general surgical principles. The patient recovered the
entire use of her arm, and was turned out cured in about six weeks.

The third case I saw about fourteen hours after he was struck. The
patient was a healthy blacksmith, about 30 years of age. The wound was
at about the middle of the forearm, the fangs entering toward the
ulnar side. When I saw the patient he exhibited comparatively trifling
symptoms. His heart action was rapid, and he was suffering from the
typical despondency and terror, but I could not note the profound
systemic depression characteristic of the great majority of cases.
Surrounding the wound and extending up the forearm for several inches
there was a boggy swelling, exhibiting a sharp line of demarkation. It
was bronzed in color, and was apparently spreading. I at once applied
the intermittent ligature just above the elbow, and injected the
permanganate of potassium solution freely all through the involved
tissues, particularly in the region of the bite and about the
periphery of the swelling, surrounding the latter by a complete ring
of injections.

The general treatment of this patient was continued on the same
general line as described in the former cases, stimulants being
employed moderately. He recovered without any bad symptoms. There was
no sloughing; the swelling disappeared without any necrosis of tissue.
He is still pursuing his trade in Cheyenne, and suffers from
absolutely no disability.

I saw but one case shortly after the wound was inflicted. This patient
was a healthy young man, who was struck about the middle of the dorsal
surface of the hand, the fangs entering on each side of a metacarpal
bone, and the poison lodging apparently in the palm of the hand. The
patient, when seen, exhibited the characteristic terror and
depression, weak, rapid heart action, and agonizing local pain. I made
two small incisions in the region of the wound upon the dorsum of the
hand, and injected permanganate of potassium freely. This patient
ultimately recovered, but only after sloughing and prolonged
suppuration. I believe that had I incised freely and at once from the
palmar surface, I would have been spared this unpleasant complication.

I have had in all nine cases, and without a single death. The others
are in their general features and in the treatment employed quite
similar to those given.

The symptoms resulting from snake bite poison are strikingly like
those dependent upon the violent s