A Manual of Osteopathy
Eduard W. Goetz, D.O.
THE following rules must be strictly adhered to
in the application of any of the treatments described on the following
pages. While most of them are harmless in the general sense, yet
there are times when certain ones should not be given, lest bad results
follow; and before treating any one it would be wise to post yourself on
GOLDEN RULE - Take no drugs or stimulants in any
form while taking these treatments.
RULE 1. - Never use the tips of the fingers in treating,
as this would be painful; but use the cushions of the fingers; hand flat
with the fingers slightly bent.
RULE 2. - Never treat hard enough to cause the patient
severe pain; while there is always more or less sensitiveness where any
abnormality exists, the operator must regulate the force of the treatment
according to his subject, as it is self-evident that a child could not
stand as much pressure as a grown person. By beginning the treatment
lightly you can increase the force as you proceed.
RULE 3. - Sensitive spots along the spine or any
part of the body indicate the seat of some trouble in more remote parts
and should have special attention and treatment. (See part X, page 165,
for special nerve centers.) To illustrate: if there happened to be a sensitive
spot anywhere in the splanchnic region, you would at once diagnose some
disorder of the stomach or liver, etc.
RULE 4. - Never treat a pregnant woman below the
twelfth dorsal vertebra behind, nor below the last rib in front, and do
not raise the arms above the head.
RULE 5. - Do not treat a woman during her menstrual
period below the twelfth dorsal vertebra. Should the period be delayed
beyond the regular time, apply treatment under head of "Irregular Menstruation."
RULE 6. - Do not treat chronic conditions over three
times a week; in many cases twice a week is sufficient. Acute diseases,
such as a cold or a fever, may be treated every day or even twice a day,
until relief comes, after which treat three times a week until cured.
RULE 7. - The idea of manipulation of the muscles
is to soften them, to restore the circulation and to relieve the pressure
on nerves impinged upon by the contracture or hardening of the muscles,
hence sufficient time must be given to accomplish this.
RULE 8. - Most of the diseases of the body are reached
through the treatment of the spinal column, do to the fact that the nerves
that control the motion, sensation, function, and nutrition of the different
parts of the body, spring from the spinal cord contained in the spinal
column. It is for this reason that most treatments should be directed
to this region.
RULE 9. - The male patient need only remove the coat,
vest, and outer shirt, preparatory for treatment, it not being necessary
to treat next to the skin as in massage.
RULE 10. - The female patient should remove the corset
and loosen waist bands; or, better still, remove outer waist and skirt
and put on a dressing sack or wrapper.
RULE 11. - It is always best for the patient to rest
about an hour after each treatment, as it will materially assist its good
RULE 12. - No full treatment should be given longer
than 20 minutes, and all stimulating movements must be repeated two or
RULE 13. - Any inflammation, no matter in what part
of the body, is due to an imperfect circulation; it is the idea of these
treatments to remove the obstruction and create a free passage of blood
to and front the affected part, hence a thorough manipulation is necessary.
RULE 14. - To apply more successfully the treatments
by this system, it is advisable to have an operating table which should
be six feet long, two feet wide, and two and a half feet high and covered
with leather, oil cloth, or any other material, and padded with cotton,
hair, or moss.
RULE 15. - Provide yourself with a reliable fever
thermometer that you may take the patient's temperature in all cases where
necessary. This is usually done by placing under the tongue of an
adult or in arm pit or in the rectum of a child.
DEFINITION OF TERMS USED IN THE TEXT
Stimulate - To manipulate the parts thoroughly.
Inhibit - To desensitize or hold the part for from one to three minutes.