"How much has he taken in the aggregate?" is practically not an
equivalent of the first question. I have found an absolutely incurable
opium-eater who had never used more than ten grains of morphia _per
diem;_ but he had been taking it habitually for a dozen years. In
another case the patient had for six months repeated before each meal
the ten-grain dose which served the other all day; but he was a man
whose pluck under pain equalled that of a woman's, and after a
fortnight's anguish of such horror that one could scarcely witness it
without being moved to tears, came out into perfect freedom. The
former patient, although he had never in any one day experienced such
powerful effects from opium as the latter, had used the drug so long
that every part of his system had reconstructed itself to meet the
abnormal conditions, and must go through a second process of
reconstruction, without any anodyne to mask the pain resulting from
its decomposition, before it could again tolerate existence of the
normal kind. If opium were not an anodyne the terrible structural
changes which it works would cause no surprise; it would be _felt_
eating out its victim's life like so much nitric acid. During the
early part of the opium-eater's career these structural changes go on
with a rapidity which partly accounts for the vast disengagements of
nervous force, the exhilaration, the endurance of effort, which
characterize this stage, later to be substituted by utter nervous
apathy. By the time the substitution occurs something has taken place
throughout the physical structure which may be rudely likened to the
final equilibrium of a neutral salt after the effervescence between an
acid and an alkali. So to speak, the tissues have now combined with
their full equivalent of all the poisonous alkaloids in opium. Further
use of it produces no new disengagements of nervous force; the victim
may double, quadruple his dose, but he might as well expect further
ebullition by adding more aqua-fortis to a satisfied nitrate as to
develop with opium exhilarating currents in a tissue whose combination
with that drug have already reached their chemical limit. [Footnote: I
say "chemical" because so much it is possible to know experimentally;
and the very interesting examination of such higher forces as
constantly seem to intrude in any nervous disturbance would here
involve the discussion of a theoretical "vital principle"--something
apart from and between the soul and physical activities--which
scientific men are universally abandoning.]
Public-domain text, read in full here on John Shaqi.
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