VEGETABLES DESCRIPTION AXD CULTURE. 369 



phallin can be counteracted. The undigested material, if 

 not already vomited, should, however, be removed from 

 the stomach and intestines by methods similar to those 

 given for cases of poisoning by Amanita muscaria. 



''After that the remainder of the poison, if the amount 

 of phallin already taken up by the system is not too large, 

 may wear itself out on the blood and the patient may re- 

 cover. It is suggested that this wearing-out process may 

 be assisted by transfusing into the veins blood freshly 

 taken from some warm-blooded animal. The depletion of 

 the blood serum might be remedied by similar transfu- 

 sions of salt and warm water. 



"The symptoms of poisoning from the fly amanita, as 

 deduced from a number of cases, are varied. In some in- 

 stances they begin only after several hours, but usually 

 in from one-half to one or two hours. Vomiting and 

 diarrhea almost always occur, with a pronounced flow of 

 saliva, suppression of the urine, and various cerebral 

 phenomena beginning with giddiness, loss of confidence 

 in one's ability to make ordinary movements, and de- 

 rangement of vision. This is succeeded by stupor, cold 

 sweats, and a very marked weakening of the heart's 

 action. In case of rapid recovery the stupor is short and 

 usually marked with mild delirium. In fatal cases the 

 stupor continues from one to two or three days, and death 

 at last ensues from the gradual weaking and final stop- 

 page of the heart's action. 



" The treatment for poisoning by Amanita muscaria con- 

 sists primarily in removing the unabsorbed portion of the 

 amanita from the alimentary canal and in counteracting 

 the effect of muscarine on the heart. The action of this 

 organ should be fortified at once by the subcutaneous 

 injection by a physician of atropine in doses of from one 

 one-hundredth to one-fiftieth of a grain. The strongest 

 emetics, such as tartarized antimony or apomorphine 

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