IX. _State of the Skin._—The skin of a drunkard, especially if he be
advanced in life, has seldom the appearance of health. It is apt to
become either livid or jaundiced in its complexion, and feels rough
and scaly. There is a disease spoken of by Dr. Darwin, under the title
of _Psora Ebriorum_, which is peculiar to people of this description.
“Elderly people,” says he, “who have been much addicted to spirituous
drinks, as beer, wine, or alcohol, are liable to an eruption all over
their bodies; which is attended with very afflicting itching, and which
they probably propagate from one part of their bodies to another with
their own nails by scratching themselves.” I have met with several cases
of this disease, which is only one of the many forms of morbid action,
which the skin is apt to assume in drunkards.
X. _State of the Hair._—The hair of drunkards is generally dry, slow of
growth, and liable to come out; they are consequently more subject to
baldness than other people. At the same time, it would be exceedingly
unjust to suspect any one, whose hair was of this description, of
indulgence in liquors, for we frequently find in the soberest persons
that the hairs are arid, few in number, and prone to decay. Baldness
with such persons is merely a local affection, but in drunkards it is
constitutional, and proceeds from that general defect of vital energy
which pervades their whole system.
XI. _Inflammations._—Drunkards are exceedingly subject to all kinds of
inflammation, both from the direct excitement of the liquor, and from
their often remaining out in a state of intoxication, exposed to cold and
damp. Hence inflammatory affections of the lungs, intestines, bladder,
kidneys, brain, &c., arising from these sources. Rheumatism is often
traced to the neglect and exposure of a fit of drunkenness.
XII. _Gout._—Gout is the offspring of gluttony, drunkenness, or
sensuality, or of them all put together. It occurs most frequently with
the wine-bibber. A very slight cause may bring it on when hereditary
predisposition exists; but in other circumstances considerable excess
will be required before it makes its appearance. It is one of the most
afflicting consequences of intemperance, and seems to have been known
as such from an early age—mention being made of it by Hippocrates,
Aretæus, and Galen. Among the Roman ladies gout was very prevalent during
the latter times of the empire; and, at the present day, there are few
noblemen who have it not to hand down to their offspring as a portion of
their heritage.
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