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estricted diet for twenty-nine days, although during the last eight or ten she gave decided evidences of starvation. She became emaciated, her temperature fell, especially in the extremities, her breath was offensive, her menstruation ceased, and there was such a marked sense of discomfort that she began to crave food, not, as she said, because her appetite had returned, but because she was afraid she would die. Still she resisted till, on the thirtieth day, she begged for a little beef tea, and from that moment her appetite returned to her, and by the end of another week, she was eating her ordinary quantity and variety of food. Now, in this case, though the amount of nutriment taken daily was small, it was of such a character as to be well able to sustain life. The half pint of chocolate contained milk and sugar, besides the highly nutritious chocolate, with its carbonaceous and nitrogenous matters, and yet a month was the extreme limit of endurance. That a state of inanition exists in Miss Fancher is not to be doubted. The extreme emaciation, the reduced bodily temperature, the contracted stomach and intestines, the great bodily weakness, all show that she is not sufficiently nourished. In her case there is apparently not only an absence of appetite but a positive disgust for food; and another symptom often present in inanition--vomiting when nutriment is taken into the stomach--appears also to be a prominent feature. It is probable that there is likewise a notable diminution in the amount of urine excreted, as this is a common accompaniment of hysterical manifestations such as hers. In some instances the function appears to be almost entirely arrested, as was the fact in a case described by M. Charcot,[27] and in two which have come under my own observation. There is nothing remarkable in the admitted fact that Miss Fancher eats very little. We have seen how existence can be kept up on greatly reduced quantities of food, and under circumstances such as those governing her case, for periods which would be impossible in healthy persons. No one yet under any conditions, whether of hysteria or trance or assumed miraculous interference, has, to the satisfaction of competent and disinterested investigators, lived even two months without the ingestion of any food whatever. As to going nearly fourteen years in a state of abstinence--a statement in her behalf which many persons believe to be true--I can only say that al
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