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CHAPTER V
NOT A FOOD, AND VERY LIMITED IN ITS RANGE AS A MEDICINE
ОглавлениеThe use of alcohol as a medicine has been very large. If his patient was weak and nervous, the physician too often ordered wine or ale; or, not taking the trouble to refer his own case to a physician, the invalid prescribed these articles for himself. If there was a failure of appetite, its restoration was sought in the use of one or both of the above-named forms of alcohol; or, perhaps, adopting a more heroic treatment, the sufferer poured brandy or whisky into his weak and sensitive stomach. Protection from cold was sought in a draught of some alcoholic beverage, and relief from fatigue and exhaustion in the use of the same deleterious substance. Indeed, there is scarcely any form of bodily ailment or discomfort, or mental disturbance, for the relief of which a resort was not had to alcohol in some one of its many forms.
It is fair to say that, as a medicine, its consumption has far exceeded that of any other substance prescribed and taken for physical and mental derangements.
The inquiry, then, as to the true remedial value of alcohol is one of the gravest import; and it is of interest to know that for some years past the medical profession has been giving this subject a careful and thorough investigation. The result is to be found in the brief declaration made by the Section on Medicine, of the
INTERNATIONAL MEDICAL CONGRESS,
which met in Philadelphia in 1876. This body was composed of about six hundred delegates, from Europe and America, among them, some of the ablest men in the profession. Realizing the importance of some expression in relation to the use of alcohol, medical and otherwise, from this Congress, the National Temperance Society laid before it, through its President, W.E. Dodge, and Secretary, J.N. Stearns, the following memorial:
"The National Temperance Society sends greeting, and respectfully invites from your distinguished body a public declaration to the effect that alcohol should be classed with other powerful drugs; that, when, prescribed medicinally, it should be with conscientious caution and a sense of grave responsibility; that it is in no sense food to the human system; that its improper use is productive of a large amount of physical disease, tending to deteriorate the human race; and to recommend, as representatives of enlightened science, to your several nationalities, total abstinence from alcoholic beverages."
In response to this memorial, the president of the society received from J. Ewing Mears, M.D., Secretary of the Section on Medicine, International Congress, the following official letter, under date of September 9th, 1876:
"DEAR SIR: I am instructed by the Section on Medicine, International Medical Congress, of 1876, to transmit to you, as the action of the Section, the following conclusions adopted by it with regard to the use of alcohol in medicine, the same being in reply to the communication sent by the National Temperance Society.
"1. Alcohol is not shown to have a definite food value by any of the usual methods of chemical analysis or physiological investigation.
"2. Its use as a medicine is chiefly that of a cardiac stimulant, and often admits of substitution.
"3. As a medicine, it is not well fitted for self-prescription by the laity, and the medical profession is not accountable for such administration, or for the enormous evils arising therefrom.
"4. The purity of alcoholic liquors is, in general, not as well assured as that of articles used for medicine should be. The various mixtures, when used as medicine, should have definite and known composition, and should not be interchanged promiscuously."
The reader will see in this no hesitating or halfway speech. The declaration is strong and clear, that, as a food, alcohol is not shown, when subjected to the usual method of chemical or physiological investigation, to have any food value; and that, as a medicine, its use is chiefly confined to a cardiac stimulant, and often admits of substitution.
A declaration like this, coming, as it does, from a body of medical men representing the most advanced ideas held by the profession, must have great weight with the people. But we do not propose resting on this declaration alone. As it was based on the results of chemical and physiological investigations, let us go back of the opinion expressed by the Medical Congress, and examine these results, in order that the ground of its opinion may become apparent.
There was presented to this Congress, by a distinguished physician of New Jersey, Dr. Ezra M. Hunt, a paper on "Alcohol as a Food and Medicine," in which the whole subject is examined in the light of the most recent and carefully-conducted experiments of English, French, German and American chemists and physiologists, and their conclusions, as well as those of the author of the paper, set forth in the plainest manner. This has since been published by the National Temperance Society, and should be read and carefully studied by every one who is seeking for accurate information on the important subject we are now considering. It is impossible for us to more than glance at the evidence brought forward in proof of the assertion that
ALCOHOL HAS NO FOOD VALUE,
and is exceedingly limited in its action as a remedial agent; and we, therefore, urge upon all who are interested in this subject, to possess themselves of Dr. Hunt's exhaustive treatise, and to study it carefully.
If the reader will refer to the quotation made by us in the second chapter from Dr. Henry Monroe, where the food value of any article is treated of, he will see it stated that "every kind of substance employed by man as food consists of sugar, starch, oil and glutinous matter, mingled together in various proportions; these are designed for the support of the animal frame. The glutinous principles of food—fibrine, albumen and casein—are employed to build up the structure; while the oil, starch and sugar are chiefly used to generate heat in the body."
Now, it is clear, that if alcohol is a food, it will be found to contain one or more of these substances. There must be in it either the nitrogenous elements found chiefly in meats, eggs, milk, vegetables and seeds, out of which animal tissue is built and waste repaired; or the carbonaceous elements found in fat, starch and sugar, in the consumption of which heat and force are evolved.
"The distinctness of these groups of foods," says Dr. Hunt, "and their relations to the tissue-producing and heat-evolving capacities of man, are so definite and so confirmed by experiments on animals and by manifold tests of scientific, physiological and clinical experience, that no attempt to discard the classification has prevailed. To draw so straight a line of demarcation as to limit the one entirely to tissue or cell production, and the other to heat and force production through ordinary combustion, and to deny any power of interchangeability under special demands or amid defective supply of one variety, is, indeed, untenable. This does not in the least invalidate the fact that we are able to use these as ascertained landmarks."
How these substances, when taken into the body, are assimilated, and how they generate force, are well known to the chemist and physiologist, who is able, in the light of well-ascertained laws, to determine whether alcohol does or does not possess a food value. For years, the ablest men in the medical profession have given this subject the most careful study, and have subjected alcohol to every known test and experiment, and the result is that it has been, by common consent, excluded from the class of tissue-building foods. "We have never," says Dr. Hunt, "seen but a single suggestion that it could so act, and this a promiscuous guess. One writer (Hammond) thinks it possible that it may 'somehow' enter into combination with the products of decay in tissues, and 'under certain circumstances might yield their nitrogen to the construction of new tissues.' No parallel in organic chemistry, nor any evidence in animal chemistry, can be found to surround this guess with the areola of a possible hypothesis."
Dr. Richardson says: "Alcohol contains no nitrogen; it has none of the qualities of structure-building foods; it is incapable of being transformed into any of them; it is, therefore, not a food in any sense of its being a constructive agent in building up the body." Dr. W.B. Carpenter says: "Alcohol cannot supply anything which is essential to the true nutrition of the tissues." Dr. Liebig says: "Beer, wine, spirits, etc., furnish no element capable of entering into the composition of the blood, muscular fibre, or any part which is the seat of the principle of life." Dr. Hammond, in his Tribune Lectures, in which he advocates the use of alcohol in certain cases, says: "It is not demonstrable that alcohol undergoes conversion into tissue." Cameron, in his Manuel of Hygiene, says: "There is nothing in alcohol with which any part of the body can be nourished." Dr. E. Smith, F.R.S., says: "Alcohol is not a true food. It interferes with alimentation." Dr. T.K. Chambers says: "It is clear that we must cease to regard alcohol, as in any sense, a food."