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What s True
Tobacco enemas were a real and at one time popular medical practice thought to have been able to revive people who had drowned or were otherwise catastrophically ill. What s False
However, the phrase blow smoke up your ass appears to have its origins more recently, in the 1960s, and there is no evidence linking it to the long-ago practice of tobacco enemas.
Origin
The topic of tobacco enemas has periodically provided mediaoutletsseeking a quirky history and science feature with colorful material. An oft-mentioned tale, for example, is the 1746 case of a man who, in an effort to save his drowned wife, inserted the stem end of his tobacco pipe into her rectum, covered the lit bowl with paper, and “blew hard” allegedly reviving her.