In 1868, while traveling to Mito, he contracted beriberi, and died of it upon his arrival in the domain, with no heir having been named. His younger brother, Tokugawa Akitake, who had been studying in France, left for Japan, arriving after the fall of the shogunate.
- Anne Walthall, "Nishimiya Hide: Turning Palace Arts into Marketable Skills," in Walthall (ed.), The Human Tradition in Modern Japan," Scholarly Resources, Inc. (2002), 48.
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