ETIOLOGY OF BERIBERI. 



305 



meters outside of nipple line. Tiie point of maximum impulse is 

 invisible; it is indistinctly palpable 8 centimeters to the left of 

 median line and 3.5 centimeters below the nipple line; there is 

 no epigastric pulsation; the pulse is 104 and the systolic blood 

 pressure 144 millimeters Kg; the heart sounds are clear but 

 somewhat enfeebled; the liver and spleen are not enlarged. 



The patient lost about 1.8 kilograms (4 pounds) in weight 

 while upon the rice mixed with the polishing, but, upon being 

 placed on the rice with the extract, he began to gain in weight 

 and continued to do so up to the time of the end of the experi- 

 ment. The earlier notes regarding him are unimportant. On 

 the eighty-fifth day the systolic blood pressure was 120 milli- 

 meters Hg. On the ninety-ninth day the note made was as 

 follows: Pulse slow and regular, rather weak; no throbbing over 

 cardiac area ; no epigastric pulsation ; heart sounds clear ; no 

 oedema of the legs; knee jerks absent; his condition remained 

 about the same. At the end of the experiment on the one hun- 

 dred eighth day, the note read as follows: Point of maximum 





DAYS OF DIET 

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