175 
war were furnished to the author during the last days of his stay by 
Surgeon-General Koike, chief of the medical bureau of the war office: 
[Thirty-seventh year of Meiji (1904) from the beginning of the war until the month of December. | 
A table showing cases of beri-beri, both those returned from the field of war 
and those developed at home. 
| Cases returned | Cases developed at 
| from field. | home. | 
Date. i 
| ee] Deaths. | re _ Deaths. 
pee ee oe Say 
GDP Spee ct a SS Fae eee ey a ees 30 | Se ceaa cal 
1 ECE) VARS a a Ti SA SG Pr Od cen LO Ween aacewue 107 | Br Nk : 
CE Se ka ek ee Tt ee ae | 218 | 2 
RY eee eee ee oe Z LOB costae 334 1 | 
(pitt ae Bie ee aie Pere ee 2 2 253 2 313 2 
Gee ee 2 een, a ee 1, 602 14 424 3 
PCT od Seyh SS 7, 960 161 | 596 14 | 
September ______-___:_- Sn ee ee ee 13, 504 369 373 | 9 
tye Se ee 10,811 240 | 326 | 3 
LEKI 1 (2 Dace Jal Sy a8 el SO i i 9, 344 159 296 | 6 
IR AD RE 6, 682 79 | 320 | 4 | 
NCS (eae hier ae, 50, 340 | 1, 024 | 3, 887 | 44 
Remarks.— (1) This table after further verification will probably show a few 
changes. 
(2) This table shows the statistics of the prevalence of beri-beri, when it was 
at its height last year (year 37). Although since January of the present year 
there has been a great diminution in the disease, exact figures can not be given, as 
reports from all districts have not as yet been received. 
(3) Special district, regimental, and classified military reports can not yet. be 
prepared owing to the same reasons as above given. 
The kakke material which the writer was able to study in Japan 
belonged to the hydropic and to the atrophic, dry variety of beri-beri. 
Acute, pernicious cases were not encountered, because, of course, these 
had to remain at the front, most of them probably dying there. The 
large beri-beri material concentrated during the recent war in the 
military reserve hospitals of Japan, as far as the clinical histories were 
concerned, fully confirmed the clinical descriptions of the disease which 
had previously emanated from Japan. ‘Therefore, in this preliminary 
report, it is not desirable to enter more fully into the subject; but the 
histories of three cases which were kindly furnished to us by Surgeon- 
Major 8. Kitamura, stationed at the Shibuya Hospital, are appended. 
It appears that careful histories were kept of all the cases in the military 
hospitals, surgical as well as medical, and the whole management of these 
hospitals appears to have been most excellent. All of the institutions 
which the writer saw, excepting a very few which were older and more 
permanent structures, were buildings which had been erected during the 
