Looking at the marvellous complexity of opium we might be led to the
_apriori_ supposition that its versatility of action on the human
system must be equally marvellous. Miserably for the opium-eater,
fortunately for the young person who may be dissuaded from following
in his footsteps, we are left in no doubt of this matter by the
conclusions of experience. In practical action opium affects as large
an area of nervous surface, attacks it with as much intensity, and
changes it in as many ways as its complexity would lead us to
expect. I have pointed out the existence in opium of a convulsive
poison congeneric with brucia. The other chief active alkaloids, five
in number, are those which specially possess the cumulative
property. Poisons of the strychnia and hydro-cyanic acid classes
(including this just mentioned opium alkaloid, thebain) are swifter
agents; but this perilous opium quintette sings to every sense a
lulling song from which it may not awake for years, but wakes a slave.
Every day that a man uses opium these cumulative alkaloids get a
subtler hold on him. Even a physician addicted to the practice has no
conception how their influence piles up.
At length some terrible dawn rouses him out of a bad sleep into a
worse consciousness. Though the most untechnical man, he must already
know the disorder which has taken place in his moral nature and his
will. For a knowledge of his physical condition he must resort to his
medical man, and what, when the case is ten years old, must a
practitioner tell the patient in any average case?
"Sir, the chances are entirely against you, and the possession of a
powerfully enduring constitution, if you have it, forms a decided
offset in your favor."
He then makes a thorough examination of him by ear, touch,
conversation. If enough constitution responds to the call, he advises
an immediate entrance upon the hard road of abnegation.
If the practitioner finds the case hopeless he must tell the patient
so, in something like these words:
"You have either suffered a disorganization of irreproducible
membranes, or you have deposited so much improper material in your
tissue that your life is not consistent with the protracted pain of
removing it.
"One by one you have paralyzed all the excretory functions of the
body. Opium, aiming at all those functions for their death, first
attacked the kidneys, and with your experimental doses you experienced
a slight access of _dysouria_. As you went on, the same action,
progressively paralytic to organic life, involved the liver.
Flatulence, distress at the epigastrium, irregularity of bowels,
indicated a spasmodic performance of the liver's work which showed it
to be under high nervous excitement. Your mouth became dry through a
cessation of the salivary discharge. Your lachrymal duct was parched,
and your eye grew to have an _arid_ look in addition to the dullness
produced by opiate contraction of the pupil.
Public-domain text, read in full here on John Shaqi.
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