The People's Common Sense Medical Adviser in Plain English: or, Medicine Simplified, 54th ed., One Million, Six Hundred; and Fifty Thousand
John Stuart Mill · en
At one time it was imagined that alcohol acts immediately upon the heart
by stimulating it to increased motion; and from this idea,--false idea,
I should say,--of the primary action of alcohol, many erroneous
conclusions have been drawn. We have now learned that there exist many
chemical bodies which act in the same manner as alcohol, and that their
effect is not to stimulate the heart, but to weaken the contractile
force of the extreme and minute vessels which the heart fills with blood
at each of its strokes. These bodies produce, in fact, a paralysis of
the organic nervous supply of the vessels which constitute the minute
vascular structures. The minute vessels when paralysed offer inefficient
resistance to the force of the heart, and the pulsating organ thus
liberated, like the main-spring of a clock from which the resistance has
been removed, quickens in action, dilating the feebly resistant vessels,
and giving evidence really not of increased, but of wasted power."
The continued use of alcoholic liquors in any considerable quantity
produces irritation and inflammation of the stomach, and structural
disease of the liver. Dr. Hammond has shown that alcohol has a special
affinity for nervous matter, and is, therefore, found in greater
quantity in the brain and spinal cord than elsewhere in the body. The
gray matter of the brain undergoes, to a certain extent, a fatty
degeneration, and there is a shrinking of the whole cerebrum, with
impairment of the intellectual faculties, muscular tremor, and a
shambling gait.
Large doses of alcohol cause a diminution of the temperature of the
body, which in fevers is more marked than in the normal state.
In addition to the organic diseases enumerated above, and delirium
tremens, the following diseases are frequently the result of the
excessive use of alcoholic liquors: epilepsy, paralysis, insanity,
diabetes, gravel, and diseases of the heart and blood-vessels.
The physiological deductions of Dr. Richardson are so much in accord
with our own that we quote them in full:
"In the first place we gather from the physiological reading of the
action of alcohol that the agent is narcotic. I have compared it
throughout to chloroform, and the comparison is good in all respects
save one, viz.: that alcohol is less fatal than chloroform as an instant
destroyer. It kills certainly in its own way, but its method of killing
is slow, indirect, and by disease.