Uvularia perfoliata as a remedy for Poisoned Wounds. 273 



di'ops of blood had issued from the puncture, a Uttle 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 its longer employment. Three doses of a 

 strong and caustic aqua ammonias, 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 pain, 

 however, was experienced 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- 

 monise. 



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 through terror. 

 Swelling, distress and restlessness increased. 



Apprehended mortification. Ligature l:o be removed peremp- 

 torily. 



23d. Ligature 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. 

 Little inconvenience. Swelling greatly abated. Yellow color 

 intense. 



29th. Saw Dr. Halberstadt in Philadelphia. Child well. 



With regard to the mortality of the bite of our venomous ser- 

 pents, and the possibility of recovery from them by the unassisted 



YoL. XXXV.— No. 2. 35 



