Bleeding gums, your teeth dropping out, weak limbs, swollen legs and nasty patches of blood under your skin – a pirate’s life probably wouldn’t have been ideal for most of us. Scurvy was one of the diseases that plagued pirates and sailors in the early days of seafaring.
We know today that the disease is caused by a serious lack of vitamin C, something we need to form collagen, a vital component in structural and supportive connective tissue. Without enough collagen, the blood vessels and bones of those with scurvy break down until they suffer a slow and painful death. But in the time of Scottish physician James Lind, there was no knowledge about these tiny nutrients. People thought that scurvy might be contagious or caused by madness. In 1747, Lind started one of the world’s first clinical trials.
He suspected that acids could help stop the putrefaction of the body, and he devised a trial to test different ways of introducing certain acids into people’s diets. He divided a group of 12 scurvy-ridden sailors into six groups of two, all of which were to eat the same diet as one another but with the addition of an acidic supplement. Each group was treated with either a quart of cider, 25 drops of elixir of vitriol, two spoonfuls of vinegar, half a pint of seawater, two oranges and one lemon, or a spice paste, every day. After six days most of the sailors eating the fruit had made an almost complete recovery. While Lind was on the wrong track about the cause of the disease, he had found the cure.