Lips. Owing to the smoking of tobacco, cancer of the lip presents itself in twenty-seven times out of hundred cases among men, and one and a half in a hundred among women. Lips cracked, painful (eighth day). Upper lip rough and dry, with burning sensation (tenth day). The lips are livid. Lip pale and bloodless. Lips pale. Upper lip feels elongated (after smoking half a cigar, indoors). China Contraction of the jaws. Violent contraction of both jaws. Lower jaw dropped. Painful drawing in the right side of the lower jaw (second day). A stitch in the articulation of the jaw, when laughing (third day).
Mouth
Teeth. Chattering of the teeth from cold, in the evening (fifth day). Lips drawn back, showing the teeth, which were covered with dark sordes (third day). Caries of all the teeth. Teeth good, but dirty and stained. Toothache, continuing until nearly all the teeth were lost. Violent drawing-tearing toothache in the upper teeth, extending towards the forehead (eighth day). Drawing pain in the upper teeth, disappearing on pressing on the cheeks (third day). Sharp tearing in the teeth of the right lower jaw (after half an hour). Toothache becomes intolerable.
Sudden violent toothache, with heat of the face and dizziness.
When biting upon hollow teeth a sticking in them (third day).
Violent, persistent, throbbing toothache, in several hollow teeth. In a vast number of extreme cases of smoking, when those who have indulged in such excess have had what has been called toothache, their sufferings have been great, yet in most instances I have observed that the crowns of the teeth seemed perfect, excepting that the enamel appeared to be altered in structure and color, and, therefore, I directed my special attention to the state of the fangs, and found them, in all such cases, denuded of this periosteum, being rough at the extremities, as if rasped; whilst the color of the fangs themselves resembled horn, being of a darker hue than healthy dentine, and of a porous appearance, differing materially from the usual dense substance which envelops them. In consequence, therefore, of the active absorption going on, the affected teeth act as extraneous bodies and produce much local irritation.
Hence I am led to the inference that tobacco affects the teeth themselves, and that the affection must not be confounded with their injury induced by the acidity often caused by stomach derangement, resulting from an inveterate habit of smoking. The symptoms of the “smoker’s disease” are as follows: More or less uneasy sensation about the crown of the teeth, which gradually extends to the fangs; at this stage of the disorder, if the teeth are touched, there is tenderness experienced, and if bitten on in this condition, a sudden most painful sensation is experienced; as the disease proceeds, the patient seems cognizant of the immediate seat of the disease, the agonizing pain being confined to the bottom of the alveolar process of the affected tooth or teeth, which is attended with a palpable throbbing, or, as an unscientific patient expressed it, a “jumping pain.” The most distressing symptoms are felt under vicissitudes of climate; in great and sudden changes from heat to cold, or vice versa; or after drinking spirits and water, wine, beer, or any other alcoholic stimulants; in other words, the teeth, under this affection, suffer from anything that accelerates the circulation.
Among many of my most intelligent patients, when there happened to be a space (from previous extraction) between the affected teeth, they have described their sensation as if a series of galvanic or electric shocks continually passed from tooth to tooth, and tired at last by this continued disturbance, they have had the offenders forcibly removed. Gums. Gums pale and parched. Drawing in the gum (fourth day). Tongue. Tongue tremulous, red and dry. Constant trembling of the tongue and extremities. Tongue pale, trembling constantly. Tongue entirely covered with a thick brown-yellow coat, very adherent and smooth, notwithstanding the prominence of the papillae. Yellowish tongue, not coated. Tongue thickly furred. Tongue coated.
Tongue dry and dark red in color. Tongue dry and white. His tongue, without being furred, is whitish, and trembles. Tongue red and dry. Tongue dry, parched, and covered with a blackish- brown crust (third day). Dryness of the tongue and lips. Fine stitches in the tongue, soon. Alienation of taste of tongue, with sensation as if the back of the tongue were to be filled with the settlings of his pipe; day and night this taste persecuted him; mixed itself up with his food and drink. Tongue feels swollen, so that in speaking his words run into each other (after smoking half a cigar, indoors). General Mouth. Corners of the mouth sore (after second and fourth days). Frothing from the mouth. The breath and the cutaneous secretion oppressively charged with the odor of tobacco. Swollen glands under the tongue, painful to external touch (eighth day). Four had ulceration of the mucous membrane of the mouth. Yellowish mucus from the mouth. The mouth is full of white tenacious mucus which must be frequently expectorated. Dryness of the whole mouth. Burning in the mouth and throat, soon. Burning-scraping warmth in the throat and oesophagus, extending to the stomach.
Great hyperaemia of the mucous membrane of the mouth and pharynx; pharynx covered with granulations, with dryness, and a vanished appearance. Saliva. Salivation. Constant profuse ptyalism. Increased secretion of saliva. Accumulation of saliva in the mouth. Spits much. Constant running of thin watery saliva from the mouth. Taste. Taste bad. Bad taste in the mouth, as of burnt milk. Bad insipid taste, in the morning (second day).
Flat slimy taste, in the morning (third day). Everything tastes sour (third day). Sour taste in the mouth (third and sixty days). Water tastes as if mixed with wine (third day). A very bitter taste in the mouth (tenth day). Bitter taste in the mouth, in the morning after waking (fifth day). In December, 1856, after having, perhaps, for some time, smoked more than usual, I perceived in my mouth a disagreeable taste, like that of rancid oil, which lasted for eight days, ceasing only during the meal, and returning an hour after, in spite of all efforts to remove or disguise it. At the end of a few weeks, a yellowish spot appeared on the edge of the tongue. This spot, which at first was the size of a half-dime, looked exactly as if a piece of dried lichen had been planted there. It seemed as though I could detect, by sucking at it, that here was the immediate cause of the bad taste in my mouth. It grew a little larger by slow degrees. Soon another similar spot appeared on the arches of the palate. Speech. Speech difficult. While reading he cannot articulate; he reads very indistinctly, quite contrary to habit (first day). Speech faltering, and mind uncertain. Speech difficult and unintelligible. Power of speech wanting. The patient could speak only in a low tone and in a broken manner, and complained of exhaustion, confusion of the head, and a mouldy taste of tobacco. Almost speechless; her voice was hoarse and she could only murmur some inarticulate sounds.
Throat
Hawking of mucus (first day). Much tenacious mucus in the throat (ninth day). Tenacious mucus in the throat, which cannot be raised. Choking. Nocturnal attacks of tightness of the throat, with palpitation and neuralgic pains in the neck. Sore feeling in the right side of the pharynx when not swallowing. Irritation to cough and scratching in the throat (second day). Frequent irritation in the throat and larynx, exciting violent fits of dry cough, chiefly at night. Scraping in the throat. Scraping and pressure in the throat and larynx. Scraping in the throat the whole afternoon (second day). The throat is so scraping and dry that she can scarcely swallow (second day). Rawness and scraping in the throat (soon). Dryness of the throat. Throat parched.
Throat dry and irritable. Pressure in the throat as if something were sticking in it (second day). Tickling and raw feeling in the throat. Tickling in the throat, rising up and provoking frequent cough (after half an hour). A crawling sensation in the throat, which is painful on swallowing. Transient stinging sensation of heat in the pharynx, soon. Uvula and Tonsils.
Uvula oedematous. Catarrhal inflammation of the tonsils. Tongue enlarged. Fauces. Diffused redness and dryness of the fauces and roof of the mouth. Redness of fauces. Pharynx and Oesophagus.
Pain in the pharynx on swallowing. Rawness and scraping in the pharynx. Biting and scraping in the pharynx (immediately).
Scraping and burning in the pharynx. Burning in the pharynx.
Heat in the pharynx after swallowing. Periodic sensation of a plug in the oesophagus, with constant dull pressure. Pressive pain in the lower part of the oesophagus on swallowing food (after three hours). Swallowing. Swallowing very painful, owing to spasms of the throat. At times great difficult in swallowing (after three days). Swallowing was very difficult, even a small quantity was swallowed with the greatest effort. Deglutition difficult (impossible, except when the article to be swallowed was placed low in the throat). Unable to swallow. External Throat. Tensive pain in the submaxillary glands, with a feeling as if swollen, and as though the lower jaw had lost its mobility, soon.
Born in 1837in Westminster, Vermont. . He was an orthodox doctor who converted to homeopathy
Dr. Allen compiled the Encyclopedia of Pure Materia Medica over the course of 10 years.
In 1881 Allen published A Critical Revision of the Encyclopedia of Pure Materia Medica.