blow smoke up (someone's) ass
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When “Blowing blow smoke
Tobacco was recognised as a medicine soon after it was first imported from the New World , and tobacco smoke was used by western medical practitioners as a tool against cold and drowsiness, but applying it by enema was a technique adapted from the North American Indians. The procedure was used to treat gut pain, and attempts were often made to resuscitate victims of near drowning. Liquid tobacco enemas were often given to ease the symptoms of a hernia. During the early 19th century the practice fell into decline, when it was discovered that the principal active agent in tobacco smoke, nicotine , is poisonous. Until its discovery and importation from the New World , tobacco was unknown to western medicine.