Chapter 1

Produced by David Maddock, Charles Franks and the Online Distributed Proofreading Team

THE OPIUM HABIT,

WITH

SUGGESTIONS AS TO THE REMEDY.

"After my death, I earnestly entreat that a full and unqualified narrative of my wretchedness, and of its guilty cause, may be made public, that at least some little good may be effected by the direful example."--COLERIDGE.

CONTENTS

INTRODUCTION

A SUCCESSFUL ATTEMPT TO ABANDON OPIUM

DE QUINCEY'S "CONFESSIONS OF AN ENGLISH OPIUM-EATER"

OPIUM REMINISCENCES OF COLERIDGE

WILLIAM BLAIR

OPIUM AND ALCOHOL COMPARED

INSANITY AND SUICIDE FROM AN ATTEMPT TO ABANDON MORPHINE

A MORPHINE HABIT OVERCOME

ROBERT HALL--JOHN RANDOLPH--WILLIAM WILBERFORCE

WHAT SHALL THEY DO TO BE SAVED?

OUTLINES OF THE OPIUM-CURE

INTRODUCTION.

This volume has been compiled chiefly for the benefit of opium-eaters. Its subject is one indeed which might be made alike attractive to medical men who have a fancy for books that are professional only in an accidental way; to general readers who would like to see gathered into a single volume the scattered records of the consequences attendant upon the indulgence of a pernicious habit; and to moralists and philanthropists to whom its sad stories of infirmity and suffering might be suggestive of new themes and new objects upon which to bestow their reflections or their sympathies. But for none of these classes of readers has the book been prepared. In strictness of language little medical information is communicated by it. Incidentally, indeed, facts are stated which a thoughtful physician may easily turn to professional account. The literary man will naturally feel how much more attractive the book might have been made had these separate and sometimes disjoined threads of mournful personal histories been woven into a more coherent whole; but the book has not been made for literary men. The philanthropist, whether a theoretical or a practical one, will find in its pages little preaching after his particular vein, either upon the vice or the danger of opium-eating. Possibly, as he peruses these various records, he may do much preaching for himself, but he will not find a great deal furnished to his hand, always excepting the rather inopportune reflections of Mr. Joseph Cottle over the case of his unhappy friend Coleridge. The book has been compiled for opium-eaters, and to their notice it is urgently commended. Sufferers from protracted and apparently hopeless disorders profit little by scientific information as to the nature of their complaints, yet they listen with profound interest to the experience of fellow-sufferers, even when this experience is unprofessionally and unconnectedly told. Medical empirics understand this and profit by it. In place of the general statements of the educated practitioner of medicine, the empiric encourages the drooping hopes of his patient by narrating in detail the minute particulars of analagous cases in which his skill has brought relief.

Before the victim of opium-eating is prepared for the services of an intelligent physician he requires some stimulus to rouse him to the possibility of recovery. It is not the _dicta_ of the medical man, but the experience of the relieved patient, that the opium-eater, desiring--nobody but he knows how ardently--to enter again into the world of hope, needs, to quicken his paralyzed will in the direction of one tremendous effort for escape from the thick night that blackens around him. The confirmed opium-eater is habitually hopeless. His attempts at reformation have been repeated again and again; his failures have been as frequent as his attempts. He sees nothing before him but irremediable ruin. Under such circumstances of helpless depression, the following narratives from fellow-sufferers and fellow-victims will appeal to whatever remains of his hopeful nature, with the assurance that others who have suffered even as he has suffered, and who have struggled as he has struggled, and have failed again and again as he has failed, have at length escaped the destruction which in his own case he has regarded as inevitable.

The number of confirmed opium-eaters in the United States is large, not less, judging from the testimony of druggists in all parts of the country as well as from other sources, than eighty to a hundred thousand. The reader may ask who make up this unfortunate class, and under what circumstances did they become enthralled by such a habit? Neither the business nor the laboring classes of the country contribute very largely to the number. Professional and literary men, persons suffering from protracted nervous disorders, women obliged by their necessities to work beyond their strength, prostitutes, and, in brief, all classes whose business or whose vices make special demands upon the nervous system, are those who for the most part compose the fraternity of opium-eaters. The events of the last few years have unquestionably added greatly to their number. Maimed and shattered survivors from a hundred battle-fields, diseased and disabled soldiers released from hostile prisons, anguished and hopeless wives and mothers, made so by the slaughter of those who were dearest to them, have found, many of them, temporary relief from their sufferings in opium.

There are two temperaments in respect to this drug. With persons whom opium violently constricts, or in whom it excites nausea, there is little danger that its use will degenerate into a habit. Those, however, over whose nerves it spreads only a delightful calm, whose feelings it tranquillizes, and in whom it produces an habitual state of reverie, are those who should be upon their guard lest the drug to which in suffering they owe so much should become in time the direst of curses. Persons of the first description need little caution, for they are rarely injured by opium. Those of the latter class, who have already become enslaved by the habit, will find many things in these pages that are in harmony with their own experience; other things they will doubtless find of which they have had no experience. Many of the particular effects of opium differ according to the different constitutions of those who use it. In De Quincey it exhibited its power in gorgeous dreams in consequence of some special tendency in that direction in De Quincey's temperament, and not because dreaming is by any means an invariable attendant upon opium-eating. Different races also seem to be differently affected by its use. It seldom, perhaps never, intoxicates the European; it seems habitually to intoxicate the Oriental. It does not generally distort the person of the English or American opium-eater; in the East it is represented as frequently producing this effect.

It is doubtful whether a sufficient number of cases of excess in opium-eating or of recovery from the habit have yet been recorded, or whether such as have been recorded have been so collated as to warrant a positive statement as to all the phenomena attendant upon its use or its abandonment. A competent medical man, uniting a thorough knowledge of his profession with educated habits of generalizing specific facts under such laws--affecting the nervous, digestive, or secretory system--as are recognized by medical science, might render good service to humanity by teaching us properly to discriminate in such cases between what is uniform and what is accidental. In the absence, however, of such instruction, these imperfect, and in some cases fragmentary, records of the experience of opium-eaters are given, chiefly in the language of the sufferers themselves, that the opium-eating reader may compare case with case, and deduce from such comparison the lesson of the entire practicability of his own release from what has been the burden and the curse of his existence. The entire object of the compilation will have been attained, if the narratives given in these pages shall be found to serve the double purpose of indicating to the beginner in opium-eating the hazardous path he is treading, and of awakening in the confirmed victim of the habit the hope that he may be released from the frightful thraldom which has so long held him, infirm in body, imbecile in will, despairing in the present, and full of direful foreboding for the future.

In giving the subjoined narratives of the experience of opium-eaters, the compiler has been sorely tempted to weave them into a more coherent and connected story; but he has been restrained by the conviction that the thousands of opium-eaters, whose relief has been his main object in preparing the volume, will be more benefited by allowing each sufferer to tell his own story than by any attempt on his part to generalize the multifarious and often discordant phenomena attendant upon the disuse of opium. As yet the medical profession are by no means agreed as to the character or proper treatment of the opium disease. While medical science remains in this state, it would be impertinent in any but a professional person to attempt much more than a statement of his own case, with such general advice as would naturally occur to any intelligent sufferer. Very recently indeed, some suggestions for the more successful treatment of the habit have been discussed both by eminent medical men and by distinguished philanthropists. Could an Institution for this purpose be established, the chief difficulty in the way of the redemption of unhappy thousands would be obviated. The general outline of such a plan will be found at the close of the volume. It seems eminently deserving the profound consideration of all who devote themselves to the promotion of public morals or the alleviation of individual suffering.

THE OPIUM HABIT.

A SUCCESSFUL ATTEMPT TO ABANDON OPIUM.

In the personal history of many, perhaps of most, men, some particular event or series of events, some special concurrence of circumstances, or some peculiarity of habit or thought, has been so unmistakably interwoven and identified with their general experience of life as to leave no doubt in the mind of any one of the decisive influence which such causes have exerted. Unexaggerated narrations of marked cases of this kind, while adding something to our knowledge of the marvellous diversities of temptation and trial, of success and disappointment which make up the story of human life, are not without a direct value, as furnishing suggestions or cautions to those who may be placed in like circumstances or assailed by like temptations.

The only apology which seems to be needed for calling the attention of the reader to the details which follow of a violent but successful struggle with the most inveterate of all habits, is to be found in the hope which the writer indulges, that while contributing something to the current amount of knowledge as to the horrors attending the habitual use of opium, the story may not fail to encourage some who now regard themselves as hopeless victims of its power to a strenuous and even desperate effort for recovery. Possibly the narrative may also not be without use to those who are now merely in danger of becoming enslaved by opium, but who may be wise enough to profit in time by the experience of another.

A man who has eaten much more than half a hundredweight of opium, equivalent to more than a hogshead of laudanum, who has taken enough of this poison to destroy many thousand human lives, and whose uninterrupted use of it continued for nearly fifteen years, ought to be able to say something as to the good and the evil there is in the habit. It forms, however, no part of my purpose to do this, nor to enter into any detailed statement of the circumstances under which the habit was formed. I neither wish to diminish my own sense of the evil of such want of firmness as characterizes all who allow themselves to be betrayed into the use of a drug which possesses such power of tyrannizing over the most resolute will, nor to withdraw the attention of the reader from the direct lesson this record is designed to convey, by saying any thing that shall seem to challenge his sympathy or forestall his censures. It may, however, be of service to other opium-eaters for me to State briefly, that while endowed in most respects with uncommon vigor of any tendency to despondency or hypochondria, an unusual nervous sensibilitv, together with a constitutional tendency to a disordered condition of the digestive organs, strongly predisposed me to accept the fascination of the opium habit. The difficulty, early in life, of retaining food of any kind upon the stomach was soon followed by vagrant shooting pains over the body, which at a later day assumed a permanant chronic form.

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.