Uvularia perfoliata as a remedy for Poisoned Wounds. 273 
drops of blood had issued from the puncture, a little diluted with 
a serous fluid ; and other blood had. been effused from the inden- 
tation produced by the pipe, which was marked by a circular ec- 
chymosis. We then discontinued the suction, fearing to disor- 
ganize the skin by itslonger employment. ‘Three doses of a 
strong and caustic aqua ammonize, amounting in all to about 
twenty drops, were given to the child, with milk; a paste of the 
same liquid with wheat flour, was applied over and around the. 
wound, to the extent of about one and a quarter inches square. 
The ligature and Uvularia were continued. 
At 4, P. M., the swelling was a‘ little increased. No pais; 
Ivo wever, was ptperiGndedd when the part was not touched. The 
numbness was considerably increased, and the color much yel- 
lower. A slight increase of the frequency and volume of the 
pulse had taken place. 
Continued applications. Gave five drops more of aqua am- 
moniz f sis zy 
6, P. M. Dr. Halberstadt met me at the house. Numbness 
and soreness abated. Color much more yellow; less redness; 
skin more opaque ; swelling slightly increased. Coldness nearly 
as great. Omit ligature. Purge in the evening with salts. 
9, P. M. Parents.had continued the ligature sign terror. 
Swelling, distress and restlessness increased. 
- Apprehended mortification. Ligature to be removed peep; 
torily. 
23d. Laiuatirg had been removed last evening. Patient had 
rested well. Cathartic had operated. Swelling diminished be- 
low the knee, but extended much nearer the body, beyond the 
mark of the ligature, to the terror of the parents. No fever. Am- 
moniacal ‘paste had blistered smartly. _ Considered better, | Poul- 
tice the blister with bread and milk. Continue Uvularia to un- 
covered parts. Sweat limb with hot vinegar steam. 
_ Evening. Dr. Halberstadt informs me that the swelling did 
not visibly diminish, till the child was freely purged. 
Wednesday, 25th: 5, A. M.. Child runs about freely. No pain. 
— inconvenience. _ Swelling greatly abated. Yellow color 
inten 
29th, Sie Dr. Halberstadt in Philadelphia. Child well. 
With regard to the mortality of the bite of our venomous ser- 
pents, and the at of recovery from them by the unassisted 
Vos EXxV.— 35 
