72 tobacco: its use and abuse 



tated tim, he flew to the pipe, and smoked until ho 

 trembled nervously. . He " threw away tobacco for- 

 ever." As three of the contiguous teeth were decayed, 

 with ragged edges, they were immediately ex* acted, 

 but without any benefit. In a short time, a fissure took 

 place at the swollen point, which increasing, I was con- 

 sulted, and, after a careful examination, it was pro- 

 nounced cancerous, and recommended to be treated by 

 ligature. On the 14th July, 1856, ligatures were passed 

 from under the tongue to its aipper surface, so as to iii- 

 clude all the disease ; but on the fifth day, such smart 

 haemorrhage took place from the central ligature, that 

 they required to be removed, and the actual cautery ap- 

 Dlied. The cautery was repeated very often in conse- 

 quence of the bleeding occurring. [The manner of 

 applying ligatures to the tongue, when afiiected with 

 cancer, is delineated in Fig. 4 of Plate .XXXVIII. of my 

 Practical Surgery, 2d edition, and described at page 305 

 of the same work.] 



In September following, the glands at the angle of 

 the jaw became swollen, and threatened suffocation. 

 The ulceration spread rapidly, involving the right half 

 of the tongue. At this time he was sadly tormented 

 with profuse salivation, and foetor of breath. His pulse 

 from first to last has never been under 100, but often 

 above. 



Towards the end of October, fearful haemorrhage took 

 place, requiring Dr. Tod to sit up all the night of the 

 27th, applying one actual cautery at a black heat after 

 another. Next day his tongue was swollen as if he had 

 been severely salivated with mercury, the point pro 



