TWO RECENT CASES 221
five,
or six times a week—if such “heroic” treatment be demanded by the case under
treatment. Probably the case—a very desperate one—of the pensioned fireman,
described in connection with the’’ liquefaction of cancer,” failed, not on
account of the large amount of tryptic units given daily (to wit, 2,000), but
because along with these at least 4,000 amylolytic units were called for, but
not exhibited. From the phenomena noted in this case and in two of those
treated by Captain Lambelle, it would appear that the objective to be aimed at
in the enzyme treatment of cancer is the liquefaction of the main tumour or
tumours. With this in view, it should be the purpose of the physician to give
as large and as strong injections of the two ferments in the proper proportions
as the patient can endure. As Captain Lambelle remarks in one of his letters:
“Give the most you can, and as often as you can, with regard to the
constitutional effects produced.” The self-evident fact that very strong
injections should be used has been stated already by Dr. P. Tetens Hald in the Lancet
as long ago as 1907.
There
remains another serious problem which, I confess, it is beyond my feeble powers
to solve. It is this: “How shall the physician be provided with only the
preparations upon which on all occasions he can rely ?“ I have known my own
printed “General Directions” to be used along with preparations, which in my
own experiences, as well as in those of others, had no action worth speaking of
upon milk, and which did not at that time contain an appreciable amount of
amylopsin. There was no excuse for this, as these directions not only gave full
particulars concerning genuine preparations of trypsin, amylopsin, etc., but
also a list of places and addresses throughout the world where these could be
obtained. These—the Fairchild Preparations—were absolutely genuine; but—