h day. In bed, temp. 97.2 degrees, pulse 65, soft,
steady, regular. No great emaciation of limbs. Showed me some green
expectoration. He says it is from Salvarsan as it is exactly like what
he was injected with! The motion to the enema as offensive as before,
but the breath is less offensive to me: not so fetid.

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 127+1/2 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 sustain