68 tobacco: its use an3 abuse. 



cigars daily. I could quote other cases almost parallel, 

 where the immoderate use of tobacco destroyed all the 

 chances of recovery, in otherwise fffjorable or merely 

 doubtful cases of typhoid." How many of our brave 

 soldiers must 'have died at Varna, Burmah, and other 

 localities, where diarrhoea, dysentery, and cholera were 

 epidemic, and where tobacco was consumed immode- 

 rately ! I should imagine that the greater number of 

 those who died suddenly, and in agony, must have had 

 perforated intestine. 



The reader is referred to page 53, Prout's experience, 

 which in a measure confirms this. 



87. Dr. B , an experienced physician, has kindly 



communicated the following interesting and satisfactcft-y 

 case of a near relatiVjH who fell a victim to tobacco 

 smoking, which produced cancerous ulceration of the 

 tongue ; also a graphic delineation of the disease. 



Mr. A., a gentleman about fifty-eight years of age, of 

 a strong wiry frame and healthy constitution, none' of 

 whose relations had ever had a cancerous afi"ection, was 

 observed, in 1831, to articulate with difficulty — his 

 tongue being too large for his mouth. On being inter- 

 rogated by a medical friend, a relation of his own, he 

 acknowledged that he was a devoted victim to the weed. 

 His tongue at this time was enlarged, firm, and coated 

 with a white crust, somewhat resembling the confeC" 

 tionery named kisses. There was a sulcus in the centre 

 of the tongue, with a bright red line at the base. The 

 sore was washed with a solution of the chlorate of soda, 

 before this sketch was taken. His medical attendant, 

 to induce him to give up smoking, informed him th^vt 



