No. VIII. Experiments made on the Poison of the Rattlesnake ; in which the Powers of the Hieraceum Venosum, as a Specific, were tested; together with some Anatomical Observations on this Animal. By Richard Harlan fm.D.—Read March 1th, 1828. TN offering the following observations, it is not my inten- tion, or desire, to add another specific to the numerous an- tidotes to the poison of the Rattlesnake, already before the public. Most of these remedies have proved, on trial, to he either destitute of active properties, or altogether unworthy of serious consideration. I shall therefore briefly notice a few of the most celebrated. The most ancient, at least, if not the most renowned, is the volatile alkali, a remedy prescribed by European practi- tioners more than a century ago, not only as an antidote for the poison of the viper, hut against the effects of the bite of venomous animals in general*. The Abbe Fontana, about the middle of last century, published a work on the poison of the viper, to which we may refer for many cu- rious experiments on the nature of this poisonf. * Vid. Diet, des Sciences Medicales, vol. xxxiv. p. 309; article Morsure. t The following among other conclusions are offered by Fontana ; the viper alluded to is the “Coluber berus” of Linn. u 1. The bite of the viper is notpois- ON THE POISON OF THE RATTLESNAKE. 301 There are few authorities of the present day inclined to place much faith in the volatile alkali as an antidote for the specific effects of the bite of the viper*; but as the constitu- tional symptoms, produced by the bite of venomous reptiles, are generally adynamic in their nature, this remedy, together with other diffusible stimulants, is calculated to counteract this state of the system, and may prove very serviceable in supporting the vital powers, and thus suspend the fatal opera- tion of the poison. To this conclusion I have been led by experiment. The next remedy for accidents of this nature worthy of notice, is the uPrenanthis serpent aria” of Pursh. This plant is held in high esteem by the inhabitants of Virginia, as a remedy for the bite of the Rattlesnake, and is known to them by the familiar name of 66 Lionsfoot.” Pursh states that he had an opportunity of being a witness to the efficacy of this plant. A man living in Cove mountains, near the Sweet-springs, was bit in the foot by a Mockeson, [Cenchris Mockeson ? Dandin,] a species of snake considered the most dangerous. An inflammation and swelling of the whole leg took place immediately; hut by taking the milky juice of this plant, boiled in milk, inwardly, and applying to the wound the steeped leaves, which were frequently changed, he was cured in a few days. The plant is frequently confounded with another species of the same genus, from which it is im- portant to distinguish it; this last the inhabitants name “false Lionsfoot.” Gronovius, in his Flora, page 113, mentions Dr Witt’s snake-root under P. autumnalis, or Willdenow’s ” rubieunda ” as a remedy for the bite of the Rattlesnake, which shews that he had information of the use made of this plant, though he did not know the genuine species.—Vid. Pursh’s “ Flora Americae Septentrionalis,” p. 499. onous to its own body, or to that of its own species. 2. The venom is not equally destructive to all animals. 3. The poison is neither acid, alkaline, nor saltish. 4. It has no positive taste, and taken into the mouth does not cause the tongue to swell. 5. It is not inflammable. 6. Mixed with water it sinks to the bottom ; when shaken it renders the water turbid and whitish.”—Vide Fontana—“ Ricerche fisiche sopra il veleno della vipera.” yol. hi.—4 g EXPERIMENTS MADE ON THE The remedy which next claims our attention, has been considered as of sufficient importance to demand legislative enactment. It appears that some years ago, the State As- sembly of South Carolina purchased from a Negro, for an an- nuity of one hundred pounds for life and his freedom, the secret of his cure for the bite of the Rattlesnake. This proved to be the “Jllisma plantago,” or water-plantain. Many of the members are said to have witnessed the effi- cacy of the remedy in the person of the Negro, who stripped himself naked and jumped into a tub, containing many of these venomous snakes, and received numerous wounds. He cured himself by swallowing one tablespoonful of the expressed juice of the Alisma plantago, and repeated the dose at inter- vals, until the effects of the poison were counteracted. An essay was published on this subject in the sixth volume of the Technical Repository of 1824, by C. Whitlaw,Esq.*, who states that the common plantain has been used by mistake, to which error he attributes all the reputed failures. My friend Major N. A. Ware informs me that in Florida and Alabama, a species of Pedicularia, or “ Louse-plant” is of considerable repute as an antidote to poisons of this nature. Sweet oil has also been famous as a specific in similar cases. A number of experiments were performed by a viper catcher before the Royal Society of London, in order to prove its efficacy, some account of which was published in the early numbers of the New York Medical Repository. But passing over this remedy and many others of a similar nature, we come to the consideration of the plant which was * The following extract from Mr Whitlaw’s Essay is probably sufficient to de- stroy his authority altogether among medical men,—though the above statement concerning the experiments I believe to be historical fact. “ The specific action of the poison appears to be chiefly confined to the muscles: after the infliction of the bite, powerful muscular contractions take place over the whole body, the muscles are highly inflamed, a coldness and corrugation of the skin surround the part which was bitten, and violent spasms resembling teta- nus supervene followed by mortification. A friend of mine at Savannah died in consequence of being bitten by a snake in the hand; when they took hold of his arm to place him in the coffin, the arm came off at the shoulder joint—Vid Technical Repos, vol. iv. p. 258. POISON OF THE RATTLESNAKE. 303 the immediate object of my own experiments. It must be here repeated that the Hieraceum venosum is not offered as a specific cure for the bite of the Rattlesnake: much further observation is requisite to establish its claims to such high virtues. It is proposed to continue the experiments on the commencement of the approaching season, but in the mean while it was thought advisable to publish the present account as the first of a series, in as much as several facts have been elicited, which are considered very important by those who witnessed the experiments. November 2d, 1827. In company with a number of pro- fessional gentlemen, I visited the collection of living Rattle- snakes* exhibiting by Messrs Elnsworth and Murray. The reptiles, to the number of 150, were all taken by the pro- prietors in their native county of Susquehanna, Pennsylva- nia, during the current months of August and September. The proprietors profess to be in possession of an infallible re- medy for the cure of the symptoms resulting from the bite of the Rattlesnake; they display the utmost confidence, and are on terms of intimate familiarity with every individual of the collection; they take them in their hands and fold them around their necks,—open the mouth of the snake, and expose his fangs to the view of the visitors, &c. In order to satisfy ourselves that there existed no trick or deception in the case, and to prove that the bite ©f these animals, in their present state of subjection, is really mortal, two living animals were exposed to be bitten, both of whom died within the space of eight minutes. The first received a severe wound on the breast, the snake fastening his fangs in the flesh; immediately the eyes of the animal (a young cat) were observed to change their expression, lacking lustre, and appearing like the eyes of an intoxicated person. In three minutes after the infliction of the wound, involuntary discharges per anum oc- curred ; in six minutes urine was also discharged. The pu- * Crotalus durissus, Linn. 304 EXPERIMENTS MADE ON THE pils of the eyes were dilated, and in eight minutes convulsions and death supervened. A narcotic or sedative effect of the poison was an early symptom, and this soon degenerated into insensibility. In the second experiment, the kitten was introduced into the box among the snakes, and received wounds from several; one of the proprietors, Mr Elnsworth, having introduced his hand into the box among the reptiles with a view of irritating them, received two distinct wounds on the hack of the hand, and which were observed to he inflicted by different indivi- dual snakes; the wounds bled slightly. Mr E. displayed no uneasiness, but loitered about the room and continued the ex- hibition for some time, and then took an opportunity to re- tire for a few minutes, and returned entirely out of danger; two small punctured wounds alone remained visible; the bleeding had ceased, and the slight tumefaction which had commenced around the wound had entirely disappeared. No marks of suction were discovered, nor were any precau- tions taken, in presence of the visitors, after the infliction of the wound, with the exception of the application of a ligature around the wrist. In fine, that the proprietors are actually convinced that they possess some means to render the poison of the Rattle- snake innocuous, would seem to be proved by the experi- ments above stated, as well as by the perfect composure and unlimited confidence of the man, when fairly wounded by the poisonous animals, which at the same time were inflict- ing mortal wounds on the subjects of the experiments. They stated to the company that the specific was of Indian renown, that a decoction of the plant was administered inter- nally, and that, for a moderate compensation, the secret would be disclosed. Accordingly, on the 15th of December, 1827, a number of gentlemen*, including several eminent individuals of the * The following is a list of the names of those gentlemen who liberally contrib- uted towards paying the amount demanded by the proprietors for the disclosure of POISON OF THE RATTLESNAKE. 305 medical profession, convened at my office for the purpose of witnessing experiments made with the poison of the Rattle- snake, (Crotalus durissus, Linn.) Some days previous, a num- ber of the most lively and vicious among them were separa- ted, and permitted to drink; abstinence both from food and water having been strictly enjoined previously, during the period of their confinement, from an idea of the proprietors, that abstinence, particularly as respects water, is calcuated to render the poison less destructive. Experiment 1. It was decided that Mr Elnsworth, who had offered him- self as the subject of the experiment, should he first bitten, and afterwards that the same snake should be made to de- monstrate its poisonous powers upon a puppy. A large active female snake was taken from the box and placed upon a table in a warm room. At 11 h. 20 m. A. M. the man received a bite from the irritated snake on the in- dex finger of the left hand, about half an inch from the me- tacarpal bone; the wound resembled a minute incision, or briar scratch about one fifth of an inch in length; one fang only appears to have been projected, the animal striking with one or both fangs at pleasure; a little blood exuded. Pulse, just before the bite was received, 104 per minute; but it was observed to vary during the experiments to such a degree as to prevent any correct inference to he expected from that source. 11 h. 40 m. He says the wound smarts a little, but no signs of a poisonous wound are as yet exhibited. their “ Secret,” most of whom, with several othei’s, were present at the experi- ments :— Drs Chapman, Harris, Meigs, Emerson, Mitchell, Wetherill, J. R. Barton, Pen- nock, Captain Bazil Hall, R. N., Messrs S. Wetherill, J. P. Wetherill, and W. Hem- bel. Notes were taken by several of the gentlemen, and the present statements result from a comparison of them all. YOL. III. 4 H 306 EXPERIMENTS MADE ON THE After the lapse of nearly an hour from the commencement of the experiment, no symptom denoting the action of the poison occurring, Elnsworth exposed the same hand to a large active male snake. As in the first instance, considera- ble irritation of the animal was requisite to force him to strike, and at 12 h. 15 m. He received a second wound from a single fang on the hack of his hand, directly over a prominent ve- nous branch. A large drop of transparent, yellowish, and glairy fluid was spread over and around the wound, which was doubtless ejected from the poison sack. A little very dark blood slowly exuded from the wound. 12 h. 31 m. Slight swelling is observable immediately around the second bite. 12 h. 48 m. Elnsworth again exposed his hand to the female snake, and received two additional punctures simultaneously, one from each fang, on the lower extremity of the metacar- pal hone of the ring-finger. As in the first instance, nei- ther of these wounds displayed symptoms of the specific ef- fects of the poison; the second bite therefore, or that received from the male snake, will alone be the subject of further ob- servations in this experiment. 1 o’clock, P. M. The swelling around the second bite has increased considerably, the tumefaction extending up and down along the course of the vein, about an inch and a half in length, and half that size in breadth, the greatest length of the tumefaction being below the wound. The man now complained of pain and numbness along the course of the lymphatic vessels on the inner part of the fore-arm. 1 h. 25 m. Pulse natural, symptoms last described some- what increased; swelling unattended with symptoms of in- flammation. 1 h. 30 m. Although the man is perfectly willing to per- mit the symptoms to proceed further, several of the witnesses expressed their unwillingness to hear the responsibility of the consequences; he was therefore permitted to have recourse to his remedy, and he immediately swallowed a few ounces POISON OF THE RATTLESNAKE. 307 of the decoction of the root, and appeared indifferent about the external application of the same to the wound. He stated that the original stock of the vegetable being exhausted, and the season too far advanced to enable him to obtain more at present, he would be under the necessity of applying portions of the flesh of one of the reptiles (just decapitated for the purpose of another experiment) to the wound. 2 h. 30 m. He has held the bloody portion of the snake to his wound incessantly, from which all the swelling has sub- sided, together with all uneasy sensations, from his hand and arm. 4 o’clock, P. M. The man Elnsworth has remained con- stantly in the room under my inspection. His dinner was offered to him, but he had little disposition for food; says his stomach is a little sick, probably the effects of the medicine. No tumefaction or other symptoms remain ; the wounds re- semble slight scratches without any appearance of inflamma- tion. The vein in which the bite took effect presents a pe- culiar appearance, being for the distance of an inch between the valves above and below the wound quite empty. Directly above the valve the vein is unusually prominent, and the pres- sure, from the application of the flesh, has been removed for more than an hour. It is scarcely necessary to remark that the application of portions of the snake to the wound, which the man appeared to think very important, could exert no other influence than might have been obtained from the application of the recent flesh of any other animal. The root and leaf of the “ specific” were produced and ex- posed to the inspection of an able botanist, Dr Charles Pick- ering, who identified it with the Hieraceum venosum, or Hawk-weed, Adder’s-tongue, Poor Robin’s plantain, Rattle- snake weed, &c.-—a common weed in the dry open wood- lands*. The same plant is noticed by Schoepf as a remedy for the bite of the Rattlesnake. * Vid. Florula Cestrica, by W. Darlington. M.D. , p. 84. 308 EXPERIMENTS MADE ON THE Experiment 2. 11 h. 31 m. A pup about three or four weeks old was bit- ten by the same female snake which had previously bitten Elnsworth in the first experiment: both fangs took effect, and the two wounds were about one inch and a quarter apart. 11 h. 34 m. Pup urinates. 11 h. 36 m. Cries and staggers. 11 h. 37 m. Belly tense in the vicinity of the wound, and apparently painful; the wound presents an ecchymosis, being tumid and of a dark colour. 11 h. 39 m. Pup lies on its side, and continues its plaintive cries, also emits some froth from the mouth. The ecchymo- sis increases rapidly, and a pale bloody humour exudes from the wounds. 11 h. 51 m. The animal is quiet and fanting. 12 o’clock, merid. Appears vertiginous, turning round and resting on its extended fore feet; staggering and resting on its side, and turning upon its back. These symptoms continued with little alteration until 4 o’clock, When the animal died, having previously exhi- bited some stertorous breathing, but without the occurrence of convulsions. Dissection. I examined the body fifteen minutes after death in pre- sence of Drs Morton, Meigs, Emerson, &c. On raising the skin of the abdomen we observed an extensive extravasation of blood, not coagulated, in the cellular tissue over the whole front of the belly. The colour of the parts exposed to the specific action of the poison was a dark red, and the whole appearance in the vicinity of the wound might be aptly com- pared to that occasioned by an extensive and violent con- tusion. The abdomen, being laid open, displayed the abdominal FOISON OF THE RATTLESNAKE. 309 reflections of the peritoneum nearly in the same condition, being very red, and appearing as if soaked in blood. A simi- lar appearance, to a considerable extent, prevailed in the peri- toneal coat of the stomach and intestines, the veins of which were congested. The internal coats of the stomach and intes- tines were natural in appearance. Urinary bladder was empty. No coagulated blood was observed in any of the ves- sels throughout the system. Thorax presented no remarka- ble deviation from a natural state. Cranium.—On raising the skull and dura mater, an exten- sive dark patch, formed apparently by extravasation or con- gestion, was observed under the arachnoid membrane lying over the cerebral lobes, and extending down in a slight degree between the convolutions. The substance of the brain and spinal marrow appeared natural. The muscular system was rather pale. It will probably he remarked, that the specific action of the poison appears to have expended its deleterious influence on the cellular tissue in this animal: the usual phenomena which characterize death from poisons, such as non-coagula- tion of the blood, extravasations, &c. were remarkably well developed. Experiment 3. A full grown cock, having the feathers removed from over the pectoral muscles, was exposed to be bitten by a Rattle- snake, and at 12 o’clock, merid. Received two slight wounds from both fangs at the same time; each wound was covered with drops of a transparent fluid ejected from the poison hag. 12 h. 3 m. The bitten part assumed the appearance of a dark-purple ecchymosis, and the skin in the immediate vici- nity of the punctures was puckered or corrugated. 12 h. 45 m. The parts over the wounds are slightly tu- mid, and present a black or gangrenous appearance, and are VOL. III. 4 I 310 EXPERIMENTS MADE ON THE moistened by a yellowish ichor which exudes from the wounds. The animal finally recovered without having experienced any constitutional affection. It should be here remarked, however, that the punctures did not appear to have pene- trated the skin thoroughly. Experiment 4. A black puppy, a few weeks old, received three bites be- tween 12 h. 18 m. and 12 h. 23 m. The last and most se- vere bite was over the left eye. 12 h. 27 m. Apparently drowsy. 12 h. 40 m. Symptoms progressing slowly. And at 4 o’clock, P. M. the swelling over the eye, vertigo, and general uneasiness, appear to have attained their height. On the day following the animal had recovered without the in- terference of art. Experiment 5. 4 o’clock, P. M. A stout pup was inoculated with the poison, expressed from the poison bag of a living snake, on the left side of the abdomen. 4 h. 15 m. Local symptoms are evident, and constitu- tional effects are beginning to he manifested. 5 o’clock, P. M. Symptoms much increased: the animal cries with pain and uneasiness; changes its posture frequently; moves with a tottering and irregular gait, sometimes lying on its breast with the fore-feet extended: these symptoms were occasionally interrupted with drowsiness, and finally the ani- mal went into a deep sleep. 9 o’clock, P. M. The pup commenced licking his wound, the swelling of which, from the ecchymosis, had so increased as to hang down like a large hernia. POISON OF THE RATTLESNAKE. 311 The succeeding day this animal also recovered, no symp- tom remaining except a slight tenderness in the part where the inoculation had been performed. Had the “specific been administered in this case, the cure wTould doubtless have been attributed to its operation. Experiment 6. Poison was squeezed out of the sack of a living snake, and being placed on a piece of meat, was given to a pup to eat: it produced no effect, local or constitutional, upon the animal. Anatomical Observations, fyc. In all venomous snakes there is an opening of considerable size situate between the eye and nostril, which penetrates in the direction of the poison apparatus, at the base of the fang; the use of this opening, in the economy of the animal, as far as I can learn, has never been discovered; it has no direct communication with the cavity containing the poison, but is connected with the lachrymal passages, so successfully investigated by Jules Cloquet*. On a careful examination of this portion of the anatomy of the Crotalus, I have invari- ably found at the bottom of this cavity an exceedingly deli- cate transparent membrane, extending over the osseous cavity in the bone at the base of the fang. This membrane, whilst it intercepts any direct communication between the sack and external canal, might at the same time permit the action of the atmosphere on the fluid contained in the sack, to take place through it, and thus to change its chemical properties. This sack communicates with the oculo-palpebral cavity, formed between the eyelid and conjunctiva. The poison of * Yid. Memoire sur l’Existence et la Disposition des Voies Lachrymales dans les Serpens. 312 EXPERIMENTS MADE ON THE the living Crotalus, tested in numerous instances with litmus paper, &c. invariably displayed acid properties*. General Remarks. In conclusion it appears, that of the number of reptiles ex- hibited, some possessed the venomous faculty to a considerable degree, in others the poison was less active, and in some it had entirely disappeared, and in the latter the poison sack was found, on dissection, entirely empty. These circumstances are readily explained when we are aware that the reptiles have remained in captivity without food for more than three months, during a cold season of the year, and, until within a few days of the experiments, de- prived of water. It is more than probable that very little poison would be secreted during a state of perfect abstinence, and that of less activity than when produced under ordinary circumstances. Hence the same reptiles whose bite occasion- ed the death of an animal in eight minutes, when the experi- ments were performed in September, required five hours in order to produce fatal results at the present period. The operation of the poison on the animal system also varied. In September, when the animals died early after the infliction of the wound, death was preceded by convulsions, which was not the case in the present instance; but the animal appear- ed to suffer more pain, and finally fell into a state of stupi- dity, which continued for several hours, when death was produced by the slow operation of the poison on the system. On dissection the usual appearances produced by such poisons * Similar observations relative to the acidity of this poison were long ago made by Dr Brickell of Savannah, who, speaking of the external application of the so- lution of caustic ley to the bite of the Rattlesnake, states “ I was led to this by a chemical examination of the poison of the Crotalus horridus, which shewed an acid to be one of its constituents/’—Vid. New York Medical Repository, vol. viii. p. 441. POISON OF TIIE RATTLESNAKE. oil the organic structure, were manifest; congestions, exuda- tion of blood throughout the system, together with the non- coagulation of this fluid, were among the more obvious results. The cavities of the heart were empty, and fluid blood was observed in the large veins. Two of the Rattlesnakes were decapitated, and the heads being placed with the jaws expanded against the abdomen of a living rabbit, they were observed to bite repeatedly with the desperation of expiring nature, forcing their fangs into the flesh their whole length; but in these the poison bag ap- peared to have been emptied previously, by repeated efforts of the animal to bite, and on dissection were found nearly void. After decapitation it was curious to observe the mo- tions of the body, which were continued from association; the cut extremity of the trunk, when an injury was inflicted near the tail, was thrown towards the offending body, as if with the intention of inflicting a wound; this experiment was re- peated frequently. The heart torn from the body continued its contractions for ten or twelve hours. Of all the animals bitten in these experiments, one only died, though all were more or less affected by the poison. Although the wound which was inflicted on Mr Elnsworth was attended with the usual local effects, there is no proof that the poison would have proved mortal without the use of the remedy, in as much as obvious local effects were observed in some of the animals that finally recovered without the in- terference of art. Though at the same time it will be re- membered that the first animal experimented on died from the poison of the same snake which had previously inflicted a wound on the man. As regards any moral influence being exerted over these animals by the proprietors, which enables them to handle the snakes without the fear of being wounded,—one of the pro- prietors, Mr Murray, subsequently confessed that no such influence existed; but that their knowledge of the habits of the Rattlesnake enabled them to handle them with impunity. Thus they are aware that the snake can strike only after VOL. lit.— 4 K 314 ON THE POISON OF TIIE RATTLESNAKE. certain preparation of the body; they assume an offensive attitude previously to striking a blow, and they seldom or ne- ver make an effort to strike when once secured by the hand. The Abbe Fontana has remarked that the poison of the viper is not fatal to its own body, or to that of its own spe- cies when bitten ; the contrary of this position is stated on respectable authority to be the case as regards the Crotalus— a result that might have been anticipated from the well known fact that Rattlesnakes, congregated together in any number, never inflict a wound on each other. Among the most remarkable peculiarities observed in the economy of this animal is its power of abstinence. An indi- vidual lived more than two years in the Philadelphia Mu- seum, totally deprived of food. Others in the same institu- tion have been observed united for a considerable time in the act of coition, and subsequently to bring forth young in a living state. In one instance I have witnessed a female with*, fourteen young at one birth, which is far from being to the same degree prolific as some of the oviparous Colubers. In the present stage of the investigation, had I occasion to treat a wound inflicted by a poisonous reptile, my faith in the Hieraccum venosum, as a cure, is not such as to induce me to resort to its employment, to the exclusion of the less equivocal means of suction, pressure, or ligature. Some very interest- ing experiments, which establish the superiority of the last mentioned methods, have recently been made by C. W. Pen- nock, M.D., and will he published in the American Journal of the Medical Sciences for May 1828.