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Various

"Scientific American Supplement, No. 711, August 17, 1889"


The relation of tobacco to the physical welfare of man can only be
fairly estimated by viewing the subject in its broadest aspect; by
considering its effects upon the race as a whole rather than in
individual cases; by taking into consideration economical and other
social conditions that at first sight might be considered as having
little relevancy to the medical side of the subject. But there can be
no just consideration of the matter otherwise. The direct deleterious
effects of the immoderate use of tobacco are readily observable; but
the great bulk of the evil physical effects due to the moderate use of
this plant are of an intermediate nature and not directly noticeable;
nevertheless, they are real, and worthy of medical attention. The
plainly marked results following the use of tobacco in relatively
large amounts seem to be due to quick and extreme interference with
nutrition, and a diminution of function of all kinds, which may be
represented by anything from a slight decrease of appetite and
digestive ability up to a complete loss of function of almost any
important organ. Tobacco has stimulating as well narcotic properties,
but as ordinarily used its stimulating effect appears to be slight as
compared with its narcotic influence. In this respect it differs from
alcohol, the use of which, owing to the usual method of introduction
in large amounts through the stomach, produces directly, by
stimulation, readily noticeable structural changes.


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