TOBACCO AND ITS EFFECTS. I05 



two of cancer of the lip, undoubtedly caused by use of 

 the pipe." 



" I have operated upon three cases of cancer of the 

 lips, directly traceable to the use of a pipe." 



" A young man aged thirty had smoked almost inces- 

 santly for ten years ; at the expiration of the first year of 

 this practice an ulcer developed upon the tongue near the 

 center, which greatly annoyed him, but not suspecting 

 that tobacco had anything to do with it, he continued to 

 smoke to excess. At last he was compelled to stop be- 

 cause he could not put a pipe- in his mouth w^ithout ex- 

 quisite pain, and then he began to improve. I have no 

 doubt that tobacco was the original cause of the whole 

 difficulty; .since abandoning it he has grown better 

 steadily." 



Question 7. "Do your observation and experience en- 

 able you to enumerate any constitutional derangements 

 resulting from the use of tobacco — e. g. dyspepsia, disease 

 of the stomach, heart, &:c. ? " 



Ninety per cent of those questioned say yes ; t^vo per 

 cent say no ; and the rest make no reply. 



" I frequently meet with and treat cases of dyspepsia, 

 nervous irritation, palpitation of the heart, ner\^ous de- 

 pression, and the like, which are traceable directly to the 

 excessive use of tobacco. In all such cases, if the trouble 

 be not too far advanced, recovery is quite probable on the 

 entire discontinuance of the habit." 



" I am fully persuaded that many cases of dyspepsia 

 are produced by the use of tobacco. I hav^e prescribed 

 for such cases frequently, and find improvement only when 

 the tobacco is discontinued." 



" I have treated a multitude of cases of disease of the 



