceedingly liable to return, and result in moral and physical death. Space fails, and the object of this work does not require that all the diseases which alcohol is cap- able of inflicting should be even mentioned, much less dwelt upon. But, after all, it should be under- stood that by far the most frequent evil effects of alcohol do not consist in the production of special diseases peculiar to itself, but in a general perver- sion and lowering of vitality which renders one more subject to diseases of various kinds, and causes diseases and accidents to be more fatal. In all reports of the causes of deaths, the different dis- eases and accidents are named, but the alcoholism which rendered them fatal is not mentioned ; and even when the disease and death are caused by the alcoholism alone, the truth and the warning ex- 134 TEMPERANCE TEACHINGS OF SCIENCE. ample are sacrificed to what are regarded as the proprieties of the occasion — a sentiment of re- spect for the dead and the feelings of friends. In public reports alcohol and alcoholism do not receive a tithe of credit or responsibility for the evils they accomplish. But as the last subject of these articles on the action of alcohol on the brain and nervous system, I shall endeavor to notice some of the effects of its shorter, more moderate use upon the mind and body. In some of these cases of habitual tippling, as distinguished from drunkenness, only functions or actions are perceptibly changed, while in others the structure of the brain and nerves is more or less profoundly affected. Often among the first symptoms wdll be observed a perversion of moral sentiment. There will at least be an indifference to the dangers of drink and a general recklessness of conduct. This is a natu- ral result of the narcotic, benumbing influence of the poison. There are apt to be improvidence, sensuality, an absence of restraint of the lower pas- FURTHER INFLUENCE OF ALCOHOLICS. 135 sions, malfeasance in office, unfaithfulness to trusts, indifference to the feelings and claims of parents, wife and children, and disregard of the advice of friends. There will generally be noticed unsteadi- ness of the hands, and often of the movements of the lower extremities, inquietude, especially if the doses be not regularly increased, want of refresh- ing sleep, at first fitful, but often more constant, particularly when the accustomed amount is dimin- ished or withdrawn ; and now the general appear- ance and expression of an habitual drinker appear. The irregular motions can, for a time, be restrained by a decided effort of the wdll. They are worst in the morning, especially when the sleep has been broken, but are steadied by food and the usual dram. Headache, buzzing in tlie ears, irritability of temper, cloudiness before the eyes, and, in more severe cases, flashes of light and various hallucin- ations may follow. There are uncertainty of pur- pose, mental instability, though sometimes dogged obstinacy, feelings of dread but without the purpose to avoid evil or danger. Partial paralysis of the nerves which cause con- 136 TEMPERANCE TEACHINGS OF SCIENCE. traction of the bloodvessels of the face, consequent enlargement of these vessels, and redness and erup- tions of the face are common. There is foulness of the breath, not so much from the simple smell of the alcohol passing off, as from its vapor changed in character and mingled with effete and decom- posing matter from the system ; and if a strong odor of tobacco be added to these, the effect upon the senses and feelings of others, especially upon a wife with delicate nerves, I shall not. attempt to describe. All this may happen to a steady drinker who would warmly resent being called a drunkard, and whose friends would feel greatly scandalized by such a charge. He may never have been so much under the influence of liquor as to be deprived of self-control or to become incapable of doing routine business. A temporary abstinence may for the time diminish his capacity or disqualify him for business, and he may readily persuade himself that the in- dulgence is a good, if not a necessity; thus he floats on into a whirlpool of more degraded drunk- enness, or is prematurely arrested by some disease FURTHER INFLUENCE OF ALCOHOLICS. 137 rendered fatal by his condition, or his powers fall early into general decay. That this is a true ac- count of the average tippler, few will deny. But it may be inquired, " Cannot one indulge in the habitual use of moderate quantities of alcohol without all these results?" Certainly this is pos- sible and the possibility has been illustrated in numerous instances. But is any one in health the better for any use — for ever so temperate a use of alcoholic hquors ? Is he not the worse, in some degree, for such indulgence ? This is the only question which remains, and it is one which must be determined in the light of the scientific facts which have been stated, though imperfectly, in the preceding chapters ; by the general experience, and by obser\nng the condi- tion of abstainers and those who moderately indulge. The essential effect of alcohol upon the heart has been ascertained by mechanical instruments of precision, and has been demonstrated to be sedative or depressing, and not stimulating. By other precise means it has been demonstrated that 138 TEMPERANCE TEACHINGS 0¥ SCIENCE. oxidation in the lungs is retarded and not increased by the ingestion of alcohol in whatever quantity. It is also demonstrated by the thermometer that the production of heat in the body is diminished rather than increased, though by its narcotic effect the sense of coldness may be obscured or over- come. We determine also by chemical tests, that alcohol neutralizes the gastric juice when present in any considerable quantity and diminishes its action in the digestion of food. It has also been determined by the lifting of weights before and after alcohol has been taken, that it diminishes and does not increase muscular power ; but we have no such positive mechanical and chemical tests to determine its action upon thought and feel- ing, upon reason and impulse, upon the intellectual and moral operations of the brain. Of its effects in this respect we must judge from our experience and our observations upon functional manifesta- tions, which are not susceptible of the same pre- cise measurements ; and here conclusions are less capable of physical, chemical, and mathematical demonstration. But these experiences and obser- FURTHER INFLUENCE OF ALCOHOLICS. 139 vations are sufficient to prove to those who care- fully observe and correctly infer, that alcohol as a beverage, however guarded the indulgence, is use- less, injurious and dangerous ; that its apparent beneficial effects are deceptive while its injurious effects are positive. Nothing outside of physics, chemistry, and mathematics, it appears to me, is more certain, and nothing in its bearing upon our individual, domestic, social and national life, is more important. If the views which have been ex- pressed are correct, they should be disseminated, emphasized, and impressed, especially among and upon the young on whom the conditions of the future depend. The influence of physical, chemi- cal and physiological laws upon intellectual, moral and social states is with every year becoming better understood and more fully appreciated ; and if this effort, the work of some occasional hours snatched from other engrossing labors and cares, shall have the effect to increase the knowledge of such con- ditions and laws, and improve the practice in rela- tion to them, its object will have been accomplished, and its author gratified. APPENDIX APPENDIX. In The London Contemporary Review there ap- peared some few years ago a Series of Articles on *'The Alcohol Question," prepared at the re- quest of the editor of the Review, by some of the most distinguished Medical and Scientific men of England. The editor states that "- in the applica- tion made to writers regard was had only to the eminence of position, as giving authority to what- ever views were expressed." The most eminent, and I think I may say the most able and popular, gentleman ^ who expressed views favorable to the use of moderate quantities of alcohol, manifested much candor as well as ability in presenting the subject, and produced the most plausible apology I have seen in favor of the custom of his circle in what he calls the temperate use of alcoholic drinks. His scientific candor was too great to allow hun to make broad distinctions, as some do, between the different kinds of alcoholic drinks — to praise wine and beer while condemn- ing whiskey and brandy — but he evidently regards alcohol as the same article in whatever mixtures it appears. He entitles his article " The Contrast of Temper- ance with Abstinence," and regards " Temperance " * Sir James Paget, surgeon to the Queen. 144 APPENDIX. as the habitual moderate use of some form of alcoholic drink. I have selected this best argument in favor of this practice for examination and reply. In making this criticism I shall state as fully as is required to give a complete and fair view of its every argument made use of in this carefully pre- pared article, and as far as convenient, in the exact language of the author. To these opinions and arguments, and the manner in which they are met, I ask the attention of those men and women who may have formed opinions as well as of the young people whose opinions may not be formed, into whose hands this volume may come. This review of so able a production in favor of moderate drinking affords an opportunity of answer- ing every objection which I have ever heard which is worthy of answer against the practice of habitual total abstinence ; and it seems to me I can thus add an important supplement to the matter in the body of the work. The article commences by say- All reasonable people hold Intemperance to be a hideous evil, and few know more of its mischiefs than do surgeons, who see its baneful influence in multiplying the injuries due to accidents and violence and in hugely increasing the danger and mortality of operations and injuries such as sober people bear with impunity. Well may a surgeon in London write thus, who for APPENDIX. 145 years attended at St. Bartholomew's or any other of the great London hospitals where daily, and per- ticularly Monday mornings, crowds of men and per- haps even larger numbers of women present them- selves with gashed faces and heads, and wounds and bruises of every part of the body received in drunken brawls. Most of the women receive these injuries from drunken husbands, out of whom every spark of gallantry or natural affection com- mon to men and brutes has been driven by drink. One would think that such exhibitions would create a suspicion that a drink which habitually produced such effects could not be necessary or useful even in moderation. The article then refers to the statement of " Tem- perance People " that alcohol even in small quan- tities "is injurious, or at least unnecessary, and ought to be disused, so that by overwhelming examples and custom of total abstinence, the crime and folly of intemperance may be put down." It seems to me that this argument against alco- hol which the author has so frankly stated, is so rational that it ought to make any one hesitate in making an effort to break its force. He says " state- ments such as these are confidently made." So they are, very confidently, and by an increasing throng in England and almost every where ; " but," he adds, " if we look for evidence there seems to be very little in favor of them, and there is more that inclines the other way." This is merely a statement of an opinion which 146 APPENDIX. receives its only weight from the source from which it comes. This weight is diminished by the state- ment, in the next sentence, in which the author says, " the whole of the evidence for a comparison of the influence of temperate drinking and absti- nence on large bodies of men is not sufficient for a complete and final decision.'' He thinks it is to be settled by future researches. It seems to me we have facts enough to settle it now, and in a different way from what our author intimates. His observations have been confined to Europe where there is but very little entire absti- nence in large communities to compare with moder- ate drinking. Mine, with I think many others, have been made most carefully and fully in America, and here we have examples of such communities, where a vast majority of the people entirely abstain; and comparing these with the drinkers . among us, I believe — I may say I know — the abstainers are better off morally, mentally and physically than the moderate drinkers. Our observations are more conclusive, as they are positive, while he acknowl- edges his to be simply negative. Yet he says, according to the evidence he has, he thinks the habitual moderate use of alcoholic drinks is gener- ally beneficial, and that as between moderate use and abstinence the verdict should be in favor of the former. This it will be observed is a mere expression of opinion without even a pretended scientific basis of an observed fact. He says we have the testimony of large hospitals APPENDIX. 147 and life-assurance companies against intemper- ance, as compared with the temperate use of alco- hol, but bearing upon the question of the temper- ate use and abstinence we have no statistics. In this country there are life-insurance companies conducted upon the principle of abstinence, insur- ing none but total abstainers ; and I am informed that such companies can afford decidedly lower rates than others. Some of the largest companies in this country now ask the question, not whether the parties applying for insurance are temperate, but whether they are abstainers — whether they use alcoholics at all. We may soon be able to fur- nish the author with the statistics he needs. In all this the great difficulty is in drawing the line between "Temperance" in the use of these drinks and " Intemperance." This has never been done. True Temperance, in my estimation, con- sists in the rnoderate, proper use of all necessary, useful, and safe articles, and in the avoidance of all hurtful, unnecessary and dangerous ones. The question comes back as to the essential character and utility of alcohol in any quantity for ordinary daily use — of its being a good, or an evil thing in the manner in which it is generally used. We may properly talk of its moderate use, but from the proofs of its physiological action it would seem to me as proper to speak of the temperate daily use of chloroform, ether, opium or any other narcotic, as of alcohol. Our author says he thinks that on the whole alcoholic drinks in moderation are use- 148 APPENDIX. ful, but he does not pretend that they are necessary or safe. All he here pretends to say is that we have no " statistics of comparison '' between large numbers who have never used alcohol and have been born of abstaining parents, and an equal number who have been born of parents who drank moder- ately, and who themselves have continued the prac- tice, while in other respects similar conditions were present. In England he has not found such num- bers for comparison. In this country we have plenty of the material, but the exact scientific com- parison is noj: easy to be made. History, however, is not entirely silent on this subject. The Rechab- ites compared most favorably with others of their countrymen, and they were under a command and vow of perpetual abstinence which for generations they observed. Admitting the absence of accurate and conclusive statistics, are not general observa- tion and experience with us in America decidedly in favor of abstinence as compared with indulgence however moderate ? Our author then refers to the opinions of medical men and speaking for England he thinks a majority favor the practice of moderate drinking. The opin- ion of that majority, if there is such a majority, is not - more likely to be right than the opinion of our author. General custom, acquired tastes, habits and preju- dices influence the opinions of medical men as well as those of others. But if matters go on as they have been going for a few years past, that majority of English physicians and surgeons will become a APPENDIX. 149 small minority. Already a statement has been made, endorsed by a large portion of the medical profession of Great Britain, to the effect that the only legitimate place for alcohol is upon the shelves of the apothecary — 1:hat it should be classed with opium, arsenic and other medicines, and used only for modifying diseased action ; and the range of its applicability to disease is being constantly re- stricted among the more enlightened members of the profession, especially among those who regard physiological teaching as properly influencing medi- cal practice. Our author next says, " We have some deduc- tions from physiological observations which are supposed to indicate a mischief in even habitual moderation " ; but he does not think them conclu- sive. He thinks the most that physiology has done in this regard is to suggest some of the direc- tions which further inquiries should take. Since his article was written inquiries have taken these directions and with results much miore conclusive than any that have preceded. But our author says that experience alone can be trusted for deciding the practical value of a deduction from physiology. He seems to admit that physiology militates against the use of the most moderate quantities of alcohol. This we insist upon as now a fairly established fact ; and we are even more confident in appealing to the results of experience than to deductions from physiological experiments. Fifty years ago it was 150 APPENDIX. generally supposed that harvesting in this country could not be successfully conducted without alco- hol. Abundant experience has shown that the very opposite is the truth. The testimony from careful observers in the British Army at home and abroad, in hot and colder climates, in camp or on the heaviest marches, is to the effect that soldiers can perform more labor and in every way do bet- ter without than with alcohol in ever so carefully regulated quantities. The same fact appeared in our late war ; and in Germany the opinion has been expressed by the highest professional author- ity that the alcoholic ration might advantageously be replaced by less injurious articles. In ancient classical history we learn that the athletes when preparing for their feats of strength and endurance abstained from wine. The author next says that this subject has been carefully observed and studied by but very few indeed of even sensible people ; but that this very indifference respecting it is presumptive evidence that the custom which has been permitted to go on so long, is not a bad one. He says for many generations the use of alcohol has been the cus- tom of a large majority of civilized nations, that- there is a natural disposition to take these drinks, a natural taste for them, and in the absence of any clear evidence to the contrary there must be a presumption that such a natural taste has its pur- pose rather for good than for evil. This latter argument seems to be a favorite one APPENDIX. 151 with those who sustain the cause of moderate drinking. It is worthy of careful examination. Why not say with equal propriety that the disposi- tion to get drunk is a natural one with some per- sons, and therefore it must be for some good pur- pose ? And with the same propriety we might go farther and say, the disposition to steal, to lie, or to murder is natural with some and therefore must be for good rather than evil. Is the disposition to take opium good for the Chinese and the Turks ? But is there a 7iatiiral dispositio7i to take alcohol, aside from the sensations which experi- ence shows it excites, and aside from the habit it induces ? Heredity undoubtedly has an influence in determining tastes and inclinations, but are hereditary influences always good ? The sins of the fathers are visited upon the children. The love of alcohol, or a capability of having a love for it excited, is not peculiar to the human race. It can readily be developed in other animals. Is this an indication that they need it? Dr. W. Landon Lindsay of Scotland says {British 6^ Foreign Medico Chirurgical Review^ Jaii- uar}\ 1874.) : " Drunkenness is by no means in- frequent in certain animals, such as the monkey, elephant, horse, dog, rat, the common fowl and several other birds. They readily acquire a taste for ardent spirits and are as apt as man to com- mit excesses and suffer from the natural results. The general phenomena of alcoholism in the lower animals are precisely the same as in man.'' J 52 APPENDIX. M. Magna of Paris reported cases of alcoholism produced in dogs by long continued doses of alco- hol soon voluntarily taken, and Dr. Binz of Bonn, whose observations were reported in the AthencBum of October, 1873, has also studied the action of alcohol in warm-blooded animals, and all testify that the animals soon form the habit — the desire from use — for taking this substance, and that it produces the same effects upon them as upon men. If Nature is so wise and provident as to give us and all animals only propensities, or susceptibili- ties of propensities which are for our good, she ought to have gone a little farther and given us all the propensity to stop when we had just enough of the good. She has somehow failed in this respect both with men and animals. The fact that animals readily acquire a taste for alcohol and crave its effects would seem to prove that it is as natural and proper for them as for men. Will any one contend that horses and dogs would be better for taking alcohol daily in any quantity however " moderate 1 '' Horses have been given whiskey before com- mencing a race, but horses so treated get beaten. Good jockeys do not resort to this practice. This whole argument about the '' natural taste," indicating that alcohol is useful, is a simple y^/Z^r^; and its frequent use by those who discuss this sub- ject shows the weakness of the side of the ques- tion it is so often brought forward to sustain. APPENDIX. 153 The distinguished author dwells upon the fact of general custom, and its presumptive evidence that the indulgence is right and best. This I have shown proves too much, as it would justify every prevailing evil ; but if we can change the general custom, which we hope in time to do even in Eng- land, and establish the custom of total abstinence, the argument of general custom will be on the other side, and there will be the additional argu- ment, infinitely the more powerful, of the improved condition in all which will follow. The next argument of the essay is, that in a comparison of the Western nations of the Eastern Continent with the Eastern of that Continent — the former using more alcohol and the latter less — the superiority is with the Western Nations. It is true that Europeans are more advanced in civilization than Asiatics — that Englishmen amount to more on the whole than Arabs, Turks, Hindoos, or Chinamen. But is this superiority due to the use of alcohol ? Might we not as well say it is due to the English fog or the Scotch mist, or what all Englishmen and Scotchman dread, the east wind ? Or may not this superior- ity of Englishmen be due to the gout ? This they have which the Eastern peoples have not. There are scores of other things that make the difference. Climate, race, religion, institutions, general habits, education, moral and intellectual influences — everything is different. More par- ticular inquiries should be made. Are English- 154 APPENDIX. men better in India for taking alcohol there ? Or do the Indians improve by taking it ? The uni- versal testimony is that when the Indians, East or West, take alcohol they do worse. The English army surgeons in India bear decided testimony to the injurious effects of alcoholic rations on soldiers there. Besides the Turks and others though they do not take wine or spirits, take opium and tobacco largely. The opium habit is a more inveterate habit than the alcoholic, and more likely to be carried to a degrading excess. Alcohol is but one of the narcotics for which men develop a craving, and which they take to their injury. If the prevalent daily use of alcohol in England proves it a good, the same prevalent use of opium in Turkey and China would prove that a good. Our author is frank enough to say in comparing Eastern and Western nations: "It may not be positively asserted that the alcohol does this good (to the Western nations), it may be due to many other things,'' but he thinks the influence of alco- hol should not be excluded. It will be observed that this is all mere opinion, and that general opinions are influenced and moulded by other things than scientific facts. The author next compares the people of North- ern Europe with those of Southern Europe, and the superiority is found to be with the North. He says what may be true, that they use more alcohol in the North than in the South. This he regards APPENDIX. 155 as another argument in favor of alcohol. But let us look at this in the light of the previous state- ments of our author. It is the moderate use of alcohol that he pleads for. In the South of Europe the masses of the people use* alcohol mod- erately. They use native wines, weak in alcohol, but they take their flask or two every day, and I presume about the quantity our author would con- sider best. The average man takes quite as much as our temperate author indulges in, as I believe he takes not more than two or three small glasses and those only or chiefly at meal time. In the north of Europe ardent spirits are much more used, and in quantities all consider in excess, as drunkenness and alcoholism are very common. Large numbers of the Swedes and others are miserable drunken people, and all the horrors of intemperance are very much more common than in Southern Europe. Still as a body the Northern people are more vigorous than the Southern. This, according to the reasoning I am criticising, would be an argument in favor of excess over moderation. It would be absurd to say that this excess of the North is the reason of its superiority over the South, whatever that superiority may be. This excess is denounced by our author as a "hideous evil." The inconsistency of this reason- ing need not be dwelt upon. Our author himself seems to see it, for he adds respecting this com- parison of the North and the South : " Doubtless in all these cases the result may depend more on 156 APPENDIX. Other conditions than on the use of alcohol ; possi- bly it may be in spite of alcohol, but we have no right to imagine it." Now it seems to me that we have not only "a right to imagine it/' but that we have a right to assert that, according to every principle of reason and common sense — and ac- cording to the reasoning of the author himself, to other causes than the use of alcohol this superior- ity of the North must be due. The presumption is that while alcohol is used in great excess by many, after all greater numbers of the people use it but seldom or not at all, while in the South nearly all use it moderately and constantly, and it may turn out that this moderate use, by its being more general, is the greater of the evils. The Northern people are recruited largely from an unalcoholized stock, while in the South there are none unalcoholized from which to recruit, though they are affected in a moderate degree. I do not say that this is the explanation of the alleged superiority of the Northern people, but it seems to me a more rational view than tha*t suggested by our author. Indeed the permanent superiority of the Northern people may be questioned. It is not long since Italy was the headquarters and very fountain of civilization. But bad institutions, and possibly the general use of wine, rather than a want of whiskey, have had an unfavorable in- fluence on her people, and, in accordance with some general laws which we may not understand, decay has followed. APPENDIX. 157 The article next goes on to say, that the com- parison in favor of moderation is burdened by the inclusion of the intemperate among the mod- erate. That is not the case to any large extent in Italy ; but it is a serious embarrassment in Great Britain and all Northern Europe, in the United States and most other countries where alcohol is used, that the intemperate must be included with, and cannot be separated from, the more moderate drinkers. No clear line of demarkation can be drawn ; they shade off into each other, and in a large proportion of cases intemperance, in greater or less degrees, follows moderate drinking. In the nature of the case, from the ordinary action of alcohol which creates an appetite and a habit, that in a certain, and apparently increasing pro- portion of instances, demand more and more of the narcotic until " excess '' is clearly attained, moderation and intemperance will bear an inti- mate relation to each other that cannot be changed. This is our contention. This is the chief reason why "Temperance People" labor so earnestly to prevent moderate drinking. It cannot be too often repeated that ''moderation" and "excess" which we believe to be but different degrees of one evil, cannot be divorced from each other, certainly in a great number of instances, and the line of demarkation has never been clearly drawn between them. Our author says, if such a separation could be made — "if the shortened lives and damaged IS8 APPENDIX. health, the idleness and bad work of the drunk- ard, and all the miseries entailed upon their chil- dren could be excluded from the reckoning," a much better, or a less evil showing could be made for the moderate use of these beverages. This must be admitted, but it does not prove, or tend to prove, that moderate use is better than abstinence. It would only prove that moderation is not as bad as drunkenness. The article next goes on to say : " Knowing as we do the mischiefs that are transmitted through inheritance from the intemperate it is hardly con- ceivable that if moderation were in any degree mischievous its evils should not by this time (after a lapse of more than a thousand years) have be- come very evident. The accumulated evils of thirty generations of men given to moderate drink- ing should now be notable.'* But to all hygienic evils there are counteracting agencies or the race would long ago have become extinct. The evils of drinking, however, are not entirely counter- acted. When we take into account the number of drunkards and semi-drunkards in Great Britain, the number of families among the nobility and others that have become extinct or degenerated^, the number of cases of gout and other diseases entailed, it seems to me the evils are sufficiently notable. He thinks the evils of moderation, if they existed, should have risen in thirty genera- tions to the level of two generations of excess. He says, a very few generations of excess extin- APPENDIX. 159 guish a family — that '' it would be difficult to find a healthy family after three generations of drunk- ards/' This is undoubtedly true. The families of the drunkards are thus eliminated; they die out, and the drunkenness existing is chiefly an in- heritance from the moderate drinkers. In all conscience, are there not evils enough fairly traceable, on scientific principles, to " mod- erate '' drinking to be noticeable ? The one item of gout, according to Dr. Garrod, always due to the use of alcohol either in the in- dividual or his ancestors, with the amount of suffering it inflicts and of other diseases it induces would seem to be quite sufficient to be noticeable. But however it may have been with the extremes of society, with the aristocracy on the one hand and the poor and degraded on the other, who are constantly dying out, and are recruited upwards and downwards from the middle class, there are many in England that have not been constant drinkers. Many at least have drunk so little as not to be materially affected by it in any way, and various conservative and correcting influences have kept the race as it is. And as it is^ it will re- quire a long time of effort to overcome the accumu- lated hereditary force which has so far baffled all efforts at extinguishing the intemperance so prev- alent in Great Britain and this country. The next consideration that is presented is this : " That there is a want of sufficient apprecia- tion of the different effects of a large and a small l6o APPENDIX. quantity of the same substance." He refers to quinine and arsenic and other substances as pro- ducing bad effects in large doses, and beneficial ones in smaller quantities. This all physicians understand, but they also understand that these articles when useful do good only in disease, by modifying morbid action, but when given to people in any appreciable quantity when in health, and especially if long continued, they do harm. It is proper that alcohol should be placed where this last remark of our author places it, with quinine and arsenic and opium, as a medicine or poison, and not an article of diet for daily con- sumption. It is, like these other articles, a medi- cine or a poison according to its use. The well need no medicine, and only a suicide should be eager to take poisons. The next remark is that "further study of the matter by competent and calmly-minded scientific persons will discover many facts concerning the use of alcohol which will lead to the remedy of such harm, as even in moderation it may do to some persons, or to whole races of men, and may lead to its use being better directed and limited than in our present customs. '^ If the use of alcohol is to continue it is devoutly to be wished that some means for mitigating its evils may be discovered. But I have little faith in any such discovery. Physiological laws will remain the same, and his- tory will repeat itself. As long as drinking cus- APPENDIX. X6l toms continue intemperance will abound, and the only effectual remedy will be the destruction of the custom. The essay is concluded by a reference to the view that, " admitting that the moderate use of alcohol is innocent and may in some cases be useful, yet we ought not to advocate and practice its use because of the evil that may thereby be done to some. " Here *' our apparently perplexed author says, " I can only doubt.'' It is to be hoped that his and many other good men's doubts (for I believe the author to be not only an eminently scientific but an eminently good man) on this subject as to duty may be removed. St Paul said, '^ If meat make my brother to of- fend " — to go astray — "I will eat no flesh while the world standeth, lest it cause my brother to offend. We may not all be worthy to follow this example ; and one may well doubt whether an ordinary sinner is called upon to sacrifice a good to himself for the sake of others. It is, however, a noble sentiment which has inspired saints, patriots and philanthropists. There, however, can be no hesitancy in advising that an evi/ should be abandoned for the good of humanity. Our author adds, apparently to soothe his mind in his doubt, " I should think that in this as in other things lawful, yet tempting to excess, the discipline of moderation is better than the disci- pline of abstinence." 1 62 APPENDIX. • When this was written I fear the writer did not consider the seductive character of narcotic indul- gence to many, and was not mindful of the peti- tion which I think he frequently offers, *' Lead us not into temptation^ but deliver us from evil." As our author comes to the close of his argu- ment we find this extraordinary passage which I would be glad not to mention for fear it may throw suspicion in the minds of some on his calm- ness of judgment. He says: "It is certain that we have no facts at all by which to estimate whether the whole benefits of moderation, or the whole possible benefits or evils of total abstinence, or the whole sure evils of intemperance would be the greater." If I understand this it declares that we have no facts to determine which is the greater, the possible evils of total abstinence or the whole sure evils of intemperance. This is a very strange statement to an American who has observed total abstinence in many thousands of cases and experi- enced it in his own person for a long life without perceiving anything that would create a suspicion of an injury, but only good arising from it. I need make no farther reply to this statement, and I would not, for the sake of the author, have re- . corded it, had I not proposed to notice all the propositions of the article. As a final statement allusion is made to the question as to what is mod- eration in the use of alcohol, but no reply is at- tempted. He however asks how to define what is moderation in eating bread, or in wearing jewelry, APPENDIX, 163 in hunting, or in the use of the language of cour- tesy. And among his last statements our author says, " It is as unreasonable to require temperate drinkers to give up alcohol as it would be to urge honest people to cease to gain money because there are some misers, thieves, and swindlers.'* To those who may think, after our discussion, that these cases are parallel, I have nothing farther to say. The assumption of this parallelism, and that the moderate use of alcohol is beneficial, and that total abstinence is possibly as great an evil as drunkenness, is much more than begging the question at issue. It may be asked. Is this all that can be said in favor of the practice of alcohol drinking ? It is all that one of the ablest men of England says in an elaborate article addressed to the English pub- lic and the world, and is as good an argument as can be made on the side of the question which it attempts to sustain. I have given the substance of the whole article, and if the arguments have been fairly met and answered, the question so far as this comparison of " Temperance '' and " Absti- nence " is concerned is ready for a decision. "PANSY" BOOKS. Probably no livino^ author has exerted an intluence upon the American "people at large, at all comparable with Pansy's. Thou- sands upon thousands of families read her books every week, and the effect in the direction of right feeling, right thinking, and right living is incalculable. Each volume 12mo. Cloth. Price, SI. 50. Four Girls at Chautauqua. Modern Prophets. Chautauqua Girls at Home. Echoing and Re-echoing. Ruth Erskine's Crosses. Those Boys. Ester Ried. The Randolphs. Julia Ried. Tip Lewis. King's Daughter. 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