Tobacco Smoke Enemas (1700-1810) The Tobacco Smoke Enemas was used to infuse tobacco smoke into a patients rectum for various medical reasons, primarily the resuscitation of drowning victims. A rectal tube inserted into the anus was connected to a fumigator and bellows that forced the smoke up the rectum. The warmth of the smoke was thought to promote respiration, but doubts about the credibility of tobacco enemas led to the proper phrase, "Blow smoke up ones ass". This has been reintrodued in Washington DC by the Obama Administration. It will be part of the new Health Care Program.