Handbook of medical treatment . iberia, Myelopathia Tropica Scor-butica, Paraplegia Mephitica, Serophthisis Perniciosa En-demica, Panneuritis Endemica, Berbiers, Kakke (signifying adisease of the legs in Japan and China), Loempoe (Java),Kaki-lem-but, Hinchazon de los Negros y Chinos, Maladie desSucreries (French Antilles), Hinchazon (Cuba), Inchacao, orPernerias (Brazil). 18 274 TROPICAL DISEASES. Beriberi is a serious disease, the effects of which manliestthemselves principally by degenerative changes in the nerves,by heart attacks, by dropsy, and frequently by making acripple of the person a
Handbook of medical treatment . iberia, Myelopathia Tropica Scor-butica, Paraplegia Mephitica, Serophthisis Perniciosa En-demica, Panneuritis Endemica, Berbiers, Kakke (signifying adisease of the legs in Japan and China), Loempoe (Java),Kaki-lem-but, Hinchazon de los Negros y Chinos, Maladie desSucreries (French Antilles), Hinchazon (Cuba), Inchacao, orPernerias (Brazil). 18 274 TROPICAL DISEASES. Beriberi is a serious disease, the effects of which manliestthemselves principally by degenerative changes in the nerves,by heart attacks, by dropsy, and frequently by making acripple of the person attacked. As beriberi is intimately connected with the effects ofnutritional disturbances, it is more than likely that the diseasehas been present from the very earliest times. According toScheube,-^^ beriberi is mentioned by Strabo and Dion Cassiusas having attacked the Roman army while in Arabia in 24 b. is frequently mentioned in early Chinese writings, andit is minutely described in a pamphlet of the seventh Fig. 9.—A healthy chicken, used in beriberi research. It is also recorded as having occurred in Japan in the ninthcentury. Bontius of Europe described the disease under theterm beriberi in 1758. Tulpius, a Dutch physician, describedthe disease in a person who had returned to Holland from theEast Indies prior to 1800. Since then the literature of thedisease has steadily grown. There is much reason to believe,however, that a number of other diseases have been confusedwith beriberi. It is quite probable that uncinariasis has beenfrequently mistaken for it. There is much reason to believe,however, that the incidence of the disease in the Orient hasmarkedly increased since the advent of steam rice-mills. Theold hand process of husking and cleaning the rice did not, asa rule, remove the cortical layer of the grain. There have been notably large numbers of deaths due toberiberi in public institutions, in the Japanese Navy, on ships, BERIBERI. 275 jails, insa
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