The Buxton Technological Course
in Painless Chiropractic
A. G. A. Buxton, D.C.
TECHNIQUE OF THE BUXTON TECHNOLOGICAL COURSE
ARRANGING THE ADJUSTING TABLE
ILLUSTRATION No. 1
ALMOST any Chiropractic Table can be arranged to
give the technique taught in this course.
The first thing to do is to have two cushions made
containing the best curled hair, with three air holes on each side.
The cushions should be fourteen inches square and six inches in width.
They can be easily made by any good upholstering establishment at very
The next thing to be done is to lower the extreme
ends of the table so as to conform with the natural posture of the body
when lying in bed as the body then assumes a slight natural oval posture.
More than an oval posture thus described is incorrect to use with the technique
Great care therefore, should be taken in arranging
your table as the adjustments taught in The Buxton Technological Course
require a table of the configuration mentioned and shown in illustration
A PAINFUL METHOD OF ADJUSTING
ILLUSTRATION No. 2
ILLUSTRATION No. 2 needs very little comment and
certainly merits no commendation. A glance at the condition of the
spine in such a posture proves the ridiculousness of performing an
adjustment upon a patient lying upon an open table.
Every segment is meshed an locked one into the other.
To give an adjustment in this manner is bound to produce pain and is unscientific
Is it any wonder there have been malpractice suits,
and is not the liability to injury very great? I am glad we are getting
away from this inhuman method of adjusting.
THE OVAL POSTURE METHOD
ILLUSTRATION No. 3
AN adjustment given with the spine bent over as shown
in illustration No. 3 is not so severe as that in illustration No. 2, but
must likewise produce pain. The segmental bodies of the vertebrae
are tightly wedged together and inflammation with hyperemia may result.
The centrum and processes should be free in posture
so as to allow them to move easily upon the facets when an attempt is made
to move a vertebra. A popping sound is not to be considered necessary
to an accurate adjustment.
A SCOLIOTIC SPINE
ILLUSTRATION No. 4
IT SHOULD be remembered that, in giving adjustments
according to The Buxton Technological Course of Instruction, to
adjust on the low side of the transverse process always except when
a spinous processmove of the first dorsal is necessary, as is shown
by illustration No. 12.
Read carefully instructions given in Chapter 8.
I do not recommend giving a thrust on the high side in any event, but that
it be used only in a prying of lifting manner.
SHOWING CONTACT MARKINGS
ILLUSTRATION No. 5
Note well the markings to secure a proper contact.
No. 1 is used in the dorsal, lumbar and sacroilac
No. 2 is used in the dorsal region as both
a prying and thrust contact.
No. 3 is used when the hands are crossed in
giving an adjustment.
No. 4 is used in adjusting tiny infants.
No. 5 is used to adjust the cervicals.
No. 6 is used on the sacrum in making a coccygeal
adjustment with contact No. 1; also in the cervical adjustment with contact
PREPARING TO GIVE AN ADJUSTMENT
ILLUSTRATION No. 6
The student is referred to Chapter VIII, page 35
for explanation of illustration No. 6.
ADJUSTING THE DORSAL VERTBRAE
ILLUSTRATION No. 7
The sternum of the adjuster must be directly over
the median line of the patientís body. The thrust is given downward
and slightly toward the superior.
Use Contact No. 1 in giving the adjustment.
ADJUSTING THE SACRUM
ILLUSTRATION No. 8
The body of the operator must be well forward over
the patient and the thrust given on the low side toward the inferior.
See that the body of the patient is well forward upon the cushions
and adjust on the low side only.
ADUSTING THE ILIUM
ILLUSTRATION No. 9
TO ADJUST the ilium place the prying or pressure
hand upon the high side of the edge of the sacrum. Bring the thrust
hand upon the ilium so as not to interfere with the sacrum and adjust accordingly.
In adjusting the ilium orsacrum give the thrust on
the low side toward the inferior.
ADJUSTING THE COCCYX
ILLUSTRATION No. 10
IN GIVING a coccygeal adjustment stand squarely at
the side of the patient placing the pressure hand upon the body of
the sacrum and the adjusting, or thrust hand, upon the coccyx, and give
the thrust toward the superior.
With the one hand placed upon the body of the sacrum,
and considerable pressure made therewith, you will observe that the legs
of the patient tend to rise upward. Likewise the coccyx in obedience
to the pressure or prying motion is lifted up sufficiently to allow the
thrust hand a secure contact thereon, and when the adjustment is given
toward the superior, the subluxation will be corrected whether it be an
anterior, posterior or lateral position.
One of the unpleasant and difficult adjustments given
by the Chiropractor, heretofore, has been that of adjusting the coccyx,
mostly by inserting the index finger within the rectum, or a thrust upon
the apex of the sacrum. Both methods have been reasonably successful,
the rectal being the prevailing method.
Continued practice of the coccygeal adjustment, as
shown in illustration No. 10 well soon prove, to the skillful operator,
the simple and easier way of obtaining results.
Do not become discouraged should the subluxated coccygeal
abnormality refuse to respond to the first adjustment, but continue the
method as given, and you will find that ere many instances when the first
adjustment is given.
USE CONTACT No. 6 for the pressure hand, and No.
1 for the thrust hand to adjust the coccyx.
ADJUSTING THE FIRST, SECOND AND THIRD DORSALS
ILLUSTRATION No. 11
Showing Contact No. 1 with hands crossed. Adjusting
the first, second and third dorsal vertebrae. The thrust is given
toward the inferior.
CONTACT NUMBERS 1 AND 6 IN ADJUSTING THE FIRST, SECOND AND THIRD DORSAL
ILLUSTRATION No. 12
Showing Contacts Nos. 1 and 6 in adjusting the first,
second and third dorsal vertebrae on the spinus process. The hands
are crossed and the thrust is given toward the inferior.
PREPARING PATIENTíS HEAD FOR THE SUPERIOR CERVICAL ADJUSTMENT
ILLUSTRATION No. 13
STANDING at the side where the adjustment is to be
given, place one hand on the patientís head and bring it forward.
Then lean forward and place the contact hand around on the patientís neck
beyond the spinous processes the patientís neck directly over the Doctorís
wrist, but not resting upon it. Now draw the hand lightly toward
the patientís face until contact No. 5 rests upon the transverse processes,
using pressure upon all cervicals with the greater pressure upon the specific
subluxation. Then raise your body and at the same time the patientís
head far enough to lift the vertebrae off the centrums or bodies of the
segments, and not too far back to cause the processes to tighten or become
You are now ready to give the Superior Cervical
Adjustment as explained by illustration No.
THE SUPERIOR CERVICAL ADJUSTMENT
ILLUSTRATION No. 14
Preparing to make the Contact No. 5 to give
the superior cervical adjustment. Patientís body leaning slightly
forward, also the adjusterís body with relaxation. It is better
to have the patient sitting upon a stool. Keep the median
line of the patientís body straight and use Contact No. 6 to steady
the patientís head. Hold there until contact No. 5 is secured
and then reverse Contact No. 6 to position shown on page 70 in illustration
SHOWING CONTACT NO 5 IN THE SUPERIOR CERVICAL MOVE
ILLUSTRATION No. 15
Contact No. 5 illustrates giving The Superior
Cervical Adjustment, the thumb being placed next to the index finger.
Use pressure at Contact No. 5 and never with the finger tips.
Contact No. 6, as is shown in illustration No.
16, page 70, is used as the anchor hand. Adjust all the
cervicals, putting the greater pressure on the specific subluxated
vertebra. Read again page 37, Chapter IX.
THE SUPERIOR CERVICAL ADJUSTMENT SHOWING CONTACT NUMBER 6
ILLUSTRATION No. 16
NOTE the adjuster stands with the front of the
body directly on a line with the shoulders of the patient.
The position of the adjusterís body has a great deal to do in giving
an easy and accurate adjustment. Observe closely the operation
in illustration No. 15,
the slightly leaning posture of the patient, with the body of the
adjuster perfectly relaxed.
Take up all the slack in the patientís neck
by turning the patientís head toward you until it can turn no farther.
Then, just as you had put a burr on a bolt and wanted to secure it by a
tightening wrench, likewise in adjusting the cervicals by giving the head
one final quick turn in the direction of the contact hand close to the
index finger. If the thumb is forced to a place in front of the patientís
ear, and the operatorís hand is short, the fingers will slip off the transverse
processes and no adjustment, or an imperfect one, will be made. Hence,
forget the thumb, except as explained above, in giving the Superior Cervical
The adjuster must be careful not to pull the patientís head, simply
twist it, and keep the median line straight.
ADJUSTING INFANTS IN THE DORSAL REGION
ILLUSTRATION No. 17
Showing Contact No. 4. The palms of the adjusterís
hands should not rest upon the patientís body, but drop to the side.
Contact No. 4 is used to adjust infants in the dorsal and lumbar region.
ADJUSTING INFANTS IN THE LOWER LUMBAR VERTEBRAE
ILLUSTRATION No. 18
Showing Contacts Nos. 2 and 4, with the palms
of the adjusterís hands free from the patientís body.
Always have the infant lying upon the motherís knees. Use
Contacts Nos. 2 or 4 according to the age and size of the infant.
Adjust on the low side as per instructions given in Chapter
VIII, page 35. Never adjust on the high side.
THE SUPERIOR CERVICAL MOVE IN ADJUSTING INFANTS
ILLUSTRATION No. 19
Showing Contact No. 5 in adjusting the cervicals
of a child, with Contact No. 6 as shown in illustration No.
16, page 700 Remember to put the pressure at No. 5 and
never at the finger tips. Use as many fingers as you can conveniently
get about the infantís neck. Follow instructions given on
page 71 for the Superior Cervical Adjustment.
ADJUSTING BEDRIDDEN PATIENTS
ILLUSTRATION No. 20
WHERE the patient is confined to the bed and cannot
get out upon the table to receive an adjustment, the Chiropractor will
find instructions given in illustrations Nos. 20, 21 and 22 to be of great
and valuable service.
Use contact No. 1 for the adjusting hand and contact
No. 6 for the anchor or securing hand.
For the cervical adjustment use contact Nos. 5 and
6 the same as in the sitting up position.
ADJUSTING BEDRIDDEN PATIENTS UPPER DORSAL REGION
ILLUSTRATION No. 21
Showing Contacts Nos. 1 and 6. Adjusting the upper
dorsal vertebrae of bedridden patients. See instructions on
page 79 and Chapter VII,
ADJUSTING LOWER LUMBARS OF BEDRIDDEN PATIENT
ILLUSTRATION No. 22
Showing contacts Nos. 1 and 6. Adjusting
the lower dorsals and lumbar vertebrae. The case is that of
a patient confined to the bed. See Chapter
VII, page 33, and instructions on page 79.
ADJUSTING BEDRIDDEN PATIENT WITH THE SUPERIOR CERVICAL MOVE
ILLUSTRATION No. 23
Showing contact No. 5 as in illustration No.
15 on page 68.
It matters not if the patient is sitting up or lying
down, the same contacts are taken in giving The Superior Cervical Adjustment.
Observe instructions given on page 71.
THE SITTING POSITION ADJUSTING THE DORSALS
ILLUSTRATION No. 24
Showing Contact No. 1 with patient in sitting
position. Adjusting the upper dorsal vertebrae. Always
give the adjustment on the low side of the transverse processes.
See Chapter VIII, page
ADJUSTING THE DORSAL REGION WITH THE WALL POSITION
ILLUSTRATION No. 25
Showing patient leaning against the wall while the
upper dorsal vertebrae are being adjusted.
Contact Nos. 1 and 3 are used, with hands crossed,
in giving the adjustment. Use a soft pillow or cushion.
THE WALL POSITION IN ADJUSTING THE LUMBARS
ILLUSTRATION NO. 26
Showing use of Contact No. 1 in adjusting the lumbar
vertebrae with patient leaning against the wall.
Use a pillow or soft cushion as shown in illustration.
It is presumed, in this case, that the patient cannot lie down upon an
THE STANDING POSITION IN ADJUSTING UPPER DORSALS
ILLUSTRATION No. 27
Showing the patient standing up to receive an adjustment
of the upper dorsal vertebrae.
Use Contacts Nos. 2 and 6 with the body of the patient
bent slightly forward. Adjust on the low side always.
THE STANDING POSITION WITH HANDS REVERSED ADJUSTING THE DORSALS
ILLUSTRATION No. 28
Note, Contact No. 6 is reversed to the left shoulder
of the patient, as the anchor or hand and Contact No. 2 is reversed to
the right side transverse processes.
Adjusting the upper dorsal vertebrae.