CLINICAL NOTES. 223 
bites, in which paralysis of the tongue is always present, it 
has invariably afforded entire relief in less thun five minutes. 
ADDITIONAL CLINICAL NOTES ON TIIE ACTION OF 
THE POISONS FROM DIFFERENT SOURCES. 
The employment of Lachesis in gangrene is shown to be 
exceedingly efficacious, by three cases of cures cited by Dr. 
Hiatt,* in which its action was quick and specific. 
Its action is more strongly marked when the part assumes 
a purple or lardaceous hue, and emits an offensive odor. Its 
efficacy in warding off traumatic tetanus and gangrene, in 
cases of gunshot wounds, has been proven in a great many 
cases ; possibly a single case cannot be cited in which it has 
failed to produce beneficial effects. Kuhn gives a case of a 
soldier bitten by this serpent, where the hand and arm were 
much swollen, and covered with gangrenous blisters. The 
wound gangrened, necessitating subsequent amputation to 
save the patient’s life. A notable fact in this case was that 
the urinary and fecal discharges were suppressed for seven 
days. 
In cases of yellow fever many symptoms are found like those 
under Apis mell., Crot. horr., Lachesis, and Elaps corall., viz.: 
General tremors; extreme lassitude; jerking and convulsions 
of the muscles of the limbs; delirium; sudden starting up 
from a sound sleep; frenzy; debility and numbness of the 
muscles of the limbs; fainting fits; loss of consciousness, 
and sudden sinking of the vital powers. 
In this connection I desire to call attention to the action of 
the poison Vip. Lachesis os flavus, as its similarity with the 
symptoms which mark the last stage of yellow fever cases is 
* An Inaugural, North American Journal of Homeopathy, May, 1865. 
