The relation of _loss of weight_ to the development of the scurvy
requires consideration. In experiments carried out on rats to test the
diets in respect to the water-soluble and the fat-soluble vitamines, the
weight curve is used as the main criterion to judge whether the
foodstuff is adequate. In guinea-pigs we cannot employ the weight curve
as a criterion. Not infrequently an animal develops scurvy, and
nevertheless does not lose in weight, but even gains slowly and
steadily. This occurs when the appetite remains good, and the dietary is
complete except for antiscorbutic vitamine. The same holds true for
human scurvy, as we have noted in connection with the symptomatology. We
have attempted to make up for this defect by adding to the charts a
curve representing the clinical course (Fig. 10). Although this curve is
computed on an empirical basis, it gives a comparatively true picture of
the disease and is far more exact than attempting to portray the disease
by means of a weight curve.[38] Indeed, when we rely on the latter
method it is impossible frequently to illustrate graphically the
reaction of guinea-pigs to various influences. Another disadvantage of
the weight curve is that it is influenced by factors having no direct
relation to scurvy, especially infections of various types which retard
the gain.
[38] A maximum count of 35 was formulated, representing the highest
degree of clinical scurvy. This includes three grades of beading of the
ribs, four of tenderness of each knee and wrist joint, and four of
swelling of each of these joints. It is apparent from the clinical curve
(Fig. 10) that an animal may have developed a marked degree of scurvy
(20 points), and gained rather than have lost in weight.
[Illustration: FIG. 10.--Hay, oats, and water _ad libitum_ during period
I resulted in a lack of gain in weight, and in a development of scurvy.
During period II, 1.5 c.c. of orange juice were given daily, and as will
be seen there was a marked gain in weight and disappearance of the
scorbutic signs, although, as is generally the case, they continue to
develop for a short while after an antiscorbutic is given. When the
orange juice was discontinued in the third period, the weight once more
fell and the scurvy redeveloped. The broken line represents the course
of the scurvy, and is a composite formed on the basis of the aggregate
of the scorbutic signs. Each square represents a 2-day interval.]
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