94 THE POISONOCS SNAKES OP INDIA. 



legs. When seen by me at 11 o'clock on 28tli April 1911, the 

 following symptoms and signs were present : — 



He lay in the dorsal decubitus in a condition of semicoma, his 

 pulse was full and bounding, regular in frequency and 100 per min. 

 Bespiration was hurried and embarrassed by secretion in his 

 bronchioles 30 per minute. 



His pupils were very dilated, did not react to light but the con- 

 junctival reflex was still present. Both pupils were equal. His 

 conjunctivae were injected and the seat of ecchymotic haemorrhage. 

 There was slight bleeding from the mucous membrane of his nose 

 and bronchi — at least, on cough his saliva was stained by red blood. 

 His reflexes were normal (knee jerk, plantar, etc.). He had been 

 bitten in the foot but there was absolutely no trace or abrasions as 

 evidence of the bite. There was no swelling of the Ij-mphatics of 

 the limb or in any other part of the bodj'. 



I advised him to go to the regimental hospital at once, but 

 this was very stubbornly refused. Accordingly I gave him 

 an injection of antivenene at once ; no local treatment of 

 the bite was resorted to as it was considered too late. To keep 

 his heart going, although it showed no signs of failure he was given 

 hypodermically 1/100 grain of digitalin and kept covered up as 

 his surface temperature was then lowered. I gave him also an injec- 

 tion of permanganate of potash (1 grain to the ounce) 4 oz. 

 subcutaneously. At 1 o'clock same day, two hours later I saw 

 him again. His pupils were now much smaller though still dilated^ 

 he opened his eyes himself and rested his head on his hand on the 

 pillow. He had recovered from his condition of semicoma to a 

 sort of dazed condition. I was told that he had sat up and taken 

 " kunji " and asked for water. His pulse was then much slower 

 and respirations were only twentj- to the minute. 



I did not see him again since I was discouraged by the native 

 treatment that prevailed whenever I went awaj\ They removed 

 the warm blankets about 4 o'clock, and covered him up with wet 

 clothes. My hospital assistant saw him at 6 o'clock and reported 

 that his temperature had gone up to 102. Jjater in the night 

 about 10 o'clock the hospital assistant reported it to be .103. 



