DOCUMENTS 329 



was a ligature round the middle of the right thigh. The lower 

 leg was enormously swollen, and the swelling was not stopped by 

 the slight barrier formed by the ligature, but had already extended 

 to the base of the limb. 



"The patient lay stretched out between the two seats of the 

 vehicle, with head thrown back and eye-balls turned up and ghastly. 

 His skin and extremities were cold, and his pulse was scarcely 

 perceptible. In order not to lose time, he was not even taken up 

 to the first floor of the Institute, but was carried to an inoculating 

 table. He was then made to swallow black coffee and rum, and 

 was given an injection of as much as six doses of antivenomous 

 serum, which had just been received from the Pasteur Institute at 

 Lille. 



" Under the stimulus of this injection, somewhat drastic I admit, 

 an absolute resurrection took place in the sick man. The pulse 

 became strong and bounding, bodily heat returned, and, although 

 the swelling did not at once diminish, its progressive extension 

 seemed to be sharply arrested, while the pain was also greatly 

 lessened. The patient was able to sit up without assistance, and 

 relate the incidents of his misadventure. 



" In a few minutes time I thought it possible to have him taken 

 to the Choquan Hospital, the Director of which Institution, First- 

 class Surgeon-Major Angier, has been good enough to furnish me 

 with a note of the subsequent history of this case. 



" ' The Annamese Nhuong, who entered the Choquan Hospital 

 On September 11, suffering from snake-bite, was discharged on 

 September 20. 



" ' On admission, heat and puffiness were observed in the calf 

 and thigh. Slight dyspnoea, severe fever, tendency to coma. 

 September 12, temperature 38°, 39'2° C. September 13, tempera- 

 ture 37^3°, 37-6° C. September 17, temperature 36-8°, 37° C. 



" ' On discharge, slight oedema and puffiness in the region of the 

 bite. General condition good.' " 



VI. — Case recorded by Dr. Eobert Miller, Bengal-Nagpur Eail- 

 way Company (Advocate of India, Bombay, January 15, 1902). 



