The Chiropractor
D. D. Palmer
1914
SPINAL PATHOGENESIS
Pathogenesis, the generation of disease, the act
or process of reproduction, the breeding and production of disease, the
origin and genesis of suffering, the development of morbid conditions,
or of a diseased character.
Medical men look upon disease as an entity, a something
that has an individual living existence, its continuance depending upon
its reproduction, therefore, they fight disease, aim to stamp it out; if
they could destroy, kill, get rid of every pathogenic germ, the last microbe
disease breeder, there would be no such a thing as disease. They
consider a disease germ as a special virus, a kind of spore, which by rapid
increase causes conditions kown as disease, by which disease is communicated.
They hold that certain diseases are dependent upon definite micro-organisms.
A germ disease is one caused by microorganisms. A microbe is a pathogenic
microorganism. They believe that all germ diseases are produced by
microbes, that diseases originate from minute microscopic fungi, bacteria,
which are developed without or within the body, that unhealthy tissue furnishes
food, makes favorable conditions for their rapid multiplication within
the animal economy, thereby cause specific diseases which become communicable.
Mental peculiarities, physical characteristics and
diseases may be congenital. Congenital is inclusive, it takes in
all uterine conditions from conception to birth. Inborn refers to
that which may be engrafted on the mental or body during development.
An infective disease (one which is communicable) may be congenital, not
inborn, as are dispositions and constitutional peculiarities which are
implanted during development. A physical defect, faulty metabolism,
is inborn, a developmental error, acquired during the process of development
of the first four months, did not originate because of intrauterine disease
or injury.
Chiropractors look upon disease, not as an entity,
but a condition in which there is a change in position, structure and functions
of organs, that microscopic fungi, or bacteria, are there because of favorable
conditions, just as rotting cheese and decaying bread favor the growth
of mould. Fungi range in size from the microscopic cells of the yeast
plant to the highly organized body of a mushroom.
Drug pathogenesis is the production of morbid symptoms
by the use of drugs. A drug is any substance used to return abnormal
functionation, or abnormal tissue to normal; any article used as a medicine
or in the composition of medicines for external or internal use for the
cure of disease.
The history of medicine discloses that each method
of treating the sick has been followed by another based on exactly opposite
principles and philosophies which are diametrically opposed to each other.
Allopathy. That system of remedial treatment
which seeks to cure diseases by producing a condition incompatible with
the disease; opposed to homeopathy. “Any poisons must, as Galen held,
by counter-poisons be expelled.”
Homeopathy. That system of medical treatment
which seeks to cure a disease by administering medicine which would produce
this same disease is a healthy condition; opposed to Allopathy. Similia
similibus curanter. Like cures like.
Spinal pathogenesis includes the origin and development
of morbid conditions because of the pathological anatomy of the spine.
In allopathy disease is treated by exciting a morbid
(diseased) process of another kind, in another part of the body, a method
of substitution.
In Homeopathy, the theory of dynamitization, succussion,
trituration, dilution with agitation is said to increase enormously the
potency or power of a drug. For example, one part of a crude drug,
named salt when used on the table as food, but when it becomes a drug it
is sodium chloride. One part of this drug is succussed with nine
parts of the sugar of milk. This is known as the first decimal potency
To make the second, one part of the first potency is added to nine parts
of sugar of milk, and so on. This trituration may be carried on until
there is only one part of salt to a million parts of sugar; this is known
as a high potency.
A vertebral column of bones is referred to as a backbone,
spinal column and spine. It is not a backbone; it is twenty-six backbones.
Taken collectively it is not a spine, although there is a column of spines.
It is also called vertebrarium, composed of vertebrae, yet in the whole
column there is but one vertebra, the atlas is the only segment which turns
(vertere to turn) on a pivot, the ondontoid process. In man the vertebral
column is spoken of and understood as being vertical; is quadrupeds horizontal.
The twenty-six segments are referred to as a column because they are piled
one upon another.
Bony columns are flexuous, having alternate opposite
curvatures. They are flexible, capable of being bent without breaking.
The vertebral column supports the head and chest
and transmits their weight to the pelvis. It is the axial center
of all the movements of the trunk. It lodges and protects the spinal
cord, the myelon, spinal marrow, medulla spinalis.
The vertebral notches form foramina, give passage
to the vertebral nerves, arteries and veins. The vertebraterial foramina
furnish a pathway for the vertebral arteries, veins and the sympathetic
plexus of nerves, which innervate the viscera.
Joints are divided into three classes and subdivided
into fifteen kinds. The articulations between the bodies of vertebrae
form a series of amphiathrodial joints, allowing partial movement in every
direction. Those between the articular processes form a succession
of arthrodial joints, having a sliding movement.
Upon and within the spinal column are numerous venous
plexuses. The veins within the spinal column join those on the outside
through the intervertebral foramina.
Pathogenesis is the morbid process, the mode of origin,
the development of disease. To learn the cause of disease it is better
to examine the living than the dead. To know of and comprehend the
position of subluxated vertebrae, it is preferable to examine vertebral
columns which have vertebrae displaced and ankylosed while the owner was
living instead of having cuts made of vertebrae ingeneously displaced by
hand to suit the fancy.
Pathological means morbid or diseased. A morbid
or diseased change in the tissue, bones softened and friable. Morbidity
of bones, either too hard, eburnated, or too soft, friable in their texture.
Color, reddish-yellow. Excessive heat has changed
the color and consistence of the bones. Bones are formed of white
corpuscles, leucocytes. In fever the per cent of the white and red
corpuscles are modified, the red corpuscles, erythrocytes, are increased
and the white is diminished. Temperature of 98 to 99 degrees creates
the normal relative number of white and red corpuscles.
Exostosis, a morbid deposit of bone upon the surface
of a pre-existing bone. Exostosis, a bony growth on the interior
surface of a bone, in the medullary cavity. Hypertrophy, an excessive
growth of a part from overnourishment. Hypoplasia, a lack of development
of a bone.
A spinal column before me gives unmistakable evidence
of the cause of the morbid condition of those bones. The sixth, seventh
and eighth cervicals are ankylosed, spondylosed, the joints immovably fixed
by fusion and adhesion. The heat was intense (spondylitis, inflammation
of one or more of the vertebrae) that the osseous substance was softened
and oozed out, covering the anterior of the bodies of the three vertebrae,
ankylosis by fusion. The articular processes are also firmly united,
bony union. The displaced sixth cervical is anterior of the normal
position, three-sixteenths of an inch out of alignment, causing cervical
lordosis. Its transverse processes are anterior of the normal position,
thereby stretching the vertebral ganglionic chain which lies in front of
and against their anterior surfaces. The intervertebral foramina
have not been decreased in size. The whole column shows spondylitis
deformans. The luxated vertebra by its pressure against the sympathetic
nerve trunk, reaching from the atlas to the coccyx, caussed increased nerve
tension, liquefaction and fusion, also the same condition in other parts
of the vertebral column.
In another backbone I find the ninth, tenth and eleventh
dorsal vertebrae ankylosed by fusion of oozed osseous matter, a slight
displacement of the ninth dorsal, evidenced by it being slightly tipped
laterally, one intervertebral foramen slightly enlarged and the other slightly
occluded, the spinous process is depressed anteriorly instead of being
elevated posteriorly as usual.
In one other vertebral column a fractured lateral
dislocation of the sixth and seventh cervicals. The intervertebral
foramina are very much enlarged because of the displacement, the spinous
processes widely displaced, no possible chance for the spinal nerves to
be pinched. Nerves are impinged upon or against, instead of being
pinched between.
The osseous substance of the bodies of the ninth
and twelfth dorsal and all the lumbar vertebrae has oozed out and spread
upon the bodies of the vertebrae causing ankyloses by the fusion of liquified
bony tissue. Excessive heat caused the softening, lowered the temperature,
hardened the callus material.
Several vertebrae are ankylosed by exostoses.
Second, third and fourth dorsal vertebrae are ankylosed by fusion of their
bodies, the cartilage destroyed by heat.
Formation of scoliotic curvature between second
and fourth dorsals.
The ossification of spinalis dorsi muscle renders
the contour of the spinous processes as one continuous surface. The
spinous process of the second to the fifth cervical are fractured.
The bodies of the cervical vertebrae have been softened by heat and made
thin by compression.
The cause of all these morbid conditions is found
in the displacement, ankylosis and fracture of the sixth and seventh cervicals;
not in the occlusion of the intervertebral foramina for they are enlarged.
The anterior displacement of the sixth cervical,
caused the vertebral chain to become tense.
The six cervicals pressed together, show a lordosis,
an anterior curvature.
The closure of the vertebraterial foramen, the transverse
foramen of the sixth cervical, the elongated pathway for the vertebral
artery, vein and the sympathetic plexus of nerves, caused by the displacement,
modified nerve tension, vibration and the function of heat.
The spinous processes of second to eightyh dorsals
curved laterally which was normal to that column.
An ankylosis may be pathological or physiological;
fusion may also be pathological or physiological.
The odontoid process was extended to meet the requirement,
that of the atlas being displaced upward.
The continuity of local heat throughout the vertebral column
transmitted by the ganglionic chains, the vertebral chains, the sympathetic
cords, is apparent.