Alcohol: A Dangerous and Unnecessary Medicine, How and Why Part 34

Dr. Moor, the distinguished editor of the _Pacific Record_, says:--

"While the use of alcohol is always injudicious and injurious, it is particularly so in summer, when the system is predisposed to disturbances of the gastro-intestinal tract.

"Alcohol flushes the capillaries of the mucous membranes just as it does the capillaries of the skin, and where there is already a smouldering congestion, it will take but little to light the fire of acute inflammation, which will rage with greatly increased intensity.

"It is wiser to habitually avoid even the medicinal use of alcohol, as there are plenty of other stimulants which will give the desired results without entailing any disastrous after effects."

"All the pleasant sensations of increased mental and physical power, which the use of alcohol produces, are deceptive and arise from the paralysis of the judgment and the momentary benumbing of the sense of fatigue which afterwards returns so imperiously with perhaps even greater intensity."--PROF. ADOLF FICK, of Wurzburg.

Dr. Frank Payne, vice-president of the London Pathological Society, says:--

"Alcohol is a functional and tissue poison, and there is no proper or necessary use for it as a medicine."

"When I first heard that there was going to be a total abstinence hospital, I thought it would be a complete failure.

That was because I had been taught as a student to regard alcohol as absolutely necessary in the treatment of disease.

Nevertheless I was an abstainer myself. When I was asked to join as physician, I did not consent without a good deal of consideration, and then only on the understanding that if I thought a person needed it, I should be allowed to administer alcohol. I remember the first case of severe typhoid fever I had. He was hovering between life and death, and I was anxiously watching to see whether it would be necessary to give alcohol, but the man made a good recovery without it. After watching many cases to whom I should have given alcohol if I had been treating them elsewhere, I came to the conclusion that I had been completely deluded. I gave it at one time to a woman in the Hospital who was in a dying condition, but it did not save her.

I do not think I am likely to administer alcohol again. We have had progress and efficiency in the Hospital. It has been like an experiment for the profession, and our success shows that this giving of alcohol is certainly a matter for re-consideration for the medical profession. I believe that they are mistaken. There is no doubt that the amount of alcohol used in other hospitals has diminished greatly, compared with what was used in the past.

To the outside public also this Hospital is an example. I believe that an immense number of the public have been teetotalers some time in their lives, but a great many of them have gone back to the drink in time of illness, because they have been advised to do so. This Hospital is a standing witness that disease and surgical injuries can be treated without alcoholic liquors."--DR. J. J. RIDGE, of London Temperance Hospital.

"I find very little use for alcohol in the practice of medicine.

Where there is one element of good in alcohol there are thousands that are bad."--DR. ALFRED MERCER, Syracuse, N. Y., Professor of Medicine in Syracuse Medical School.

"Alcohol is rarely necessary. Other remedies are much more efficacious. In my department of the University of Buffalo I follow Cushny, who claims that alcohol is a poison, a depressant in direct proportion to the amount ingested, and a so-called false food."--DR. DE WITT H. SHERMAN, Adjunct Professor of Therapeutics, University of Buffalo Medical Department.

"I believe that alcohol is the greatest foe to the human race to-day. I feel that it would not be a serious harm if its use as a medicine were totally discontinued."--DR. WALTER E. FERNALD, Professor in Tufts Medical School, Boston, Ma.s.s.

"I rarely or never prescribe alcohol as a medicament or a food, or sanction its use as a beverage. Physiologically I look upon alcohol as a narcotic, with perhaps a primary stimulating effect, but I believe that such desired action as it is capable of producing can be equally well brought about by other agents.

As a beverage the use of alcohol, particularly in excess, is attended with definite and well-known dangers."--DR. A. A.

ESHNER, Professor of Clinical Medicine, Philadelphia Polyclinic and College for Graduates in Medicine.

"I agree with you altogether in your agitation against the use of alcohol in any form. I believe that wine is a mocker, and belief in wine as a benefit, mockery."--DR. MATTHEW WOODS, Philadelphia, Pa.

"It is extremely seldom that I ever advise the use of alcohol in any form for my patients."--ELLIOTT P. JOSLIN, M. D., Professor in Harvard Medical School, Boston, Ma.s.s.

"My belief is that there is very little need of the medical use of alcohol. I almost never use it in my practice, and think that its use by pract.i.tioners generally is far less than it was a few years ago."--DR. E. G. CUTLER, Professor in Harvard Medical School, Boston, Ma.s.s.

"I believe that the trend of teaching in the Harvard Medical School has been growing less favorable, of late years, to the use of alcohol in the treatment of disease, and in fact it is far less used than it was a generation ago."--DR. JAMES J.

PUTNAM, Professor in Harvard Medical School.

"My personal opinion in regard to the use of alcoholic drinks is very decidedly averse to such use. I have long been of the opinion that while the use of alcohol may restrain tissue metamorphosis, it cannot legitimately be considered a food."--DR. WILLIAM O. STILLMAN, Albany Medical College, Albany, N. Y.

"I do not think you will meet with very many physicians who favor alcohol and its use. I believe the trend of the teaching in the Albany Medical College is that alcohol is not a food or stimulant."--DR. A. VANDER VEER, Albany, N. Y., Medical School.

"I think the medical profession could get along perfectly well without the use of alcohol, except as it is needed in the manufacture of drugs. As a therapeutic agent, it has very little value. I do not suppose I have used a pint of alcohol in the last ten years. I think the tendency of the medical profession throughout the country is to give up alcohol in the treatment of disease."--DR. MATTHEW D. MANN, Dean of the Medical Department of the University of Buffalo, N. Y.

"I very seldom prescribe alcohol as a medicine, and think its effects are positively harmful in the vast majority of medical cases."--DR. ALLEN A. JONES, Adjunct Professor of Medicine, Buffalo, N. Y.

"At the Baptist Hospital I have not ordered alcohol for a patient in several years. At the Ma.s.sachusetts General Hospital, in the out-patient department, I never prescribe it."--DR.

RICHARD BADGER, of Harvard Medical School, Boston.

"Alcohol is used much too freely in the treatment of the sick, especially in such conditions as mild typhoid fever, neurasthenia and early tuberculosis. It should be prescribed only when there is definite indication for it, and then in definite dose for a limited period in the same manner as any other powerful and potentially harmful drug."--DR. S. S. COHEN, Jefferson Medical College, Philadelphia.

"It is seldom necessary to prescribe alcohol as a medicine."--DR. JAMES B. HERRICK, Professor of Medicine in Rush Medical College, Chicago.

"As I have said but little about the use of medicine in the treatment of typhoid fever, save for one symptom, I may add, for the purpose of definiteness, that I use none except for special symptoms. The rare exceptions are stimulants such as strychnia, in less marked indications coffee. Alcohol as a routine drug I have entirely abandoned, having found that the doses formerly given before or after the bath are altogether unnecessary. Hot milk internally, or hot water bags externally, more than replace spirits according to my experience."--DR. GEORGE DOCK, New Orleans.

"I have no use for alcohol, either personally, or in my practice. Yet I cannot say that I have entirely abolished it.

Alcohol is used in compounding most of our tinctures, but in remedies proper my experience has been that other stimulants, such as ammonia, strychnine, caffeine, kolafra, etc., answer the same purpose without alcohol's dangerous effects. In my practice, which is confined to surgery, I find very, very little use for it. During the past year, in extreme cases, I used it in hypodermic injections, and afterwards felt that ether, or ammonia would have answered the same purpose. I think, in general practice, physicians are dispensing with alcohol more and more, but perhaps unconsciously."--D. W. B. DE GARMO, Professor of surgery in Post-Graduate Hospital, New York City.

"Medicine, to-day, would be in a more satisfactory condition if the use of alcohol as a medicine had been interdicted a hundred years ago, and the interdict had remained to the present day.

The benefits derived from its use are so small (even when they can be proved, which is much more rarely the case than most people imagine), and the advantages gained are so slight, that they are completely outweighed when we set against them the evil that has been wrought by the abuse of alcohol, and that has arisen out of the loose methods of prescription that have obtained, and even still obtain, in regard to this drug."--DR.

G. SIMS WOODHEAD, F. R. C. P., F. R. S., Director of the Research Laboratories of the Royal College of Physicians and Surgeons, London.

"The effect of continually dosing with this drug is too apparent wherever it is used, benumbing the senses, and rendering more difficult every natural function. Alcohol never sustains the powers of life. It sometimes changes the symptoms of disease, but at the expense of the vitality of the body. What is called its supporting action, is a fever induced by the poison, which finally prostrates the patient. The secret of its action is found in the laws of vitality. The man who takes alcohol to help digest his food, must first throw off the alcohol, before his stomach can act healthfully.

"There is one encouraging fact to be noted in this connection, that the use of alcohol in medicine has very much diminished during the past twenty-five years, and the present tendency is constantly in that direction. Right here is an important point which I wish to make: When the physician ceases to prescribe alcohol as a medicine, the drink problem will have reached the final stage of its solution. Mankind will eventually learn that safety lies not so much in skillful doctors, or in some wonderful 'new remedy,' as in daily obedience to the laws of health. A small amount of prevention is of more worth than all the power of cure."--DR. C. H. SHEPARD, Brooklyn, N. Y.

"My observation has been that there is a decided tendency among educated physicians to give less alcohol than formerly in the treatment of disease. Of late years I have given but very little alcohol in my own practice. The tendency is due, in my opinion, to the study of the physiological action of drugs, and to the better understanding of the causation of disease and pathological processes. Modern investigators now know that we have therapeutic agents that meet the requirements of disease processes with more scientific accuracy than is obtained by the exhibition of alcohol."--DR. DONNELLY, Secretary of Minnesota State Medical Society, St. Paul, Minn.

"Dr. Pearce Gould recently made a speech to the National Temperance League on alcohol and the advantage of doing without it, both in health and in the treatment of disease. It takes a strong man to say the strong things which Mr. Gould said on the subject, especially if he happens to be a medical man. No doubt, as Dr. Gould says, the use of alcohol in medical practice is nothing now compared to what it was twenty years ago, much more forty years ago, when Dr. Todd's influence, and the reaction from the so-called antiphlogistic treatment were at their height. Public opinion has been enlightened by the evidence of leaders in medicine, such as Dr. Parkes, Sir William Gull, Dr.

Gairdner, Dr. Sanderson, and others, and medical men have dared to treat disease without alcohol, or with only small quant.i.ties of it. There are physicians and surgeons of reputation and success, who are so strong in their convictions that alcohol is of little use in the treatment of disease, that it destroys tissues, lessens the resistance to microbes, deranges functions, spoils temper, and shortens life, that they are ready to testify to this effect in public, in company with redoubtable champions of the temperance cause like the Archbishop of Canterbury, Sir William White (chief constructor of the navy), and the Bishop of Derry, who have as much prejudice to contend against in their spheres as the medical man has in his. We recognize with pleasure the good done by such testimony as Dr. Gould's. Men whose record and authority in the profession are such as his have the courage of their opinions, and their honest testimony will be respected even by those who do not go quite so far in discarding alcohol as an element of diet, or as a medicine."--_The Lancet_, London, May 14, 1898.

"The light of exact investigation has shown that the therapeutic value of alcohol rests on an insecure basis, and it is constantly being made clearer that after all alcohol is a sort of poison to be handled with the same care and circ.u.mspection as other agents capable of producing noxious and deadly effect upon the organism. It has been shown by Abbott and others that alcoholic animals are more susceptible to infections than normal animals. And Laitinen, after having studied the influence of alcohol upon infections with anthrax, tubercle and diphtheria bacilli in dogs, rabbits, guinea-pigs and pigeons, reaches the same general results with certainty and directness. Under all circ.u.mstances alcohol causes a marked increase in susceptibility no matter whether given before or after infections, no matter whether the doses were few and ma.s.sive or numerous and small, and no matter whether the infection was acute or chronic. The alcoholic animals either die while the controls remain alive, or in case both die, death is earlier in the alcoholic. The facts brought out by the researches of Abbott and Laitinen and others do not furnish the slightest support for the use of alcohol in the treatment of infectious diseases in man."--_Journal American Medical a.s.sociation, Editorial, September 8, 1900._

"Step by step the progress of science has nullified every theory on which the physician administers alcohol. Every position taken has been disapproved. Alcohol is not a food and does not nourish, but impairs nutrition. It is not a stimulant in the proper acceptation of the term; on the contrary it is a depressant. Hence its former universal use in cases of shock was, to say the least, a grave mistake. It has been proved by recent experiments that alcohol r.e.t.a.r.ds, perverts, and is destructive either in large or small doses to normal cell growth and development."--NATHAN S. DAVIS, SR., M.D., former Dean of Northwestern University Medical School, Chicago, Illinois.

(Deceased.)