next time you will not be able to throw this off, and what then? Under the influence of an emetic I vomited freely, without nausea, and without much relief. About midnight, at the suggestion of the doctors, I went up-stairs to bed. My legs and feet seemed heavy, I could scarcely move them, and it was as much as I could do to walk with help. I have no recollection whatever of being undressed, but am told I went immediately to sleep. When I awoke, early in the morning, my mind was at first clear, but in a few minutes the paroxysms, similar to those of the evening, came on again, and recurred at more or less brief intervals until late in the afternoon. All of the day there was marked anæsthesia of the skin. At no time were there any aphrodisiac feelings produced. There was a marked increase of the urinary secretion. There were no after effects, such as nausea, headache, or constipation of the bowels. “The sense of prolongation of time which I experienced was to me very remarkable, but is not uncommon in these cases. It is evidently due to the immense rapidity of the succession of ideas. The mind, without doubt, measures time by the duration of its own processes, and when an infinitude of ideas arise before it in the time usually occupied by a few, time becomes infinitely prolonged to the mind. It is a lifetime in the minute. A very common mental phenomenon, not yet mentioned, is a condition of double consciousness, a sense of having two existences, of being at the same time one’s self and somebody else.” Pleasurable as may be the stage of excitement or intoxication, fascinating as may be the dreams that follow, the evil effect upon the body is rapid and decisive. Wasting of the muscles, sallowness of the skin, hebetude of the mind, interference with coördination, failure of the appetite, convulsive seizures, loss of strength, and idiotic offspring, seem, from all accounts, to be the uniform result of the long continued use of this drug. CHAPTER XIII. CONCLUSIONS. A careful study of the facts presented in the foregoing chapters teach us several lessons well worth considering, and suggest certain cautions and reforms that are greatly needed. From the abundant evidence upon this point I think we must conclude that the abuse or habitual use of narcotics is steadily upon the increase, especially the subcutaneous use of morphine; that these drugs are, in the majority of instances, first taken to relieve pain, and not for simple gratification of a morbid appetite; and that the drug used and the manner of using it is in consonance with the prevalent medical practice of the time in which the habituè lives.