Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
We shall, therefore, observe, with regard to the habitual use of
fermented liquors, that the bodily evils which arise from the custom
rather depend upon the quality, or, in other words, the state of
combination in which the alcohol exists in such liquors, than on the
absolute quantity of the libation, or the frequency with which it is
repeated. Daily experience convinces us that the same quantity of
alcohol applied to the stomach under the form of wine, and in a state of
mixture with water, will produce very different effects upon the living
body, as well with reference to the immediate symptoms, as to the remote
consequences of the potation; it has, for instance, been clearly
demonstrated that port, madeira, and sherry, contain from one-fourth to
one-fifth their bulk of alcohol;[471] so that a person who takes a
bottle of either of these wines, will thus take nearly half a pint of
pure alcohol, which is equivalent to a pint of brandy! The remote
consequences too of alcohol in these different states, are as striking
and distinct as their immediate effects. It is well known that diseases
of the liver are the most common, and the most formidable of those
produced by the use of _ardent_ spirits; it is equally certain that no
such disorders follow the intemperate use of wine that is perfectly
_pure_; let it be remembered that the greater proportion of that which
is drunk in this country contains uncombined brandy, purposely added to
meet the demand of the British market; and _Dr. MacCulloch_ thinks that
it is to the unwitting and concealed consumption of this uncombined
spirit, that we ought to attribute the prevalence of those hepatic
affections which are comparatively little known to our continental
neighbours. But although wine, in a state of purity, may be thus fairly
excluded from the general obloquy which attaches to spirituous
potations, it must not be regarded as entirely free from imputation.
“The effects of wine,” says _Rush_ “like those of tyranny in a well
formed government, are first felt in the extremities; while spirits,
like a bold invader, seize at once upon the vitals of the constitution.”
And even with respect to ardent spirits, although they can only be
regarded as diluted alcohol, still each species appears to possess a
peculiarity of operation; owing, no doubt, to the modifying influence of
the other elements of the liquid; thus _brandy_[472] is said to be
cordial and stomachic; _rum_ more heating and sudorific; _gin_ and
_whiskey_, diuretic; and _arrack_, styptic, heating, and narcotic. It
seems also that a modified effect is produced by the addition of various
other substances, such as sugar and acids; which latter bodies, besides
their anti-narcotic powers, appear to act by favouring a more perfect
combination and mutual penetration of the particles of spirit and water.
The effects also which are produced by the habitual use of fermented
liquors differ essentially according to the kind that is drunk; thus ale
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