Morphinism and narcomanias from other drugs : their etiology, treatment, and medicolegal relations / by T. D. Crothers.

Date:
1902
Catalogue details

Licence: In copyright

Credit: Morphinism and narcomanias from other drugs : their etiology, treatment, and medicolegal relations / by T. D. Crothers. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    surroundings seem to have a marked influence over the minor actions of life. These two physical conditions are no doubt owing to differences of temperament, and to the degree of narcotism or amount of morphin which the patient is taking at the time, and vary at times, now distinct, and sometimes merging into each other. Some writers assert that a morphinist of long standing can be readily detected by watching his gait and manner of walking. It is asserted that the various degrees of paralysis and irritation follow- ing large doses of morphin are apparent in all the movements of body and head, and can be noted with any general examination. This undoubtedly applies to certain persons who are unaccustomed to large doses. In the early stages, with the exception of the face and eyes, there is but little to indicate the real con- dition physically. The appetite may be deranged and digestion disturbed and fitful. Alternate con- stipation and diarrhea are common. The sleep will be deranged, sometimes prolonged beyond the usual limits, then fitful and broken, the patient being wakeful at night and sleeping through the day. The muscles are weakened and are unable to .act quickly. In an emergency they respond slowly to the action of the will. A fine tremor is often present. General sensation is affected. Pruritus