216 THE ENZYME TREATMENT OF CANCER
to a minimum consistent with keeping up the bodily strength. Diet recommended: milk, fresh vegetables, bread, butter, cheese, with eggs, chicken, and the lighter sorts of fish in moderate amount. The idea being to keep an excess of alkalies in the blood—the internal administration of calcium lactate aids the above diet in this respect.
2. Oral Administration.—I give no ferment preparation by the mouth at all. Calcium lactate is the only drug necessary.
3. General Management.—As usual in hospital.
4. Local Treatment .—None, unless there be an inflamed or ulcerating skin area or opening. Hot boric fomentations, changed four hourly. Irrigation with potassium permanganate lotion or weak iodine lotion, where there is foul discharge. Strong antiseptics—e.g., mercuric salts and carbolic acid, etc.—are to be avoided, as interfering with the action of the ferments. On no account may the case be subjected to treatment with radium or Röntgen rays.
5. Hypodermic Treatment.—This is the essential part. Injections used are trypsin of 1,000 units of tryptic activity per cubic centimetre, and amylopsin of 2,000 units of amylolytic activity per cubic centimetre. The injections should be given daily, if possible. The injection must not be made into the cancer itself. The injections are given intramuscularly, deeply into the muscles of the buttock, or about the iliac crest or in the flank. Abscess frequently follows injections into the subcutaneous tissues. In some hundreds of injections I have never once had an abscess. I always give equal quantities of the above two preparations. I never give the trypsin without adding more amylopsin. The full dose has been 1 ampoule of trypsin, or 1 c.c. + 1 ampoule of amylopsin, or 1 c.c. In units of activity, 1,000 units of tryptic activity + 2,000 units of amylolytic power. After an injection I always massage the part for one minute, so that the injection does not lie