CONTENTS INTRODUCTION A SUCCESSFUL ATTEMPT TO ABANDON OPIUM DE

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CONTENTS INTRODUCTION A SUCCESSFUL ATTEMPT TO ABANDON OPIUM DE QUINCEY'S "CONFESSIONS OF AN ENGLISH OPIUM-EATER" OPIUM REMINISCENCES OF COLERIDGE WILLIAM BLAIR OPIUM AND ALCOHOL COMPARED INSANITY AND SUICIDE FROM AN ATTEMPT TO ABANDON MORPHINE A MORPHINE HABIT OVERCOME ROBERT HALL--JOHN RANDOLPH--WILLIAM WILBERFORCE WHAT SHALL THEY DO TO BE SAVED? OUTLINES OF THE OPIUM-CURE INTRODUCTION.

This volume has been compiled chiefly for the benefit of opium-eaters. Its subject is one indeed which might be made alike attractive to medical men who have a fancy for books that are professional only in an accidental way; to general readers who would like to see gathered into a single volume the scattered records of the consequences attendant upon the indulgence of a pernicious habit; and to moralists and philanthropists to whom its sad stories of infirmity and suffering might be suggestive of new themes and new objects upon which to bestow their reflections or their sympathies. But for none of these classes of readers has the book been prepared. In strictness of language little medical information is communicated by it. Incidentally, indeed, facts are stated which a thoughtful physician may easily turn to professional account. The literary man will naturally feel how much more attractive the book might have been made had these separate and sometimes disjoined threads of mournful personal histories been woven into a more coherent whole; but the book has not been made for literary men. The philanthropist, whether a theoretical or a practical one, will find in its pages little preaching after his particular vein, either upon the vice or the danger of opium-eating. Possibly, as he peruses these various records, he may do much preaching for himself, but he will not find a great deal furnished to his hand, always excepting the rather inopportune reflections of Mr. Joseph Cottle over the case of his unhappy friend Coleridge. The book has been compiled for opium-eaters, and to their notice it is urgently commended. Sufferers from protracted and apparently hopeless disorders profit little by scientific information as to the nature of their complaints, yet they listen with profound interest to the experience of fellow-sufferers, even when this experience is unprofessionally and unconnectedly told. Medical empirics understand this and profit by it. In place of the general statements of the educated practitioner of medicine, the empiric encourages the drooping hopes of his patient by narrating in detail the minute particulars of analagous cases in which his skill has brought relief.

Before the victim of opium-eating is prepared for the services of an intelligent physician he requires some stimulus to rouse him to the possibility of recovery. It is not the dicta of the medical man, but the experience of the relieved patient, that the opium-eater, desiring—nobody but he knows how ardently—to enter again into the world of hope, needs, to quicken his paralyzed will in the direction of one tremendous effort for escape from the thick night that blackens around him. The confirmed opium-eater is habitually hopeless. His attempts at reformation have been repeated again and again; his failures have been as frequent as his attempts. He sees nothing before him but irremediable ruin. Under such circumstances of helpless depression, the following narratives from fellow-sufferers and fellow-victims will appeal to whatever remains of his hopeful nature, with the assurance that others who have suffered even as he has suffered, and who have struggled as he has struggled, and have failed again and again as he has failed, have at length escaped the destruction which in his own case he has regarded as inevitable.

The number of confirmed opium-eaters in the United States is large, not less, judging from the testimony of druggists in all parts of the country as well as from other sources, than eighty to a hundred thousand. The reader may ask who make up this unfortunate class, and under what circumstances did they become enthralled by such a habit? Neither the business nor the laboring classes of the country contribute very largely to the number. Professional and literary men, persons suffering from protracted nervous disorders, women obliged by their necessities to work beyond their strength, prostitutes, and, in brief, all classes whose business or whose vices make special demands upon the nervous system, are those who for the most part compose the fraternity of opium-eaters. The events of the last few years have unquestionably added greatly to their number. Maimed and shattered survivors from a hundred battle-fields, diseased and disabled soldiers released from hostile prisons, anguished and hopeless wives and mothers, made so by the slaughter of those who were dearest to them, have found, many of them, temporary relief from their sufferings in opium.

There are two temperaments in respect to this drug. With persons whom opium violently constricts, or in whom it excites nausea, there is little danger that its use will degenerate into a habit. Those, however, over whose nerves it spreads only a delightful calm, whose feelings it tranquillizes, and in whom it produces an habitual state of reverie, are those who should be upon their guard lest the drug to which in suffering they owe so much should become in time the direst of curses. Persons of the first description need little caution, for they are rarely injured by opium. Those of the latter class, who have already become enslaved by the habit, will find many things in these pages that are in harmony with their own experience; other things they will doubtless find of which they have had no experience. Many of the particular effects of opium differ according to the different constitutions of those who use it. In De Quincey it exhibited its power in gorgeous dreams in consequence of some special tendency in that direction in De Quincey's temperament, and not because dreaming is by any means an invariable attendant upon opium-eating. Different races also seem to be differently affected by its use. 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. A competent medical man, uniting a thorough knowledge of his profession with educated habits of generalizing specific facts under such laws—affecting the nervous, digestive, or secretory system—as are recognized by medical science, might render good service to humanity by teaching us properly to discriminate in such cases between what is uniform and what is accidental. In the absence, however, of such instruction, these imperfect, and in some cases fragmentary, records of the experience of opium-eaters are given, chiefly in the language of the sufferers themselves, that the opium-eating reader may compare case with case, and deduce from such comparison the lesson of the entire practicability of his own release from what has been the burden and the curse of his existence. The entire object of the compilation will have been attained, if the narratives given in these pages shall be found to serve the double purpose of indicating to the beginner in opium-eating the hazardous path he is treading, and of awakening in the confirmed victim of the habit the hope that he may be released from the frightful thraldom which has so long held him, infirm in body, imbecile in will, despairing in the present, and full of direful foreboding for the future.

In giving the subjoined narratives of the experience of opium-eaters, the compiler has been sorely tempted to weave them into a more coherent and connected story; but he has been restrained by the conviction that the thousands of opium-eaters, whose relief has been his main object in preparing the volume, will be more benefited by allowing each sufferer to tell his own story than by any attempt on his part to generalize the multifarious and often discordant phenomena attendant upon the disuse of opium. As yet the medical profession are by no means agreed as to the character or proper treatment of the opium disease. While medical science remains in this state, it would be impertinent in any but a professional person to attempt much more than a statement of his own case, with such general advice as would naturally occur to any intelligent sufferer. Very recently indeed, some suggestions for the more successful treatment of the habit have been discussed both by eminent medical men and by distinguished philanthropists. Could an Institution for this purpose be established, the chief difficulty in the way of the redemption of unhappy thousands would be obviated. The general outline of such a plan will be found at the close of the volume. It seems eminently deserving the profound consideration of all who devote themselves to the promotion of public morals or the alleviation of individual suffering.

anslation is made, deal with issues and military questions entirely French and not of general application. They are therefore not considered as being of sufficient interest to be reproduced herein. Appendix VI of the original appears herein as Appendix II.

The translation is unpretentious. The translators are content to exhibit such a work to the American military public without changing its poignancy and originality. They hope that readers will enjoy it as much as they have themselves.

J. N. G.

R. C. C.


                                                                                                                                                                                                                                                                                                           

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