Siven's experiments, in particular, certainly indicate that the human organism can maintain itself in nitrogenous equilibrium with far smaller amounts of proteid in the diet than is ordinarily taught, and, further, that this condition can be attained without unduly increasing the total calories of the food intake. Such investigations, however, have always called forth critical comment from writers on nutrition, indicating a reluctance to depart from the current doctrines of the Voit or Munich school; and, indeed, it may justly be claimed that the ordinary nutrition experiments, extending over short periods of time, are not entirely adequate to prove the effect of a given set of conditions when the latter are continued for months or years. Thus, Schafer writes: "It may be doubted whether a diet which includes considerably less proteid than 100 grams for the twenty-four hours could maintain a man of average size and weight for an indefinite time. It has frequently been asserted that many Asiatics consume a very much smaller proportion of proteid than is the case with Europeans. The inhabitants of India, Japan, and China chiefly consume rice as the normal constituent of their diet, which contains relatively little proteid; and this has been advanced as an argument in favour of the view that the minimal amount of proteid is much less than that ordinarily given as essential to the maintenance of nutritive equilibrium.

It must, however, be stated that we have no definite statistics to show that, in proportion to their body-weight, Asiatics doing the same amount of work as Europeans require a less amount of proteids; indeed such evidence as is forthcoming is rather in favor of the opposite view." This statement is typical of the attitude of physiologists in general on this important subject. Why not candidly admit that the matter is in doubt, and, with a due recognition of the importance of the subject, attempt to ascertain the real truth of the matter?

The writer has had in his laboratory for several months past a gentleman (H. F.) who has for some five years, in pursuit of a study of the subject of human nutrition, practised a certain degree of abstinence in the taking of food and attained important economy with, as he believes, great gain in bodily and mental vigour, and with marked improvement in his general health. Under his new method of living he finds himself possessed of a peculiar fitness for work of all kinds, and with freedom from the ordinary fatigue incidental to extra physical exertion. In using the word abstinence possibly a wrong impression is given, for the habits of life now followed have resulted in the disappearance of the ordinary craving for food. In other words, the gentleman in question fully satisfies his appetite, but no longer desires the amount of food consumed by most individuals.

For a period of thirteen days, in January, he was under observation in the writer's laboratory, his excretions being analysed daily with a view to ascertaining the exact amount of proteid consumed. The results showed that the average daily amount of proteid metabolised was 41.25 grams, the body-weight (165 pounds) remaining practically constant. Especially noteworthy, also, was the very complete utilisation of the proteid food during this period of observation. It will be observed here that the daily amount of proteid food taken was less than one half that of the minimum Voit standard, and it should also be mentioned that this apparent deficiency in proteid food was not made good by any large consumption of fats or carbohydrates. Further, there was no restriction in diet. On the contrary, there was perfect freedom of choice, and the instructions given were to follow his usual dietetic habits. Analysis of the excretions showed an output of nitrogen equal to the breaking down of 41.25 grams of proteid per day as an average, the extremes being 33.06 grams and 47.05 grams of proteid.

In February a more thorough series of observations was made, involving a careful analysis of the daily diet, together with analysis of the excreta, so that not alone the proteid consumption might be ascertained, but likewise the total intake of fats and carbohydrates. The diet consumed was quite simple, and consisted merely of a prepared cereal food, milk, and maple sugar. This diet was taken twice a day for seven days, and was selected by the subject as giving sufficient variety for his needs and quite in accord with his taste. No attempt was made to conform to any given standard of quantity, but the subject took each day such amounts of the above foods as his appetite craved. Each portion taken, however, was carefully weighed in the laboratory, the chemical composition of the food determined, and the fuel value calculated by the usual methods.

The following table gives the daily intake of proteids, fats, and carbohydrates for six days, together with the calculated fuel value, and also the nitrogen intake, together with the nitrogen output through the excreta. Many other data were obtained showing diminished excretion of uric acid, ethereal sulphates, phosphoric acid, etc., but they need not be discussed here.

Intake

Output of Nitrogen

Proteids

Fats

Carbohy

Calories

Nitrogen

Urine

Faeces

Total

Grams

Grams

Grams

Grams

Grams

Grams

Grams

Feb. 2

31.3

25.3

125.4

9OO

5.02

527

0.l8

5.45

3

46.8

40.4

266.2

169O

7.50

6.24

0.8l*

7.05

4

48.0

38.1

283.0

1747

7.70

5.53

0.8I*

6-34

5

50.0

40.6

269.0

I7II

8.00

6.44

0.8l*

7.25

6

47.0

41.5

267.0

1737

7.49

6.83

0.8l*

7.64

7

46.5

39.8

307.3

1852

7.44

7.50

0.I7

7.67

Daily Av.

44.9

38.0

253.0

1606

7.19

6.30

0.60

6.90

*Average of the four days.

The main things to be noted in these results are, first, that the total daily consumption of proteid amounted on an average to only 45 grams, and that the fat and carbohydrate were taken in quantities only sufficient to bring the total fuel value of the daily food up to a little more than 1,600 large calories. If, however, we eliminate the first day, when for some reason the subject took an unusually small amount of food, these figures are increased somewhat, but they are ridiculously low compared with the ordinarily accepted dietary standards. When we recall that the Voit standard demands at least 118 grams of proteid and a total fuel value of 3,000 large calories daily, we appreciate at once the full significance of the above figures. But it may be asked, was this diet at all adequate for the needs of the body - sufficient for a man weighing 165 pounds? In reply, it may be said that the appetite was satisfied, and that the subject had full freedom to take more food if he so desired. To give a physiological answer, it may be said that the body-weight remained practically constant throughout the seven days' period, and further, it will be observed by comparing the figures of the table that the nitrogen of the intake and the total nitrogen of the output were not far apart.