LIQUOR DRINKING IN HEALTH AND DISEASE.
REPORT OF THE COMMITTEE UPON THE PROGRESS MADE IN MEDICAL SCIENCE
IN FAVOR OF TEMPERANCE DURING THE YEAR ENDING JUNE 1, 1902—A. W.
GUTRIDGE, CHAIRMAN. READ AT THE THIRTY-FIRST ANNUAL CONVENTION
OF THE CATHOLIC TOTAL ABSTINENCE UNION OF THE ARCHDIOCESE OF ST.
PAUL, AND ORDERED PUBLISHED BY THE CONVENTION.
In order to understand what progress has been made during the year, it is necessary to note the condition of affairs at the commencement of the period.
Long before this committee began work the leading physicians of every enlightened country, the men to whom the entire profession looks for guidance, had declared against the use of alcohol both in health and in disease.
IS ALCOHOL A DRINK?
One reason why all the greatest physicians believed it harmful was because it had been found that alcohol was not a drink. The most abundant substance found in the human body, is water. About 130 pounds of
IS IT A FOOD?
We also found, upon taking up the work imposed upon us, that alcohol had been demonstrated not to be a food. Many classifications of foods have been made, but about the best is that which divides them broadly into two classes: to use homely language, flesh formers and body warmers; those which build up or repair the bodily waste, and those which sustain the animal warmth. The slow fire within us being necessary to life we hunger for that only which will replace the substance destroyed by the burning. "To the child of nature all hurtful things are repulsive, all beautiful things attractive," As to flesh formers, it had been noted that all foods useful in repairing bodily waste contain the element nitrogen. Alcohol contains no nitrogen, and so could not be classed among body builders. The chief body warmer is sugar. Alcohol being a product of sugar, people were all misled for years into thinking that it does in some kind and degree feed the system. The mistake was easy, since after taking alcohol there is a temporary increase in vivacity of mind and manner and in surface temperature, and a lessened requirement for regular foods. These opinions had been tested in the light of truth and proved erroneous. Axel Gustafson, in his Foundation of Death, considers this subject at length. As early as 1840 French physicians discovered that alcohol actually reduced the temperature of the body. Prominent German and English medical men soon confirmed the statement, and in 1850, Dr. N. S. Davis of Chicago, the founder of the American Medical Association, in speaking of a number of observations during the active period of digestion after ordinary food, whether nitrogenous or carbonaceous, the temperature of the body is always increased, but after taking alcohol, in either the form of the fermented or the distilled drinks, it begins to fall within half an hour and continues to decrease for from two to three hours. The extent and duration of the reduction was in direct proportion to the amount of alcohol taken." The most prominent physicians in Austria, Italy, Switzerland, Scandinavia and Russia reached similar conclusions shortly after this. In explorations in the Arctic regions where the cold is intense, no alcoholic drinks are permitted. Dr. Nansen, the great Norwegian, attributes the fatalities
IS IT A MEDICINE?
At the time we began work, however, it had been demonstrated that alcohol is not a medicine. Many years ago Dr. Nottinghham, a great English physician, said: "Alcohol is neither food nor physic." Dr. Nicols, editor Boston Journal of Chemistry, long ago wrote, "The banishment of alcohol would not deprive us of a single one of the indispensable agents which modern civilization demands. In no instance of disease in any form, is it a medicine which might not be dispensed with." Dr. Bunge, professor of physical chemistry in the University of Basle, Switzerland, said: "In general let it be understood that all the workings of alcohol in the system which usually are considered as excitement or stimulation are only indications of paralysis. It is a deep-rooted error sense of fatigue is the safety value of the human organism. Whoever dulls this sense in order to work harder or longer may be likened to an engineer who sits down on his safety valve in order to make better speed with his engine." Dr. F. H. Hammond of the U. S. army said: "Alcohol strengthens no one. It only deadens the feeling of fatigue." Dr. Sims Woodhead, professor in Cambridge University, England, had given the following list of conditions in which alcohol should not be used: In those (1) who have any family history of drunkenness, insanity or nervous disease. (2) Who have used alcohol to excess in childhood or youth. (3) Who are nervous, irritable or badly nourished. (4) Who suffer
Much has been said concerning the stimulating effect of alcohol upon the heart, and this had been treated at length. There is an increased action of about four thousand beats in twenty-four hours for every ounce of alcohol used. This fact still misleads some physicians into prescribing it to strengthen the weak heart, but the increase is not due to new force. The heart action normally is the result of arterial pressure and nervous action, two forces mutually balancing each other. The nervous action is diminished by the introduction of the alcohol; this destroys the balance and deranges the arterial pressure. Dr. James Edmunds, a great English physician, years ago said: "When we see a man breathing with great vigor, does it occur to us that he must be in good health? Is it an indication that he gets more air? We all know better. It simply shows that he has asthma or some such disease, and that his breathing is strained and imperfect. He is making use of less air than the person who breathes quietly. This is the case with the blood, work, so it plunges and struggles in the effort. And the cause of both cases is the same. There is more carbonic acid in the blood than either the heart or the lungs can handle. If for example I were suffering from general debility and milk were the food best suited to my needs, and if I should discover a tramp in my apartments drinking of my already too limited supply, would it be reasonable to assert that the exhibition of strength which I made in forcing him to desist is an indication that the entrance of the vagrant bettered my enfeebled condition? The greater activity of the heart is not due to the added strength resulting from recruits of friends but to a desperate struggle to beat back a reinforced enemy."
That alcohol does not allay pain had been established when this committee was organized. The only proper method of allaying pain is to remedy the disorder which produced it. It is no remedy to deaden the nerves so that we cannot feel it. This reasoning had been found good in the case of alcohol as a remedy in "colds." Whiskey does not relieve the uneasiness and oppression we experience when ailing from a cold, it only benumbs the nerves so we do not feel the trouble. The cure is not hastened but delayed in this way.
IS IT THE CAUSE OF DISEASE?
Besides the fact that alcohol had, before this committee's existence, been proved to be neither a drink nor a food nor a medicine, it had also
With reference to the effect on the offspring of drinking parents, the medical profession had accepted the teaching of the French specialist, Dr. Jaccound, that "of the children of drinkers some of them become imbeciles and idiots; others are feeble in mind, exhibit moral perversion, and sink by degrees into complete degeneration; still others are epileptics, deaf and dumb, scrofulous, etc.," and of the English teacher, Dr. Kerr, that "long continued habitual indulgence in intoxicating drink to an extent far short of intoxication is not only sufficient to originate and hand down a morbid tendency, but is much more likely to do so than even repeated drunken outbreaks with intervals of sobriety between."
Thus the men who have been of the greatest honor to the profession in every land were a unit in opposing the use of alcohol in health or disease and in holding that if people are determined to use it there is less danger in health, as then the system is in better condition to throw off its evil effects.
PROGRESS DURING THE PAST YEAR.
Now as to the progress made during the past year. In June, 1901, the American Medical Association met in St. Paul. The branch of it giving special study to the temperance question held several sessions, about one hundred of the most distinguished physicians in the country attending. Much time was given to considering Dr. Atwater's teaching to the effect that he had proved alcohol to be a food. During the previous year he had published the details of his experiments, and at the convention it was shown that his own experiments upset his conclusions. It had been held that except in rare instances alcohol taken into the system passed away from it as alcohol without change. Dr. Atwater's experiments strengthened somewhat the position of those who held that change is not infrequent, but he concluded that the portion broken up while in the body served as a food. A closer examination of his own experiments showed that the portion oxidized had gone to form other compounds in the system which were possibly more harmful than if it had all passed off unchanged. Dr. Max Kassowitz, professor in the University of Vienna, said, after Dr. Atwater's statement had been published: "For the animal and human organism, alcohol is not both a food and a poison, but a poison only, which like other poisons is an irritant when taken in small doses while in larger ones it produces paralysis." In connection with the fact that alcohol is simply a poison, it may be worth stating, that the original meaning of the word "intoxicated" was "poisoned." After reading Dr. Atwater, the Russian Commission for the study of alcoholism, after two years' work, said: "The claim that alcohol is a food in any proper sense of the term is not sufficiently proved." In the St. Paul convention spoken of, politics obtained a foothold, and some weak resolutions in favor of the army canteen were adopted but not even the champions of the canteen were willing to subscribe to the statement that alcohol is ever a real food.
Just previous to our last convention much noise was made through the daily press concerning a finding of some English scientist to the effect that an acquired tendency cannot be transmitted to offspring. We were told that this would upset the theory that children inherit a craving for intoxicants from intemperate parents, and "the moralists and reformers would have to readjust this logic on these points." In the annual report of the president of the Union a year ago, attention was drawn to the fact that those who indulge in this sort of sophistry have not read what the teachings of temperance workers have been on the subject. Such was not the opinion of the scientists making the report, for it says "Children of drunkards are liable to be mentally and physically weak and tend to become paupers, criminals, epileptics and drunkards." It will be seen from what has been said that this is the position we have held all along. Dr. Davis, the dean of American physicians opposing the use of alcohol, has published during the year a number of articles showing the impossibility of alcohol's being of service as a medicine, and has dwelt especially upon its harmful effects in fevers, diseases in which it is still much prescribed.
INTERNATIONAL MEDICAL MANIFESTO.
"The following statement has been agreed upon by the Council of the British Medical Temperance Association, the American Medical Temperance Association, the Society of Medical Abstainers in Germany, the leading physicians in England and on the continent. The purpose of this is to have a general agreement of opinions of all prominent physicians in civilized countries concerning the dangers from alcohol, and in this way give support to the efforts made to check and prevent the evils from this source.
In view of the terrible evils which have resulted from the consumption of alcohol, evils which in many parts of the world are rapidly increasing, we, members of the medical profession, feel it to be our duty, as being in some sense the guardians of the public health, to speak plainly of the nature of alcohol, and of the injury to the individual and the danger to the community which arise from the prevalent use of intoxicating liquors as beverages.
We think that it ought to be known that:
1. Experiments have demonstrated that even a small quantity of alcoholic liquor, either immediately or after a short time, prevents perfect mental action, and interferes with the functions of the cells and tissues of the body, impairing self-control by producing other markedly injurious effects. Hence alcohol must be regarded as a poison, and ought not to be classed among foods.
2. Observation establishes the fact that a moderate use of alcoholic liquors, continued over a number of years, produces a gradual deterioriation of the tissues of the body, and hastens the changes which old age brings, thus increasing the average liability to disease (especially to infectious disease,) and shortening the duration of life.
3. Total abstainers, other conditions being similar, can perform more work, possess greater powers of endurance, have on the average less sickness, and recover more quickly than non-abstainers, especially from infectious diseases, while altogether escape diseases specially caused by alcohol.
4. All the bodily functions of a man, as of every other animal, are best performed in the absence of alcohol, and any supposed experience to the contrary is founded on delusion, a result of the action of alcohol on the nerve centers.
5. Further, alcohol tends to produce in the offspring of drinkers an unstable nervous system, lowering them mentally, morally and physically. Thus deterioration of the race threatens us, and this is likely to be greatly
Seeing, then, that the common use of alcoholic beverages is always and everywhere followed, sooner or later, by moral, physical and social results of a most serious and threatening character, and that it is the cause, direct or indirect, of a very large proportion of the poverty, suffering, vice, crime, lunacy, disease and death, not only in the case of those who take such beverages, but in the case of others who are unavoidably associated with them, we feel warranted, nay, compelled to urge the general adoption of total abstinence from all intoxicating liquors as beverages, as the surest, simplest, and quickest method of removing the evils which necessarily result from their use. Such a course is not only universally safe, but it is also natural.
We believe that such an era of health, happiness and prosperity would be inaugerated thereby that many of the social problems of the present age would be solved."
The year has been marked by more detailed examination of the effects of alcohol upon the human system, with the result that progress towards its eventual overthrow as a medicine has been distinctly made. The greatest reforms are brought about quietly, but truth is mighty and does prevail. It will take time but gradually all will come to feel the suggestive power in the fact that "The table of nature is spread, and bountifully spread, for all its millions upon millions of guests, but wine and strong drink are not on the table."