COMMDNICATIONS AND EXTRACTS. 131 



tobacco — a fact true only in this respect, that he never 

 subjected himself to its influence. 



189. Two additional cases, with illustrations, showing 

 the iffects of tobacco smoking upon the palate, tonsils, 

 and tongue. These cases have lately occurred in the 

 course of my own private practice. 



T R , twenty-six years of age, a strong, 



brawny carter, who had smoked half-an-ounce or more 

 of tobacco daily, for five years, complained of dyspep- 

 sia, hypochondriasis, and impotency. The velum palati 

 and tonsils exhibit the dark livid red and velvety ap- 

 pearance so characteristically described by Mr. Solly in 

 the Lancet of 14th February, 1857, an extract of which 

 will be found at page 85. The tongue is loaded with a 

 greenish-white fur. It is to this condition of the palate 

 and tongue which Mr. Solly directs the attention of me- 

 dical examiners of insurance offices. 



140. Case of colloid cancer on the tongue, drawn up 

 by Mr. Turton. 



u ^ ^ ^ ggt. thirty-two, a printer by trade, 



residing in , says tie did not begin to smoke or 



drink till he was twenty years old. Whenever he drank, 

 he always smoked a very great deal ; in fact, he says, 

 the pipe was seldom or never out of his mouth. About 

 twelve months ago, he first noticed an ulcer on his 

 tongue, near its centre; notwithstanding, he kept on 

 smoking and drinking to a very great extent — the ulcer 

 continuing rapidly to spread at that time. He was tbfen 

 seen by some medical gentlemen, who touched the ulcer 

 with caustic. A band of matter resembling curd came 

 out, and left a hole. The patient, though, this ulcer 



