ago, while living
abroad. The exact time of the infection is not known. The patient was
treated by qualified doctors living in the same country as himself,
and there is no reason to believe that he was not properly and
skilfully treated. He had, however, for years buoyed himself up with
the hope that he should be able to come to England for the best
treatment, and recently he found himself in this country for that
purpose. It goes without saying that the eminent men consulted treated
him after the most modern and approved methods, which were also, so
far as knowledge goes, the most likely to benefit him. Not only as to
treatment must it be assumed that the best was done, but the diagnosis
also is supported by the authority of the doctors seen, and was
confirmed by physiological and pathological investigation. This would
be recognised if it were possible to publish names, places and dates
which are withheld from the courteous reader for the reason already
given. I can only say that I entirely concur in the diagnosis and in
the suitability of the treatment.

The man came under my care on a Sunday, the fast, which is the subject
matter of this communication, having been commenced on the Friday six
weeks before that day, the last food having been taken on the Thursday
at 5 P.M. I saw him, therefore, on the forty-fifth day of the fast.
His pulse was 59, soft, steady, regular. Temp. 96.8 degrees, about 11
A.M. He was able to be up, and walked actively, all his bodily
movements being active and his mind quite clear and rational. His
weight on the day after I first saw him was, in the same clothes as
when weighed at the beginning of the fast, 129+1/2 lbs. He said he
weighed 171 lbs. on the machine at the commencement, and therefore the
loss of bodily weight up to that time was 41.5 lbs. The average loss
of weight during the 46 days of the fast was about nine-tenths of a
pound daily if the 41.5 lbs. loss is divided by the 46 days of the
continuance of the fast up to that time--41.5/46=.9 lbs. almost
exactly.

When he came to my consulting room on the forty-sixth day, about 2.15
P.M., the pulse was 64, temp. 95.6 degrees (thermometer 3 minutes
under tongue). He was much troubled with a nasty expectoration of
mucus. His breath was very offensive. No enlarged glands could be felt
in either groin--perhaps a trifling enlargement in the right. In
middle of front border of right tibia a little irregularity is felt,
and a small holl