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坏血病、脚气病和糙皮病的预防与攻克。

The prevention and conquest of scurvy, beri-beri, and pellagra.

作者信息

Jukes T H

机构信息

Department of Biophysics, University of California, Berkeley 94720.

出版信息

Prev Med. 1989 Nov;18(6):877-83. doi: 10.1016/0091-7435(89)90023-6.

DOI:10.1016/0091-7435(89)90023-6
PMID:2696957
Abstract

I have described how many years of research were needed to overcome three nutritional diseases that occurred throughout the world. When human beings migrated from tropical and subtropical regions to the temperate zone, they lost their year-round supplies of vitamin C, and scurvy began to occur. The emergence of beri-beri had a mechanical basis; the introduction of milling, which prevented the rancidity of rice and wheat, also removed the essential vitamin B1. The circumstance leading to the third deficiency disease was reliance on maize, without supplementing it with "protective" foods, such as meat, milk, and vegetables. Under conditions of poverty, the protective foods became expensive, and pellagra appeared. Synthetic chemistry, together with improvements in the diet and in education, largely overcame scurvy, beri-beri, and pellagra, but deficiencies of vitamins A, C, and folic acid still occur widely in economically disadvantaged populations, and this is a challenge to those who wish to improve public health. The brilliant prophesies of Casimir Funk, made in 1912, were fulfilled within 25 years. Today, his word "vitamin" is universally familiar. The account of the discovery, identification and synthesis of the vitamins is the story of how human beings have overcome nutritional deficiencies that were imposed by cultural and economic disadvantages or just plain ignorance. These discoveries were a triumph of science and technology. Much of the research depended on the use of experimental animals: guinea-pigs, rats, dogs, monkeys, and chickens. Vitamins are now added to the diets of both animals and human beings.

摘要

我已经描述了需要经过多少年的研究才能攻克在世界各地出现的三种营养疾病。当人类从热带和亚热带地区迁徙到温带时,他们失去了全年的维生素C供应,坏血病开始出现。脚气病的出现有其机械学基础;磨粉工艺的引入防止了大米和小麦的酸败,但也去除了必需的维生素B1。导致第三种缺乏症疾病的情况是依赖玉米,而没有用肉类、牛奶和蔬菜等“保护性”食物进行补充。在贫困条件下,这些保护性食物变得昂贵,糙皮病便出现了。合成化学,再加上饮食和教育的改善,在很大程度上战胜了坏血病、脚气病和糙皮病,但维生素A、C和叶酸缺乏在经济上处于不利地位的人群中仍然广泛存在,这对那些希望改善公众健康的人来说是一个挑战。卡西米尔·冯克在1912年做出的卓越预言在25年内得到了应验。如今,他创造的“维生素”一词已广为人知。关于维生素的发现、鉴定和合成的记述,讲述的是人类如何克服由文化和经济劣势或仅仅是无知所造成的营养缺乏问题。这些发现是科学技术的一次胜利。大部分研究依赖于实验动物的使用:豚鼠、大鼠、狗、猴子和鸡。现在,维生素被添加到动物和人类的饮食中。

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The journal of State Medicine. Volume XX: 341-368, 1912. The etiology of the deficiency diseases, Beri-beri, polyneuritis in birds, epidemic dropsy, scurvy, experimental scurvy in animals, infantile scurvy, ship beri-beri, pellagra.《国家医学杂志》。第二十卷:341 - 368页,1912年。营养缺乏病的病因,脚气病、鸟类多发性神经炎、流行性水肿、坏血病、动物实验性坏血病、婴儿坏血病、船上脚气病、糙皮病。
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The discovery of beri-beri and scurvy vitamins - two hundred and two years from its discovery.脚气病和坏血病维生素的发现——从发现到现在已经过去了 202 年。
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