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he man, who daily drinks ardent spirit, may, from the greater insensibility of his system, in some cases escape sickness as long as the most temperate, (though this is by no means a common fact); yet, let disease once commence, and then we learn, by painful experience, the disadvantage of having broken down the nervous system by needless and vicious excess. Tobacco is acknowledged to be one of the most deadly of the vegetable narcotics: yet experience proves that the nerves, by habit, become so accustomed to its stimulus, that it in a great measure loses its power. How then can we hope with ordinary remedies to make an impression, when even this powerful agent has itself lost its proper and natural effect? The unparalleled mortality of the great epidemic of 1812 and 1813, was in a good measure owing to the immense quantities of ardent spirit consumed by the victims of that fatal malady. In the town in which I then resided, about forty adults died in the course of the winter and spring; and most of those were in the habit of using ardent spirit freely. And though numbers of temperate persons were attacked, yet many of these recovered; while every instance within my knowledge, where an intemperate person was attacked with this formidable disease, it proved fatal. The ravages of the _cholera_ in India and Persia, since 1816: and in the North of Europe, for the last eighteen months; settle the point in question beyond reasonable doubt. In one hundred cases where the cholera proved fatal, ninety of them had been in the liberal use of ardent spirit. And this fact should be carefully noted, when this formidable disease has reached Great Britain, and threatens us with its visitation. If then the habitual use of alcohol, by exhausting the nervous energy, predisposes the system to disease, and at the same time renders the disease, when it has commenced, so much more intractable; what shall be said of the common use of tobacco, which is allowed by all to be a still more deadly poison, and of course must exhaust the power of the nerves in a proportionate degree? A female, aged 27 years, was attacked in December 1829 with a sore mouth, accompanied with diarrhoea and profuse salivation. These complaints continued to increase, notwithstanding the application of a variety of remedies, prescribed by her medical attendant, until the 5th of March following, when I was called to take charge of the patient. She was much emaciated.
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