CAUTIONS Againft the immoderate Use of SNUFF. Founded on the known Qualities of the TOBACCO PLANT; And the Effefts it muft produce when this Way taken into the Body: AN D Enforced by Inftances of Perfons who have perifhed miferably of Difeafes, occasioned, or rendered incurable by its Ufe. Dr. J. HILL. the second edition. L -O N D o N : Printed for R. Baldwin in Pater-nofter Row* and J. Jackson in St. James’s-ftteet. MDCCLXI. [Price One Shilling*] CAUTIONS AGAINST S N U F F. THE INTRODUCTION. OME Angular ihftances of roifchief, which I have feeri from the immoderate ufe of SfO&lk)SC$CjM? Snuff, have occasioned thefc cautions. I hope they may be ufeful to fuch, as from an excels in the fame B pradlicc pra&ice, may be liable to like difor- ders. As nothing is fo (Irong as fad, I fhall relate, in an exad manner, what acci- dents, from this caufe, have come within my knowledge: and, as my (ingle voice is too weak; and the obfervations I have had opportunities of making, are too li- mited for the importance and extent of the fubjed, I (hall encreafe them by the accounts of great and good authors: and fbrengthen them by their authority. The method in which this fubjed may- be rendered mod obvious, and mod: af- feding to the Reader, I apprehend will be this. I. To (hew what are the real qualities of the herb Tobacco, from which Snuff is made. 11. To examine what effeds mud: na- turally be expeded from an herb of thofe qualities taken up the noftrils. To illuftrate reafon by experience; and (hew what effedts have followed it in paany instances. 111. CHAP. L Of the nature and qualities of the Herb. TOBACCO is a narcotic withape** culiar acrimony. *Tis fuch a body as art might prepare by mixing Opium with Euphorbium. The herb itfelf is fo nearly poifonous, that no phyfician gives it inwardly. When by accident it has been fwal- lowed ; or from external life on a wound-* ed part*, has made its way into the body, the firft effort is that of extreme irrita- tion ; and after this come on the word: effe nay, of thole who fuffer very hea- vily. Some are not fenllble of the caufe *■ OF or nature of thefe diforders; others do not attribute them to the Snuff; and many continue to languifh in filence, becaufe knowing the fource of their complaints, they can expeCt neither relief nor pity. Accidents will fometimes difclofe things, very unexpectedly; and I have reafon to fay this with regard to the numbers who fuffer mifchiefs from Snuff, in one very obvious indance; A German once propofed curing po- lypudes, or flefhy excrefcences of the noftrils without cutting; and having fucceeded in two or three inftances, as foon as the cures were fpoken of, it was afton idling to hear how many perfons applied to him with the fame complaint. Snuff was the caufe almoft univerfally. The man would have enrich- ed himfelf; but he was not in effect, maf- ter of his own fecret: he performed the cure by a root, a large quantity of which he had brought over with him 3 but when that was exhaufted, he. was at a E lofs lofs for a fupply. He did not know the name of the plant to which it belonged i and, tho’ it appeared like that of fome of our crowfoots, none that he could get here, anfwered in the effedt About eight years fince, there ufed to come to a cofFee-houfe near the Exchange an elderly gentleman, who could not breathe but with his mouth open; and from whofe right noftril there hung the end of a polypus, or flefhy tumour, the re- mainder of which filled the cavity on that fide. This prevented his breathing, thro’ that noftrilj and he could make very little ufe of the other from a like caufe. No- thing appeared externally on that fide, but he was fenfibie of the fame fwelling within. It is not eafy to conceive how much this unfortunate perfon fuffered; yet to himfelf, the greateft dilirefs of all was, that he could no longer take Snuff, to which he had been accuflomed. Some time after I faw him fo perfectly at at his cafe, that he fcarce appeared to be the fame perfon : a furgeon of eminence had undertaken him after many had de- clined it; and by attacking, from within his mouth, that which could not be got at by the way of the noftrils, he had made a perfect cure. The greateft advantage of all was that his long difufe of Snuff, with the fenfe of the mifchief it had done him, prevented his returning to the cuftora. A gentleman of fomewhat more than the middle time of life, having been early accuftomed to Snuff, and being very fond of the irritation it caufed, thought himfelf unhappy, that, from the conftant and long ufe of it, he felt lefs and lefs of that effect. He applied for ftronger and more acrimonious kinds; and at length met with a fort which gave him the high- eft fatisfadion. Whether it were from a peculiar management of the Tobacco, or by means of fome addition of other in- gredients, is not known ; but the Snuff was fo acrid, and that few befide himfelf could bear it. E 2 The The pleafure he found in it was but fhort-lived; for after a little time, he perceived two fwellings of a fleihy fub- llance in one of his noftrils, and one in the other: they grew fo quick, that, in eight or ten days, one of them hung a confiderable way out of his nofe, and the Others began to be vifible in the opening of the other noftril. The larger fwelling which occupied the right noftrii alone, having grown out be- yond the end of the nofe forward, be- gan to fpread the other way, and forcing itfelf back through the aperture of the noftril into the mouth, and encreafmg there very faff, reduced him to a mife- rable condition : he breathed and fwal- lowed with great difficulty, and could fcarce fpeak intelligibly. The fwellings were of a deep crimfon, and verypainfal. His friends terrified him ynth the notion of a cancer; bat a furgeon of of eminence being fent for, he was foon releafed from that fear; tho’ not from the real diforder, without great pain. The fweliings had arifen only from an inflam- mation raifed by the acrimony of the Snuff: but there was no poflibility of re- folving them, or any other way of freeing him from them but by catting them out. This was performed very fuccefsfully; and the blood that followed the indru- ments, prevented any farther inflamma- tion. The operation was of immediate neceffity to life; for that part of the lar- ger polypus, which had extended itfelf into the mouth, encreafed fo fad, that the patient was in danger of fuffoca- tion. Another cafe I have feen lately of a po- lypus, which had very bad confequences. Though I am unwilling to attribute the origin of this merely to Snuff, yet lam mofl certain that Snuff, which the pa- tient continued to take as long as he was able for the pain, contributed greatly to encreafe cncreafe the complaint, and aggravate all the fymptoms. This unfortunate gentleman, after a long and immoderate ufe of Snuff, per- ceived that he breathed with difficulty through one of his nodrils: the com- plaint gradually encreafed, ’till he per- ceived a fwelling within, which was hard, but without pain. It grew flow- ly, ’till, in the end, it filled up that whole noftril, and fwelled the nofe fo as to ob- drudt the breathing at the other: he found it neceflary then to apply for af- fffiance. The fwelling was quite black : it adhered by a broad bafe, fo that it was impoffible to attempt the getting it away, either by the knife or ligature: He had hitherto felt no great pain j but* ■while the people about him were delibe- rating what to do, he perceived an un- conquerable itching in the lower part of it. His principal furgeon, who was a very fldlfui one, cautioned him mod: ear- neftjy to avoid fcratching it 5 but in vain ; he he could not forbear; and the confe- quence was a difcharge of a thin fharp humour, with dreadful pain, and all the frightful fymptoms of an open cancer. He tried the famous Hemlock, but with- out fuccefs : it produced no good nor ill effedt in him, and he was without hope when I laft faw him. Another infcance I remember to have feen of a moll terrible ulcer in the nofe, in a perfon who took a vail quantity of Snuff: but this, like the former, could not, I think, be attributed altogether to that cuftom; though it appears very evi- dent, that in both, the Snuff violently encreafed, and perhaps in both, brought on the terrible fymptoms, at lead, before their time. The perfon was a lady of a fober and virtuous life, and there was no caufe to fufpedl the accidents which fometimes bring on the word: ulcers in that part of the face. She had been long accuftomed to to Snuff, and took it in very great quan- tity. After the ufe of about a quarter of a pound of Snuff, which fhe perceived to be particularly acrid ; fhe felt a Grange forenefs in the upper part of her left nof- tril; running, as fhe expreffed it, toward the griftle of the nofe; fhe left off that particular parcel of Snuff; but continued to take the ufual kind as much as ever. No fwelling was perceived ; but, after a little time came on a difeharge of a very offenfive matter; not in great quantity, but of an intolerable fmell, and the more fo to her, as fhe was naturally a perfon of great delicacy. The difeharge en- creafed, and it foon became neceffary for her to leave off Snuff. A furgeon was employed, but to very little purpofe : the iymptoms continued : the ulcer cncreafed, and, from time to time, pieces of the bone came away. Death, from another difeafe, put an end to that mifery, which all the art of phyhek Jdiyfick and forgery feemed very little able to relieve. From this and a preceding cafe, in both which, as well as in fome others that have fallen within my knowledge, the complaint firfl appeared after taking a kind of Snuff different from that to which the perfon was accuftomed, tho* fold under the fame name, there feems reafon to fufpeCt, that ingredients of a worfe nature than Tobacco itfelf, are fometimes added, by bad perfons, to the competition of Snuff. Thofe who can- not break themfelves of the habit of taking it, ought therefore to be very careful to buy it only of the mofl up- right and reputable dealers. Befide thefe cafes, which Were attend- ed with very bad confequences, I remem- ber to have heard the late excellent fur- geon Mr. Freke fpeak of one which came within his knowledge, and to which, if I remember right, he was called in for F aflift* abidance, though too late : this was of a polypus of the left noftril, the root of which lay fo deep, that it could not be got at, either by the knife or ligature; and, which a young operator, who had read more than he had feen, had there- fore pulled away with his forceps: the patient bled to death. No art whatever could reach the wounded veffel, or flop the bleeding. Whether or not polypuffes, which at- tend Snuff-takers, are abfolutely caufed by that cuflom : or whether the princi- ples of the diforder were there before, and Snuff only irritated the parts, and haft- cued the mifchief, I fhall not pretend to determine: but even fuppofing the lat- ter only to be the cafe, the damage is certainly more than the indulgence is worth ; for who is able to fay, that the Snuff is not the abfolute caufc, or that he has not the feeds of fuch a diforder which Snuff will bring into action. With refped to cancers of the nofe, they are as dreadful and as fatal as any others. It is certain, that Snuff muft be of all things in the world, the mod; dan- gerous, where there is a difpofition to- ward them: for, in fuch cafes what we are mod of all to attempt, is to keep the parts quiet; and what we are mod to fear Is, to irritate them. This is the voice of reafon, and the univerfal rule learned from experience: and nothing can be con- ceived fb irritating in fuch a cafe as Snuff. Manv women have fchirrous tumours •/ in their breafts, which never become can- cerous ; and, in the fame manner, there may be fmall and flight fchirruffes in the nodrils, which, in the common courfe of things, if left alone, would never come to mifehief; but, as any violence offered to fuch a bread, will turn the .painlefs fuell- ing to a cancer, whofe progrefs nothing hut death can dop, fo the irritation of F z Snuff Snuff will bring the other fchirrus into the fame dreadful ftate. It is evidept therefore that no man fhould venture upon Snuff, who is not fare that he is not fo far liable to a cancer; and no man can be fure of that. CHAP, IV. Of diforders of the throat Honed by Snuff. TH E noffrils are the firft part witl} which Snuff comes in contact; but through thefe the paffage is open into the hinder part of the mouth, and the throat, or sefophagus; and there not only reafon declares, but experience alfo fhews it may do the moff terrible mifehief. I remember, when I was very young* to have feen near the town of Peterbo- rough, a poor old woman, whofe grand- daughter fed her with broth by means of a tobacco-pipe; by fucking at one end of which while the other was plunged into •the mefs, fhe could with great difficulty, and in the fpace of an hour or more* get down as much as was fufficient for a meal. The account fhe gave of it was, that her throat was fwelled up within $ and that the beginning of the diforder arofe from fwallowing fome Snuff, which fhe had drawn over haftily up her nof- trils. An inftance of a like kind there is re- corded in the A