I had not been long engaged in observing the evolution of cure through Nature when I began to suspect strongly, as before intimated, that fasting is the true "medicine for the mind diseased." Not less evident than the cure of various ailings would be the emergence of the soul into higher life, and in some instances from the depth of despair. As the scope of my vision constantly enlarged through multiplying experiences, I began to see great hopes of the cure of the gravest of all diseases—insanity—through a rigid application of this method in Nature. I gave the matter so much thought and study that I wrote a monograph on the subject with the idea of publishing it, but gave it up to the idea of telling my impressions in "The No-breakfast Plan."

There are the same structural changes in the evolution of insanity as in that of catarrh. There is a morbid structural basis in minds diseased, the abnormal mentality or morality being merely symptoms of a physical disease. Of all human legacies, structural weakness of the mental or moral sense is the most unfortunate.

I shall say no more about the forms of mental disease than that there is distinctively both intellectual and moral insanity as a direct result of disease of the intellectual and moral centres. This will be more clearly seen when I recall the fact that moral insanity in its worse form—the suicidal—often exists with such intellectual clearness that there is the greatest ingenuity displayed in carrying out self-destruction. These mind and soul centres are often gravely diseased without impairment of muscle energy: the furious strength of the insane is an abiding fear with all.

It is clear that weakness of structure so soft as brain, a substance which is on the dividing-line between liquids and solids, must be of the gravest form from the first: grave because so fragile, grave because the sick centres cannot rest as the broken arm, the sick body: these centres, regardless how sick, must continue to serve, even in abnormal ways.

The possibility of insanity must always be a matter of the degree of the primary structural weakness and the energy and persistence of the operative forces; on these must depend the mere gentle, persistent illusion, or that fury of mania which transforms man, the "image of the Creator," into a wild beast. That insanity, no matter what its form or degree, is an evolution from an ancestral structural legacy, not essentially different from the structural conditions evolved from those of any other chronic disease, I cannot have the slightest doubt, any more than I can have for the structural means for the cure.

There is nothing that so illustrates the civilization, the benevolence of the age and of the nations as these palaces we call hospitals for the insane. Whatever there is that can add comfort to the body, or charm to the tastes, or new life to the soul has its culmination in these palaces of wood and stone, with one great exception: the structural condition of the diseased centres indicating rest, even as the ulcer, wound, or fracture, has no part in the methods of cure.

The feeding is all done not at the time of hunger, but at the time of day. All patients are expected to eat no less than three meals a day, regardless of any desire for food and whether the patient spends all his time in bed in mindless apathy, whether pacing his room with meaningless tread, whether active in light service in the building or in heavy labor without. When there is refusal to eat it seems to be taken for granted that suicide by starvation is the design, and the pumping of food into the stomach through the nose is the common resort. There seems to be no thought that there may be no hunger in such cases, and no apprehension of any danger from not eating; that in this they follow the instincts of brutes. Would the desire for food not come and with a saner condition of mind if they were permitted their own ways of eating?

A physically strong woman, whom I knew well, was sent to a hospital for the insane in a generally bad state of mind, with destructive propensities marked. With no desire for food, and certainly with no mind to realize the need to eat without hunger, she naturally refused to eat. But for a time her meals were forced down her throat, a proceeding that taxed the strength of several strong arms.

Why were the meals not omitted long enough to cause such a reduction of strength as to make feeding less expensive in the outlay of others' muscle? The persistent refusal to eat resulted in a cessation of all efforts to enforce food; left to the gentler hands of Nature for a time, the mental hurricane subsided in great degree on the return of hunger, and long before there was an appreciable loss of weight or strength. In a few months this woman was able to return to her home, and with restored mind to tell me of the violent feedings she had endured.

Now let us look again to the structural conditions involved in diseases of the mind. There are those soft, pulpy centres from which emanate the highest powers of life: power to think, to admire, to rejoice, or to suffer; and we know how digestive power varies along the scale between ecstacy and despair. In mental disease there is the same abnormal structural change as in other local diseases; but for these sick mind-centres there is no rest. There must be still thinking and feeling, no matter how chaotic, to tax them, and there is no cheer to electrify the stomach into easy display of power. We may well marvel that powers so wonderful as the power to think, love, admire, see, hear, and feel are located in structures so fragile as the brain; and we may well marvel at the provision of the turret of flinty hardness to protect it from violence.

Now we are to consider these centres of energy as abnormally weak in all their structures at birth in those who become insane: these are the luckless legacies from the fathers and the mothers, and for how far back in the ancestral line we do not know. We are to consider that there is the same abnormal condition of the cerebral bloodvessels and of the softer inter-vascular structures as in other local diseases; and when you recall the fact that everything that worries, that adds discomfort to either mind or muscles, is a force that tends to develop weakness and disease, you will see how it applies in the evolution of insanity.

Shall these fragile centres be permitted to rest when overwork has made them sick, or is there any other rational means for their recovery? Shall they not be permitted to rest when abundantly able to keep physically nourished in a way that does not cause even the slightest shade of discomfort?

Again, let it be borne in mind that recovery from acute disease is attended with a revival of strength in every power that makes life worth living, and that every person not acutely sick who has fasted under my care or who has cut down the waste of brain power by less daily food has found the same revival of power. To this there have been no exceptions.

What do we fear in sickness? Is it disease or the wasting pounds? Since they will disappear when Nature would have the food-gate closed, since they reappear when there is the highest possible reach of mere relish, and when all the other senses have become more acute, and also when existence has become almost ecstatic, why ever oppress the weak or sick centres when Nature wills a rest?

The literature on the disease of the mind has become so massive in mere bulk, in its physiological refinements, that it would require time with a long reach into eternity to go through it; but it has not come to my knowledge that it contains any reference to the brain as a self-nourishing, self-charging dynamo; that therefore the stomach is only a machine whose use can well be omitted for long periods when these centres of moral and intellectual energy have become worried into disease, with rest the only means, the only need for all the recovery possible.

"Oh, you giants of the medical profession!" You who have been elected to preside over these great homes of the mentally wrecked because of your eminence in character, ability, experience, and professional attainments, do you deny the soundness of the physiology involved in this method of reaching health through Nature? Then let me array against you Alexander Haig, M. A., M. D. Oxon., F. R. C. P., Physician to the Metropolitan Hospital, and the Royal Hospital, and for Children and Women; late Casualty Physician to St. Bartholomew's Hospital. I quote from his exhaustive work, Uric Acid in the Causation of Disease:

"And now I come to the causes which led me to take too much albumen and to suffer severely; in Fads of an Old Physician, Dr. Keith refers to another work on diet, by Dr. Dewey, of Meadville, Pa., The True Science of Living, and the chief point in this book is that temporary, complete starvation till there is once more a healthy appetite is the best cure for a host of dyspepsia, debilities, depression, mental and bodily, and numerous other troubles, and that for similar less severe disturbances of nutrition the great remedy is to leave out the breakfast, so as to give the stomach a long rest of sixteen hours or more, with the object of allowing it to recuperate and accumulate secretions after the last meal of the previous day.

"It seems from internal evidence in Dr. Dewey's book, a copy of which I owe to Dr. Keith, that his plans have been completely successful in a large number of cases, and it seems to me that his logic is unanswerable, and that in his main contentions he is perfectly right.

"Having arrived at this conclusion, I proceeded forthwith to put the matter to the test of experience by placing myself on two meals a day—that is, I left out my breakfast—and the result was I ate such a good lunch at 1 P.M. that it was impossible to take anything more till dinner-time, 7.30 or 8 P.M.; so that I reduced myself at once from four meals a day to two. The result was exactly what Dr. Dewey describes. I felt extremely bright and well in the morning, and capable of very good work, both mental and bodily. At 1 P.M. I had keen hunger, even for dry bread; such hunger as I had not experienced for years. After lunch (breakfast) I felt a little bit dull and occasionally sleepy, and the mental work for the first hour or two after it was not as good as usual. About 5 P.M. I was very thirsty and had to have a drink of water, but there was not the least desire for food until several hours later; though by 7.30 or 8 P.M. I was able to manage another fairly good meal; and thus my meals automatically, so to speak, reduced themselves to two."

I also quote from his work on Diet and Food, page 10:

"It is also possible, by introducing more food than can possibly be digested, to overpower digestion so that nothing is digested and absorbed, and starvation results, a fact that has been brought to the front in the most interesting manner in the writings of Dr. Dewey."

And who is Dr. Keith? You know that he is one of the youngest physicians in all Scotland, even if he does possess eighty years that are no burden to him. I quote him from his Fads of an Old Physician:

"Dr. Dewey's grand means of cure now is abstinence for the time from all food, and this he carries out to a degree which must astonish most physicians of the present day, as well as their patients. During times of sickness, when there is no desire for food, he gives none till the desire comes, and then only if the state of the tongue and general condition show that the power of digestion has returned. This may be in a few days, or in severe cases, as of rheumatic fever, it may not be for forty days or even longer. He points out very forcibly that we have all a store of material laid up in the body which supplies what is required for keeping necessary functions of the system going, while no food can be usefully taken in the stomach. I had mentioned this provision in my Plea, and had stated that so long as it lasts it is sufficient to preserve life. I also suggested that it might be found that the waste of the body was less when this internal supply was alone trusted to, than when it was supplemented by food from without which the organs of nutrition were not in a condition to utilize. This, to my mind, Dr. Dewey has proved to be the fact, and no one can read his case without being convinced that it is so. He gives a most interesting table from Dr. Yeo, showing what textures of the body waste most rapidly in disease. Fat is at one end of the scale, and at the other the brain, which does not waste till all the other textures and organs are depleted to the utmost.

"In cases of slighter disease where the patient is able to be about or to carry on his business, but with discomfort, the same abstinence from all food is recommended. It is usually found that work can be done more easily, and that strength actually increases, although the starving may have to be kept up for several days. But the great coup in Dr. Dewey's practice is, that to improve or to preserve health he advises all to give up breakfast, and to fast till the mid-day meal. In this he has had a very large number of followers, very much to their advantage. It may be that the omission of breakfast is more needed and has greater effect in America than it would have on this side of the Atlantic. In America the meal is generally a very full one, made up in a large measure of a variety of hot cakes, also flesh food and tea or coffee. The other two meals of the day are full, 'square' meals likewise. I have seen much overfeeding in this country, but never to such a degree, and so generally, as I have seen in America and on American steamers. In one of the latter the cooking was the worst I ever met with, but the hard meat was swallowed all the same, and the consequences must have been grievous."

Are you still without any questioning of your authorized, established methods of treating the mentally sick? Then let me quote against you another man across the ocean, whose ability, learning, and professional attainments are of the highest order. I quote from Air, Food, and Exercise, by A. Rabagliati, M. A., M. D., F. R. C. S., Edin., a man with whom patient, exhaustive investigation is only a recreation:

"It has been shown by physiologists that certain tissues are absorbed and used before others. Dr. Dewey, of Pennsylvania, with whose views I am glad to find myself in general accord, and who seems to have made the same attempt as the writer to view the facts of medical practice from an independent—and may I say, original?—standpoint, quotes a table of great significance from Dr. Yeo. Besides quoting it in the text of his book, The True Science of Living, Dr. Dewey places it in capital letters in the frontispiece of his book. He calls it Nature's Bill of Fare for the Sick; and he shows that in illness, when we are using up the materials accumulated in our bodies, we may use as much as 99 per cent. of our fat (practically all of it), that of muscle we may use as much as 30 per cent., that the spleen may waste to the extent of 63 per cent., the liver as much as 56 per cent., and the blood itself be absorbed to the extent of 17 per cent. of its total amount. But even when wasting to this extent has occurred the curious and significant fact is emphasized that the brain and nerve-centres may not have wasted at all. The controlling nervous system thus does not lose its powers till the very last. Generally, however, the wasting process does not require to be carried to the very last, the chronic inflammatory deposit (and in rare cases even a cancerous infiltration) being absorbed and got rid of before this point is reached.

"As most, if not all, of the chronic diseases depend upon the deposition of waste, unassimilated materials in various situations; or, in other words, depend upon a blocking of the local circulation in this way, a little wholesome starvation is generally of vast benefit by inducing the economy to use up some of its waste stuff. Nature herself points the way to us in this matter, because when things have gone as far as she can bear, and when, were things to go on in the same way, death must ensue, she generally throws the patient into bed with a digestive system entirely disorganized, taking away all appetite for food and all power of assimilation for the time being. We may, in such circumstances, do much harm by efforts too persistently made to feed our patients; but generally they refuse all sustenance for some time. After a while (Dr. Dewey does not seem to be afraid if his patients refuse all food even for as long on some occasions as thirty days continuously, or even longer) they right themselves, the tongue cleans, appetite returns, the power of assimilation is reËstablished, and recovery takes place. It strikes me as somewhat curious (and yet, if we both look at the facts of life candidly and impartially, perhaps it is not curious) that observers so wide apart, and in circumstances so very different as the conditions of human life must be in Yorkshire from what they are in Pennsylvania, should come to conclusions so practically similar as Dr. Dewey and the writer have reached."

Gentlemen, masters in the medical profession, to what good end are you pumping food into human stomach, where there is no hunger and no mind left to know the need? Is it to maintain that strength which costs you so much muscle at every feeding. Or is it that it would be a danger to lose a few pounds of body while Nature gets ready to ask for food in the gentlest and most persuasive way? Whatever there is in appeal to the best in any human life to uplift it from the deepest depths, you have at the readiest command. You seem amply equipped to reach everything but those sick, afflicted, oppressed brain-centres. You treat everything but these, but to these you are worse than the Egyptian task-masters in that you force needless labor where rest alone is the need. It is not bricks without straw, but labor with exhausted power; and for all your efforts you simply maintain weight at a tremendous cost to the energy of cure. In no class of patients is rest for the brain more indicated than in yours; in none are the means so at command and the results for good so promising. With your patients the importance of time for business or social use is no more a concern; the abnormal is all due to disease.

Let us consider those rooms of bedlam you call the "excitable wards." They who enter leave all hope (of the friends) behind. Is there special need in these regions of despair and mental chaos that the mere pounds and strength shall be kept up? What will be lost by protracted fasts? Nothing in the kitchen. As for the brain and those sick centres, they will feed themselves until the last heart-beat sends the last available nourishment to the remotest cell. Will the functions of the brain grow more abnormal by a suspension of digestive drafts upon it? Does rest to anything that is tired tend to the abnormal?

Again I ask, What will be lost by protracted fasts in such cases? Nothing but weight, of which the fat will be by far the larger part. Would there be worry about starvation? With most of the cases there is not mind enough to worry over anything from the standpoint of reason. The very fact of the absence of the sense of the importance of daily food would render fasts in the highest degree practical and successful.

The fasts could be instituted with the certainty of a calmer condition of mind as soon as the digestive tract would cease to call upon the brain for power, and with the probability that a surprising degree of improvement would be manifest in all, and long before the available body-food for the brain would be exhausted.

Gentlemen, you have treated acute sickness in all its forms, and you have had many cases in which, because of irritable stomachs, neither food nor medicine could be given. Day after day you have seen the wasting of the bodies, and you have also seen mental aberration or stupor lessen day by day as the disease lessened its grasp upon the brain-centres, and finally when the point of natural hunger was reached, you never found the lost pounds a matter of physical discomfort or mental abnormality or weakness; rather you have always found at this point a mental condition in every way the most highly satisfactory. I never saw brighter eyes, a happier expression on every line, than revealed by a woman after a fast of forty-four days, in which acute disease had reduced the weight forty pounds.

All overweight not due to dropsy or other disease is due to eating more food than the waste demands. As an abnormal condition overweight has received a great deal of attention in the way of misguided effort to both prevention and cure. These efforts are such conspicuous failures that even the patent medicine man has not found his "anti-fat nostrums" the happy means to fortune. There have been all kinds of limits built around bills of fare, but sooner or later Nature revolts and they are given up.

The reason that certain people take on weight easily and become "stout," is because of constitutional tendency, good digestion, and excess of food. As a general fact, the overweights are "large feeders," and they not only look well but feel well, for they have much less stomach trouble than the average mortal, and in cheerful endowment of soul they rank the highest among all the people.

In spite of my philosophy, I, who am one of the leanest of the kind, look upon the stoutness of those in the early prime of life with something of both envy and admiration; they seem so ideally conditioned to enjoy the best of all things on earth. But it is quite a serious matter when the muscles and brain have to deal with pounds in excess by the score, even as if the victim were doomed to wear clothes padded with so many pounds of shot.

Why some people take on fat easily even with the smallest of meals, why some of the largest eaters are of the leanest, are matters to talk about but not to know about. For my purpose it is sufficient that I assert that overweight can be prevented by an habitual limitation of the daily food to the daily need; that it can be cut down to any desired degree by stopping the supply, a method that is not attended with any violence to the constitution, nor even to comfort or power. This plan has the great advantage of adding to the curative energy of disease as well; and more than this, there is a change attending the loss that seems at first phenomenal, as involving a physiological contradiction—there is an actual increase in muscle-weight as the bloat and fat weight go down.

How is this, you ask? Here is the explanation: As the fat weight increases by surplus food, so decrease the disposition and ability for general exercise. As it declines, so do muscle and all the other energies increase, and the use of muscle within physiological limit tends to restore the normal weight and strength.

There are no overweights who would not receive the greatest benefit by a fast that would diminish the pounds to that of the ripest maturity of life, a fast that would be determined by the time required to reach the desired number of pounds. As a means this method is available to all, and practical where due physiological light will enable it to be carried out with no starving concern to disable vital power.

As a general fact, the No-breakfast Plan has been attended by a highly satisfactory reduction of surplus pounds; where there has been a failure it has been due to such an increase of digestive power as really to add to both an increase of the average amount of daily food and of power to digest it. For instance, one of my fellow citizens, weighing not less than three hundred and thirty pounds some years ago, gave up his morning meals. This was attended with entire relief from frequent bilious spells; but the average of daily food was increased and the business of a barber did not add anything to muscle development. Finally from mere excess of weight he became a prisoner to his house and yard, unable to walk a square without the greatest difficulty; and yet there were two enormous meals put into a stomach daily that did not complain, and the weight increased until the three hundred and seventy-five pound notch was nearly reached. He heard about the Rathbun fast, and I was able to persuade him to come down to one light meal daily, and day after day bonds were loosened. After a year there have been nearly seventy-five pounds lost, and there is ability to labor and to walk several miles daily.

Very many thin persons have gained as high as forty pounds by reason of the larger degree of muscle exercise. Since last writing, this word has come from Miss K., who one year ago was at the asylum eating several meals a day in bed with suicidal intent. She left that bed with a weight of one hundred and forty pounds, and, as I have mentioned before, lost twenty pounds of it by her fast. My last news is from a letter written the day after a twenty-five-mile ride among the mountains with a soul as free and joyous as there are freedom and joy with the birds whose songs greeted her rapt ears from every treetop. She writes of a gain of twenty-four pounds since the fast, and states that the glasses she has worn for thirteen years are wanted no longer!

I feel that I need not multiply words as to the ability and utility of bringing all overweight down to the physiological normal and of keeping it there. I could fill hundreds of pages with the joyous testimonies of those who have been relieved of many surplus pounds, with numerous accompanying ailings; they all tell the same story, and I will only add this, that there is no physiological excuse for any mortal to carry around weight that disables.

Not very many months ago ex-Governor Flower, of New York, a statesman of national fame, a man of largest public spirit, a most valuable citizen, and Colonel Robert Ingersoll, an orator of world-wide fame and of great nobility of soul, dropped as beeves beneath the stroke of an ax because of a fracture of brittle bloodvessels. In both of these cases not many less pounds than a hundred had needlessly accumulated.

Could I have had the Colonel's ear when I last saw him as a listener to almost matchless oratory, whose rotundity of belt was to be measured by the yard, I would have addressed him as follows: "My dear Colonel, when I last saw you you were just filled out enough to be the joy of your tailor, and as a picture of health in form and looks you were ideal. You were then eating the meals of a woodchopper; and merely because food tastes good and does not seem to hurt you, you have been doing the same during the nearly score and a half of years since I have seen you. You have been eating more food every day in proportion to general muscle exercise than the hardest toiler does in a week, and your vast bulk evidences against you."

After explaining to him the structural possibilities of apoplexy as a legacy, as I have to you in the cases of insanity, I would continue: "Now by virtue of a possible ancestral weakness of your brain arteries this may happen: the arterial walls, because of habitual food in excess, may undergo a fatty, limy degeneration that will make a rupture possible, with death or paralysis of one-half or more of the body as the direct result; or the small arteries may have their walls so thickened as not to permit enough blood to circulate in order duly to nourish parts of the brain they supply; hence softening of the structure and more or less imbecility.

"The history of all overweights is that of a decline of muscle energy, and very generally of the amount of muscle activity as the pounds and years increase; but no cut in the amount of daily food so long as it can be taken with relish and disposed of without any special protesting from the stomach. This is the history of by far the largest majority of those sudden deaths due to cerebral hemorrhage, and also the history of most of the cases of imbecility with the overweights.

"Now, Colonel, you should make a radical parting with those surplus pounds by a fast that may extend into months, or take one of the lightest of meals once a day. Follow this out rigidly until you have lost a hundred pounds, and then by as much will you be not only free from disease, but free also from the danger of disease."

My experience with cases of epilepsy, or "fits," is confined to a half dozen cases, in which permanent relief seems to be assured. There is an acquired structural abnormality behind the spasms, acquired from surplus food, with a cure to be reached ultimately in most cases along these physiological lines.