98 LABIAT.^. 



6 A.M., au hour after tlie mau liad been bitten. Pulse 72, tem- 

 perature 98° r., no dyspnoea. Finding the bajmorrhage uu- 

 checked by tlie remedy, some perfectly fresh root just dug up was 

 substituted for that first given. The effect was soon apparent. 



At 2 p,M[., giddiness less, pidsc 78, temperature 09^ 

 expression trauqidl, urine dark-coloured, depositing a sliglit 

 flocculent sediment, reaction acid, sp. gr. 1012, albumen to a 

 considerable extent. Pain of the foot less. 



6 P.M., bleeding from the mouth practically stopped, giddiuess 

 increased, pulse 72, temperature 99°-4. Urine shows blood 

 corpuscules under the microscope. 



15th. — 'No hoDinorrhage from the mouth; urine contains a 

 considerable quantity of Llood; vertigo less. Swelling of Hmo 

 less. Pulse as yesterday and of fair volume. 



16th. — Ko haemorrhage whatever. No giddiness. Uriiie 

 pale, no sediment, no albumen, sp, gr, 1008. Pulse 66. Stiffuess 

 of foot, but no real pain. 



17th,— Swelling rapidly disappearing. No head symptoms. 

 Urine very pale and plentiful, sp. gr. 1004. 



18th. — Pangla omitted. His convalescence was uninteiTupt- 

 ed, and he left the hospital on the 22nd perfectly Avell. 



Dr. McCalman remarks:— ''I do not pretend to explain the 

 action of Pangla ; that the remedy acts generally and phy^i*^^^ 

 gically is apj^arent from the early drying up of remote hseiwor- 

 rhages {e.g., bleeding from the urinary tract) and the relief ol 

 cerebral symptoms, effects due to a restoration of the natural 

 state of the blood, and, through it, of the nervous centres. The 

 drug may also stimulate organs concerned in the elimination of 

 the poison. The subject is one which calls for further carefiJ 

 experimental research." 



Through the courtesy of Surgeon- General Pinkerton we have 

 been supplied with further extracts from the records of the 

 Rutnagiii Civil Hospital, which show that Pangla root is still 

 used with the same success in the treatment of Phursa bite. 



