Part 13

I need not remind you of the consequences to others besides the actual victims to spirit drinking, for that is unfortunately told too eloquently and but too vividly brought before us every day in the public newspapers. You will find that those acts of violence, those unfortunate cases that make one shudder to read, happening daily in this country--kicking wives, sometimes to death, beating and otherwise ill-using helpless children, violently attacking unoffending people in the streets--all are the results, more or less, of spirit drinking. Even the missionaries admit that opium smoking does not produce any of these evils. As I have said before, truth is natural to the human mind, and will reveal itself, even where it is not directly relevant to the purpose. Mr. Turner does not venture to dispute this in his book, and I would call your attention to the passage. He says on page 33:--

Even between drunkenness and opium smoking there are perceptible distinctions. We must allow that opium smoking is a much more pacific and polite vice. The opium sot does not quarrel with his mate nor kick his wife to death; he is quiet and harmless enough while the spirit of the drug possesses him.

That is all true so far as the fact goes, but if an insinuation is intended that the Chinaman gets violent after the effect of the drug has passed away, there is no foundation for it in fact. The Chinaman takes opium just because he likes it, and knowing it will act at once as a pleasing sedative and a harmless stimulant. A man who is working hard all day in a tropical climate, whether at bodily or mental work, finds, towards the close of the day, his nervous system in an unsettled state, and looks for a stimulant, and the most harmless and most effectual one he can find is the opium pipe. When opium and opium smoking are better understood--and I believe the subject is now but imperfectly known by most medical men in this country--I feel convinced that the faculty will largely prescribe opium smoking, not merely as a substitute for dram drinking, but as a curative agency, that in many cases will be found invaluable. In this I am borne out by an eminent medical authority, to whom I shall refer by-and-by. The regular and habitual opium smoker is seldom or never found to indulge in spirits at all. Stimulants of all kinds are so freely taken here that people never look upon them as a poison; but in point of fact they are a terrible poison, and a very active one, too. Another medical work of very great authority is that by Dr. Taylor.[7] It has always received the greatest attention in courts of law; and it is also held in the highest estimation by the medical profession. At page 315, under the head of "Poisoning by Alcohol," he says:--

The stomach has been found intensely congested or inflamed, the mucous membrane presenting in one case a bright red, and in another a dark red-brown colour. When death has taken place rapidly, there may be a peculiar odour of spirits in the contents; but this will not be perceived if the quantity taken was small, or many hours have elapsed before the inspection is made. The brain and its membranes are found congested, and in some instances there is effusion of blood or serum beneath the inner membrane. In a case observed by Dr. Geoghegan, in which a pint of spirits had been taken and proved fatal in eight hours, black extravasation was found on the mucous membrane of the stomach; but no trace of alcohol could be detected in the contents. The action of a strong alcoholic liquid on the mucous membrane of the stomach so closely resembles the effect produced by arsenic and other irritants, as easily to give rise to the suspicion of mineral irritant poisoning. A drawing in the museum collection of Guy's Hospital furnishes a good illustration of the local action of alcohol. The whole of the mucous membrane of the stomach is highly corrugated and is of a deep brownish-red colour. _Of all the liquids affecting the brain this has the most powerful action on the stomach._ A case of alcoholic poisoning of a child, æt. seven, referred to me by Mr. Jackaman, coroner for Ipswich, in July 1863, will serve to show the correctness of this remark. A girl was found at four o'clock in the morning lying perfectly insensible on the floor. She had had access to some brandy, which she had swallowed from a quartern measure, found near her empty. She had spoken to her mother only ten minutes before, so that the symptoms must have come on very rapidly. She was seen by Mr. Adams four hours afterwards. She was then quite insensible, in a state of profound coma, the skin cold, and covered with a clammy perspiration. There had been slight vomiting. The child died in twelve hours, without recovering consciousness, from the time at which she was first found.

So far Dr. Taylor, a most competent authority on the subject, as showing what a poison alcohol is. Now alcohol, as I have before mentioned, effects an organic change in the system, which opium, if smoked, or even if eaten does not; and when spirits are indulged in to a very considerable extent, the disease produced is absolutely incurable, because it is impossible for any medical skill to give a man new tissues, new blood, a new stomach, or a new liver, where the whole substance and material of all has undergone a complete and ruinous change. Now, the case as regards opium is totally different, because, no matter how much one may indulge in opium, whether in eating or smoking, the effects produced are always curable. This is so as regards opium eating; in respect to the infinitely less exciting practice of opium _smoking_, the rule applies with very much greater force. A man may smoke opium inordinately until, from want of appetite and impaired digestion, he seems sinking into the grave; he is, however, only labouring under functional derangement, which is always curable. The use of opium in any form produces no organic change in the system whatever. Excessive eating or smoking opium may impair the appetite and digestion, but that will be all. I have very competent medical authority for saying this. This fact places opium and alcohol in two entirely different categories. The one, if eaten in moderation, is, I believe, harmless, if not beneficial; while, as to the smoking of the drug, it is absolutely innocuous;--but if alcohol be freely though not inordinately used, it will prove, sooner or later, destructive to the system, acting upon the frame as a slow poison, which must eventually end, as experience shows, in ruin and death. De Quincey tells us in his _Confessions_ that he ate opium with impunity for eighteen years, and that it was only after eight years _abuse_ of opium eating that he suffered in any way from the practice.

I will now give you another extract from Dr. Pereira's book. At page 446, under the heading "Consequences of Habitual Drunkenness," he says:--

The continued use of spirituous liquors gives rise to various morbid conditions of system, a few only of the most remarkable of which can be here referred to. One of these is the disease known by the various names of _delirium tremens_, _d. potatorum_, _oinomapria_, &c., and which is characterized by delirium, tremor of the extremities, wakefulness, and great frequency of pulse. The delirium is of a peculiar kind. It usually consists in the imagined presence of objects which the patient is anxious to seize or avoid. Its pathology is not understood. It is sometimes, but not constantly, connected with or dependent on an inflammatory condition of the brain, or its membranes. Sometimes it is more allied to nervous fever. Opium has been found an important agent in relieving it. Insanity is another disease produced by the immoderate and habitual use of spirituous liquors.

Now I do not think that, much as they have abused opium smoking, any of the Anti-Opium writers have ever alleged insanity to be an effect or concomitant of opium smoking. It must therefore be taken as generally admitted that opium smoking, or even opium eating, does not produce insanity. We have, then, this undisputed fact, viz. _that insanity and acts of violence do not result from opium smoking, whilst they are unquestionably produced by spirit drinking_.

I had recently some conversation on the subject of opium with a medical friend who has been in large practice in London, for twenty years. I had previously spoken to him frequently on the same subject, and he has been kind enough to give me his views in a very interesting and concise manner. This opinion, I may tell you, is not paid for, or prepared merely to support a particular purpose, as in the case of trials in the law courts. It is purely spontaneous. We all know that professional men, whether doctors, lawyers, surveyors, and others, are all more or less prone to take the views of the party requiring their services, and they, accordingly, will give opinions more or less coinciding with those views. It does not, however, follow that the persons doing so are guilty of any moral wrong, or that they write or state what they do not believe to be true; on the contrary, they have a complete faith in the statements they make. The natural bent of the mind is to lean towards the views urged by one's patient or client; and thus two physicians or lawyers of the highest standing and character will be found to hold different opinions. But this statement with which I have been furnished stands on an entirely different footing. There can have been no bias in the mind of the writer; it is simply the result of study and experience. I have the most perfect confidence in this gentleman's opinions. He is Mr. William Brend, M.R.C.S. He says:--

There is no organic disease traceable to the use of opium, either directly or indirectly, and whether used in moderate quantities or even in great excess. In other words, _there is no special disease associated with opium_. Functional disorder, more or less, may be, and no doubt is, induced by the improper or unnecessary use of opium; but this is only what may be said of any other cause of deranged health, such as gluttony, bad air, mental anxiety....

However great the functional disorder produced by opium, even when carried to great excess, may be, the whole effect passes off, and the bodily system is restored in a little while to a state of complete health, if the habit be discontinued. Alcohol, when taken in moderation, unquestionably benefits a certain number of individuals, but there are others whose systems will not tolerate the smallest quantities; it acts upon them like a poison. But in the case of all persons when alcohol is taken in excess disease is sooner or later produced; that disease consists of organic changes induced in the blood-vessels of the entire system, more especially the minute blood-vessels called the capillaries; these become dilated, and consequently weakened in their coats, and eventually paralyzed, so that they cannot contract upon the blood. The result of this is stagnation, leading to further changes still, such as fatty degeneration of all the organs; for it must be remembered that alcohol circulates with the blood, and thus finds its way into the remotest tissues. The special diseases referrable to alcohol, besides this general fatty degeneration, are the disease of the liver called "cirrhosis," and very frequently "Bright's disease of the kidneys." Here, then, we have a great and important difference between opium and alcohol. The second great difference grows out of the first. It is this:--I have said that if alcohol be taken in excess for a certain length of time, depending to some extent upon the susceptibility of the individual, organic change, that is disease, is inevitable; but the saddest part of it is that it is real disease, not merely functional disorder; so that if those who have yielded to that excess can be persuaded to abandon alcohol entirely the mischief induced must remain. The progress of further evil may be staved off, but the system can never again be restored to perfect health. _The demon_ has taken a grip which can never be entirely unloosed. Herein there is the second great difference between the use of opium and of alcohol in excess.

If what I have said of opium eating be true, common sense will draw the inference that opium smoking must be comparatively innocuous, for used in this way, a very small quantity indeed of the active constituents find their entrance into the system. Its influence, like tobacco, is exerted entirely upon the nervous system, and when that influence has passed off it leaves (as also in the case of tobacco) a greater or less craving for its repetition; but as organic disease is not the result, I see no reason why opium smoking in moderation necessarily degrades the individual more than does the smoking of tobacco.

Here I will give you another extract from Mr. Storrs Turner's book, which tells against his case very strongly indeed. How he came to insert it I can only understand on the principle I have already mentioned, that truth is inherent to the human mind and will reveal itself occasionally even though it has to struggle through a mountain of prejudice and of warped understanding. This is it, from the evidence of Dr. Eatwell, First Assistant Opium Examiner in the Bengal service; it will be found on page 233:--

Having passed three years in China, I may be allowed to state the results of my observation, and I can affirm thus far, that the effects of the abuse of the drug do not come very frequently under observation, and that when cases do occur, the habit is frequently found to have been induced by the presence of some painful chronic disease, to escape from the sufferings of which the patient has fled to this resource. That this is not always the case, however, I am perfectly ready to admit, and there are doubtless many who indulge in the habit to a pernicious extent, led by the same morbid impulses which induce men to become drunkards in even the most civilised countries; but these cases do not, at all events, come before the public eye. It requires no laborious search in civilized England to discover evidences of the pernicious effects of the abuse of alcoholic liquors; our open and thronged gin-palaces, and our streets afford abundant testimony on the subject; but in China this open evidence of the evil effects of opium is at least wanting. As regards the effects of the habitual use of the drug on the mass of the people, I must affirm that no injurious results are visible. The people generally are a muscular and well-formed race, the labouring portion being capable of great and prolonged exertion under a fierce sun, in an unhealthy climate. Their disposition is cheerful and peaceable, and quarrels and brawls are rarely heard amongst even the lower orders; whilst in general intelligence they rank deservedly high amongst Orientals. I will, therefore, conclude with observing, that the proofs are still wanting to show that the moderate use of opium produces more pernicious effects upon the constitution than does the moderate use of spirituous liquors; whilst, at the same time, it is certain that the consequences of the abuse of the former are less appalling in their effect upon the victim, and less disastrous to society at large, than are consequences of the abuse of the latter.

Could any evidence against the allegations of the Anti-Opium Society be stronger than this? Have I not now a right to say, "Out of the mouth of thine own witness I convict thee!"

My own observation goes to show that opium smoking is far more fascinating than opium eating, and that the opium smoker never relapses into the opium eater. Opium eating, as I think I have already stated, is unknown in China. I think these statements put the question as regards opium smoking, opium eating, and spirit drinking in a very different light to what the advocates of the Anti-Opium Society throw upon the subject. The latter talk of the importation of Indian opium into China as the origin of the custom of smoking the drug, or, at the least, that it has made the natives smoke more than they otherwise would have done. There is no truth in such representations. Let us take the year 1880, for instance, and adopting the figures given by Sir Robert Hart, and concurred in by the British merchants, which I take to be quite correct, that the amount of opium imported into China from India was in that year one hundred thousand chests, each chest weighing a pikul, which would amount to about six thousand tons. Distribute those six thousand tons over the whole of China, which, as I have before so often said, is as large as Europe, and with a population amounting to three hundred and sixty millions, and you will find it gives such a trifling annual amount to each person, that Sir Robert Hart cannot mark from its use any damage to the finances of the State, the wealth of its people, or the growth of its population. In the United Kingdom, where we have less than a tenth of the population of China, there were two hundred thousand tons of alcohol--whisky, gin, brandy--and one thousand and ninety millions four hundred and forty-four thousand seven hundred and sixteen gallons of wine and beer consumed in that year. If all these spirits, wine, and beer were mixed up so as to form one vast lake--one huge "devil's punch-bowl"--there would be sufficient liquor for the whole population of the United Kingdom to swim in at one time. But if the tears of all the broken-hearted wives, widows, and orphans that flowed from the use of the accursed mixture were collected, they would produce such a sea of sorrow, such an ocean of misery as never before was presented to the world. Yet philanthropists and Christian people in this country give all their time, energies, and a great deal of their money to put down this purely sentimental grievance in China, and shut their eyes to the terrible evils thundering at their own doors!

The whole purpose of Mr. Storrs Turner's book, and of the Anti-Opium Society, is to write down opium smoking in China, with the ultimate view of suppressing the Indo-China opium trade; and no man living is better aware than Mr. Turner that opium eating is not a practice with the Chinese; indeed, I doubt if it is known in China at all. Yet, knowing all this, he puts forward the outrageous theory that opium smoking and opium eating are equally injurious; it therefore becomes a matter of the first importance that the great difference between these two practices should be clearly shown. In the appendix to Mr. Turner's book there is a mass of evidence, of which a large portion is quite beside the question, for it applies exclusively to opium eating--a practice, I assert and will clearly show, is totally different from, and a thousand times more trying to the constitution than opium smoking. Dr. Ayres says that opium smokers can smoke in one day as much opium as would, if eaten, poison one hundred men, and Dr. Ayres is a very great authority on the subject; for not only has he a large practice among the better classes of Chinese, all of whom are, more or less, opium smokers, but his daily duties bring him into contact with the criminal classes, who are most prone to excessive sensual indulgence of this kind.

This is what Dr. Ayres says upon the subject in his article in the _Friend of China_:--

As regards opium smoking, no prisoner who confessed to be an opium smoker has been allowed a single grain in the gaol. Neither has he had any stimulant as a substitute, and I do not find there has been any evil consequence in breaking off this habit at once, nor that any precaution has been necessary, further than a closer attention to the general health. Several very good specimens of opium smokers have come under observation; one was the case of a man whose daily consumption had been two ounces a day for nineteen years, and who was allowed neither opium nor gin, nor was he given any narcotic or stimulant. For the first few days he suffered from want of sleep, but soon was in fair health, and expressed himself much pleased at having got rid of the habit.... In my experience, the habit does no physical harm in moderation. In the greatest case of excess just mentioned at the gaol, a better-nourished or developed man for his size it would be difficult to see.

So far as regards opium _eating_, the best medical authorities are divided as to whether opium eating or drinking in moderation is injurious to the system at all. In any case, opium eating is not the question before us, nor the subject of these lectures, which is opium smoking in China. Mr. Storrs Turner gives, in his appendix, at page 240, extracts from some statements of Lieut.-Col. James Todd, who says:--

This pernicious plant (the poppy) has robbed the Rajpoot of half his virtues, and while it obscures these it heightens his vices, giving to his natural bravery a character of insane ferocity, and to the countenance which would otherwise beam with intelligence an air of imbecility.

That entirely relates to the _eating_ of the drug by the Rajpoots of India, and has no connection or analogy to opium smoking by the Chinese. There is another quotation on the same page from Dr. Oppenheim, given in Pereira's _Materia Medica_ as follows:--

The habitual _opium eater_ is instantly recognised by his appearance: a total attenuation of body, a withered, yellow countenance, a lame gait, &c.

And so on. This, as you see, applies to opium eating only. There are many other instances of the effects of such use of opium given in the appendix, which, after these two quotations, it is useless to further repeat. Indeed, so far as relevancy to his subject goes, Mr. Storrs Turner might just as well have introduced into his book medical or other testimony as to the effects of gluttony or spirit drinking. It suits his purpose, however, to mix up the two practices, so as to confuse and mislead his readers. Dr. Oppenheim's statement, by the way, is completely refuted by Dr. Sir George Birdwood, a distinguished physician, whose long residence in Bombay,--where there is a Chinese colony, most, if not all, of whom are habitual smokers of the drug,--and whose thorough acquaintance with the effects of opium eating and opium smoking, entitle his testimony to the very highest consideration. Again, at p. 8 of Mr. Turner's volume, reference is made to De Quincey's book on opium eating, intituled, "The Confessions of an English Opium Eater." Could anything be more disingenuous than this? De Quincey was an opium eater, not an opium smoker. Here is the passage from Mr. Turner's book to which I have referred:--

Those "Confessions," which are not confessions, but an _apologia pro vitâ suâ_, an elaborate essay to whitewash his reputation and varnish over the smirching blot of a self-indulgent habit by a glitter of a fascinating literary style.