1857 The Lancet  
229 experienced all the soothing and agreeable effects for the time of the pipe or cigar; but the following morning, the symptoms of nausea, a dry, white tongue, with headache, and a lack of full nervous energy, which continued more or less during the day, until the pipe or cigar was resumed in the evening. After repeated examinations of its effects upon my pulse, heart, and vascular system, noticing also the great injury to my nervous system, I resolved to abandon it entirely, which I did in
more » ... 42, and have not had cause to regret the step taken, but am more perfectly satisfied with the change. I can rise earlier in the morning, and can perform a greater amount of mental and physical labour. For fifteen years I have had my attention more or less directed to this question, " Is tobacco-smoking positively injurious to the human system ?" I do positively affirm it is, and have seen and noted down numbers of cases in which smoking has been the primary cause of paralysis, delirium tremens, gastric disorders, with inflammatory affections of the pharynx, larynx, &c. Having been medical examiner for many life assurance companies for the same period of time, I can bear my testimony to the truth of Mr. Solly's statement respecting the "countenances of habitual smokers," also respecting the state of the fauces, being injected, and presenting the appearance of dirty-red velvet, &c. Many young clergymen and other ministers have been advised by me to abandon the use of tobacco, on account of its inducing relaxation of the uvula and fauces, accompanied often with hoarseness and sore throat.
doi:10.1016/s0140-6736(02)20278-0 fatcat:dv5xgzeu7ndrvm773oojo3bl7a