If we turn from these to the black snake (_Pseudechis porphyriacus_) a
different picture presents itself. Its poison does not produce so deep a
coma and often none at all. The patients generally feel drowsy and fall
asleep, but are easily roused and sometimes awake spontaneously. There
is also not the same amount of muscular paralysis. They are frequently
able to walk a few steps with assistance and can move in bed, the arms
especially being almost free from paresis. But the insidious poison none
the less does its work, though its effects are less patent. It
concentrates its action on the vaso-motor centre. The victims from hour
to hour become more anæmic in appearance through increasing engorgement
of the abdominal veins. Anæmia of the nerve-centres hastens the
collapse, and from the combined effects of this and heart failure death
takes place suddenly and quickly as if in a fainting fit. Here then we
have an approach to the effects of viper poison which is also shown in
the greater amount of swelling and effusion around the bite and in the
bitten limb.
This approach is still closer in the poison of the death adder
(_Acantophis antarctica_). There is generally much extravasation of
blood locally. Muscular paralysis is also less pronounced, but sudden
collapse from vaso-motor paralysis not unfrequently takes place, when
the patients fully conscious are still able to sit up. That leading
feature of viper poison, diapedesis with hæmorrhage, does not occur with
either.
If we turn from Australian to Indian snakes, the peculiar tendency of
the poison to concentrate its action on special nerve-centres becomes
still more marked. The predilection of the cobra poison for the
respiratory centre has already been dwelt on. More remarkable and
strange is the action of the Indian viper-poison on the minute ganglia
in the vaso-motor nerve ends, which control the capillary circulation,
and by their paralysis bring about extensive hæmorrhage through
diapedesis.
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