336 VENOMS 
After having applied a stout ligature to the limb, the injured 
man hastened to the hospital, where, immediately afterwards, he 
fell into a condition verging on coma. The body was bathed 
with cold sweat; the temperature was subnormal; the pulse, 
which was small and thready, was 140. There was difficulty in 
breathing, and severe vomiting. At intervals the patient was 
aroused by spasms, and excruciating pains in the injured limb, 
which exhibited considerable œdema above and below the ligature. 
Tendency to asphyxia. I washed the wounds with 1 per cent. 
solution of permanganate of potash, and injected a dose of anti- 
venomous serum into the subcutaneous cellular tissue of the left 
flank. In view of the severity of the symptoms I gave two other 
injections of serum, an injection of 3 c.c., followed by one of 2 c.c. 
The patient dozed all night. Next day the general symptoms had 
entirely disappeared. Two days later Demba returned to duty.” 
C.—Bungarus fasciatus. 
XVI.—Case reported by Surgeon-Captain Jay Gould (Now- 
gong, Central India, British Medical Journal, October 10, 1896, 
p. 1025). 
“On June 11, 1896, a punkah coolie was bitten on the dorsum 
of the left foot, between the second and third toes. He had only 
the distinct mark of an incisor, a very slight prick, with a stain 
of blood which marked the spot. Within ten minutes we had 
injected 20 c.c. of Calmette’s serum into the abdominal wall, after 
which we made a local injection of a 1 in 60 solution of hyper- 
chlorite of calcium. ‘l'wo hours after the injection the temperature 
was subnormal, the pulse full and slow. Twelve hours later the 
patient was perfectly well and walking about. 
“The snake was a Bungarus, full grown, measuring 28 inches. 
Unfortunately the syces killed it; it died the very moment I 
arrived, so that I was unable to test its virulence.” 
