ETIOLOGY OF BERIBERI. 



345 



Total period of experi- 

 ment, 117 days. 



CASE NO. It; (GROUP III) 



Diet: White rice -f rice polishinps for 17 days 



followed by red rice for 100 days, together 



with the special diet common to all the 



groups. 

 Dried codfish and potatoes were added to the diet on the 97th day. 



Following- is a summary of the notes of the case: Examination 

 of the lungs shows nothing- abnormal ; examination of the heart 

 shows the area of dulness is not increased beyond the normal 

 limits; the point of maximum impulse is invisible; it is palpable 

 6 centimeters to the left of the median line and 4 centimeters 





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below the nipple line; the heart sounds are clear at the apex, 

 and are faintly heard at the base; there is no epigastric pulsa- 

 tion; the pulse is 88, and the systolic blood pressure 120 milli- 

 meters Hg (Faught) ; the spleen and liver are not enlarged; 

 the knee jerks are active. 



The patient lost 2.2 kilograms (5 pounds) in weight before 

 red rice was substituted for the white rice mixed with the rice 

 polishings; then he began to gain in weight. On the fiftieth 

 day of the diet the note reads : No hypertrophy nor dilatation of 

 the heart; the sounds are clear; the knee jerks are active. The 

 other notes are unimportant regarding the case. On the eighty- 



