326 



PART Y. 



DOCUMENTS. 



I. — A FEW Notes and Observations relating to Bites of 

 Poisonous Snakes Treated by Antivbnomous Serum 

 Therapeutics. 



A. — Naja tripudians (India and Indo-China). 



I. — Case published by A. Beveridge, M.B., CM., Surgeon S. 

 Coorg Medical Fund {British Medical Journal, December 23, 1899, 

 p. 1732). 



" A strong coolie, aged 26, was bitten by a cobra on the right 

 ankle, just above the internal malleolus. He was brought to the 

 surgery about one hour after being bitten, in a state of comatose 

 collapse. The pulse was rapid, and the surface of the body cold. 

 He was given an injection of 10 c.c. of Calmette's antivenene deeply 

 into the right flank. He was kept under observation : the paresis 

 and insensibility were very marked. On visiting him some hours 

 afterwards I found he could walk without assistance, but staggered, 

 and complained of weakness and pains in both legs. Next morning 

 he was much improved, the paresis gradually wore off, and the 

 pulse steadily gained strength. The patient returned to work four 

 days later, quite recovered. 



" A few days previously a coolie had died after being bitten 

 by a snake under the same conditions, but without having been 

 treated. Occurrences like these point to the necessity that every 

 Government or private dispensary should be supplied with anti- 

 venene, which is certainly the best remedy for snake-bite available." 



