CURES FOR SNAKE-BITE In a little book on the snakes of India, published many years ago by Dr. Nicholson of the Madras Medical Service, the conviction was expressed that the snake-charmers of Burmah knew of some antidote to the poison of the cobra which gave them confidence in handling it. He said that nothing would induce them to divulge it, but that he suspected it consisted in gradual inoculation with the venom itself. Putting the question to himself why he did not attempt to attest this by experiment, he replied that there were two reasons, which, if I recollect rightly, were, first, that he had a strong natural repugnance to anything like cruelty to animals, and, secondly, that he had observed that as soon as a man got the notion into his head that he had discovered a cure for snake-bite, he began to show symptoms of insanity. It is rather remarkable that, after so many years, another Scottish doctor, not in Madras, but in Edinburgh, has proved, by just such experiments as Dr. Nicholson shrank from, that an "aged and previously sedate horse" may, by gradual inoculation with cobra poison, be rendered so thoroughly proof against it that a dose which would suffice to kill ten ordinary horses only imparts "increased vigour and liveliness" to it. Further, Dr. Fraser has found that the serum of the blood of an animal thus rendered proof against poison is itself an antidote capable of combating that poison after it has been at work for thirty minutes in the veins of a rabbit, and arresting its effects. And all this has been achieved without apparent detriment to the distinguished doctor's sanity. This must be intensely interesting intelligence to Englishmen throughout India, and joyful intelligence too, for, scoff as we may at the danger of being bitten by a poisonous snake, nobody likes to think that, if such a thing should happen to him (and very narrow escapes sometimes remind us that it may), there would be nothing for him to do but to lie down and die. And so, ever since the Honourable East India Company was chartered, the antidote to snake poison has been a sort of philosopher's stone, sought after by doctors and men of science along many lines of investigation. And every now and then somebody has risen up and announced that he has found it, and has had disciples for a season. But one remedy after another, though it might give startling results in the laboratory, has proved to be useless in common life, and the majority of Englishmen have long since resigned themselves to the conclusion that there is no practical cure for the bite of a poisonous snake. For what avails it to carry about in your travelling bag a phial of strong ammonia and to live in more jeopardy of death by asphyxiation than you ever were by snakes, unless you have some guarantee that, when it is your fate to be bitten by a snake, the phial will be at hand? For ammonia must act on the venom before the venom has had time to act upon you, or it will only add another pain to your end; and that gives only a few minutes to go upon. So with nitric acid and every agent that operates by neutralising the poison and not by counteracting its effects. And this has been the character of all the remedies hitherto put forward. "They are," says Sir Joseph Fayrer, "absolutely without any specific effect on the condition produced by the poison." But "anti-venene," as Dr. Fraser calls his immunised blood-serum, follows the poison into the system, even after the fatal symptoms have begun to show themselves, and arrests them at once. So the Anglo-Indian may throw away his ammonia phial and, arming himself with another of anti-venene and a hypodermic syringe, feel that he is safe against an accident which will never happen. As for the man who is not nervous, he will speak of the new antidote, and think of it as most interesting and valuable, and go on his way as before with no expectation of ever being bitten by a venomous snake. The medical man of every degree will order a supply as soon as it is to be had, and conscientiously try to stamp out the smouldering hope within him that somebody in the station will soon be bitten by a cobra and give him a chance. Among the dusky millions of India Dr. Fraser's discovery will create no "catholic ravishment" because they will not hear of it. And if they did hear of it they would regard his labours as misapplied and the result as superfluous. For the Hindu has never shared the Englishman's opinion that there is no cure for snake-bite. On the contrary, he is assured that there are not one or two but many specifics for the bite of every kind of snake, known to those whose business it is to know them. If they are not invariably efficacious, it is for the simple reason that if a man's time has come to die he will die. But if his time has not come to die they will not fail to cure him, and since no man can know when he is bitten whether his time has come or not, he will lay the odds against Fate by trying, not one or another of them, but as many as he can hear of or get. Some of them are drastic in their effects, and so it too often proves that the poor man's time has indeed come, for though he might survive the snake he succumbs to the cure. It is many years now since the news was brought to me one day that a man whom I knew very well had been bitten by a deadly serpent and was dying. He was a fine, strongly built young fellow, a Mohammedan, in the employ of a Parsee liquor distiller, in whose godown he was arranging firewood when he was bitten in the foot. Without looking at the snake he rushed out and, falling on his face on the ground, implored the bystanders to take care of his wife and children as he was a dead man. The news spread and all the village ran together. The man was taken to an open room in his employer's premises and vigorous measures for his recovery were set on foot, in which his employer's family and servants, his own friends and as many of the general public as chose to look in, were allowed to take part. First of all, some jungle men were called in, for the man of the jungle must naturally know more about snakes than other men. These were probably Katkurrees, an aboriginal race, who live by woodcutting, hunting and other sylvan occupations. They proved to be practical men and at once sucked the wound. An intelligent Havildar of the Customs Department, who chanced to be present, then lanced the wound slightly to let the blood flow, and tied the leg tightly in two places above it. This was admirable. If what the jungle men and the Havildar did were always and promptly done whenever a man is bitten by a snake, few such accidents would end fatally. But this poor man's friends did not stop there. A supply of chickens had been procured with all haste, and these were scientifically applied. This is a remedy in which the natives have great faith, and I have known Europeans who were convinced of its efficacy. The manner of its application scarcely admits of description in these pages, but the effect is that the chickens absorb the poison and die, while the man lives. The number of chickens required is a gauge of the virulence of the serpent, for as soon as the venom is all extracted they cease to die. Nobody, however, could tell me how many chickens perished in this case. They were all too busy to stop and note the result of one remedy while another remained untried. And there were many yet. Somebody suggested that the venom should be dislodged from the patient's stomach, so an emetic was administered in the form of a handful of common salt, with immediate and seismic effect. Then a decoction of neem leaves was poured down the man's throat. The neem tree is an enemy of all fevers and a friend of man generally, so much so that it is healthful to sleep under its shade. Therefore a decoction of the leaves could not fail to be beneficial in one way or another. The residue of the leaves was well rubbed into the crown of the man's head for more direct effect on the brains in case they might be affected. Something else was rubbed in under the root of the tongue. In the meantime a man with some experience in exorcism had brought twigs of a tree of well-ascertained potency in expelling the devil, and advised that, in view of the known connection between serpents and Satan, it would be well to try beating the patient with these. The advice was taken, and many stripes were laid upon him. Massage was also tried, and other homely expedients, such as bandaging and thumping with the fists, were not neglected. It was about noon when I was told of the accident, and I went down at once and found the poor man in a woeful state, as well he might be after such rough handling as he had suffered for four consecutive hours; but he was quite conscious and there was neither pain nor swelling in the bitten foot. I remonstrated most vigorously, pointing out that the snake, which nobody had seen, might not have been a venomous one at all, that there were no symptoms of poisoning, except such as might also be explained by the treatment the man had suffered at the hands of his friends, and that, in short, I could see no reason to think he was going to die unless they were determined to kill him. My words appeared to produce a good effect on the Parsees at least, and they consented to stop curing the man and let him rest, giving him such stimulating refreshment as he would take, for he was a pious Mussulman and would not touch wine or spirits. I said what I could to cheer him up, and went away hoping that I had saved a human life. Alas! In an hour or so a friend came in with a root of rare virtue and persuaded the man to swallow some preparation of it. Post hoc, whether propter hoc I dare not say, he became unconscious and sank. Before night he was buried. All this did not happen in some obscure village in a remote jungle. It happened within a mile and a half of a town controlled by a municipal corporation which enjoys the rights and privileges of "local self-government." In that town there was a dispensary, with a very capable assistant-surgeon in charge, and in that dispensary I doubt not you would have found a bottle of strong liquor ammoniÆ and a printed copy of the directions issued by a paternal Government for the recovery of persons bitten by venomous serpents. But when the man was bitten the one thing which occurred to nobody was to take him there, and when I heard of the matter the assistant-surgeon had just left for a distant place, passing on his way the gate of the house in which the man lay. This was a bad case, but there is little reason to hope that it was altogether exceptional. I am afraid there can be no question at all that hundreds of the deaths put down to snake-bite by village punchayets every year might with more truth be registered as "cured to death." |