Chronic nicotine poisoning is the result of a gradual intoxication
by the absorption of the active principle of tobacco, the alkaloid
nicotine. Excessive smoking conduces to nicotism, more common in
Europe than in the tropics, because the natives of Europe smoke the
pipe and being confined in closed dwellings, breathe continuously an
atmosphere of smoke; in the Philippines, on the contrary, the pipe is
almost unknown and owing to the nature of the dwellings the smoking
is carried on practically in the open air. An injurious practice of
the Filipino smokers is that of "swallowing the smoke," and this is a
fitting point to call attention to an error of Dujardin-Beaumetz, who
states that "in those who habitually swallow the smoke the nicotine
acts directly upon the stomach." The expression "swallow smoke"
(tragar el humo) does not mean to force it into the stomach by an
act of deglutition, and I am sure no one attempts to dispose of it
in that way; but to inspire or breath it into the air passages. It
is evident that this latter habit does not involve the stomach, but
those who practice it expose themselves more to nicotism than those
who keep the smoke in the mouth or expel it through the nose.
The first cigar causes symptoms familiar to nearly everybody;
dizziness, malaise, cold sweat, vomiting, diarrhoea, dilatation of
the pupils and rapid heart action--an acute intoxication. Chronic
intoxication or nicotism manifests itself by disturbances of digestion,
vision and especially circulation. It has been assigned as one of the
causes of early atheroma and of angina pectoris. It should therefore
be proscribed in persons who present symptoms of gastro-intestinal
or of heart disease, and in every patient who complains of slight
precordial pains, commonly attributed to flatus, but in reality
cardiac neuralgia, a fugitive symptom announcing the possibility of
that grave accident, angina pectoris, capable of ending the life of
the patient with one stroke.
Nicotine (C_10_H_14_N_2_) is an oleaginous liquid heavier than
water, colorless, changing to dark yellow on contact with the
air. _Nicotianin_ or "camphor of tobacco" is another substance
found in the leaves, crystalline, tasteless, with an odor resembling
tobacco. Nicotinic acid is a product of the combustion of nicotine.
Botanical Description.--The tobacco plant is so familiar to all
Americans that its description here would be superfluous. It grows
in all parts of the islands, the best qualities being cultivated in
the northern provinces of Luzon, especially Cagayan and La Isabela.
SCROPHULARIACEÆ.
Figwort Family.
_Limnophila menthastrum,_ Benth. (_Tala odorata_, Blanco.)
Nom. Vulg.--_Tala_, _Taramhampam_, Tag.; _Talatala_, Pam.; _Taratara_,
Iloc.
Uses.--An infusion of the leaves is given as a diuretic and digestive
tonic. The plant is aromatic. It is seldom used, but is given for
the same troubles and in the same doses as chamomile and _Eupatorium
Ayapana_.
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