the opium habit by day, horace b

Upload: gutenbergorg

Post on 31-May-2018

219 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/14/2019 The Opium Habit by Day, Horace B.

    1/175

    TheProjectGutenbergEBookofTheOpiumHabit,byHoraceB.Day

    Copyrightlawsarechangingallovertheworld.BesuretocheckthecopyrightlawsforyourcountrybeforedownloadingorredistributingthisoranyotherProjectGutenbergeBook.

    ThisheadershouldbethefirstthingseenwhenviewingthisProjectGutenbergfile.Pleasedonotremoveit.Donotchangeoredittheheaderwithoutwrittenpermission.

    Pleasereadthe"legalsmallprint,"andotherinformationabouttheeBookandProjectGutenbergatthebottomofthisfile.Includedisimportantinformationaboutyourspecificrightsandrestrictionsinhowthefilemaybeused.YoucanalsofindoutabouthowtomakeadonationtoProjectGutenberg,andhowtogetinvolved.

    **WelcomeToTheWorldofFreePlainVanillaElectronicTexts**

    **eBooksReadableByBothHumansandByComputers,Since1971**

    *****TheseeBooksWerePreparedByThousandsofVolunteers!*****

    Title:TheOpiumHabit

    Author:HoraceB.Day

    ReleaseDate:January,2005[EBook#7293][Yes,wearemorethanoneyearaheadofschedule][ThisfilewasfirstpostedonApril8,2003]

    Edition:10

    Language:English

    Charactersetencoding:ISO-Latin-1

    ***STARTOFTHEPROJECTGUTENBERGEBOOKTHEOPIUMHABIT***

    ProducedbyDavidMaddock,CharlesFranksandtheOnlineDistributedProofreadingTeam

    THEOPIUMHABIT,

    WITH

    SUGGESTIONSASTOTHEREMEDY.

    "Aftermydeath,Iearnestlyentreatthatafullandunqualifiednarrativeofmywretchedness,andofitsguiltycause,maybemadepublic,thatatleastsomelittlegoodmaybeeffectedbythedireful

  • 8/14/2019 The Opium Habit by Day, Horace B.

    2/175

    example."--COLERIDGE.

    CONTENTS

    INTRODUCTION

    ASUCCESSFULATTEMPTTOABANDONOPIUM

    DEQUINCEY'S"CONFESSIONSOFANENGLISHOPIUM-EATER"

    OPIUMREMINISCENCESOFCOLERIDGE

    WILLIAMBLAIR

    OPIUMANDALCOHOLCOMPARED

    INSANITYANDSUICIDEFROMANATTEMPTTOABANDONMORPHINE

    AMORPHINEHABITOVERCOME

    ROBERTHALL--JOHNRANDOLPH--WILLIAMWILBERFORCE

    WHATSHALLTHEYDOTOBESAVED?

    OUTLINESOFTHEOPIUM-CURE

    INTRODUCTION.

    Thisvolumehasbeencompiledchieflyforthebenefitofopium-eaters.Itssubjectisoneindeedwhichmightbemadealike

    attractivetomedicalmenwhohaveafancyforbooksthatareprofessionalonlyinanaccidentalway;togeneralreaderswhowouldliketoseegatheredintoasinglevolumethescatteredrecordsoftheconsequencesattendantupontheindulgenceofapernicioushabit;andtomoralistsandphilanthropiststowhomitssadstoriesofinfirmityandsufferingmightbesuggestiveofnewthemesandnewobjectsuponwhichtobestowtheirreflectionsortheirsympathies.Butfornoneoftheseclassesofreadershasthebookbeenprepared.Instrictnessoflanguagelittlemedicalinformationiscommunicatedbyit.Incidentally,indeed,factsarestatedwhichathoughtfulphysicianmayeasilyturntoprofessionalaccount.Theliterarymanwillnaturallyfeelhowmuchmoreattractivethebookmighthavebeenmadehadtheseseparateandsometimesdisjoinedthreadsofmournful

    personalhistoriesbeenwovenintoamorecoherentwhole;butthebookhasnotbeenmadeforliterarymen.Thephilanthropist,whetheratheoreticalorapracticalone,willfindinitspageslittlepreachingafterhisparticularvein,eitherupontheviceorthedangerofopium-eating.Possibly,asheperusesthesevariousrecords,hemaydomuchpreachingforhimself,buthewillnotfindagreatdealfurnishedtohishand,alwaysexceptingtheratherinopportunereflectionsofMr.JosephCottleoverthecaseofhisunhappyfriendColeridge.Thebookhasbeencompiledforopium-eaters,andtotheirnoticeitisurgentlycommended.Sufferersfromprotractedand

  • 8/14/2019 The Opium Habit by Day, Horace B.

    3/175

    apparentlyhopelessdisordersprofitlittlebyscientificinformationastothenatureoftheircomplaints,yettheylistenwithprofoundinteresttotheexperienceoffellow-sufferers,evenwhenthisexperienceisunprofessionallyandunconnectedlytold.Medicalempiricsunderstandthisandprofitbyit.Inplaceofthegeneralstatementsoftheeducatedpractitionerofmedicine,theempiricencouragesthedroopinghopesofhispatientbynarratingindetailtheminuteparticularsofanalagouscasesinwhichhisskillhasbroughtrelief.

    Beforethevictimofopium-eatingispreparedfortheservicesofanintelligentphysicianherequiressomestimulustorousehimtothepossibilityofrecovery.Itisnotthe_dicta_ofthemedicalman,buttheexperienceoftherelievedpatient,thattheopium-eater,desiring--nobodybutheknowshowardently--toenteragainintotheworldofhope,needs,toquickenhisparalyzedwillinthedirectionofonetremendouseffortforescapefromthethicknightthatblackensaroundhim.Theconfirmedopium-eaterishabituallyhopeless.Hisattemptsatreformationhavebeenrepeatedagainandagain;hisfailureshavebeenasfrequentashisattempts.Heseesnothingbeforehimbutirremediableruin.Undersuchcircumstancesofhelplessdepression,thefollowingnarrativesfromfellow-sufferersandfellow-victimswillappealtowhateverremainsofhishopefulnature,withtheassurancethatotherswhohavesufferedevenashehas

    suffered,andwhohavestruggledashehasstruggled,andhavefailedagainandagainashehasfailed,haveatlengthescapedthedestructionwhichinhisowncasehehasregardedasinevitable.

    Thenumberofconfirmedopium-eatersintheUnitedStatesislarge,notless,judgingfromthetestimonyofdruggistsinallpartsofthecountryaswellasfromothersources,thaneightytoahundredthousand.Thereadermayaskwhomakeupthisunfortunateclass,andunderwhatcircumstancesdidtheybecomeenthralledbysuchahabit?Neitherthebusinessnorthelaboringclassesofthecountrycontributeverylargelytothenumber.Professionalandliterarymen,personssufferingfromprotractednervousdisorders,womenobligedbytheirnecessitiestoworkbeyondtheirstrength,prostitutes,and,in

    brief,allclasseswhosebusinessorwhosevicesmakespecialdemandsuponthenervoussystem,arethosewhoforthemostpartcomposethefraternityofopium-eaters.Theeventsofthelastfewyearshaveunquestionablyaddedgreatlytotheirnumber.Maimedandshatteredsurvivorsfromahundredbattle-fields,diseasedanddisabledsoldiersreleasedfromhostileprisons,anguishedandhopelesswivesandmothers,madesobytheslaughterofthosewhoweredearesttothem,havefound,manyofthem,temporaryrelieffromtheirsufferingsinopium.

    Therearetwotemperamentsinrespecttothisdrug.Withpersonswhomopiumviolentlyconstricts,orinwhomitexcitesnausea,thereislittledangerthatitsusewilldegenerateintoahabit.Those,

    however,overwhosenervesitspreadsonlyadelightfulcalm,whosefeelingsittranquillizes,andinwhomitproducesanhabitualstateofreverie,arethosewhoshouldbeupontheirguardlestthedrugtowhichinsufferingtheyowesomuchshouldbecomeintimethedirestofcurses.Personsofthefirstdescriptionneedlittlecaution,fortheyarerarelyinjuredbyopium.Thoseofthelatterclass,whohavealreadybecomeenslavedbythehabit,willfindmanythingsinthesepagesthatareinharmonywiththeirownexperience;otherthingstheywilldoubtlessfindofwhichtheyhavehadnoexperience.Manyoftheparticulareffectsofopiumdifferaccordingtothedifferent

  • 8/14/2019 The Opium Habit by Day, Horace B.

    4/175

    constitutionsofthosewhouseit.InDeQuinceyitexhibiteditspoweringorgeousdreamsinconsequenceofsomespecialtendencyinthatdirectioninDeQuincey'stemperament,andnotbecausedreamingisbyanymeansaninvariableattendantuponopium-eating.Differentracesalsoseemtobedifferentlyaffectedbyitsuse.Itseldom,perhapsnever,intoxicatestheEuropean;itseemshabituallytointoxicatetheOriental.ItdoesnotgenerallydistortthepersonoftheEnglishorAmericanopium-eater;intheEastitisrepresentedasfrequentlyproducingthiseffect.

    Itisdoubtfulwhetherasufficientnumberofcasesofexcessinopium-eatingorofrecoveryfromthehabithaveyetbeenrecorded,orwhethersuchashavebeenrecordedhavebeensocollatedastowarrantapositivestatementastoallthephenomenaattendantuponitsuseoritsabandonment.Acompetentmedicalman,unitingathoroughknowledgeofhisprofessionwitheducatedhabitsofgeneralizingspecificfactsundersuchlaws--affectingthenervous,digestive,orsecretorysystem--asarerecognizedbymedicalscience,mightrendergoodservicetohumanitybyteachingusproperlytodiscriminateinsuchcasesbetweenwhatisuniformandwhatisaccidental.Intheabsence,however,ofsuchinstruction,theseimperfect,andinsomecasesfragmentary,recordsoftheexperienceofopium-eatersaregiven,chieflyinthelanguageofthesufferersthemselves,thattheopium-eatingreadermaycomparecasewithcase,anddeducefromsuch

    comparisonthelessonoftheentirepracticabilityofhisownreleasefromwhathasbeentheburdenandthecurseofhisexistence.Theentireobjectofthecompilationwillhavebeenattained,ifthenarrativesgiveninthesepagesshallbefoundtoservethedoublepurposeofindicatingtothebeginnerinopium-eatingthehazardouspathheistreading,andofawakeningintheconfirmedvictimofthehabitthehopethathemaybereleasedfromthefrightfulthraldomwhichhassolongheldhim,infirminbody,imbecileinwill,despairinginthepresent,andfullofdirefulforebodingforthefuture.

    Ingivingthesubjoinednarrativesoftheexperienceofopium-eaters,thecompilerhasbeensorelytemptedtoweavethemintoamore

    coherentandconnectedstory;buthehasbeenrestrainedbytheconvictionthatthethousandsofopium-eaters,whosereliefhasbeenhismainobjectinpreparingthevolume,willbemorebenefitedbyallowingeachsufferertotellhisownstorythanbyanyattemptonhisparttogeneralizethemultifariousandoftendiscordantphenomenaattendantuponthedisuseofopium.Asyetthemedicalprofessionarebynomeansagreedastothecharacterorpropertreatmentoftheopiumdisease.Whilemedicalscienceremainsinthisstate,itwouldbeimpertinentinanybutaprofessionalpersontoattemptmuchmorethanastatementofhisowncase,withsuchgeneraladviceaswouldnaturallyoccurtoanyintelligentsufferer.Veryrecentlyindeed,somesuggestionsforthemoresuccessfultreatmentofthehabithavebeendiscussedbothbyeminentmedicalmenandbydistinguished

    philanthropists.CouldanInstitutionforthispurposebeestablished,thechiefdifficultyinthewayoftheredemptionofunhappythousandswouldbeobviated.Thegeneraloutlineofsuchaplanwillbefoundatthecloseofthevolume.Itseemseminentlydeservingtheprofoundconsiderationofallwhodevotethemselvestothepromotionofpublicmoralsorthealleviationofindividualsuffering.

  • 8/14/2019 The Opium Habit by Day, Horace B.

    5/175

    THEOPIUMHABIT.

    ASUCCESSFULATTEMPTTOABANDONOPIUM.

    Inthepersonalhistoryofmany,perhapsofmost,men,someparticulareventorseriesofevents,somespecialconcurrenceofcircumstances,orsomepeculiarityofhabitorthought,hasbeensounmistakablyinterwovenandidentifiedwiththeirgeneralexperienceoflifeastoleavenodoubtinthemindofanyoneofthedecisiveinfluencewhichsuchcauseshaveexerted.Unexaggeratednarrationsofmarkedcasesofthiskind,whileaddingsomethingtoourknowledgeofthemarvellousdiversitiesoftemptationandtrial,ofsuccessanddisappointmentwhichmakeupthestoryofhumanlife,arenotwithoutadirectvalue,asfurnishingsuggestionsorcautionstothosewhomaybeplacedinlikecircumstancesorassailedbyliketemptations.

    Theonlyapologywhichseemstobeneededforcallingtheattentionofthereadertothedetailswhichfollowofaviolentbutsuccessfulstrugglewiththemostinveterateofallhabits,istobefoundinthehopewhichthewriterindulges,thatwhilecontributingsomethingtothecurrentamountofknowledgeastothehorrorsattendingthe

    habitualuseofopium,thestorymaynotfailtoencouragesomewhonowregardthemselvesashopelessvictimsofitspowertoastrenuousandevendesperateeffortforrecovery.Possiblythenarrativemayalsonotbewithoutusetothosewhoarenowmerelyindangerofbecomingenslavedbyopium,butwhomaybewiseenoughtoprofitintimebytheexperienceofanother.

    Amanwhohaseatenmuchmorethanhalfahundredweightofopium,equivalenttomorethanahogsheadoflaudanum,whohastakenenoughofthispoisontodestroymanythousandhumanlives,andwhoseuninterrupteduseofitcontinuedfornearlyfifteenyears,oughttobeabletosaysomethingastothegoodandtheevilthereisinthehabit.Itforms,however,nopartofmypurposetodothis,norto

    enterintoanydetailedstatementofthecircumstancesunderwhichthehabitwasformed.Ineitherwishtodiminishmyownsenseoftheevilofsuchwantoffirmnessascharacterizesallwhoallowthemselvestobebetrayedintotheuseofadrugwhichpossessessuchpoweroftyrannizingoverthemostresolutewill,nortowithdrawtheattentionofthereaderfromthedirectlessonthisrecordisdesignedtoconvey,bysayinganythingthatshallseemtochallengehissympathyorforestallhiscensures.Itmay,however,beofservicetootheropium-eatersformetoStatebriefly,thatwhileendowedinmostrespectswithuncommonvigorofanytendencytodespondencyorhypochondria,anunusualnervoussensibilitv,togetherwithaconstitutionaltendencytoadisorderedconditionofthedigestiveorgans,stronglypredisposedmetoacceptthefascinationoftheopium

    habit.Thedifficulty,earlyinlife,ofretainingfoodofanykinduponthestomachwassoonfollowedbyvagrantshootingpainsoverthebody,whichatalaterdayassumedapermanantchronicform.

    Afterotherremedieshadfailed,theeminentphysicianunderwhoseadviceIwasactingrecommendedopium.Ihavenodoubtheactedbothwiselyandprofessionallyintheprescriptionheordered,butwhereisthepatientwhohaslearnedthesecretofsubstitutingluxuriousenjoymentinplaceofacutepainbydayandrestlesshoursbynight,thatcanbetrustedtotakeacorrectmeasureofhisownnecessities?

  • 8/14/2019 The Opium Habit by Day, Horace B.

    6/175

    Theresultwasasmighthavebeenanticipated:opiumafterafewmonths'usebecameindispensable.Withthefullconsciousnessthatsuchwasthecase,cametheresolutiontobreakoffthehabitThiswasaccomplishedafteraneffortnomoreearnestthaniswithinthepowerofalmostanyonetomake.Arecurrenceofsufferingmorethanusuallysevereledtoarecoursetothesameremedy,butinlargelyincreasedquantities.Afterayearortwo'susethehabitwasasecondtimebrokenbyanothereffortmuchmoreprotractedandobstinatethanthefirst.Nightsmadewearyanddaysuncomfortablebypainoncemoresuggestedthesameunhappyrefuge,andafterastruggleagainstthesupposednecessity,whichInowregardashalf-heartedandcowardly,thehabitwasresumed,andowingtothepeculiarlyunfavorablestateoftheweatheratthetime,thequantityofopiumnecessarytoalleviatepainandsecuresleepwasgreaterthanever.Thehabitofrelyinguponlargedosesiseasilyestablished;and,onceformed,thedailyquantityisnoteasilyreduced.AllpersonswhohavelongbeenaccustomedtoOpiumareawarethatthereisa_maximum_beyondwhichnoincreaseinquantitydoesmuchinthefurtheralleviationofpainorinpromotingincreasedpleasurableexcitement.Thismaximuminmyowncasewaseightygrains,ortwothousanddropsoflaudanum,whichwassoonattained,andwascontinued,withoccasionalexceptions,sometimesdroppingbelowandsometimeslargelyrisingabovethisamount,downtotheperiodwhenthehabitwasfinallyabandoned.Iwillnotspeakoftherepeatedeffortsthatweremade

    duringtheselongyearstorelinquishthedrug.Theyallfailed,eitherthroughthewantofsufficientfirmnessofpurpose,orfromtheabsenceofsufficientbodilyhealthtoundergothesufferingincidenttotheeffort,orfromunfavorablecircumstancesofoccupationorsituationwhichgavemenoadequateleisuretoinsuretheirsuccess.Atlengthresolveuponafinalefforttoemancipatemyselffromthehabit.

    Fortwoorthreeyearsprevioustothistimemygeneralhealthhadbeengraduallyimproving.Neuralgicdisturbancewasoflessfrequentoccurrenceandwaslessintense,thestomachretaineditsfood,and,whatwasofmoreconsequence,thedifficultyofsecuringareasonableamountofsleephadforthemostpartpassedaway.Insteadofa

    successionofwakefulnightsanyserioiousinterruptionofhabitualrestoccurredatinfrequentintervals,andwasusuallylimitedtoasinglenight.

    Inadditiontothesehopefulindicationsinencouragementofavigorousefforttoabandonthehabit,therewereontheotherhandcertainwarningswhichcouldnotsafelybeneglected.Thestomachbegantocomplain,--aswellitmightaftersomanyyearsunnaturalservice,--thatthedailytaskofdisposingofalargemassofnoxiousmatterconstantlycumulatingitsdeadlyassaultsuponthenaturalprocessesoflifewasgettingtobebeyonditspowers.Thepulsehadbecomeincreasinglylanguid,whiletheaversiontolaborofanykindseemedtobesettlingdownintoachronicandhopelessinfirmity.Some

    circumstancesconnectedwithmyownsituationpointedalsototheappropriatenessofthepresenttimeforaneffortwhichIknewbytheexperienceofotherswouldmakeaheavydemanduponallone'sfortitude,evenwhenthesecircumstancesweremostpropitious.Atthisperiodmytimewaswhollyatmyowndisposal.Myfamilywasasmallone,andIwassureofeveryaccessorysupportImightneedfromthemtotidemeoverwhatIhopedwouldproveonlyatemporary,thoughitmightbeasevere,struggle.ThehouseIoccupiedwasfortunatelysosituatedthatnooutcryofpain,noranyextortedeccentricityofconduct,consequentupontheeffortIproposedtomake,couldbe

  • 8/14/2019 The Opium Habit by Day, Horace B.

    7/175

    observedbyneighborsorby-passers.

    Afewdaysbeforethetaskwascommenced,andwhileonavisittothecapitalofaneighboringStateincompanywithapartyofgentlemenfromBaltimore,Ihadventureduponreducingbyone-quarterthecustomarydailyallowanceofeightygrains.UndertheexcitementofsuchanoccasionIcontinuedtheexperimentforaseconddaywithnootherperceptibleeffectthanarestlessindispositiontoremainlonginthesameposition.This,however,wasamereexperiment,apreludetothedeterminedstruggleIwasresolveduponmaking,andtowhichIhadbeenincitedchieflythroughtheencouragementsuggestedbythesuccessofDeQuincey.Thereisapageinthe"Confessions"ofthisauthorwhichIhavenodoubthas,beenperusedwithintenseinterestbyhundredsofopium-eaters.Itisthepagewhichgivesinatabularformthegradualprogresshemadeindiminishingthedailyquantityoflaudanumtowhichhehadlongbeenaccustomed.Ihadreadandre-readwithgreatcareallthathehadseenfittorecordrespectinghisowntriumphoverthehabit.Iknewthathehadmadeuseofopiumirregularlyandatconsiderableintervalsfromtheyear1804to1812,andthatduringthistimeopiumhadnotbecomeadailynecessity;thatintheyear1813hehadbecomeaconfirmedopium-eater,"ofwhomtoaskwhetheronanyparticulardayhehadorhadnottakenopium,wouldbetoaskwhetherhislungshadperformedrespiration,ortheheartfulfilleditsfunctions;"thatintheyear1821hehadpublishedhis

    "Confessions,"inwhich,whileleadingtheunobservantreadertothinkthathehadmasteredthehabit,hehadintruthonlysofarsucceededastoreducehisdailyallowancefromaquantityvaryingfromfiftyorsixtytoonehundredandfiftygrains,downtoonevaryingfromseventotwelvegrains;thatintheyear1822anappendixwasaddedtothe"Confessions"whichcontainedatabularstatementofhisfurtherprogresstowardanabsoluteabandonmentofthedrug,andindicatinghisgradualdescent,daybyday,forthirty-fivedays,whenthereaderisnaturallyledtosupposethattheexperimentwastriumphantlyclosedbyhisentiredisuseofopium.

    Ihadfailed,however,toobservethatafewpagesprecedingthisdetailedstatementthewriterhadgivenafaintintimationthatthe

    experimenthadbeenamoreprotractedonethanwasindicatedbythetable.Ihadalsofailedtonoticethefactthatnorealprogresshadbeenmadeduringthefirstfourweeksoftheattempt:theaveragequantityoflaudanumdailyconsumedforthefirstweekbeingonehundredandthreedrops;ofthesecond,eighty-fourdrops;ofthethird,onehundredandforty-twodrops;andofthefourth,onehundredandthirty-eightdrops;andthatinthefifthweektheself-denialofmorethanthreedayshadbeenrewardedwiththeindulgenceofthreehundreddropsonthefourth.Acarefulcomparisonofthiskind,showingthatinanentiremonththeaverageofthefirstweekhadbeenbutonehundredandthreedrops,whiletheaverageofthelasthadbeenonehundredandthirty-eightdrops,andthatinthefifthweekafranticefforttoabstainwhollyforthreedayshadobligedhimtouse

    onthefourthmorethandoublethequantitytowhichoflatehehadbeenaccustomed,wouldhavepreventedtheincautiousconclusion,suggestedbyhistable,thatDeQuinceymadeuseoflaudanumbutontwooccasionsaftertheexpirationofthefourthweek.

    WhatevermayhavebeenthelengthoftimetakenbyDeQuincey"inunwindingtoitslastlinkthechainwhichbound"him,itiscertainwehavenomeansofknowingitfromanythinghehasrecorded.Beitshorterorlonger,hisfailuretostatedefinitelytheentiretimeemployedinhisexperimentoccasionedmemuchandneedless

  • 8/14/2019 The Opium Habit by Day, Horace B.

    8/175

    suffering.Ithoughtthatifanothercoulddescend,withouttheexperienceofgreatermiserythanDeQuinceyrecords,fromonehundredandthirtydropsoflaudanum,equivalenttoaboutfivegrainsofopium,tonothing,inthirty-fourorfivedays,andinthisbriefperiodabandonahabitofmorethannineyears'growth,amoreresolvedwillmightachievethesameresultinthesamenumberofdays,thoughthestarting-pointinrespecttoaggregatequantityandtolengthofusewasmuchgreater.Theobject,therefore,tobeaccomplishedinmyowncasewastopartcompanyforeverwithopiuminthirty-fivedays,costwhatsufferingitmight.Onthe26thofNovember,inahalf-desperate,half-despondenttemperofmind,Icommencedthelong-descending_gradus_whichIhadrapidlyascendedsomanyyearsbefore.DuringthisentireperiodthequantityconsumedhadbeenprettyuniformlyeightygrainsofbestTurkeyopiumdaily.Occasionalattemptstodiminishthequantity,butofnolongcontinuance,andoccasionaloverindulgenceduringprotractedbadweather,furnishedtheonlyexceptionstothegeneraluniformityofthehabit.

    Theexperimentwascommencedbyareductionthefirstdayfromeightygrainstosixty,withnoverymarkedchangeofsensations;theseconddaytheallowancewasfiftygrains,withanobservabletendencytowardrestlessness,andageneraluneasiness;thethirddayafurtherreductionoftengrainshaddiminishedtheusualallowanceby

    one-half,butwithaperceptibleincreaseinthesenseofphysicaldiscomfort.Thementalemotions,however,wereentirelyjubilantTheprevailingfeelingwasoneofhopefulexultation.Thenecessityforeightygrainsdailyhadbeenreducedtoanecessityforonlyforty,and,therefore,one-halfofthedreadedtaskseemedaccomplished.Itwasagreattriumph,andtheremainingfortygrainswereamere_bagatelle_,tobedisposedofwiththesamesereneself-controlthatthefirsthadbeen.Aweightofbroodingmelancholywasliftedfromthespirits:theworldworeahappierlook.Theonlydrawbacktothisbeatificstateofmindwasamarkedindispositiontoremainquiet,andarestlessaversiontogivingattentiontothemostnecessaryduties.

    TwodaysmoreandIhadcomedowntotwenty-fivegrains.Mattersnowbegantolookagooddealmoreserious.Onlyfifteenofthelastfortygrainshadbeendispensedwith;butthisgainhadcostafuriousconflict.Astrangecompressionandconstrictionofthestomach,sharppainslikethestabofaknifebeneaththeshoulder-blades,perpetualrestlessness,anapparentprolongationoftime,somuchsothatitseemedthedaywouldnevercometoaclose,anincapacityoffixingtheattentionuponanysubjectwhatever,wanderingpainsoverthewholebody,thejaw,whenevermoved,makingaloudnoise,constantiritabilityofmindandincreasedsensibilitytocold,withalternationsofhotflushes,weresomeofthephenomenawhichmanifestedthemselvesatthisstageoftheprocess.Thementalelationsofthefirstthreedayshadbecomechangedbythefifthinto

    astateofhighnervousexcitement;sothatwhileonthewholetherewasaprevailinghopefulnessoftemper,andevensomeremainingbuoyancyofspirits,arisingchieflyfromthecertaintythatalreadythequantityconsumedhadbeenreducedbymorethantwo-thirds,theconvictionhad,nevertheless,greatlydeepened,thatthetaskwasliketoproveamuchmoreseriousonethanIhadanticipated.Whetheritwaspossibleatpresenttocarrythedescentmuchfurtherhadbecomeagravequestion.Thenextday,however,areductionoffivegrainswassomehowattained;butitwasahardfighttoholdmyownwithinthislimitoftwentygrains.Fromthisstagecommencedthereally

  • 8/14/2019 The Opium Habit by Day, Horace B.

    9/175

    intolerablepartoftheexperienceofanopium-eaterretiringfromservice.Duringasingleweek,three-quartersofthedailyallowancehadbeenrelinquished,andinthisfact,atleast,therewassomegroundforexultation.Ifwhathadbeengainedcouldonlybesecuredbeyondanyperadventureofrelapse,sofarapositivesuccesswouldbeachieved.

    Hadtheexperimentstoppedhereforatimeuntilthesystemhadbecomeinsomemeasureaccustomedtoitsnewhabits,possiblythemiseryIsubsequentlyunderwentmightsomeofithavebeensparedme.Howeverthismaybe,Ihadnotthepatienceofmindnecessaryforaprotractedexperiment.WhatIdidmustbedoneatonce;ifIwouldwinImustfightforit,andmustfindtheincentivetocourageintheconsciousdesperationofthecontest.

    FromthepointIhadnowreacheduntilopiumwaswhollyabandoned,thatis,foramonthormore,myconditionmaybedescribedbythesinglephrase,intolerableandalmostunalleviatedwretchedness.Notforawakingmomentduringthistimewasthebodyfreefromacutepain;eveninsleep,ifthatmaybecalledsleepwhichmuchofitwaslittleelsethanastateofdiminishedconsciousness,thesenseofsufferingunderwentlittleremission.Whataddedtotheaggravationofthecase,wastheprofoundconvictionthatnofurthereffortofresolutionwaspossible,andthateverycounteractinginfluenceof

    thiskindhadbeenalreadywounduptoitshighesttension.Imightholdmyown;todoanythingmoreIthoughtimpossible.Beforethemonthhadcometoanend,however,Ihadagooddealenlargedmyconceptionsofthepossibleresourcesofthewillwhendrivenintoatightcorner.

    TheonlypersonoutsideofmyfamilytowhomIhadconfidedthepurposeinwhichIwasengagedwasagentlemanwithwhomIhadsomeslightbusinessrelations,andwhoIknewwouldhonoranydemandsImightmakeinthewayofmoney.IhadassuredhimthatbyNewYear'sDayIshouldhavetakenopiumforthelasttime,andthatanyextravaganceofexpenditurewouldnotprobablylastbeyondthatdate.Uponthisassurance,butconfessedlyhavinglittleornofaith

    init,heaskedmetodinewithhimontheauspiciousoccasion.

    Souncomfortablehadmyconditionandfeelingsbecomeintherapiddescentfromeightygrainstotwentyinlessthanaweek,thatIdeterminedforthefuturetodiminishthequantitybyonlyasinglegraindaily,untilthehabitwasfinallymastered.Inthetwenty-ninedayswhichnowremainedtothefirstofJanuary,theninedaysmorethanwereneeded,attheproposedrateofdiminution,would,Ithought,besufficienttomeetanyemergencywhichmightarisefromoccasionallapsesoffirmnessinadheringtomyself-imposedtask,andmoreespeciallyforthedifficultiesofthefinalstruggle--difficultiesIbelievetobealmostinvariablyincidenttoanystrifewhichhumannatureiscalledupontomakeinovercomingnotmerelyanobstinatehabit

    butthefascinationofalong-entrancedimagination.UptothistimeIhadtakentheopiumasIhadalwaysbeenaccustomedtodo,inasingledoseonawakinginthemorning.Inow,however,dividedthedailyallowanceintotwoportions,andafteradayortwointofour,andthenintosinglegrains.Thechiefadvantagewhichfollowedthissubdivisionofthedosewasacertainrelieftothemind,whichforafewdayshadbecomefullyawareofthepowerwhichmiserypossessesoflengtheningoutthetimeinterveningbetweenonealleviationandanother,andwhichshrankfromthewearycontinuanceofanentireday'spainfulandunrelievedabstinencefromtheaccustomedindulgence.Thefirstthreedaysfromthecommencement

  • 8/14/2019 The Opium Habit by Day, Horace B.

    10/175

    ofthisgrainbygraindescentwasmarkedbyobviouslyincreasedimpatiencewithanythinglikecontradictionoropposition,byanabsoluteaversiontoreading,andbyaveryhumiliatingsenseofthefactthatthe_visvitae_hadsomehowbecomeprettythoroughlyeliminatedfrombothmindandbody.Still,whennightcame,aswithlong-drawnstepsitdidcome,therewastheconsciousnessthatsomethinghadbeengained,andthatthisdailygain,smallasitwas,wasworthallithadcost.Thetenthdayoftheexperimenthadreducedmyallowancetosixteengrains.Theeffectofthisrapiddiminutionofquantitywasnowmadeapparentbyadditionalsymptoms.Thefirsttearsextortedbypainsincechildhoodwereforcedoutasbysomeglandularweakness.Restlessness,bothofbodyandmind,hadbecomeextreme,andwasaccompaniedwithahideousandalmostmaniacalirritability,oftensoplainlywithoutcauseassometimestoprovokeasmilefromthosewhowereaboutme.

    Forafewdaysapartialalleviationfromtoominuteattentiontothepainsoftheexperimentwerefoundinvigoroushorsebackexercise.ThefriendtowhoseserviceablenessinpecuniarymattersIhavealreadyalluded,offeredmetheuseofasaddle-horse.ThelargerofthetwoanimalswhichIfoundinhisStablewasmuchtooheroicinappearanceformeinmystateofexhaustiontoventureupon.Besidesthis,hisRomannoseandseveregravityofaspectsomehowremindedme,wheneverIenteredhisstall,ofthelateJudge----,towhoseLecturesonthe

    ConstitutionIhadlistenedinmyyouth,andinmythenconditionofmoralhumiliationIfelttheimproprietyofputtingthesaddleonananimalconnectedwithsuchrespectableassociations.Nosuchscruplesinterferedwiththeuseoftheotheranimal,whichwaskeptchiefly,Ibelieve,forservilepurposes.Hewassmallandmean-looking--hisforetopandmaneinahopelesstangle,withhay-seedonhiseyelids,anddampstrawsscatteredpromiscuouslyaroundhisbody.

    Inconsiderableasthisanimalwas,bothinsizeandaction,hewasalmosttoomuchforme,intheweakstatetowhichIwasnowreduced.Thismuch,however,Iowehim;disreputable-lookingashewas,hewasstillasomethinguponwhidimymindcouldrestasapointofdiversionfrommyself--asomethingoutsideofmyownmiseries.At

    thistimethesenseofphysicalexhaustionhadbecomesogreatthatitrequiredanefforttoperformthemostcommonact.Thebusinessofdressingwasaserioustaxupontheenergies.Toputonacoat,ordrawonaboot,wasnolightlabor,andwassucceededbysuchafeelingofprostrationasrequiredthemorningbeforeIcouldmastersufficientenergytoventureupontheneededexercise.Thedistancetomyfriend'sstablewastrifling.SometimesIwouldfindtherethenegromantowhosecarethehorseswereentrusted,butmorefrequentlyhewasabsent.Afeelingofhumiliationatbeingseenbyanyoneatalosshowtomountahorseofsodiminutiveproportions,wouldtriumphoverthesenseofbodilyweaknesswheneverhewaspresenttobridleandsaddlehim.Wheneverhewasnotathandthetaskofgettingthesaddleonthepony'sbackwasalongandarduousone.Asforlifting

    itfromitshookandthrowingittoitsplace,Icouldaseasilyhavethrownthehorseitselfoverthestable.Theonlywayinwhichitcouldbeeffectedwasbyfirstpushingthesaddlefromitshook,checkingitsfalltothefloorbythehand,andthenrestingtilltheviolentactionofthehearthadsomewhatabated;next,withoccasionalfailures,tothrowitovertheedgeofthelowmanger;thenanintervalofpantingrest.Shorteningthehaltersofarastobringthepony'sheadclosetothemanger,nextenabledmeeasilytopushhimintoalinenearlyparallelwithit,leavingmebarelyspaceenoughtopassbetween.BylengtheningthestirrupstrapIwasenabledtogetit

  • 8/14/2019 The Opium Habit by Day, Horace B.

    11/175

    acrosshisneck,andbymuchpulling,finallyhaulthesaddletoitsproperplace.ByakindofdesperationofwillIcommonlysucceeded,thoughbynomeansalways.Sometimesthemortificationandrageatafailuresocontemptibleassuredsuccessonasecondtrial,withapparentlylessexpenditureofexertionthanatfirst.Occasionally,however,Iwasforcedtocallforassistancefromsheerexhaustion.Thebridlingwascomparativelyaneasymatter;withhisheadsocloselytiedtothemangerlittlescopewasleftfordodging.IntheirritableconditionIwasnowin,themosttriflingoppositionmademeangry,andangergavemestrength;andinthissuddenvigorofmindtheissueofourdailystrugglewas,Ibelieve,withasingleexception,onmyside.

    WhenIledhimintotheyard,theinsignificanceofhisappearance,incontrastwiththelaborithadcostmetogethimthere,wasenoughtomakeanyonelaugh,exceptingperhapsapersonsufferingthepunishmentIwasthenundergoing.Mountingtheanimalcalledforafinalstruggleofdeterminationwithweakness.Astonenextthefencewasthechiefrelianceinthisemergency.Itplacedmenearlyonalevelwiththestirrup,whilethefenceenabledmetosteadymyselfwithmyhandandcounteractthetremulousnessoftheknees,whichmademountingsodifficult.Ononeoccasion,however,mydreadofbeingobservedinducedmetomaketoogreataneffort.Hearingsomeoneapproach,Iattemptedtoraisemyselfinthestirrupwithouttheaid

    ofstoneorfence,butitwasmorethanIcouldmanage.HardlyhadIsucceededinraisingmyselffromthegroundwhenmyextremefeeblenesswasmanifest,andIfellprostrateuponmyback.Withthehelpofthecoloredwoman,theastonishedwitnessofmyfall,Ifinallysucceededingettinguponthehorse.Onceseated,however,Ifeltlikeanotherperson.Thevigorousapplicationofawhip,heartilyrepeatedforafewstrokes,wouldarousetheponyintoasullencanter,outofwhichhewoulddropwithademonstrativesuddennessthatmadeitdifficulttokeepmyseat.Inthiswayconsiderablereliefwasobtainedforseveraldaysfromtheexasperationsproducedbythelongcontinuanceofpain.Afteraboutafortnight'suseoftheanimal,andwhenIhadlearnedtobecontentwithhalfadozengrainsofopiumdaily,Ifoundmyselftooweakandhelplesstoventureonhisback,andthusour

    acquaintanceterminated.Asthisisthefirst,andprobablythelastappearanceofmyequinefriendinprint,ImayaswellsaythathewassoldashorttimeafterwardintheFifthStreetHorseMarket,forthesumofforty-threedollars.Thisisbutameagreprice,butthehorsehadnotthenbecomehistorical.

    FortheweekIwasdroppingfromsixteengrainstoninetheadditionofnewsymptomswasslight,buttheaggravationofthepainpreviouslyenduredwasmarked.Thefeelingofbodilyandmentalwretchednesswasperpetual,whilethetediumoflifeandoccasionalvaguewishesthatitmightsomehowcometoanendwerenotinfrequent.Thechiefdifficultywastowhileawaythehoursofday-light.Myrestatnighthadindeedbecomeimperfectandbroken,butstillitwasakindof

    sleepforseveralhours,thoughneitherveryrefreshingnorverysound.ThosewhowereaboutmesaythatIwasinconstantmotion,butofthisIwasunconscious.Ionlyrecollectthatwakeningwasawelcomerelieffromthetroubledactivityofmythoughts.Aftermymorning'srideIusuallywalkedslowlyandhesitatinglytothecity,butasthisoccupiedonlyanhourtheremainingtimehungwearilyuponmyhands.Icouldnotread--Icouldhardlysitforfiveconsecutiveminutes.ManysufferinghoursIpasseddailyeitherinalargepubliclibraryorinthebook-storesofthecity,listlesslyturningovertheleavesofabookandoccasionallyreadingafewlines,buttoo

  • 8/14/2019 The Opium Habit by Day, Horace B.

    12/175

    impatienttofinish,apage,andrarelyapprehendingwhatIwasreading.Theentirementalenergiesseemedtobeexhaustedintheoneconsideration--hownottogiveintothetumultofpainfromwhichIwassuffering.UptothistimeIhadfromboyhoodmadeafreeuseoftobacco.ThestrugglewithopiuminwhichIwasnowsoseriouslyengagedhadrepeatedlysuggestedtheproprietyofincludingtheformeralsointhecontest.Whiletheseverityofthestrugglewould,Isupposed,beenhanced,theself-respectandself-reliance,theoppositionandevenobduracyofthewillwould,Ihoped,beenoughincreasedasnotseriouslytohazardtheonegreatobjectofleavingoffopiumforevcr.StillIdreadedtheexperimentofaddingafeather'sweighttothesufferingsIwasthenenduring.Anaccidentalcircumstance,however,determinedmeuponmakingthetrial;buttomysurprise,noinconveniencecertainly,andscarceaconsciousnessofthedeprivationaccompaniedit.Theopiumsufferingwassooverwhelmingthatanyminorwantwasaimostinappreciable.ThenextdaybroughtmedowntoninegrainsofOpium.ItwasnowthesixteenthdayofDecember,andIhadstillfifteendaysremainingbeforetheNewYearwould,asIhadresolved,bringmetothecompleterelinquishmentofthedrug.ThethreedayswhichsucceededthedisuseoftobaccocausednoapparentintensificationofthesufferingIhadbeenexperiencing.Onthefourthday,however,andforthefortnightwhichsucceeded,theagonyofpainwasinexpressiblydreadful,exceptforthetransientintervalswhentheeffectsoftheopiumwerefelt.

    ForafewdaysIhadbeendriventothealternativeofusingbrandyorincreasingthedoseofopium.Iresortedtotheformerastheleastofthetwoevils.IntheconditionIwasnowinitcausednoperceptibleexhilaration.Itdidhoweverdeadenpain,andmadeendurancepossible.Especiallyithelpedthewearynightstopassaway.Atthistimeanentirelynewseriesofphenomenapresentedthemselves.Thealleviationcausedbybrandywasofshortcontinuance.Afterafewdays'use,sleepforanyduration,withorwithoutstimulants,wasanimpossibility.Thesenseofexhaustingpainwasunremitteddayandnight.Theirritabilitybothofmindandbodywasfrightful.Aperpetualstretchingofthejointsfollowed,asthoughthebodyhadbeenupontherack,whileacutepainsshotthroughthelimbs,only

    sufficientlyintermittingtogiveplacetoasensationofnervelesshelplessness.Impatienceofastateofrestseemednowtohavebecomechronic,andtheonlyreliefIfoundwasinconstantthoughaveryuncertainkindofwalkingwhichdailythreatenedtocometoanendfromgeneraldebility.EachmorningIwouldloungearoundthehouseaslongasIcouldmakeanypretextfordoingso,andthenridetothecity,foratthistimethemudwastoodeeptothinkofwalking.Onceonthepavements,Iwouldwanderaroundthestreetsinawearywayfortwoorthreehours,frequentlyrestinginsomeshoporstorewhereverIcouldfindaseat,andonlyanxioustogetthroughanotherlong,never-endingday.

    Thedisuseoftobacco,togetherwiththeconsequencesofthe

    diminisheduseofopium,hadnowinducedafuriousappetite.Diningearlyatarestaurantofratherasuperiorcharacter,wherebread,crackers,pickles,etc.,werekeptonthetableinmuchlargerquantitiesthanitwassupposedpossibleforoneindividualtoneed,myhungerhadbecomesoextremethatIconsumednotonlyallforwhichIhadspeciallycalled,butusuallyeverythingelseuponthetable,leavinglittleforthewaitertoremoveexceptemptydishesandhisownveryapparentastonishment.This,itshouldbeunderstood,wasasurreptitiousmeal,asmyowndinner-hourwasfouro'clock,atwhichtimeIwasasreadytodoitjusticeasthoughinnocentofallfood

  • 8/14/2019 The Opium Habit by Day, Horace B.

    13/175

    sinceaheavybreakfast.Thehoursinterveningbetweenthisfirstandseconddinneritwasdifficulttopassaway.Theabilitytoreadevenanewspaperparagraphhadceasedforanumberofdays.Fromhabit,indeed,Icontinueddailytowanderintoseveralofthecitybook-storesandintothepubliclibrary,buttheonlyuseIwasabletomakeoftheirfacilitiesconsistedinsitting,butwithfrequentchangeofchairs,andlookinglistlesslyaroundme.Theoneprevailingfeelingnowwastogetthrough,somehoworanyhow,theexperimentIwassufferingunder.

    Earlyinthetrialmymisgivingsastotheresulthadbeenfrequent;butafterthestrugglehadbecomethoroughlyanearnestone,akindofcast-irondeterminationmademesureofafinaltriumph.Themoretheagonyofpainseemedintolerable,themoreseemedtodeepenthecertaintyofmyconvictionthatIshouldconquer.IthoughtattimesthatIcouldnotsurvivesuchwretchedness,butnootheralternativeformanydayspresenteditselftomymindbutthatofleavingoffopiumordying.Irecall,indeed,amomentaryexception,buttherelaxedresolutionlastedonlyasthelightning-flashlasts,thoughlikethelightningitirradiatedforabrilliantinstantthetumultthatwasragingwithinme.Forseveraldaysprevioustothistransientweaknesstheweatherhadbeenheavyandlowering,rainfallingirregularly,alternatingwithaheavyScottishmist.Duringoneofthelastdaysofthisprotractedstormmyoldnervousdifficultyreturned

    inredoubledstrength.Commencingintheshoulder,withitshotneedlesitcreptovertheneckandspeedilyspreaditsmyriadfingersoffireoverthenervesthatgirdtheear,nowdrawingtheirburningthreadsandnowvibratingthetenseagonyofthesefilamentsofsensation.Byaleapitnextmasteredthenervesthatsurroundtheeye,drivingitsforkedlightningthrougheachdelicateavenueintothebrainitself,andconfusingandconfoundingeverypowerofthoughtandofwill.Thisisneuralgia--suchneuralgiaassometimesdrivessobermenintheagonyoftheirdistressintodrunkenness,andgoodmenintoblasphemy.

    Whilesufferingunderaparoxysmofthiskind,renderedallthemoredifficulttoendurefromtheexhaustedstateofthebody--indoubt

    even,atintervals,whethermymindwasstillundermyowncontrol--animpulseofalmostsuicidaldespairsuggestedthethought,"Gobacktoopium;youcannotstandthis."Thetemptationenduredbutforamoment,"No,Ihavesufferedtoomuch,andIcannotgoback.Ihadratherdie;"andfromthatmomentthepossibilityofresumingthehabitpassedfrommymindforever.

    Itwasatnight,however,thatthesufferingfromthischangeofhabitbecamemostunendurable.Whiletheday-lightlasteditwaspossibletogoout-of-doors,tositinthesunlight,towalk,todosomethingtodivertattentionfromtheexhaustedandshatteredbody;butwhendarknessfell,andtheseresourcesfailed,nothingremainedexceptapatientendurancewithwhichtocombatthestrangetorment.Theonly

    dispositiontowardsleepwasnowlimitedtotheearlyevening.Doubledinners,togetherwiththedisuseoftobacco,beganatthistimetoinduceafullnessofhabitinspiteofbodilypain.Inadditiontothis,theliverwasseriouslyaffected--whichseemstobeaconcomitantoftherapiddisuseofopium--andatendencytoheavydrowsinessresulted,asusuallyhappenswhenthisorganisdisordered.Asearlyassixorseveno'clockanunnaturalheavinesswouldoppressthesenses,shuttingoutthematerialworld,butnotservingwhollytoextinguishtheconsciousnessofpain,andwhichcommonlylastedforanhourortwo.Fornolongerperiodcouldsleep

  • 8/14/2019 The Opium Habit by Day, Horace B.

    14/175

    beinduceduponanyterms.Duringthesewretchedweeksthemomentsseemedtoprolongthemselvesintohours,andthehoursintoalmostendlessdurationsoftime.Themonotonoussoundofthetickingclockoftenbecameunendurable.Thecalmnessofitsendlessly-repeatedbeatswasinjarringdiscordwithmyowntumultuoussensations.Attimesitseemedtoutterarticulatesounds."Ret-ri-bu-tion"Irecollectasbeinganotuncommonburdenofitssong.Astherackedbody,andthemind,possiblybeginningtobediseased,becameintolerantoftheodioussound,themotionoftheclockwassometimesstopped,butthesilencewhichsucceededwasevenworsetothedisorderedimaginationthanthevoiceswhichhadprecededit.Withtheeyesclosedinharmonywiththedeadlystillness,allcreatednatureseemedannihilated,exceptmysingle,sufferingself,lyinginthemidstofaboundlessvoid.Iftheeyeswereopened,thevisibleworldwouldreturn,butpeopledwithsightsandsoundsthatmadethemistyvastnesslessintolerable.Thereappearedtobenothinginthesesensationsatallapproachingthephenomenaexhibitedindeliriumtremens.Onthecontrary,themindwasalwaysandperfectlyaware,exceptfortheinstant,oftheunrealnatureofthesedeceptionsandillusions.

    Asinglecasewillsufficientlyillustratethenatureofsomeoftheseapparitions.Intheabsenceofsleep,andwhileengagedaswasnotunusualatthisperiodintheperpetrationofdoggerelverse,theirritationofthestomachbecameintolerable.Thesensationseemed

    similartowhat.Ihadreadofthefinalgnawingsofhungerinpersonsdyingofstarvation;anewvitalityappearedtobeimpartedtotheorgan,revealingtotheconsciousnessacapacityforsufferingpreviouslyunsuspected.Intheearlierstages,thisfeeling,whichdidnotexhibititselftillsomewhatlateintheprocessofleavingoffopium,wasmarkedbyaninsatiablecravingforstimulusofsomesort,andacravingwhichwouldhardlytakedenial.Whilesufferinginthiswayintolerablyononeoccasion,andafterhavingattemptedinvaintofindsomepossiblealleviationsuggestedinthepagesofDeQuincey,whichlaynearme,Ithrewmyselfbackonthebedwiththeoldresolutiontofightitout.Almostimmediatelyananimallikeaweaselinshape,butwiththeneckofacraneandcoveredwithbrilliantplumage,appearedtospringfrommybreasttothefloor.Avenerable

    Dutchmarket-woman,ofwhomIhadbeeninthehabitofpurchasingcelery,seemedtointervenebetweenmeandtheanimal,beggingmenottolookatit,andcoveringitwithherapron.JustasIwasabouttoremonstrateagainstherinterference,somethingseemedtogivewayinthechestandtheviolenceofthepainsuddenlyabated.

    Itmayaidthereadertoformsomeadequatenotionofthedrearylengthtowhichthesenightsdrewthemselvesalong,tomentionthatononeoccasion,weariedoutanddisgustedwithsuchillusions,Iresolvedneithertolookattheclocknoropenmyeyesforthenexttwohours.Itthenwantedtenminutestoone;attenminutestothreemycompactwithmyselfwouldclose.ForwhatseemedthousandsuponthousandsoftimesIlistenedtotheclock'ssteadyticking.Iheard

    itrepeatwithmurderousiteration,"Ret-ri-bu-tion,"variedoccasionally,undersomenewaccessofpain,withotherutterances.Thoughordinarilysolittleendowedwiththepoeticgiftasnevertohaveattemptedtowritealineofverse,yetatthistime,andforafewdaysprevious,Ihadexperiencedastrangedevelopmentoftherhythmicalfaculty,andonthisparticularoccasionImadeverses,suchastheywere,withincredibleeaseandrapidity.Irememberbeinggreatlytroubledbythenecessityforapopularnationalhymn,andmanufacturedseveralwithextemporerapidity.Hadtheirmeritatallcorrespondedwiththefrightfulfacilitywithwhich

  • 8/14/2019 The Opium Habit by Day, Horace B.

    15/175

    theywerecomposed,theywouldhavewonuniversalpopularity.Unfortunately,theeffusionswereneverwrittendown,andcannot,therefore,beaddedtothatimmensemassoftrashwhichdemonstratesthestillpossibleadventofatrueAmerican_Marseillaise_.

    Withthesetasksaccomplished,andwithasuspicionthattheallottedhoursmusthavelongexpired,IwouldyetremindmyselfthatIwasinaconditiontoexaggeratethelapseoftime;andthen,togivemyselfeveryassuranceoffidelitytomypurpose,Iwouldstartoffonanewtermofendurance.Iseemedtomyselftohavebornethepenanceforhours,tohavemademyselfashiningexampleofwhataresolutewillcandoundercircumstancesthemostinauspicious.Atlength,whencertainthatthetimemusthavemuchmorethanexpired,andwithnolittleelationoverthehappyresultoftheexperiment,Ilookeduptotheclockandfoundittobejustthreeminutespastone!Littleasthemindhadreallyaccomplished,thesenseofitsactivityinthesefewminuteshadbeentremendous.Measuringtimebytheconscioussuccessionofideasmay,ifImaysayitparenthetically,benomorethanthesameinfirmityofourlimitedhumanfacultieswhichjustnowisleadingsomanymenofscience,consciouslyorunconsciously,torecognizeinNatureco-ordinategods,self-subsistingandindependentoftheever-livingandall-presentGod.

    DuringthefivedaysinwhichIwasdescendingfromtheuseofsixgrainsofopiumtotwo,theindicationsofthechangesgoingoninthesystemwerethese:Thegnawingsensationinthestomachcontinuedandincreased;theplethoricfeelingwasunabated,thepulseslowandheavy,usuallybeatingaboutforty-sevenorforty-eightpulsationstotheminute;thebloodofthewholesystemseemedtobedriventotheextremitiesofthebody;myfacehadbecomegreatlyflushed;thefingersweregrowntothesizeofthumbs,whilethey,togetherwiththepalmsofthehandsandthebreast,partedwiththeircuticleinlongstrips.Thelowerextremitieshadbecomehard,asthroughtheagencyofsomecompressedfluid.Apricklingsensationoverthebody,asifsurchargedwithelectricity,andaccompaniedwithanapparentflowofsomehotliquiddownthemusclesofthearmsandlegs,

    exhibiteditselfatthistime.Aconstantperspirationoficycoldnessalongthespinehadalsobecomeaconspicuouselementinthisstrangeaggregationofsuffering.Thenailsofthefingerswereyellowanddead-looking,likethoseofacorpse;akindofglisteningleprousscalesformedoverthehands;aconstanttremulousncsspervadedthewholesystem,whileseparatesmallvibrationsofthefibresonthebackofthehandwereplainlyvisibletotheeye.Tothesesymptomsshouldbeaddedadimnessofsightoftensoconsiderableastopreventtherecognitionofobjectsevenatashortdistance.

    Withanexperienceofwhichthisisonlyabriefoutline,ChristmasDayfoundmeusingbuttwograinsofopium.SevendaysstillremainedtomebeforeIwastobebroughtbymypledgetomyselftothelast

    useofthedrug.ForseveraldaysprevioustothisIhadabandonedmybed,throughapprehensionoffallingwheneverpartialsleepleftthetumblingandtossingbodyexemptfromthecontrolofthewill,andhadbetakenmyselftoalowcouchmadeupbeforethefire,withasecondbedonthefloorbyitsside.Thenecessityforsuchprecautionwasrepeatedlyindicated,butthroughthekindestcareofthosewhosesolicitudeneverceased,andwhoaddedinexpressiblytothiskindnessbycontrollingasfaraspossibleeveryappearanceofsolicitude,noinjuryresulted.

  • 8/14/2019 The Opium Habit by Day, Horace B.

    16/175

    UndertheaccumulatedagonyofthispartofthetrialIbegantofearthatmymindmightgiveway.Iwasconsciousofoccasionalfuryoftemperunderveryslightprovocation.Anexpressmanhadchargedmewhatwasreallyanextortionatesumforbringingoutacarriagefromthecity.IcanlaughnowovertheabsurdwayinwhichIattackedhim,notsomuchIamsuretosavetheoverchargeastogetridonsolegitimateanobjectofmyaccumulatedirritability.Afternearlyanhour'sangrydispute,inwhichIwatchedsuccessfullyandwithamaliciousingenuityforanyopeningthroughwhichIcouldenragehim,andfordoingwhichIamcertainhewouldforgivemeifhehadknownhowmuchIwassuffering,heatlastgaveupthecontestbyexclaiming,"Forheaven'ssakegivemeanythingyouplease--onlyletmego!"Ihadnotonlysavedmymoney,butfeltmyselfgreatlyrefreshedatfindingtherewassomuchlifeleftinme.

    Itshouldhavebeenstatedbefore,thatwhenthedailyallowancehadbeenreducedtosixgrainsthatquantitywasdividedintotwelvepills,andthatasthiswasdiminishedthesizeofthepillsbecamegraduallysmallertilleachofthemonlyrepresentedaneighthofagrain.Asthedailyamountofopiumbecamesmaller,althoughitsgeneraleffectonthesystemwasnecessarilydiminished,theconsciousreliefobtainedfromeachofitsfractionalpartswasforafewminutesmoreapparentthanwhenthesesub-divisionswerefirstmade.Inthiswayitwaspossiblesototimetheeffectastothrowtheir

    briefanodynereliefuponthedinner-houroranyothertimewhenitmightbeconvenienttohavetheagonyofthestrugglealittlealleviated.

    WhileIamnotdesirousofgoingintoneedlessdetailrespectingalltheparticularphenomenaoftheprocessthroughwhichIwasnowpassing,itmayyetgivethereaderamoredefiniteideaoftheextremelynervousstatetowhichIwasreduced,ifImentionthatsonearlyincapablehadmyhandbecomeofholdingapen,thatwheneveritwasabsolutelynecessaryformetowriteafewlinesIcouldonlymanageitbytakingthepeninonequiveringhand,thengraspitwiththeothertogiveitalittlesteadiness,watchingforanintervalinthenervoustwitchingofthearmandhand,andthen,makingan

    uncertaindashatthepaper,scrawlawordortwoatlongintervals.InthiswayIcontinuedforseveralweekstopreparethefewbriefnotesIwasobligedtowrite.MysignatureatthisperiodIregardwithsomecuriosityandmorepride.ItiscertainlybetterthanthatofGuidoFaux,affixedtohisexaminationaftertorture,thoughitishardlyequaltothesignatureofStephenHopkinstotheDeclarationofIndependence.

    ChristmasDayfoundmeinadeplorablecondition.Nosymptomofdissolvingnatureseemedalleviated;indeedtheaggravationofthepreviousones,especiallyofthealreadyunendurableirritationofthestomach,wasveryobvious.Inadditiontothis,theprotractedwakefulnessatnightbegantotelluponthebrain,andIresolvedto

    makemycaseknowntoaphysician.Ishouldhavedonethislongbefore,butIhadbeendeterredbytwothings--along-settledconvictionthatallrecoveryfromsuchhabitsmustbeessentiallythepatient'sownresoluteact,andmymisfortuneinneverhavingfoundamongmymedicalfriendsanyonewhohadmadetheopiumdiseaseaspecialstudy,orwhoknewverymuchaboutit.Theweatherwasexcessivelydisagreeable,theheavens,aboutfortyfeetoff,distillingthefinestandmostpenetratingkindofmoisture,whilethelimestonesoilundertheinfluenceofthelongrainhadmadewalkingalmostimpossible.WithfranticimpatienceIwaiteduntilanomnibus

  • 8/14/2019 The Opium Habit by Day, Horace B.

    17/175

    madeitsappearancelongafteritwasdue,butcrowdedoutsideandin.Theonlyunoccupiedspotwasthestepofthecarriage.HowinmyenfeebledconditionIcouldholdontothisjoltingstanding-placeforhalfanhourwasamysteryIcouldnotdivine.WithmanymisgivingsImountedthestep,andbyrousingallmyenergiescontrivedforafewminutestoretainmyfoot-hold.Mykneesseemedrepeatedlyreadytogivewaybeneathme,mysightbecamedim,andmybrainwasinawhirl;butIstillheldon.Iwouldgladlyhavelefttheomnibus,butIwascertainthatIshouldfallifIremovedmyhandsfromtheframe-workofthedoorbywhichIwasholdingon.Atlength,amiddle-agedIrishwomanwhohadbeenobservingmesaid,"Youlookverypale,Sir;Iamafraidyouaresick.Youmusttakemyseat."Ithankedher,buttoldherIfearedIhadnotstrengthenoughtostepinside.Twomenhelpedmein,andafewminutesafterwardanhumblewomanwaskneelinginherwetclothingintheChurchofSt.----,notthelesspenetrated,Itrust,withthedivinespiritofthatcommemorativedaybyherself-denyingkindnesstoastrangerinhisextremity.WhenthepavedsidewalkwasatlastreachedIstarted,afterafewminutes'rest,insearchofaphysician.Purposelyselectingtheleast-frequentedstreets,indreadoffallingifobligedtoturnfromadirectcourse,asmightbenecessaryinacrowdedthoroughfare,IwalkeddowntotheofficeofthemedicalmanwhomIwishedtoconsult;butwhenIarriveditseemedtomethatmycasewasbeyondhumanaid,andIwalkedon.Ican,perhaps,findnobetterplacethanthisinwhichtocallthe

    distinctattentionofopium-eaterswhomaybeinducedtostartoutontheirownreformation,totheall-importantfactthatnopartofthebodywillbefoundsolittleaffectedbytherapiddisuseofopiumasthemusclesusedinwalking.Iamnophysiologist,anddonotpretendtoexplainit,butitisamostfortunatecircumstancethatinthegeneralchaosanddisorderoftherestofthesystem,theabilitytowalk,onwhichsomuchofthepossibilityofrecoveryrests,isbyfartheleastaffectedofallthephysicalpowers.

    Duringthemorning,however,mywretchednessdrovemeagaintotheofficeofthesamephysician.Helistenedcourteouslytomystatement;saiditwasaveryseriouscase,butoutsideofanyreliableobservationofhisown,andrecommendedmetoconsultaphysicianof

    eminenceresidinginquiteadifferentpartofthecity.Healsoexpressedthehope,thoughIthoughtinnoveryconfidenttone,thatImightbesuccessful,andpretendingtoshutthedoor,watchedmyrecedingfootstepstillIturnedadistantcorner.InowpassthehouseoftheotherphysiciantowhomIwasrecommendedtoapply,severaltimeseveryweek,andIoftenmoralizeovertheapprehensionandanxietieswithwhichIthenviewedthetwoorthreestepswhichledtohisdwelling.WhenIarrivedoppositehishouseIstoppedandcalculatedthechancesofmountingthesestepswithoutfalling.Ifirstrestedmyhanduponthewallandthenendeavoredtoliftmyfeetuponthesecondstep,butIhadnotthestrengthforsuchanexertion.Ithoughtofcrawlingtothedoor,butthiswashardlyadecorousexhibitionforthemostfashionablestreetofthecity,

    filledjustthenwithgayly-dressedladies.WhyIdidnotasksomegentlemantoaidmeIcannotnowrecall.Ionlyrecollectwaitingforseveralminutesinblankdismayovertheseemingimpossibilityofeverenteringthedoorbeforeme.FinallyIwenttothecurbstoneandwalkedasrapidlyandsteadilyaspossibletothelowerstep,andsummoningallmyenergiesmadeaplungeupwardandfortunatelycaughtthedoor-knob.Thephysicianwasatdinner,whichgavemesometimetorecovermyselffromtheagitationintowhichIhadbeenthrown.AfterIhadnarratedmycasewithspecialreferencetothesuspicionofinternalinflammationanditspossibleeffectuponthebrain,he

  • 8/14/2019 The Opium Habit by Day, Horace B.

    18/175

    assuredmethatnodangerofthekindneedstobeanticipated.HehopedImightsucceedinmypurpose,butthoughtitdoubtful.Anuncleofhisown,aclergymanofsomereputation,haddiedinmakingtheeffort.However,ifIwouldtakecareofmyownresolution,hewouldanswerformycontinuedsanity.Heprescribedsomepreparationofvalerianandredpepper,Ithink,whichIusedforaweekwithlittleappreciablebenefit.Findingnogreatrelieffromthisprescription,orfromthoseofothermedicalmenwhomforafewdaysaboutthistimeIconsulted,andfeelingaconstantcravingforsomethingbitter,Iatlastprescribedformyself.Passingastorewhereliquorwassold,myeyeaccidentallyresteduponaplacardinthewindowwhichread"Stoughton'sBitters."Thispreparationgavememomentaryrelief,andtheonlyappreciablereliefIfoundinmedicineduringtheexperiment.

    Thenightsnowbegantobringnewapprehensions.Aconstantdreadhauntedmymind,inspiteofthephysician'sassurances,thatmybrainmightgivewayfromtheexcitementunderwhichIlabored.Iwasespeciallyafraidofsomesuddenparoxysmofmania,undertheinfluenceofwhichImightdomyselfunpremeditatedinjury.Ineverfearedanysettledpurposeofself-injury,butIhadbecomenervouslyapprehensiveofpossiblewaywardandmaniacalimpulseswhichmightresultinactsofviolence.

    Mypreviousbusinesshadfrequentlydetainedmeinthecitytilla

    latehour,sometimesaslateasmidnight.Apartoftheroadthatledtomyhousewasquitesolitary,withhereandthereadwellingorstoreofthelowestkind.Arailroadinprocessofconstructionhaddrawntoparticularpointsontheroadsmallcollectionsofhovels,manyofwhichwerewhisky-shops,andpastthesenoisydrinking-placesitwasconsideredhazardoustowalkaloneatalatehour.InconsequenceofthebadreputationofthisneighborhoodIhadpurchasedalargepistolwhichIkeptreadyforanemergency.Now,however,thispistolbegantorestheavilyuponmymind.Thesituationofmyhousewaspeculiarlyfavorableforthedesignsofanymarauder.Directlybackofitasolitaryravineextendedforhalfamileormoreuntilitopeneduponapopuloussuburbofthecity.Thissuburbwaslargelyoccupiedbypersonsengagedinnavigation,orconnectedwith

    boat-building,orbyday-laborers,representingamongthemmanynationalities.ThewinterofwhichIamwritingwasoneofunusualstagnationinbusinessandahardoneforthepoortogetover.Inthenervouslysusceptiblestateofmymindatthistime,thisravinebecameaseriousdiscomfort.Whenthestillnessofnightsettledwithinandaroundthehouse,therustlingofleavesandthedistantfoot-fallsintheravinebecamedistinctlyaudible.BysomefancyofJudge----,whobuiltit,thehousehadnolessthansevenoutsideentrances.AtintervalsIwouldhearburglarsatoneofthedoors,thenatanother,nearerormoreremote:thepryingoflevers,thesoundofboring,thestealthyfootsteps,thecarefully-raisedwindow,theheavybreathingofanintruder.Thencametheappallingsenseofsomestrangepresence,wherenooutwardindicationofsuchpresence

    couldbeperceived,followedbyglidingshaddosrevealedbytheoccasionalflickerofthewaningfire.

    Illusionsofthisnatureservedtokeepthebloodatfeverheatduringthehoursofdarkness.Nightafternightthepistolwasplacedbeneaththepillowinreadinessfortheseghostlyintruders.Afewdays,however,broughtotherapprehensionsworsethanthoseofthievesandburglars.Theuncontrollableexasperationofthetemperobligedmeatlengthtodrawthechargefromthepistol,throughfearofyieldingtosomesuddenimpulseofdespair.Ihadalsoputoutofreachmyrazors,

  • 8/14/2019 The Opium Habit by Day, Horace B.

    19/175

    ahammer,andwhateverelsemightserveasanimpromptumeansofviolence.IrememberthegrimsatisfactionwithwhichIlookeduponthebrassornamentsofthebedroomfire-place,andreflectedthat,ifworsecametoworst,Iwasnotwhollywithoutaresourcewithwhichtoendmysufferings.FornearlyafortnightpreviouslyIhadrefrainedfromshaving,dreadingIscarceknewwhat.

    ThedaysucceedingChristmasIrodetothecityandwalkedthelengthofinnumerableby-streetsasmyweaknesswouldallow.Whentooexhaustedtowalkfurther,andlookingforsomeplaceofrest,Iobservedabarber'ssignsuspendedoverabasementroom.Fortunatelythebarberstoodinthedoor-wayandhelpedmetodescendthehalf-dozenstonestepswhichledtohisshop.Itoldthemantocutmyhair,shaveme,andshampoomyhead.Ashebeganhismanipulationsitseemedasthougheveryseparatehairwasendowedwithanintensevitality.ItwasimpossibletorefrainfrommingledscreamsandgroansasIrepeatedlycaughthisarmandobligedhimtodesist.Luckilythebarherwasamanofsense,andbyhisextremegentlenesscontrivedinthecourseofanhourtocalmdownmyexcitement.

    Whenhehadfinishedhisworkthesenseofreliefandrefreshmentwasastonishing.Inthisbarber-shopIlearnedforthefirsttimeinwhattheperfectionofearthlyhappinessconsists.Thesuddencessationofprotractedandseverepainbringswithitsoexquisiteasenseof

    enjoymentthatIdonotbelievethatsuccessfulambition,orrequitedlove,orthegratificationofthewildestwishesforwealth,hasahappinesstobestowatallcomparabletothecalm,contented,all-satisfyinghappinessthatcomesfromaremissionofintolerablepain.ForthefirsttimeinamonthIfeltanemotionthatcouldbecalledpositivelypleasant.AsIlefttheshopIneedednoassistanceinreachingthesidewalk,andwaikedthestreetsforanhourortwowithsomethingofanassuredstep.

    Amongotherindicationsofthechangetakingplaceatthistimeinthesystemwastheincreasedfreezingperspirationperpetuallygoingon,especiallydownthespine.Thissenseofdampnessandicycoldnesshasnowcontinuedformanymonths,andfornearlyayearwasaccompanied

    withaheavycold.Duringtheopium-eatingyearsIdonotremembertohavebeenaffectedatallinthislatterway;butaseverecoldatthistimesettleduponthelungs,oneindicationofwhichwasfrequentsternutation,consequentapparentlyupontheinflammationofthemucousmembrane.

    IntheentireweekfromChristmastoNewYear'stheprogressinabandonmentofopiumwasbutasinglegrain.Iamsuretherewasnowantofresolutionatthistryingtime.DaybydayIexhaustedallmyresourcesinthevainendeavortogetonwithhalf,three-quarters,evenseven-eighthsofagrain;butmoansandgroans,andbitingthetonguetillthebloodcame,asitrepeatedlydid,wouldnotcarrymeoverthetwenty-fourhourswithoutthefullgrain.Itseemedasif

    torturednaturewouldcollapseunderanyfurtherefforttobringthemattertoafinalissue.

    Brandyandbittersafterafewday'susehadbeenabandoned,undertheapprehensionthattheywereconnectedwiththetendencytointernalinflammationwhichIhavenoticedaspossiblyaffectingthebrain.ForadayortwoIresortedtoale,butadisagreeablesweetnessaboutitinducedthesubstitutionofSchenckbeer,aweakkindof_lager_.ThisIfoundsatisfiedthecravingforabitterliquid,anditbecamefortwoorthreeweeksmychiefdrink.Ishouldhave

  • 8/14/2019 The Opium Habit by Day, Horace B.

    20/175

    mentionedthatthedaysubsequenttothedisuseoftobaccoIhadalsogivenupteaandcoffee,partlyfromadispositiontotestthestrengthofmyresolution,andpartlyfromthebeliefthattheymighthavesomeconnectionwithaconstantsensationinthemouthasifsalivatedwithmercury.Isoonlearnedthattherealdifficultylayintheliver,andthatthisorganispowerfullyaffectedinpersonsabandoningthelong-continueduseofopium.HadIknownthisfactatanearlierdayitwouldhavebeenofserviceinteachingmetocontrolthediseasedlongingforrichandhighly-seasonedfoodwhichhadnowbecomeapassion.EatasmuchasIwould,however,thesenseofhungerneverleftme;andthisdiseasedcraving,inignoranceofitsinjuriouseffects,wasgratifiedinawaythatmighthavetaxedunimpairedpowersofdigestion.

    Atlengththelong-anticipatedNewYear'sDay,onwhichIwastobeemancipatedforeverfromthetyrannyofopium,arrived.Forfiveweeksofsuchsteadysufferingasthewealthofalltheworldwouldnotinducemetoencounterasecondtime,Ihadkeptmyeyesteadilyfixeduponthisdayasthebeginningofanewlife.ThiswasalsothedayonwhichIwastodinewithmyfriend.Asthedinner-hourapproacheditbecameevidentthatnoopiummeantnodinner,andalittlelater,thatdinnerornodinnertheopiumwasstillanecessity.AhalfgrainIthoughtmightcarrymethroughtheday,butinthisIwasmistaken.AsIlayuponmyfriend'ssofa,sufferingfromastrangemedleyof

    hunger,pain,andweakness,itseemedthatyearsmustelapsebeforethesystemcouldregainitstoneorthebodilysensationsbecomeatallendurable.SoonafterdinnerIfeltobligedtotakeanotherhalf-grain.MyhumiliationinfailingtotriumphwhenandhowIhadresolvedtodo,wasexcessive.Inspiteofthestrongestresolutions,Iwasstillanopium-eater.IsomehowfeltthatafterallIhadgonethroughIought,tohavesucceeded.Iwasinnomoodtospeculateaboutthecausesofthefailure;itwasenoughtoknowthatIhadfailed,andwhatwasworse,thatapparentlynothingwhateverhadbeengainedinthelastfourdays.WhileIcertainlyfeltnotemptationtogivein,Ithoughtitpossiblethatsomeofthefunctionsofthebody,fromthelonguseofopium,mighthavecompletelylosttheirpowersofnormalaction,andthatIshouldbeobligedtocontinueavery

    moderateuseofthedrugduringtheremainderofmylife.Isaw,indismalperspective,thatsmallfractionalpartoftheopiumofyearswhichwasnowrepresentedbyasinglegrain,loomingupinendlessdistance,notunlikethatpuzzlingmetaphysicalnecessityintheperpetualsubdivisionofaunit,which,carriedasfarasitmaybe,alwaysleavesafinalhalfundisposedof.ButinthisIdidmyselfinjustice.Ihadreallygainedmuchinthesefewdays,andtheproofofitlayintheuseofbuthalfagrainonthedaywhichsucceededNewYear's.ThethirddayofJanuary,greatlytomysurprise,aquarter-grainIfoundcarriedmethroughthetwenty-fourhourswithapparentlysomeslightremissionofsuffering.

    AsInowlookbackuponit,theworstoftheexperimentlayinthe

    threeweeksinterveningbetweenthe10thandthe31stofDecember.Sofarasmerepainofbodywasconcerned,therewaslittletochoosebetweentheagonyofonedayandanother;buttheapprehensionthatinsanitymightsetin,certainlyaggravatedthedistressofthelaterstagesofthetrial.Whenamanknowsthatheispracticingself-controltotheveryutmost,andholdinghimselfupsteadilytohisworkinspiteofthegravestdiscouragements,theconsciousnessthatalargevacuumisbeinggraduallyformedinhisbrainisnotexhilarating.

  • 8/14/2019 The Opium Habit by Day, Horace B.

    21/175

    Thenextday--tomeaverymemorableone--thefourthofJanuary,Isatformostofthedayrockingbackwardandforwardonasofaorachair,speakingoccasionallyafewwordsinalowsepulchralvoice,butwiththeonebitterfeeling,penetratingmywholenature,thatcomewhatwould,onthatday_Iwouldnot_.

    Whentheclockstrucktwelveatmidnight,andIknewthatforthefirsttimeinmanyyearsIhadlivedforanentiredaywithoutopium,itexcitednosurpriseorexultation.Thecapacityforanemotionofanykindwasexhausted.Iseemedaslittlecapableofasentimentasamanwellcouldbe,thissideofhiswinding-sheet.Iknew,ofcourse,thatinthesefortydayssaveone,Ihadworkedouttheproblem,Howtoleaveoffopium,andthatIhadapparentlyattainedafinaldeliverance:butitwasseveralweeksbeforeIappreciatedwithanyconfidencethecompletionofthetaskIhadundertaken.

    Althoughtheopiumhabitwasbroken,itwasonlytoleavemeinaconditionofmuchfeeblenessandsuffering.Icouldnotsleep,Icouldnotsitquietly,Icouldnotlieinanyonepostureformanyminutestogether.Thenervoussystemwasthoroughlyderanged.WeakasIhadbecome,Ifeltacontinualdesiretowalk.Theweatherwasunfavorable,butImanagedtogetseveralmilesofexercisealmostdaily.Butthisreliefwaslimitedtofourorfivehoursatmost,andlefttheremainderofthedayawearyweightuponmyhands.The

    aversiontoreadinghadbecomesuchthatsomemonthselapsedbeforeItookupabookwithanypleasure.EventhedailypapersweremorethanIcouldwellfixmyattentionupon,exceptinthebriefestandmostcursoryway.Withinaweek,however,thesenseofacutepainrapidlydiminished,buttheirritability,impatience,andincapacitytodoanythinglongremainedunrelieved.Thedisorderedliverbecameapparentlymoredisorderedwiththeprogressoftime,producingsucheffectsuponthebowelsasmaywithmorefitnessbetoldaphysicianthanrecordedhere.Thetonsilsofthethroatwereswollen,thethroatitselfinflamed,whilethechestwaspenetratedwithwhatseemedlikepulsationsofpricklyheat.Therewasalsoasenseoffullnessinthemusclesofthearmsandlegswhichseemedtobepermeated,ifImaysoexpressit,withheatedelectricity.Thegeneralconditionofthe

    nervoussystemwillbesufficientlyindicatedbythestatementthatitwasbetweenthreeorfourmonthsbeforeIcouldholdapenwithanydegreeofsteadiness.Meantime,singularasitmayseem,theappearanceofhealthandvigorhadastonishinglyincreased.Ihadgainedmorethantwentypoundsinweight,partly,Isuppose,theresultofleavingoffopiumandtobacco,andpartlytheconsequenceoftheinsatiableappetitewithwhichIwasconstantlyfollowed.Withinamonthafterthecloseoftheopiumstrife,Iwasrepeatedlycongratulateduponmyhealthy,vigorouscondition.Fewmenintheentirecityboreaboutthemmoreoftheappearanceofperfecthealth,andfewerstillwereprobablyinsuchastateofexhaustedvitality.

    DuringthetimeIwasleavingoffopiumIhadlaboredunderthe

    impressionthatthehabitoncemastered,aspeedyrestorationtohealthwouldfollow.Iwasbynomeansprepared,therefore,forthealmostinappreciablegainintheweekswhichsucceeded,andinsomeanxietyconsultedanumberofphysicians,whoeachsuggestedinatimidwaythetrial,someofstrychnine,someofvalerian,someoflupuline,hyoscyamus,ignatia,belladonna,andwhatnot.IdonotknowthatIderivedtheslightestbenefitfromanyoftheseprescriptions,orfromanyothertherapeuticagency,unlessIexceptthegoodeffectsforafewdaysofbitters,andofcoldshower-bathsfromatankinwhichicewasfloating.

  • 8/14/2019 The Opium Habit by Day, Horace B.

    22/175

    ThemostjudiciousofthemedicalgentlemenwhoseaidIinvoked,was,Ithink,theonewhorepliedtomyinquiryforhisbill,"Whatfor?Ihavedoneyounogood,andhavelearnedmorefromyouthanyouhavefromme."

    Thisconstitutestheentirehistoryofmymedicalexperience,andismentionedasbeingtheonly,andaverysmalladjuncttothegreatremedy--patient,persistent,obstinateendurance.Soexceedingslowhasbeentheprocesstowardtherestorationofanaturalconditionofthesystem,thatwritingnow,attheexpirationofmorethanayearsinceopiumwasfinallyabandoned,itseemstomeveryuncertainwhen,ifever,thisresultwillbereached.BetweenfourandfivemonthselapsedbeforeIwasatallcapableofcommandingmyattentionorcontrollingthenervousimpatienceofmindandbody.Ithenassentedtoaproposalwhichinvolvedthenecessityofagooddealofsteadywork,inthehopethatconstantoccupationwoulddiverttheattentionfromthenervousnessunderwhichIsufferedandwouldrestoretheself-reliancewhichhadsolongfailedme.Itwasafoolishexperiment,andmighthaveprovedafatalone.ThebusinessIhadundertakenrequiredaclearheadandaveragehealth,andIhadneither.Thesleepwasshortandimperfect,rarelyexceedingtwoorthreehours.Thechestwasinaconstantheatandverysore,whilethepreviousbiliousdifficultiesseemedinnowayovercome.Themouthwas

    parched,thetongueswollen,andalowfeverseemedtohavetakenentirepossessionofthesystem,withspecialandpeculiarexasperationsinthemusclesofthearmsandlegs.

    ThedifficultyofthinkingtoanypurposewasonlyequalledbythereluctancewithwhichIcouldbringmyselftothetaskofholdingapen.Forafewweeks,however,thenecessityofnotwhollydisgracingmyselfforcedmeonafterapoorfashion;butattheendoftwomonthsIwasaused-upman.Iwouldsitforhourslookinglistlesslyuponasheetofpaper,helplessoforiginatinganideauponthecommonestofsubjects,andwithaprevailingsensationofowningalargeemptinessinthebrain,whichseemedchieflyfilledwithastupidwonderwhenallthiswouldend.

    Morethananentireyearhasnowpassed,inwhichIhavedonelittleelsethantoputtheprecedingdetailsintoshapefrombriefmemorandamadeatthetimeoftheexperiment.Whilethephysicalagonyceasedalmostimmediatelyaftertheopiumwasabandoned,theirritationofthesystemstillcontinues.Idonotknowhowbettertodescribemypresentstatethanbytheuseoflanguagewhichprofessionalmenmayregardasneitherscientificnoraccurate,butwhichwillexpress,Ihope,tounprofessionalreaderstheideaIwishtoconvey,whenIsaythattheentiresystemseemstomenotmerelytohavebeenpoisoned,butsaturatedwithpoison.Hadsomevirusbeentransfusedintotheblood,whichcarriedwithittoeverynerveofsensationasenseofpainful,exasperatingunnaturalness,thefeelingwouldnot,Iimagine,

    beunlikewhatIamendeavoringtoindicate.

    ADDENDA.--AtthetimeofwritingtheprecedingnarrativeIhadsupposedthattheentirestorywastold,andthattheintelligentreader,shouldthisrecordeverseethelight,wouldnaturallyinfer,asImyselfimaginedwouldbethecase,thattheunnaturalconditionofthebodywouldsoonbecomechangedintoastateofaveragehealth.InthisIwasmistaken.Sotenaciousandobstinateinitsholduponitsvictimistheopiumdisease,thatevenafterthelapseoftenyearsitspoisonousagencyisstillfelt.Withoutsomereferenceto

  • 8/14/2019 The Opium Habit by Day, Horace B.

    23/175

    theseremoterconsequencesofthehastyabandonmentofconfirmedhabitsofopium-eating,thechiefobjectofthisnarrativeasaguidetoothers(whowillcertainlyneedalltheinformationonthesubjectthatcanbegiventhem)wouldfailofbeingsecured.Whileunquestionablytheheaviestpartofthesufferingresultingfromsuchachangeofhabitbelongstothefewweeksinwhichthepatientisabandoningopium,itoughtnottobeconcealedthatthisbriefperiodbynomeanscomprisesthelimitwithinwhichhewillfindhimselfobligedtomaintainthemostrigidwatchoverhimself,lestthefeelingofdesperationwhichattimesassaultshimfromthehopeofimmediatephysicalrestorationdisappointedandindefinitelypostponed,shoulddrivehimbacktohisoldhabits.Indeed,withsometemperaments,thegreatestdangerofarelapsecomesin,notduringtheprocessofabandonment,butafterthehabithasbeenbroken.Greatbodilypainservesonlytorouseupsomenaturestoamoreearneststrife,and,astheirsufferingsbecomemoreintense,thedeterminationnottoyieldgainsanunnaturalstrength.Themindisvindicatingitselfasthemasterofthebody.Whileinthisstate,torturesandthefagotarepowerlesstoextortgroansorconfessionsfromtherackedorhalf-consumedmartyr.Manyasuffererhasbornetheagonyofthebootsorthethumb-screwwithoutflinching,whosecouragehasgivenwayunderthelesspainfulbutmoreunendurablepunishmentofprolongedimprisonment.Intheonecaseallaman'spowersofresistanceareroused;hefeelsthathismanhoodisatstake,andhe

    enduresasmenwillendurewhentheyseethatthequestionhowfartheyaretheirownmasters,isatissue.Thereare,Ithink,agreatnumberofmenandwomenwhowouldgounflinchinglytothestakeinvindicationofaprinciple,whoseresolution,somewhereinthecourseofalong,solitary,andindefiniteimprisonment,wouldbreakdownintoadiscreditablecompromiseofopinionsforwhichtheywereunquestionablywillingtodie.

    Inthesamewayamanwillforatimeendureevenfrightfulsufferinginrelinquishingapernicioushabit,whilehemayfailtoholduphisdeterminationagainsttheassaultsoftheapparentlynever-endingirritation,discomfort,pain,andsleeplessnesswhichmaybecountedonasbeing,sometimesatleast,amongtheremoterconsequencesofthe

    struggleinwhichhehasengaged.Iwishit,however,distinctlyunderstoodthatIdonotsupposethattheexperienceofotherswhoseuseofopiumhadbeensimilartomyown,wouldnecessarilycorrespondtomineinalloreveninmanyrespects.OpiumistheProteusofmedicine,andsciencehasnotyetsucceededintearingawaythemanymasksitwears,norintracingthemarvellouslydiversifiedaspectsitiscapableofassuming.AmongmanycasesoftherelinquishmentofopiumwithwhichIhavebeenmadeacquainted,nothingismoreperplexingthanthedifferenceofthespecificconsequences,astheyareexhibitedinpersonsofdifferenttemperamentsandhabits.ForsuchdifferencesIdonotpretendtoaccount.Thatisthebusinessofthethoroughlyeducatedphysician,andnounprofessionalman,howeverwidehispersonalexperience,hastherighttodogmatizeorevento

    expresswithmuchconfidencesettledopinionsuponthesubject.MyobjectwillbefullyattainedifIsucceedingivingajustandtruthfulimpressionofthemoremarkedfinalconsequencesofthehastydisuseofopiuminthissinglecase,leavingittomedicalmentoexplainthecomplicatedrelationsofanopium-saturatedconstitutiontothefreeandhealthyfunctionsoflife.

    Inmyowncase,themostmarkedamongthelaterconsequencesofthediseaseofopium,someofwhichremaintothepresenttimeandseemtobepermanentlyengraftedupontheconstitution,havebeenthese:

  • 8/14/2019 The Opium Habit by Day, Horace B.

    24/175

    1.Pressureuponthemusclesofthelimbsandintheextremities,sometimesasofelectricityapparentlyaccumulatedthereunderastrongmechanicalforce.

    2.Adisorderedconditionoftheliver,exhibitingitselfinthevarietyofuncomfortablemodesinwhichthatorgan,whenactingirregularly,isaccustomedtoassertitsgrievances.

    3.Asensitiveconditionofthestomach,rejectingmanykindsoffoodwhichareregardedbymedicalmenassimpleandeasyofdigestion.

    4.Acuteshootingpains,confinedtonoonepartofthebody.

    5.Anunnaturalsensitivenesstocold.

    6.Frequentcoldperspirationinpartsofthebody.

    7.Atendencytoimpatienceandirritabilityoftemper,withparoxysmsofexcitementwhollyforeigntothenaturaldisposition.

    8.Deficiencyandirregularityofsleep.

    9.Occasionalprostrationofstrength.

    10.Inaptitudeforsteadyexertion.

    Imentionwithouthesitancytheseconsequencesoftheabandonmentofopium,fromthebeliefthatanypersonreallyinearnestinhisdesiretorelinquishthehabitwillbemorelikelytoperseverebyknowingatthestartexactlywhatobstacleshemaymeetinhisprogresstowardperfectrecovery,thanbyhavingitgraduallyrevealedtohim,andthatattimeswhenhisbodyandmindarebothenfeebledbywhathehaspassedthrough.Withasingleexception,thedismostseriousoneIhavebeenobligedtoencounter.Whetheritisoneofthespecificeffectsofthedisuseofopium,oronlyoneofthemanygeneralresultsofadisorderedconstitution,Idonotknow.

    Icanonlysayinmyowncase,thatafterthelapseofyears,thisparticulardifficultyisnotwhollyovercome.Thiselectriccondition,sotocallit,stillcontinuesaseriousannoyance.Butwhenitoccurs,thepainisoflessduration,andgradually,butveryslowly,isofdiminishedfrequency.Violentexercisewillsometimesrelieveit;alongwalkhasoftenthesameeffect.Theuseofstimulantsbringsalleviationforatime,butthereseemstobenopermanentremedyexceptintheperfectrestorationofthesystembytimefromthiseffectofthewearandtearofopiumuponthenerves.Irregularityintheactionoftheliver,whilesingularlymarkedintheearlierstagesoftheexperiment,andcontinuingforyearstomakeitsagencymanifestlyfelt,isinaconsiderabledegree

    checkedandcontrolledbyajudicioususeofcalomel.

    TheconditionofthedigestiveorgansislessimpairedthanIshouldhavesupposedpossible,judgingfromtheexperienceofothers.Amoderatedegreeofattentiontothequalityofwhatiseaten,withpropercaretoavoidwhatisnoteasilydigested,withtheexerciseofhabitualself-controlinrespecttoquantity,sufficestoprevent,forthemostpart,allunendurablefeelingsofdiscomfortinthispartofthesystem.Whetherthehabituallyfebrileconditionofthemouth,andtheswollenstateofthetongue,isreferabletoadisturbed

  • 8/14/2019 The Opium Habit by Day, Horace B.

    25/175

    actionofthestomachoroftheliverIcannotsay.Itiscertainthatnoneoftheeffectsofopium-eatingaremoremarkedormoreobstinatelytenaciousintheirholduponthesystemthanthese.Ibarelyadverttothefrequentimpossibilityofretainingsomekindsoffooduponthestomach,whichhasbeenoneunpleasantpartofmyexperience,becauseIdoubtwhetherthisreturnofadifficultywhichbeganinchildhoodhasanynecessaryconnectionwiththeuseofopium.FormanyyearsbeforeIknewanythingofthedrugIhadbeenadailysuffererfromthiscause.Indeedtheuseofopiumseemedtocontrolthistendency,anditwasonlywhentheremedywasabandonedthattheoldannoyancereturned.Forafewmonthsthestomachrejectedeverykindoffood;butinlessthanayear,andsubsequentlytothepresenttime,thishasbeenofonlyoccasionalocurrence.

    IamalsoatalosshowfartoconnectthedisuseofopiumwiththelancinatingpainswhichhavetroubledmesincethetimetowhichIrefer.ThesepainsbeganlongbeforeIhadrecoursetoopium,theydidnotceasetheirfrequentattackswhileopiumwasused,norhavetheyfailedtomaketheirpotencyfeltsinceopiumwasabandoned.Whileitisnotimprobablethattheneuralgicdifficultiesofmychildhoodmighthaveremainedtothepresenttime,evenifIhadnevermadeuseofopium,Ithinkthattheexperienceofallwhohaveundergonethetrialshowsthatsimilarpainsareinvariablyattendantuponthedisuseofopium.Howlongtheirpresencemightbeprotractedwith

    personsnotantecedentlytroubledinthisway,isaquestionIcannotanswer.Iinferfromwhatlittlehasbeenrecorded,andfromwhatIhavelearnedinotherways,thatthereformingopium-eatermustmakeuphismindtoaprotractedencounterwiththisgreatenemytohispeace.ThatthestruggleofotherswiththisdifficultywillbeprolongedasminehasbeenIdonotbelieve,unlesstheyhavebeensubjectedforalifetimetopainsconnectedwithdisorderinthenervoussystem.

    TheunnaturalsensitivenesstocoldtowhichIhavealludedisratheradiscomfortthananythingelse.Itmerelymakesahighertemperaturenecessaryforenjoyment,butinnootherrespectcanitberegardedasdeservingspecialmention.Withthethermometerstandingat80to

    85thesensationofagreeablewarmthisperfect;withthemercuryat70orevenhigher,thereisagooddealofthefeelingthatthebonesareinadequatelyprotectedbytheflesh,thattheclothingistoolimitedinquantity,andinwinterthatthecoal-dealerishardlydoingyoujustice.

    Thecoldperspirationdownthespine,whichwassomarkedasensationduringtheworstofthetrial,hasnotyetwhollyleftthesystem,butisgreatlylimitedintheextentofsurfaceitaffectsandinthefrequencyofitsreturn.

    ThetendencytoimpatienceandirritabilityoftempertowhichIhaveadvertedisbyfarthemosthumiliatingoftheeffectsresultingfrom

    theabandonmentofopium.Mendifferverywidelybothintheirliabilitytotheseexcessesoftemperaswellasintheirpowertocontrolthem;butundertheaggravationswhichnecessarilyattendanentirechangeofhabit,thisnaturaltendency,whetheritbesmallorgreat,tohastinessofmindisgreatlyincreased.Solongasthedisturbingcausesremain,whetherthesebethestateoftheliverorthestomach,orawantofsufficientsleep,ortheexcitedconditionofthenervoussystem,thepatientwillfindhimselfcalleduponfortheexerciseofallhisself-controltokeepincheckhisexaggeratedsensibilitytothedailyannoyancesoflife.

  • 8/14/2019 The Opium Habit by Day, Horace B.

    26/175

  • 8/14/2019 The Opium Habit by Day, Horace B.

    27/175

    sometimescomeswithgreatfrequency,andsometimesweekswillelapsewithoutareturn.Neitherthestateoftheweather,noranyparticularconditionofthebody,appearstocallitout.Itsometimesisrelievedbyaglassofwater,bytheentranceofastranger,bytheveryslightestexcitement,anditsometimesresiststhestrongeststimulantsandeveryotherattempttocombatit.Icanrecordnothingelserespectingthisvisitantexceptthatitspresenceisalwaysaccompaniedwithasingularsensationinthestomach,andthattheentirenervoussystemisaffectedbyitsattack.

    Theinaptitudeforsteadyexertionisnotmerelytheconsequenceofthisoccasionalfeelingofexhaustion,butisforatimetheinevitableresultoftheaccumulatedpainandweaknesstowhichhissystem,notyetrestoredtohealth,isstillsubject.Thisimpatienceofcontinuedapplicationtowork,whichiscommontoallopium-eaters,andwhichdoesnotceasewiththeabandonmentofthehabit,seemstoresultinthefirstcasefromsomespecificrelationbetweenthedrugandthemeditativefaculties,promotingastateofhabitualreverieandday-dreaming,utterlyindisposingtheopium-userforanyoccupationwhichwilldisturbthecalmcurrentofhisthoughts,andintheother,proceedingfromthedirectdisorderofthenervousorganizationitself.Strangeasitmayseem,theverythoughtofexertionwilloftenwakeninthereformingopium-eateracutenervouspains,whichceaseonlyasthepurposeisabandoned.Inothercases,

    wherethereisnospecialnervoussufferingatthetime,workiseasyandpleasantevenbeyondwhatisnatural.

    Oneeffectofopiumuponthe_mind_deservestobementioned;itsinfluenceuponthefacultyofmemory.Thelogicalmemory,DeQuinceysays,seemsinnowaytobeweakenedbyitsuse,butratherthecontrary.Hisowndevotiontotheabstractprinciplesofpoliticaleconomy;thecharacterofColeridge'sliterarylaborsbetweentheyears1804-16,whenhisuseofopiumwasmostinordinate;togetherwiththecastofmindofmanyotherwell-knownopium-eaters,confirmsthissuggestionofDeQuincey.Hisfurtherstatementthatthememoryofdates,isolatedevents,andparticularfacts,isgreatlyweakenedbyopium,isconfirmedbymyownexperience.Howeverphysiologistsmay

    explainthisfact,aknowledgeofitmaynotbewithoutitsusetothosewhodesiretobemadethoroughlyacquaintedwithalltheconsequencesoftheopiumhabit.

    Iftothesediscomfortsbeaddedaprevailingtendencytoafebrileconditionofbody,togetherwithpermanentdisorderinportionsofthesecretorysystem,thecatalogueofannoyanceswithwhichthelong-reformedopium-eatermayhavetocontendiscompleted.Thisstatementisnotmadetoexaggeratethesufferingconsequentuponthedisuseofopium,butismadeonthegroundthatafullapprehensionofwhatthepatientmaybecalledupontogothroughwillbestenablehimtomakeuphismindtooneresolute,unflinchingeffortfortheredemptionofhimselffromhisbadhabits.

    Sofarasthebodyisconcerned,thereismuchinmyexperiencewhichinducesmetogiveageneralassenttotheopinionexpressedbyamedicalmanofgreatreputationwhomIrepeatedlyconsultedinreferencetothediscouragingslownessofmyownrestorationtoperfecthealth."Icannotsee,"hesaid,"thatyourconstitutionhasbeenpermanentlyinjured;butyouwereagreatmanyyearsgettingintothisstate,andIthinkitwilltakenearlyasmanytogetyououtofit."

  • 8/14/2019 The Opium Habit by Day, Horace B.

    28/175

    Itmaynotbeamisstoaddthatthoseopium-eaterswhosecircumstancesexemptthemfromharassingcares,whomeetonlywithkindnessandsympathyfromfriends,andwhohaveresourcesforenjoymentwithinthemselves,haveinrespecttothesesubsequentinconveniencesgreatlytheadvantageofthosewhosepositionandcircumstancesarelessfortunate.

    Thesefreeandalmostconfidentialpersonalstatementshavebeenmade,notwithoutdoingsomeviolencetothatinstinctivesenseofproprietywhichpromptsmentoshrinkfromgivingpublicitytotheirweaknessesandfromthevanityofseemingtoimplythattheirindividualexperienceoflifeisofspecialvaluetoothers.Leavingundecidedthequestionwhetherunderanycircumstancesadeparturefromthegeneralruleofgoodsenseandgoodtasteinsuchmattersisjustifiable,Ihave,nevertheless,donewhatIcouldtogivetoopium-eatersatruthfulstatementoftheconsequencesthatmayensuefromtheirabandonmentofthehabit.Thepathtowardperfectrecoveryiscertainlyawearyonetotravel;butinalltheselongyears,withnervoussensibilitiesunnaturallyactive,inmuchpainofbody,throughinnumerablesleeplessnights,withhopedeferredandtheexpectationofcompleterestorationindefinitelyprolonged,Ihaveneverlostfaithinthefinaltriumphofapatientandpersistentresolution.Manymenseemtoknowlittleofthewonderfulpowerwhichsimpleendurancehas,indeterminingeveryconflictbetweengoodand

    evil.Thetriumphwhichisachievedinasingledayisatriumphhardlyworththehaving;butwhenallimpatience,unreasonableness,weaknessesandvanitieshavebeenburnedoutofournaturesbytheheatofsuffering;whentheresolutionneverfalterstoendurepatientlywhatevermaycomeintheendeavortomeasureone'sowncasejustly,andexactlyasitis;andwhentimehasbeenallowedtoexertitslegitimateinfluenceincalmingwhateverhasbeendisturbedandcorrectingwhateverhasbeenprejudiced,aconsciousstrengthisdevelopedfarbeyondwhatisnaturaltomenpossessedonlyofordinarypowersofendurance.Itischieflythroughpatientwaitingthattheconfirmedvictimofopiumcanlookforrelief.Allwhohavemadeheroiceffortstothisend,andyethavefailedintheirattempt,havedonesothroughtheabsenceofadequateconfidenceintheefficacyof

    timetobringthemrelief.The_one_lesson,however,whichthereformingopium-eatermustlearnis,nevertorelinquishanygain,howeverslight,whichhemaymakeuponhisbadhabit.Patiencewillbringhimreliefatlast,andthoughhemayandwillfindhisprogresscontinuallythwartedandhimselfoftentemptedtogiveoverthecontestindespair,hemaybesurethatyearbyyearheissteadilyadvancingtotheperfectrecoveryofallthathehaslost.

    Theopium-eaterwillnotregardasamisssomefewsuggestionsastothemodeinwhichhishabitmaymosteasilybeabandoned.Thebestadvicethatcanbegiven--the_only_advicethatwilleverbegivenbyanopium-eater--is,nevertobeginthehabit.Theobjectionatonceoccurs,bothtothemedicalmanandtothepatientsuffering

    fromextremenervousdisorder,Whatremedythenshallbegiveninthosenumerouscasesinwhichtheprotracteduseofopium,laudanum,ormorphineisfoundnecessary?Theobviousansweris,thatnomedicalmaneverintendstogivethisdruginsuchquantitiesorforsolongatimeastoestablishinthepatientaconfirmedhabit.Thefrequent,ifnottheusualhistoryofconfirmedopium-eatersisthis:Aphysicianprescribesopiumasananodyne,andthepatientfindsfromitsusethereliefwhichwasanticipated.Veryfrequentlyhefindsnotmerelythathispainhasbeenrelieved,butthatwiththisreliefhasbeenassociatedafeelingofpositive,perhapsofextremeenjoyment.A

  • 8/14/2019 The Opium Habit by Day, Horace B.

    29/175

    recurrenceofthesamepaininfalliblysuggestsarecurrencetothesameremedy.Theadviceofthemedicalmanisnotinvoked,becausethepatientknowsthatmorphineorlaudanumwasthesimpleremedythatprovedsoefficaciousbefore,andthishecanprocureaswellwithoutaswiththedirectionofhisphysician.Hebecomeshisowndoctor,prescribesthesameremedythemedicalmanhasprescribed,andchargesnothingforhisadvice.Theresorttothispleasantmedicationafternolongtimebecomeshabitual,andthepatientfindsthattheremedy,whoseusehehadsupposedwassanctionedbyhisphysician,hasbecomehistyrant.Ifpatientsexhibitedthesamereluctancetotheadministrationofopiumthattheydotodrugsthatarenauseous,ifthecollateraleffectsoftheformerwerenomorepleasurablethanlobeliaorcastoroil,nothingmorecouldbesaidagainstself-medicationinonecasethantheother.Opium-eatersaremadesuch,notbythephysician'sprescriptionofopiumtopatientsinwhosecasesitsuseisindispensable,butbytheirnotgivingtogetherwithsuchprescriptionsemphaticandearnestcautionthattheremedyisnottobetakenexceptwhenspeciallyordered,inconsequenceofthehazardthatahabitmaybeformedwhichitwillbedifficulttobreak.Patientstowhomitisregularlyadministeredarenotatfirstgenerallyawarehoweasilythishabitisacquired,norwithwhatdifficultyitisrelinquished,especiallybypersonsofnervoustemperamentandenfeebledhealth.Thenumberofcases,Isuspect,issmallinwhichtheuseofopiumhasbecomeanecessity,wherethe

    directionofaphysicianmaynotbepleadedasjustifyingitsoriginalemployment.

    TheobjectIhaveinviewisnot,however,somuchtomakesuggestionstomedicalmenasitistoawakeninthevictimsofopiumthefeelingthattheycanmasterthetyrantbysuchactsofresolution,patience,andself-controlasmostmenarefullycapableofexhibiting.Certainconditions,however,seemtobethealmostindispensablepreliminariestosuccessinrelinquishingopiumbythosewhohavebeen_long_habituatedtoitsuse.Thefirstandmostimportantoftheseisafirmconvictiononthepartofthepatientthatthetaskcanbeaccomplished.Withoutthishecandonothing.Thenarrativesgiveninthisvolumeshowitsentirepracticability.Inadditiontothis,it

    shouldberememberedthattheseexperimentsweremostofthemmadeintheabsenceofanysufficientguidance,fromtheexperienceofothers,astothemethodandalleviationswithwhichthetaskcanbeaccomplished.Asecondconditionnecessarytosuccess,issufficientphysicalhealth,withsufficientfirmnessofcharactertoundergo,asamatterofcourse,theinevitablesufferingofthebody,andtoresisttheequallyinevitabletemptationtothemindtogiveupthestrifeundersomeparoxysmofimpatience,orinsomemomentofdarkdespondency.Withaverymoderateshareofvigorofconstitution,andwithawill,capableunderothercircumstancesofstrenuousandsustainedexertion,thereisnooccasiontoanticipateafailurehere.Evenincasesofimpairedhealth,andwithadiminishedcapacityforresoluteendeavor,successis,Ibelieve,attainable,provided

    sufficienttimebetakenforthetrial.

    Afurtherconditionliesintheattemptbeingmadeunderthemostfavorablecircumstancesinrespecttoabsoluteleisurefrombusinessofeverykind.Thatnothingcanbeaccomplishedbypersonswhosetimeisnotattheirowncommand,byagraduatedeffortprotractedthroughmanymonths,Idonotsay,forIdonotbelieveit;butanyspeedyrelinquishmentofopium--thatis,withinamonthortwo--seemstometobewhollyimpossible,excepttothosewhoaresosituatedthattheycangiveuptheirwholetimeandattentiontotheeffort.

  • 8/14/2019 The Opium Habit by Day, Horace B.

    30/175

    Thiseffortshouldbemadewiththeadviceandundertheeyeofanintelligentphysician.SofarasIhavehadopportunitytoknow,theprofessiongenerallyisnotwellinformedonthesubject.InmyowncaseIcertainlyfoundnoonewhoseemedfamiliarwiththephenomenapertainingtotherelinquishmentofopium,orwhosesuggestionsindicatedevenincaseswherethephysicianhashadnoexperiencewhateverinthisclassofdisorders,hecan,ifawell-educatedman,bringhismedicalknowledgeandmedicalreasoningtobearuponthevariousstates,bothofbodyandmind,whichthevaryingsufferingsofthepatientmaymakeknowntohim.Werethere,indeed,noprofessionalhelpstobesecuredbysuchconsultation,itisstillofinfiniteservicetothepatienttoknowsomeonetowhomhecanfrequentlyimpartthehistoryofhisstruggleandtheprogressheismaking.Suchconfidencemaydomuchtoencouragethepatient,andnooneissoproperapersoninwhomtoreposethisconfidenceasanintelligentphysician.

    Theamountoftimewhichshouldbedevotedtotheexperimentmustdependverygreatlyupontheseconsiderations--theconstitutionofthepatient,thelengthoftimewhichhaselapsedsincethehabitwasformed,andthequantityhabituallytaken.Whenthehabitisofrecentdate,andthedailydosehasnotbeenlarge--saynotmorethantenortwelvegrains--ifthepatienthasaveragehealth,hisemancipation

    fromtheevilmaybeattainedinacomparativelyshortperiod,thoughnotwithoutmanysharppangsandmanywakefulnightswhichwillcallfortheexerciseofallhisresolution.

    Thequestionwillnaturallysuggestitselftoothers,asithasoftendonetomyself,whetheralesssuddenrelinquishmentofopiumwouldnotbepreferableasbeingattendedwithlesspresentandlesssubsequentsuffering.Numerouscaseshavecomeundermynoticewhereaverygradualreductionwasattempted,butwhichresultedinfailure.Onlytwoexceptionsareknowntome:inoneofthesethepatient,himselfaphysician,effectedhisreleasebyagraduatedreductionextendingthroughfivemonths.TheotheristhecaseofDr.S.,aphysicianofeminenceinConnecticutmanyyearsago.This

    gentlemanhadmadesofreeuseofopiumtocounteractatendencytoconsumptionthatthehabitbecameestablished.Afterseveralyears,andatthesuggestionofhiswife,hemadearesolutiontoabandonit,engagingtotakenoopiumexceptasitpassedthroughherhands,butwiththeunderstandingthattheprocessofrelinquishmentwastobeslowandgradual.Hisallowanceatthistimewasunderstoodtobefromtwentytothirtygrainsofcrudeopiumdaily.Attheendoftwoyearsthehabitwasabandoned,withnoveryserioussufferingduringthetime,andsofarashisdaughterwasinformed,withnosubsequentinconveniencetohimself.Helivedmanyyearsafterhisdisuseofopium,intheactivedischargeofthedutiesofhisprofession,anddiedatlastintheninetiethyearofhisage.Thehazardofthiscourse,however,consistsinthepossibility,nottosaywithsome

    temperamentstheprobability,thatsomewhereinthecourseofsoverygradualadescentthesameinfluenceswhichledoriginallytotheuseofopiummayrecur,withnocounteractinginfluencederivedfromtheexcitementofthemindproducedbytheearnestnessofthestruggle.WithsomeconstitutionsIhavenodoubtthataprocessevensoslowasthatofDr.S.'smightbesuccessful,butIsuspect,withmostmen,thatsomemoodofexcitedfeeling,andsomeconscioussenseofconflict,willbefoundnecessary,inordertobringthemupresolutelytotheworkofself-emancipation.Ontheotherhand,Iamsatisfiedthatmyowndescentwastoorapid.Hadtheexperimentof

  • 8/14/2019 The Opium Habit by Day, Horace B.

    31/175

    b