In the year 1600 four sailing vessels left England for the East Indies.
The sailors on three of these ships did not receive lime juice, whereas
those on the fourth received their daily quota. The men of the first
three ships suffered severely from scurvy, but those on the fourth
escaped.
In an excellent work on "Scorvey," published in 1685, Harvey wrote:
"Wherefore most acids, especially spirit of salt marine, juice of
sorrel, limons, citrons, etc., are so deservedly extolled in some
scorbutic distempers and seconded with good success." Thus we see that
even at this early date it was taken for granted that citrous fruits
possessed virtue in curing scurvy. Bachstrom (Observationes circa
Scorbutum, 1734) evidently was well-acquainted with the antiscorbutic
value of scurvy grass, and relates the story of a sailor severely
disabled from scurvy who was put ashore to perish on Greenland, and
crawled on the ground, grazed on scurvy grass like a beast of the field,
and was able to return home perfectly recovered. (Cited from Lind.)
The credit for forcing a general acceptance of the antiscorbutic value
of fresh food belongs to Lind. He did not, however, have an easy task,
and in 1747, in order to convince those who still were skeptical, he
resorted to an experiment on human beings. Twelve patients in his
hospital were given the same diet, except that some received sea-water
in addition to their dietary, others vinegar, or elixir of sulphuric
acid, or a daily portion of cider, or oranges and one lemon daily. The
last two groups, as we should expect, recovered quickly; one man who
received cider improved, but in no other case was any alleviation noted.
Lind extols the value of lemons and oranges, of berries, of sour
cabbage, of cider, and of all fresh fruits and vegetables. In spite of
the fact, however, that Lind's teaching was based on an experience with
thousands of patients suffering from scurvy in the naval hospital, his
ideas did not take root. It required an event which came directly under
the official eye to bring about radical changes in the diet of the
sailors. In 1795 the English Fleet suffered from a severe epidemic of
scurvy, which was finally controlled by giving the sailors fresh
vegetables and fruit. This therapeutic result was so convincing that
thenceforth a daily ration of lime juice was ordered for the sailors and
a regular issue provided for the navy. This marks the cessation of
scurvy as a scourge of the British navy. From this time the disease
appeared only sporadically. The sharp decrease in the incidence can be
appreciated by Budd's statement that 1457 cases of scurvy were admitted
to the Royal Naval Hospital in 1780, whereas in 1810 an English
physician reported that in the seven preceding years he had not treated
a single patient in this hospital suffering from scurvy. In another
marine hospital, between the years 1806 and 1810, only two cases of
scurvy were admitted.
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