24 tobacco: its use and abuse. 



tic a of yaws or sibbens, by drinking out of an infected 

 cup or vessel. I have often been consulted by gentlemen 

 having marked syphilitic ulcerated throat, which they 

 could not account for, having had no primary symptoms 

 on the genitals. On interrogating them, they have ad- 

 mitted lighting a pipe used by another, or having 

 accepted a puff of a friend's cigar. Some patients have 

 presented themselves with syphilitic ulceration on the 

 lower or upper lip, or the commissure between them 

 having a thickened base. Some have had syphilitic 

 ulcers of the mucous membrane of the cheeks, tongue, 

 and tonsils. A few have had, with the preceding ulcers, 

 secondary eruption of the skin and loose hair: while 

 others have been affected with secondary condylomata.. 

 I once witnessed an operation performed upon a woman 

 with syphilitic ulcer of the lower lip, combined with a 

 hardened base, produced by smoking a pipe of a syphilitic 

 patient. Excision of the diseased mass was resorted to 

 by the operator, a man of great experience and dexterity, 

 mistaking the affection for carcinoma. In a few weeks 

 after the operation, the secondary syphilitic eruption 

 manifested itself, and was cured by the hydriodate of 

 potass. It is scarcely possible to heal a syphilitic sore, 

 or to unite a fractured bone, in a devoted smoker — his 

 constitution seems to be in the same vitiated state as in 

 one affected with scurvy. 



12. A writer on tobacco describes Paris, in its relation 

 to smoking, thus : " In Paris,'' says he, *' it is impossiblo 

 to walk in the struts without being constantly exposed 

 to receiT3 into the mouth, and consequently to inhale, 

 the fumes of tobacco from so many mouths, clean ^nd 



