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—