76 tobacco: its use and abuse. 



but epithelial scales, more or less condensed and pressed 

 together." 



In November, 1848, the submaxillary glands enlarged^ 

 and were excised. These, when carefully examined, ex- 

 hibited the same epithelial form of morbid growth as 

 affects the tongue or face. 



On the 16th July, 1849, bleeding took place, and 

 again on the 18th, violent haemorrhage occurred, fol- 

 lowed by great exhaustion. For several days no food 

 or drink was taken. Every function but breathing 

 seemed suspended. When sensitiveness to all else ap- 

 peared extinct, the consciousness of agony returned; 

 and before the final close, which took place on the 30th 

 of that month, the sufi"ering, but for chloroform, would 

 have been extreme. 



Here I may remark, that it seems as malignant and 

 as painful a disease as exists ; so that, to the sufi"erer, it 

 is immaterial whether it is cancroid or carcinomatous. 



Dr. R is described by his biographer as enjoying 



health in its fullest measure when attacked — " that he 

 had a robust body, great physical strength, a sanguine 

 temperament, a vigorous intellect, a happy temper, and 

 a resolute, courageous spirit." 



91. A merchant in Dublin lately fell a victim to can- 

 cer of the tongue, produced by smoking. A friend, 

 whose authority is undoubtedf^visited him a few days 

 before his death ; but the picture was so appalling that 

 he could not make up his mind to see him again. He 

 was sitting surrounded by an amiable family, writhing 

 in Jigony, and unable to speak or swallow, from his tongue 

 having mouldered away. He was reduced nine stone ia 



