At 2 P.M. when I saw him the pulse was 68, regular, even, steady. He says he was feverish last night. I suppose he felt hot. He sleeps well, but says he hears the clogs of the mill-hands as they go to their work in the mornings. Has lost 2 lbs. weight in last 2 days. Temp. 93.6 degrees to my observation 2.30 P.M. Says he feels "done at the stomach." His voice is poor. Expectorates somewhat freely. A small blob of green thickish mucus in ordinary white mucus came away in my presence. Urine acid 1010. No glucose. Faint trace of albumin to heat and picric acid: also to nitric acid. The right lachrymal punctum is blocked; the tears run down the cheek; and I failed to get even a hair-thick wire into it. Evening, pulse 65, temp. 97.2 degrees in bed with hot-water bottle. Faeces most offensive, no bowel-excreta coming away except to enema. Forty-ninth 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