Archive for February, 2010

BRIEF IDEA ABOUT PILES (Hemorrhoids)

What’s piles ?

Dilatation of radicles of rectal veins within the anal canal is termed piles.The medical term for piles is hemorrhoids.Compared to arteries veins are weak because of skinny walls and hence any backpressure within the veins can create them tortuous.There are 3 rectal veins particularly superior, middle and inferior rectal veins.Any obstructions or increase of pressure in these veins will predispose piles.

Relying upon the situation there are 2 sorts of piles.

one) External piles.         a pair of) Internal piles.

one) External piles:-

This kind of piles is seen outside the anal gap and is covered by skin.It’s black or brown in colour.This sort of piles is very painful due to rich nerve supply during this area.

2) Internal piles:-

It is inside the anal canal and internal to the anal orifice.It is covered by mucous membrane and is red or purple in colour.These piles are painless.

Some times internal and external piles occure in same individual.

Factors accountable for piles:–

1) This is a familial disease.

two) Piles is seen only in animals maintain an erect posture. This is often thanks to congestion in the rectal veins due to the effect of gravity.

three) It is common in individuals having chronic constipation.Those who have a habit of visiting the bathroom due to frequent urge for stool could develop piles in future.

four) Piles is common in those who take way over chicken, prawns, spicy food ect.Those who take vegetables and fibrous food are rarely affected.

five) Some ladies get piles throughout pregnancy due to compression of rectal veins by the uterus.

6) Cancerous lesions in the rectum can hinder blood flow and lead to piles.

Signs and symptoms of piles:–

1) Pain:-

Pain is common in external piles which can be worse while straining at stool.

a pair of) Bleeding:-

Bleeding comes in splashes while pressing for stool.Bleeding may be profuse in some cases.

three) Protruding mass:-

In external piles the swelling can be felt round the anal orifice.In case of internal piles initially it will not be felt.When the disease progresses the piles protrude throughout stool and can go within automatically.When the condition becomes worse the protruded piles will not go back in to the anus.

4) In some cases there can be discharge of mucus with itching around the anal orifice.

Complications of piles:–

1,Infection: The infection can spread to deep veins ensuing in septicaemia.
two,Fibrosis: Here the piles become fibrosed with hardening of anal orifice.
3,Thrombosis: Here the blood inside the piles will type clots and can hinder blood flow.
4,Gangrene: Here the tissues within the piles and nearby skin die due to lack of blood supply.
5,Suppuration: When the piles suppurate it can manufacture abscess with discharge of pus.

Treatment of piles:–

Initially it’s treated on the idea of symptoms.Constipation ought to be treated.If there is anaemia iron ought to be give.Homoeopathic medicines will provide sensible results. If medicinal treatment isn’t giving any result the subsequent will be tried.

one) The thrombosed external pile is excised beneath local anaesthesia.

a pair of) Sclerosant injection therapy will reduce the size of piles.

3) Rubber band ligation round the neck of piles is useful in some cases.

four) Cryosurgery is very effective.

five) Anal dilatation will reduce constipation and pain.

6) Haemorrhoidectomy is the surgical removal of piles.

How to forestall piles?

one) Eat plenty of fruits and vegetables.

two) Take fibrous food.

three) Avoid excess intake of meat,prawns,crabs ect.

4) Keep a regular timing for food.

six) Drink sufficient amount of water.

seven) Keep a regularity in bowel habits.

eight) Take treatment for constipation.

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NAILS IN HEALTH AND DISEASE.

Introduction:

The nails are present at the end of every finger tip on the dorsal surface.The most operate of nail is protection and it additionally helps for a firm grip for holding articles.It consists of a sturdy comparatively versatile keratinous nail plate originating from the nail matrix. Underneath the nail plate there’s a soft tissue called nail bed.Between the skin and nail plate there’s a nail fold or cuticle.Traditional healthy nail is slight pink in color and therefore the surface is convex from side to side.Finger nails grow one cm in three months and toe nails take twenty four months for the same.

Importance of nails in disease diagnosis:

The colour ,appearance,shape and nature of the nails provide some data about the final health and hygiene of a person . Nails are examined as a routine by all doctors to get some clues concerning underlying diseases.Simply trying at nails we have a tendency to will makeout the hygiene of a person.The abnormal nail may be congenital or thanks to some diseases.The cause for changes in the nail extend from straightforward reasons to life threatening diseases.Hence the examination by a doctor is crucial for diagnosis .Some abnormal findings with probable causes are mentioned here for general awareness.

one) Hygiene:-

We can make out an unhygienic nail very easily .Deposition of dirt beneath the distal finish of nail plate can create a chance for ingestion of pathogens whereas eating.If beauty treatment is not done properly it will end in worm troubles in children.When the worms crawl within the anal orifice children can scratch which lodges the ova of worms under the nails and will be taken in whereas eating.Distinguished nail will additionally complicate a skin disease by habitual scratching.Sharp nails in small youngsters cause small wounds when they do feet kicking or hand waving.

a pair of) Color of the nails:-

a) Nails become pale in anaemia.

b) Opaque white discolouration(leuconychia) is seen in chronic renal failure and nephrotic syndrome.

c) Whitening is additionally seen in hypoalbuminaemia as in cirrhosis and kidney disorders.

d) Medication like sulpha cluster,anti malarial and antibiotics ect can produce discolouration in the nails.

e) Fungal infection causes black discolouration.

f) In pseudomonas infection nails become black or green.

g) Nail bed infarction occures in vasculitis particularly in SLE and polyarteritis.

h) Red dots are seen in nails thanks to splinter haemorrhages in subacute bacterial endo carditis, rheumatoid arthritis, trauma, collagen vascular diseases.

i) Blunt injury produces haemorrhage and causes blue/black discolouration.

j) Nails become brown in kidney diseases and in decreased adrenal activity.

k) In wilsons disease blue color in semicircle appears within the nail.

l) When the blood provide decreases nail become yellow .In jaundice and psoriasis conjointly nail become yellowish.

m) In yellow nail syndrome all nails become yellowish with pleural effusion.

three) Shape of nails:-

a) Clubbing: Here tissues at the bottom of nails are thickened and also the angle between the nail base and also the skin is obliterated. The nail becomes additional convex and therefore the finger tip becomes bulbous and appearance like an end of a drumstick. When the condition becomes worse the nail looks like a parrot beak.

Causes of clubbing:-

Congenital Injuries

Severe chronic cyanosis

Lung diseases like empyema,bronchiactesis,carcinoma of bronchus and pulmonary tuberculosis.
Abdominal diseases like crohn’s disease,polyposis of colon,ulcerative colitis,liver cirrhosis ect…

Heart diseases like fallot’s tetralogy,subacute bacterial endocarditis and ect..

b) Koilonychia:-

Here the nails become concave sort of a spoon.This condition is seen in iron deficiency anaemia.In this condition the nails become skinny,soft and brittle.The normal convexity will get replaced by concavity.

c) Longitudinal ridging is seen in raynaud’s disease.

d) Cuticle becomes ragged in dermatomyositis.

e) Nail fold telangiectasia is a sign up dermatomyositis ,systemic sclerosis and SLE.

4) Structure and consistancy:-

a) Fungal infection of nail causes discolouration,deformity,hypertrophy and abnormal brittleness.

b) Thimble pitting of nail is charecteristic of psoriasis ,acute eczema and alopecia aereata.

c) The inflamation of cuticle or nail fold is called paronychia.

d) Onycholysis is that the seperation of nail bed seen in psoriasis,infection and once taking tetracyclines.

e) Destruction of nail is seen in lichen planus,epidermolysis bullosa.

f) Missing nail is seen in nail patella syndrome.It’s a hereditary disease.

g) Nails become brittle in raynauds disease and gangrene.

h) Falling of nail is seen in fungal infection,psoriasis and thyroid diseases.

5) Growth:-

Reduction in blood offer affects the expansion of nails. Nail growth is also affected in severe ilness. when the disease disappears the growth starts again resulting in formation of transverse ridges.These lines are referred to as Beau’s lines and are healpful to this point the onset of illness.

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MENTAL DISTURBANCES CAUSED BY ALCOHOL.

The physical disasters that follow the continued use of intoxicating beverages are unhappy enough, and terrible enough; however the surely attendant mental, ethical and non secular disasters are sadder and more terrible still. If you disturb the healthy condition of the brain, which is the physical organ through which the mind acts, you disturb the mind. It will not have the same clearness of perception as before; nor have the same rational control over the impulses and passions.

Heavenly order within the body.
————————–

So as to understand a subject clearly, sure general laws, or principles, must be seen and admitted. And here we tend to assume, as a general truth, that health in {the human body} is traditional heavenly order on the physical plane of life, which any disturbance of that order exposes the man to damaging influences, which are evil and infernal in their character. Above the natural and physical plane, and resting upon it, whereas man lives during this world, is that the mental and spiritual plane, or degree of life. This degree is in heavenly order when the explanation is evident, and therefore the appetites and passions under its wise control. But, if, through any cause, this fine equipoise is disturbed, or lost, then a method is opened for the influx of a lot of subtle evil influences than like invade the body, because they have power to act upon the reason and therefore the passions, obscuring the one and inflaming the others.

We apprehend how surely the loss of bodily health leads to mental disturbance. If the seat of disease be remote from the brain, the disturbance is sometimes slight; but it will increase as the trouble comes nearer and nearer to that organ, and shows itself in multiform ways in line with character, temperament or inherited disposition; but nearly perpetually in a very predominance of what’s evil instead of good. There can be fretfulness, or ill-nature, or selfish exactions, or mental obscurity, or unreasoning demands, or, it could be, vicious and cruel propensities, where, when the brain was undisturbed by disease, reason held rule with patience and loving kindness. If the disease which has attacked the brain goes on increasing, the mental disease that follows as a consequence of organic disturbance or deterioration, will have increased also, until insanity may be established in some a number of of its many unhappy and varied forms.

Insanity.
——–

It’s, thus, a terribly serious issue for a person to take into his body any substance which, on reaching that splendidly delicate organ the brain, sets up therein a diseased action; for, diseased mental action is certain to follow. A fever may be a fever, whether or not it’s light-weight or intensely burning; and so any disturbance of the mind’s rational equipoise is insanity, whether or not it’s in the only type of temporary obscurity, or within the midnight of a very darkened intellect.

We have a tendency to aren’t writing in the interest of any special theory, nor in the spirit of partisanship; however with an earnest desire to form the reality appear. You want to not settle for something merely as a result of we tend to say it, but as a result of he sees it to be true. Now, as to the current matter of insanity, let him assume calmly. The word is one that gives us a shock; and, as we have a tendency to hear it, we tend to almost involuntarily thank God for the nice gift of a well-balanced mind. What, if from any cause this stunning equipoise ought to be disturbed and therefore the mind lose its power to assume clearly, or to carry the lower passions in due management? Shall we exceed the reality if we have a tendency to say that the man in whom this takes place is insane just in the degree that he has lost his rational self-management; and that he is restored when he regains that management?

During this read, the query on the hurtfulness of alcoholic drinks assumes a new and graver aspect. Do they disturb the brain after they come back in touch with its substance; and deteriorate it if the contact be long continued? Reality, observation, expertise and scientific investigation all emphatically say yes; and we have a tendency to know that if the brain be disordered the mind, will be disordered, likewise; and a disordered mind is an insane mind. Clearly, then, within the degree {that a} man impairs or hurts his brain quickly or continuously in that degree his mind is unbalanced; in that degree he is not a truly rational and sane man.

We have a tendency to are holding your thought just here that you’ll have time to suppose, and to look at the question in the light of reason and customary sense. Therefore way as he will this, can he be ready to feel the force of such evidence as we shall educe in what follows, and to comprehend its true meaning.

Alternative substances besides alcohol act injuriously on the brain; but there is none that compares with this within the extent, variety and diabolical side of the mental aberrations which follow its use. We tend to aren’t speaking thoughtlessly or wildly; but simply uttering a truth well-known to every man of observation, and that every man, and particularly those that take this substance in any form, ought to, lay deeply to heart. Why it’s that such awful and damaging sorts of insanity should follow, as they are doing, the utilization of alcohol it’s not for us to say. That they do follow it, we recognize, and we hold, up the fact in solemn warning.

Another thought, which should have weight with every one, is that this, that no man can tell what may be the character of the legacy he has received from his ancestors. He might have an inheritance of latent evil forces, transmitted through many generations, that only await some favoring opportunity to spring into life and action. So long as he maintains a rational self-control, and also the healthy order of his life be not disturbed, they’ll continue quiescent; however if his brain loses its equipoise, or is hurt or impaired, then a diseased psychical condition may be induced and the latent evil forces be quickened into life.

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MEDICAL TESTIMONY ON ALCOHOL.

Dr. Ezra M. Hunt says: “The capability of the alcohols for impairment of functions and the initiation and promotion of organic lesions in vital components, is unsurpassed by any record in the entire vary of medicine.  The facts as to this are so indisputable, and therefore far granted by the profession, as to be not debatable . Changes in abdomen and liver, in kidneys and lungs, within the blood-vessels to the minutest capillary, and within the blood to the tiniest red and white blood disc disturbances of secretion, fibroid and fatty degenerations in nearly every organ, impairment of muscular power, impressions so profound on each nervous systems on be typically toxic these, and such as these, are the oft manifested results. And these aren’t confined to those called intemperate.”

Professor Youmans says: “It is evident that, therefore way from being the conservator of health, alcohol is an energetic and powerful explanation for disease, interfering, as it will, with the respiration, the circulation and also the nutrition; currently, is any different result attainable?”

Dr. F.R. Lees says: “That alcohol ought to contribute to the fattening process underneath bound conditions, and produce in drinkers fatty degeneration of the blood, follows, as a matter after all, since, on the one hand, we have an agent that  retains waste  matter by lowering the nutritive and excretory functions, and on the opposite, a  direct poisoner  of the vesicles of the important stream.”

Dr. Henry Monroe says: “There’s no reasonably tissue, whether healthy or morbid, which will not undergo fatty degeneration; and there is no organic disease thus troublesome to the medical man, or therefore tough of cure. If, by the aid of the microscope, we have a tendency to examine a very fine section of muscle taken from a person in good health, we tend to realize the muscles firm, elastic and of a bright red color, created up of parallel fibres, with lovely crossings or striae; but, if we tend to equally examine the muscle of a man who leads an idle, sedentary life, and indulges in intoxicating drinks, we have a tendency to detect, without delay, a pale, flabby, inelastic, oily appearance. Alcoholic narcotization seems to supply this peculiar conditions of the tissues  a lot of than any different agent with which we tend to are acquainted.  ‘Three-quarters of the chronic illness that the medical man has to treat,’ says Dr. Chambers, ‘are occasioned by this disease.’ The eminent French analytical chemist, Lecanu, found as much as 100 and seventeen components of fat in one thousand parts of a drunkard’s blood, the best estimate of the amount in health being eight and one-quarter parts, while the normal quantity is not more than 2 or three parts, thus {that the} blood of the drunkard contains forty times in more than the normal quantity.”

Dr. Hammond, who has written, in partial defense of alcohol as containing a food power, says: “Once I say that it, of all alternative causes,  is most prolific  in exciting derangements of the brain, the spinal cord and also the nerves, I create a statement which my very own experience shows to be correct.”

Another eminent physician says of alcohol: “It substitutes suppuration for growth. It helps time to produce the effects old; and, during a word, is the genius of degeneration.”

Dr. Monroe, from whom “Alcohol, taken in small quantities, or largely diluted,  as in the shape of beer, causes the stomach gradually to lose its tone, and makes  it dependent upon artificial stimulus. Atony, or need of tone of the stomach, gradually supervenes, and incurable disorder of health results. Should a dose of alcoholic drink be taken daily, the center can very usually become hypertrophied, or enlarged throughout. Indeed, it’s painful to witness how  several  persons are actually laboring beneath disease of the guts, owing chiefly to the utilization of alcoholic liquors.”

Dr. T.K. Chambers, physician to the Prince of Wales, says: “Alcohol is very the most ungenerous diet there is. It impoverishes the blood, and there’s no surer road to that degeneration of muscular fibre thus much to be feared; and in heart disease it’s a lot of especially hurtful, by quickening the beat, causing capillary congestion and irregular circulation, and therefore mechanically inducing dilatation.”

Sir Henry Thompson, a distinguished surgeon, says: “Don’t take your daily wine below any pretext of its doing you good. Take it frankly as a luxury one that must be obtained, by some persons terribly gently, by some at a high value,  however continually to be paid for. And, principally, some loss of health, or of mental power, or of calmness of temper, or of judgment, is the price.”

Dr. Charles Jewett says: “The late Prof. Parks, of England, in his great work on Hygiene, has effectually disposed of the notion, long and very typically entertained, that alcohol is a valuable prophylactic where a dangerous climate, unhealthy water and alternative conditions unfavorable to health, exist; and an unfortunate experiment with the article, in the Union army, on the banks of the Chickahominy, in the year 1863, proved conclusively that, instead of guarding the human constitution against the influence of agencies hostile to health, its use gives to them additional force. The medical history of the British army in India teaches the identical lesson.”

But why present farther testimony? Isn’t the evidence complete? To the man who values smart health; who wouldn’t lay the muse for disease and suffering in his later years, we tend to want not offer a single extra argument in favor of entire abstinence from alcoholic drinks. He will eschew them as poisons.

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HOW ALCOHOL RETARDS DIGESTION.

And here, in order to provide those that don’t seem to be acquainted with, the method of digestion, a clear idea of that necessary operation, and also the impact made when alcohol is taken with food, we tend to quote from the lecture of an English physician, Dr. Henry Monroe, on “The Physiological Action of Alcohol.” He says:

“Each kind of substance used by man as food consists of sugar, starch, oil and glutinous matters, mingled along in various proportions; these are designed for the support of the animal frame. The glutinous principles of food  fibrine, albumen  and  casein  are employed to create up the structure; whereas the  oil, starch  and  sugar  are chiefly used to generate heat in the body.

“The primary step of the digestive process is that the breaking of the food within the mouth by means that of the jaws and teeth. On this being done, the saliva, a viscid liquor, is poured into the mouth from the salivary glands, and as it mixes with the food, it performs a very necessary half within the operation of digestion, rendering the starch of the food soluble, and gradually changing it into a type of sugar, once that the other principles become additional miscible with it. Nearly a pint of saliva is furnished every 24 hours for the employment of an adult. When the food has been masticated and mixed with the saliva, it is then passed into the abdomen, where it is acted upon by a juice secreted by the filaments of that organ, and poured into the stomach in massive quantities whenever food comes in contact with its mucous coats. It consists of a dilute acid known to the chemists as hydrochloric acid, composed of hydrogen and chlorine, united together in bound definite proportions. The gastric juice contains, additionally, a peculiar organic-ferment or decomposing substance, containing nitrogen one thing of the nature of yeast termed  pepsine , that is definitely soluble within the acid simply named. That gastric juice acts as a easy chemical solvent, is proved by the actual fact that, after death, it’s been known to dissolve the stomach itself.”

It is a blunder to suppose that, once a smart dinner, a glass of spirits or beer assists digestion; or that any liquor containing alcohol even bitter beer will in any approach assist digestion. Mix some bread and meat with gastric juice; place them in an exceedingly phial, and keep that phial in a sand-bath at the slow heat of ninety eight degrees, often shaking briskly the contents to imitate the motion of the stomach; you will find, when six or eight hours, the entire contents blended into one pultaceous mass. If to a different phial of food and gastric juice, treated in the same way, I add a glass of pale ale or a quantity of alcohol, at the top of seven or eight hours, or perhaps some days, the food is scarcely acted upon at all. This is a truth; and if you’re led to ask why, I answer, as a result of alcohol has the peculiar power of chemically affecting or decomposing the gastric juice by precipitating one of its principal constituents, viz., pepsine, rendering its solvent properties a lot of less efficacious. Hence alcohol can not be thought of either as food or as a solvent for food. Not as the latter certainly, for it refuses to act with the gastric juice.

“‘It’s a remarkable truth,’ says Dr. Dundas Thompson, ‘that alcohol, when added to the digestive fluid, produces a white precipitate, therefore {that the} fluid is no longer capable of digesting animal or vegetable matter.’ ‘The utilization of alcoholic stimulants,’ say Drs. Todd and Bowman, ‘retards digestion by coagulating the pepsine, an essential element of the gastric juice, and thereby interfering with its action. Were it not that wine and spirits are rapidly absorbed, the introduction of these into the abdomen, in any quantity, would be a whole bar to the digestion of food, as the pepsine would be precipitated from the solution as quickly as it had been fashioned by the stomach.’ Spirit, in any quantity, as a dietary adjunct, is pernicious on account of its antiseptic qualities, which resist the digestion of food by the absorption of water from its particles, in direct antagonism to chemical operation.”

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HOW ALCOHOL CAUSES MENTAL AND MORAL CHANGES.

The remodeling power or alcohol is marvelous, and typically appalling. It looks to open a manner of entrance into the soul for all categories of foolish, insane or malignant spirits, who, so long because it remains involved with the brain, are ready to hold possession. Men of the kindest nature when sober, act usually like fiends when drunk. Crimes and outrages are committed, that shock and shame the perpetrators when the excitement of inebriation has passed away. Referring to this subject, Dr. Henry Munroe says:

“It seems from the experience of Mr. Fletcher, who has paid a lot of attention to the cases of drunkards, from the remarks of Mr. Dunn, in his ‘Medical Psychology,’ and from observations of my very own, that there is some analogy between our physical and psychical natures; for, because the physical half of us, when its power is at an occasional ebb, becomes vulnerable of morbid influences which, in full vigor, would jump over it while not result, therefore when the psychical (synonymous with the  ethical ) part of the brain has its healthy operate disturbed and deranged by the introduction of a morbid poison like alcohol, the individual therefore circumstanced sinks in depravity, and “becomes the helpless subject of the forces of evil, “which are powerless against a nature free from the morbid influences of alcohol.”

Totally different persons are affected in different ways by the same poison. Indulgence in alcoholic drinks may act upon one or more of the cerebral organs; and, as its necessary consequence, the manifestations of functional disturbance will follow in such of the mental powers as these organs subserve. If the indulgence be continued, then, either from deranged nutrition or organic lesion, manifestations formerly developed only throughout a work of intoxication could become  permanent , and terminate in insanity or dypso-mania. M. Flourens initial got wind the fact that bound morbific agents, when introduced into the current of the circulation, tend to act  primarily  and  specially  on one nervous centre in preference to that of another, by virtue of some special elective affinity between such morbific agents and bound ganglia. So, within the tottering gait of the tipsy man, we tend to see the influence of alcohol upon the functions of the  cerebellum  within the impairment of its power of co-ordinating the muscles.

Bound writers on diseases of the mind make especial allusion to that type of insanity termed ‘dypsomania’, in which someone has an unquenchable thirst for alcoholic drinks a tendency as decidedly maniacal as that of  homicidal mania ; or the uncontrollable need to burn, termed  pyromania ; or to steal, referred to as  kleptomania.

Homicidal mania.
—————

The various tendencies of homicidal mania in numerous individuals are typically only nursed into action when the current of the blood has been poisoned with alcohol. I had a case of a one that, whenever his brain was thus excited, told me that he experienced a most uncontrollable need to kill or injure some one; so abundant therefore, that he may at times hardly restrain himself from the action, and was obliged to refrain from all stimulants, lest, in an unlucky moment, he would possibly commit himself. Townley, who murdered the young lady of his affections, for that he was sentenced to be imprisoned in a very lunatic asylum forever,  poisoned his brain with brandy  and soda-water before he committed the rash act. The brandy stimulated into action sure portions of the brain, which acquired such a power as to subjugate his will, and hurry him to the performance of a frightful deed, opposed alike to his higher judgment and his ordinary desires.

As to pyromania , some years ago I knew a laboring man in a very country village, who, whenever he had had a few glasses of ale at the general public-house, would chuckle with delight at the thought of firing sure gentlemen’s stacks. Yet, when his brain was free from the poison, a quieter, better-disposed man could not be. Unfortunately, he became addicted to habits of intoxication; and, one night, beneath alcoholic excitement, fired some stacks belonging to his employers, for which, he was sentenced for fifteen years to a penal settlement, where his brain would never once more be alcoholically excited.

Kleptomania.
———–

Next, I will give an example of  kleptomania . I knew, many years ago, a terribly clever, industrious and gifted young man, who told me that whenever he had been drinking, he could hardly face up to, the temptation of stealing something that came in his way; however that these feelings never troubled him at different times. One afternoon, when he had been indulging along with his fellow-workmen in drink, his can, sadly, was overpowered, and he took from the mansion where he was operating some articles of price, for which he was accused, and afterwards sentenced to a term of imprisonment. When set at liberty he had the great fortune to be placed among some kind-hearted persons, vulgarly known as teetotallers ; and, from conscientious motives, signed the PLEDGE, now on top of twenty years ago. From that time to the current moment he has never experienced the overmastering desire that therefore often beset him in his drinking days to require that which was not his own. Moreover, no pretext on earth might currently entice him to style of any liquor containing alcohol, feeling that, below its influence, he would possibly again fall its victim. He holds an influential position within the town where he resides.

I have known some girls of excellent position in society, who, when a dinner or supper-party, and once having taken sundry glasses of wine, might not withstand the temptation of taking home any little article not their own, when the chance offered; and who, in their sober moments, have returned them, as if taken by mistake. We have a tendency to have many instances recorded in our police reports of gentlemen of position, underneath the influence of drink, committing thefts of the most paltry articles, afterwards returned to the homeowners by their friends, that can solely be accounted for, psychologically, by the actual fact {that the}  will  had been for the time fully overpowered by the refined influence of alcohol.

Loss of mental clearness.
————————

Alcohol, whether or not taken in giant or little doses, immediately disturbs the natural functions of the mind and body, is now conceded by the foremost eminent physiologists. Dr. Brinton says: ‘Mental acuteness, accuracy of conception, and delicacy of the senses, are all so far opposed by the action of alcohol, as that the utmost efforts of every are  incompatible  with the ingestion of any moderate amount of fermented liquid. Indeed, there is scarcely any calling which demands skillful and exact effort of mind and body, or that requires the balanced exercise of the many faculties, that does not illustrate this rule. The mathematician, the gambler, the metaphysician, the billiard-player, the author, the artist, the physician, would, if they could analyze their expertise aright, typically concur in the statement, that  a single glass can often suffice to require , thus to talk,  the sting off each mind and body , and to reduce their capability to one thing below what is comparatively their perfection of work.

A train was driven carelessly into one of the principal London stations, running into another train, killing, by the collision, six or seven persons, and injuring many others. From the evidence at the inquest, it appeared {that the} guard was reckoned sober, solely he had had 2 glasses of ale with a devotee at a previous station. Currently, reasoning psychologically, these two glasses of ale had probably been instrumental in  commencing the sting  from his perceptions and prudence, and manufacturing a carelessness or boldness of action which would not have occurred beneath the cooling, temperate influence of a beverage free from alcohol. Many persons have admitted to me that they were not the identical after taking even one glass of ale or wine that they were before, and may not  thoroughly  trust themselves once they had taken this single glass.

Impairment of memory.
———————

An impairment of the memory is among the first symptoms of alcoholic derangement.

“This,” says Dr. Richardson, “extends even to forgetfulness of the most typical things; to names of familiar persons, to dates, to duties of daily life. Strangely, too,” he adds, “this failure, like that which indicates, within the aged, the era of second childishness and mere oblivion, does not extend to the things of the past, however is confined to events that are passing. On previous memories the mind retains its power; on new ones it requires constant prompting and sustainment.”

In this failure of memory nature provides a solemn warning that imminent peril is at hand. Well for the habitual drinker if he heed the warning. Should he not do thus, symptoms of a a lot of serious character will, in time, develop themselves, as the brain becomes a lot of and a lot of diseased, ending, it could be, in permanent insanity.

Mental and moral diseases.
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Of the mental and moral diseases that too often follow the regular drinking of alcohol, we have painful records in asylum reports, in medical testimony and in our daily observation and experience. These are therefore full and varied, and thrust thus constantly on our attention, {that the} wonder is that men don’t seem to be afraid to run the terrible risks concerned even in what’s referred to as the moderate use of alcoholic beverages.

In 1872, a choose committee of the House of Commons, appointed “to think about the simplest arrange for the control and management of habitual drunkards,” called upon some of the foremost eminent medical men in Great Britain to grant their testimony in answer to a massive number of questions, embracing each topic inside the vary of inquiry, from the pathology of inebriation to the sensible usefulness of prohibitory laws. In this testimony abundant was said regarding the impact of alcoholic stimulation on the mental condition and ethical character. One physician, Dr. James Crichton Brown, who, in 10 years’ experience as superintendent of lunatic asylums, has paid special attention to the relations of habitual drunkenness to insanity, having rigorously examined 5 hundred cases, testified that alcohol, taken in excess, made different kinds of mental disease, of that he mentioned four categories: 1.  Mania a potu , or alcoholic mania. 2. The monomania of suspicion. 3. Chronic alcoholism, characterized by failure of the memory and power of judgment, with partial paralysis typically ending fatally. 4. Dypsomania, or an  irresistible  probing for alcoholic stimulants, occuring very frequently, paroxysmally, and with constant liability to periodical exacerbations, when the craving becomes altogether uncontrollable. Of this latter form of disease, he says: “This is often invariably associated with a bound  impairment of the intellect, and of the affections and the moral powers .”

Dr. Alexander Peddie, a physician of over thirty-seven years’ observe in Edinburgh, gave, in his evidence, many exceptional instances of the moral perversions that followed continued drinking.

Relation between insanity and drunkenness.
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Dr. John Nugent said that his expertise of twenty-six years among lunatics, led him to believe that there’s a terribly close relation between the results of the abuse of alcohol and insanity. The population of Eire had decreased, he said, 2 millions in twenty-five years, but there was the same quantity of insanity currently that there was before. He attributed this, during a nice measure, to indulgence in drink.

Dr. Arthur Mitchell, Commissioner of Lunacy for Scotland, testified {that the} excessive use of alcohol caused a massive amount of the lunacy, crime and pauperism of that country. In some men, he said, habitual drinking ends up in different diseases than insanity, because the effect is often in the direction of the proclivity, however it is certain that there are many in whom there’s a clear proclivity to insanity,  who would escape that dreadful consummation but for drinking; excessive drinking in many persons determining the insanity to which they are, anyways, predisposed . The kids of drunkards, he more said, are in a larger proportion idiotic than different youngsters, and in a larger proportion become themselves drunkards; they’re conjointly in a very larger proportion prone to the normal styles of acquired insanity.

Dr. Winslow Forbes believed that within the habitual drunkard the whole nervous structure, and the brain especially, became poisoned by alcohol. All the mental symptoms that you see accompanying normal intoxication, he remarks, result from the poisonous effects of alcohol on the brain. It is the brain that is especially effected. In temporary drunkenness, the brain becomes in an abnormal state of alimentation, and if this habit is persisted in for years, the nervous tissue itself becomes permeated with alcohol, and organic changes take place in the nervous tissues of the brain, manufacturing  that frightful and dreadful chronic insanity that we see in lunatic asylums, traceable entirely to habits of intoxication . A large proportion of frightful mental and brain disturbances can, he declared, be traced to the drunkenness of parents.

Dr. D.G. Dodge, late of the New York State Inebriate Asylum, who, with. Dr. Joseph Parrish, gave testimony before the committee of the House of Commons, said, in one among his answers: “With the excessive use of alcohol, functional disorder will invariably appear, and no organ can be a lot of seriously affected, and probably impaired, than the brain.  This can be shown in the inebriate by a weakened intellect, a general debility of the mental schools , a partial or total loss of self-respect, and a departure of the power of self-command; all of which, acting together, place the victim at the mercy of a depraved and morbid appetite, and build him utterly powerless, by his own unaided efforts, to secure his recovery from the disease which is destroying him.” And he adds: “I’m of opinion that there’s a “nice similarity between inebriety and insanity.

“I’m decidedly of opinion that the former has taken its place within the family of diseases as prominently as its twin-brother insanity; and, in my opinion, the day is not far distant when the pathology of the former will be as fully understood and as successfully treated because the latter, and even more successfully, since it’s more among the reach and bounds of human control, that, wisely exercised and scientifically administered, could forestall curable inebriation from verging into attainable incurable insanity.”

General impairment of the faculties.
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Dr. Richardson, speaking of the action of alcohol on the mind, offers the following unhappy image of its ravages:

“An analysis of the condition of the mind induced and maintained by the free daily use of alcohol as a drink, reveals a singular order of facts. The manifestation fails altogether to reveal the exaltation of any reasoning power in a useful or satisfactory direction. I have never met with an instance in which such a claim for alcohol has been made. Quite the opposite, confirmed alcoholics constantly say that for this or that employment, requiring thought and attention, it is necessary to forego some of the same old potations in order to own a cool head for exhausting work.

“On the other aspect, the expertise is overwhelmingly in favor of the observation that the employment of “alcohol sells the reasoning powers, “make weak men and girls the easy prey of the wicked and robust, and leads men and women who ought to understand better into each grade of misery and vice. If, then, alcohol enfeebles the rationale, what part of the mental constitution will it exalt and excite? It excites and exalts those animal, organic, emotional centres of mind which, in the dual nature of man, therefore typically cross and oppose that pure and abstract reasoning nature that lifts man higher than the lower animals, and rightly exercised, little lower than the angels.

It excites man’s worst passions.
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Exciting these animal centres, it lets loose all the passions, and offers them a lot of or less of unlicensed dominion over the man. It excites anger, and when it will not lead to this extreme, it keeps the mind fretful, irritable, dissatisfied and captious…. And if I were to take you thru all the passions, love, hate, lust, envy, avarice and pride, I should but show you that alcohol ministers to all of them; that, paralyzing the explanation, it takes from off these passions that fine adjustment of reason, which places man above the lower animals. From the start to the tip of its influence it subdues reason and sets the passions free. The analogies, physical and mental, are perfect. That that loosens the stress of the vessels which feed the body with due order and precision, and, thereby, lets loose the center to violent excess and unbridled motion, loosens, conjointly, the reason and lets loose the passion. In both instances, heart and head are, for a time, out of harmony; their balance broken. The man descends nearer and closer to the lower animals. From the angels he glides farther and farther away.

A unhappy and terrible picture.
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The  damaging  effects of alcohol on the human mind present, finally, the saddest picture of its influence. The most aesthetic artist will notice no angel here. All is animal, and animal of the worst type. Memory irretrievably lost, words and very elements of speech forgotten or words displaced to own no that means in them. Rage and anger persistent and mischievous, or remittent and impotent. Worry at each corner of life, distrust on each aspect, grief merged into blank despair, hopelessness into permanent melancholy. Surely no Pandemonium that ever poet dreamt of might equal that which would exist if all the drunkards of the globe were driven into one mortal sphere.

As I have moved among people who are physically stricken with alcohol, and have detected under the numerous disguises of name the fatal diseases, the pains and penalties it imposes on the body, the image has been sufficiently cruel. But even that image pales, as I conjure up, without any stretch of imagination, the devastations which the same agent inflicts on the mind. Forty per cent., the learned Superintendent of Colney Hatch, Dr. Sheppard, tells us, of those that were brought into that asylum in 1876, were so brought as a result of of the direct or indirect effects of alcohol. If the facts of all the asylums were collected with equal care, the same tale would, I fear, be told. What need we have a tendency to any to point out the destructive action on the human mind? The Pandemonium of drunkards; the grand transformation scene of that pantomime of drink that commences with, moderation! Let it never more be forgotten by those who love their fellow-men until, through their efforts, it is closed forever.”

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HOW ALCOHOL AFFECTS THE BRAIN.

I once had the uncommon, though unhappy, opportunity of observing the same phenomenon within the brain structure of a man, who, during a paroxysm of alcoholic excitement, decapitated himself beneath the wheel of a railway carriage, and whose brain was instantaneously evolved from the skull by the crash. The brain itself, entire, was before me within three minutes after the death. It exhaled the odor of spirit most distinctly, and its membranes and minute structures were vascular within the extreme. It looked as if it had been recently injected with vermilion. The white matter of the cerebrum, studded with red points, may scarcely be distinguished, when it absolutely was incised, by its natural whiteness; and also the pia-mater, or internal vascular membrane covering the brain, resembled a delicate web of coagulated red blood, therefore tensely were its fine vessels engorged.

I should add that this condition extended through each the larger and the smaller brain, the cerebrum and cerebellum, however was not therefore marked within the medulla or commencing portion of the spinal cord.

The spinal wire and nerves.
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The action of alcohol continued beyond the primary stage, the operate of the spinal cord is influenced. Through this part of the nervous system we are accustomed, in health, to perform automatic acts of a mechanical kind, which proceed systematically even when we are thinking or speaking on alternative subjects. Thus a talented workman will continue his mechanical work perfectly, whereas his mind is bent on some other subject; and thus we have a tendency to all perform various acts during a purely automatic method, without calling in the help of the higher centres, except something a lot of than ordinary occurs to demand their service, upon that we have a tendency to think before we have a tendency to perform. Below alcohol, as the spinal centres become influenced, these pure automatic acts stop to be properly carried on. {That the} hand may reach any object, or the foot be properly planted, the higher intellectual centre should be invoked to create the proceeding secure. There follows quickly upon this a deficient power of co-ordination of muscular movement. The nervous management of certain of the muscles is lost, and therefore the nervous stimulus is a lot of or less enfeebled. The muscles of the lower lip within the human subject typically fail initial of all, then the muscles of the lower limbs, and it’s worthy of remark {that the} extensor muscles give way previous the flexors. The muscles themselves, by now, are failing in power; they respond more feebly than is natural to the nervous stimulus; they, too, are coming back below the depressing influence of the paralyzing agent, their structure is temporarily deranged, and their contractile power reduced.

This modification of the animal functions below alcohol, marks the second degree of its action. In young subjects, there is currently, sometimes, vomiting with faintness, followed by gradual relief from the burden of the poison.

Effect on the brain centres.
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The alcoholic spirit carried yet a any degree, the cerebral or brain centres become influenced; they’re reduced in power, and also the controlling influences of can and of judgment are lost. As these centres are unbalanced and thrown into chaos, the rational half of the nature of the man gives method before the emotional, passional or organic part. The reason is currently off duty, or is fooling with duty, and every one the mere natural instincts and sentiments are laid atrociously bare. The coward shows up a lot of craven, the braggart additional boastful, the cruel a lot of merciless, the untruthful more false, the carnal additional degraded. ‘ In vino veritas ‘ expresses, even, indeed, to physiological accuracy, the true condition. The explanation, the emotions, the instincts, are all in a state of carnival, and in chaotic feebleness.

Finally, the action of the alcohol still extending, the superior brain centres are overpowered; the senses are beclouded, the voluntary muscular prostration is perfected, sensibility is lost, and the body lies a mere log, dead by all but one-fourth, on that alone its life hangs. The guts still remains true to its duty, and while it just lives it feeds the breathing power. And thus the circulation and also the respiration, in the otherwise inert mass, keeps the mass among the blank domain of life until the poison begins to die and therefore the nervous centres to revive again. It is happy for the inebriate that, most of the time, the brain fails so long before the guts that he has neither the ability nor the sense to continue his method of destruction up to the act of death of his circulation. Therefore he lives to die another day.

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