130 THE PROTEOMORPHIC THEORY AND THE NEW MEDICINE 



index had advanced week by week from the initial 60 to 70, 

 70 plus, and, at the end of the third week, 80. Modifications 

 of the differential count and of the qualitative status of the white 

 cells will be referred to in another connection. Here it suffices 

 to say that these were of the usual character, involving increase 

 of the large monocytes and a characteristic change in the staining 

 quality of the cells. 



It is perhaps not unimportant to add that the patient showed 

 steady improvement in his clinical condition, as might be ex- 

 pected considering the blood changes. And it should be ex- 

 plained that the cancer involves the pyloris, closing the aperture, 

 and that a gastro-enterostomy making an artificial exit through 

 the anterior wall of the stomach had been performed about five 

 months before the Proteal treatment was begun, the surgeons 

 at that time reporting themselves unable to remove the cancerous 

 mass, which involved not only the stomach but the liver. Since 

 that time, prior to beginning the Proteal treatment, the patient 

 had been given the usual variety of drugs, including iron and 

 arsenic, together with sedatives, yet he had gone from bad to 

 worse, suffered constantly from gastric disturbances and the 

 regurgitation of a bitter greenish fluid. He was constantly 

 hungry, no matter how much food he took, and had wasted 

 away until, although more than six feet high, he weighed only 

 128 Ibs. Could sleep little owing chiefly to discomfort in con- 

 nection with the joints of his legs. The left knee joint was 

 much swollen, and the patient limped markedly in attempting to 

 walk. 



When the patient came under my observation all drugs taken 

 by the stomach were discontinued except that rhubarb and soda 

 mixture was given, together with a daily dose of mineral oil to 

 aid in regulating the bowels, which had been obstinately con- 

 stipated. The patient was placed on an exclusively vegetable 

 and milk diet, and Proteal hypodermics were administered daily 

 in doses beginning with 3 minims and advancing pretty rapidly 

 to a maximum of 15 minims. The response was prompt and 

 stimulative. The patient soon handled his food better and he 

 gained steadily in strength, presently going about by himself as 

 he had not done for some time before. The knee joints showed 

 quite an increase in swelling at first, but before ten days and 

 subsided to practically normal, and the discomfort in the legs 

 had disappeared, so that the patient was sleeping well. His com- 

 plexion changed quite conspicuously, as would be expected, 

 considering the modification in the blood, and his mental state 

 was far more comfortable. Meantime palpation showed marked 

 flattening of the gastric mass, which was hollowed conspicuously 

 equatorially, and which became slightly tender on pressure, as 



