|
1. The main thing is to know the history. Whether or not periodicity in the case, applies particularly to functional diseases, Object is to avoid spasms etc., before they come on. Find out what causes periodicity as irritation etc. In treatment to abort treat just before the condition is due, this is true of different types of heart diseases, as regurgitation of the heart. 2. Find out weak and strong points in patients system, history of diseases good way to know this. Many times the best way to strengthen weak parts is to make the strong parts stronger. Try to find out by questioning and by reasoning what relation previous diseases have to present disease. Find out in each particular case the strength and weakness of the blood and lymph system is predominate, in later life blood system becomes predominate. Note tendency to explosives. 3. Find out the susceptibilities of the nervous system, we can discover ways and means of aborting disease, especially nervous diseases. 4. Find out the different influences or effects that are caused by changes, as, changes in diet, changes in the time of taking food of resting periods, etc. 5. Object in diagnosis is to see whether the condition is physiological or pathological. Here we have weakness and strength of the system brought out. To strengthen heart, tone up heart from weak side, example, in the vast majority of the cases the trouble is on the sympathetic side, that is, it is over-active. Heart diseases are mostly heart habits. Heart life is acceleration and inhibition. Best thing to do is to inhibit its function, this is also best for sick children, same true of nervous patients and dipsomaniac patients. All diseases of children are on sympathetic side, tone down through the cerebro-spinal system. Quiet restless children by articulating the spine lightly, the average child can be put to sleep by the manipulation of the head. Read Halleck's "Education of the Central Nervous System". 6. Find out the condition and the extent of the intoxication of the system. One reason why paralysis agitates cannot be cured is that the cells are in a state of toxicity. Overcome intoxication by persistent nutrition. Auto-intoxication and hetero-intoxication are terms applied to two different means of acquiring diseases. In most cases of intoxication the excretory functions are abnormal and when abnormal attempt to restore. As a general rule the intoxication settles in (a) weakest point, (b) most over-worked point, all, (d) in injured part and field of traumatism; also filed of surgery. Treatment must be according to the kind and extent of the intoxication. In all cases of auto-intoxication we can deal with intoxication without any assistance from drug line, in cases of hetero-intoxication we can deal with these only in the toxicological field. 7. Physical examination and treatment are to be viewed from point of adjustment. In the field of the so-called osteopathic lesions there are three points to be looked into in particular: (a) Condition of adjustment of the structures of the body toward normal. (b) Harmony under the reign of vital force. (In treatment operate through nervous system. (c) Condition of harmony or disharmony in the elements or processes in the body. The elements equal the proximate principles, the processes are chemical, physical and vital. These three points include minute as well as crude structures of the body as heart, urine, blood, sweat, stomach, etc. 8. Note symptomatic condition in the history of the patient and try to form a diagnosis that will explain the symptoms. This is sometimes called the method of exclusion. In getting the history, get life history of the disease normal, as well as abnormal, try particularly to trace out the progressive development by (a) symptoms, (b) by changes in the patient as a whole; that is, if at one stage the patient lost appetite or the reverse, (c) by remission in the condition of the patient, that is, the reassertion of tendency to normal. Try to find out how the history of the disease processes taking place in the development has been modified by what the patient has been doing in the meantime, eating, resting, etc. There are direct and indirect differential methods; in direct method all symptoms point in one particular part of the body. In indirect method we differentiate weak, weaker and weakest organs. The value of this differential diagnosis lies in the field of therapeutics, there is an absolute rule which has no exception namely that all symptoms disappear in reverse order to their appearance, the last symptom disappears first. Note whether symptoms are at harmony or at variance with one another, in order to see whether the organism as a whole or only a part is disorganized, or whether one part is antagonistic to another part. The most serious condition is where one part is antagonistic to another part, in this case work to CO-ordinate.
1. Treat each case as if it were a particular case. How can you make an application to a particular case? It must be based on a theory of the disease in that particular case. It is of importance to find out whether the case is vaso-motor, lymphatic, nervous, cerebro-spinal or gastro-intestinal or intoxication and the treatment is always directed back towards your theory. If the case is lymphatic or cerebro-spinal give general treatment, if the lymphatics are weak treat down. 2. In the treatment object is not to replace but to adjust structures, activities or environments. Articulation is the basic principle of treatment; in doing this:- (A) Articulate spine to adjust spine to the ribs in this way always reach general blood and nerve supply. Always articulate spine to set ribs. Each individual tissue has its own mobility and articulate in relation to contiguous tissues. (B) The objective point in treatment is not to relieve a symptom or soothe a condition of pain or remove pressure or irritation, but to make the patient, as a whole, better. There is a tendency in osteopathy to treat only in one field; to get the best results treat as a whole. (C) Always remember that manipulation is a mechanical means towards a physiological end. Physiology is the foundation of life and unless treatment is directed towards the physiological it is no good to patient. A mechanical treatment to be effective must be converted into a physiological equivalent. (D) Sometimes necessary to give general treatment, in this case the specific treatment will not cure. The lesions in many cases are secondary, the spine is not only the origin of disease but also the expression of disease. There are several conditions that call for general treatment: (1) Cases in which find general superficial rigidity, here necessary to produce general relaxation. Begin relaxation at a point as far from seat of pain as possible. (2) Cases of static condition of general superficial circulation or some part of the superficial circulation for example pulmonary congestion. In this case we must stir up the general superficial circulation. (Treat 2-3 cervical and 2-3 dorsal for eyes). (a) General relaxation of soft tissue over the body. (b) Strong articulation at 3-4-5 dorsal. (3) Where the nervous system is in a state of in CO-ordination or some part is under or over-active, or where some superficial condition causes the peripheral nervous system to be under or over-active, in this case stir up the general nervous system, especially in its peripheral distribution, by articulation of the spine, to get at spinal and sympathetic systems. (4) The body requires to be prepared for specific treatment. In nearly all cases whether acute or chronic, it is necessary to get relaxation of the muscles, ligaments and stimulation of the circulation. In some cases this general treatment will correct the specific conditions. (5) Cases of high or low circulation as applied to pressure, found in about fifty per cent of the cases. Pulse is hard or soft, Relaxation, followed by stimulation of circulation to and from point of obstruction, equalizes circulation. (6) Cases in which local condition depends on general or some wider constitutional condition, ex., asthma, in many cases the fifth rib on right side is involved, depending on condition, but the correction of the fifth rib may not remain corrected or the fifth on the right side may cause displacement of the fifth on the left side. Reason is that behind the local condition there is a constitutional condition, namely, condition of the spine or the general lung or chest expansion. The treatment called for in this case is treatment of the thorax as a whole, a general respiratory treatment. (7) In hyperemia, hyperdilatation or hyperacidity localized in some particular field as stomach or liver, the reason that this requires a general treatment is that this involves not only the stomach or liver secretion but also the entire secretory system. (E) Treatment should not be too hard, lighter treatment if it satisfies the condition is better. The force of the osteopathic treatment is a matter of skill. Physical force results in bruised tissues or straining of the soft tissues. The proper treatment of even bone takes place through the attachments of soft tissue, the vital element in the adjustment of the body structure is the soft tissue. (F) The best method of adjusting structures is that of articulation, this applies to bone, muscle, cartilage and even blood and nerve supply. It is not good policy to push a bone back into place forcibly, and in pushing a structure into place it is not good to tear or rupture structures. (Referring to Dr. Lorenz's method of tearing tissues to set dislocations). Articulation is the best method, because first it results in no injuries to tissues; and second, articulation always appeals to function, the primary law of tissue life is mobility. This applies to both organs and tissues, most applicable in the field of gynecology. In gynecology lay down this one principle; the less you can do of local treatment the better in the replacement of the organs. Let the organ itself alone unless it is so displaced as to require replacement and probably not one in a thousand need this. The organ if displaced is disarticulated. Apply the articulatory treatment to the attachments of the organ, this applied to the uterus, kidney, spleen, etc. In the replacement of the organ or in relieving the adhesions of the organs depend on:- (1) Supports and attachments of the organ. (2) Depend on nerve supply controlling activity of the organ, every organ has vaso-motors; stir up this action. (3) Depend on blood supply. (To restore free circulation between the uterus and rest of body is rotation of limbs. Pelvic congestion. Rotate fifteen to twenty times inward to relieve venous statis, then outward). (4) Correct internal cavity pressure, this is done by (a) toning up the muscles and attachments of the organ; (b) correct the adjustment of the organ in relation to the trunk of the body and to the organs. The more you work on the organ directly, the more it loses its tonality. If an organ is in an atonic state it will never stay in its place. The uterus is not supported by its ligaments, the anatomy of the uterus and its attachments demonstrates that they are lateral and downward, not upward. This means that the uterus, instead of being a supported body, is a floating body, and the only way to correct the uterus is to restore the normal condition of the structures represented by the abdominal and pelvic cavities. In this tubular structure of the pelvic cavity, the floor is the perineum, and the roof is the stomach and the intestines. The same principle applies to the kidneys, the liver and the spleen. (G) Each case must be treated as an individual case. (1) In many cases one cannot diagnose condition if by that is meant giving it a name. The point is to get the cause and if there are several causes differentiate between them as to primary and secondary. (2) The patient is to be treated as a whole, that is, in treating a particular condition deal with the patient as an organism, ex., in typhoid fever, do not deal with the small intestine alone, but deal with the derangement of the entire secretory apparatus; in pneumonia relieve entire lymphatic system. This is the only way you can reach pneumonia and if you can stimulate this strongly enough your patient will get well. One of the best symptoms is the appearance of perspiration. Why do we have to reach this lymph system? Because of differentiation of the vaso-motor in pulmonary field. (3) When all the typical lesions in the etiological field are found, classify as to primary and secondary and then begin to treat secondary so as to get back gradually to the primary. For ex., in appendicitis we have behind the condition, constipation, liver disorders, dyspepsia, and the appendicitis is a complication that develops in connection with these preceding conditions. There are many cases in which the one (i.e. primary) is treated without the other, for ex., in appendicitis you must remove the cause. There is no such thing as "Recurrent Appendicitis" either the primary or the secondary condition only has been cured and the other condition remains, you must remove the cause. Remove the last appearing condition, the main point is to get rid of the secondary condition before we deal with the primary. The removal of the primary cause without the removal of the secondary, as a general rule, will cause some complication. A complication implies first that the original disease is not cured, and second, that the disease is side-tracked along some weaker lines of organs or structures or functions. There are some cases in which we treat the primary before the secondary condition. Summary in one general rule:- in all cases where secondary condition represents chronic condition resulting from or kept up by original acute condition, the original acute has become the chronic. Two exceptions to this:- (a) The chronic of previous acute primary; example, curvature of spine of traumatic or organic origin; primary and tertiary conditions on the basis of toxic conditions, ex., curvature of the spine. It may be classified under two different headings, traumatic and organic. The organic is more frequently found being caused by some original weakening of some organic structure. In this case condition persists and we must get back to the organic cause, and not depend on articulation of the spine, which is the secondary condition. Tertiary conditions may come up, that is, acute manifestations of previous conditions, for ex., syphilis, in this case proceed as above. No use to attempt to cure the acute manifestations leaving the original conditions in primary form, remove that and then work down through the chronic and double chronic. (H) In treating patient always make patient assist in treatment, this does not necessarily mean the assistance given by the patient at the time you are giving the treatment. Here distinguish between active and passive treatment. Active of two types: (1) Absolutely active in which the patient assists certain passive movements, ex., the patient assists relaxation of the muscles of the abdomen by the active contraction of the muscles of the abdomen. Illustration, while kneading muscles have patient hold the breath, breathe deeply either exhale or inhale. Deep breathing when expanding the lungs. Passive treatment is given by the operator with the patient purely passive, this is the typical osteopathic treatment. Have your patient hold breath while inhibiting over the abdomen. The assistance of the patient is mainly in the field of exercise. The active exercise field is a field which as yet is undeveloped, chief point to note in this field is that: (1) Exercise should always be prescribed for patient
specifically.
(3) In dealing with muscles it is necessary to exercise
certain groups as in paralysis, locomotor ataxia, here we have to re-educate
muscles on the same principle that a child is taught to walk. In some cases
of paralysis one of the manipulations is stretching the muscles to be followed
by some kind of active exercise, that will bring the will power down into
the muscles. In this case best thing to do is first make the muscles do
the work involuntarily (passive movement or treatment) second followed
by making patient attempt to do it voluntarily while it is done involuntarily.
For example, to touch the forehead with the hand, first lift the hand to
the forehead (with patient passive) so he will understand just what you
want him to do, then have the patient determine to help you and try with
all his strength as you slowly lift the arm the second time. Same applied
to body as to arm and limbs and different parts of the body.
SUGGESTION Suggestion as a therapeutic means or agent. Here we have auto-suggestion and aleino-suggestion. Suggestion is a means of reaching the voluntary side of the organism. Simple suggestion is applied continuously. Suggestion is not necessarily applied in the hypnotic sense, yet it is the same, no matter by whom it is applied. (1) In the application of suggestion the main point is to make the suggestion as simple as possible, also the suggestion must conform to the individuality of the patient. (2) In the use of suggestion, where the mind is involved, use the strong part of the mind to help to strengthen the weak part of the mind. If a patient has a hobby or is a maniac along one particular line try to open up some new field in his mental conception and perception. (3) Use suggestion to replace the principle idea
in the mind by a substitute on a similar plane ex., when some people are
sick they are sure they are going to die, give them something definite
to life for (mother and her child, mother must live for her child). You
cannot make a negative suggestion do any good.
Exercise Remember the strongest method of influencing is by suggestion; that is why it is good to make a patient adhere strictly to a particular day or hour of the day; it is the suggestive part of it, also the same in treatment. Make the patient think only a certain time to take treatment will do, it will strengthen the individuality of the patient. In prescribing exercise always prescribe for the weaker parts of the organism, ex., paralysis is a disease which affects the motor side but paralysis nearly always starts on the sensory side. In paralysis the sensory side is the weaker side. Paralysis seems to come on suddenly when it in fact takes weeks, months and sometimes years to come on. The sudden onset of paralysis is the transference from sensory to motor side. Paralysis comes on suddenly when it comes on the motor side, but slowly on the sensory side. Make sensory stimulation the basis of movement, example, heat. The hypersensativeness of the muscle is the basis underlying the condition behind the paralysis. If you get the condition in the hypersensitive stage limit the hypersensativeness either from the active or passive side. Example, if the muscles are hypersensitive over-exercise them because that takes away the excessive impulses for example in writers cramp treat it osteopathically and make patient begin to write with the other hand, this takes the strain off the hand with the cramp and puts the strain on the other hand. In cases of hypersensativeness where the arms get sufficient exercise or where both arms are involved in cramp, give exercise for the lower limbs. Consequently in the field of diagnosis the test of muscles in paralysis is the test of reflexes. Test for sensitiveness or the degree of sensitiveness various ways test is applied:- (1) Use of heat and cold in minute form called heat pencils and cold pencils. (2) Pricking or pinching the tissues done by forceps. (3) Dynamometer test, the principle is to get grade of work a muscle can do in so many meters. (4) Ultimate test of muscle is the electrical test, this is used to discover the presence or absence of degeneration. Physiology calls it the negative variation of the muscles. Principle of this is that if the central nervous system is cut off from the peripheral nervous system, consequently no positive reaction when electrical test is applied, but get a negative variation. This is the test for locomotor ataxia. The curability or incurability of locomotor ataxia depends on whether the central nervous system is involved, if the central nervous system is involved the case is incurable, if the peripheral nervous system is involved the case is curable, no matter how long it has been developed. The last point is in connection with sensitiveness or hyper-sensitive. Test by pressure or friction. Treatment Limit the hypersensitive condition either from passive or active side, example, in the hypersensitive state the muscles get more stimuli than they should, consequently: (1) Exercise other muscles to take away impulses from hypersensitive muscles and distribute them. (2) To overcome hypersensitive condition:- (a) Inhibit directly over the muscle itself. (b) Stir up other muscles not involved by means of some passive treatment as kneading, rubbing etc., having patient in passive condition. One reason for the existence for these conditions is toxemia, the toxic elements depositing:- (1) In the field of the muscles. (2) In the field of the nerves. (3) Greatest evidence of this toxemia is found as a reaction in the tetanic condition of the muscles. The net result is congestion of the nerve where it leaves the spinal foramen enlargement. Hot water palliative in writers cramp. Put hands in water as hot as can be borne. There the nerve leaves the spinal foramen enlargement, the result is that the passage of impulses is prevented to and from the central nervous system. This leaves the peripheral arc complete but the peripheral 1 central arc broken. Example, apply electricity in case of locomotor ataxia at the point of the spine involved (this point is the point of the highest girdle pain) the result is there will be motion of the muscles in the lower extremities and this motion cannot be controlled by the patient voluntarily. Traumatism in some point in the peripheral system is the same as toxemia, this also may produce locomotor ataxia. In the majority of the cases the primary cause is obstruction involving blood circulation, and in the earliest stage can be treated by CO-ordination deep and superficial circulation. (This also applied to pneumonia). This is the secret of aborting diseases in whatever form it appears, that is if you can diagnose a disease when it is in its primary form it can be aborted by controling circlation either capillary superficial and deep circulation. Diseases can be aborted if we can get the disease in the blood stage of its symptomatology before it has passed on to the stage of neurosis. The secret of abortion of diseases is in CO-ordination, in some cases CO-ordination is difficult because of the natural defects of certain circulation fields, example, pneumonia as a tendency is present in every one because of two reasons:- (a) The vaso-motor condition of the lungs is imperfect in every one. (b) Because of the inequality between the systemic and pulmonic circulation. This is the reason why from the osteopathic side lay so much stress on circulation of the blood and this co-ordination of the spine. In co.-ordination from spine we attend to circulation:- (a) From its vaso-motor side. (b) In connection with the splanchnic or visero-motor side. (c) Through sympathetic system in relation to the spinal cord circulation itself. Note: 1/100 part of the blood is in spinal cord.
Fryette Technique The oasis of the spine is the sacrum and is the point from which to work in diagnosing and treating spinal lesions. There are two centers of gravity lines:- (1) With reference to the body anterior posterior. (2) With reference to the body from side to side. Owing to the locking of the lumbar vertebrae there can be but five lesions of the lumbar. (1) Posterior. (2) Rotation. (3) Separation. (4) Inpaction. (5) Tilting. Anterior or lateral lesions impossible. In the dorsal there may be a sixth form. (6) Lateral. Same in cervical, except, axis
is only one that can be anterior with reference to one above. Atlas is
only one that can be anterior with reference to one below.
Diseases Acute always shows tissue lesions and usually bony lesions. Chronic cases always have bone lesions. To set innominate. (With reference to bodies of vertebrae). To reduce lumbar rotation, - patient seated on stool, stand on side of concavity and with one arm grasp upper chest of patient and give flexion and extension while the heel of the other hand makes pressure on the prominent transverse processes on side of convexity. Give thrust just when the patient is relaxed. Patient on table. To correct by holding spine of vertebrae above the rotated one. Place patient on side of rotated spines up. Have assistant take upper arm of patient and draw it to the front and down, putting the spine on a firm stretch. The operator stands at back of patient with one hand hold the spine of the vertebrae (right above the lesion) from below, with the other he takes the flexed legs and after getting relaxation rotate the whole pelvis and lumbar region below the other hand, this throwing the rotated vertebrae back into line. Not good practice to try to give this correction from the other end of spine because you could produce lesions in the dorsal region. In the field of diagnosis the first point is the condition of the scalp. Two possible conditions, hyperrigidity and hyperelaxation. Main point in relation to scalp in is relaxation to headaches, best way to treat the scalp is at the back of the neck at the base of the occipital region. 1. Congestive Headache: This is commonly caused by rigidity of the scalp. Here the rigidity is accounted for by "Head's Law" congestion of blood and cerebro-spinal fluid in the cranial cavity, this involves:- (a) The venous blood fields represented by the sinuses. (b) The meninges of the brain particularly the pia mater. (c) Ventricles of the brain and subarachnoid spaces, in relation to lymph cushion. In this congestive headache there is partial suspension of the three rhythmic movements and of the peristaltic movement of the brain substance. Rhythm of systole of heart. One corresponding with the inspiration part of respiration. One corresponding with vaso-motion, all over the body. Basis of reflex headache 3rd, 4th, 5th dorsal, 2nd dorsal to 2nd lumbar. In differentiating between different factors that come in connection with congestive headaches, the type depends on which form of blood and cerebro-spinal fluid predominated: (1) Venous blood involvement caused general fullness all over the head, a sense of fullness with sensation of stupidity and ache, from within out, following particularly along the longitudinal sinus. (2) Pia mater involvement or arterial blood condition gives patient pain within the head from without in, from the superficial towards deep portion of the brain. Here symptomatology of congestion, example, epistaxis, blood shot eyes, stupor, dizziness, fainting etc. (3) In the cerebro-spinal fluid involvement find delirium, unusual or horrible dreams, rigidity of the suboccipital region and sense of weight, (distinguishing symptom) in the head as if the head were actually being weighed down into the neck. Treatment in dealing with these conditions:- (a) Always begin by relaxing muscles from base of neck to occipital region. (b) Relax the scalp from suboccipital to forehead in giving this treatment:- (1) Light rolling treatment with fingers, followed by deep inhibition all over scalp from the base of the neck upward. (2) Vibration following same path, friction in place of vibration if it does not cause special pain. (3) Rotation of the fingers over the scalp rotating the tissues as much as possible, beginning at the base of the head. (4) In cases of dry scalp (dandruff) apply rubbing or friction or vibration before giving inhibition, (before (1)) in giving this give in stroking fashion. (5) In the dry scalp also stimulate the lymphatic for head over the transverse processes of 5-6-7 cervical vertebrae upward (7-6-5) by articulation. (6) If the scalp is exceedingly relaxed begin by giving strong inhibitory treatment. In this case begin at forehead and move towards base of occiput. (7) If the relaxation amounts to congestion give strong inhibition in the suboccipital region of the neck before giving (6) treatment. (8) Extreme relaxation indicated by general lymphatic derangement, the blood congestion being produced by reaction from lymphatic system, in this case:- (a) Treat lymphatics by strong inhibition before treating sub- occipital in order to drain away lymph and lay down basis for relieving congestion 7-6-5 cervical. (b) Also raise clavicles, first, and second ribs, using the arms as levers, diagonally out and upward. (c)
Treat downwards and towards and through the thoracic region from the 7th
cervical vertebrae.
2. Pressure Headache When the involvement is within the cranium, main point in relieving brain headache is to reach the circulation to and from the brain. (a) When the brain is over supplied with blood begin treatment by giving strong pressure between suboccipital and forehead tipping the head backward at the same time, this backward movement of the head starts the cerebro spinal fluid in second and third lumbar begin at that point. (b) Follow this by strong vibratory treatment (good in paralysis), following the path of the longitudinal sinus, posterior to anterior. (c) Vibratory treatment around the sutures this reaches the sub arachnoid spaces and the lymph channels, the reason for this is that the brain is built on lymph fluid foundation. All through life brain tests on lymphatic and the direction of both blood and lymph is determined by lymph cushion. If this cushion is kept soft and in a fluid condition, the cycle of movements of the fluids in the brain is kept normal; if on the other hand, the cushion becomes rigid (as in intoxication), or if it rises upward from the base of the brain, then the fluid circulation within the brain is interfered with; treat by vibration over the sutures and pressure from sub-occiput to forehead. (d) Strong vibration right over the forehead itself will reach frontal sinus and the circle of Willis if it is made deep enough, this circle of Willis represents the center of the brain circulation. Use the hands, never use mechanical vibration in connection with the head in relation to the brain. (c) In relaxing the muscles of the neck do not treat patient sitting up in cases where there is heart trouble because liable to disturb heart and cause vertigo. Always test for yourself for possible presence of vertigo, have patient standing, then move head around laterally as far as possible, then shut eyes, then turn head back to normal and open eyes, other side the same way, if vertigo is present will stagger when eyes are opened. In treating this type - (1) Strong inhibition over muscles of the neck either by catching at the centre of the muscle and by stretching it or by general treatment downward along muscle from its origin. (Frees blood supply). (2) In most cases of headache of this type there
is a thick layer of fat in the basi-occipital region, relax by inhibition
and kneading from back of ear towards the posterior median line. In treating
muscles treat upward from base of neck give circular movement from antero-lateral
aspect of neck to postero-lateral, then up towards and over head.
3. Lymphatic Congestive Headache This is due to congestion of lymphatic fluid, here the congestion is outside of cranium, especially in the neck, the headache in this case is the reaction from the excess of lymph contiguous to the head. Treatment in this case: (a) Pressure between occipital region and forehead, tilting head backwards as far as possible. Apply pressure from anterior to posterior, note that it is not from posterior to anterior, but from anterior to posterior. (b) Stimulation of the circulation of arterial blood by friction or vibration or both over forehead just above eyes to reach Circle of Willis or articulation of the neck or rotation of the head or stimulation of the carotids or all of these in combination. (c) Stimulation of lymphatic circulation by articulation of the 5-6-7 cervical vertebrae, rotation and elevation of clavicle and first rib. (d) This is analogous to what is called the "jag headache", you can overcome the effects produced by alcoholism if you treat in the delirium trements condition, the after effects, or the headache is a semi-coagulation of the cerebro-spinal fluid. Treat this condition same as in alcoholism, that is stir up lymphatic system all over body. (e) Through treatment, articulation,
in lower dorsal and upper dorsal simultaneously, lower dorsal and upper
lumbar simultaneously, this reaches cerebro-spinal fluid. Drain cerebro
spinal fluid out of brain. Rhythm of brain controlled by cerebro-spinal.
4. Vaso-Motor Headache In this case the head is either anemic or hyperemic,
the congestive condition involving the blood. Always reaction to vasomotion
in body.
Treatment in anemic headache. (a) Begin at 4-5 dorsal relaxing spinous muscles upward to occiput. Patient on back. (b) Follow this by relaxing scapular and interscapular muscles. (c) Articulation of the vertebrae from 4-5 dorsal upward. (d) Give scalp treatment from posterior to anterior. (e) Articulate hand on neck.
In regard to the hair one thing to note in dryness and falling out of the hair is not to treat too often, to treat too often increases the tendency to fall out because the reaction from the deficient circulation will increase the dryness of the hair. Do not treat more than once a week. (1) Treatment of the scalp once a week so as to produce relaxation of the scalp, best methods in treatment are vibration and circular rolling movement of the fingers over the scalp. (2) The hair aught to be washed about once in two weeks and always by the use of salt and water slightly warmer than tepid water, this will cause absorbtion of the water and salt which tends to restore color and tonicity. Dry by means of a course towel or flesh brush (not electric brush), rubbing the hair until dry, not using any artificial heat. Give sun bath after the hair is dry, drying the hair in the sun bleaches it and causes the hair to fall out. (3) Do not use any ointment or lotions. In regard to the use of oils, where the hair is excessively oily use alcohol or lavender water for cleansing the hair, if it gets sticky use eucalyptus water in connection with warm water bath. If hair and scalp is dry use olive oil not on hair but on scalp or use "glycothymolin" heated with warm water. (4) In hyperemic condition give similar treatment in reverse order, instead of stimulation give inhibition to scalp from anterior to posterior, from subocciput downward instead of up, strong inhibition in lower dorsal region, sweat and lymphatic fields. Where there is too great relaxation of the scalp find rigidity of the facial muscles, for example, in many of the types of neuralgic headache the vice versa of this is also true. In treating headache of this kind first begin by relaxing facial muscles, same true in treating the scalp:- (a) Inhibit facial muscles until relaxation obtained, in any case of muscular rigidity, if you want to get permanent results, you must inhibit in the long muscles as nearly as possible in the centre of the muscle, follow this by (b) Inhibitory treatment followed by slow rotating treatment all over scalp from anterior to posterior. The reason why you begin at the anterior is because the rigidity is anterior, along the facial muscles. (c) Articulation of the spine from the 5th dorsal upward towards occipital region. Note: - In neuralgia of the face the best thing to
do is relax the facial muscles. Hair exuding a fluid substance from itself
- use alcohol or lavender water.
These are rigid in neuralgic headache, laryngeal troubles, bilious conditions, diseases affecting the salivary glands particularly when parotid gland is involved, hyperrelaxation of the scalp, hyperemia and enema of the brain. In cases of facial muscle rigidity there is concentration of the muscles of the face, the focusing center of contraction being the angle of the jaw (inferior angle). This causes a drawn condition of the face towards the angle of the jaw, sometimes taken for facial paralysis, example, in some cases of biliousness there is sometimes almost a paralysis of the facial muscles causing an effort in opening the mouth. (1) In this case articulation of the spine upward from lower dorsal relaxing spinous muscles at the same time, here vaso-motor field for the face. (2) Relax the facial muscles by application of tension at the angle of the jaw on opening the jaw. Stand at the head of the patient and catch with your fingers under the angle of the jaw, and pull up tight, have patient try to open the mouth, it may be impossible to open the mouth but the effort will tend to relax the muscles. (3) Give inhibition followed by rotatory treatment of the facial muscles beginning at the forehead along the angle of the nose, and treating downwards to the angle of the jaw. 1. The face and facial muscles are involved in many forms of diseases, example, in all pulmonary troubles, in acute tuberculosis and in pneumonia a drawn condition of the muscles of the face the center of origin of drawing or the focusing centre of contraction in this case being the chin, so that you have what is sometimes called a "pointed face". In this case give same treatment as in previous one: (a) Beginning with spinal treatment. (b) Follow by treatment to open up the circulation. (c) Treatment to relax muscles, inhibition and rotation ending at chin instead of angle of jaw. 2. The facial conditions are also found in gastro-intestinal and pelvic disturbances, in all of these there is a tendency to a drawn condition of the face, the focusing centre being in this case the forehead, so that you will find the facial muscles drawn up towards the forehead, the "drawn forehead" it is sometimes called. In this case give similar treatment instead of downward treat upward. (Palliative). 3. In some cases have to treat headache through the facial muscles, in these cases the headache is reflex and in some cases the headache takes in only part of the head, example, in bilious conditions find drawn condition of the face almost always on the left side, that is to say in acute form there is a condition exactly like hemiplegia, there is one different point, the movement of the tongue, there is no interference in that case with the movement of the tongue. In biliousness the tongue is dry, you could not depend on that as a differential point. In some cases the focusing centre is altered, example, sometimes the tongue. In biliousness we find at times two centres, one facial the other the tongue. 4. Another condition we require to take note of, the drawn condition of the muscles of the face the contraction passing to the scalp, and the region of the occiput becoming the focusing centre. This is found as an important diagnostic point in all nervous diseases particularly where the spinal cord is involved, this is exaggerated in spinal and cerebro-spinal meningitis, where the tension of the head is so great that the head is drawn backwards. To overcome this: (1) Articulate dorso-lumbar region, beginning at the 9th dorsal articulate downward through the lumbar region. There is a static condition of the cerebro-spinal fluid, the congestive condition starts at the cauda equina. Outside of the nervous disease proper you will find this contraction at the back of the head, that is the focus in the scalp rather than in the occiput, this is a typical condition in Frysipoles. (2) Relax muscles and articulate vertebrae upward from lower dorsal to sub-occipital region. (3) Articulate (flex, rotate, etc.) the lower extremities to stir up circulation in the lower extremities and to and from the trunk. (4) Treatment of the facial muscles taking the forehead as the focus of contraction (that is treating up towards the forehead). (5) Scalp treatment from anterior to posterior. Many of the cases appending acute nervous diseases could be aborted by following this line of treatment. Dr. Hamlin's formulae of stimulation and inhibition and results as shown by sphygmomanometer. 1. Stim. 1 to 6 c - Vaso-constrict - H.B.P. - L.P.R. 2. Inhib. 1 to 6 c - Vasi-dilation - L.B.P. - H.P.R. (General) 3. Stim. 6 to 12 d - Vasi-dilation - L.B.P. - H.P.R. 4. Inhib. 6 to 12 d - Vasi-constrict - H.B.P. - L.P.R. (Splanchnics) 5. Stim. 4 & 5 L - Vasi-constrict - H.B.P. - L.P.R. 6. Inhib. 4 & 5 L - Vasi-dilation - L.B.P. - H.P.R. Stimulation of the 6 and 7 dorsal, increases blood to stomach, increases secretion. Inhibition of 6 and 7 dorsal, decreases blood to
stomach, decreases secretion.
The two great fields of eye disturbances are represented by: (1) Vascular disturbances, extending all the way from simple congestion to complete atrophy of the optic nerve. (2) Interference with the nerve supply, producing symptomatic conditions of the eye really not eye diseases. Eye diseases in the proper sense of the term are but symptomatic conditions of the eye. Among the causes of the eye diseases classify: (a) Traumatic including direct injury to the eye. (b) Injuries to the head causing reflex disturbances in the eye. (c) Osseous and ligamentous lesions in the cervical and upper dorsal these vaso-motor and those in the upper cervical sensory. (d) Muscular of soft tissue contractions or relacations of upper dorsal these vaso-motor and those in the upper cervical, sensory. These last two (c) and (d) represent obstruction to either blood or nerve supply or both. In regard to blood supply, the supply to the eye comes from the opthalmic artery, a branch of the internal carotid; the drainage of the eye takes place through the ophthalmic vein which unites with the jugular vein along the side of the nose, this jugular vein drains into cavernous sinus at base of cranium, outside of the oranium drainage is established - (1) Through the internal jugular. (2) Through the subclavian and innominate veins. (3) Superior vena-cava in relation to the heart. It is very important to keep in mind the accessory
drainage of the eye which serves the best purpose in drainage of the eye
from the mechanical side when nature is weak, that it is an emergency field,
drain through the superior and inferior palpebral veins and through the
facial vein into the internal jugular, emptying tinto the internal jugular
just below the angle of the jaw. This will explain why we treat down towards
the angle of the jaw in the treatments of the eye.
The muscles of the eye The muscles of the eye act in opposition to each other (a) in changing the focus of the eye; (b) in determining the accommodation of the eye to light; (c) the muscles also act as protectors of the eye chiefly through the eye lids, that is, by opening and closing the lids to protect the eyes (1) from foreign substances; (2) excessive light; (3) excessive secretion. The principle nerves in connection with the eye are the optic, motor oculi, patheticus, abdusens and branches of the facial nerves, also sympathetic fibres in connection with the superior cervical ganglion and first dorsal ganglion of the sympathetics, the medium through which these nerves are distributed being the lenticular ganglion. The central origin of the nerves is in the medulla, the medulla representing three functions:- (1) The vital processes of mobility. (2) Co.-ordination of movement in determining accommodation, (a) centrally from the medulla, (b) coordinately from the cerebellum, the optic thalami and corpora quadrigerrina (space or angularity of vision). (3) The reflex centre field particularly in antagonistic action of the muscles to overcome abnormal changes in the eye. The medulla therefore as a centre is self adjusting
in relation to the eye.
Lesions The lesions found in eye disturbances are 1-2-3 cervical; 2-3-4 dorsal; 3-5 cervical posterior. Third dorsal representing cilio-spinal. Fifth cervical to fifth dorsal representing anterior condition of the whole field. The atlas is nearly always involved in congestive conditions of the eye, granulation’s etc. The muscular disturbances are of the nature of strabienus following supra and infra orbital nerve field indicated by tenderness over foramen, forehead and facial tension. The contraction of the forehead is intense. The optic neuritis involves engorgement of the veins with involvement of the sheath of the optic nerve. Reflex lesions. We get reflex lesions in the congestive and muscular conditions of the eye, example, lesions in stomach area, uterus, ovary, heart, intestinal, etc. there are two types of lesions: (1) Original lesions corresponding with the visceral disturbance; is transmitted (a) through sympathetic system, (b) through the spine, (c) blood in change of pressure, (d) special sense nerve. (2) The reflex lesion corresponding with the eye
involvement generally this is nervous and blood involvement’s as in toxemia’s,
(disturbances as in chronic constipation).
General points in regard to eye treatments. (1) You can get a more direct effect upon the eye by treatment than any other organ in the body, that is by direct stimulation and inhibition. (2) Inhibitory pressure on the back of the neck, 2-3 cervical field represents visceral contraction field. This is given on both sides of the spinous processes causing dilation of the pupils of the eye, this is a very important point which renders it unnecessary to use, as oculistedo atropine. In the average case the dilation will be kept up from three to five hours by an inhibitory treatment, this varies in individuals, some retain the condition longer than others. Determine the length of the inhibition by the response, there may be blood causes that you must correct by equalising the circulation, but in average case you will get immediate results. (3) Relaxation by inhibition followed by strong stimulation of the muscles at the angle of the jaw, to stimulate the flow of blood away from the eyes, if the eyes are in a state of congestion. (4) If the venous blood is in a static state of if there is stasis of the lymph fluid strong inhibition at a point just beyond the external canthus of the eye will establish drainage from the eyes, outer angle of the eye one half inch towards the upper angle of the ear. This applies to lymphatic conditions of the eyes as puffy eyes except where caused by kidney conditions. If the condition is associated with the kidneys treat through the kidney. Puffy eyes generally indicates Bright's disease, though it may be diabetes, if from the kidneys the urine will show albumen, there is a tendency to become bluish. In both Bright's disease and diabetes the patient may become blind, in Bright's disease due to accumulation of fatty substance, in diabetes to cataracts. Taken in time it is curable by elimination, in many cases of diet, you can cure up a diabetes eye temporarily by dieting, when organisation takes place it is necessary to operate. (5) Strong inhibition of the second and third dorsal causes dilation of the eyes, this applies to (vasi-motor) the pupils of the eye. Stimulation at the same point will cause constriction. This is not true of (3) because at the second and third cervical there is only a dilator centre. Here (3-4 dorsal) there is rhythmic center of visero-motion in connection with the eyes. In this dorsal field we have a typical dilator and constrictor centre called the cilio-spinal centre, 2-3-4 dorsal taking in the entire field. Note this: - the strongest effects are gained by treatment on the right side because these fibers distribute themselves through the sympathetic system. In this distribution two things to note: (a) Third dorsal nerve sends out fibers passing through the sympathetic system to the muscular fibres of the iris. Rib relation to eye, 3-4 rib, common lesions. (b) The fourth dorsal nerve sends out fibers distributed vaso-motorily to the blood vessels of the eye; hence, the third dorsal nerve gives direct muscular dilation, the fourth dorsal gives vaso-constriction hence inhibition of this fourth dorsal nerve causes vaso-dilation. (6) The sensory fibres to the ciliary muscles, the iris and the cornea come from the nasal branch of the opthalmic branch of the fifth nerve, hence in cases of pain in the eye inhibit the fifth nerve along the side of the nose close to the eye, will relieve pain except in optic neuritic. (7) The accessory sensory fibres pass in connection with the short ciliary fibres from the ciliary ganglion (just back of eye). In this case pain is caused by over-stimulation of these ciliary fibres, causing a change of arterial pressure in the eye, this is relieved by inhibitory pressure in connection with the ciliary ganglion, lay the finger over the eye ball pressing eye ball gently back into the orbit against the ciliary ganglion. In summing up from the above treatments we find that: - (a) Nervous pain is relieved by treatment along side of nose and in general along face. (Manifested along muscle field). (b) Blood pain is treated directly over ciliary ganglion, pressure over ciliary ganglion. (c) Neuralgia pain of the stomach reflexed to the eyes is relieved by treatment along side of nose or any part of the fifth cranial nerve. This means that eye troubles can be traced back to the nerve and blood field as the direct fields of causation. For example, blood pain, congestive conditions - for example uterine congestion, or in connection with congestive headache, would be relieved by direct pressure over the ciliary ganglion through the eye ball itself. Give splanchnic treatment also. The direct causes of trouble in the eye can be traced to the regions that supply the nerves and blood to the eye. The indirect causes are to be traced to reflexes from diseases in other parts of the body as the abdominal and pelvic organs. Any soothing treatment to system will react beneficially on eyes. The eye processes the most delicate nerve mechanism
in the body, and as such is more liable to derangement than any other organ
or structure in the body, particularly when reflexes react on the nervous
system.
1. Myopia Here we have a condition in which the eye ball is too long and the rays of light are focused in front of the retina. All children are born with the condition of hypermetropia, the eye developing, under normal conditions, from the hypermotropia to emmetropia, the normal eye. If the child uses the eye too much or if the eyes are subjected to strain the eye balls enlarge slowly and as they enlarge the elongate with the result of myopia. Causes Among the causes of myopia development is the effect caused by light thrown upon the eyes in the wrong direction or wrong angle. The light should be thrown over from behind or in front, the light to be thrown upon the eye in diffused form not so that the light will strike the eyes as direct rays. Another cause is the strain of the eyes by long continued use or close work, the stooping or sitting posture in children produces congestion resulting of softening of the eyes. The first part to suffer is the sclerotic coat this is the part of the eye that maintains the form or shape of the eye ball, it is the stroma of the eye. When the sclerotic coat looses its tension there is change of tension in extra-ocular muscles and this produces a lengthening of the antero-posterior diameter of the eye ball, if this goes on without check the softening continues and myopia results. Hence there are two conditions involved here: - (1) The extra-ocular (tension) muscles, modified tension. (2) Intra-ocular substance softening, that is
excess of fluid.
Treatment: Myopia should yield quickly to treatment unless there is thickening or hardening of the sclerotic coat. (1) Patient should be fitted temporarily with glasses to maintain a restful condition until nature removes the abnormality, the glasses remove tension of the muscles and thereby make treatment more successful. (2) Correction of the tensions, 1st cervical, 3-4 cervical, 2-3-4 dorsal reflex fields. (3) Co.-ordination of the circulation applied to blood and lymph circulation of the eye. (4) Vaso-motor treatment, namely, articulation in the vaso-motor field of the eye. Constrictors 2-3-4 dorsal, dilators, 2-3-4 cervical. (5) Co.-ordination of functions that tend to react upon the eye. Thyroid gland, lungs, muscle system.
Here eye ball is too short in antero-postero diameter, the result is the eye requires an extra effort to focus the rays of light upon the retina; consequently the after effect of hypermetropia is strong tension on the extra-ocular muscles. The ommetropic eye (the normal eye) is absolutely at rest, and, like the heart, we ought not to be conscious of the existence. In hypermetropia there is a conscious effort to keep the eyes fixed, that is, in fixation on the object of vision, this fixation uses both the intra- and extra-ocular muscles. The cause, therefore, of hypermetropia is exaggeration of the congenital condition of the eye or of the nerve supply. Causes that exaggerate this congenital condition are:- (a) Too rapid development of the brain in early child life keeping up continued congestion of blood in the head area. (b) The reaction of gastric and intestinal diseases upon the eye causing reflex disturbances, sometimes in connection with the teeth. The hypermetropic eye is a much more serious condition
to deal with than myopia because it may ultimately end in insanity. Among
the symptoms are pain on top of head, the lower part of the neck, with
nausea, vomiting, gastro and intestinal disturbances etc. The first symptoms
of irritation of hypermetropia is slight itching of the eyes, this sometimes
is a burning sensation. This symptom can be relieved by palliative treatment
slight pressure on eye ball inward or gentle manipulation of the muscles
around the eye or orbit.
Treatment (1) Palliate symptoms (a) pain, vortex pain, this represents vaso-motor condition therefore go to vaso-motor area. Inhibit splanchnic - follow with articulation down the lumbar. (b) Irritating and itching sensation in the eyes, this is a secretory motor condition relieved by stimulation of the secretory processes in and around the eye, example, stimulate glands both lacrymal and meibornian glands. (2) Corrective treatment from structural standpoint. Increase antero-postero diameter by pressure between the two canthus (3) Establish drainage from the eyes by pressure at the notch beyond external canthus this is primarily from lymph side, follow this by pressure along the side of nose and downward towards the angle of the jaw represents venous blood. (4) Stimulate strongly circulation to and through eyes by treating blood field directly at 3-4 dorsal (articulation). (5) Correction of lesions in cases typical, 4-5 cervical (sympathetic also filed of ophthalmic goiter) and 2-3-4 dorsal (vaso-motor field).
In this case the rays of light entering into the eye in one meridian are not focused at the same point as the rays that enter from the opposite meridian, the result is the blurring of a particular part of the field of vision, both for near and distant vision, or for one of these. There are two types of astigmatism: (1) a condition of the cornea in which we find different degrees of curvature in the different meridians, the most common is where the horizontal curvature is greater than the vertical curvature. Causes are:- (a) Congenital malformation, a very common one and easily cured in the child stage. Examine after 3rd or 4th year, the child's eye is myopic before and up to about the 3rd or 4th year. (b) Spasm of the muscles of the orbit of the eye results in either contraction or tetanus this causes squint. (c) Tumor in orbit of eye either blood or fat tumor just back of eye ball. (d) Ulceration in cornea or sclerotic coat. (e) Scar tissue formation result of abscess, accident or operation cornea or sclera. (2) Second type of astigmatism is astigmatism caused by spasm of the extra-ocular muscles or In CO-ordination in action of these muscles or intra-ocular pressure example increase of blood pressure or accumulation of fat around the eye orbit. The first type is called corneal astigmatism, the second type is called lenticular astigmatism. In the first type the trouble is in the cornea, in the second type in the lens, the lens being unable to index in all its parts at the same time, or with the same degree of inequality. The reason for this is the lens is made up of three sections and each section may have its own degree of density therefore if the density is unequal in the three sections there will be a corresponding inequality in the refraction. There is a third type, asthenopia, is a weakened
vision and is very painful.
Treatment (1) Main point is in connection with vaso-motor system. Vaso-motion to the eye originating in the medulla the fibers passing down along spinal cord to 2-3-4 dorsal nerves and then passing out along white ramie to the sympathetic chain distributing fibers to the eye from the cavernous and carotid plexuses through the sympathetic chain in connection with the ophthalmic division of the fifth cranial nerve and also through the long ciliary nerves. The medulla nerve trunk is tonic, that is constrictor. This passes down into the spine and distributes:- (a) Fibers through the 1-2-3-4-5 cervical nerves to and through the superior cervical ganglion, these represent the sensory fibers. (b) Establish connections with the fifth cranial nerve and are distributed through the ophthalmic division of the fifth cranial nerve and (c) through the long ciliary nerve. The centers for pupils of the eye are (a) the superior cervical ganglion and the first five posterior spinal nerves representing the sympathetic side of sensation, (b) the spinal or cerebro-spinal center is dilator center. This local or regional centre is dilator and located at the 2-3 dorsal. That center is simply and purely dilator, it is specific in action. Explains why we get the rhythmic center at 2-3-4 dorsal. (2) The treatment of astigmatism depends on whether it is complicated by myopia or hypermetropia. A simple (not complicated) case of astigmatism depends on In co.-ordination of the ocular muscles, spasm of ocular muscles, paralysis of some of the muscles. The causes of these mechanical conditions are generally reflex, unless there is a congenital defect in the structure of the muscles. The majority of these cases are curable (meaning by majority those that are reflex) and the cure depends on the restoration of the tonicity of the muscles. The congenital types are perhaps incurable, because it is impossible to alter the form or structure assumed by them. There is a very small percentage of congenital cases. Hypermetropia is congenital, but there are far more cases of astigmatism than either myopia or hypermetropia. (3) Correction of the lesions in the case, 1-4 cervical
and 1-4 dorsal and occipital-atlantal lesions.
4. Cataract Here condition in which the lens of the eye becomes hardened and opaque. Have two types of cataract (a) cortical type which is practically incurable, (b) muscle type caused by mechanical obstruction to nutrition in the eye. Nutrition is governed in this case by the tunic coats of the eye ball, hence disturbed nutrition has some relation to those tunic coats. Causes (A) Disease in which there is an abnormal accumulation of substance in the blood, example, toxins of scarlet fever, measles, smallpox, sugar of diabetes, albumen of Bright's disease. In this case the toxic substance must be eliminated. Many times the elimination of these toxic substances will cure the condition. Here are three lines of treatment. (1) Local circulatory treatment with object of flushing the eye with blood by persistent articulation of the cervical region upward. (2) Vaso-motor stimulation of the circulation aside from the correction of the lesions of 2-3 cervical, articulation of the 3-4-5 cervical stimulates contractile and dilator function. (3) Drainage of the eye from the venous side. Drain the eye from the outer canthus downward towards the angle of the jaw. (B) Second type of cause is traumatism This may be either local in the eye or in the spine. Under the head of traumatism include lesions, that is, a lesion, if it is the primary cause of the condition, is a traumatic injury, for example, find lesions 1-2-3-5 cervical, injuries or lesions involving the 7th cervical and 1st dorsal, in this latter case you have a lesion or direct injury interfering with the vertebral blood circulation. Overcome the traumatism or correct the lesion, and follow that up by stimulation of the circulation. If you have the cataract developed, that is, solidified, you must deal with that after you have corrected the circulation. In the cortical type nothing can be done outside
of surgery to remove the lens. There are some methods that are recommended
by some people as being of service in some cases, but it is a question
whether anything can be done or not. Absorption can be obtained even in
very severe cases, there is a German preparation that is used to absorb
cataracts, made of mountain and honey and aloes (Father Kneipp). Those
cataracts call for persistent treatment, not general but specific treatment.
(5) Glaucoma Here we have an increase in the ocular pressure, there are two forms: (1) Acute form Comes on suddenly with acute pain in the eye and sudden loss of vision, it is really a spasm of the vaso-motors and therefore can be relieved very quickly by vaso-motor treatment to stir up the vaso-motor system (rhythmic). Condition not generally one that depends so much on osseous lesions as muscular condition in the back of the neck. Glaucoma in the right eye generally involves muscles on the opposite side of the neck. Acute glaucoma will develop into inflammatory conditions. (2) Chronic type This type comes on slowly and has two symptoms:- (a) bulging out of the cornea, (b) increase of tension of the eye ball. Patient will complain of eye ball squeezed on every side, that is, increased tension, a feeling like being squeezed in a vice. The chronic drainage type is a congestive condition of the eye, due to lack of drainage from the anterior chamber of the eye, in addition to this there is an excess of fluid in connection with the vitreous humor of the eye; the obstructive condition is probably always found in connection with the Schlemm's canal, that is, the canal that establishes drainage from the anterior chamber of the eye and also the vitreous humor of the eye. the cause may be a lesion in the cervical region, correct the lesion and give tonic vaso-motor treatment. If the chronic case is a long standing case it will perhaps stimulate or become optic atrophy. Many of the so called cases of optic atrophy are simple chronic glaucoma, and if you relieve the tensions you can relieve the condition; if it is kept up the sight is lost because of the tension and the accumulation of the fluid in the eye the light is prevented from getting back to the retina. The eye is not beyond repair unless it is long continued so that the retinal portion of the eye has begun to degenerate. In glaucoma the eye generally looks healthy except there is no normal elasticity and can get no normal reaction to light at least in the chronic type. In the acute there is deficiency of vision, in chronic type there is no vision at all. (Dr. L. has cured cases in which vision was gone, but no optic atrophy).
Here we have inflammation of the optic nerve caused by extension of the inflammatory process from some other field, meningitis, albuminuria. Also a type produced by pressure or tumors. There is also a type caused by excessive contraction of the muscles in eye strain. Also a type reflex from suppressed menstruation, gastric irritation, ptomaine poisoning, alcoholism, morphinism, cocainism. In this last (cocainism) there is apparalytical condition. In diagnosis of optic neuritis use the opthalmoscope test for congestion. The optic neuritis may be symptomatic in deep seated diseases of the brain. In using opthalmoscope look for a congested condition of the retinal arteries and veins. In diabetes and Bright's disease it is one of the first physical signs. In arterial sclerosis it is also one of the first signs. Causes: (1) Engorgement of the veins amounting to venous stasis. (2) In the secondary stages thickening and softening of the veins and nerve fibers. Treatment: (1) Palliative. Rhythmic vaso-motor treatment to relieve congestion given in upper dorsal region 2-3-4 dorsal. (2) Give palliative treatment for congestion along the same lines as drainage of the eye and get back to irritating cause. (3) A traumatic cause in lesions of the cervical region especially at the 3-4 cervical for example in many cases following, the toxemia of epilepsy, in practically all cases of apoplexy, whooping cough. (4) Best line of treatment is articulation from upper cervical downward this will relieve pain associated with engorgement and venous stasis.
Here have condition seldom found. Among the causes
here obstruction or pressure in connection with the optic tract or nerves
in optic tract field, by tumors, in optic nerve lesions in cervical vertebrae
1-2-3 particularly. This is what is called primary optic atrophy. The secondary
type is found in connection with tabes dorsalis.
8. Optic Neurosis This is a reaction of the optic nerve to embolism of the central retinal artery and in some cases spinal cord degeneration. One of the first signs is dimness of vision, the only absolute test being ophthalmic examination of the retinal membrane. Lesions: (1) Fifth cranial nerve. (1st and 5th cervical). (2) Sympathetic nervous system especially the superior cervical ganglion. (3) Lesions in the middle cervical vertebrae field 3-4-5 cervical, here have connecting link between optic neurosis and optic neuritis. Treatment: In cases of developing optic neurosis best results are gained by palliative tonic treatment. (1) To sympathetic chain from first dorsal upward, stimulation. Paying particular attention to superior cervical ganglion in order to get viscero-motor control over the eye. (2) Stimulation of the 5th cranial nerve at the angle of the jaw and Gisserion ganglion. (3) Direct treatment from the orbit of the eye down to the ciliary ganglion to effect the ciliary ganglion and ciliary fibers. (4) Inhibition to relieve hypersensativeness, (a) the inhibition of the eye over the eye, (b) inhibition all around neck and down long spine. (5) If the inhibition does not control the spinal neuritis sufficiently to check optic neurosis then articulation of the ribs is called for. (6) The curvature treatment of the optic neurosis depends on the continuing of the palliative treatment with correction of the lesions that may be found as causes particularly 3-4-5 cervical. (until complete balance is established in eye field).
Two types, primary and secondary. The primary is due to traumatism or some specific lesion involving the blood or nerve supply to the eye, that is in any of the eye regions in the spine, in the neck or even around the eye itself. Secondary or reflex (a great majority of inflammations of the eye are reflex) in connection with pelvic conditions, general nervous debility, incoordination in the distribution of the blood, especially following or accompanying brain diseases. Diagnosis in inflammation is generally easy because of pain, heat, itching, prickling sensation, irritation, nearly all of these are present. Resulting from the inflammation we may find tertiary adhesions following degeneration in the cicatricial or scar tissue formation. In these cases practically the only thing that can be done is operation on the eye for the removal of the adhesions. Cut out the little adhesions, and bring parts together to get the connective tissue formation. Treatment: (1) Always use some antiseptic in treatment of inflammatory processes in the eye "Alphozone" is the best. A very good antiseptic is boric acid, if you do not have complications; but the Alphozone is stronger, it is the best antiseptic in use at the present time for inflammatory conditions in the eye, you can use it internally as well as externally as it is non-poisonous. In typhoid fever give it in a glass or half glass of water to render the alimentary canal antiseptic. One of the advantages over boric acid is that while boric acid is an irritant to the eye Alphozone does not irritate. (2) Protect the eyes from the light by the use of the simple pebble glass, this is a glass that does not have any special refractive power but is used simply to shut off the rays and keep them from falling on the eye. Do not use dark or smoked glass unless there is hypersensitiveness in the eye. Pebble glass has no magnifying element in it. (3) If the patient is myopic or hypermetropic take off the correcting lenses and substitute the simple pebble glass, and have patient wear them all the time. The pebble glass is soothing to the eyes and prevents the rays of light from falling on the eyes. (4) Do not shut patient in a dark room as the medical men do. Darkness is an irritant itself, the rays of light in a dark room that are not taken away, not permeated by a white light, are worse for the eyes than the light. Blue light is good, any color except red is good, violet is the best color that we have (we can seldom get the real violet color), green is also good. (5) Attend particularly to the hygienic and nutrition of the patient. The nutritive irritation or irritant is carbohydrate food substances, therefore reduce the carbohydrate food substance to a minimum. Note: - Eliminate all cereal foods in all conditions of the eye, the only one that can be used is oatmeal and this not oftener than once a week.
Treatment: (1) Relaxation of the muscles of the neck downward. (2) Articulation of the vertebrae, 1-2-3 cervical, 2-3-4 dorsal (vaso-motor field) and the correction of the lesions in that field. (3) Direct local treatment to the conjunctiva membrane itself. This given by: (a) Extension or stretching of the conjunctival membrane by placing the fingers between the inner and outer canthus and pulling apart. This also brings a tension on the cartilage and ligaments of the eye. (b) Light tapping over eye lid followed by light pressure. (c) Where the conjunctival membrane is freely injected with blood or thickened by accumulation of blood, squeeze the eye lid gently between finger and thumb, pull the eye upward and inward and give your treatment in that direction, begin at the outer canthi and pull the lid toward the inner canthus, do not pull it in the opposite direction. You require to pull out the conjunctival membrane it is generally tight around the edge, you could not get far in. Wash your fingers and use antiseptic, the same as in the treatment of the eye. (d) In case of extreme congestion of the membrane manifested by a ridging along the conjunctiva in that case use a constrictant in the eyes, best are "adnophrin", this is the best, use one drop, or use adrenaline. (4) Strong inhibitory pressure just external to the external angular process, continuing that inhibitory pressure down towards the angle of the jaw, this drains blood from lymph side. In the case of puffy eyes give this the same treatment and along with it extension of the head and rotation of the head on its articulation with the atlas, and of the neck itself downward. Give articulation of head on its atlas by catching the transverse processes of atlas with fingers, hold atlas firm while moving head, keep trying until you get some movement, then go down to the next vertebrae, now move the head on the atlas and so on down the whole length neck. (Never give rotation with neck in extension). (5) Place the finger on the temple and the thumb between the atlas and axis and apply pressure at these two points while rotating the head on the axis and atlas. This is effective in reliving bloodshot eyes, inflammation and congesting of the eyes. If the muscles are involved for example tension contraction, particularly if there is an equality in the tension of the muscles apply: (a) Give strong inhibition at the 2-3 dorsal pressing in as deeply as you can at the junction. Then articulate. This a rhymtic centre to eye. (b) Follow this by a light inhibition over transverse process kneading muscles in this region upward and outward towards inferior cervical ganglion. Following upward from inferior cervical ganglion to superior cervical ganglion. (c) Give light kneading treatment around the orbit of the eyes pressing the tips of your fingers well inward around the side of the orbit. (d) Give light vibtory treatment right over the eye from inner cannthus outward using the first finger. Exception in lacrymal conditions reverse the order, threat from without in. (e) Give light gradually increasing pressure over the pulloys of the superior oblique muscles, treating the two pulloys at the same time,and this treatment is especially called for when you find what is called "Sparks" before the eyes, and in cases here the eyeball quivers, quivering eye. In quivering of the eye lid this treatment would not be of any importance, the best treatment you can give is to stretch the eye from the internal to the external canthus, stretching the cartilage between the canthi. Superior Oblique coordinates the muscular movements of the eye. (f) Give steady light pressure followed by gentle moving pressures over the tendo-oculi. Locate tendo-oculi (a)by pulling out outer canthus of eye and then place your finger beneath the inner canthuus of the eye and press towards the nose and palpate with the finger until you locate small thready tendon, this tendon overlaps the lacrymal sac. If the lacrymal sac is full of fluid you may locate the small sac in this case apply light vibration downward and towards the nose continuing this along side of nose to point of excretion of nasal duct. (g) In muscular conditions of the eye pay attention to the supra and infra orbital nerves, there is generally hypersensitiveness of the nerves and when irritated get twitching of the eyes. In this case: Apply pressure between the finger and thumb right in connection with the granulation itself, do not apply pressure sufficiently strong to break the little sacs, but increase the pressure to cause absorption from within . Remember to have fingers clean, use antiseptic. If the eye is congested and sore give similar treatment to conjunctivitis. Relive pain by the application of cold water to the eye, to do this use cotton In water or sponge or eye cup. Take a little piece of sponge and wrap it in gauze or absorbent cotton and keep it on for some time over the eye, put a bandage around the head. Use "thymolin" to cleanse the lids. Use milk instead of water (a)in case
of excessive secretion: (b)where there is a whitish accumulation in the
mucus membrane and remember to boil the milk.
Another point in the application of the milk is that it has the power of separating the muccoid secretion from the mucas membrane. This is applicable in conditions outside of the eye for example in Tapeworm you can give milk freely and it will separate off the mucoid substance on the wall of the intestines and is frquently the means of bringing out the tapeworm, before the fangs of the tapeworm are fastened in the mucoid substance. For the mucoid substance in the conjunctiva the best thing that you can do is apply milk, take a piece of white bread and soak in milk and put over the eye. In cases of styes use the same thing and in addition
dust the surface with the bread soaked in milk with powdered burned alum.
Incase of destruction of the mucus menbrane, giving you a rare condition
of the eye lid, the best thing to do is to make an application of milk
sugar, grind absolutely fine between two flatirons and use same as burned
alum. This is also a good means for overcoming proud flesh anywhere, will
destroy proud flesh and the saccharine secretions it produces by disintegration
of the proud flesh causes the healing of the tissues. Dust the sugar on
the wounds. Some people use burned alum for thiis purpose but that is not
so good as it is a caustic. Do not use sugar in liquid form.
Growths In The Eye The Special type of organized growth in the eye is cataract. In most cases his represents a muscular condition therefore first point in the treatment is treatment of the incoordination of the muscles. These developing cataract are quick to respond to treatment. When it has developed it represents a mucoid substance (a)destroying the normal characteristics of the lachrymal secretions;(b) accumulation in the lens of the eye over the surface of the eye,over the pupil,in solid form , this means that the second point in treatment of cataract is treatment of the lachrymal secretion to stir it up to normal . A cataract growth therefore is an artificial development either in connection with the lens of the eye or the surface membrane of the eyeball. Sometimes it is stimulated by injury to the eye , in this case it is generally a soft mucoid growth in connection with the external covering of the eye ball. This represents an accumulation of the deposit ,here we get white scummy growth all over the eye ball. The secondary conditions in cataracts are (a) Excessive mucoid secretion in connection with conjunctiva. (b)Diminished lacrymal secretion. Treatment: 1. Through drainage in connection with the lacrymall sac the nasal duct. The best method to drain the eye is to stretch the tendo-oculi,one of the functions of the tendo-oculi is to drain the lacryal sac. Then vibrate along the nose. 2. Direct stimulation of the blood supply to the eyes (a) in carotid field (b) in vertebral circulation field. (c)Vaso-motorily by articulation of the third and second corvical and 2-3 dorsal. 3. Direct stimulation of the lacrymal gland to increase lacrymal secretion. Vibrate over joint of palpating finger. 4. In all cases of cataract something abnormal in function of the lacrymal gland therefore stimulate lymphatic function from upper half of the body. 5. The primary origin of most cataract is some defiency in the gastric apparatus. (This is the field if the mucus gland secretion). The best preventative of cataract is normal stimulation of the mucas glands of the mouth and stomach. The trouble in most cases is excessive action of the mucoid glands and insufficient action of the thyroid glands therefore stimulate to throw out excessive secretion in the blood,and it will be carried away by the blood circulation. 6. The reasons why the lesions are found in connection with the sympathetic systems are: a. The sympathetic systems controls mucoid secretion; b. Because cataract always represents a visero-motor distortion either in the stomach or in the eye field or both. 7. In some cases lesions involving corda-tympani, here deficiency of the limpid secretion and this by reaction stimulates an excessive mucoid secretion. In the general treatment of cataract four points: (a) Limit conjunctivitis conditions (cannot cure it until cataract is removed) (b) Stir up lacrymal secretion (c) Up eliminative side of lacrymation,(Lacrymal sac and nasal duct) (d) Stir up lymph circulation of face and eyes by:- (1) Articulation in lower cervical region. (2) By stimulation of the lymph glands in the neck beginning at the lower end of the neck and going upward. (3) Strong stimulation at small notch at outer canthus of the eye. In some cases it is necessary to remove the growth, these are caisson which the growth becomes so orginised or solid that it cannot be absorbed. 8. Attend to the antiseptic condition of the eye in the cases of treatment of cataract. Best antiseptic is "Alphozone" 9. In the cases of the treatment of cataract limit the amount of light permitted to gain access to the eye and keep the eye as much as possible free from irritation of the wind.(very important). In regard to the light determine the amount of light by the effect of the light producing a glaring effect on the eye and producing the retention of the light in the eye especially during sleep. 10. Watch for development for the colours in the eye. In treating at this stage of cataract absolutely blind the eyes. First color to appear in the cure will be red and then all the other colours of the spectroscope in order, when violet reached then the next is white light. Test the eye in blindness to fine out if cataract is curable by one test,especially that at the 2-3-4 dorsal. Twist the spinal vertebrae at this point as strongly as possible and you get sparks before the eyes(see stars) the colour of the sparks will sometimes determine the stage. If the sparks are seen the case is curable. For a more minute test use the electric test,a strong electric current by placing the pole on forehead between the eyes, when current is turned sparks will appear before the eyes, if the case is curable. The above two test are very valuable. You can test the eyes frequently to see if both eyes are being cured equally. The same applies in optic atrophy. (Fasting essential. Two or three days at a time.)
The principal field of lesions in diseases of the nose are in the vaso-motor area:- (a) Sympathetically 1st to the 6th dorsal taking in the superior and middle ganglion. (b) Cerebro-spinal 2nd,3rd,4th,and 5th dorsal representing the vaso-m otor and the visero-motor. All of these originate in the vaso-motor paresis. (c) Reflexly in relation to the diaphragm 9-10 dorsal and corresponding ribs. Brachial and asthmatic at 3rd,4th and 5th ris and vertebrae. Gastro-intestinal 5th-7th dorsal. Mucas membrane in any field. Ovarian 12th dorsal; 1st,2nd,3rd lumber;2-3 sacral. (d) Nasal affections in connection with cerebral and meningeal disturbances, e,g, through cerbro-spinal fluid. Inflammatory conditions of the brain. Here we have subocciptal lesions 1-2 cervical. Of the diseases of the nose the most common is hemorrhage, epistaxis. The best method to stop a general hemorrhage from the nose is by strong inhibition, inhibitory pressure at the 6-7th cervical and the 1st dorsal. Inhibitory pressure at the outer tips of the transverse processes, where you catch the vertebral arterial circulation. Throw the head of the patient well back and give lateral movement from side to side while continuing this pressure. As an aid to this treatment use the ice pack in the lower cervical region, never apply over the head as it does not do any good, apply to neck. In vicarious Hemorrhage in connection with menstrual disorders:- (a) Give same treatment as above. (b) Inhibitory treatment in lower splanchnic (c) Inhibitory treatment in sacral region, object of this is to try to establish a congestion in the abdominal and pelvic area. Do not give the rotation and flexion of limbs because that tends to drive the blood away from the lower part of the body. In the case of rupture in the posterior naries apply inhibitory pressure through the mouth in posterior naries, if this fails insert plug of cotton(absorbent cotton)through the mouth. Use plug about the size of the first movable joint of the thumb of the patient. (this can be done with middle finger; wrap cotton around the finger). Some cases of rupture can be treated directly in posterior navies field, in addition to this give splanchnic and sacral treatment, and keep the patient in a semi-sitting posture, bolstered up with pillows.
1. Give local treatment around side of bridge of nose, consisting of light pressure followed by light kneading treatment downward. 2. Try to establish drainage in connection with the venous blood and lymphatic systems. Drain venous blood from inner canthus of eye to inferior angle of the jaw. Foe lymphatic apply strong pressure at external canthus of the eye, continuing the pressure downward along side of cheek. 3. Vaso-motor treatment. Treatment to neck from above downwards, extend down to the 5th dorsal. This includes: (a) Relaxation of the muscles of that area.(Palliative treatment for hay fever, use tapping treatment). (b) Articulation of the vertebrae in that entire field 4. Look particularly to the condition of the scapula, there is found almost always in nasal catarrh a one sided rigidity (scapular) on the opposite side to the side involved. Sometimes both sides are involved, but not so common as with one side. 5. If the throat is involved you will almost always find an involvement of the left scapula, rigidity, scapula bound down to the thorax. Also if there is a cough with the nasal catarrh you will find an involvement of the left scapula, and in some cases the ribs just below the inferior angle of the scapula involved . Right scapular involvement when nose without mouth is involved. Left scapular when nose and throat are involved. 6. A very typical lesion in nasal catarrh is involvement of the 5th rib on the right side, this is a typical lesion found in hay fever cases. How compare with asthma ? When 5th rib is involved in asthma it is on the left side. 7. Tapping over forehead light at first then heavier just over the bridge of the nose is a very good palliative treatment in nasal catarrh. In some cases you will find a soft (superficial) tissue ridge right up from the nose over the forehead , also may find tumor masses in forehead over nose. This is found in what is called the "snuffles". There is a softening of the cartilage’s, "snuffles" may be an indication of hereditary catarrh, if found at the time of birth it is one of the symptoms of hereditary syphilis. Hard breathing in case of "snuffles" can be relived by this tapping treatment. In grown persons where those snuffles are secondary to nasal catarrh, or where they come on account of irritation, tapping on the forehead and throwing the head back, and applying pressure from forehead to suboccipital will relieve. 8. In irritating the nose use the normal salt solution atomizer or spray etc. Do not use dry salt. Salt solution is also good in hemorrhage from the nose. Pine oil pinoleum is valuable in catarrh or in hay fever. Where there is suppurative tendency of the nose use eucalyptus oil in spray for noose 50% solution. In irritated conditions of the nose in hay fever and catarrh use gum camphor liquid in pure Vaseline 9. In chronic forms saturate small sponge with eucalyptus oil and breathe through the sponge. This is of use especially in epistaxis and incipient tuberculosis. In Diptheritic conditions of the throat the pine oil is one of the best that can be used . It is a relaxant and has given good results in relaxing rigid muscles. It is quite frequently used now by the doctor in dipitheritic conditions to relieve the rigid muscles of the throat and neck. Also used internally. If it is impossible to get pure pine oil use pure pineapple juice. Pineapple juice is an antiseptic. Sometimes in osteopathic treatments there are cases where you cannot manipulate the muscles to relax them, they are sometimes to sore that you cannot reach them and you must have something to use. At such times use the pine oil or the eucalyptus oil as a relaxant, eucalyptus is best used in combination with olive oil in ratio: Olive Oil--------------------1pt Eucalyptus Oil---------------1oz Water and eucalyptus oil 1-25 makes a good solution for rectal injections in intestinal catarrh or in any inflammation. The most common condition of the ear are catarrahal deaf-ness, nearly always secondary to a general catarrh or some general condition or some toxic condition of the blood for example secondary to an resulting from measles, tonsillitis, scarlet fever or diphtheria. In order named. Etiology:
(1) Atlas, axis and third cervical, principally atlas representing cerebro-spinal type. (2) Vaso-motor lesions 4-5-6 cervical and 2-5 dorsal. (3) Lesions involving the ear through the throat especially where Eustachian tube involved lower corvical and upper dorsal, visero and vaso-motor field of the throat 5-6-7 cervical and 1-2-3 dorsal. The evidence of these ear conditions are crackling or buzzing sounds in the ears or noises in the ears indicating Eustachian tube involvement either closure or Quinzy; 2nd beating sound like a hammer sounds indicating verso-motor disturbance here the ear becoming dry and shriveled, this indicates secretory condition and at this stage the is a clear sizzling sound (instead of beating sound). Where both ears are involved you will find generally an atlas lesion either anterior or posterior, on both sides, the real lesion being occipital relation, occiput to atlas. Where one ear only is involved the most common lesion is anterior lateral or postero-lateral lesions of the atlas to opposite side to the ear that is effected. In this case there is a rotated and twisted atlas and therefore the lesion is atlanto-occipital and in other cases is occipito-atlantal. According to this where two ears are involved the primary trouble is suboccipital, where one ear is involved the trouble is atlanto-axial (that is an articulation between atlas and axis). Treatment:
Mouth: The principle condition to be dealt with is the condition of the mucus membrane and the gland; (1) secretory conditions,(2)visero-motor conditions from the side of peristalsis in mucus membrane; (3)circulatory conditions; for example, rupture,varicose veins, dilated arteries etc. (4)accumulations or deposits in connection with the mucus membrane or glands, for example leucoplasia as a preliminary stage in carcinoma of the tongue. Treatment: (1) The principle treatment in connection with the mouth is internal treatment around the lower part of the mouth, under the tongue, towards the back of the mouth at the base of the tongue. This is applied in cases of excessive salivary glands secretion (inhibition) or diminished salivary secretion in which case give stimulation. (2) Secretory: (a)Sympathetic through superior and middle cervical ganglion of sympathetic in relation to solid secretion. (b)Cerebo-spinal representing limpid side of secretion.5-7-9-12 cranial nerves, spinal nerves 1-6 cervical. In excessive secretion give inhibition and in diminished give stimulation. (3) Local treatment in excessive secretion. With your fingers apply steady pressure backward towards root of tongue all over the internal surface of the mouth, follow this by inhibitory treatment around the lower jaw externally both in the upper part of the jaw and underneath always applying the pressure towards the base of the tongue. (4) In diminished secretion give light moving or kneading pressure both in the mouth and outside along the lower jaw,always backward towards the base of the tongue, also articulation of the 3-4-5 cervical, strong stimulation over superior cervica ganglion follow this by treatment called opening the mouth against pressure. "Catch the inferior angle of the jaw and make the patient open the mouth against your attempt to keep it closed. (5) In catarrh of the throat the mouth is always involved, secondary to the catarrh. In this case inhibit superior cervical ganglion which increases salivary secretion and washes away mucus. (6) In sore throat where the mouth is involved secondary
to tonsillitis and pharynx similar treatment to back of mouth and root
of tongue moving the fingers around upward and backward towards base of
tongue.
(8) Where you have the condition of tonsilier enlargement
and swelling it is as well to use some antiseptic, because the condition
is so to develop and spread (autoinfection)use "alphzone" in addition to
this use boric acid real hot (boric acid solution), white of an egg in
water especially In intense inflammation. If the inflammation is high use
the white of an egg alone. Putting the white of egg right on the inflamed
tonsil, use it like a plaster and it will remove the inflammatory condition.
Hot boric acid or lemon acid is useful in canker of the mouth. Use the
white when cracks in the mouth, same true when have cracked or bruised
skin anywhere, as the egg coagulates it becomes like skin and acts very
much like colodian. Where there is any heat the egg also controls the localized
heat and congestion. When have bruises and rupture combine white of egg
with powdered white sugar. If tissue in mouth becomes gangrenous use peroxide
of hydrogen. Do not use the peroxide of hydrogen in other case then gangrene
as it will cause the condition to go down in the eliminatory canal. Listerene
is not so strong as the peroxide of hydrogen hence not so valuable in this
case.
Throat: In the throat find similar conditions to those found in the mouth, that is involvement’s of the mucus membranes and the glands.
(1) One of the main treatments is articulation of the neck with the patient either in the sitting posture or lying on the back. (a) Patient in sitting posture, stand at the side of the patient, place one hand over the vertex of the head, and with the other hand catch the transverse processes of the cervical vertebrae, beginning at the 7th or 1st dorsal, and atriculate up. Articulating by the push and pull movement and follow this by rotary movement of the neck against resistance of the head .Stand at the back of the patient (patient sitting) catch the transverse process of the 7th cervical in one hand between the finger and thumb, and with the other hand rotate the head. If the neck is very stiff put the arm around the head and give same movement. Be careful in this treatment If the anterior structures of the neck are very tight place the hand over the transverse processes with your finger and thumb, then apply the rotation of the head and neck as in the other case, and in addition push the neck and head forward while you pull the soft tissue Forward. This treatment sitting up is contra-indicated in heart conditions. (b) Patient lying on the back, this is always the position when the heart is involved and in some cases where great rigidity. Extend or stretch the neck by pulling the head up to the point of moving the body , that is to say , put the entire weight of the body of the patient into the neck and spine extension. Follow this by extension with lateral movement of the neck towards the two sides. Then place the fingers and thumb of one hand over the transverse processes in the lower cervical region moving the head and neck to the same side with the fingers on the transverse processes, pulling on the transverse processes in the opposite direction. Or place the fingers of the two hands on both sides of the neck, standing at the head of the patient, and give rotary and lateral movement to the head and neck. Remember to always keep the fingers back of the carotids. (2) Patient lying down on back. Place the fingers and thumb of one hand over the transverse process of the 7th cervical and apply pressure downwards towards the table and then with other hand under the occiput move the head slightly from side to side,and then gradually move the head upward from the table as far as you can and forwards towards the chest. Do not give jerky movements in throwing the head forward. (3) In relaxation of the muscles and ligamentous structures of the neck: (a) First should always be extension treatment. (b) Follow this by rotation of the head and neck on itself in relation to each of the separate vertebrae, beginning always at the lower part of the neck. (c) Give direct extension and kneading of the individuals muscles,sterno-mastoid, trapezius, If they are loose enough get your fingers in and pull on the muscle, if they are very tight go to the middle of the muscle and flex the head to the opposite while you pull on the muscle upward and outward (4) Active treatment of the head and neck by the patient, this is given in what is called head circulating; patient begins to rotate head and neck in a circle gradually increasing the size of the circle rotation Special Treatment:
Croupy Conditions of The Throat. In croupy conditions of the throat we have a secratory disturbance. (1)Stagnation of the secretions. (2)accumulation (because of the suspension of visero-motion in mucus membrane)of theses secretions in connection with the surface membrane. The accumulations may represent(a)simply exudate as croup;(b)an organized structure here we have the secretory cell secreting abnormal substance and throwing it out in the mucus membrane as in diphtheria. (bacteriologists say membrane is produced by the germs-more visonier then sensory-a true secretion-substance accumulated and formed into a membrane by secretory cell-a perverted physiology. Treatment: (1) Give through extension of the neck and spine. (2) Relax muscles upward, beginning at the coccygeal region;to appeal to sympathetic system. (3) Special attention to the heads of the ribs especially articulation to stir up the sympathetic system all along the spine. (4) The croup paroxysms always give rigidity of the neck, in this case treat spine upward to overcome spasmodic rigidity. (5) Articulation of the upper dorsal region representing vaso-motor field. In children be very careful in giving articulation because structures are cartilaginous. The best way in this case is to give articulation bu using the shoulder as a lever ,with the child on face. (6) Through relaxation of the muscles upward along neck, this give constrictor effect. (7) Pull up the trachea. Catch as low down as you can, get the fingers in, then throw patients head and neck backwards and lift up the trachea. This is very good treatment relaxation of the deep tissue. (8) Open the mouth and pull tongue, using a towel to catch hold of the tongue. This is good for stimulation of the heart. (9) As an aid in these cases of croup use pure lemon juice or better pineapple juice, allowing it to trickle down the throat or used as a gargle. Do not put this juice on the tongue,the object of throwing it on the throat is to prevent mixing with silica. Put on root of tongue, this cuts the membranous formation if applied to the small patches. If a cough is started by the use of the juice getting into the trachea, apply powdered milk sugar to the mucus membrane or allow it to drop down the throat the same as the juice. Sometimes the juice is mixed with powdered alum to draw out any tendency to inflammation that may be found. These things can be used as accessory to the treatment, or in times when you cannot be there. Do not use these things individually, but advise them until you get on to the scene. (10) In chronic croup the best thing to use as a preventive is to saturate the chest and throat with eucalyptus oil and olive oil in combination using heat to drive it in. Heat the two oils and apply, have rays of heat right on surface to be applied, keep this up until you get eucalyptus oil in breath. Use this every night if the child is susceptible to croup. In proportion of 1/5 eucalyptus to 4/5 olive oil. (11) Another accessory is steam. Pass the steam through
tan eucalyptus medium, saturate a large sponge with eucalyptus oil and
place it in a large funnel, if that is not at hand roll a newspaper in
the shape of a funnel and put the sponge in and pass the steam through
this. Have the child breath this steam. If goose grease is available that
is the best kind of oil to use under any circumstances.
Goiter Goiter represents abnormal activity of the thyroid gland. In goiter must distinguish first pseudo-goiter, here we have not enlargement of the thyroid but accumulation of the fluid in the cystic form or in the isthmus field. In the systic form have typical surgical goiter, in this case is obstruction to the circulation and that must be dealt with from the side of the obstruction. Function of the thyroid gland is detoxination and it may be said that the two gland In opposite sides of the neck are concerned in arterial and venous blood and in normal conditions there is in coordination of circulation and removable of whatever obstruction causes localization. (2) True goiter here the gland is abnormally active with resultant accumulations. Over functioning of the thyroid causes toxination. (3)Type in this true goiter. (a) Type that involves parathyroids without involving thyroid proper. Parathyrois have Mucin functions.(B)Type that involves the thyroid proper, either subdivision.
(b) Take the arm of the patient. Place the arm resting across the chest at the level of the elbow, place the elbow of the patient against your chest and catch clavicle at the outer third, and pull the clavicle while you push down from the elbow, holding patients arms down tight. (c) Pull the arm of the patient across the chest in semi-circular direction around towards the opposite shoulder, then place the hand over the scalp, hold hand in that position and apply traction on the acromian process. The clavicle is most tightly bound on the same side as the goiter, in that case.:- (d) Pull head and neck of patient over towards the side as the goiter (laterally)as far as you can, then take the arm of the patient and pull up to the right angle to the body, drop it down at an acute angle to the axilla ,and while dropping it down give it the shaking vibratory treatment,and let it go down slowly, at the same time pull head and neck of patient down slowly, at the same time pull head and neck of patient to the opposite side. Repeat this three or four times. The primary condition is interference with vaso-motor
condition representing excessive stimulation of the vaso-motor dilation.
Normally the thyroid gland stimulates vaso-dilation by its secretion, stimulating
the cerebro-spinal side of the vaso-motor (secretory) results in an accumulation
of the substance we find in the gland or in the cyst of the gland.
(2) The reaction of all the vaso-dilator field in the body sometimes produces goiter, for example, the uterus particularly, in connection with dysmenorrhea at the period of menstrual puberty, also ovarian congestion. (b) Reaction of the disturbed heart or pulmonary condition on the thyroid gland, for example, exopthalmic goiter.here the heart is in a flabby condition allowing more than the normal amount of blood in the heart. We deal with this first through the periphery by construction; 2nd through the heart proper at 2-5-4-5 dorsal. In goiter then we find: (a) An involvement of the thyroid gland proper or (b) An involvement of the parathyroids or (c) Cystic condition. (d) Involvement of the accessories to the thyroid namely the mouth, throat, stomach, etc. Remember that the obstructive condition or the disturbing condition is cerbro-spinal that means always some type of vertebral lesion. In dealing with the condition of the goiter having found primary or irritating cause:- 1.Treat goiter in relation to the general secretion(the lesion is secondary to disturbed secretion). The first thing to do is to get hold of the general secretion by treating the lymphatic system. In treating for secretions look after gastric, salivary intestinal secretions, and the uterine functions. Most goiters depend on changes in life in the female (disorganization of internal secretion is the cause). If silvary secretion is involved, either too much or too little, all the other secretions will ultimately be involved. 2. Reestablish venous drainage from the thyroid gland particularly in relation to the clavicle and the first rib. In doing this remember that is also applies to the entire venous system of the body. In order to do this we must reorganize the vaso-motor control of the circulation of the blood, that is it means we must pay more attention to the cerbro-spinal than to the sympathetic side is exaggerated in its function. To get control apply inhibition, particularly over the three great cervical ganglions , this represents the real brain of the sympathetic systems. In dealing with secretions from the side of goiter we must rectify from cerebro-spin |