CASES. 65 



Notes of eight cases as reported to the " Australasian Medical 

 Gazette^' for July and November, 1892, by R. P. Banerjee, 

 B.A., G.B.M.S.L., Medical Officer, Salt Mines, Pachhadra, 

 Eajputana, India : — 



Case 1. — Bhagwan Singh, aged 30, Hindu male. Sepoy, E. T. 

 Force, was bitten by a viperine snake (echis carinata) at 4 p.m. 

 10th June, 1892, in the dorsum of left foot. He was removed to 

 the hospital, tight ligature applied, and with the following symp- 

 toms : — Heaviness of both legs, staggered if allowed to walk, 

 giddiness, sense of sinking at the pit of the stomach, bleeding from 

 mucous surfaces and old scars ; soon fell swooning. 



Treatment. — The punctures incised, and blood let out, one- 

 twelfth of a grain of strychniae acetas hypodermically injected. 

 Again, the insensibility not gone after 30 minutes, another dose 

 given, and so repeated the third time. The bleeding stopped and 

 the man recovered his senses, but could not raise himself to talk. 

 Many more doses were given under the skin, with hour intervals, 

 and the man recovered the next day ; but he was much exhausted 

 and treated for weakness three days, and discharged to duty on the 

 14th. Punctures were distinct, symptoms well developed. Took 

 one and a half grains of strychnine to effect cure, leaving no after 

 effects of the drug or poison. 



Case 2. — Sadig Husain, a Mussulman boy, aged 12 years, 

 bitten on the right ankle, just below the inner malleolus, by echis 

 carinata (Khapar) on the 5th August, 1891, brought in with usual 

 symptoms, as before. 



Treatment as before. This case took only one-fourth grain of 

 strych. acet. The boy was weak and sickly. He was discharged 

 cured on the third day, i.e., 17th August, 1891. 



Case 3. — Nathey Khan, Mussulman, customs peon, aged 35 

 years, robust and strong, bitten by echis carinata (yellow variety). 

 Punctures were on the left ankle, over the outer malleolus. Symp- 

 toms as before given. 



