68 CASES. 



Bahimudden, aged 43, Mussulman, customs peon, admitted for 

 treatment of snakebite on the 13th September, 1892, at 10.45 p.m., 

 to the North India Salt Revenue Hospital, Pachhadra, Bajputana, 

 India, and put under my treatment. 



History of the Case. — The man is of strong build and healthy 

 constitution. While on duty he went round the salt pit, near his 

 beat. Suddenly he felt a prick on his foot, and, suspecting snake- 

 bite, struck out with a bamboo stick he carried in his hand, and 

 heard the snake make a loud noise. He at once tore a piece of 

 cloth from his turban, and tied it tightly above the right ankle 

 joint round the leg, then tried to kill the snake, but could not do 

 so with certainty, as it was dark. He reported the case to his 

 superiors, and was carried to the hospital. Bitten at 9.30 p.m. ; 

 admitted at 10.45 p.m. 



Present Symptoms. — Patient was delirious, and could not under- 

 stand what was told him ; body cold and covered with perspiration ; 

 breathing hurried, with a low rattle at the end of expiration ; mouth,- 

 tongue, and palate all dry ; tongue leather-like and cracked, and felt 

 cold ; tickling of throat, not exciting vomiting ; pupils dilated ; 

 conjunctiva congested; pulse 95; patient talked, or rather muttered, 

 with difficulty ; could not tolerate strong light or loud noise ; the 

 mucous membrane of the mouth showed irregular dark patches of 

 ecchymosed blood. 



The right foot was swollen, and in a line between ankle and 

 knuckle of big toe showed two punctures — one deep and bleeding, 

 and surrounded by ecchymosis ; the other one below this, more 

 superficial, the blood oozing thin and not coagulating. Received, at 

 10.45 p.m., i\th grain of strychnise in left arm. At 11 p.m., the 

 same dose ; breathing the same, but no rattle ; stupor rather deepen- 

 ing; incoherency increasing. At 11.15, the same dose; breathing 

 ■easier ; stupor the same ; pulse, 85 ; temp , 97'6 ; delirious at times, 

 and moaning with inarticulate cries ; could not hear when spoken to 

 in loud voice. 11.30 p.m., the same dose; no change in condition, 

 11.45 p.m., the same dose; stupor now fading away; delirium 



