On this day patient completed 7 weeks of fasting.  Feels sick and as if he would vomit.  About midday he did vomit about a teaspoonful of dark green stuff, very bitter and acid (bile, I should call it, though he calls it “pure citric acid”) and immediately after that he got rid of a motion without the use of the enema, brown, dark and very offensive still.  I think the breath, however, is rather less offensive; and so I thought also two days ago.  Temp. 97, pulse 67, soft, steady, regular; about 1.30 P.M.  In bed since fiftieth day of fast.  Not feeling very ill and not specially emaciated, though the buttocks are thinning; but legs and thighs and arms and forearms not specially thin.  He came to me to be weighed on the forty-ninth day and weighed 1271/2 lbs.  Fifty-second day of fast.  Still in bed.  Condition much the same as to pulse, temperature, etc., and as to emaciation so far as observation goes.  Remained in bed, not because unable to be up, but because he thought it would be better for him to be resting.  On the fifty-fourth day, as he still felt sick, I gave him, at his request, an emetic in the form of 10 grains of copper-sulphate.  This was followed by sickness after about an hour, when he got rid of a very little of the same green stuff as before.  Bile?  But the difficulty is to understand how, after all this time of fasting, he should still feel sick and with inclination to vomit.  On the fifty-fifth and fifty-sixth days of the fast he remained in bed, the condition being much the same.  On Thursday, the fifty-sixth day, he broke the fast at 5 P.M., just 8 weeks after beginning it.  He had meant to go on for 60 days, and I did not think that there would have been any danger in his doing so; but I did not press him to continue any longer.  He took 3 oranges on that day; and on the Friday he took 5 more.  I advised him not to increase the quantity of food too quickly.  The breath has been quite sweet during the last two days.  He has been too weak to take enemata, so we cannot say if motions would still have been offensive.  And as there is no weighing machine in his room, we don’t know the exact loss of weight sustained during the fast, though there is no reason to think that it has averaged more than .9 lb. a day.  Up to the time of stopping the enemata, pieces of mucous membrane and mucus itself came away from the bowel, and the motions were very offensive.  He seems to have a mucous enteritis without fever.

On the fourth day after breaking the fast, patient took 6 oranges, 4 apples and a banana; and he ordered much more food, which, however, I advised him not to take.  On this day his bowels were opened naturally, with a very offensive motion.  But the breath was much sweeter, in fact not offensive at all.

On the sixth day he came to my consulting-room and weighed 128 lbs.  Pulse 80, soft, steady,