The Opium Habit

by Horace B. Day

It was at night, however, that the suffering from this change of habit became most unendurable. While the day-light lasted it was possible to go out-of-doors, to sit in the sunlight, to walk, to do something to divert attention from the exhausted and shattered body; but when darkness fell, and these resources failed, nothing remained except a patient endurance with which to combat the strange torment. The only disposition toward sleep was now limited to the early evening. Double dinners, together with the disuse of tobacco, began at this time to induce a fullness of habit in spite of bodily pain. In addition to this, the liver was seriously affected—which seems to be a concomitant of the rapid disuse of opium—and a tendency to heavy drowsiness resulted, as usually happens when this organ is disordered. As early as six or seven o'clock an unnatural heaviness would oppress the senses, shutting out the material world, but not serving wholly to extinguish the consciousness of pain, and which commonly lasted for an hour or two. For no longer period could sleep be induced upon any terms. During these wretched weeks the moments seemed to prolong themselves into hours, and the hours into almost endless durations of time. The monotonous sound of the ticking clock often became unendurable. The calmness of its endlessly-repeated beats was in jarring discord with my own tumultuous sensations. At times it seemed to utter articulate sounds. "Ret-ri-bu-tion" I recollect as being a not uncommon burden of its song. As the racked body, and the mind, possibly beginning to be diseased, became intolerant of the odious sound, the motion of the clock was sometimes stopped, but the silence which succeeded was even worse to the disordered imagination than the voices which had preceded it. With the eyes closed in harmony with the deadly stillness, all created nature seemed annihilated, except my single, suffering self, lying in the midst of a boundless void. If the eyes were opened, the visible world would return, but peopled with sights and sounds that made the misty vastness less intolerable. There appeared to be nothing in these sensations at all approaching the phenomena exhibited in delirium tremens. On the contrary, the mind was always and perfectly aware, except for the instant, of the unreal nature of these deceptions and illusions.

A single case will sufficiently illustrate the nature of some of these apparitions. In the absence of sleep, and while engaged as was not unusual at this period in the perpetration of doggerel verse, the irritation of the stomach became intolerable. The sensation seemed similar to what. I had read of the final gnawings of hunger in persons dying of starvation; a new vitality appeared to be imparted to the organ, revealing to the consciousness a capacity for suffering previously unsuspected. In the earlier stages, this feeling, which did not exhibit itself till somewhat late in the process of leaving off opium, was marked by an insatiable craving for stimulus of some sort, and a craving which would hardly take denial. While suffering in this way intolerably on one occasion, and after having attempted in vain to find some possible alleviation suggested in the pages of De Quincey, which lay near me, I threw myself back on the bed with the old resolution to fight it out. Almost immediately an animal like a weasel in shape, but with the neck of a crane and covered with brilliant plumage, appeared to spring from my breast to the floor. A venerable Dutch market-woman, of whom I had been in the habit of purchasing celery, seemed to intervene between me and the animal, begging me not to look at it, and covering it with her apron. Just as I was about to remonstrate against her interference, something seemed to give way in the chest and the violence of the pain suddenly abated.

It may aid the reader to form some adequate notion of the dreary length to which these nights drew themselves along, to mention that on one occasion, wearied out and disgusted with such illusions, I resolved neither to look at the clock nor open my eyes for the next two hours. It then wanted ten minutes to one; at ten minutes to three my compact with myself would close. For what seemed thousands upon thousands of times I listened to the clock's steady ticking. I heard it repeat with murderous iteration, "Ret-ri-bu-tion," varied occasionally, under some new access of pain, with other utterances. Though ordinarily so little endowed with the poetic gift as never to have attempted to write a line of verse, yet at this time, and for a few days previous, I had experienced a strange development of the rhythmical faculty, and on this particular occasion I made verses, such as they were, with incredible ease and rapidity. I remember being greatly troubled by the necessity for a popular national hymn, and manufactured several with extempore rapidity. Had their merit at all corresponded with the frightful facility with which they were composed, they would have won universal popularity. Unfortunately, the effusions were never written down, and can not, therefore, be added to that immense mass of trash which demonstrates the still possible advent of a true American Marseillaise.

With these tasks accomplished, and with a suspicion that the allotted hours must have long expired, I would yet remind myself that I was in a condition to exaggerate the lapse of time; and then, to give myself every assurance of fidelity to my purpose, I would start off on a new term of endurance. I seemed to myself to have borne the penance for hours, to have made myself a shining example of what a resolute will can do under circumstances the most inauspicious. At length, when certain that the time must have much more than expired, and with no little elation over the happy result of the experiment, I looked up to the clock and found it to be just three minutes past one! Little as the mind had really accomplished, the sense of its activity in these few minutes had been tremendous. Measuring time by the conscious succession of ideas may, if I may say it parenthetically, be no more than the same infirmity of our limited human faculties which just now is leading so many men of science, consciously or unconsciously, to recognize in Nature co-ordinate gods, self-subsisting and independent of the ever-living and all-present God.

During the five days in which I was descending from the use of six grains of opium to two, the indications of the changes going on in the system were these: The gnawing sensation in the stomach continued and increased; the plethoric feeling was unabated, the pulse slow and heavy, usually beating about forty-seven or forty-eight pulsations to the minute; the blood of the whole system seemed to be driven to the extremities of the body; my face had become greatly flushed; the fingers were grown to the size of thumbs, while they, together with the palms of the hands and the breast, parted with their cuticle in long strips. The lower extremities had become hard, as through the agency of some compressed fluid. A prickling sensation over the body, as if surcharged with electricity, and accompanied with an apparent flow of some hot liquid down the muscles of the arms and legs, exhibited itself at this time. A constant perspiration of icy coldness along the spine had also become a conspicuous element in this strange aggregation of suffering. The nails of the fingers were yellow and dead-looking, like those of a corpse; a kind of glistening leprous scales formed over the hands; a constant tremulousncss pervaded the whole system, while separate small vibrations of the fibres on the back of the hand were plainly visible to the eye. To these symptoms should be added a dimness of sight often so considerable as to prevent the recognition of objects even at a short distance.

With an experience of which this is only a brief outline, Christmas Day found me using but two grains of opium. Seven days still remained to me before I was to be brought by my pledge to myself to the last use of the drug. For several days previous to this I had abandoned my bed, through apprehension of falling whenever partial sleep left the tumbling and tossing body exempt from the control of the will, and had betaken myself to a low couch made up before the fire, with a second bed on the floor by its side. The necessity for such precaution was repeatedly indicated, but through the kindest care of those whose solicitude never ceased, and who added inexpressibly to this kindness by controlling as far as possible every appearance of solicitude, no injury resulted.

Under the accumulated agony of this part of the trial I began to fear that my mind might give way. I was conscious of occasional fury of temper under very slight provocation. An expressman had charged me what was really an extortionate sum for bringing out a carriage from the city. I can laugh now over the absurd way in which I attacked him, not so much I am sure to save the overcharge as to get rid on so legitimate an object of my accumulated irritability. After nearly an hour's angry dispute, in which I watched successfully and with a malicious ingenuity for any opening through which I could enrage him, and for doing which I am certain he would forgive me if he had known how much I was suffering, he at last gave up the contest by exclaiming, "For heaven's sake give me any thing you please—only let me go!" I had not only saved my money, but felt myself greatly refreshed at finding there was so much life left in me.

It should have been stated before, that when the daily allowance had been reduced to six grains that quantity was divided into twelve pills, and that as this was diminished the size of the pills became gradually smaller till each of them only represented an eighth of a grain. As the daily amount of opium became smaller, although its general effect on the system was necessarily diminished, the conscious relief obtained from each of its fractional parts was for a few minutes more apparent than when these sub-divisions were first made. In this way it was possible so to time the effect as to throw their brief anodyne relief upon the dinner-hour or any other time when it might be convenient to have the agony of the struggle a little alleviated.

While I am not desirous of going into needless detail respecting all the particular phenomena of the process through which I was now passing, it may yet give the reader a more definite idea of the extremely nervous state to which I was reduced, if I mention that so nearly incapable had my hand become of holding a pen, that whenever it was absolutely necessary for me to write a few lines I could only manage it by taking the pen in one quivering hand, then grasp it with the other to give it a little steadiness, watching for an interval in the nervous twitching of the arm and hand, and then, making an uncertain dash at the paper, scrawl a word or two at long intervals. In this way I continued for several weeks to prepare the few brief notes I was obliged to write. My signature at this period I regard with some curiosity and more pride. It is certainly better than that of Guido Faux, affixed to his examination after torture, though it is hardly equal to the signature of Stephen Hopkins to the Declaration of Independence.

Christmas Day found me in a deplorable condition. No symptom of dissolving nature seemed alleviated; indeed the aggravation of the previous ones, especially of the already unendurable irritation of the stomach, was very obvious. In addition to this, the protracted wakefulness at night began to tell upon the brain, and I resolved to make my case known to a physician. I should have done this long before, but I had been deterred by two things—a long-settled conviction that all recovery from such habits must be essentially the patient's own resolute act, and my misfortune in never having found among my medical friends any one who had made the opium disease a special study, or who knew very much about it. The weather was excessively disagreeable, the heavens, about forty feet off, distilling the finest and most penetrating kind of moisture, while the limestone soil under the influence of the long rain had made walking almost impossible. With frantic impatience I waited until an omnibus made its appearance long after it was due, but crowded outside and in. The only unoccupied spot was the step of the carriage. How in my enfeebled condition I could hold on to this jolting standing-place for half an hour was a mystery I could not divine. With many misgivings I mounted the step, and by rousing all my energies contrived for a few minutes to retain my foot-hold. My knees seemed repeatedly ready to give way beneath me, my sight became dim, and my brain was in a whirl; but I still held on. I would gladly have left the omnibus, but I was certain that I should fall if I removed my hands from the frame-work of the door by which I was holding on. At length, a middle-aged Irish woman who had been observing me said, "You look very pale, Sir; I am afraid you are sick. You must take my seat." I thanked her, but told her I feared I had not strength enough to step inside. Two men helped me in, and a few minutes afterward an humble woman was kneeling in her wet clothing in the Church of St. ——, not the less penetrated, I trust, with the divine spirit of that commemorative day by her self-denying kindness to a stranger in his extremity. When the paved sidewalk was at last reached I started, after a few minutes' rest, in search of a physician. Purposely selecting the least-frequented streets, in dread of falling if obliged to turn from a direct course, as might be necessary in a crowded thoroughfare, I walked down to the office of the medical man whom I wished to consult; but when I arrived it seemed to me that my case was beyond human aid, and I walked on. I can, perhaps, find no better place than this in which to call the distinct attention of opium-eaters who may be induced to start out on their own reformation, to the all-important fact that no part of the body will be found so little affected by the rapid disuse of opium as the muscles used in walking. I am no physiologist, and do not pretend to explain it, but it is a most fortunate circumstance that in the general chaos and disorder of the rest of the system, the ability to walk, on which so much of the possibility of recovery rests, is by far the least affected of all the physical powers.