CHAPTER III.

ALCOHOL AS A PRODUCER OF DISEASE.

That alcohol is a poison is attested by all chemists and other

scientific men; taken undiluted it destroys the vitality of the tissues

of the body with which it comes in contact as readily as creosote, or

pure carbolic acid. The term _intoxicating_ applied to beverages

containing it refers to its poisonous nature, the word being derived

from the Greek _toxicon_, which signifies a _bow_ or an _arrow_; the

barbarians poisoned their arrows, hence, _toxicum_ in Latin was used to

signify poison; from this comes the English term _toxicology_, which is

the science treating of _poisons_. Druggists in selling proof spirits

usually label the bottle, "Poison." Apart from the testimony of science

in regard to its poisonous nature, it is commonly known that large doses

of brandy or whisky will speedily cause death, particularly in those

unaccustomed to their use. The newspapers frequently contain items

regarding the death of children who have had access to whisky, and drunk

freely of it. Cases are reported, too, of men, habituated to drink, who

after tossing off several glasses of brandy at the bar of a saloon have

suddenly dropped dead.

Dr. Mussey says:--

"A poison is that substance, in whatever form it may be, which,

when applied to a living surface, disconcerts and disturbs

life's healthy movements. It is altogether distinct from

substances which are in their nature nutritious. It is not

capable of being converted into food, and becoming a part of the

living organs. We all know that proper food is wrought into our

bodies; the action of animal life occasions a constant waste,

and new matter has to be taken in, which, after digestion, is

carried into the blood, and then changed; but poison is

incapable of this. It may indeed be mixed with nutritious

substances, but if it goes into the blood, it is thrown off as

soon as the system can accomplish its deliverance, if it has not

been too far enfeebled by the influence of the poison. Such a

poison is alcohol--such in all its forms mix it with what you

may."

Dr. Nathan S. Davis said in an address given in 1891:--

"When largely diluted with water, as it is in all the varieties

of fermented and distilled liquids, and taken into the stomach,

it is rapidly imbibed, or taken up by the capillary vessels and

carried into the venous blood, without having undergone any

digestion or change in the stomach. With the blood it is carried

to every part, and made to penetrate every tissue of the living

body, where it has been detected by proper chemical tests as

unchanged alcohol, until it has been removed through the natural

process of elimination, or lost its identity by molecular

combination with the albuminous elements of the blood and

tissues, for which it has a strong affinity.

"The most varied and painstaking experiments of chemists and

physiologists, both in this country and Europe, have shown

conclusively that the presence of alcohol in the blood

diminishes the amount of oxygen taken up through the air-cells

of the lungs; retards the molecular and metabolic changes of

both nutrition and waste throughout the system and diminishes

the sensibility and action of the nervous structures in direct

proportion to the quantity of alcohol present. By its stronger

affinity for water and albumen, with which it readily unites in

all proportions, it so alters the hemaglobin of the blood as to

lessen its power to take the oxygen from the air-cells of the

lungs and carry it as oxyhemaglobia to all the tissues of the

body; and by the same affinity it retards all atomic or

molecular changes in the muscular, secretory and nervous

structures; and in the same ratio it diminishes the elimination

of carbon-dioxide, phosphates, heat and nerve force. In other

words, its presence diminishes all the physical phenomena of

life.

"I say, then, that from the facts hitherto adduced, whether from

accurate experimental investigations in different countries,

from the pathological results developed in the most scientific

societies, from the most reliable statistics of sickness and

mortality, as influenced by occupations and social habits, or

from the life insurance records kept on a uniform basis through

periods of ten, twenty, thirty or even forty years, it is

clearly shown that alcohol when taken into the human system not

only acts upon the nervous system, perverting its sensibility,

and, if increased in quantity, causing intoxication or

insensibility, but it also, _even in small quantities_, lessens

the oxygenation and decarbonization of the blood and retards the

molecular changes in the structures of the body. When these

effects are continued through months and years, as in the most

temperate class of drinkers, _they lead to permanent structural

changes, most prominently in the liver, kidneys, stomach, heart,

blood-vessels and nerve structures, and lessen the natural

duration of life in the aggregate from ten to fifteen years_.

Consequently there is no greater, nor more destructive error

existing in the public mind than the belief that the use of

fermented and distilled drinks does no harm so long as they do

not intoxicate.

"Another popular error is the opinion that the substitution of

the different varieties of beer and wine in the place of

distilled liquors promotes temperance, and lessens the evil

effects of alcohol on the health and morals of those who use

them. Accurate investigations show that beer and wine drinkers

generally consume more alcohol per man than the spirit drinkers;

and while they are not as often intoxicated, they suffer fully

as much from diseases and premature death as do those who use

distilled spirits. Again, the beer drinker drinks more nearly

every day, and thereby keeps some alcohol in his blood more

constantly; while a large percentage of spirit drinkers drink

only periodically, leaving considerable intervals of abstinence,

during which the tissues regain nearly their natural condition.

The more constant and persistent is the presence of alcohol in

the blood and the tissues, even in moderate quantity, the more

certainly does it lead to perverted and degenerative changes in

the tissues, _ending in renal _(kidney)_ and hepatic _(liver)_

dropsies, cardiac _(heart)_ failures, gout, apoplexy and

paralysis_."

Sir B. W. Richardson says:--

"Alcohol produces many diseases; and it constantly happens that

persons die of diseases which have their origin solely in the

drinking of alcohol, while the cause itself is never for a

moment suspected. A man may say quite truthfully that he never

was tipsy in the whole course of his life; and yet it is quite

possible that such a man may die of disease caused by the

alcohol he has taken, and by no other cause whatever. This is

one of the most dreadful evils of alcohol, that it kills

insidiously, as if it were doing no harm, or as if it were doing

good, while it is destroying life. Another great evil of it is

that it assails so many different parts of the body. It hardly

seems credible at first sight that the same agent can give rise

to the many different kinds of diseases it does give rise to. In

fact, the universality of its action has blinded even learned

men as to its potency for destruction.

"Step by step, however, we have now discovered that its modes of

action are all very simple, and are all the same in character;

and that the differences that have been and are seen in

different persons under its influence are due mainly to the

organs, or organ, which first give way under it. Thus, if the

stomach gives way first, we say that the person has indigestion

or dyspepsia, or failure of the stomach; if the brain gives way

first, we say the person has paralysis, or apoplexy, or brain

disease; if the liver gives way first, we say the man has liver

disease, and so on.

"All persons who indulge much in any form of alcoholic drink are

troubled with indigestion. When they wake in the morning they

find their mouth dry, their tongue coated, and their appetite

bad. In course of time they become confirmed 'dyspeptics,' and

as many of them find a temporary relief from the distress at the

stomach, and the deficient appetite from which they suffer by

taking more liquor, they increase the quantity taken, and so

make matters much worse. * * * * *

"There are a great number of diseases caused by alcohol, some of

which are known by terms that do not convey to the mind what

really has been the cause of the diseases." They are:

(a) Diseases of the brain and nervous system: indicated by such names

as apoplexy, epilepsy, paralysis, vertigo, softening of the brain,

delirium tremens, loss of memory and that general failure of the mental

power called dementia. (b) Diseases of the lungs: one form of

consumption, congestion and subsequent bronchitis. (c) Diseases of the

heart: irregular beat, feebleness of the muscular walls, dilation,

disease of the valves. (d) Diseases of the blood: scurvy, dropsy,

separation of fibrine. (e) Diseases of the stomach: feebleness of the

stomach and indigestion, flatulency, irritation and sometimes

inflammation. (f) Diseases of the bowels: relaxation or purging,

irritation. (g) Diseases of the liver: congestion, hardening and

shrinking cirrhosis. (h) Diseases of the kidneys: change of structure

into fatty or waxy-like condition and other changes leading to dropsy.

(i) Diseases of the muscles: fatty changes in the muscles, by which

they lose their power for proper active contraction. (j) Diseases of

the membranes of the body: thickening and loss of elasticity, by which

the parts wrapped up in the membrane are impaired for use, and premature

decay is induced.

But it constantly happens that when deaths from these diseases are

recorded and alcohol has been the primary cause, some other cause is

believed to have been at work.

While drinking parents by virtue of a strong constitution sometimes

escape the penalty of their bibulous habit, it is not uncommon to see

their children suffering from some disease or nervous weakness such as

is caused by alcohol, "the sins of the father being visited upon the

children."

Erasmus Darwin says upon this point:--

"It is remarkable that all the diseases from drinking spirituous

or fermented liquors are liable to become hereditary, even to

the third generation, gradually increasing, if the cause be

continued, till the family become extinct."

Prof. Christison, of Edinburgh, in answer to inquiries from the

Massachusetts State Board of Health, says of general diseases due to

alcohol:--

"I recognize certain diseases which originate in the vice of

drunkenness alone, which are _delirium tremens_, cirrhosis of

the liver, many cases of Bright's disease of the kidneys, and

dipsomania, or insane drunkenness.

"Then I recognize many other diseases in regard to which excess

in alcoholics acts as a powerful predisposing cause, such as

gout, gravel, aneurism, paralysis, apoplexy, epilepsy, cystitis,

premature incontinence of urine, erysipelas, spreading cellular

inflammation, tendency of wounds and sores to gangrene,

inability of the constitution to resist the attacks of

epidemics. I have had a fearful amount of experience of

continued fever in our infirmary during many epidemics, and in

all my experience I have only once known an intemperate man of

forty and upwards to recover."

Professor Christison also claims that three-fourths, or even

four-fifths, of Bright's disease in Scotland is produced by alcohol.

Dr. C. Murchison, in speaking of alcohol as a preventive of disease,

says:--

"There is no greater error than to imagine that a liberal

allowance of alcoholic liquids fortifies the system against

contagious diseases."

In a paper read before the Royal Medical and Chirurgical Society, Oct.

22, 1872, Dr. W. Dickinson gave the following conclusions:--

"Alcohol causes fatty infiltration and fibrous encroachments; it

engenders tubercles; encourages suppuration, and retards

healing; it produces untimely atheroma (a form of fatty

degeneration of the inner coats of the arteries), invites

hemorrhage, and anticipates old age. The most constant fatty

changes, replacement by oil of the material of epithelial cells

and muscular fibres, though probably nearly universal, is most

noticeable in the liver, the heart and the kidneys. _Drink

causes tuberculosis_, which is evident not only in the lungs,

but in every amenable organ."

Dr. William Hargreaves says:--

"Brandy is not a prophylactic. To the temperate it is an active,

exciting cause. It is well known that a single act of

intemperance during the prevalence of cholera, will often

produce a fatal attack. The sense of warmth and irritation

(called stimulation) produced by alcoholic liquors, has led to

the erroneous notion that they may prevent cholera. But the

contrary we have seen is the truth, for the effects of

alcoholics are to reduce the temperature of the body, and

instead of stimulating, they narcotize, and reduce the

life-forces, and predispose the system to all kinds of disease."

The following testimonies are culled from the writings of eminent

physicians:--

Sir Andrew Clark, M. D., F. R. C. P., London, Physician in

Ordinary to the Queen, Senior Physician at the London Hospital:

"As I looked at the hospital wards to-day, and saw that seven

out of ten owed their diseases to alcohol, I could but lament

that the teaching about this question is not more direct, more

decisive and more home-thrusting. * * * * * Can I say to you any

words stronger than these of the terrible effects of alcohol?

When I think of this I am disposed to give up my profession, and

go forth upon a holy crusade, preaching to all men--_Beware of

this enemy of the race._"

Sir William Gull, F. R. S. (late Physician to her Majesty): "I

should say, from my experience, that alcohol is the most

destructive agent that we are aware of in this country. I would

like to say that a very large number of people in society are

dying day by day, poisoned by alcohol, but not supposed to be

poisoned by it."

Dr. Abernethy: "If people will leave off drinking alcohol, live

plainly, and take very little medicine they will find that many

disorders will be relieved by this treatment alone."

Dr. Forel, of the University of Zurich, Switzerland: "Life is

considerably shortened by the use of alcohol in large

quantities. But a moderate consumption of the same also shortens

life by an average of five to six years. This is consistently

and unequivocally seen in the statistics kept for thirty years

by English insurance companies, with special sections for

abstainers. They give a large discount, and still make more

profit, as not nearly so many deaths occur as might be expected

under the usual calculations. According to federal statistics in

the fifteen largest towns of Switzerland, over ten per cent. of

the men over twenty years of age die solely, or partly of

alcoholism."

Dr. J. H. Kellogg, Battle Creek, Mich.: "Every organ feels the

effect of the abuse through indulgence in alcohol, and no

function is left undisturbed. By degrees, disordered function,

through long continuance of the disturbance, induces tissue

change. The most common form of organic or structural disease

due to alcohol is fatty degeneration, which may effect almost

every organ in the body. * * * * * No class of persons are so

subject to nervous diseases due to degeneration of nerves and

nerve-centres as drinkers. Partial or general paralysis,

locomotor ataxia, epilepsy and a host of other nervous

disorders, are directly traceable to the use of alcohol."

One of the visiting physicians of Bellevue Hospital, New York, states

that at least two-thirds of all the diseases treated there originated in

drink.

Dr. W. A. Hammond: "It is of all causes most prolific in

exciting derangements of the brain, the spinal cord, and the

nerves."

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