The idea of "avitaminoses" or vitamine deficiency as the cause of a
disease of a specific nature was set forth in detail by Funk in his book
_Die Vitamine_. In his discussion of this view he suggests several
types that would, he felt, on examination prove to be due to the absence
of a vitamine in the diet. Of these predicted types beri-beri was the only
one to be established in 1913. Scurvy has now been added to the fold and
rickets or rachitis seems well on the way to acceptance though the
specific vitamine absent in this case is not yet positively identified.
Pellagra still resists the efforts of the vitamine hypothesis to bend it
to that theory and its etiology is still obscure.
I. BERI-BERI
This disease while specifically confined to the oriental in the mind of
the student can be justly considered of much wider distribution for the
mild forms of malnutrition associated with a deficiency in the "B"
vitamine are less acute manifestations of this disease. The disease is not
likely to become marked in well nourished districts in its acute form, but
in famine districts its incidence is always possible. It would be more
than possible were it not for the fact that famine tends to eliminate the
highly milled cereals and throw the people back on to the whole grain,
peas and beans, which are rich in the preventive factor. But when for any
reason diets become limited extra attention is demanded in regard to their
selection and preparation. The main characteristics of this disease have
already been fully covered in what precedes and need not be repeated here.
II. SCURVY
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