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It was useful in counteracting cold and lethargy, either in an individuals constitution, or brought on by particular afflictions In fact, tobacco enemas had what could be called a cultural moment in the late 1700s and early 1800s, and their history is inexorably linked to the Royal Humane Society, a charity that is still active and that "grants awards for acts of bravery in the saving of human life and also for the restoration of life by resuscitation." As discussed in The Lancet: The 18th century saw a growing sense of national responsibility for health and welfare

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