PRACTICAL OBSERVATIONS. 35 



back of the neck, another seton in the temple or tem- 

 ples, according as one or both eyes are affected. In the 

 course of eight or ten days, the seton in the temple is 

 to be withdrawn, a common fly blister applied, and the 

 blistered surface sprinkled with strychnia. The bowels 

 to be freely opened with calomel and aloes. The diet 

 to be light, as the farinaceous. The patient should be 

 confined in a large, well-ventilated apartment, and an 

 obscure light. 



32. Deafness is not so common a sequence to smoking 

 tobacco as amaurosis. It is to be treated on precisely 

 the same principles, with the difference of applying the 

 blisters and strychnia behind the ears. 



33. Nervousness is remarkably common from indulging 

 too much in smoking, snuffing, or chewing tobacco. It 

 is to be treated by ^'throwing away tobacco forever '^ — 

 by having recourse to the shower-bath in winter, and 

 sea-bathing in summer — by nourishing diet, attention 

 to the bowels, the alterative powder, as prescribed under 

 ulceration of the lips, the tonics, as quassia and gentian, 

 and even quinine ; exercise in the open air, and by mix- 

 ing in quiet, agreeable society, as the nervous system is 

 easily and readily over-excited ; and, lastly, by change 

 of air, and ultimately travelling about. 



34. Emasculation, as an effect of tobacco, may well 

 astonish the gay Lothario, as he might, unconscious of 

 the cause, have boasted, that " never in my youth did I 

 apply the means of weakness and debility." I have 

 been consulted by fathers of from thirty t,o forty years 

 of age, who, having married in early life, ^ave had two 

 or three children soon after marriage onwards Si thirty 



