Tobacco methods. Some examples are: Smoking in public was, for a long time, reserved for men, and when done by women was sometimes associated with promiscuity; in Japan, during the Edo period, prostitutes and their clients often approached one another under the guise of offering a smoke. The same was true in 19th-century Europe. Following the American Civil War, the use of tobacco, primarily in cigars, became associated with masculinity and power. Today, tobacco use is often stigmatized; this has spawned quitting associations and antismoking campaigns. Bhutan is the only country in the world where tobacco sales are illegal. Due to
Tobacco smoke enema liquid tobacco enema, supplemented with a chicken broth enema, and pills of opium and calomel (taken orally). The woman later recovered. In 1811, a medical writer noted that "[t]he powers of the Tobacco Enema are so remarkable, that they have arrested the attention of practitioners in a remarkable manner. Of the effects and the method of exhibiting the smoke of Tobacco "per anum", much has been written", providing a list of European publications on the subject. Smoke enemas were also used to treat various other afflictions. An 1827 report in a medical journal tells of a woman treated for constipation