Opium-eater

“ It is a very different thing to cure a man of acute from curing him of chronic opium-poisoning; and my own large experience, together with that of all the most experienced, the soundest and most skillful men that I have ever known as successful practitioners among these cases, points to the unanimous conclusion that it is not safe, either to mind or body, to make the abrupt transition required of an old opium-eater who must give up his drug in toto and at once, especially after such an acute attack as that just described. ”

“ The disposition of the opium eater is mild and quiet, as a rule. All passion is dead,—unless the wretched irritability which comes from loss of natural sleep and other suffering caused by opium can be called passion. His general conduct is mild, simple, and child-like. All the animal is dormant, quite dead. The beautiful, the good, the free from sham, the genuine and unaffected, meet his approval. Anything that shocks by suddenness, that is obtrusive and noisy, he desires to be out of the reach of. Quiet and solitude, with those he loves within call, are his proper element. ”

“ The opium-eater now only continues his habit to preserve the terrible static condition to which it has reduced him, and to prevent that yet more terrible dynamic condition into which he comes with every disturbance of equilibrium; a condition of energetic and agonizing dissolutions which must last until every fibre of wrongly-changed tissue is burned up and healthily replaced. Though I have called the early reactions of opium rapid, they are necessarily much less so than those produced by a simple chemical agent. No drug approaches it in the possession of cumulative characteristics ”

“ Opium puts a man under an influence which must pass away before natural sleep, and in consequence rest, can supervene. Of course, if the opium eater takes an exceedingly moderate quantity of the drug, he may get rest that is refreshing,—that is, if he get any sleep at all; taking too little, defeats the whole object. But in general the opium eater arises in the morning in an inconceivably ill state of feeling. It is almost impossible to arise at all. The heart feels much affected,—and no wonder, lying all night in the embrace of poison sufficient to kill half a dozen of the strongest men. ”

“ The opium-eater will not regard as amiss some few suggestions as to the mode in which his habit may most easily be abandoned. The best advice that can be given—the only advice that will ever be given by an opium-eater—is, never to begin the habit. The objection at once occurs, both to the medical man and to the patient suffering from extreme nervous disorder, What remedy then shall be given in those numerous cases in which the protracted use of opium, laudanum, or morphine is found necessary? ”

“ All the effects produced after that by the opium, are to keep the body at that level of sensation in which one feels positively alive and capable to act, without being impeded or weighed down by physical languor and impotence. Such languor and impotence one feels from abstaining merely a few hours beyond the wonted time of taking the dose. It is not pleasure, then, that drives onward the confirmed opium-eater, but a necessity scarce less resistible than that Fate to which the pagan mythology subjected gods not less than men. ”

“ Unless the opium-disease is complicated with some serious organic difficulty it is safe to carry on the process of relaxation as long as it relieves pain until the patient has just enough strength left to lift his eyelids. We have kept him up with the constant, faithful administration of beef-tea—half a tea-cupful, by slow sips, every hour or hour and a half that he was awake during day or night, but never rousing him for any purpose whatever if he showed any inclination to sleep. The nurse who does that when an opium-eater is going through his struggle should be discharged without warning. ”

“ In short, to sum up all in one word, a man who is, inebriated, or tending to inebriation, is, and feels that he is in a condition which calls up into supremacy the merely human, too often the brutal, part of his nature; but the opium-eater (I speak of him who is not suffering from any disease, or other remote effects of opium) feels that the diviner part of his nature is paramount ”

“ Opium weakens or utterly paralyzes the lower propensities, while it invigorates and elevates the superior faculties, both intellectual and affectional. The opium-eater is without sexual appetite; anger, envy, malice, and the entire hell-brood claiming kin to these, seem dead within him, or at least asleep; while gentleness, kindness, benevolence, together with a sort of sentimental religionism, constitute his habitual frame of mind. If a man has a poetical gift, opium almost irresistibly stirs it into utterance. ”

“ This tendency the reforming opium-eater can not afford to overlook, for no one effect of the experiment is more distressing than the marvellous and unhealthy activity given to this organ by the process through which he is passing. The testimony of all opium-eaters on this point is uniform. For months and even years this organ in those who have relinquished the drug remains disordered. When in its worst state, the use of something bitter, the more bitter the better, is exceedingly grateful. The difficulty lies in finding any thing that has a properly bitter taste. ”

“ Since De Quincey gave to the world his famous "Confessions," people have been content to regard opium-eating as a strangely fascinating or as a strangely horrible vice. England, and, as I have recently learned, in this country also. It should be well understood that no man continues an opium-eater from choice; he sooner or later becomes the veriest slave; and it is the object of this paper, originally intended for a friend's hand only, to deter intending neophytes—to warn them from submitting themselves to a yoke which will bow them to the earth. ”

“ Miserably for the opium-eater, fortunately for the young person who may be dissuaded from following in his footsteps, we are left in no doubt of this matter by the conclusions of experience. In practical action opium affects as large an area of nervous surface, attacks it with as much intensity, and changes it in as many ways as its complexity would lead us to expect. I have pointed out the existence in opium of a convulsive poison congeneric with brucia. ”

“ It is scarcely necessary to premise that no such thing as a succedaneum for opium is comprehended in the list of these agents. Any drug which would so nearly accomplish for the opium-eater what opium accomplishes that he would not miss the latter, must be nowise preferable to opium itself. Such a drug must be able to prevent the decompositions which cause the suffering ”

“ In many cases where the moral sense has suffered no such general bouleversement, the tendency which opium superinduces to look at every thing from the most sanguine point of view—the vague, dreamy habit of thought and the inability to deal with hard facts or fixed quantities—make it necessary to take an opium-eater's assertions upon any subject with a certain degree of allowance—to translate them, as it were, into the accurate expressions of literal life ”

“ This much at all events is certain,—that in persons unaccustomed to opium it seldom produces material excitement in a single small dose, and does not always cause continuous excitement when taken after the manner of the opium-eater. ”

“ It seldom, perhaps never, intoxicates the European; it seems habitually to intoxicate the Oriental. It does not generally distort the person of the English or American opium-eater; in the East it is represented as frequently producing this effect.
It is doubtful whether a sufficient number of cases of excess in opium-eating or of recovery from the habit have yet been recorded, or whether such as have been recorded have been so collated as to warrant a positive statement as to all the phenomena attendant upon its use or its abandonment. ”

“ Here dwell the Circean spells of opium. Should one become accustomed to large doses, or rather a large quantity per diem, it is almost impossible to induce the mind to take less, for fear of falling to pieces, going into naught, etc. It seems in such a state that existence would be insupportable were a reduction made. An intense fear of being [Pg 91] plunged into an abyss of darkness and despair besets the mind. Hence the opium eater goes on ever increasing until his final doom. ”

“ A person’s body may be so deadened by opium that it can no longer produce sensation, but may produce slight stimulation for a short time. One may become conscious of this by an increase of power in the faculties of the brain, and in the temporary removal of the obstructions that weigh upon the brain, and which the poor opium eater so often suffers from. ”

“ The only way in which opium promotes perspiration is by shutting up all the other excretory processes of the body, and throwing the entire labor of that function upon the pores. (When the skin gives out the opium-eater is shut up like an entirely choked chimney, and often dies in delirium of blood- poisoning.) ”

“ He yields to the irresistible [Pg 119] demand for his destroyer; and with a heart the depth of whose despair the plummet of hope never sounded.
I fear I may have entirely failed to give the reader any idea of the vitiating power of opium in making itself a “necessary evil,” and in burning out of the human system all natural feelings, hopes, and aspirations. I am unable to explain it better; that it has such power, I know but too well. An opium eater learned in medicine, physiology, and metaphysics, might explain the subject scientifically, giving reasons why this and that is so, etc. ”

“ It is one, however, which the opium-eater will find in the end as oppressive and tormenting as any other, from the sense of incapacity and feebleness, from the direct embarrassments incident to the neglect or procrastination of each day's appropriate duties, and from the remorse which must often exasperate the stings of these evils to a reflective and conscientious mind. The opium-eater loses none of his moral sensibilities or aspirations; he wishes and longs as earnestly as ever to realize what he believes possible, and feels to be exacted by duty ”

“ In the first instance the nervous system is too violently agitated to dispense entirely with the accustomed habit; in the second, the nerves are presumed to be able to bear the temporary strain imposed upon them by the condition of the stomach and other organs. But with opium the case is otherwise. Insanity, I think, would be the general result of an attempt immediately to relinquish the habit by those who have long indulged it. The most the opium-eater can do is to diminish his allowance as rapidly as is safe. ”

“ While it stays it never lasts over half an hour at a time, and is so broken by the crash of stupendous visions as not to amount to proper slumber. During its period of continuance the opium-eater woos its approaches with an agony which shows his instinct of the coming weeks of sleeplessness. It never rests him in any valid sense. It is a congestive decomposition rather than any normal reconstruction of the brain. He wakes out of it each time with a heart more palpitating; in a perspiration more profuse ”

“ The terrible demands especially in this country made on modern brains by our feverish competitive life, constitute hourly temptations to some form of the sweet, deadly sedative. Many a professional man of my acquaintance who twenty years ago was content with his tri-diurnal "whisky," ten years ago, drop by drop, began taking stronger "laudanum cock-tails," until he became what he is now—an habitual opium-eater. ”

“ During the early part of the opium-eater's career these structural changes go on with a rapidity which partly accounts for the vast disengagements of nervous force, the exhilaration, the endurance of effort, which characterize this stage, later to be substituted by utter nervous apathy. By the time the substitution occurs something has taken place throughout the physical structure which may be rudely likened to the final equilibrium of a neutral salt after the effervescence between an acid and an alkali. ”

“ First, then, it is not so much affirmed as taken for granted, by all who ever mention opium, formally or incidentally, that it does or can produce intoxication. Now, reader, assure yourself, meo perieulo, that no quantity of opium ever did or could intoxicate. As to the tincture of opium (commonly called laudanum) that might certainly intoxicate if a man could bear to take enough of it; but why? Because it contains so much proof spirit, and not because it contains so much opium. ”

“ Fortunately, much the greater number of opium-eaters take the drug in small quantities or have made use of it for only a limited period. In their case the process of recovery is relatively easy; the functions of their physical organization still act for the most part in a normal way; they have to retrace comparatively few steps and for comparatively a short time. Even to the inveterate consumer of the drug it has been made manifest that he may emancipate himself from his bondage if he will manfully accept the conditions upon which alone he can accomplish it. ”

“ The immediate occasion of this practice was the lowness of wages, which, at that time, would not allow them to indulge in ale or spirits; and, wages rising, it may be thought that this practice would cease: but, as I do not readily believe that any man, having once tasted the divine luxuries of opium, will afterwards descend to the gross and mortal enjoyments of alcohol, I take it for granted,
That those eat now, who never ate before;
And those who always ate, now eat the more. ”