220 THE ENZYME TREATMENT OF CANCER
mixed
on injection; that is, I should employ Captain Lambelle’s usual procedure from
the start. I should not willingly reduce the dose of trypsin, but rather, if
bad effects were noted, increase the amount of amylopsin, even double it. With
such doses as these not many injections—not half a dozen—would be exhibited
before the injection would be followed shortly by a rigor, which soon passes
off, if the patient be in bed. Later in the day— in my experience from 6 p.m.
to 9 p.m.—there would be a marked temperature reaction up to 103o
F., or even sometimes higher. The patient will demand, and should have at all
times, abundant water, or barley-water, to drink. The curious feature of this
rise in temperature, as I have seen it, is that the skin is dry, and not bathed
in perspiration. Of course, the pulse along with it is very much quickened. In
fact, this treatment would appear to place great demands upon the heart, and it
is my own opinion that wherever possible the patient should receive the
injections in bed, should be kept there during such temperature-reactions, and
as before stated at all times be kept as quiet as possible, refraining from all
avoidable physical exertions. In Captain Lambelle’s cases it was noted by him
that the effects of the injections—i.e., the constitutional symptoms—lasted
from eighteen to twenty-four hours. On the average he gave injections every
other day. At times the amount of injection, the number of units, was decreased
to one-half or one-quarter of the usual amount of 1,000 tryptic and 2,000
amylolytic units. But, speaking for myself, I should prefer to meet any bad
symptoms by an increase of the relative amount of amylopsin, without, if
possible, any diminution of the number of tryptic units. Also, as I conceive
it, the injections should, if the patient can stand such a course, be exhibited
oftener than every other day—as often as four,