346 STRONG AND CROWELL. 



fifth day the systolic blood pressure was 105 millimeters Hg. On 

 the ninety-seventh day dried codfish and potatoes were added 

 to the diet. On the ninety-ninth day the note reads as follows : 

 Patient has had no physical complaint; there are no apparent 

 changes in the condition of the heart; the pulse is 84; the knee 

 jerks are very active; there is no oedema nor tenderness of the 

 calves of the legs. On the one hundred seventeenth day it 

 became necessary to discontinue the diet. On the one hundred 

 nineteenth day the following note was made: Well nourished; 

 pulse slow and regular; point of maximum impulse not visible; 

 heart sounds unchanged; there is no pain in the calves of the 

 legs and no oedema of the legs; the knee jerks are active; he 

 says he feels as well as before he began the experiment. The 

 urine contains no albumin and no casts. 



CASE NO. 17 (GROUP III). 



Diet: White rice + rice polishings for 17 days"^ 

 followed by red rice for 100 days, together I Total period of experi- 

 with the special diet common to all the f ment, 117 days, 

 groups. J 



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



Following is a summary of the notes of the case: Percussion 

 and auscultation of the lungs reveal nothing abnormal ; examina- 

 tion of the heart shows no increase in the area of dulness beyond 

 the normal; the point of maximum impulse is visible and pal- 

 pable 7.5 centimeters to the left of the median line and 3.5 centi- 

 meters below the nipple line; the second sound at the apex is 

 accentuated ; at the base the sounds are not accentuated nor re- 

 duplicated ; there are no murmurs, and no epigastric pulsation is 

 visible; the pulse is 88, and the systolic blood pressure is 108 

 millimeters Hg (Faught) ; the liver and spleen are not palpable 

 below the costal margin. 



The notes of the case are unimportant except that the patient 

 had lost 9 pounds (4 kilograms) in weight by the ninety-fourth 

 day of the experiment. On the eighty-fifth day the systolic blood 

 pressure was 95 millimeters Hg; the knee jerks remained active, 

 and there was no complaint of pain. On the ninety-seventh day 

 the following note was made: Point of maximum impulse not 

 distinctly visible ; palpable well within the nipple line ; no pulsa- 

 tion over the cardiac area; the heart sounds have not changed 

 since the previous note; the pulse is slow and regular; there is 

 no oedema of the legs; the knee jerks are very active. On the 

 one hundred fifth day the note states that his condition is 

 good. During the experiment he has had at times catarrhal con- 

 junctivitis but this has now disappeared. On the one hundred 



