108 The Philippine Journal of Science 1915 
sound prolonged and presenting a murmur, the second short, 
sharp, accentuated, and split. Venous pulsation in the neck 
was very marked. The urine showed considerable albumin and 
a few blood casts. 
She was given 6 cubic centimeters of hydrolyzed extract three 
times daily. This was later increased to 10 cubic centimeters. 
Within a few days the heart condition improved markedly, the 
splitting of the second sound disappeared, and the murmur 
became fainter. Otherwise, the patient remained much the 
same. As there were evident complications, the case was dis- 
charged without further treatment. 
CASE 13 
A woman, aged 16 years, was admitted with an infant 2 
months old that had been previously treated with tiqui-tiqui 
extract and had nearly recovered except for hoarseness of the 
voice. The child was treated further with tiqui-tiqui extract 
and gained rapidly in weight and vivacity. 
The mother’s illness dated from eight days after the birth of 
the child. She complained of numbness and weakness and pain 
in the legs, dyspneea, difficulty in swallowing, and headaches. 
The patellar reflexes were greatly diminished, and a slight ceedema 
of the legs was apparent. She had had more pronounced swell- 
ing previously. The heart was very slightly enlarged; the 
sounds were forceful and arhythmic, the second being accen- 
tuated. The urine showed nothing abnormal. 
She was given 15 cubic centimeters of hydrolyzed extract 
three times daily. Improvement was noticeable in two days 
and continued for a week. The patient became brighter and 
was comfortable, and the heart condition became nearly normal. 
The knee reflexes remained unaffected. The patient continued 
to nurse her child throughout the treatment. 
CASE 14 
A woman, aged 22 years, was admitted on October 15 with 
an infant of 6 weeks (case 20) that had been treated for 
beriberi and partially recovered. The patient complained of 
pains in chest and limbs “like rheumatism,” and difficulty in 
walking dating from two weeks before the birth of the child. 
Formication and numbness were marked and general, but cedema 
was slight and limited to pitting over the tibia. The knee re- 
flexes were sluggish. The heart was not enlarged, and the sounds 
were very slightly abnormal. The voice was hoarse. The urine 
showed no albumin nor casts. 
