i dunno either, but i do know that there were at one point (pre modern aethestia,) medicinal cigars, that were insert in the recum, and smoke was pumped up (sort of a dry enema) the effect was a numbing, and they were used for amputations and for apendectemies.

tsuwm used to have this great link to antique medical devises, maybe a bellows for blowing smoke up.. is on of the devices on display.

you also might be able to find something on tobaco sites.. its not that obscure.