The Opium Habit

by Horace B. Day

Another point in my own experience is, that in a few weeks only, after commencing or recommencing the use of opium, I always reached the full amount which, as a habit, I ever used—that is, either a half-ounce of opium or a quarter-ounce of morphine. I never went on increasing the dose in order to get the required amount of stimulation, but at one or the other of these two points I would remain for years successively. A third remark I would make is, that it is only for the first few weeks after commencing the use of opium that one feels palpably and distinctly the thrilling of the nerves, the sensation of being stimulated and raised above the previously existing physical tone, for which the drug was first taken. All the effects produced after that by the opium, are to keep the body at that level of sensation in which one feels positively alive and capable to act, without being impeded or weighed down by physical languor and impotence. Such languor and impotence one feels from abstaining merely a few hours beyond the wonted time of taking the dose. It is not pleasure, then, that drives onward the confirmed opium-eater, but a necessity scarce less resistible than that Fate to which the pagan mythology subjected gods not less than men.

Let me now, before closing, attempt briefly to describe the effects of opium upon the body and mind of the user, as also the principal sensations accompanying the breaking of the habit.

The opium-eater is prevailingly disinclined to, and in some sort incapacitated for, bodily exertion or locomotion. A considerable part of the time he feels something like a sense, not very distinctly defined, of bodily fatigue; and to sit continuously in a rocking or an easy chair, or to recline on a sofa or bed, is his preference above all modes of disposing of himself. To walk up a flight of stairs often palpably tires the legs, and makes him pant almost as much as a well person does after pretty rapid motion. His lungs manifestly are somehow obstructed, and do not play with perfect freedom. His liver too is torpid, or else but partially active; for if using laudanum or the opium pill, he is constantly more or less costive, the faeces being hard and painful to expel; and if using morphone, though he may have a daily movement, yet the faeces are dry and harder than in health. One other morbid physical symptom I remember to have experienced for a considerable time while using a quarter of an ounce of morphine per week, and this was an annoying palpitation of the heart. I was once told, too, by a keen observer, who knew my habit, that my color was apt to change frequently from red to pale.

These are substantially all the physical peculiarities I experienced during my opium-using years. It is still true, however, that the years of my using opium (or, in perfect strictness, morphine) were as healthy as any, if not the very healthiest, of the years of my life.

But what of the effects of opium-eating on the mind? The one great injury it works, is (I think) to the will, that force whereby a man executes the work he was sent here to do, and breasts and overcomes the obstacles and difficulties he is appointed to encounter, and bears himself unflinchingly amid the tempests of calamity and sorrow which pertain to the mortal lot. Hardihood, manliness, resolution, enterprise, ambition, whatever the original degree of these qualities, become grievously debilitated if not wholly extinct. Reverie, the perusal of poetry and fiction, becomes the darling occupation, of the opium-user, and he hates every call that summons him from it. Give him an intellectual task to accomplish; place him in a position where a mental, effort is to be made; and, most probably, he will acquit him with unusual brilliancy and power, supposing his native ability to be good. But he can not or will not seek and find for himself such work and such position. He feels helpless, and incompetent to stir about and hold himself upright amid the jostling, competitive throngs that crowd the world's paths, and there seek life's prizes by performing life's duties and executing its requisitions. Solitude, with his books, his dreams and imaginings, and the excited sensibilities that lead to no external action, constitute his chosen world and favorite life. In one word, he is a species of maniac; since, I believe, his views, his feelings, and his desires in relation to most things are peculiar, eccentric, and unlike those of other men, or of himself in a state of soundness. There is, however, as complete a "method in his madness" as in the sanity of other men. He is in a different sphere from other men, and in that sphere he is sane.

The first symptoms attendant on breaking off the habit, coming on some hours after omitting the wonted dose, are a constant propensity to yawn, gape, and stretch, together with somewhat of languor, and a general uneasiness. Time passes, and there follows a sensation as if the stomach was drawn together or compressed, as if with a slight degree of cramp, coupled with a total extinction of appetite; the mouth and throat become dry and irritated; there is an incessant disposition to clear the throat by "hemming" and swallowing, and there is a tickling in the nose which necessitates frequent sneezing, sometimes a dozen or even twenty times in succession. As the hours go on, shudders run through the frame, with alternate fever heats and icy chills, hot sweats and cold clammy sweats, while a dull, incessant ache pervades the bones, especially at the joints, alternated by an occasional sharp, intolerable pang, like tic-douloureux. Then follow a host of indescribable sensations, as of burning, tinglings, and twitchings, seeming to run along just beneath the surface of the skin over the whole body, and so strange are these sensations that one is prompted to scream, and strike the wall, the bed, or himself, to vary them. By this time the liver commences a most energetic action, and a violent diarrhea sets in. The discharges are not watery or mucous, but, save in thinness, not very unlike healthy stools for the most part. Not long, however, after the commencement of the diarrhea, so copious is the effusion of bile from the liver, that one will sometimes pass, for a dozen stools in succession, what seems to be merely a blackish bile, without a particle of fæces mingled with it. But this lasts not many days, and is followed by the thin, not altogether unhealthy-looking discharges above mentioned, repeated often an incredible number of times per day. Whether from the quality of these discharges, or from whatever cause, the interior surface of the bowels feels intolerably hot, as though excoriated, and it seems as if boiling water or aqua fortis running through the intestines would scarce torture one more than these stools. In fact, all the internal surfaces of the body are in this same burning, raw-feeling state. The brain, too, is in a highly excited, irritable condition; the head sometimes aching and throbbing, as though it must burst into fragments, and a humming, washing, simmering noise going on incessantly for days together. Of course there can be no sleep, and one will go on for ten days and nights consecutively without one moment's loss of intensest consciousness, so far as he can judge! Strange to say, notwithstanding this excessive irritation of the entire system, one feels so feeble and strengthless that he can scarce drag one foot after the other, and to walk a few rods, or up a flight of stairs, is so terribly fatiguing that one must needs sit down and pant. (Let it be noted, that these symptoms belong to the case where one is simply deprived at once and wholly of opium without any medical help, unless the use of cold water be considered such.) These symptoms (unaided by medicine) last, with gradual abatements of virulence, from twenty to thirty days, and then mostly die away. Not well and right, however, does one feel, even then. Though for the most part free from pain, he is yet physically weak, and all corporeal exertion is a distressing effort. He must needs sleep, too, enormously, going to bed often at sunset in a July day, and sleeping log-like until six or seven next morning, and then sleeping with like soundness two or three hours after dinner. How long it would be before the recovery of his complete original strength and natural physical tone, personal experience does not enable me to say. His condition, both in itself and as relates to others, is meanwhile most strange and anomalous. He looks, probably, better than ever in his life before. In sufficiently full flesh, with ruddy cheeks and skin clear as a healthy child's, the beholder would pronounce him in the height of health and vigor, and would glow with indignation at seeing him loitering about day after day, doing little save sleep, in a world where so much work needs to be done. And yet he feels all but impotent for enterprise, or any active physical efforts; for there is scarce enough nervous force in him to move his frame to a lingering walk, and sometimes it seems as if the nervous fibres were actually pulled out, and he must move, if at all, by pure force of volition.

Most singular too, the while, is the state of his mind. His power of thought is keen, bright, and fertile beyond example, and his imagination swarms with pictures of beauty, while his sensitiveness to impressions and emotions of every kind is so excessively keen that the tears spring to his eyes on the slightest occasion. He is a child in sensibility, while a youth in the vividness, and a man in the grasp, the piercingness and the copiousness of his thoughts. He can not write down his thoughts, for his arm and hand are unnerved; but in conversation or before an audience he can utter himself as if filled with the breath of inspiration itself.

INSANITY AND SUICIDE FROM AN ATTEMPT TO ABANDON MORPHINE.

The account which follows is abridged from advance proof-sheets of a narrative, written for separate publication, by Dr. L. Barnes, of Delaware, Ohio, by whose courtesy a portion of his article appears in these pages.

In the afternoon of Saturday, January 25th, 1868, Rev. G. W. Brush, of Delaware, a clergyman of estimable character and more than respectable talents, was found to have committed suicide. Sixteen or seventeen years previous to this fatal act, morphine had been prescribed to Mr. Brush for occasional disorder in the bowels and for a dormant cancer of the tongue. But something else which had not been prescribed—an unrelenting necessity to go on as he had begun—was also developed in his nature, which in time bore its matured and inevitable fruit. Mr. Brush made his case known for the first time to Dr. Barnes in November, 1866, when his habitual consumption of morphine varied from twelve to fifteen grains daily, with an occasional use of double this quantity.