THE POISONOUS SNAKES OF INDIA. Ho 



Assistant Surgeon, 11 miles distant, who arrived in the afternoon of 

 the 13th instant. He found two fine punctures half an inch apart 

 at the seat of the injury, one being very slight, the other was 

 still bleeding and the foot was enormously swollen and discoloured 

 greenish-blue. Mr. Neale was in great agony. 



On the 14th instant the patient developed bleeding from the 

 gums. He appears to have remained in much the same state till 

 the 18th instant, when he was carried to Tankari, and admitted 

 into hospital at 4 a.m. on the 19th. His wounds had healed, and 

 the foot had completely subsided to normal proportions, but there 

 was swelling of the right calf and thigh. Later, pain in the right 

 groin shooting into the abdomen was experienced, and the abdomen 

 became distended, painful and tender. There were blood stained 

 patches and spots in the skin of the arms and chest, and a large 

 extravasation formed over the right buttock, and bled freely 

 extei'nally. His gums were still bleeding. He had no fever ; but 

 his respiration was hurried, and his pvilse weak and frequent. An 

 enema relieved the abdominal symptoms, the stool being very dark 

 (probably from admixture with blood). 



On the 20th he had very severe pain in the right hip, which 

 became swollen, and he could not bear to have it touched or moved. 

 He was decidedly weak as shown by his pulse and at 2 a.m. had a 

 fainting fit. He then complained of burning pain all over the body, 

 and still had special pain in the right calf and thigh, but his 

 abdominal pain was less and the swelling reduced. He vomited 

 three times during the day. Bleeding from the buttock had stopped 

 and the bleeding from the gums was slight. He had another faint- 

 ing fit at 6 P.M. but rallied again. At 10-30 that night the Civil 

 Surgeon arrived from Broach and found the patient quite conscious, 

 free from any nervous disturbance, but very exhausted. The 

 breathing was distressed, and there was some congestion of the 

 lungs. The pulse was thin and weak. The extremities wei'e cold 

 and livid. The gums were blue, spongy and bleeding, and expec- 

 toration blood stained. There were extravasations of blood beneath 

 the skin of various sizes on the face, chin, neck, chest and back, and 

 a very large one over the right buttock, and another on the inner 

 side of the left (right ?) thigh. The right foot was swollen to 



