We call ourselves the most enlightened nation of the earth to-day, and it is true that a little knowledge has been more generally diffused1 among our people than among other peoples of the world. But we should not forget that “a little knowledge is a dangerous thing” largely because a little knowledge frequently proves to be no real knowledge at all. For example, the “little knowledge” generally possessed2 in regard to opiates.
Coal-tar was once a waste product, but toward the end of the last century a German chemist discovered that from it could be derived3 a drug, acetanilid, which would greatly lower temperature in fever. This discovery was hailed as a boon4 to humanity, and many other by-products of coal-tar were soon placed on the market, and regarded as of equal value with acetanilid. Physicians used them for a time without questioning, and the people took to them gladly. Wherever there was a persistent5 headache, some one of the coal-tar products was used, and “headache powders” multiplied.
But a little further knowledge led physicians to question the expediency6 of using acetanilid, phenacetin, antipyrin, or any of the coal-tar preparations in other than exceptional cases. Heart-failure and other dangerous results so frequently followed their use that the wisdom of using them at all became doubtful. As our knowledge increases, we are likely to find both the wisdom and necessity entirely7 disappearing.
In the meantime, those who have heard that temporary relief from pain may be had by using these drugs will go on using them, often in patent medicines, ignorant of what these nostrums8 contain, and the number of deaths resulting from their use continues to increase. The only way to protect such people from the result of their little knowledge, which is really ignorance, is by making it illegal to sell these drugs, except by prescription9 from a physician, who, in turn, should be held responsible for results.
This is, of course, an interference with the individual’s right to do as seemeth best to him, and to get his experience in his own way. Herbert Spencer says, “The ultimate result of shielding men from the effects of folly10 is to fill the world with fools.” But it is the same sort of interference that makes us hold a man by main force from throwing himself on the track before an approaching train, and not the sort that would forcibly put an overcoat on him when he did not care to wear it. One may be no more justifiable11 than the other, but it seems more excusable.
All sleeping doses are to be viewed with distrust; most of them contain opium12 or morphine, some still more deadly drugs: Nature “sets up a tolerance” for them so that, to obtain the effect, the dose must be increased, until, if the sufferer does not retreat in time, an almost incurable13 drug habit is formed, often more terrible than the liquor habit, which it sometimes supplants14. Nor do they bring true sleep.
R. Clarke Newton, in his treatise15 on “Opium and Alcohol,” says “Sleeplessness16 means not merely unrest, but starvation of the cerebrum. The only cause for regret in these cases is that the blunder should ever be committed of supposing that a stupefying drug which throws the brain into a condition that mimics18 and burlesques19 sleep can do good. It is deceptive20 to give narcotics21 in a case of this type. The stupor22 simply masks the danger. Better far let the sleepless17 patient exhaust himself than stupefy him. Chloral, bromides, and the rest of the poisons that produce a semblance23 of sleep are so many snares24 in such cases. Sleeplessness is a malady25 of the most formidable character, but it is not to be treated by intoxicating26 the organ upon which the stress of the trouble falls.” The late Dr. Alonzo Clark, who for years stood at the head of his profession as a consulting physician in New York City, is quoted as saying, “All curative agents, so called, are poisons, and, as a consequence, every dose diminishes the patient’s vitality27.” I doubt whether this view of drugs would be seriously contested by any of his professional brethren of good standing28.
The venerable Professor Joseph M. Smith, M.D., said: “All medicines which enter the circulation poison the blood in the same manner as do the poisons that produce the disease. Drugs do not cure disease.” John Bigelow, in the “Mystery of Sleep” , adds: “With drug-poisons should be classed nearly, if not quite, all fermented29 drinks—the most costly30 part of some people’s diet who indulge in them at all—coffee, tea, tobacco, spices, and most of the constantly multiplying tonics31 and condiments32 of the table. All of them have a tendency, directly or indirectly33, to discourage or impair34 sleep, and, as such, are77 ‘hostes humani generis’ (enemies of the human race). Their interference with sleep, though perhaps the most serious, is very far from being their only pathogenetic influence.”
Mr. Bigelow then cites from Jahr’s “Manual of Medicine” the fearful disturbances35 of sleep caused by fifteen drugs, all taken as samples from the list in their order under the single letter “A.” Contrary to the general belief, sleeplessness is more often a consequence of insanity36 than a cause of it. (See Appendix A.)
点击收听单词发音
1 diffused | |
散布的,普及的,扩散的 | |
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2 possessed | |
adj.疯狂的;拥有的,占有的 | |
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3 derived | |
vi.起源;由来;衍生;导出v.得到( derive的过去式和过去分词 );(从…中)得到获得;源于;(从…中)提取 | |
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4 boon | |
n.恩赐,恩物,恩惠 | |
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5 persistent | |
adj.坚持不懈的,执意的;持续的 | |
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6 expediency | |
n.适宜;方便;合算;利己 | |
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7 entirely | |
ad.全部地,完整地;完全地,彻底地 | |
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8 nostrums | |
n.骗人的疗法,有专利权的药品( nostrum的名词复数 );妙策 | |
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9 prescription | |
n.处方,开药;指示,规定 | |
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10 folly | |
n.愚笨,愚蠢,蠢事,蠢行,傻话 | |
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11 justifiable | |
adj.有理由的,无可非议的 | |
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12 opium | |
n.鸦片;adj.鸦片的 | |
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13 incurable | |
adj.不能医治的,不能矫正的,无救的;n.不治的病人,无救的人 | |
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14 supplants | |
把…排挤掉,取代( supplant的第三人称单数 ) | |
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15 treatise | |
n.专著;(专题)论文 | |
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16 sleeplessness | |
n.失眠,警觉 | |
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17 sleepless | |
adj.不睡眠的,睡不著的,不休息的 | |
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18 mimics | |
n.模仿名人言行的娱乐演员,滑稽剧演员( mimic的名词复数 );善于模仿的人或物v.(尤指为了逗乐而)模仿( mimic的第三人称单数 );酷似 | |
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19 burlesques | |
n.滑稽模仿( burlesque的名词复数 );(包括脱衣舞的)滑稽歌舞杂剧v.(嘲弄地)模仿,(通过模仿)取笑( burlesque的第三人称单数 ) | |
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20 deceptive | |
adj.骗人的,造成假象的,靠不住的 | |
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21 narcotics | |
n.麻醉药( narcotic的名词复数 );毒品;毒 | |
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22 stupor | |
v.昏迷;不省人事 | |
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23 semblance | |
n.外貌,外表 | |
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24 snares | |
n.陷阱( snare的名词复数 );圈套;诱人遭受失败(丢脸、损失等)的东西;诱惑物v.用罗网捕捉,诱陷,陷害( snare的第三人称单数 ) | |
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25 malady | |
n.病,疾病(通常做比喻) | |
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26 intoxicating | |
a. 醉人的,使人兴奋的 | |
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27 vitality | |
n.活力,生命力,效力 | |
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28 standing | |
n.持续,地位;adj.永久的,不动的,直立的,不流动的 | |
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29 fermented | |
v.(使)发酵( ferment的过去式和过去分词 );(使)激动;骚动;骚扰 | |
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30 costly | |
adj.昂贵的,价值高的,豪华的 | |
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31 tonics | |
n.滋补品( tonic的名词复数 );主音;奎宁水;浊音 | |
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32 condiments | |
n.调味品 | |
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33 indirectly | |
adv.间接地,不直接了当地 | |
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34 impair | |
v.损害,损伤;削弱,减少 | |
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35 disturbances | |
n.骚乱( disturbance的名词复数 );打扰;困扰;障碍 | |
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36 insanity | |
n.疯狂,精神错乱;极端的愚蠢,荒唐 | |
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