Treatment by Neuropathy and The Encyclopedia of Physical and Manipulative Therapeutics
Compiled By Thomas T. Lake, N. D., D. C.
1946
 
BOOK I
 
Chapter VI
 
 
NEUROPATHIC TREATMENT

Neuropathic treatment is directed to the nerve centers controlling circulation for the purpose of restoring the normal activity to the vaso-motor nerves, and of relieving either active or passive congestion by establishing better lymphatic drainage.

Neuropathic treatment is given in accordance with the conditions which are revealed by the reflexes and general physical examination. The treatment itself consists of simple manipulations, which are varied for the purpose of achieving three main effects. The first is merely mechanical, and consists of propelling the lymph through the lymphatic vessels and glands, and of emptying congested tissues of their infiltrations. The other effects are accomplished as the result of altering the reflexes by influencing the vaso-motor mechanisms, and even the myo-motor.

Accordingly, as desired, the action of a hyper-active nerve may be decreased or an inactive or hypo-active nerve may bee brought to a higher degree of activity. Thus the neuropath has in his hands the means of controlling, within certain limits, the involuntary actions of the human body, and can use the power in such a way as to restore perverted function to normal, or to induce compensations in cases of structural perversion. Neuropathy recognizes that no part of the body can become disordered without causing disturbances in other parts often far remote. These secondary disturbances are the result of direct nerve reflexes, and while some are compensatory, others indicate a spreading of the disease process.

It is due to the fact that certain reflexes follow initial disturbances that neuropathic treatment becomes a possibility. Irritation in any part of the body is carried over the afferent nerves to the posterior horns of the spinal cord, from there reflected to the anterior horns, from whence the motor message is carried back to the seat of disturbance. In cases where such irritation is prolonged and a perversion of function has resulted, the entire segment of the spinal cord which has been involved passes through about the same vaso-motor changes as the part originally irritated. The blood supply to the posterior cord is increased to meet the demands of the cells, and there is a tendency for every cell supplied by these vessels to increase their activity, causing a greater number of reflexes to travel over the anterior horn, and so excite those cells to a higher degree of activity. Inflammation, congestion, passive infiltration, and constrictor fatigue of the blood vessels takes place in the spinal cord exactly as they would in any other tissue of the body.

Good health depends upon perfect metabolism, perfect respiration and perfect generation or internal secretion. All these functions depend on perfect circulation. The effectiveness in “normalizing the circulation.”
 

NEUROPATHIC TECHNIQUE

Neuropathic finger technique properly performed in the spinal canal is not hard enough to cause distress to the patient at any time. Hard pressure may injure not only the sheaths of the nerves, but also its axis cylinder, first producing a numbness to the part to which it supplies, causing partial loss of motion and sensation. As soon as the pressure is removed a sensation of pricking takes place, as needles and pins in the part. Second, if all impulses are stopped in the nerve, it will cause total paralysis.

When giving a Neuropathic constant treatment along the spine you treat over the perivascular ganglia and the posterior recurrent spinal nerves, sending sedative impulses over the afferent or sensory nerves to the controlling centers of the spinal cord and brain, in this way lessening the activity of the nerve centers controlling the part. By this treatment the vaso-dilators become less active and the vaso-constrictors ae brought back into force. If there is a relaxed conditi0on of the spine a repeated treatment is required. In making an examination of the spine you cannot feel the nerves as the spinal nerves are protected by the laminae, pedicles and transverse processes of the vertebrae; and with the arching of the ribs forms a gutter on each side of the spinous processes about one and one-half to two inches deep. This gutter is filled in with five layers of muscles to about level with the spine. When you have an acute congestion of any organ or part of the body, these muscles to which the posterior recurrent spinal nerve comes to the surface in communication with perivascular ganglia will produce a tightening up or constriction of the muscles corresponding to the area over the roots of nerves to which the spinal nerves supply showing that there is an acute congestion of the organ or part affected; producing dilation of the blood vessels in the part due to loss of vaso-constrictor force. If this acute condition continues for an indefinite time, it may become passive and then the constricted area will become relaxed, and you have loss of both vaso-constrictor and vaso-dilator mechanisms. In this condition a repeated treatment is required. Great force is not necessary for treatment. When a patient suffers great pain during and after a treatment, an injury has been caused to the tissues, which will set up other irritations, and results will not be satisfactory and the patient will not respond to the treatment. Nature needs to be coaxed by a gentle form of treatment.
 

SPINAL SEDATION AND DILATION TECHNIQUE

Neuropathic spinal treatment is so simple that it is very deceiving to those who do not experiment with it enough to be able to know when the tissue have been restored to normal. For the beginner it will be well to recall that a healthy spine presents a smooth, firm, velvety surface with a slight elastic resistance. Now, the abnormal spine can briefly be summed up as follows:

1. In nervous cases where the condition is more functional than organic, the muscles in the gutter of thee spine will be tense and constricted and the external muscles will bee soft.

2.  In organic disease the gutter of the spine and the external muscles will be ropy and constricted, tender and painful. But, where the organ or organs are atonic (want of strength or power) the gutter of the spine will be soft and putty like, and the external muscles will be ropy.

Examples: In diarrhea the muscles of the gutter of the spine from the 10th dorsal to the 4th lumbar will be tense and constricted.
 

LYMPHATIC TREATMENT

No manipulative or physical therapy treatment can be effective unless it influences a better circulation of the lymph flow. Many kinds of treatment influences the lymphatic circulation indirectly and do good, but Neuropathy does this by direct manipulation of the lymph vessels and nodes.
 

LYMPHATIC DRAINAGE OF THE ABDOMEN AND INTESTINES

Move 1. - Patient assumes dorsal position with knees flexed. Stand on the right side of the patient, and with ulnar border of the right hand over the sigmoid flexure (see Plate !), manipulate this part of the abdomen several times, then with the tips of the fingers manipulate in a circular manner over the descending colon from left to right. Now move the fingers upward until you reach the splenic area (the spleen is found in the midaxillary line at the point of the elbow 21/2 inches in from the surface of the body) manipulate gently with the right hand in under the ribs (see Plate 2), then continue over the transverse colon to the center of the body. Keeping the right hand on the body, pass around over the head of the patient and continue along the transverse colon to the hepatic flexure; from there continue along the ascending colon until the caecum and appendix are reached. The movement is always toward the rectum. It should be done three times.
 

DRAINING LYMPHATIC OF THE GROIN

Move 2. - Locate the crest of the left ilium. Standing on the right side of the left leg with the right extended, press deeply and firmly with the fingers arched in groin just below the crest of the ilium, retain grip and draw muscles toward the median line counting ten; release slowly, counting teen. Reverse and repeat twice.
 

STIMULATING AND DRAINING THE RECEPTACUMLUM CHYLI

Move 3. - Take a good look at a sketch of the lymphatics and the portion now under consideration. Notice there are two chains with many nodes. Span the hands parallel and flat across the abdomen; let the fingers sink deep into the tissue going down deeper and deeper until the nodes are felt. You can reach and feel them with a little practice, and without causing distress to the patient. After you feel them, like marbles under your fingers, then you massage them up and down, counting ten (see Plate 3). Remember your thumbs while doing this are up in the air. Your next move is to release the fingers slowly as you drive your thumbs in to reach the chains of the nodes on the other side. Repeat the up and down movement ten times, then release the thumbs slowly as the fingers go back again on the opposite side. This back and forth movement should be done until each side has ben stimulated three times.  (See Plate 4.)
 

DRAINING THE LIVER AND THE LIVER LYMPHATICS

Move 4. - to find position, stand on the left side of patient, put tip of thumb of left hand on the end of the ensiform process, open all the fingers as wide as possible, then let the middle finger go down on the body, underneath that finger is approximately the location of the lower right lobe, the chemical plant.   (See Plate 5.)

Stand to the left of the patient with the right hand over the liver and back of the curve of the ribs. The fingers of the left hand should be pushed up under the costal cartilages. Instruct the patient to empty the lungs and then take a full deep inspiration. On inspiration, push the left hand up and bring the right hand forward; this will squeeze the liver between the two hands and will empty it. On deep inspiration, the diaphragm exerts a pressure on the upper lobe of the liver and assists in emptying it. Do this three or four times. The liver quite frequently is very tender and when this is the case the pressure should be very light.   ( See Plate 6.)
 

DRAINING LYMPHATICS OF THE SOLAR PLEXUS

Stand on the right side, flex both knees three inches below end of xiphoid appendix of the sternum, place right hand fingers pointed toward the sternum, place left hand over right to insure firm and continuous pressure, press downward and upward counting ten slowly, release as slowly counting ten.
 

DRAINING LYMPHATICS OF HUNTER'S CANAL

Move 5. - Flex the right leg with foot resting on table. With right hand on patella, left hand over Hunter’s Canal, fingers well over toward the popliteal space, push the knee inward and draw the Sartorius muscle outward, working upward toward the groin about two inches at a time. Reverse to the other leg.

We use the above technique only when congestions are noticeable such as in a cold.
 

DRAINING THE LYMPHATICS AND NODES OF THE AXILLARY REGION

Move 6. - Raise the arm and manipulate the vessels toward the head, at the same time giving an easy squeeze to the nodes as they are felt.  (See Plate 7.)
 

DRAINING THE CERVICAL LYMPHATICS

Move 7. - To drain the cervical lymphatics stand on the right side of the patient. Place the left hand on the forehead and with the right hand reach over the sternocleido-mastoid muscle. Turn the head away with left hand and at the same time make a circular pressure movement with the right hand, from each vertebra to the front of the neck terminating at the middle of the clavicle bone. This will assist in lymph circulation toward the jugular vein.  (See Plates 8 and (.)
 

LYMPHATICS OF THE BACK

Begin around the shoulders, hands flat on back, mass the muscles toward the center, then give a slight thrust upward. Continue down the whole spine. Do this twice.
 

TO RELEASE INTERVERTEBRAL CONSTRICTION
(To aid lymphatic drainage.)

Close the fingers in the palm of the hand, thumbs projecting outward, place the left thumb over the left transverse process of the first dorsal, thumb pointing downward and with the thumb of the right hand in the second dorsal, right transverse, pointing upward, hold the left thumb and move the muscles upward with the right thumb in toward the median line, then move down one vertebra at a time, always holding the wrist and press upward with the right thumb, massing muscles upward and inward toward the median line. Work down until you get to the coccyx, make your movements slow and reverse the fingers and take the other side by placing the left hand on the right transverse process and the right hand on the left transverse process, holding the left thumb and massing the muscles upward and inward with the right thumb.

The physician then turns his attention to the feet. See techniques in next Chapter.
 

VASO-MOTOR MECHANISM TEXTS AND TREATMENT

To make a test of the activity of the vaso-motor mechanism, make a line with some blunt article on each side of the full length of the spine. Note change in the lines where the vaso-constrictors are overly active, the line will remain, while where the vaso-dilators are overly active the redness will spread over a large area.

For the spinal treatment patient lies on his side. Physician stands in front of patient placing fingers in gutter of the spine. If tense and constricted, give a quieting treatment by holding the fingers lightly in the gutter on segments involved, or on the whole spine. After ten minutes of this on one side of the patient, if the spine has not become healthy, then stimulation is indicated. This may be done by friction of the fingers up and down in the gutter, or by concussion. When that one side is done, turn the patient over and repeat the treatment on the other side. A general rule is not to attempt to treat both sides of the spine in one position, but to turn the patient and only treat the gutter nearest the physician.
 

FINAL TREATMENTS OF THE CERVICALS

Patient on back. Physician goes to head of patient and places his fingers in the gutter of the cervical spine with thumbs upward. He then presses lightly only in the gutter, not touching any part of the carotid or thyroid sinuses. After holding the fingers covering from the seventh, cervical for a minute or two, he moves his hands upward to the part not covered and repeats. This completed, the physician will then cup his hands with the fingers all around the bony ridge of the occiput and pull very gently toward himself. Lastly, he will lay his thumb and forefinger on the front nasal suture and sedate the nerves of the cranium for about a minute.

The physician may use any kind of treatment he desires preceding the above techniques. But, a Neuropathic sedation treatment at the end will evoke many pleasing remarks from his patient. It is all so simple and easy that a vast majority of the patients having time to spare wish to sleep a while after it is done, that is, if the physician has treated right. Refer often to the types of spines and their perversions in chapter on “Examination.”
 

GENERAL AND NEUROPATHIC EXAMINATION OF THE ABDOMEN

We have discussed the physical representation of the usual two types of bodies, now we will go into some detail on the usual method of examination, then give the Necropathic symptomatology and diagnosis.

The spinal examination will help in the diagnosis.
 

EXAMINATION AND DIAGNOSIS

Neuropathic treatment is given according to the conditions revealed by the reflexes and general physical examination. This general examination includes the use of the stethoscope, sphygmometer, urinalysis, blood tests, etc.
 

NEUROPATHIC CRANIAL TECHNIQUES FOR SUTURES, LOBES AND NERVE ANOMALIES

The brain is a closed box through which the blood circulation has to be maintained standard, just as in any other part of the body, if the health of the tissues are to be constant.

But since the brain is in a closed box, with space limitations, and the vessels within the cranium have less muscle tissue around them, for expansion and contraction, some other compensatory mechanisms must always be at work to keep the circulation balanced. For the brain is subject to all of the pulsations and vibrations of normal circulation and also of local or general vasodilation from lack of vaso-constriction, edema or other infiltrations. Excess stimuli to the brain tissues causing excess pulsations are set up from stimuli and irritations from within the brain itself, or from without the brain, or reflexed from other parts of the body, thus while the central nervous and vascular systems of the brain are in a closed chamber, they have expansile compensations. First, the sutures allow for expansion and contraction. Second, the intradural veins under control of the anterio motor nucleus absorbs much of the dilation. Third, the content of the cerebral blood, especially of oxygen, is controlled by the action of the carotid sinus. If there is no interference here by body irritation reflex, the brain is kept supplied with oxygen.

Then, the treatment of brain perversions consists of (1) Regulating the sutures by adjustment, (2) Regulating the blood content by adjustment of the carotid sinus, and (3) By manipulation of the cranial nerves.

That the above hypothesis concerning the brain is a correct one has been verified by the years of experience in the use of these techniques. The writer, when brain fatigue has set in, uses it with great beneficial effects on himself. And hundreds of patients have spoken of hearing the click and felt the bones move, then say “my head distress is gone.”

It must be understood that in the treatment for cranial disorders, that the body is a unit, and if the disorders are of a constitutional nature, then the whole body must be treated. For illustration: the pituitaries can be irritated from a prostatic or an ovarian condition, and create a faulty water metabolism, with mental instability, again, it should be remembered that a big factor in disturbances within the cranium is due to the presence of anoxia or anoxemia. And that all obstructions in the open cavities of the head should be removed, if possible, before cranial adjustments become a rule. See the writer’s techniques in Endo-Nasal, Aural and Allied Technique book.  Pages 59-72. The outline of the anatomy and physiology used here is taken from the findings of years of research by neurologists and pathologists who have established the seat and center of disturbances of the majority of ill conditions of the cranium. This data can be accepted as fairly accurate and can form the working basis for application of these techniques.

There is nothing mysterious about the adjusting of the sutures. A clear understanding of their outlines and a thrust either upward or downward or forward will open them according to the locality needing adjustment. A little experience will make one proficient.

The student should fix in his mind the outline and names of the sutures, lobes, and points of contact for the vasoconstrictor and vasodilator nerves, and also points of acceleration and inhibition in the cerebro spinal column.   (See Plate 10.)

Then we have the following techniques: First, the shifting of the sutures to make room for expansions and oscillations of the brain tissues. This is known as Cranial Adjusting. Cottam (21) is the chief exponent of this type of therapy, and has written an extensive thesis on the performance of many cranial techniques. Her ewe are only concerned with specific adjustments, as they apply to abnormalities within the lobes and nerves of the brain. Second, we are concerned with bringing about a vasodilation or vasoconstriction of the blood vessels of the brain through the cranial and some cerebrospinal nerves. The techniques of adjusting or shifting the sutures does not require great strength. It requires no hard pressures. Just a firm contact, then a quick and even thrust. The numbers on the cut do not all represent the exact location of the cranial nerves, but points where experience has shown those nerves can be influenced. If a vasoconstriction or inhibition is desired, the pressure on the points is rather heavy to the tolerance of the patient, and not more than three minutes is necessary as a rule. If a vasodilation is needed the pressure is very light and not more than five minutes is required as a rule. Often the desired results are accomplished in much less time.

Time and again we are asked about contraindications in the use of these techniques. There are none, if the physician will use good judgement and not use brute force at any time. Naturally he would use common sense in treating severe hypertension and tumors that have critical periods. All abnormal conditions of the cranium can not be given here, but enough is given to open up avenues of procedure for treatment of conditions not specified.
 

CRANIAL ADJUSTMENTS

THE PITUITARIES, OR CEREBRAL HYPOPHYSIS

The location of these glands is situated in the sella turcica or pituitary fossa of the sphenoid bone, temples, and just back of the root of the nose. These glands have, according to physiologists and endocrinologists much to do with the intelligence, sex power, growth, stability metabolisms, menstruation, obesity, hair, and some other functions relating to the personality and the body.

For a quick conception of the interdependence of the glands of all the body, and the results of a hypo or a hyper function of one gland on other glands, and the effects on personality the reader is referred to that splendid little booklet, “The Endocrine System” by S. F. Briney, M. D.  Here we can but indicate the types of treatment needed with emphasis on the subject on which we are now writing.

Three steps then are necessary in the treatments. First, to nourish the endocrine system, second to create a proper blood circulation, third to make the proper cranial adjustments. The first move is to open the Frontomalar Zygomatic structure downward, second to open the coronal suture forward.
 

THREATENED HEMORRHAGE

The vessels that are most commonly involved in cerebral hemorrhage are the branches of the middle meningeal artery which supply the internal capsule, striate body, optic thalamus, especially the lenticulo straite artery, the artery of sylvan fissure and, less frequently, the anterior artery. The main ramifications of these vessels are to the convolutions of the frontal temporal, parietal, and occipital lobes. High blood pressure, blood-shot eyes, or eyes that look bewildered, with pain in head and neck accompanied by nervous tension, are indicative of danger.

Treatment: Give a cold compress to head and heat to the feet. The best heat is hot water. Concuss 7th and 8th cervicals lightly. Fast the patient on fruit juices for at least two days. Give garlic capsules, one every four hours. When danger point is passed, give treatment as found under hypertension, then adjust carefully and easily the coronal, the temporoparietal and occipital.
 

FIRST NERVE - OLFACTORY DISTURBANCES

The center is found in the anterior portion of the temporal lobe.

Treatment: Give the Lake Endo-Nasal, Recoil Nasal dilation and drainage techniques, page 59, and the Lake Opening of the Pharyngeal Cavity, page 53, if the condition is due to lymphatic stasis. A thorough lymphatic is necessary. Adjust cervical vertebrae, especially C 4, D 3-4-5. Treat 7th cervical nerve from No. 1 to No. 7 by friction massage.
 

VISUAL CENTER DISTURBANCES

Second nerve - optic; third nerve - motor oculi; fourth nerve - trochlear; sixth nerve - abducens. These all have to do with vision and flexibility of the eye.

Symptoms of Impairment: Second nerve - optic neuritis, atrophy. Third nerve - ptosis and diplopia. Fourth nerve - Diplopia exists only in the lower part of the visual field. Sixth nerve - ophthalmoplegia. General symptoms - strabismus, nystagmus of various forms, headache, eyestrain and hemianopsia.

The exact location of the special center of vision and its parts is in dispute, but the weight of evidence is in favor of the cuneus and calcarine fissures in the convex portion of thee occipital lobe. The ramifications from the eye to all centers is rather complicated. The frontal, temporal and occipital lobes are involved in all movements of the eye.

Treatment: Give Lake Head Recoil. Put finger of one hand on origin of tear duct underneath and outside of eye. Put finger of other hand covered with finger cot, up under the lip, and over the teeth up as far as possible to the outlet of the tear duct. Massage by friction to stimulate the onward flow of tear duct secretion. Put finger above the eyelid and gently press the eye downward for a few times, then go underneath the eye, and press gently upward. The sides of the eyes are gently pressed inward. Adjust coronal, parietal, and lamboidal sutures specifically. Adjust C 6 to D 3 or treat these segments by Neuropathy. Press lightly on vasodilator No. 1. Patient may need Vitamin A.

FIFTH OR TRIFACIAL NERVE DISTURBANCES

This, the largest of the cranial nerves, resembles a spinal nerve. It has its origin by two roots and a ganglion on its anterior root. It is a nerve of special sense, motion and common sensation, and is the great sensitive nerve of the face and cranium. It is the motor to the muscles of mastication and through its lingual branch is one of the nerves of taste.

Symptoms of Impairment - Sensory impairment. The area of skin supplied will be anesthetic, i.e., conjunctiva, cornea, cheek, nose, lips, mouth, gums and tongue. Herpes is common and herpes zoster ophthalmicus is due to neuritis of the first branch of the fifth masseter, temporal and pterygoids are paralyzed and in unilateral paralysis the tongue pushes the food toward the normal side in mastication.

Perversions at the base of the brain, such as meningitis, syphilis, hemorrhages, aneurisms, otitis media, caries of the sphenoid, and trauma of the orbits of the macilliae are all causes if impairment of the fifth nerve. The deep origin of the larger or sensory root is between the transverse fibers of the pons to the lateral tract of the medulla behind the olivary body. The deep origin of the smaller or motor is in pyramidal body of the medulla.

Treatment: All sutures are more or less involved and all sutures should be adjusted as follows: Coronal, downward. Occipital, lamoidal upward by the Lake Recoil. The temporoparietal suture downward. Adjust C 1 to 4. Give nasal dilation technique to increase the oxygen intake. Vasoconstrictor pressure on face, upper and lower 5.
 

AUDITORY NERVE DISTURBANCES

This is the nerve of the special sense of hearing distributed exclusively to the middle ear and has no exit from cranium. There are two branches, one to the vestibule which maintains equilibrium (an impairment of this branch will produce vertigo and tinnitus arium) and the other branch is to the cochlea which receives and transmits to the brain impressions produced by sound waves. Impairment of this branch will result in nerve deafness.

Centers. The superficial origin is from the restiform and olivary bodies at the lower border of the pons. The deep origin is at the dorsal auditory nucleus under the trigonium acustici area of gray matter between the roots of the olfactory nerve.

Treatment: Treat the same as for deafness. See Endo, Nasal, Aural and Allied Techniques, pages 38-50, 76. Adjust sutures adjoining parietal and occipital lobes on side of affected ear. Sagittal laterally. Lamboidal and mastoidal downward. Adjust C 1 to 4 and concuss D 5.
 

ELEVENTH CRANIAL NERVE OR SPINAL ACCESSORY

This nerve is considered to be exclusively motor but some authorities claim for it sensory fibers. Accessory portion joins the vagus to which it supplies its motor and some of its cardio-inhibitory fibers. The spinal portion supplies the trapezius and Sterno mastoid muscles. The deep origin is from the nucleus of gray matter low down on the medulla and beneath the roots of the pneumogastric. Superficial origin or spinal portion arises from several filaments from the lateral tract of the spinal cord as low down as the sixth cervical. The centers involved are the occipital lobe and cervical plexuses. Impairment of the eleventh nerve may result in colds, torticollis, neuritis, cervical myelitis.

Treatment: Open and drain the anterior and posterior nasal canal. Give Lake Recoil for occipital lobe sutures. Give lymphatic of the neck. Adjust C 1 to 6. For further treatments see Colds and Neuritis.
 

TWELFTH CRANIAL NERVE - HYPOGLOSSAL

This nerve is the motor to the tongue. Its deep origin is from the floor of the fourth ventricle. It communicates with three upper cervical nerves; gustatory, pneumogastric and the sympathetic system. Its impairment leads to improper deglutition, weakened sense of taste, atrial loss of the powers of mastication and articulation.

Treatment: Give the Lake Recoil. Adjust coronal and zygomatic sutures, also the temporomalar suture. See 7th move in Facial Technique, figure 26 & 27, Endo Nasal, Aural and Allied Techniques. Put finger down side of mouth to the rood of tongue then slip finger in center of tongue. Press firmly, then pull finger outward by slight jerks. Repeat three times. Open the external mares, and drain the posterior nares. Dilate on face 1-7-9. Adjust 6 L to 6. Concuss C 7.
 

SEVENTH NERVE - FACIAL

The deep origin of the seventh nerve is from a nucleus from which the sixth or abducens nerve arises from the floor of the fourth ventricle. It is the motor to all muscles of expression. Its impairment may lead to paralysis of any or all of the muscles of the face. The occipital and medullar lobes, including the pons, are primarily affected.

Treatment: Open all sutures of the face. Give the Lake Recoil. Adjust C 1 to 4. Concuss D 3 to 4. Press on No. 7 in face.
 

CENTERS OF INVOLUNTARY ACTION

In the occipital lobe, embracing the medulla oblongata are found the centers of respiration, cardio-inhibitory, cardio-accelerator, vasomotor dilators and vasoconstrictors, salivation, mastication, deglutition, vomiting and diabetic centers.

Since there are different forms of manifestations of the symptoms of disturbances in this center, the physician will need to look for the causes, which are largely of a reflex origin, and to eliminate them if possible, which may be in the respiratory apparatus due to obstruction, then the full Endo Nasal, Aural and Allied Techniques need to be used. The segments of the spine need adjustment or a sedation perhaps a dilation, according to diagnosis. Sedate all numbers on the face. See Diabetes.
 

INTELLIGENCE CENTER

There is no unanimous opinion as to the localization of human thought in the brain. Intelligence is generally accepted as the functioning of all the centers combined and the association of all the fibers which serve to connect the centers. Observations indicate the prefrontal lobe as the most important part of thought processes.

Treatment: For dull children and older people who complain of losing their grip on life by manifestations of forgetfulness and fearfulness, and all General Endo Nasal, Aural and Allied Techniques can be performed, with dilation of all facial numbered nerves and every suture opened. In addition psychiatry can be used.
 

SENSORY CENTERS

The general sensations of touch, pain, temperature and muscular sense are without a doubt found in the superior parietal lobe together with the post central convolution. All forms of sensations, touch, pain, etc., are represented in this center. There is reason to believe that the sensory area contains also centers for the nerves of the secretory glands and for some vasomotor nerves.

Treatment: Give the Lake Recoil. Open the anterior and posterior nares. Adjust the coronal, sagittal and temporoparietal sutures, forward and downward respectively. Sedate the spinal segments. Give local counter irritation treatment.
 

SPEECH CENTERS AND APHASIA

The speech centers are situated along the sylvian fissure and in the left hemisphere of a right-handed man and in the right of a left-handed man. There are four speech centers; one to receive words of what is seen and heard, and the fourth is called the writing center. All are associated by commissural fibers and all are of so great importance that a lesion of one will lead to interruption of communication with the other.

Treatment: Give all suture adjustments and all General Endonasal Techniques. Adjust Atlas, and 1st to 4th cervicals. Press on 7 - 10 in face.
 

HEADACHE

Headaches are of individual, referred or reflexed types. Individual types are those of anemia or hyperemia. Reflexed types are from eyestrain, middle ear or cerebro-spinal irritations. Referred types are toxic substances from gastro-intestinal region. Refer to Fig. 4 on pains in the head due to reflexed pressures of gas and nerve reflexes.

Treatment: Lymphatic of neck and abdomen. Lake Recoil. Open sutures of face. Open coronal and sagittal sutures. Give eye exercise technique. Adjust cervicals. Concuss D 5-6-10. Press lightly on No. 1 on face. Epilepsy - see under that title.
 

REVIEW OF SPECIFIC NEUROPATHIC TECHNIQUES

BY SEGMENTS.  GENERAL TECHNIQUES FOUND ELSEWHERE
(See cuts for Lymphatic Techniques.)

Sedation Technique, or quieting, is performed as follows: Patient on side. Doctor stands in front of patient; fingers of both hands are in the gutter of spine. A very light pressure is maintained for about one-half to one minute over the segments involved. Then he tests to see if he has changed the tone of the muscles underneath where his fingers covered. If not, he repeats the treatment until the tone is normal.  (See not on healthy spine.)   If doctor thinks it necessary, he will turn the patient over on the other side and repeat. All sedation treatments are given with the patient on the side with legs flexed.

The Stimulation or Acceleration treatment can be given in any position - side, prone, or sitting. It consists of putting fingers in the gutter of the spine over the segments involved, and a light to-and-fro movement is started which lasts for one-half to one minute. The movement is parallel to the spine, not to the sides of the gutter.

Inhibition is performed by placing the fingers of each hand on both sides of the spine, in the gutter, and giving deep pressure for one-half to one minute. This is not counter-irritation (which see) but direct nerve inhibition, to perform correctly a good knowledge of sensory nervous system is required.

The above is a simple statement of the simple specific techniques of Neuropathy that have a very helpful therapeutic value, and leaves the patient with a pleased expression on his face and a feeling of internal well-being.