It will be understood, therefore, that in describing the effects of a moderate amount of alcohol on the system, an amount below 1½ ounces of absolute alcohol per day is meant, freely diluted, and taken as a rule with meals.
1. Effect on the Stomach.—In very small quantities, alcohol seems to stimulate digestion in the same way as mustard. But like all other artificial helps to digestion, it is best avoided in the healthy condition.
2. The Effect on the Liver is similar to that on the stomach—a temporary redness and congestion being produced; this effect soon disappearing if the dose is small and well diluted. But in all cases where there is a tendency to biliousness, even small doses of alcohol are injurious.
3. The Effect on the Heart and Blood-Vessels is first to increase the force of the heart’s action and the rapidity of the pulse. The stimulation of the heart is rapidly followed by a universal dilatation of the small arteries of the body, which diminishes the blood-pressure. Parkes and Wollowicz found that the daily administration of from 1 to 7½ ounces of rectified spirit raised the pulse rate by ten beats per minute, as compared with other periods; and that this effect was followed by a period of depression in which the beat was both slower and feebler than usual.
4. The Effect on the Nervous System varies. In persons unaccustomed to its effects, even small doses dull the power of thought and the rapidity of perception, owing to the paralyzing effect which it exerts on nerve cells. In most cases, however, it at first produces increased rapidity of thought and excites the imagination, though even here it makes it more difficult to keep to one train of thought. This is clearly owing to the more rapid circulation of blood through the brain. Dr. E. Smith’s experiments show that it diminishes the acuteness of the senses. Its influence even in dietetic doses, on the capacity for mental work, is slightly to diminish it.
5. The Effect on the Muscular System is never beneficial. Even when only small quantities are taken, the power of controlling delicate movements is slightly diminished. For persons engaged in laborious occupations, a small quantity does not produce much apparent effect, but where the quantity exceeds two fluid ounces per day the capacity for strong and sustained muscular work is manifestly lessened (Parkes). This effect is probably due partly to the dulling of the nervous system, rendering the muscles less amenable to the will, and partly to the over-excitation of the heart causing palpitation and breathlessness.
6. The Effect on Metabolism is to diminish it, thus favouring the deposit of fat in the tissues. It acts as a poison to the protoplasm of the cells of the body, diminishing their power to break down the floating nutriment, especially fat and carbohydrate.
The Effect on the Temperature is to lower it; but unless the dose is excessive, this effect is hardly appreciable. The resistance to excessive cold is diminished by even moderate doses of alcohol, still more by large doses. In the Arctic regions, this has been abundantly proved. This effect is produced, notwithstanding the fact that alcohol becomes oxidised in the system. The dilatation of the surface blood vessels leads to a greater loss of heat than that produced by the oxidation of the alcohol.
Effects of Immoderate Doses of Alcohol on the System.—Bearing in mind the definition given of a moderate dose, one is bound to admit that a large number of individuals exceed this amount daily, apparently without any very serious results. The system becomes habituated to large doses, and if the occupation is a laborious one, they may in part be oxidised in the system. Such, however, are exceptional cases. In the majority of cases evil results are by no means confined to those who indulge in very large quantities of alcohol at varying intervals. In fact these very often escape comparatively free, while others who never take a quantity sufficient to incapacitate them for their work, are sowing the seeds of chronic and oft incurable disease. The labourer who has a drinking bout at intervals is thoroughly nauseated; and the condition of liver and stomach induced, enforces abstinence on him for a time sufficient to bring his organs back to a normal condition; while the city merchant who indulges more moderately, but whose organs are almost continuously impregnated with alcohol, becomes gouty and prematurely old.
The Stomach may become acutely inflamed, when a large dose of alcohol is taken. The chronic irritation of alcohol, especially when taken apart from meals, causes atrophy of the walls of the stomach, and a change analogous to that in the liver.