[36] A guinea-pig requires about 80 to 100 c.c. of fresh milk per diem
to protect it from manifest scurvy, if this constitutes its sole
antiscorbutic quota. There is, however, a great difference in the amount
of milk which individual animals consume, so that if we furnish it _ad
libitum_ our results will be irregular, one animal developing scurvy and
another remaining well, according to individual appetite. Frequently
guinea-pigs take very little milk at first, learning gradually to drink
more and more, so that it comes to pass that only after some weeks, if
at all, they take sufficient to afford protection. Under these
circumstances, if any addition is made to the dietary after the
experiment has progressed, the lack of development or cure of the scurvy
may mistakenly be attributed to this newly introduced factor, whereas,
in point of fact, it is due to an increased consumption of milk.
These reports stimulated renewed interest in experimental scurvy,
suggesting new aspects, and therefore directing attention to points
requiring investigation. There were no data at hand on the consistency
of the contents of the bowel in guinea-pigs, so that it was necessary to
make appropriate observations in normal and in scorbutic animals. It
was soon reported by various workers, Rappleye, Cohen and Mendel, Hess
and Unger, and others, that there was no definite relationship between
the occurrence of scurvy and impaction of the cæcum. In Fig. 8 we see
portrayed the stool output of a guinea-pig during the period in which it
was developing scurvy, and during a subsequent period when it was being
cured by means of orange juice. It is clear that there was no
significant variation in the output during these divergent periods. A
similar conclusion was arrived at by those who examined the cæcums of
animals postmortem. Cohen and Mendel write: "Summarizing our experience
with nearly one hundred scorbutic animals, we conclude that actual
impaction of the fæces in the cæcum occurred in about one-quarter of the
cases, and visible damage to wall, _i.e._, congestion or hemorrhage, or
impaction, or both, was found in perhaps half of the cases. It should be
noted that this statement covers all the diets we have tried." We concur
in this conclusion. Not infrequently we found the cæcums of markedly
scorbutic pigs to contain semi-fluid fæces, the consistency of its
contents depending on the character of the diet, quite apart from its
adequacy and lack of the antiscorbutic factor. For example, a diet rich
in milk, containing 100 c.c. or more, led to the formation of rather
solid fæces; if oats were added to the milk diet the fæces in the cæcum
were found to be still more solid, and this portion of the gut more
often impacted. This condition could be detected by palpation even
during life. Just as we encountered scorbutic animals on an oat, hay and
water diet, who had semi-fluid fæces in the cæcums, so we met with
others which were on a milk diet, and showed no signs of scurvy,
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