TABACUM.
MOUTH.
►
Teeth. ► Chattering of the
teeth from cold, in the evening (fifth day), [2]. ► Lips
drawn back, showing the teeth, which were covered with dark sordes
(third day), [121]. ► Caries of all the teeth, [139]. ► Teeth
good, but dirty and stained, [167].
► Toothache, continuing until nearly
all the teeth were lost, [139]. ► Violent drawing-tearing toothache in the
upper teeth, extending towards the forehead (eighth day), [2]. [380.] ► Drawing pain in the upper teeth,
disappearing on pressing on the cheeks (third day), [2]. ► Sharp
tearing in the teeth of the right lower jaw (after half an hour), [1]. ►
Toothache becomes intolerable, [4].
► Sudden violent toothache, with heat
of the face and dizziness, [3]. ► When biting upon hollow teeth a sticking
in them (third day), [2]. ► Violent, persistent, throbbing toothache,
in several hollow teeth, [6]. ► In a vast number of extreme cases of
smoking, when those who have indulged in such excess have had what has
been called toothache, their sufferings have been great, yet in most
instances I have observed that the crowns of the teeth seemed perfect,
excepting that the enamel appeared to be altered in structure and color,
and, therefore, I directed my special attention to the state of the
fangs, and found them, in all such cases, denuded of their periosteum
being rough at the extremities, as if rasped; whilst the color of the
fangs themselves resembled horn, being of a darker hue than healthy
dentine, and of a porous appearance, differing materially from the usual
dense substance which envelops them. In consequence, therefore, of the
active absorption going on, the affected teeth act as extraneous bodies
and produce much local irritation. Hence I am led to the inference that
tobacco affects the teeth themselves, and that the affection must not be
confounded with their injury induced by the acidity often caused by
stomach derangement, resulting from an inveterate habit of smoking. The
symptoms of the “smoker’s disease” are as follows: More or
less uneasy sensations about the crown of the teeth, which gradually
extends to the fangs; at this stage of the disorder, if the teeth are
touched, there is a tenderness experienced, and if bitten on in this
condition, a sudden and most painful sensation is experienced; as the
disease proceeds, the patient seems cognizant of the immediate seat of
the disease, the agonizing pain being confined to the bottom of the
alveolar process of the affected tooth or teeth, which is attended with
a palpable throbbing, or, as an unscientific patient expressed it, a
“jumping pain.” The most distressing symptoms are felt under
vicissitudes of climate; in great and sudden changes from heat to cold,
or vice versâ; or after drinking
spirits and water, wine, beer, or any other alcoholic stimulants; in
other words, the teeth, under this affection, suffer from anything that
accelerates the circulation. Among many of my most intelligent patients,
when there happened to be a space (from previous extraction) between the
affected teeth, they have described their sensation as if a series of
galvanic or electric shocks continually passed from tooth to tooth, and
tired at last by this continued disturbance, they have had the offenders
forcibly removed, [73]. ► Gums. ►
Gums pale and parched, [167]. ► Drawing in the gum (fourth day), [2]. ►
Tongue. ► Tongue
tremulous, red and dry, [117]. [390.] ►
Constant trembling of the tongue and extremities, [78]. ► Tongue
pale, trembling constantly, [77]. ► Tongue entirely covered with a thick
brown-yellow coat, very adherent and smooth, notwithstanding the
prominence of the papillæ, [93]. ► Yellowish tongue, not coated, [95]. ►
Tongue thickly furred, [131]. ► Tongue coated, [109]. ►
Tongue dry and dark red in color, [148].
► Tongue dry and white, [79]. ►
His tongue, without being furred, is whitish, and trembles, [99]. ►
Tongue red and dry, [167]. [400.] ► Tongue dry, parched, and covered with a
blackish-brown crust (third day), [121].
► Dryness of the tongue and lips, [1]. ►
Fine stitches in the tongue, soon, [4c].
► Alienation of taste of tongue, with
sensation as if the back of the tongue were filled with the settlings of
his pipe; day and night this taste persecuted him; mixed itself up with
his food and drink, [130]. ► Tongue feels swollen, so that in speaking
his words run into each other (after smoking half a cigar, indoors), [163]. ►
General Mouth. ► Corners
of the mouth sore (after second and fourth days), [2]. ► *Frothing
from the mouth, [35]. ► The breath and the cutaneous secretion
oppressively charged with the odor of tobacco, [148]. ►
Swollen glands under the tongue, painful to external touch (eighth day),
[2]. ►
Four had ulceration of the mucous membrane of the mouth, [143]. [410.]
► Yellowish mucus from the mouth, [34]. ►►
*The mouth is full of white tenacious mucus which must be frequently
expectorated, [1]. ► Dryness of the whole mouth, with violent
thirst, [1]. ►
Dry mouth, [95]. ► Great dryness of the mouth, [42]. ►
Burning in the mouth and throat, soon, [4a], [4b],
[4c], [4d]. ►
Burning scraping warmth in the throat and œsophagus, extending to the
stomach, [49]. ► Great hyperæmia of the mucous membrane
of the mouth and pharynx; pharynx covered with granulations, with
dryness, and a varnished appearance, [164].
► Saliva. ►► *Salivation, [160]. ► *Constant
profuse ptyalism, [174].
[420.] ►
*Increased secretion of saliva, [4]. ►
*Accumulation of saliva in the mouth, [31]. ► *Spits
much, [61]. ► *Constant running of thin watery saliva from the
mouth, [77]. ► Taste. ►
Taste bad, [167]. ► Bad taste in the mouth, as of burnt milk,
[1]. ►
Bad insipid taste, in the morning, as from disordered stomach (second
day), [2]. ►
Mouth insipid, in the morning (second day), [4c]. ► Flat
slimy taste, in the morning (third day), [2].
► Everything tastes sour (third day),
[2]. [430.]
► Sour taste in the mouth (third and
sixth days), [2]. ► Water tastes as if mixed with wine (third
day), [2]. ►
A very bitter taste in the mouth (tenth day), [2]. ► Bitter
taste in the mouth, in the morning after waking (fifth day), [1]. ►
In December, 1856, after having, perhaps, for some time, smoked more
than usual, I perceived in my mouth a disagreeable taste, like that of
rancid oil, which lasted for eight days, ceasing only during a meal, and
returning an hour after, in spite of all efforts to remove or disguise
it. At the end of a few weeks, a yellowish spot appeared on the edge of
the tongue. This spot, which at first was the size of a half-dime,
looked exactly as if a piece of dried lichen had been planted there. It
seemed as though I could detect, by sucking at it, that here was the
immediate cause of the bad taste in my mouth. It grew a little larger by
slow degrees. Soon another similar spot appeared on the arches of the
palate, [96]. ► Speech. ►
Speech difficult, [107], [126]. ►
While reading he cannot articulate; he reads very indistinctly, quite
contrary to habit (first day), [2].
► Speech faltering, and mind
uncertain, [148]. ► Speech difficult and unintelligible, [78]. ►
Power of speech wanting, [77]. [440.] ►
The patient could speak only in a low tone and in a broken manner, and
complained of exhaustion, confusion of the head, and a mouldy taste of
tobacco, [3]. ► Almost speechless; her voice was hoarse
and she could only murmur some inarticulate sounds, [117].
THROAT.
►
Hawking of mucus (first day), [2].
► Much tenacious mucus in the throat
(ninth day), [2]. ► Tenacious mucus in the throat, which
cannot he raised, [1]. ► Choking, [64],
[133]. ►
Nocturnal attacks of tightness of the throat, with palpitation and
neuralgic pains in the neck, [104].
► Sore feeling in the right side of
the pharynx when not swallowing, [1].
► Irritation to cough and scratching
in the throat (second day), [2]. ► Frequent irritation in the throat and
larynx, exciting violent fits of dry cough, chiefly at night, [92]. [450.]
► Scraping in the throat, [88]. ►
Scraping and pressure in the throat and larynx, [48]. ►
Scraping in the throat the whole afternoon (second day), [2]. ► The
throat is so scraping and dry that she can scarcely swallow (second
day), [2]. ►
Rawness and scraping in the throat (soon), [1]. ► Dryness
of the throat, [2], [126]. ►
Throat parched, [150]. ► Throat dry and irritable, [167]. ►
Pressure in the throat as if something were sticking in it (second day),
[2]. ►
Tickling and raw feeling in the throat, [1].
[460.] ►
Tickling in the throat, rising up and provoking frequent cough (after
half an hour), [1]. ► A crawling sensation in the throat, which
is painful on swallowing, [1]. ► Transient stinging sensation of heat in
the pharynx, soon, [7]. ► Uvula and Tonsils. ► Uvula œdematous, [164]. ►
Catarrhal inflammation of the tonsils, [50].
► Tonsils enlarged, [167], [109].
► Fauces. ► Diffused redness and dryness of the
fauces and roof of the mouth, [157].
► Redness of fauces, [109]. ► Pharynx
and Œsophagus. ► Pain in
the pharynx on swallowing, [164]. ► Rawness and scraping in the pharynx, [51]. [470.]
► Biting and scraping in the pharynx
(immediately), [135]. ► Scraping and burning in the pharynx, [47]. ►
Burning in the pharynx, [43], [46], [50].
► Heat in the pharynx after
swallowing, [7]. ► Periodic sensation of a plug in the
œsophagus, with constant dull pressure, [6].
► Pressive pain in the lower part of
the œsophagus on swallowing food (after three hours), [4]. ► Swallowing.
► Swallowing very painful, owing to
spasms of the throat, [117]. ► At times great difficulty in swallowing
(after three days), [121]. ► Swallowing was very difficult, even a
small quantity was swallowed with the greatest effort, [77]. ►
Deglutition difficult (impossible, except when the article to be
swallowed was placed low in the throat), [80].
[480.] ►
Unable to swallow, [119], [149]. ►
External Throat. ► Tensive
pain in the submaxillary glands, with a feeling as if swollen, and as
though the lower jaw had lost its mobility, soon, [4c].
STOMACH.
►
Appetite and Thirst. ►
Increased appetite (first day), [2],
[45], [46], [51],
[92]. ►
Appetite inordinate, [109]. ► Ravenous appetite, [30], [147].
► Incessant hunger, if she eats
nothing she is nauseated (sixteenth, seventeenth, and eighteenth days), [2]. ►
Immediately after vomiting, he can again eat with appetite, [1]. ►
Paroxysms of canine hunger, [92]. ► Appetite, but cannot eat, [95]. ► The
desire for food was not nearly so great as in the experiment without
Tobacco, neither was there so great a degree of debility, [87a]. [490.]
► She has neither hunger nor
appetite, and the food at noon disgusts her, [1]. ►
Appetite failed several months before sight, [174]. ►
Smoking just before eating diminished the appetite, [9]. ►
Appetite bad, in the morning, [174].
► Loss of appetite, [10], [36],
[42], etc. ►
Appetite diminished somewhat and had lost much flesh, [174]. ►
Appetite and digestion gone, [87].
► Twenty-three had a strong appetite
for alcoholic drinks, [143]. ► Anorexia, [66],
[79], [91]. ► *Thirst,
[36]. [500.] ►
Increased thirst, [1]. ► Violent thirst, [42]; in the evening (fourth day), [2]. ► Great
thirst, especially at night, [136].
► Great thirst, but could not drink
much at a time, [32]. ► Frequent drinking of only small
quantities of water, [77]. ► A morbid craving for stimulants and
narcotics, [142]. ► No thirst; water will not go down
(twelfth day), [2]. ► Almost no thirst (usually she drinks a
great deal), (first and second days), [2].
► Aversion to drinking water (second
and fourth days), [2]. ► No thirst, [95].
► Eructations. [510.] ►
Eructations, [46]. ► Several eructations (after half an hour),
[4b]. ►
Constant eructations, [108]. ► Frequent eructations, with pain in the
epigastric region, [36]. ► Frequent empty eructation (first day), [9]. ►
Frequent eructations tasting of the food (first day), [2]. ►
Frequent eructations, nausea, qualmishness (first day), [2]. ►
Regurgitations of small quantities of food, [159]. ► Sour
hot eructations, in the morning (third day), [2]. ► Acid
eructations, [56], [57], [58].
[520.] ►
Very loud eructations all day, especially after eating (third day), [2]. ►
Inclined to eructate, [4c]. ► Hiccough. ►
Hiccough (first and second days), [2],
[55], [166]. ►
Spasmodic hiccough (tenth day), [2].
► Heartburn. ► Heartburn, [58],
[174]. ►
Heartburn, rising from the stomach into the throat (fourth day), [2]. ►
Nausea and Vomiting. ► *Nausea,
[9], [10], [11],
etc. ► Nausea, rising up from the pit
of the stomach, [45]. ► Nausea and griping in the abdomen (first
day), [2]. ►
Nausea, with stitches in the left temple (second day), [2]. [530.] ► Became suddenly nauseated, and soon
vomiting freely, [139]. ► Constant nausea, [149]. ►
*Incessant nausea and frequent vomiting, [88]. ►►
*Feels exactly as if seasick; has the same vertigo, with nausea, coming
in paroxysms, during which the body is covered with a cold sweat,
[95]. ►
*Great nausea, amounting almost to faintness, which disappears in the
open air (second hour), [2].
► *When sitting quietly she feels rather
well, but if she moves in the least she is excessively nauseated,
[1]. ►
The stomach feels unsettled (first day), [2].
► Qualmish, with pressure in the
stomach (first day), [1]. ► Complained of faintness and feeling sick
(in half an hour), [71]. ► Nausea, with inclination to eructate,
followed by relief of the oppression of the pit of the stomach, [6]. [540.]
► *Qualmish nausea (second
day), [1], [2]. ► Is
nauseated in the morning on rising (second day), [2]. ► Nausea,
with accumulation of water, soon, [4a].
► Nausea, and irrational talking for
an hour, [7]. ► Qualmishness, in the morning, on hawking
up mucus, with insipid taste in the mouth (eighth day), [2]. ► Sick
and drowsy (after one hour), [169].
► Nausea, and inclination to vomit, [51]. ►
Retching and vomiting (man), [32].
► Violent retching and vomiting, [37]. ►
Nausea and violent vomiting; vomiting of a large quantity of blood,
afterwards vomiting of mucus three times, [175].
[550.] ►
Ineffectual inclination to vomit and eructate, soon, [4]. ► *Violent
efforts to vomit, [36].
► Gulping efforts at emesis, [166]. ►
Retching, [10]. ►► *Nausea and vomiting, [17], [43],
[82], [160]. ►
Nausea and violent vomiting, [33a].
►► *Vomiting, [7], [8],
etc. ► Vomiting often, at first, [117]. ►
Constant vomiting, [134]. ► Violent vomiting, [22], [23],
[88]. [560.]
► Vomiting of whitish mucus, [35]. ►
Spasmodic vomiting, [55]. ► Nearly incessant vomiting all night, [155]. ►
Vomiting and diarrhœa, [9], [167]. ►
Violent vomiting, with anxiety and great weakness, [24]. ►
Vomiting following pain in the head, [128].
► So long as he sits still he can
always keep from vomiting, but as soon as he moves he begins to vomit
again, [1]. ►
Violent vomiting, followed by retching, [3].
► Violent vomiting from irritation in
the larynx, [78]. ► *Sometimes vomiting, in the morning, even before
breakfast; vomiting of watery liquid, sometimes insipid, sometimes
bitter, [95]. [570.] ►
Vomiting of only water, with which it becomes green and yellow before
the eyes, [1]. ► *Easy vomiting of sour liquid (after
one hour), [2]. ► Vomiting of a sour liquid, with mucus,
followed by great relief (third day), [2].
► Sour and slimy vomiting, with
considerable effort, in the morning (eighth day), [2]. ►
Vomiting of blood, [14]. ► A good deal of bloody vomiting, two or
three times repeated, [95]. ► Vomiting of a mass of liquid in one long
stream, [17]. ► The stomach frequently refused to retain
the food, [159]. ► Immediately after purging affected with
sickness, and vomited a large quantity of brownish fluid, mixed with
fragments of what was immediately recognized, by its color and
appearance, to be cut cavendish Tobacco, [83].
► Persistent efforts to vomit, [77]. [580.]
► Generally, relief from vomiting, [95]. ►
Stomach. ► Distension of
the epigastrium, [126]. ► Dyspepsia, [91].
► Dyspeptic and hypochondriac, [64]. ►
Dyspepsia, more or less for ten years, attended with nervous palpitation
and acidity, hypochondriasis, and epigastric sinking, [59]. ► Severe
indigestion, [174]. ► Food did not digest well, [58]. ►►
*Sinking at the pit of the stomach, [58], [64],
[60]. ►
Sinking at the epigastrium for many years, [63]. ► Sudden
sinking at the pit of the stomach and faintness, which obliged him to
lie down in the field, [62]. [590.] ►
Disturbance of the gastric functions, [104].
► *Weakness of the stomach, [84], [175].
► Weakness of the stomach for a long
time after vomiting, [1]. ► Faint feeling at the stomach from fasting
a short time, [92]. ► *Sensation of relaxation of the stomach, with
some nausea (second day), [2].
► Gastrodynia, [56]. ►
Gastralgia, [58]. ► Placed his hands to the pit of the
stomach, frequently drawing up his legs, as if he suffered great pain in
the abdomen (after three days), [121].
► Pain in the stomach, [36]. ►
Painful sensations at the pit of the stomach, [67]. [600.]
► Painfulness of the epigastric
region, [79]. ► Violent pains in the stomach, [134]. ►
Constant indefinite pain in the pit of the stomach, always worse at
night, at times accompanied by pulsation and anxiety, [139]. ► Two
or three hours after every meal, however light, excessive pains in the
stomach, followed by vomiting, [23].
► Excessive pain in the stomach and
intestines, [78]. ► Pit of the stomach sensitive to pressure,
[108]. ►
The next morning he had a pain in the stomach, as if he had swallowed
something which was too large. He could hardly eat breakfast,
deglutition gave him so much pain. He points to the epigastrium when
locating the pain. He says it is as if at a certain spot the bolus was
forced through too small an opening, and when the food is once in the
stomach, it occasions a “bursting” or distensive pain. Fluids
occasion a similar pain, but not so intense. Warm drinks occasion less
suffering than cold while swallowing, but their presence in the stomach
somewhat alleviates the burning pain. He also observes, on taking a full
inspiration, a stitchlike sharp but not acute pain, which extends from
the epigastrium directly backwards to the spine. This sensation feels as
if it would be relieved by an eructation, but it is not. Twenty-four
hours afterwards, he was afraid to eat or drink because of the pain. He
has never had anything like this before; all that he has ever noticed
from the use of Tobacco was a sense of sinking at the epigastrium, [139]. ►
Epigastric region painful to pressure, [70].
► Pressure in the stomach, [48]. ►
Sensation of a hard substance in the stomach, with nausea, [76]. [610.]
► Pressive sensation in the stomach, [1]. ►
Pressure in the region of the cardiac orifice of the stomach while
eating, [4a]. ► Slight pressure in the pit of the stomach
during and after dinner, [4b]. ► Spasmodic pressure in the region of the
cardiac orifice of the stomach, soon, [4],
[4a]. ►
Constrictive pain in the stomach after eating (eighth day), [2]. ►
Pinching at the stomach immediately after a meal, shortly followed by a
diarrhœic stool, which habitually occurred three or four times a day, [94]. ►
Violent clawing in the stomach after eating (eighth day), [2]. ► Feeling
as if the stomach would turn over (first day), [2]. ► Cramp
in the stomach (second and sixth days), [2].
► Twisting movement in the pit of the
stomach, with inclination to vomit; lachrymation, and accumulation of
water in the mouth, for a quarter of an hour, [4c]. [620.] ► Shocks at the epigastrium, [63]. ► Shocks
at the epigastrium when going to sleep, but after awhile in the daytime,
with profuse perspiration, [62]. ► Shocks at the epigastrium, coming on at
the first hour of slumber, which were repeated several times in the
course of the night, and often in the morning before breakfast, [60]. ►
Shocks at the epigastrium at night, on first going to sleep, which
started him up in great agitation and alarm, [59]. ► Shocks
at the epigastrium to such a degree that his sleep was a succession of
stars, which nearly wore him out; at the end of two years they came upon
him during the day; he described them as like shocks of electricity, [58]. ►
Shocks at the epigastrium, with a sinking sensation at the pit of the
stomach, [57]. ► A shock in the epigastrium which started
him in great alarm from his sleep, repeated several times in the night,
and as often as he fell into a slumber, [56].
► Cardialgia, [56], [57].
► Burning in the stomach (after a
quarter of an hour), [2]. ► Burning in the epigastric region and
frequent eructations, [5]. [630.] ►
Great burning in the stomach, [147].
► Heat in the epigastrium or abdomen,
[160]. ►
Sensation of warmth in the stomach, [7],
[48]. ►
Feeling of coldness in the stomach and inclination to vomit, [1]. ►
Feeling of coldness in the stomach and along the spine, [1]. ►
Stitches in the pit of the stomach (fourth and twelfth days), [2]. ►
Stitches in the pit of the stomach, extending through the back (seventh
day), [2]. ►
Violent stitches above the pit of the stomach, less during rest (second
day), [2]. ►
Discomfort in the stomach, [120].® 2000
Article