All the agents of which we have spoken, with the exception of tobacco,
whose action from the first is decidedly sedative, operate partly by
stimulating the frame. They cause the heart to throb more vigorously,
and the blood to circulate freer, while, at the same time, they exert a
peculiar action upon the nervous system. The nature of this action, it
is probable, will never be satisfactorily explained. If mere stimulation
were all that was wanted, drunkenness ought to be present in many cases
where it is never met with. It, or more properly speaking, its symptoms,
ought to exist in inflammatory fever, and after violent exercise, such
as running or hard walking. Inebriating agents, therefore, with few
exceptions, have a twofold action. They both act by increasing the
circulation, and by influencing the nerves; and the latter operation,
there can be no doubt, is the more important of the two. Having stated
this general fact, it will be better to consider the cause of each
individual symptom in detail.
I. _Vertigo._—This is partly produced by the ocular delusions under which
the drunkard labours, but it is principally owing to other causes; as it
is actually greater when the eyes are shut than when they are open—these
causes, by the exclusion of light, being unaccountably increased.
Vertigo, from intoxication, is far less liable to produce sickness and
vomiting than from any other cause; and when it does produce them, it is
to a very inconsiderable degree. These symptoms, in ninety-nine cases out
of a hundred, arise from the disordered state of the stomach, and not,
as we have elsewhere mentioned, from the accompanying giddiness. There
are, indeed, a certain class of subjects who vomit and become pale, as
soon as vertigo comes over them, but such are few in number compared
with those whose stomachs are unaffected by this sensation. In swinging,
smoking, sailing at sea, on turning rapidly round, sickness and vomiting
are apt to occur; and there seems no doubt that they proceed in a great
measure from the vertigo brought on by these actions. The giddiness of
drunkenness, therefore, as it very rarely sickens, must be presumed to
have some characters peculiar to itself. In this, as well as in some
other affections, it seems to be the consequence of a close sympathy
between the brain and nerves of the stomach; and whatever affects the
latter organ, or any other viscus strongly sympathizing with it, may
bring it on equally with inebriating agents: calculi in the uterus or
biliary ducts are illustrations of this fact. In intoxication, the
giddiness is more strongly marked, because the powers both of body and
mind are temporarily impaired, and the sensorium so disordered as to be
unable to regulate the conduct.
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