opium partially survived disorganization of the superficial nerves. Of
that surviving tissue, one mucous patch was irredeemably gone. (This
particular fact was the one which cessation from opium more distinctly
unmasked.) At noon he had become tolerably comfortable; before I left
(7 P.M.) he had enjoyed a single half-hour of something like normal
slumber.
He will have to take opium all his life. Further struggle is
suicide. Death will probably occur at any rate not from an attack of
what we usually consider disease, but from the disintegrating effects
on tissue of the habit itself. So, whatever he may do, his organs
march to death. He will have to continue the habit which kills him
only because abandoning it kills him sooner; for self-murder has
dropped out of the purview of the moral faculties and become a mere
animal question of time. The only way left him to preserve his
intellectual faculties intact is to keep his future daily dose at the
tolerable minimum. Henceforth all his dreams of entire liberty must be
relegated to the world to come. He may be valuable as a monitor, but
in the executive uses of this mighty modern world henceforth he can
never share. Could the immortal soul find itself in a more
inextricable, a more _grisly_ complication?
In publishing his case I am not violating that Hippocratic vow which
protects the relations of patient and adviser; for, as I dropped my
friend's wasted hand and stepped to the threshold, he repeated a
request he had often made to me, saying:
"It is almost like Dives asking for a messenger to his brethren; but
tell them, tell _all young men,_ what it is, 'that they come not
into this torment.'"
Already perhaps--by the mere statement of the case--I might be
considered to have fulfilled my promise. But since monition often
consists as much in enlightenment as intimidation, let me be pardoned
for briefly presenting a few considerations regarding the action of
opium upon the human system while living, and the peculiar methods by
which the drug encompasses its death.
WHAT IS OPIUM?
It is the most complicated drug in the Pharmacopoeia. Though
apparently a simple gummy paste, it possesses a constitution which
analysis reveals to contain no less than 25 elements, each one of them
a compound by itself, and many of them among the most complex
compounds known to modern chemistry. Let me concisely mention these by
classes.
First, at least three earthy salts-the sulphates of lime, alumina, and
potassa. Second, two organic and one simpler acid--acetic (absolute
vinegar), meconic (one of the most powerful irritants which can be
applied to the intestines through the bile), and sulphuric. All these
exist uncombined in the gum, and free to work their will on the mucous
tissues.
Public-domain text, read in full here on John Shaqi.
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