340 STRONG AND CROWELL. 



seems a little less prolonged than yesterday; he complains of 

 pain in the region of the heart; at 4 p. m. the pulse was 102 ; res- 

 pirations 40. On the eighty-first day the note states: Com- 

 plains of pain in chest and abdomen; both knee jerks are 

 elicited to-day but are very weak; pulse 120; respirations 40; 

 there is visible pulsation of the prsecordial area, from about 2 

 centimeters to the left of the sternum extending transversely 

 and obliquely downward to just below the nipple; the deep car- 

 diac dulness begins at the lower border of the third rib ; it extends 

 to the left 2 centimeters outside of the nipple line and is not 

 increased to the right of the sternum. On the eighty-third day 

 the note reads : He says that he has felt better for the last two 

 days, except at night, and that he sometimes feels hot and has 

 pain in the abdomen and gastric distress; the pulse is not so 

 rapid. On the eighty-fourth day the pulse was 90 and the res- 

 pirations 44; the knee jerks were both elicited though weak. 

 On the eighty-fifth day the systolic blood pressure was 100 

 millimeters Hg. From the ninetieth to the ninety-fifth day the 

 knee jerks were present. He has lost 6.8 kilograms (15 pounds) 

 since the beginning of the experiment, though he has been eat- 

 ing his rice fairly well since the eighty-fourth day. On the 

 ninety-seventh day dried codfish and potatoes were added to the 

 diet. On the ninety-eighth day he complained of some weak- 

 ness ; the pulse was 92. On the ninety-ninth day the note reads 

 as follows : Complains of a sense of oppression in the epigastrium 

 and over the chest and of headache; there is marked epigastric 

 pulsation and marked visible throbbing over the cardiac area, 

 extending outside of the nipple; the heart sounds are forcible, 

 the second pulmonic is slightly accentuated; the knee jerks are 

 very weak; the respirations are 48; pulse 104 and weak; the 

 pains in the legs have disappeared but he complains of slight 

 tenderness above the knees on pressure ; there are no areas of dis- 

 tinct ansesthesia of the skin. On the one hundredth day the 

 pulse had dropped to 88. On the one hundred second day 

 there were some erosions on the corners of the lips which were 

 touched with a solution of silver nitrate. On the one hundred 

 seventeenth day it was necessary to discontinue the diet. He 

 gradually improved from the ninety-seventh day. On the one 

 hundred nineteenth day the following note was made: Nutri- 

 tion fair ; no epigastric pulsation ; pulse 90, of fair volume ; visible 

 pulsation over the heart in the 4th and 5th interspaces within 

 the nipple line ; on palpation the impulse is felt even outside the 



