The fourth and fifth weeks I found to be immeasurably the most
difficult to manage. By the sixth week the system had become somewhat
accustomed to the denial of the long-used stimulant. At any rate,
though no abatement of the previous wretchedness was apparent, it
certainly seemed less difficult to endure it. It is at this stage of
the process that I regard the advice and encouragement of a physician
as most important. He may not indeed be able to do much in direct
alleviation of the pain incident to the abandonment of opium, for I
suspect that little reliance can be placed upon the medicines
ordinarily recommended. The system has become accustomed to the
stimulant to an exorbitant degree; the suffering is consequent upon
the effort to accustom the system to get on without it. Other kinds of
stimulants, like spirits or wine, will afford a slight relief for a
few days, especially if taken in sufficiently large quantities to
induce sleep. It is the sedative qualities of the opium that are
chiefly missed, for as to excitement the patient has quite as much of
it as he can bear. For this reason malt liquors are preferable to
distilled spirits--they stupefy more than they excite. But to malt
liquors this serious objection exists, they tend powerfully to
aggravate all disorders of the liver. This tendency the reforming
opium-eater can not afford to overlook, for no one effect of the
experiment is more distressing than the marvellous and unhealthy
activity given to this organ by the process through which he is
passing. The testimony of all opium-eaters on this point is
uniform. For months and even years this organ in those who have
relinquished the drug remains disordered. When in its worst state, the
use of something bitter, the more bitter the better, is exceedingly
grateful. The difficulty lies in finding any thing that has a properly
bitter taste. Aloes, nux vomica, colocynth, quassia, have a flavor
that is much more sweet than bitter. These serious annoyances from the
condition of the liver, as well as those arising from the state of the
stomach and some of the other organs, may be somewhat mitigated by the
skill of an intelligent medical man, who, even if he happens to know
little about the habit of opium-eating, should know much as to the
proper regimen to be observed in cases where these organs are
disordered.
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