ETIOLOGY OF BERIBERI. 



365 



following note was made on this date : Fairly well nourished ; 

 the conjunctivae are of very good color; the abdomen is promi- 

 nent; the pulse is slow and full; he complains of pain over the 

 abdomen ; there is a little tenderness on pressure over the ab- 

 dominal wall ; there is very slight epigastric pulsation ; the point 

 of maximum impulse is not visible nor palpable ; the heart sounds 

 are clear; the area of dulness is not increased; the knee jerks 

 are very active; there is very marked oedema of the legs and 

 some tenderness of the calves; the respirations are 20; he com- 

 plains of pain from the waist down to the feet, and says he 

 feels very ill; there is apparently no fluid in the abdominal 





DAYS OF DIET 

 U »9 35 48 61 68 78 89 



I25< 



m 



o 



o 



a 



5 123 



I 



121 



120 























\ 













/J 



s/ 



days 

 oppin^ 



after] 

 dietj 







\ 























\ 













1 











\ 









/ 1 



/ 1 



lift St 



)/7 92' 



opped 

 "^ day 

















^ 







N9 22 































cavity; the urine contains no albumin nor casts. The patient 

 had lost but 1.3 kilograms (3 pounds) in weight during the 

 course of the experiment. 



CASE NO. 23 (GROUP IV). 



Diet: White rice 92 days, together with the ] Total period of experi- 



special diet common to all the groups. J ment, 92 days. 



Dried codfish and potatoes were added to the diet on the 81st day. 



Following is a summary of the notes of the case: Well-nour- 

 ished man ; examination of the lungs reveals nothing abnormal ; 



