The Opium Habit

by Horace B. Day

After other remedies had failed, the eminent physician under whose advice I was acting recommended opium. I have no doubt he acted both wisely and professionally in the prescription he ordered, but where is the patient who has learned the secret of substituting luxurious enjoyment in place of acute pain by day and restless hours by night, that can be trusted to take a correct measure of his own necessities? The result was as might have been anticipated: opium after a few months' use became indispensable. With the full consciousness that such was the case, came the resolution to break off the habit This was accomplished after an effort no more earnest than is within the power of almost any one to make. A recurrence of suffering more than usually severe led to a recourse to the same remedy, but in largely increased quantities. After a year or two's use the habit was a second time broken by another effort much more protracted and obstinate than the first. Nights made weary and days uncomfortable by pain once more suggested the same unhappy refuge, and after a struggle against the supposed necessity, which I now regard as half-hearted and cowardly, the habit was resumed, and owing to the peculiarly unfavorable state of the weather at the time, the quantity of opium necessary to alleviate pain and secure sleep was greater than ever. The habit of relying upon large doses is easily established; and, once formed, the daily quantity is not easily reduced. All persons who have long been accustomed to Opium are aware that there is a maximum beyond which no increase in quantity does much in the further alleviation of pain or in promoting increased pleasurable excitement. This maximum in my own case was eighty grains, or two thousand drops of laudanum, which was soon attained, and was continued, with occasional exceptions, sometimes dropping below and sometimes largely rising above this amount, down to the period when the habit was finally abandoned. I will not speak of the repeated efforts that were made during these long years to relinquish the drug. They all failed, either through the want of sufficient firmness of purpose, or from the absence of sufficient bodily health to undergo the suffering incident to the effort, or from unfavorable circumstances of occupation or situation which gave me no adequate leisure to insure their success. At length resolve upon a final effort to emancipate myself from the habit.

For two or three years previous to this time my general health had been gradually improving. Neuralgic disturbance was of less frequent occurrence and was less intense, the stomach retained its food, and, what was of more consequence, the difficulty of securing a reasonable amount of sleep had for the most part passed away. Instead of a succession of wakeful nights any serioious interruption of habitual rest occurred at infrequent intervals, and was usually limited to a single night.

In addition to these hopeful indications in encouragement of a vigorous effort to abandon the habit, there were on the other hand certain warnings which could not safely be neglected. The stomach began to complain,—as well it might after so many years unnatural service,—that the daily task of disposing of a large mass of noxious matter constantly cumulating its deadly assaults upon the natural processes of life was getting to be beyond its powers. The pulse had become increasingly languid, while the aversion to labor of any kind seemed to be settling down into a chronic and hopeless infirmity. Some circumstances connected with my own situation pointed also to the appropriateness of the present time for an effort which I knew by the experience of others would make a heavy demand upon all one's fortitude, even when these circumstances were most propitious. At this period my time was wholly at my own disposal. My family was a small one, and I was sure of every accessory support I might need from them to tide me over what I hoped would prove only a temporary, though it might be a severe, struggle. The house I occupied was fortunately so situated that no outcry of pain, nor any extorted eccentricity of conduct, consequent upon the effort I proposed to make, could be observed by neighbors or by-passers.

A few days before the task was commenced, and while on a visit to the capital of a neighboring State in company with a party of gentlemen from Baltimore, I had ventured upon reducing by one-quarter the customary daily allowance of eighty grains. Under the excitement of such an occasion I continued the experiment for a second day with no other perceptible effect than a restless indisposition to remain long in the same position. This, however, was a mere experiment, a prelude to the determined struggle I was resolved upon making, and to which I had been incited chiefly through the encouragement suggested by the success of De Quincey. There is a page in the "Confessions" of this author which I have no doubt has, been perused with intense interest by hundreds of opium-eaters. It is the page which gives in a tabular form the gradual progress he made in diminishing the daily quantity of laudanum to which he had long been accustomed. I had read and re-read with great care all that he had seen fit to record respecting his own triumph over the habit. I knew that he had made use of opium irregularly and at considerable intervals from the year 1804 to 1812, and that during this time opium had not become a daily necessity; that in the year 1813 he had become a confirmed opium-eater, "of whom to ask whether on any particular day he had or had not taken opium, would be to ask whether his lungs had performed respiration, or the heart fulfilled its functions;" that in the year 1821 he had published his "Confessions," in which, while leading the unobservant reader to think that he had mastered the habit, he had in truth only so far succeeded as to reduce his daily allowance from a quantity varying from fifty or sixty to one hundred and fifty grains, down to one varying from seven to twelve grains; that in the year 1822 an appendix was added to the "Confessions" which contained a tabular statement of his further progress toward an absolute abandonment of the drug, and indicating his gradual descent, day by day, for thirty-five days, when the reader is naturally led to suppose that the experiment was triumphantly closed by his entire disuse of opium.

I had failed, however, to observe that a few pages preceding this detailed statement the writer had given a faint intimation that the experiment had been a more protracted one than was indicated by the table. I had also failed to notice the fact that no real progress had been made during the first four weeks of the attempt: the average quantity of laudanum daily consumed for the first week being one hundred and three drops; of the second, eighty-four drops; of the third, one hundred and forty-two drops; and of the fourth, one hundred and thirty-eight drops; and that in the fifth week the self-denial of more than three days had been rewarded with the indulgence of three hundred drops on the fourth. A careful comparison of this kind, showing that in an entire month the average of the first week had been but one hundred and three drops, while the average of the last had been one hundred and thirty-eight drops, and that in the fifth week a frantic effort to abstain wholly for three days had obliged him to use on the fourth more than double the quantity to which of late he had been accustomed, would have prevented the incautious conclusion, suggested by his table, that De Quincey made use of laudanum but on two occasions after the expiration of the fourth week.

Whatever may have been the length of time taken by De Quincey "in unwinding to its last link the chain which bound" him, it is certain we have no means of knowing it from any thing he has recorded. Be it shorter or longer, his failure to state definitely the entire time employed in his experiment occasioned me much and needless suffering. I thought that if another could descend, without the experience of greater misery than De Quincey records, from one hundred and thirty drops of laudanum, equivalent to about five grains of opium, to nothing, in thirty-four or five days, and in this brief period abandon a habit of more than nine years' growth, a more resolved will might achieve the same result in the same number of days, though the starting-point in respect to aggregate quantity and to length of use was much greater. The object, therefore, to be accomplished in my own case was to part company forever with opium in thirty-five days, cost what suffering it might. On the 26th of November, in a half-desperate, half-despondent temper of mind, I commenced the long-descending gradus which I had rapidly ascended so many years before. During this entire period the quantity consumed had been pretty uniformly eighty grains of best Turkey opium daily. Occasional attempts to diminish the quantity, but of no long continuance, and occasional overindulgence during protracted bad weather, furnished the only exceptions to the general uniformity of the habit.

The experiment was commenced by a reduction the first day from eighty grains to sixty, with no very marked change of sensations; the second day the allowance was fifty grains, with an observable tendency toward restlessness, and a general uneasiness; the third day a further reduction of ten grains had diminished the usual allowance by one-half, but with a perceptible increase in the sense of physical discomfort. The mental emotions, however, were entirely jubilant The prevailing feeling was one of hopeful exultation. The necessity for eighty grains daily had been reduced to a necessity for only forty, and, therefore, one-half of the dreaded task seemed accomplished. It was a great triumph, and the remaining forty grains were a mere bagatelle, to be disposed of with the same serene self-control that the first had been. A weight of brooding melancholy was lifted from the spirits: the world wore a happier look. The only drawback to this beatific state of mind was a marked indisposition to remain quiet, and a restless aversion to giving attention to the most necessary duties.

Two days more and I had come down to twenty-five grains. Matters now began to look a good deal more serious. Only fifteen of the last forty grains had been dispensed with; but this gain had cost a furious conflict. A strange compression and constriction of the stomach, sharp pains like the stab of a knife beneath the shoulder-blades, perpetual restlessness, an apparent prolongation of time, so much so that it seemed the day would never come to a close, an incapacity of fixing the attention upon any subject whatever, wandering pains over the whole body, the jaw, whenever moved, making a loud noise, constant iritability of mind and increased sensibility to cold, with alternations of hot flushes, were some of the phenomena which manifested themselves at this stage of the process. The mental elations of the first three days had become changed by the fifth into a state of high nervous excitement; so that while on the whole there was a prevailing hopefulness of temper, and even some remaining buoyancy of spirits, arising chiefly from the certainty that already the quantity consumed had been reduced by more than two-thirds, the conviction had, nevertheless, greatly deepened, that the task was like to prove a much more serious one than I had anticipated. Whether it was possible at present to carry the descent much further had become a grave question. The next day, however, a reduction of five grains was somehow attained; but it was a hard fight to hold my own within this limit of twenty grains. From this stage commenced the really intolerable part of the experience of an opium-eater retiring from service. During a single week, three-quarters of the daily allowance had been relinquished, and in this fact, at least, there was some ground for exultation. If what had been gained could only be secured beyond any peradventure of relapse, so far a positive success would be achieved.

Had the experiment stopped here for a time until the system had become in some measure accustomed to its new habits, possibly the misery I subsequently underwent might some of it have been spared me. However this may be, I had not the patience of mind necessary for a protracted experiment. What I did must be done at once; if I would win I must fight for it, and must find the incentive to courage in the conscious desperation of the contest.

From the point I had now reached until opium was wholly abandoned, that is, for a month or more, my condition may be described by the single phrase, intolerable and almost unalleviated wretchedness. Not for a waking moment during this time was the body free from acute pain; even in sleep, if that may be called sleep which much of it was little else than a state of diminished consciousness, the sense of suffering underwent little remission. What added to the aggravation of the case, was the profound conviction that no further effort of resolution was possible, and that every counteracting influence of this kind had been already wound up to its highest tension. I might hold my own; to do anything more I thought impossible. Before the month had come to an end, however, I had a good deal enlarged my conceptions of the possible resources of the will when driven into a tight corner.