Cancer Appears to Be Peculiarly a Disease of the "Fittest," as It4 Preys Chiefly Upon- Those Who Eat Regularly and Well and Take Best Care of Their Health! By PROF. DE KEATING HART, of MY Ion; Investigations of the bud Ject of cancer , have led me to .the conclusion that the disease !s due to cells long over-developed in an Irritated area of the body. They are over-developed like plants In hothouses by a slow and prolonged in crease of heat and food supplies. At the end of a certain time they acquire he reditarily the characteristics of over-pro-duction and over-nutrition which distin guish them. I find especially that the nutritive ele ment on which cancer feeds most abun dantly like all other cells in active development is glycogen (the form of sugar secreted by the liver). .' Well-nourished bodies and organs favor the rapid development of cancer. Persons enfeebled by age or sickness are less subject to cancer, or at least to its rapid growth. We know that cancer Is less fre quent among the tuberculous than the gouty. In the poorly nourished old per son the tumor growth takes usually a torpid form. , Prosperous diabetics are the class of persons most subject to cancer. The ex cess of glycogen secreted by their livers furnishes nourishment to the tumor. At the same time the development of a can cer in a diabetic causes a decrease of this elimination of sugar. Indicating that the tumor absorbs part "of the hydrocarbons of the system. In many ways we have found that gly cogen feeds cancer. Fevers use up hydro carbons, which change into glycogen in the body and they often produce an amelioration of cancer. When a cancer Is removed from a mouse, secondary growths in other parts of the body in crease suddenly, indicating that there was Just enough glycogen to feed the original tumor. ' Professor Guelpa has found when dieting persons for rheumatism and 'obesity there was a marked decrease of cancers from which they were suffering. Reduction of food may have the effect of diminishing cancer, but cannot be regarded an a sufficient treatment. I reject the theory that cancer Is of mlcroblan origin and consequently I must deny its contagiousness. The malignant cells can be grafted, but npt inoculated. It would require more time than I can give now to discuss the subjects of "can cer houses and cancer cages." I may say. however, that the conditions of nu trition and parasitism which I have found explain satisfactorily the existence of "cancer cages." As to "cancer houses," the very limited number of them permits us to believe that they are simple coin cidences. Is there a pre-dlspositlon of the body to cancer? It Is true that my theory of local irritation removes all idea of direct heredity, because it shows cancer to be only the result of a local condition - of Why I Ami a ELIZABETH FREEMAN, known among them as "Lady Betty," is one of the WeniOBt, and In some quarters term ed the fiercest, of the militant suffragettes. By ELIZABETH FREEMAN. SIX years of battle on English soil and two termB in hideous Holloway Jail have convinced me that militancy is the only way to suffrage for women in England. For forty-five years they tried every other method that is legitimate to secure votes for women. It was Sir Henry Camp- that Is now being followed. "You can never win in this way," be said; "you must pes ter and irritate." The world is appalled, or professes to be appalled,. by what are regarded as the out rages perpetrated by militants in England. "Are those women -crazy?" it demands. "Why do they act in this way?" ' No; they are not crazy. At their head is a woman who is not only sane, but who Insists upon sane views and, sane acts by her followers. Sane, and a saint When I met Mrs. Pankhurst and took her hand I felt that I was clasping the palm of a saint, and so she is very generally regard ed, even, by those who differ from her. Why do they not forcibly feed Mrs. Pank hurst when she is In prison? Because they fear they will kill her and they know that ,lf Mrs. Pankhurst were killed the English Government- would be overturned.- We court forcible feeding. The -Government fears 16 inflict It too far ltst pnbllo sentl- -ment turn and rend It '- . i Sane? Absolutely yes; and every act of s Capsed the Society of Medicine, of Paris cellular nutrition. But If cancer Is not hereditary there are certain general states of Ill-health which realize more easily than others the local conditions favoring Its- development These condi tions we know are: (1) Constant irrita tion produced by an agent within or without the body. (2) Constitutional Irritability which di lates the blood ves sels and raises the t e m p e nature. (3) The amount of nu tritive elements present, Including glycogen and salts. The irritant, when ft does not come from without the body, may be fur nished by a chronic Inflammatory condi tion. Thus rheuma tism and certain blood diseases are causes of prolonged local cellular inflam mation. A 1 1 m ents which bring on irrit ability of the blood vessels, such as ar terial over-pressure and arterio-sclerosis, dispose the body to local reactions that bring on abnormal ceH formation. A prosperous diabetic person secreting an abnormal quantity of glycogen will bring to the Irritated cells a blood supply over charged with nutrition. Some of the sev eral conditions mentioned may be heredi tary. We find that the age when a man usually finds rheumatism manifesting it self, when his arterial pressure becomes marked and when he often nourishes himself too abundantly for his physical needs that is to say, the age from thev fortieth to the fiftieth year is also the age when cancer usually makes Its ap pearance. If Injuries and blood diseases are added to these conditions we need not be astonished at the frequency and gravity of tumor formations which we Bee in such cases. By the side of general predisposition to cancer, the:o may exist also accidental local conditions which occur particularly In the type of person we have described and provoke more easily the appearance of a neoplasm (abnormal new tissue). All cases of chronic local inflammation sur rounded by congested sones, foreign bod ies and parasites encrusted In the organs. of theirs, no matter how it may appear In its working out, has a sane and consistent object. These so-called "wild women" are wholly logical and entirely consistent . Why do they act so? Because there Is no other way to win their cause. In America, where men are reasonable and quick-witted, discussion and agitation will succeed. But the onv way to convince a Briton Is with a brlc Johnny Bull has to be hit between the eyes with a brick to startle him out of his smug compla cency and make him think. In England you have to reckon with slow wits and a well-nigh unshakable obstinacy, and dras tic spectacular means are the only ones that will awaken them and make them act. Why do they act so? Because they want to lay the trouble where it belongs, at the gate of the Government They "act so" because they -want to make the British people bo uncomfortable that. they will demand "what Is the cause of it?" and when they will, and do. the suffragettes, answer, "the Government Is the cause." "Then let the Government stop it," the Britons will answer, and the suffragettes will reply,. ''Government cannot" "Then turn out the" Government and get In a new one that can stop the trouble," John Bull will answer, and the problem will be solved, ; : , i ? . You do not kndw you la America, who so glibly eritioisethe "wUd women" of England, that thirty-six bills granting suf frage to women have passed the House of Commons and have been is topped by the twenty Cabinet Minister and other de u-a Ctopyrlgnt ivl. tr the 8Ur Company. by OverMpprisMng -ihi 1 Cancerous Tissue Under the Microscope the Large Cells Have Developed Hereditary Appe tite and Are Growing at the Expense of the Others. hard lumps In the sebaceous glands ot the skin, dust and particles common in certain trades which penetrate the skin and respiratory organs and repeated In juries are among the many causes which bring on dilation of the blood vessels and rise of temperature, by which the Irritated cells are over-cultivated until they take on definite characteristics of new growth. What treatment can we employ to meet such causes of the origin of cancer as I have described. According to my Idea the prophylactic treatment of cancer can only be a form of normal hygiene. It may be possible to cure or reduce the preva lence of certain common forms of inflam mation In women, to dissuade men suf fering from the use of tobacco, but it will be difficult to do away with slight forms of irritation common in certain trades, to remove in all cases foreign bodies that are Invisible and painless and to prevent miners from breathing the dust of their mines. How under the threat of a doom that may never arrive can we enforce frugality on wealthy gourmands of mature age? How can we check the over-produo- Suffragette - pendents of Government in the House. Several times a majority of the members of the House have been elected on pledges to vote for woman suffrage and have broken their pledges because Government nnenieid tft their selfish motives. The - Elizabeth Freeman, Who Believes Militant Methods Must Win In England ... drat Britain BJghts Xlearvl Fulgurization or Treating with Electric Sparks the Cancerous Tissue, which Is More Sensi tive to Electricity Than Healthy Cells. tion of glycogen at Its source? By what method can we reduce the local vasomotor irritability of persons with excessive blood pressure? It may Indeed be useful to draw the attention of sick persons to these points, to watch them and to guard against the danger which threatens them in so many forms. A grave obstacle to any specific treat ment arises from the very "nature of the disease. If cancer cells are of the same nature as normal cells, what nourishes one must also nourish the other and what kills the one must also kill the other. This consideration would destroy aH hope of attacking the evil radically, If we did not find that theover-nourished cells are a little more sensitive than the normal ones to destructive action. The selective action shown in certain cases by the X-rays -ad the experiments of Wasser mann on mice tumors treated by selenium are proofs of this.' Unfortunately the dif ferences are slight, the curative radio therapeutic dose is near to that which destroys the normal tissues and a very slight overdose of selenium will destroy the animal treated as well as the tumor. Another source of hope comes to us . from known cases of spontaneous dimi nution of cancer. Can, we not. one day bring about what nature accomplishes by employing the same means? We must not fix our attention on the accidental cures in which the organism has no apparent part and which may be due to a simul taneous infection, such as erysipelas. It does not seem to me reasonable that we should make use of a weapon which has the double defect of. being uncertain in its action against the disease and dan gerous to the sufferer. While It is difficult to observe the se cret mechanism of natural ameliorations of cancer, v-e may judge of it by cases in which Improvement has been produced by artlticlal, indirect treatment One such method consists in removing the organs associated with the Infected area and an other in closing the principal sources of blood supply. We know that many cases of almost complete cure and remarkable Improvements have been produced by this means in cases of Inoperable cancer. From these cases we may reason that If we can cut off the food supply of an Infected area through vaso-constrlctldn, produced by some drug, for Instance, we can cure a great number of cancer growths, if not all. fTTwe can find a medi cine which will check growth In a certain part of the body without endangering the rest, we shall no doubt have found a specific remedy for cancer. first class Is composed of the Cabinet Min isters and their secretaries. The second of barristers and others in the service of the Crown. The third are persons whose election expenses were paid by Govern ment Fourth are manufacturers who de- By Our 001CS Diagram Chart Showing Where Cancer Most Frequently Occura in Men and Women. The Sites Are Ranged from 1 to 20 in the Order of Their Relative Fre quency. There exist many methods of treatment' which have sometimes produced ameli orations. Nearly all the anti-cancerous serums have produced results of this kind. How are we to explain their action? The volume of many tumors Is greatly In creased by the blood which fills them like a soaked sponge. A medicament which reduces the blood supply by vasoconstric tion will suffice to diminish greatly the apparent mass of the tumor. I have found that a simple fever by using up a large amount of hydrocarbons In the system will diminish the food supply of the cancer. The serums introduced into the body usually produce notable in creases of temperature, a form of fever. ThuSi-may we explain the results obtained frojn them. would make special mention of the remarkable results due to the employment of collodial copper. Accepting my hypo thesis of glycogenic over-nourishment as the cause of cancer, Dr. Chatinlere be lieves that copper is a means of reducing a portion of 'the nourishing glycogen of the abnormal cells and stopping their de velopment for a certain time. The theory of Irritation makes cancer a perfectly local disease at the beginning, and therefore capable of being cured by local treatment If the disease nas ex ceeded certain limits and attacked cer tain organs or caused too grave an injury to the body, it passes our present cura Eli zabeto rive all their patronage from Government as paper manufacturers. The fifth are the owners of provincial newspapers that have been subsidized- by Government These classes are the obstructionists and Pledge-breakers. Private bills, introduced by private individuals not associated with these classes," reach a certain point, the second reading, and are killed by Gov ernment influence. Suffragettes and their friends have become convinced that the bill to -pass must emanate from Govern ment o r, For example, people exclaim in horror at the burning of a grandstand at the ball grounds. "There Is no reason for such horror!" A grandstand represents "little intrinsic value so far as the timber that composes it is concerned. But it stands for a Briton's love of sport, and if you strike him there you reach a vital spot Astounded, enraged, he says: "What does this mean?" "It means the Govern ment won't let women have the vote, and they want to tell you so," is the brick that comes h,urtling between his eyes. "Then let them have the vote and let us have peace," Is the answer we confidently ex pect to receive. Women are going about securing suf frage as men secured it. While the men were trying to get it they laid the blunder bus about them. When they succeeded they placed the blunderbus on the shelf and left It to rust So will women do, I challenge any one to produce proof that any militant ever did anything that was a' menace to any life except her own. I my-" r self went Into an empty house to 'assure uJ' " 'ZL ' f jfsr A r j i L w' p J - - ' - By Prof, de Keatincf Hart. of the Sociely Medicine' oi ran s. -.- ,, tive power and we can only retard tts consequences without preventing the final disaster. Therefore we divide cancer Inie curable and Incurable. ,lt Is generally stated that from the mo ment when new growths appear, in parts distant from the original tumor the can cer, though apparently operable, Is cer tainly destined to a more or less rapid recurrence. In reality this Is not always so, and I know more than one case In which. In spite of considerable dissemi nation of the disease, I have obtained cures. . This brings me to the curative treat ment in which we combine surgery, . the high frequency spark and various forms of rays. For a long time It was believed that only operable cancer was "curable. To-day this cannot bs said. Many cases in which surgery did not dare to Inter vene are to-day cured. They have been submitted to the action of the X-rays and radium or, after having been operated on contrary to therapeutic necessities, have owed their cure only to the action of the high frequency and high tension spark. I admit that when there is no reason against It an operable cancer should be removed. To leave it In place and try to melt It more or less slowly under the action ot the rays 4s to give It an opportunity to Infect i the body deeply during the time ot treatment To remove the growth, leav ing an opportunity to complete the surgi cal work by appropriate therapeutlo means, gives the sick man a double chance of cure. I must remind you that when surgery could not attempt the bold achievements of to-day the partial excisions "performed on cancer often brought about reinfec tions so rapid that many surgeons pre ferred the use of caustics or the heated Iron cautery to the knife. I would also recall the goodresults that arsenlous acid gave more tn&h once. To-day the knife, has regained its su premacy, and hardly any surgeon would remove an operable caneer by any other means. It is, however, far from satis factory. In the commonest form of can cer among women operations with-the knife still show 70 per cent ot recur rences at the end of three years. I favor the association of the high fre quency and high tension spark (figura tion) with the surgical operation. The great error which has given fulguratioa a bad reputation has been the method of applying It Many who used It thought it was a means of destruction, a caustic possibly more powerful than others, and they tried to use It as a caustic. They diminished the length of the spark, re placing, tension by heating effects, and they sought to destroy the tumor directly. If you operate on your human cancer patient according to the best technique of surgery and then pass the fulgurtzing electrode over the operated surface, you will have many more chances of pre venting recurrence than with the knife alone. Some figures will give an Idea of the superiority of fulguratlon over sur gery without electricity. The average of cures lasting three years of operable breast cancer treated by the knife alone was 30 per cent; fulguratlon gave in the bouio class oi cases so per cent of cures. To obtain a lasting cure by fulguratlon we must first secure the careful removal by surgery of all masses visible to the naked eye. In cases of absolutely in operable cancer, this method can' at most serve to hide the disease under apparent ly good scars and to diminish the suf fering. - ; Must we consider then that Inoperable cancer is synonymous with Incurable cancer? I do not believe so. The suc cesses obtained by the X-rays and radium ew though they may be In proporUoiTo the number of cases treated, neverthe less enable us to assert that tumors which the knife could not remove have remained cured for many years. Freeman myself that it was empty before my coxa panlon threw1 a. stone. There was a hue and cry when a stone was thrown into Mr. Asquith's carriage, and there were hor rified exclamations, "What if the Minister had been in the carriage!" The stone throwers took very god care that he was not in the carriage. ' Hands were raised and eyes rolled heav enward when Lady White's house was burned. But the burning , was done in Lady White's absence, and there is not the slightest doubt that the building was very well Insured. -There was horror when a bomb was dis covered in hoary St Paul's Cathedral. "Sacrilege !" we heard all about us. But the bomb didn't go off. Few'of the bombs are that kind. The women of England revere and love the old, buildings. When a bomb is found in -one, be sure it is a non-effective bomb. . 1 The militants seek martyrdom; yea, and find it I know five delicate women who have cancers of the breast 'caused "by bruises received while they were members . of deputations.. ' . But the supreme spirit of the militant movement is one that I say reverently. ' is not of this world. In the great bat tle of Downing street, as I looked down the line of marching women, X saw that their faces were uplifted, their; yes turned to heaven, and there was that in their ex pression which, awed and uplifted me.- It was as -though the earjy Crusaders had been reincarnated tn them. I felt that I " was watching the advance of a mighty : Christian army. '