GENERAL DIRECTIONS 205
from the degenerating tumour, or from the portions in degeneration. In my experience cases have occurred where the physician, being convinced that the tumour was dead, and that the remains might best be left “ to come away of themselves,” has permitted the patient to remove himself far from all medical supervision, with the inevitable result that a fatal toxaemia has ended the case.
Assuming the treatment to be continued for at least four full months, or 120 days, in this rigorous fashion— a thing which experience in York and elsewhere has proved possible—then it can be stated that the patient received in this time at least 1,000 x 60 to 1,000 x 120 tryptic units, and 2,000 x 6o to 2,000 x 120 amylolytic units, or in all 60,000 to 120,000 tryptic units and 120,000 to 240,000 amylolytic units—in words, from sixty to one hundred and twenty thousand tryptic units, and from one hundred and twenty thousand to two hundred and forty thousand amylolytic units. As one instance, the case described by Captain Lambelle received in 120 days about 60,000 tryptic units, according to calculations made from the charts.
In the Uppingham case of cancer of the stomach and liver, the physician did not allow me to make the requisite calculations from the charts taken; but from other sources the amount of trypsin injected would appear to have been 63,000 units, and of amylopsin 94,000 units. As will be seen, this amount much exceeds the total injected by Messrs. Ball and Thomas, not in one, but in nine test” cases: trypsin, 63,000 units against 30,000 units; and amylopsin, 94,000 units against the miserable total of 16,000 units in these experiments. It may be added that certain hospitals which “ tested “ the treatment, with weak trypsin injections in small doses, never obtained