at the Quarantine Station with Seven of her Chinese Crew suf¬ 
fering with Beri-Beri. They were all cases of the Dropsical 
form or "Wet" Beri-Beri. Six recovered out of the Seven and 
were placed hack on the boat which proceeded to Hongkong. The 
Boat which was in a most horrible condition was thoroughly 
disinfected and fumigated. 
The case represented in the Photograph was the most Typi¬ 
cal of them all. A Chinese Sailor, 35 years of age. Had been a 
Sailor most of his life. Was well acquainted with the disease 
from which he was suffering, but had never had it before^- Was 
in good health when he joined the Ship. Smoked Opium a good 
deel. Was a well developed muscular man. 
Symptoms; - The whole body was oedematous. The Urine was 
scanty and high colored but did not contain Albumen. For the 
first few days he suffered from retention of Urine which neces¬ 
sitated the use of a Catheter. Heart dilated,with considerable 
pericardial effusion; the sounds muffled but with a distinct 
Systolic Bruit. Heart easily overtaxed with the least exertion. 
Lungs normal, but the breathing greatly embarrased by the Drop- 
-L. 
sical effusion in the Abdominal cavity. There was also slight 
hydro-thorax. It was necessary for him to be propped up in bed 
in order to breathe at all easily. Complained of pain in the 
chest. Appetite good, tongue clean, and had no abnormal temper¬ 
ature. When stood upon his feet he was almost helpless. He 
could not move except with somebodys help or with the use of a 
stick. No Knee-jerk was obtainable, and Ankle-drop was very $ 
marked. No Ankle-klonus. His gait on trying to walk was mark¬ 
edly ataxic. The toe would be dragging on the ground, and then 
the foot raised high in the air and brought down with a jerk. 
At times, usually at night he would suffer from serious palpi¬ 
tation and difficult breathing. 
