The Scourge of Scurvy
Scurvy is a clinical syndrome caused by a severe deficiency of vitamin C (ascorbic acid), essential for collagen synthesis. For centuries, sailors on long voyages suffered from this disease due to a lack of fresh fruits and vegetables in their diet of salted meat and preserved biscuits. Without vitamin C, the body's tissues deteriorate, leading to fatigue, bleeding gums, tooth loss, and poor wound healing, potentially becoming fatal in advanced stages.
Life Aboard: A Diet Destined for Deficiency
During the age of sail, a sailor's diet focused on preservation rather than nutrition. Common provisions included hardtack, salted meats, dried peas, oatmeal, beer, and water – none of which provided the necessary vitamins. This nutrient-poor diet, coupled with poor hygiene, fostered scurvy and other illnesses.
Early and Ineffective Cures
Before understanding the dietary link, various ineffective and sometimes harmful remedies were attempted, such as bloodletting, elixir of vitriol, medicinal pastes, and even drinking seawater.
The Dawn of Modern Medicine: James Lind's Clinical Trial
In 1747, naval surgeon James Lind conducted a groundbreaking clinical trial aboard HMS Salisbury. He divided twelve scurvy-afflicted sailors into six pairs, each receiving a different daily supplement, including cider, elixir of vitriol, vinegar, seawater, a medicinal paste, and, for the final pair, two oranges and a lemon. The citrus group showed rapid recovery within six days. Despite publishing his findings in 1753, widespread adoption by the Admiralty was slow.
Captain Cook's Contributions
Captain James Cook is recognized for practically demonstrating scurvy prevention on his lengthy voyages, such as his 1772-1775 circumnavigation, during which no crew members died from the disease. His methods included strict hygiene, stocking sauerkraut (which contains some vitamin C), and making frequent stops for fresh food. He also used malt and wort, mistakenly believing they were curative.
The Royal Navy's Adoption of Citrus
The Royal Navy finally mandated daily lemon juice rations in 1795, a policy enforced by Admiral Lord St. Vincent and Gilbert Blane. This significantly reduced scurvy cases. A later switch to West Indian limes with lower vitamin C content led to a resurgence of scurvy, particularly on Arctic expeditions, a confusion that lasted until vitamin C was isolated in the 20th century. The practice of issuing lime juice earned British sailors the nickname "limeys".
Comparison of Scurvy Remedies
| Method | Type | Effectiveness | Reason for Effectiveness/Ineffectiveness | 
|---|---|---|---|
| Citrus Fruit | Nutritional | High | Rich source of Vitamin C (ascorbic acid). | 
| Sauerkraut | Nutritional | Moderate | Cabbage fermented in brine; retains some vitamin C. | 
| Spruce Beer | Herbal | Low-Moderate | Some varieties contained herbs with minor amounts of vitamin C. | 
| Elixir of Vitriol | Chemical | None | Mixture of sulfuric acid and alcohol, had no nutritional value. | 
| Bloodletting | Medical | None | Based on outdated medical theory, actually weakened patients. | 
| Salted Meats | Dietary | None | Preservation methods removed or destroyed vitamin C. | 
Conclusion: The Long Road to a Simple Answer
The history of scurvy among sailors highlights the progression of medical understanding, from ineffective remedies to evidence-based solutions. The eventual widespread use of citrus fruits, rich in vitamin C, proved to be the key. While scurvy is now rare due to access to fresh produce, the historical struggle underscores the critical role of nutrition. For more information, visit the Royal Museums Greenwich.