This was done and she recovered sense. She was admitted on the 3rd
September, 1891, and discharged on the 10th. Took _three grains_
of acetate of strychnine to effect a cure.
CASE 5.--Paroati Devi, Hindu female, aged 67 years, healthy
constitution. Bitten on big toe of left foot on 10th September,
1891, symptoms were as preceding. The wound was cauterised.
Treatment.--Strychnia was given very cautiously, as the patient
was over-aged, the degeneration of the heart kept in view--1/10
grain eventually showed the peculiar strychnine symptoms. The
patient was cured in two days and discharged cured on the third
day, 14th September, 1891. This patient took in all _one and a
half grains_ of acetate of strychnia.
CASE 6.--Maya Swuper, aged 38 years, bitten by echis carinata
(without dots) on the lower third of the left leg, on the outside
of it. Mucous membrane of the mouth, eyes, nostrils, ears, and
urinary passages all bled profusely. Urine had clots in it and
symptoms resembled those in the first case.
Treated with strychnine and recovered in four days. Was admitted
on the 14th September, 1891, and discharged to duty on the 18th
September, 1891. Took in all _three grains_ to effect cure.
CASE 7.--Avghunandan, customs semadar, aged 55 years, Hindu male.
Bitten at 8 a.m. on the 29th March, 1892, by echis carinata (brown
variety) on the right foot near the cuboid bone. The punctures
were distinct and the symptoms like those of case 1. Bleeding was
profuse in this case.
Treatment.--Strychnine acetas injected _in quarter grain_ doses
under the skin and repeated as often as desirable. Patient
recovered after the sixth day and took in _all four grains of
strych. acet._ in six days. Only the bitten leg had erysipelatous
inflammation, which had to be treated afterwards, but the man was
quite safe.
Remarks.--In connection with echis bites one peculiar symptom was
always noticed, namely, the free oozing of blood from mucous
surfaces and old scars of wounds. The power of co-ordination was
very much affected from the first setting in of other symptoms.
Usually after 24 hours symptoms showed a relapse. In the treatment
with strychnia neither the symptoms of the drug nor of the
snake-poison ever showed themselves afterwards. Both seemed to
neutralise each other. Bungarus
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