In all but the very lightest cases of snakebite-poisoning there are
always symptoms manifested that cannot be referred to any other cause
than an invasion of the centres now under consideration. They range from
mere stupor, confusion of thought and delirium to the deepest coma, with
complete extinction of consciousness and insensibility to all external
impressions. Coma is a frequent and in serious cases an almost
invariable symptom in Australia. After the bite of our death adder only
we find persons sometimes collapse and expire suddenly, when still
conscious and able to answer questions rationally. Coma invariably
develops from sleep. It is, in fact, sleep intensified. An almost
irresistible desire to sleep is one of the first symptoms to be
observed. If the dose of poison imparted by the snake has been small,
the desire may pass off or the sleep may not assume the form of coma,
but in all serious cases it quickly assumes that form. _Vice versa_ the
deepest coma becomes sleep again, when the suspended function of the
cortical centres is roused by strychnine injections. The insensible and
completely paralysed patient usually announces the gradual return of
consciousness by a few groans and uneasy movements and not unfrequently
begins to snore, as in ordinary sleep, when a smart shake at the
shoulder will rouse him into full consciousness. At other times this
transition from coma back to sleep does not take place and consciousness
returns quite suddenly, the persons opening their eyes and looking
around them, dazed and bewildered, but perfectly conscious at once. When
coma is fully established and the largest and most powerful
motor-centres have succumbed to the insidious poison, general paresis
becomes general paralysis and all the motor-centres of the body are in a
condition of more or less suspended functional activity. This and this
only is the condition of the centres, the whole secret of snake-poison,
that has puzzled the human mind for ages and yet appears so simple when
discovered at last. It is beautifully and strikingly illustrated in the
phenomena before us. We have coma and complete general paralysis, every
motor-nerve cell, from the highest psycho-motor one downwards, is thrown
into a state of torpor and has ceased to discharge the life force that
regulates every process of life and the entire absence of which
inevitably must be death. Only weak, lingering currents are sent forth
yet and put off the inevitable finale for a time. But the strychnine is
injected and mark the change. It courses quickly to every one of the
sleepers, for whom it also has an affinity, but the direct opposite to
that of the deadly venom that has overpowered them. It touches them as
if with the wand of a magician and orders them to awake and do their
work. There is no disobeying the mandate, for it is founded on one of
nature's unchangeable laws. Almost immediately the cells begin their
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