52 tobacco: its use and abuse. 



jiade into negus or mulled. Exercise in the open ail 

 should now be freely taken. 



24. During the prevalence of cholera, I have had re- 

 peated opportunities of observing, ihat individuals ad- 

 dicted to the use of tobacco, especially those who snuff ^ 

 it, are more disposed to attacks of that disease, and gene- 

 rally in its most malignant and fatal form.* 



25. Disease of the liver seems to be caused by the 

 tobacco exciting the system, and by the dyspeptic symp- 

 toms produced. It is to be treated by " throwing away 

 tobacco for ever;" by prescribing half a grain of the 

 protoioduret of mercury, with or without opium, accord- 

 ing to the state of the bowels, made into a pill with the 

 extract of gentian, morning and evening ; by an infusioa 

 of quassia, or quassia and gentian combined ; by blister- 

 ing over the region of the liver, and dressing the tender 

 surface with mercurial ointment. In some cases it ir 

 necessary to keep a portion of the blistered surface open 

 for some time. In the commencement, rest, and farina- 

 ceous and milk diet. Afterwards, exercise in the open 

 air, beef-tea with rice, or lightly toasted bread, for a few 

 days ; and then beef-steak or mutton-chop, and a glass 

 or two of sherry. If the protoioduret threatens to affect 

 the mouth, it should be given up, and the same with 

 the mercurial dressing of the blistered surface. Dr. Scott 

 of India's foot-bath of nitro-muriatic acid is often bene- 

 ficial. When convalescent, nothing is so beneficial as 

 change of air. 



26. Congestion of the brain occurs almost only in 



See Fenn's cases, p, 66. 



