DOCUMENTS 329 
was a ligature round the middle of the right thigh. The lower 
leg was enormously swollen, and the swelling was not stopped by 
the shght barrier formed by the ligature, but had already extended 
to the base of the limb. 
“The patient lay stretched out between the two seats of the 
vehicle, with head thrown back and eye-balls turned up and ghastly. 
His skin and extremities were cold, and his pulse was scarcely 
perceptible. In order not to lose time, he was not even taken up 
to the first floor of the Institute, but was carried to an inoculating 
table. He was then made to swallow black coffee and rum, and 
was given an injection of as much as six doses of antivenomous 
serum, which had just been received from the Pasteur Institute at 
Lille. 
‘ Under the stimulus of this injection, somewhat drastic I admit, 
an absolute resurrection took place in the sick man. The pulse 
became strong and bounding, bodily heat returned, and, although 
the swelling did not at once diminish, its progressive extension 
seemed to be sharply arrested, while the pain was also greatly 
lessened. The patient was able to sit up without assistance, and 
relate the incidents of his misadventure. 
“In a few minutes time I thought it possible to have him taken 
to the Choquan Hospital, the Director of which Institution, First- 
class Surgeon-Major Angier, has been good enough to furnish me 
with a note of the subsequent history of this case. 
“<The Annamese Nhuong, who entered the Choquan Hospital 
on September 11, suffering from snake-bite, was discharged on 
September 20. 
‘“*On admission, heat and puffiness were observed in the calf 
and thigh. Slight dyspnoea, severe fever, tendency to coma. 
September 12, temperature 38°, 39°2° C. September 13, tempera- 
ture 37°3°, 376 C. September 17, temperature 36:8°, 37° C. 
““*On discharge, slight cedema and puffiness in the region of the 
bite. General condition good.” 
VI-—Case recorded by Dr. Robert Miller, Bengal-Nagpur Rail- 
way Company (Advocate of India, Bombay, January 15, 1902). 
