374 STRONG AND CROWELL. 



increase. On the one hundred first day the diet was discon- 

 tinued and the patient returned to the regular prison ration. On 

 the following day the note reads : Nutrition fair ; slight epigastric 

 but no preecordial pulsation visible; point of maximum impulse 

 not visible nor palpable; pulse 100; heart sounds clear at apex 

 and feeble at base; there is no increase in the cardiac dulness; 

 some tenderness in the calves of the legs is still present ; the knee 

 jerks are still present; there is no oedema of the legs; the fingers 

 and toes are still weak. The urine showed no albumin and no 

 casts. The patient gradually recovered. He had lost 7.7 kilo- 

 grams (17 pounds) during the experiment. 



CASE NO. 27 (GROUP IV) . 



Diet: White rice 82 days, together with the special diet common to all the 

 groups. 



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

 ished man of small stature; examination of the lungs shows 

 nothing abnormal; the area of cardiac dulness is not increased 

 beyond the normal hmits; the point of maximum impulse is 

 visible and palpable 6.5 centimeters to the left of the median line 

 and 2.5 centimeters below the nipple line; the heart sounds are 

 clear at the apex and base ; there is no epigastric pulsation ; the 

 pulse is 96, and the systolic blood pressure 120 millimeters Hg 

 (Faught) ; the spleen and liver are not enlarged; the knee jerks 

 are active. 



The earlier notes of this case are also not important. The 

 patient lost steadily in weight until he weighed 10 pounds less 

 than when he began the experiment. The knee jerks were 

 always present. On the sixty-ninth day the systolic blood pres- 

 sure was 120 millimeters Hg. No change had been noted in the 

 condition of the heart. On the eighty-second day it became neces- 

 sary to discontinue the diet. At this time he was in good 

 condition. No change had occurred in the condition of the heart, 

 and no sjmiptoms of beriberi had developed during the course 

 of the experiment. The urine showed no albumin nor casts. 

 Twenty-three days after his return to prison ration he had 

 gained 1.1 kilograms (2.5 pounds). 



CASE NO. 28 (GROUP IV). 



Diet: White rice for 82 days, together with the special diet common to all 

 the groups. 



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

 nourished man ; examination of the lungs reveals no abnormality ; 

 examination of the heart shows no increase of cardiac dulness 



