The Practice of Osteopathy
Carl Philip McConnell and Charles Clayton Teall
PREFACE TO THIRD EDITION
PREFACE TO FIRST EDITION
ETIOLOGY AND PATHOLOGY
Osteopathic lesion; Etiological factors; Osseous
lesion; Muscular Lesion; Ligamentous lesion; Visceral lesion; Composite
lesion; Pathology, Spinal lesions; Proof.
DIAGNOSIS AND PROGNOSIS
The Spine; Examination; Vertebrae; Position in examination.
Neck, Head and face. Atlas, Axis, Skull, Third Cervical, Muscles
of the Neck, Temporo-Maxillary Articulation, Scalp, Ribs, Clavicle, Sternum,
Dorso-Lumbar, Thorax, Abdomen, Gall-Bladder, Spleen, Stomach, Intestines,
Kidneys, Lumber, Pelvis, Sacrum, Coccyx, Arms, Legs.
Sense of touch, Definite principles, General treatment,
Position, Neck, Head, Ribs, Dorsal, Lumbar, Abdomen, Pelvis, Legs, Arms,
How often to treat, Length of treatment, Over treatment, Misapplied treatment.
OSTEOPATHIC CENTERS, STIMULATION,
INHIBITION, READJUSTMENT, VASO-MOTOR AND SENSORY NERVES
SPRAINS AND FRACTURES
Round shoulders, Prominent Hip, Pendulous Abdomen,
Prolapsed Organs. Affections of the lids, Diseases of the Lachrymal
Apparatus, Conjunctiva, Cornea, Iris, Chorid, Inflammation of the Retina,
Optic Nerve. Atrophy of the Optic Nerve. General Conditions.
DISEASES OF THE EAR
Simple Continued Fever
Rheumatism, Chronic Articular
THE DIGESTIVE SYSTEM
Diseases of the Mouth
Diseases of the Tongue
Diseases of the Salivary Glands
Diseases of the Tonsils
Tonsils, Chronic Enlarged
Pharyngitis, Acute Catarrhal
Pharyngitis, Chronic Catarrhal
Diseases of the Esophagus
Esophagus, Spasm of
Diseases of the Stomach
Gastritis, Acute Catarrhal
Gastritis, Chronic Catarrhal
Dilatation of the Stomach
Diseases of the Intestines
Acute Dyspeptic Diarrhea
OF THE LIVER AND BILE DUCTS
Hyperemia of the Liver
Abscess of the Liver
Cirrhosis of the Liver
Diseases of the Spleen
Diseases of the Peritoneum
Diseases of the Pancreas
THE RESPIRATORY SYSTEM
Diseases of the Nose
Acute Nasal Catarrh
Chronic Nasal Catarrh
Diseases of the Larynx
Acute Catarrhal Laryngitis
Chronic Catarrhal Laryngitis
Diseases of the Bronchi
Diseases of the Lungs
Acute Lobar Pneumonia
Chronic Interstitial Pneumonia
Congestion of the Lungs
Edema of the Lungs
Diseases of the Pleura
DISEASES OF THE
Acute Parenchymatous Nephritis
Chronic Parenchymatous Nephritis
THE CIRCULATORY SYSTEM
Diseases of the Pericardium
Diseases of the Heart
Degeneration of the Muscle
Diseases of the Arteries
OF THE BLOOD AND DUCTLESS GLANDS
Diseases of the Thyroid Gland
DISEASES OF THE
Diseases of the Nerves
Diseases of the Cranial Nerves
Diseases of the Spinal Nerves
Diseases of the Spinal Cord
Acute Ascending Paralysis
Amyotrophic Lateral Sclerosis
Progressive Muscular Atrophy
DISEASES OF THE BRAIN
Tumors of the Spinal Cord and Brain
Congestion of the Brain
Anemia of the Brain
Edema of the Brain
Embolism and Thrombosis of the Cerebral Vessels
Inflammation of the Brain
Cerebral Palsies of Children
GENERAL AND FUNCTIONAL
Vaso-motor and Trophic Disorders
DISEASES OF THE MUSCLES
THE NECK OF THE FEMUR
IN INFANTILE PARALYSIS AND OTHER SPINAL DISEASES
PREFACE TO THIRD EDITION.
The first and second editions of this volume have been exhausted for some
time and in view of continued demands from many sources I have, in collaboration
with Doctor Trall, brought out the third edition.
subject matter has been entirely revised and rewritten with copious additions
of new and original matter. Many of the older practitioners have
contributed ideas of interest from their observations, for which credit
has been duly given. The literature of osteopathy has been diligently
searched for material to bring the contents up to the point of present
development. A special chapter has been contributed by Dr. Geo. M.
Laughlin, Professor of Clinical Osteopathy and Osteopathic Technique, American
School of Osteopathy, on Hip-Joint Diseases, a subject on which he has
put much thought and study.
are certain facts concerning disease, i.e., prodromes, course and termination,
both with and without treatment, which are the result of centuries of observation,
and these diseases, when they come within the realm of a definite diagnosis,
have a well defined history. Pneumonia is pneumonia to the osteopath
the same as it is to the allopath, homeopath and eclectic, no matter how
soon or how much our treatment may later change its course. In writing
on these diseases it has been necessary to use these facts, taken from
medical sources, but care has been used to give them from a viewpoint based
upon extended osteopathic experience. It is necessary to follow the
medical classification until such time as osteopathic records shall show
sufficient data on which to base a new nosology, a new symptomatology and
a new terminology. That this will be the logical outcome of such
tabulation, the close observer will doubtless admit. Disease is not
so dependent upon the character of the irritation as it is: First,
on the degree of the irritation; second, on the function of the nerve disturbed;
third, on the character of the tissue involved. Future osteopathic
etiology will take these points into consideration in the development and
establishment of a new classification of disease. It is well known
to the osteopath that in many acute conditions, symptoms are present which
would lead him to expect, in course of time, the development of some well
defined disease, yet under treatment they are found to be vaso-motor or
other disturbances, and, on correction of the irritation, quickly subside.
These conditions have not progressed to a point where they could be diagnosed
although they would often develop into a disease entity. Experiences
of this kind have lead the osteopath to often give to these derangements
the name of the lesion causing them and there can be no doubt as to the
lucidity of such a proceeding. It has, in a way, made a start for
the new order of things.
taking from this sum of medical knowledge the authors offer no apology
from the fact that nothing has yet been developed to take the place of
the material of which use has been made. In the preparation of this
edition the authors have had access to several osteopathic text-books,
which was impossible before, as this was the first osteopathic text-book
published. Frequent reference has been made to the writing of Dr.
Still, Hulett’s Principles of Osteopathy, Clark’s Applied Anatomy, Hazzard’s
Practice of Osteopathy, Tasker’s Principles of Osteopathy and Young’s Surgery.
Special attention has been given osteopathic diagnosis and treament, emphasizing
the need of the former and going into detail of technique in the latter.
With but few exceptions, no conditions are described of which there is
not more or less knowledge from osteopathic experience. There has
been an effort to make conservation and confidence preeminent features
of the entire work.
authors wish to here acknowledge the valuable assistance rendered by Dr.
Minnie E. Osesnbaugh in correcting manuscript and reading proof.
PREFACE TO FIRST EDITION.
This work on the practice of osteopathy has been written purely for the
practitioner and student of osteopathy. Up to the present time there
has been little attempt made along osteopathic lines in a literary way.
The student has had nothing whatever to guide him in his studies but the
notes he has taken from osteopathic lectures; and the practitioner no work
to guide him or to refer to in his practice; yet it is with many misgivings,
on account of the science of osteopathy being in crude published form,
that I publish this work and give it to the osteopathic world. Still
I feel a feeble attempt will be a stimulus to all apostles of the
science, and especially so as the art of osteopathic practice is being
well advanced. It will never be possible to write osteopathy completely
and in detail as each case is an individual study. The best we can
expect is to give the philosophy of the science and to state the principles
in general terms. The science is practically unlimited; its breadth
and depth are unmeasurable.
practice consists, first, of understanding the normal so that the abnormal
conditions may be recognized when met; and second, when these abnormalities
are found, of giving specific treatment and readjusting the parts.
Practically, to the osteopath it makes but little difference what the disease
is; it is his business to locate the derangement and correct it.
This practical work is included in the practice of osteopathy and it constitutes
the major part of the work; although I have given hydrotherapeutics, nursing,
etc., not because I do not think readjustment of the tissues is sufficient
to cure many diseases, but occasionally diseases are due to errors in diet,
insanitary surroundings, disobedience of hygienic rules, etc.; and besides
the proper use of water, food, etc., is an important aid oftentimes in
alleviating suffering, being at the same time not injurious to the patient
as drugs often are; especially in diseases that are far advanced the use
of hydrotherapeutics, etc., is of aid.
have given the old classification of diseases on account of its being universally
employed and an attempt at a scientific classification might cause the
loss of many points, as our students are taught according to the old classification.
I hope to see an attempt made in the near future to establish a more scientific
nosology. It seems to me that the classification should be based
upon the cause of the disturbance or according to the physiological disturbance.
The diseases are taken up and classified in a manner according to the best
of our practices of medicine, as, definition, etiology, morbid anatomy,
symptoms, etc. This is given in such a manner, not because there
is anything special to add in morbid anatomy or symptoms, but that it makes
the work a complete practice of osteopathy and is inclusive of lectures
given at the American School of Osteopathy. In a few instances I
have given a theoretical treatment in diseases in which osteopathy has
not had experience.
am specially indebted to Osler, Anders, Tyson, Loomis, Raue, Goss, Stephens,
and Hughes’ practices of medicine and to the writers in Allbutt’s System
of Medicine and the American Text-Book on the Practice of Medicine.
Also to American Text-Books, Landois and Sterling’s, Schaeffer’s, Foster’s,
Flint’s and Yeo’s Physiologies and to Ziegler’s, Greene’s and Stengel’s
Pathologies for many valuable ides. It has been my full intention
to give credit when possible, but not having access to first papers it
has frequently been impossible to do so.
my wife, Dr. Agnes Russell Darling, I have received much valuable aid in
the preparation of the book.
all my colleagues in the American School of Osteopathy and the Staff of
the A. T. Still Infirmary, I am greatly indebted for many valuable suggestions.
am under special obligations to Mr. Samuel D. Barnes, a senior student
in the college, who has been a most able and untiring assistant in the
correcting of the manuscript.