The Practice of Osteopathy

PART I.

INTRODUCTION 17

OSTEOPATHIC ETIOLOGY AND PATHOLOGY 24

Osteopathic lesion; Etiological factors; Osseous lesion; Muscular lesion; Ligamentous lesion; Visceral lesion; Composite lesion; Pathology; Spinal lesions; Proof.

OSTEOPATHIC DIAGNOSIS AND PROGNOSIS 38

The Spine; Examination; Vertebræ; 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, Lumbar, Pelvis, Coccyx, Arms, Legs.

OSTEOPATHIC PROGNOSIS 56

OSTEOPATHIC TECHNIQUE 60

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, VASOMOTOR AND SENSORY NERVES 88

SPINAL CURVATURE 96

POTT’S DISEASE 102

SPRAINS 104

FLAT FOOT 112

FRACTURES 115

POSTURAL DEFECTS 120

Round Shoulders, Painful Shoulders, Pendulous Abdomen, Postural Curvature of the Spinal Column.

PROLAPSED ORGANS 133

Prolapsed and Dilated Stomach, Prolapsed Kidney, Liver Prolapse, Prolapsed Intestines, Prolapsed Uterus, Ovarian Displacements.

SKIN DISEASES 147

Eczema, Herpes Simplex, Herpes Zoster, Urticaria, Acne.

ANIMAL PARASITES 151

Tape Worm, Round Worm, Pin Worm, Hook Worm, Trichiniasis, Filaria.

HEMORRHAGES 160

Epistaxis, Hemoptysis, Hematemesis, Intestinal Hemorrhage, Hematuria, Uterine Hemorrhage.

HICCOUGHS 165

VARICOSE VEINS 166

PHLEBITIS 168

THE RECTUM 169

Local Treatment, Proctitis, Hemorrhoids, Rectal Conditions.

GENITO-URINARY 175

Prostate Gland, Acute Prostatitis, Chronic Prostatitis, Seminal Vesicles, Varicocele, Impotency.

HEAT STROKE 180

DEPARTMENT OF OPHTHALMOLOGY 183

Examination of the Eye, Ciliospinal Center, Somatic Reflexes, Accommodation in the Eye, The Ophthalmoscope, Diseases of the Eye, Neuralgia, Diseases of the Eyelids, Lachrymal Apparatus, Conjunctiva, Ophthalmia Neonatorum, Trachoma, Phlyctenular Conjunctivitis, Vernal Conjunctivitis, Diseases of the Cornea, Examination, Ulcer, Xerosis, Keratitis Neuropatalytica, Pannus, Phlyctenular Keratitis, Interstitial Keratitis, Diseases of the Iris and Ciliary Body, Diseases of the Choroid, Glaucoma, Diseases of the Lens, Cataract, Diseases of the Retina, Optic Neuritis, Optic Atrophy, Asthenopia.

DISEASES OF THE EAR, NOSE AND THROAT 236

Examination, Diseases of the Auditory Meatus, Diseases of the Middle Ear, Acute Mastoiditis, Chronic Mastoiditis, Otitis Media, Catarrhal Deafness, Normal Hearing, Diseases of the Middle Ear, Diseases of the Nose, Rhinitis, Hay Fever, Sinuitis, Epistaxis, Diseases of the Nasopharynx, Adenoids, Diseases of the Oropharynx, Tonsillitis, Tonsillectomy, Quinsy.

MENTAL DISEASES 282

Dementia Praecox, Delirium, Confusion and Stupor, Manic Depressive Psychosis, Involutional Psychosis, Senile Dementia.

DEFECTIVE CHILDREN 303

Tendencies, Amentia, Treatment.

POST-OPERATIVE TREATMENT 312

Vomiting, Backache and Headache, Neuritis, Phlebitis, Nephritis, Pleurisy, Pneumonia.

PART II.. Infectious Diseases

INFECTIOUS DISEASES Fever 325 Typhoid Fever 329 Typhus Fever 344 Malarial Fever 347 Septicemia 355 Pyemia 356 Dengue 356 Cerebrospinal Meningitis 358 Diphtheria 362 Dysentery 368 Acute Ileocolitis 368 Amebic Dysentery 370 Chronic Dysentery 371 Erysipelas 372 Yellow Fever 374 Tetanus 377 Simple Continued Fever 379 Tuberculosis 380 Influenza 399

ACUTE ERUPTIVE FEVERS 412 Smallpox 413 Varioloid 420 Vaccination 424 Scarlet Fever 428 Measles 437 Rubella 444 Varicella 446 Mumps 449 Whooping Cough 452

CONSTITUTIONAL DISEASES Rheumatic Fever 457 Chronic Articular Rheumatism 460 Arthritis Deformans 462 Muscular Rheumatism 465 Gout 467 Diabetes Mellitus 470 Diabetes Insipidus 476 Rickets 478 Obesity 480 Scurvy 481 Infantile Scurvy 482 Purpura 483 Hemophilia 484

DISEASES OF THE DIGESTIVE SYSTEM Stomatitis 487 Catarrhal Stomatitis 487 Aphthous Stomatitis 488 Ulcerative Stomatitis 488 Parasitic Stomatitis 489

Diseases of the Gastro-intestinal Tract Applied Anatomy 490 Acute Gastritis 502 Chronic Gastritis 505 Gastric Neuroses 510 Gastric and Duodenal Ulcer 513 Dilatation of the Stomach 517 Gastroptosis and Enteroptosis 521

Diseases of the Intestines Acute Diarrhea 523 Chronic Diarrhea and Mucous Colitis 526 Diarrhea in Children 529 Acute Dyspeptic Diarrhea 529 Cholera Infantum 531 Acute Enterocolitis 532 Cholera Morbus 533 Intestinal Colic 535 Constipation 537 Intestinal Obstruction 541 Hernia 547 Appendicitis 547

Diseases of the Liver and Bile Duct Hyperemia of the Liver 554 Simple Catarrhal Jaundice 555 Cholecystitis 557 Jaundice 558 Cirrhosis of the Liver 560 Fatty Liver 562 Amyloid Liver 562 Gall-stones 563

Diseases of the Spleen Splenitis 567

DISEASES OF THE RESPIRATORY TRACT Acute Laryngitis 569 Chronic Catarrhal Laryngitis 570 Laryngismus Stridulus 572 Spasmodic Laryngitis 573 Tuberculous Laryngitis 575 Syphilitic Laryngitis 577 Edematous Laryngitis 577

Diseases of the Bronchi Acute Bronchitis 579 Chronic Bronchitis 582 Fibrinous Bronchitis 585 Bronchiectasis 587 Bronchial Asthma 589

Diseases of the Lungs Emphysema 592 Acute Lobar Pneumonia 597 Bronchopneumonia 605 Chronic Interstitial Pneumonia 609 Congestion of the Lungs 610 Edema of the Lungs 611

Diseases of the Pleura Pleurisy 611 Acute Pleurisy 612 Serofibrinous Pleurisy 612 Chronic Pleurisy 615

DISEASES OF THE URINARY SYSTEM Diseases of the Kidneys Renal Hyperemia 617 Acute Parenchymatous Nephritis 618 Chronic Parenchymatous Nephritis 621 Interstitial Nephritis 624 Amyloid Kidney 626 Pyelitis 627 Uremia 628 Renal Calculus 631

Diseases of the Bladder Cystitis 635

DISEASES OF THE CIRCULATORY SYSTEM

Diseases of the Pericardium Pericarditis 638 Endocarditis 641 Chronic Endocarditis 645 Hypertrophy of the Heart 655 Dilatation of the Heart 657 Myocarditis 659 Degeneration of the Heart Muscle 661 Neuroses of the Heart 662 Angina Pectoris 666

Diseases of the Arteries Arteriosclerosis 669

DISEASES OF THE BLOOD General Consideration 671 The Anemias 672 Costogenic Anemia 674 Chlorosis 676 Pernicious Anemia 678 The Leucemias 680 Splenomedullary Leucemia 681 Lymphatic Leucemia 682 Hodgkin’s Disease 684

DISEASES OF THE THYROID GLAND Congestion 686 Inflammation of the Thyroid 686 Simple Goiter 687 Exophthalmic Goiter 690 Myxedema 697 Cretinism 698

DISEASES OF THE PARATHYROID GLAND Tetany 699 Diseases of the Thymus 702 Diseases of the Adrenal Glands 703 Addison’s Disease 704

DISEASES OF THE NERVOUS SYSTEM

Diseases of the Nerves Neuritis 706 Neuralgia 710

Diseases of the Cranial Nerves Olfactory 715 Optic 715 Motor Oculi 716 Patheticus 716 Trigeminus 717 Facial 717 Auditory 718 Glosso-Pharyngeal 718 Pneumogastric 718 Spinal Accessory 719 Hypoglossal 719

Diseases of the Spinal Nerves Cervical Nerves 719 Phrenic Nerve 720 Brachial Plexus 721 Dorsal Nerves 721 Lumbar Nerves 722 Sacral Nerves 722

GENERAL AND FUNCTIONAL DISEASES Paralysis Agitans 723 Acute Chorea 725 Choreiform Affections 727 Infantile Convulsions 728 Epilepsy 729 Migraine 736 Occupation Neurosis 738 Hysteria 740 Neurasthenia 744

DISEASES OF THE SPINAL CORD Acute Myelitis 748 Poliomyelitis 750 Acute Ascending Paralysis 753 Locomotor Ataxia 754 Friedreich’s Ataxia 759 Spastic Paraplegia 760 Ataxic Paraplegia 761 Syringomyelia 761 Amyotrophic Lateral Sclerosis 763 Progressive Muscular Atrophy 764 Bulbar Paralysis 765

ORTHOPEDIC SURGERY Scoliosis 767 Functional Curvature 773 Organic Curvature 774 Congenital Dislocation of the Hip 778 Talipes 784 Pott’s Disease 788 Hip-Joint Disease 791 Tuberculosis of the Knee Joint 793 The Plaster Cast Bandage 795 Index 799

PART FIRST

INTRODUCTION

What Hippocrates was to the Allopath, what Hahnemann was to the Homeopath, Andrew Taylor Still is to the Osteopath, and it is safe to say that when another century shall have rolled away, his fame will be equal to that of either. That he is a maker of history, even the most skeptical will admit. His teachings are revolutionary but are borne out in fact, and on that as a foundation, is built the superstructure of the young therapeutic giant—Osteopathy.

It would be of great interest to trace the history of the first inception of the thought that drugs were not only unnecessary but harmful, then view the struggle to grasp something tangible to take their place, then see the development of the idea that the human body has within it all that is needed for its upbuilding and repair until he came to this fundamental: “The power of the artery must be absolute, universal and unobstructed or disease will result. The moment of its disturbance means the period when disease begins to sow the seeds of destruction in the human body; and in no case can it be done without a broken or suspended current of arterial blood,” capped by the epoch-making discovery of the cause for this interrupted flow of the blood stream—the theory of obstruction by anatomical displacement. It is the only theory of the etiology of disease that will stand the test of science and its acceptance and practice means a revolution in the field of therapeutics.

As it is, he sets the exact date, June 22, 1874, when the light dawned and he saw the outline of his great philosophy—Osteopathy. Then came the years of adversity and struggle. With the eye of a prophet he saw the future of that philosophy, and with the firmness of a Spartan has defended it since birth. It must be a separate, distinct system. Outside the fact that it was to heal the sick and was founded on a knowledge of anatomy and physiology it had nothing in common with existing schools, and if it were ever to grow it must be alone, for his brother practitioners would have none of it and if left to their tender mercies it would have “died a-borning.” Even had it been taken up the result would have been the same for they would never have fully developed it. And so through the lean, terrible years he struggled, buoyed by the faith of a discoverer, urged on by love of this child of his brain, fanatical in his determination to win. And win he did for it was vouchsafed to him in his vigorous old age to sit on his hearthstone and see the results of his work, his struggle and his faith. It is something to know that his fame has circled the earth, to be honored and sung by millions; a boon not accorded many a sage or philosopher. Not only has the public accepted it but the medical profession is making tardy but forced recognition of certain cardinal principles of osteopathy by using them, but, of course, without credit.

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