prostration, greatest from the cobra's poison, and often the patient sinks from this cause before the occurrence of other symptoms ; death from shock is less common after the bite of the fissi,

except in the case of young children. If, either from the amount of poison absorbed being insuffi-

having been used, the patient survives poison, phlegmonous inflammation of the affected limb will come on and spread rapidly towards the trunk ; abscesses will form in the neighbourhood of the joints, and in the liver and lungs, even when the inflammation does not extend beyond the bitten limb ; extensive sloughing and suppuration will make recovery very doubtful, and when it does occur the sufferer will often remain a sad cripple. On the other hand, the secondary symptoms after the bite of the fissi are licemorrhages from the mucous surfaces, particularly from the mouth and from the wounds produced by the reptile, and from any chance cur. or ulcer the patient may have; the prognosis is not so unfavorable as after the cobra's bite, but the patient is often sadly blanched, and recovers with his health shattered for many a day. cient,

or

from remedies

the shock of

Such

are

a

cobra's

the results of 15 cases?9 cobra bites and 5 fissi bites? that have occurred in my practice the

(one being doubtful)

last three years, and in no case has there been a divergence from the symptoms; it is probable that other makes may produce other

peculiar symptoms.

As regards treatment, the measures commonly adopted of ligature on the heart-side of the bite, the actual cautery, cupping glass, or suction, with the intention of either withdrawing the poison from the wound, or at any rate causing inflammation in the wound and preventing its absorption, would of course be suitable to every case. I have found a foot or so of half inch

POISONOUS SNAKES. By H. Cookson.

poisonous snakes are so common in India, and great suffering following their bites so frequent, but available concerning the symptoms very meagre information is caused by the bites of the different kinds and the best way of meeting them. I venture to offer a few remarks upon what cases I have seen, and invite others to record their experience. Natives have very vague ideas about snakes, and their statements that such or such a snake is poisonous or harmless are of no value ; indeed, I never yet heard any native point out a snake as harmless. The professional snake-charmer, who probably does know a good deal about snakes, is disposed to

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