Interpretation: the sailors' bleeding and swollen gums were not caused by the sea or by hard work — they were caused by something missing from their food. During long voyages the sailors ate only stored, dried food and no fresh fruit. James Lind noticed in 1746 that the sailors who ate lemons and oranges recovered, which showed that the missing thing was present in those fruits.
Long voyage → no fresh fruit → Vitamin C missing → bleeding, swollen gums → scurvy
Lemons and oranges eaten → Vitamin C supplied → the sailors recover
What cures scurvy: Vitamin C. Lemons and oranges cure scurvy because citrus fruits are rich in Vitamin C. Amla, guava and green chilli are even richer Indian sources.
The bigger idea in Case 1: this is the first clue in the chapter that a disease can be caused by a lack of something rather than by an infection. Such illnesses are called deficiency diseases, and the cure is food, not medicine.
Did you know? Lind's observation was also a neat piece of the scientific method — he observed, questioned, guessed, tested on the sailors and analysed the result, long before anyone knew what a vitamin was.