GENERAL ENDO-NASAL, AURAL AND
The General Endo-nasal, Aural and Allied
Techniques are a continuity of movements encompassing the whole body by
areas, while the specific techniques take recognition of that portion of
the body particularly afflicted. In the majority of cases, it is recommended
that all the General Techniques be performed before the specific. However,
the physician will have to be the judge of what is best to do under certain
unusual circumstances. In cases of severe earache, mastoiditis, or highly
inflamed and swollen tonsils, we do not recommend the general techniques
until the acute symptoms have subsided. We proceed now to outline the anatomical
areas of the general techniques, and to give a brief outline of the areal
contents. The functional relationship of these areas to the intake and
utilization of oxygen is explained with each step of the techniques. The
arrangement of these areas is deliberate and largely at variance with the
arrangement found in average textbooks.
Areas of General Techniques.
The lymphatic area consists of all the
lymphatic vessels and nodes that can be directly or indirectly influenced
The neck area consists of occipital,
cervical, lambdoidal and mastoidal sutures, the muscles of the neck, the
carotid sinus contents, the meniscuses and the carotid glands, and the
sponges between the vertebral bodies of the whole spine.
The nasal area, which we also call the
trigger area, extends from the anterior nares up to the infundibulum, and
includes the mucous membrane, septum, turbinates and all the air passages
within the nares, also all the sinuses, and the ten sutures surrounding
the frontal nasal area.
The pharyngeal area is sometimes called
the trapdoor area. Included in this area are the soft palate, the contents
of the Fossa of Rosenmuller, the pharyngeal walls, the tonsils, the trachea,
the pharynx and larynx. Embedded in the branchial walls of the muscles
of the neck are the thyroid, parathyroid and thymus tissues, also the remnants,
if any, of the thyroglossal duct.
The mediastinal area contains the vital
organs of respiration and is also the pathway through which important structures
The endo-navel area consists of that
portion bounded by the diaphragm, and the diaphragm itself in relation
to its functions on the organs above and beneath it.
We put the lymphatic area first, for
the importance of having the general lymphatic, circulation in good condition
cannot be overestimated, because of the many functions performed by the
The Lymphatic system consists of lymphatic
vessels, lymphatic glands and lymphs. The lymphatics drain the lymphatic
glands and extend to every portion of the body. Those in the abdomen and
lower extremities unite to form the receptaculum chyli, which is
situated on the second lumbar vertebra. This lymph space is drained by
the thoracic duct, a vessel about eighteen inches in length, which
duct originates at that point.
The Right Lymphatic Duct is a short
vessel, from 1/2 to 3/4 inch long, which, after receiving
the lymphatics from the right side of the head and neck, the right upper
extremity, and the right half of the thorax, ends at the confluence of
the right internal jugular and subclavian veins.
Lymph originates in the lymph spaces
that surround the blood vessels and unite to form the lymphatic vessels.
It is derived from the blood, which contributes a modified plasma that
has osmosed through the walls of the capillaries, and from the lymph glands,
which contribute lymphocytes.
We will state here only a few of the
functions of the lymphatic system.
1. It conveys fluid, and the products
2. It removes effete matter from the
3. It relieves the blood vascular system
of an excess of fluid.
4. It acts as a powerful solvent to
medication and hard foreign substances.
5. It is a reserve for the blood to
draw on after hemorrhage or during starvation.
6. It is a lubricant in synovial and
7. It takes part in the healing of wounds
(glazing of the wound surface).
8. It affects special functions connected
with the special senses (cerebrospinal fluid, lacrimal secretion, aqueous
9. It acts as a reservoir of oxygen
to the perivascular and extra vascular spaces.
10. It acts as a detoxitizer of toxins
The lymph stream, therefore, is important
to the Endo-nasalist, if for only four of its functions, namely, distributing
of oxygen, carrying of waste matter, destroying toxins to some extent,
and generally protecting the internal circulations. It is always well to
remember that after treatment is given to the tonsils and the Fossa of
Rosenmuller, there is considerable mucus seepage; some of this can be expectorated,
but much of it goes down into the body. It is the action of the body lymphatics
which disposes of this waste matter, thus preventing congestion.
The first technique is to move any lymphatic congestion
found by whatever methods known to the physician. For the method the writer
uses, see Lymphatic Drainage Techniques in my book, "Treatment by Neuropathy
and the Encyclopedia of Physical and Manipulative Therapeutics." Pages
152 to 165.
The Lake Head Recoil Adjustment
for the Basilar Sutures, Neck and Spine.
We call this the Lake Head Recoil Technique
for want of another name. It accomplishes a great deal on many parts at
one time. Let us see if we can explain the physiological purposes of this
The sutures of the skull have expansile
and contractional properties the same as any other tissues of the body.
The skull and the contents of the skull are of the same material as all
other parts of the body arranged differently in degree, and as to functions,
but subject to the same nerve currents, pulsations, oscillations and vibrations.
There is this distinction, however, that the brain can start nerve currents,
pulsations, or oscillations without any external stimulus. These pulsations
oscillate out through the nerves to all parts of the body by vibrations
and the nerves of the body send impulses in the form of vibrations to the
nerve centers of the brain. As these are pressure currents contents of
the skull must have room for expansion according to the pressure. The sutures
of the skull are for that purpose.
Underneath the part covered by the occipital
lambdoidal, temporoparietal and mastoidal sutures are the respiratory center,
the mastoidal air cells, and the pathway of sensory nerve impulses from
the carotid gland to the floor of the fourth ventricle in the medulla.
Here also are found other nerves, air and vibration pathways. It is reasonable
to expect quicker results if these sutures are opened and f reed of constant
adherence, allowing the tissues underneath to expand and oscillate more
Another result of the Lake Head Recoil
Technique is the breaking up of a carotid sinus block or syndrome.
The carotid sinus is a dilation at the
proximal end of the internal carotid artery and is situated at the angle
of the jaw. It is supplied with sensory receptor nerves which are particularly
rich in adventitia. This network of nerves leaves the carotid sinus and
ends in a meniscus, forming what is known as the sinus nerve of Hering
or the intracarotid nerve of De Castro. It is associated with the
glossopharyngeal and the hypoglossal.
These intracarotid nerves, and the aortic
depressor nerves are very important in the reflex regulation of the blood
pressure. The carotid sinus nerves also influence the vagal system, the
cardio inhibitory portions of it, and the adrenal glands. Normally, the
carotid sinus prevents an exceptional elevation of the blood pressure under
Interference with the free flow of blood,
lymph, and nerve currents here, is a serious matter. These interferences
may come from diseases, from drugs and from the processes of gravity especially
in old age. The meniscus may fall, creating a block from emotional states,
or from subluxations of the cervical vertebrae, occipital and lambdoidal
suture closure, unusual deposits of calcareous matter in the neck and shoulder
regions, all creating a stiffness and tenseness of the muscles of those
regions. Any or all of these may cause an irritation of the bundle of nerves
in the carotid sinus, creating a squeeze which causes a fall of arterial
blood pressure, which in turn results in a change of normal cerebral blood
supply to the ischemic state with a consequent anogemia of the whole cranium.
Out of this fall of blood pressure and
consequent anoxemia in the cranium may come such diseases as catalepsy,
epilepsy, vertigo, heart irritations, palpitations, asthma, headaches,
migraine, deafness and tinnitus. The next effect of the Lake Head Recoil
Technique is the liberating of the carotid bodies. These are wheat-sized
glands located slightly inward from the carotid sinus and according to
Heyman of the Belgian School have important functions to perform, one of
which is that when there is a lack of oxygen, the rise of carbonic gas
creates a stimulation on the sensory nerve end fibers of these bodies which
in turn sends impulses to the respiratory center in the floor of the fourth
ventricle of the medulla. This in turn is stimulated as a result of these
impulses, and thus is maintained the balance of intake of oxygen and the
outgo of CO2. (See Fig. 4.)
The next effect of the Lake Recoil is
the raising and leveling of the vertebrae superiorly and relieving the
gravity of weight upon the spongy disks or snubbers between the vertebral
bodies. The articular facets act as stabilizers of the whole spine. If
the weight of the body is not carried evenly on the intervertebral disks,
posterior and anterior, one portion of it will be crowded together. When
this happens, the size of the intervertebral foramina is diminished more
or less causing many disturbances such as subluxation of a part, interference
with the vasomotor and constrictor dilator nerves with circulatory systems
of the body resulting in some degree of anoxia and anoxemia. It also raises
the diaphragm to some extent.
Instructions for Performing
the Lake Head Recoil Adjustment.
Sit patient on a low stool. Stand on
left of patient, put patient's arm back of him. The left hand of the doctor
is then placed on the forehead of the patient with the heel of the hand
on the frontal ridge of the nose, while the fingers rest lightly on forehead.
No pressure should be exerted. The right arm encircles head all around,
bringing the fingers to rest lightly on the wrist of the left hand. Now
the adjustment emphasis is made just over the occipital, lambdoidal and
mastoidal sutures, and in order for the fatty part of the forearm to fit
snuggly on the skull, turn the head to the right three times very slowly,
then bring head to dead center. To make sure it is in dead center, bend
the head forward a little, then bring it back. Now put your feet in position
for a proper body balance, so you will not slip. Next bring your chest
over against the patient's head toward you. Now stretch the head of the
patient upward slightly until all slack is taken out, then give a quick
upward jerk, slightly raising the patient a little off the stool. Repeat
on right side, reversing arms and contacts. (See Figs. 1, 2, 3.)
Do not hurry, make positive contacts
first. Do not let encircling arm slip.
Do not press hard on forehead.
Watch that ear is not squeezed by encircling
We all recognize that more blood must be poured
into the affected regions. Massage of the neck muscles, with fingers digging
deep into the muscles to squeeze the blood again into proper circulation,
can follow the head adjustment. Heat applied in any form is helpful for
The External Carotid Sinus Adjustment.
This sinus is subject to the same types
of collapse and block that affect the internal carotid sinus ; and it also
In this sinus is found the external
carotid artery, the external jugular vein, the lymphatics and the nerves
that follow the external carotid artery. Just a little below the angle
of the jaw, they all bifurcate into many branches, forming a meniscus,
by which we mean a concavoconvex blending of the various arterial, lymphatic
and nervous systems. Gravity and shock will completely or partially close
the pathway to the blood and nerve supply of the external portions of the
head and face. We can easily judge the far-reaching effects of a block
here by indicating the nine branches - the superior thyroid, the lingual,
the facial maxillary, the ascending pharyngeal, the sternocleidomastoid,
the occipital, the posterior auricular, the superficial, temporal and internal
maxillary arteries. With these arteries must be included all the nerves,
veins, and lymphatics that accompany them. It is the arterial supply with
which we are concerned here. Anoxia and anoxemia created by the block will
present syndromes of twitching and shaking, pain and pallor in any part
of the external facial and cranial tissues.
Instructions: - Put the thumb and middle
finger on the tip of the chin, slide them all the way back to the angle
of the jaw. Drop fingers down one-half inch, push them easily into the
neckwalls, and feel the tissues underneath your fingers. Hold steady for
an instant, then thrust the fingers quickly inward and upward with about
a three-pound pressure, then withdraw the fingers quickly. Note: Pressure
can be measured on any ordinary scale. (See Figs. 4, 5, 6.)
Opening the Pharyngeal Cavity.
In the general technique here, we will
not outline the treatments for any particular tissues of this area. Tonsils,
epiglottis, sinuses, and eustachian tube deformities or dysfunctions are
treated under specific techniques. In this general technique, we must first
learn to enter the pharyngeal cavity and the cavity of Rosenmuller before
applying specific techniques, and we must attempt to do so without giving
unnecessary distress or pain. A brief outline of the pharyngeal area will
not be amiss here.
The pharynx is the upper portion of
the digestive tube. It communicates with the mouth, larynx, nasal cavities,
eustachian tubes, and esophagus. It extends from the base of the skull
to the sixth cervical vertebra. It is divided into the nasal, oral, and
laryngeal pharynx. The pharynx is a musculomembranous sac about four inches
in length, broader transversely than anteroposteriorly. In the nasal pharynx
are situated the pharyngeal tonsils and the orifices of the eustachian
tubes; the space posteriorly to the tubes in the lateral wall is called
the lateral recess or fossa of Rosenmuller. The oropharynx is the portion
between the soft palate and the superior border of the larynx; it contains
the faucial tonsil. The laryngeal pharynx is that portion situated behind
the larynx; it contains the sinus pyriformis. The blood supply is derived
from the internal maxillary and facial arteries. Nerve supply is derived
from the ninth and tenth nerves and the sympathetic system. (See Fig. 32.)
Instructions: - Sit patient on
stool and stand on right side of patient. Encircle the head of the patient
with left arm, allowing tip of middle finger to rest lightly on the superior
crest of the fronto nasal suture. Lock patient's head between left arm
and thorax. Cover the finger of right hand with which you can reach the
farthest and use most dexterously, with a finger cot, moistened with water,
or some volatile soothing substance. Now hook this finger slightly and
slide it along the side of the mouth until you touch the uvula. Tell the
patient to cough, and to keep on coughing easily. While the coughing is
going on, slide the finger, without any force, into the pharyngeal cavity
a little past the first joint. Beginners should stop there without any
further moves, until they have learned by practice the strategy of approach
to that point without any difficulty. Some pharyngeal cavities and soft
palate are so constricted that at first it seems to be impossible to open
them. In all our years of practice we have found only one patient whose
pharyngeal cavity we could not open. This patient, in childhood, had an
operation which required suturing the soft palate in place. We succeeded
in making an opening large enough to give some relief from the symptoms
of puffiness and dyspnea of which the patient had complained. The first
step then is to learn the strategy of approach. After this is done, the
next step is to turn the finger from side to side very easily, noting the
feel of semi-solid-like jelly substance, which is mucus. Note the septum.
Is it regular in contour or bent? Feel for anything like strings of tissue
or lumps that may be adhesions or adenoids. Do not attempt to operate yet.
Wait until you have this technique as near perfection as possible.
The next step is to learn how to control
your dilators and constrictors. If you find the cavity too moist with discharge
from the membranous cells, you will press against the posterior wall where
the vaso constrictors are located. If very dry, as in hay fever, sinusitis,
asthma and some forms of headache, you will pull outward on the anterior
wall where the vasodilators are located. It is of especial interest to
the doctor to know that while he is giving this technique, though not specifically
treating any portion, the patient will breathe and feel better, even from
Some Ideas to Bear in Mind:
Do not struggle with the patient. If
entrance cannot be made after the second attempt, then the matter should
be given up for that day. Before the attempt is made, the philosophy should
be briefly explained to the patient. Never forget you are after a healing
crisis. Patients will complain that after the pharyngeal cavity has been
cleaned out they have more "dropping in the throat than before." That proves
your method is a success. You have established drainage; but to have a
healing crisis, the treatments must continue for at least once a week until
the drainage is no longer noticeable. If the soft palate adheres to the
boundary ring of the posterior nares, have the patient hold some hot water
in the mouth for a minute. If it still resists opening, turn a tonsil suction
tube upside down and press the bulb five times. (See Figs. 7 and 8.)
Fixation Adjustment for the
External and Middle Ear.
The word fixation means the putting
of the bones and tissues in place, so that they can oscillate and carry
sound vibrations. In addition to putting the bones and tissues in place,
the technique creates a hyperemia, flooding the whole ear apparatus with
the lubricants and nourishment they need. There are a number of theories
relative to the transport of sound waves, but we have always accepted the
vibrational resonant theory. This theory is built on the findings of anatomists
that the basilar membranes of the ear are composed of transverse fibers
that grow in thickness and length the deeper the ear is penetrated by sound,
and each has an individual frequency of its own. As the sound approaches
the delicate analytical center in the brain, the fibers break down the
tensity of sound. The other mechanisms are for the transport of sound waves.
A brief outline of the conveyance of
sound vibrations, would be as follows : When the sound vibrations have
reached the internal meatus of the ear, they are reflected so as to strike
the cone or center of the membrana tympani or drumhead which divides the
meatus from the middle ear. Vibrations set up in the drumhead create oscillations
in the malleus which is attached to the drumhead at the manubrium or handle.
The oscillations of the malleus are then reflected on the incus and in
turn on the stapes. All of these can be said to be attached to each other
by little tissue levers. The stapes, being in close relation to the oval
window as it oscillates, strike the egg-shaped opening to the vestibule
of the membranous labyrinth of the cochlea and stirs up the liquid named
perilymph in the first two chambers of the cochlea known as the scala vestibule
and the scala tympani. As this perilymph moves forward, it carries the
sound impulses into contact with the third chamber known as the scala media
where vibrations are set up in the endolymph. Then the vibrations in the
endolymph are transmitted to the organs of Corti, which are the terminal
acoustic apparatus in the cochlea. At the terminal of these organs of Corti
begin the tendrons leading to the formation of the cochlear branch of the
auditory nerve over which the vibrations are carried to the oliva of the
medulla oblongata, then on to and through the lateral fillet to the posterior
quadrigeminal bodies, to the auditory center in the superior temporal convolution.
The time of the reception of sound vibrations,
its transport, analysis or interpretation and reaction differs in persons
according to temperature, position and anatomical relationship of the structures
over which the vibrations must pass, and also the pitch of the vibrations
themselves. It is understood that the volume of vibrations capable of stimulating
the human ear and producing reactions are from 16,000 to 20,000 vibrations
per second, that below or above those figures man cannot perceive sounds,
but that certain animals can. This may be due to the animal's having so
many hair cells on its body which are sound conducting. The only possible
standard that can be set for what can be termed normal reception and reaction
to sound vibrations, is that of ordinary conversation, and the judge of
this is the individual patient. Tests can be made by instruments but it
is the patient who must report the reactions.
Deafness or slight deafness, impaired
acuteness of hearing, are classified as (1) transmission or conductive
deafness, due to interference with the conducting apparatus on
its way to the inner ear, (2) perceptive deafness where the organs of Corti
or the auditory nerve is affected
and central deafness where there are perversions of the central nervous
system in the brain. We are here concerned largely with the first, the
apparatus. Should the air pressure on both sides of the tympanic membrane
become unequal and remain that way for any length of time, the tympanum
will either bulge inward or outward too far. A fixation of all the apparatus
may occur. There may be some symptoms of tinnitus, but the main symptom
is a fullness and dullness in all the area of the ear, with a lack of alertness
in reception and consequently of reaction. The appearance of a certain
degree of stupidity is noticeable, and the patient complains of being tired.
The lack of oscillations in the apparatus for a long length of time can
lead to a drying up process, then to ankylosis of the bones and tissues
of the whole apparatus.
Instructions: - First, put the
forefinger up to the second joint straight under the lobule of the pinna.
Second, put the thumb on the antitragus. Do not use much pressure with
the fingers, enough to make sure that the fingers will not slip. After
contact has been made, hesitate for a few seconds, then give three three-pound
jerks, downward, outward and upward, at about a fifty degree angle. Then
quickly lay the knuckle of the fingers back of the ear with some pressure
to aid in reducing the force of the vibrations set in motion. (See Fig.
18b for angles; also Fig. 9.)
Should the pinna of the ear be moist,
it is best to wipe it off with fine tissue paper to avoid slipping,
Nasal Dilation and Drainage
No matter what the conditions may be,
this technique will open the air passages and make the breathing easier.
Diseases of the Nose.
Effect of Diseases of the Nasal Passages on Other Parts of the
Because of the continuity of structure,
nasal disease may extend to the pharynx or affect the other respiratory
organs by abeyance of the functions of warming, moistening, and filtering
the inspired air, so that it enters the pharynx cold, dry and dust-laden.
Chronic pharyngitis and laryngitis frequently result from this cause. Nasal
disease often induces certain reflex phenomena, viz., nasal cough, nasal
asthma, nasal vertigo, nasal epilepsy, nasal chorea, hay-fever, paresis
of the palate and larynx, neuralgia and headache, affections of the eye,
suppuration of the orbit and meningitis by infection from suppurating accessory
The reflexes which originate in nasal
or nasopharyngeal irritation and terminate in cough, laryngeal spasm,
or asthma, follow much the same pathway as the reflex known as sneezing.
The nasal branches of the ophthalmic division of the fifth nerve and the
nasal branches of the anterior palatine descending from Meckel's ganglion,
which is in connection with the superior maxillary division of the fifth
nerve, conduct the sensory impressions to the medulla. It is there reflected
to the respiratory, pneumogastric and other centers; so what is termed
a sneeze is the forced expiration, and the coincident spasm of the pharyngeal
and laryngeal muscles.
The arteries of the nasal fossae are
the anterior and posterior ethmoidal from the ophthalmic, the sphenopalatine
branch of the internal maxillary, and the alveolar branch of the internal
maxillary to the antrum.
The nerves of the nasal fossae are the
nasal branch of the ophthalmic to the septum and outer wall, anterior branch
of the superior maxillary to the inferior turbinated body, and the floor
of the nose. The sphenopalatine ganglion gives off the Vidian nerve to
the septum and superior turbinated body and the superior nasal branch to
the same regions, the nasopalatine to the middle of the septum, and the
anterior palatine to the middle and lower turbinates.
The olfactory or first cranial nerves
from the olfactory bulb enter the nose through twelve or more openings
in each side of the cribriform plate. They are distributed to the specialized
nerve-endings in the mucous membrane of the superior turbinate nerve endings
and a corresponding small region of the septum.
The lymphatics of the nose are numerous.
The more anterior terminate in the submaxillary glands, the posterior communicate
with the pharyngeal glands. Hence the not uncommon slight inflammation
of the tonsils and cervical lymphatics after nasal operations.
Physiology and Pathology of
During respiration through a normal
nose, the bulk of the air passes along the septum above the inferior, turbinated
body, describing a semi-circle over and around each turbinate, smaller
currents extend upward nearly to the roof of the nose, and then it spreads
out like a fan in its passage through the nose. It is understood that the
respiratory path changes with the shape of the nasal chambers. Abnormal
dryness of the nasal mucous membrane, or nasal obstructions of any kind
interfere with the free access of air.
The nose also serves as a resonant cavity
during vocalizations, so that obstruction of the nasal chambers produces
a peculiar nasal intonation during speech. Perhaps the most important function
of the nose is to warm, moisten, and free from the dust inspired air. In
health, exhaled air has a temperature of 98.5 degrees F., and it has been
proved experimentally that most of the heat supplied to inhaled air comes
from the nose, the turbinated bodies being well adapted not only to warm
the inspired air, but to moisten it and free it from particles of dust
which adhere to its moist, sticky surface.
The normal secretion of the nasal mucous
membrane, is over 16 ounces of clear water mucus in twenty-four hours,
a part of which in health passes unnoticed through the nasopharynx down
into the esophagus and stomach. But obstructions cause this mucus to congest
and become infected and inflamed, creating anoxia and anoxemia.
There are seven moves to the sixth technique.
The fact that they dilate and create a hyperemia in the nasal passages
can be ascertained by the much easier breathing of the patient. It is also
evidenced by the insertion of a nasal dilator before and after the treatment.
Instructions: - Move 1. Have
patient sit on stool. Stand on right side of patient. Place your left hand
just above the fronto-zygomatic suture, the heel of your right thumb at
the pisiform process, just below the fronto suture. Hesitate for a moment,
then give a thrust downward. Beginners should start giving easy thrusts
at first. Move 2. Stay on right side. Put left hand over the fronto-nasal
suture. Place dorsal portion of thumb and hand on bony bridge of nose.
Hesitate. Give thrust downward. Move 3. Go to left of patient and
repeat technique on the right fronto-zygomatic suture, reversing hands.
Move 4. Stay on left side and feel for the naso-maxillary suture
on the right side. Having found it, place the two middle fingers of both
hands on opposite sides of suture. Press deeply without hurting. With back
of fingers of each hand touching the other, cup the hands around the face.
Using the face as a brace, hesitate for a moment, then give a quick jerk
in opposite direction with the fingers only. Move 5. Go to the right
side of the patient to adjust the left nasomaxillary suture and repeat
as directed above. Move 6. Stay on right side of patient. Encircle
head with right arm. Put pisiform portion or heel of thumb of left hand
on the malar bone prominence. Press in deeply, hesitate, turn the hand
downward slowly while pressing, then give a quick downward thrust. Move
7. Go to left side of patient, reversing hands to adjust right malar
bone and repeat as directed in Move 6.
The Second Method. Go through
all seven of the above moves. Stand on left side of patient with little
finger of left hand in right nostril, right hand on malar prominence. With
quick jerks on the malar bone by the right hand to open sutures, let the
little finger slip up into the nostril. Do not push hard on the little
finger or you will cause pain and bleeding which are not necessary if technique
is performed correctly. (See Figs. 10, 11, 12, 13, 14, 15, 16, 17, 18,
The Tonsil Technique.
We have always maintained that the tonsils should
be preserved if at all possible. They exercise a protective function and
destroy or lessen infections. They are formed by lymphatic tissue and make
what is called the tonsillar ring completely around the throat; everything
that enters the body, whether air, liquid, or solids must pass through
this tonsillar ring. (Techniques for the various specific conditions of
the tonsils are given in the next chapter.)
Functions o f the Tonsils:
1. To destroy anything of an infectious
2. To assist in the formation of white
3. To act as a lubricator to the throat.
It has been stated that the tonsils
have a selective stimulative power; that is, that if an excessive amount
of one type of food is ingested, impulses are sent to certain nerve centers
which in turn send a strong reflex action to stimulate to a greater degree
of activity the secretory glands in the organ in which that type of food
is digested. We are not in a position to deny or affirm this theory, but
another theory that we have some possibility of proving is that most people
over seventy years of age still have their tonsils, or have never had them
It is generally accepted that the tonsils
have a protective quality, and if so, have something to do with longevity.
The size of the tonsils depends on the
amount of work they have to do. If the infection is too powerful, they
have to work harder, which requires a greater blood supply; thus they sometimes
become engorged and enlarged. This, however, is no reason for their removal.
Sometimes the infection is so severe
that the tonsillar tissue itself is injured and pus forms in the crypts,
but if the blood stream is healthy, nature will soon take care of the pus.
The problem before us, then, is to reduce
the size of the tonsils by removing the cause of the enlargement, rather
than to remove the tonsils. Again, the tonsils, like every other organ
in the body, depend for their ability to function on normal conditions
- a good blood stream founded on right living, right dietary and sedentary
habits, right breathing and exercise, and freedom from retention of excessive
waste matter and obstructions.
The general technique here is very simple,
and if practiced sufficiently one becomes expert in handling emergencies
of serious character in that locality.
Instructions: - Have patient sit on stool
in front of the physician. Put left hand on head of patient; let finger
slide down side of mouth to root of the tongue. Slide finger to center
of tongue. Curve the finger, then using slight pressure, let it slide into
the top of the right tonsil, press a little, then massage from left to
right. The time for performing this technique by the beginner should be
about half a minute. (See Figs. 20 and 21.)
Massage and Dilation o f the
Pharynx and Larynx.
There are so many abnormal conditions
that take place in the larynx that we will pass them on to specific techniques,
and give here the general technique which we have found useful in all laryngeal
This technique is especially beneficial
to public speakers, singers and for loss of voice in general. With a special
astringent on the finger cot, the affected points should be massaged and
pressed. If there is an acute condition with pain, ice pellets in the mouth
and heat applied to the neck for a time will reduce the acute symptoms
enough to permit manipulation.
Instructions: - After washing
hands thoroughly, dip finger covered by finger cot into cold water; now
slide the finger down the side of the mouth until it reaches the root or
base of the tongue, then quickly slide finger over to the middle of the
tongue. (Get one pressure on finger and maintain it all through the operation;
if air gets under finger, patient will gag.) Now, with your finger in middle
of the tongue, move the finger backward until you reach the epiglottis.
Your finger is now in the valleculae, one on either side of the
glossoepiglottic fold. Now massage right and left and up and down five
or six times. When you are withdrawing your finger, pull the tongue upward
and outward. Many abnormal conditions in the larynx are due to ptosis of
For anemia, enervation or congestion,
this operation puts the tissues in place, and creates a freer circulation
of blood fluids around the area. Some authorities have suggested using
two fingers to perform this operation, one on each side of the mouth. We
leave this to the discretion of the individual practitioner. (See Fig.
The Tracheal Adjustment Technique.
Dr. J. Everett Clark has written a delightful little
essay on this technique, and we are using excerpts of it here, and also
his techniques, by his kind permission.
Anatomy and Physiology.
The trachea or wind pipe, a wide tube,
is kept permanently patented by a series of bent cartilaginous bars embedded
in its wall. These bars are deficient dorsally and consequently the tube
is not completely cylindrical. Its dorsal wall is flattened. The trachea
begins at the inferior border, the cricoid and trichoid cartilage opposite
the inferior margin of the Sixth cervical vertebra. It is about 4 1/2 inches
long in the male and 32 inches long in the female, when relaxed. This is
controlled through the action of the lower cervical and upper dorsal vertebra.
The upper part is the beginning of the
thyroid cartilage and is practically surrounded by the thyroid gland. It
is an anterior protection for the esophagus while the spine protects it
posteriorly. The rings or bars that surround the wall of the trachea are
the part of the anatomical structure in which we are particularly interested
at this time. The trachea helps to protect the subclavian artery, and is
also a protector for the mouth of the aorta. It also controls the bronchus
and bronchii. Very briefly, it protects, also assists or controls to some
extent, the vagus nerve and several very important glands such as the thyroid,
parathyroid, thoracic duct, and entrance to the pleura; it reacts to the
intercostal artery and also the innominate artery. Indirectly it has many
contacts. It affects and is affected by the sixth and seventh cervical,
and the first, second, third, fourth and fifth dorsal vertebra. Its reflex
operations are innumerable.
INSTRUCTIONS BY DR. CLARK TO PERFORM THE TECHNIQUE.
1. Have the patient sit on a stool so
that you, the doctor and operator can stand directly behind him. 2. Place
the right or left leg directly at patient's back and the other leg just
behind the other to give you support. 3. Ask patient to relax as much as
possible. 4. Place the thumbs of each hand on the point of the jaw most
prominent, and the little fingers of each hand on the superior point of
the collar bone. The positions assumed by the thumbs and fingers are for
balance and control of the amount of pressure to be used in the adjustments.
5. With thumbs and little fingers in position, palpate with the other three
fingers of each hand both sides of the trachea. Some of the rings will
probably be out of line in the majority of people examined. Laterality
is the greatest cause of distress in the tracheal area. 6. Having found
by palpation a distortion of one or more rings of the trachea, the physician
proceeds as follows: The patient is asked to breathe deeply, and while
in the act of doing so, a light thrust is given on the body of the ring
at the greatest point of laterality.
As an illustration, suppose the third
ring was right: Place palmar surface of third finger of right hand on the
posterior lateral point and let the other fingers rest gently against the
rest of the trachea.
On the left side place all fingers against
the posterior rings, laterally, and hold gently for position. Thrust gently
from right laterally to the left. You will hear it snap into alignment.
If 4 is out on the left, move both hands down and thrust with third palmar
finger from left to right. Most of the work is done. with the
third finger, palmar surface.
There are many conditions that will
be helped by the technique; namely, bronchial, cardiac and thyroid disorders,
vagus reflexes, common nerve reflexes, stomach and intestinal conditions,
general nervousness and many others.
Releasing and Raising the Glands
of the Neck Area.
Any deformities in or around the thyroid,
parathyroid or thymus glands will, if enlarged, contracted or displaced,
interfere with the intake of oxygen and air. The interference is direct
by pressure and indirect by the malfunctioning of the glands themselves.
These are four small glands about the
size of a pea, two on each side of the back of, and at the lower edge of,
the thyroid gland. They control the calcium phosphate balance of the body
with the aid of the adrenal glands. They reduce the calcium in bones while
the adrenals increase the calcium in bones. The loss of calcium promotes
excitability, muscular contractions, and probably is the basis of some
types of epilepsy and pseudo epilepsy.
A second function of the parathyroid
glands is the neutralization of certain toxic wastes generated in the gastro
intestinal tract as a result of proteolytic bacteria.
Specific abnormal conditions of the
thyroglossal duct, parathyroids, thyroid and thymus glands are treated
in the next chapter. In many cases we have found the general technique
given here, as a supplement to our other treatments, sufficient to bring
about very beneficial results in diseases of those glands.
First: Breaking adhesions.
Second: Raising the Glands.
The first step is to make sure of the
location of the glands. This is accomplished by massing the muscles of
the neck between the fingers until a semi-solid like substance is felt
in the shape of the little finger. Take it for granted that if the thyroid
glands are down and out of position, all the others are also. After finding
the gland on one side, press the fingers easily but deeply in between the
trachea and the gland, and feel for adhesions. They are string-like tissue.
They may be single or in clusters of two to five. Now release that side
and dig deep into the other side of the gland to ascertain if adhesions
are binding the gland to the anterior, lateral or posterior branchial walls.
We have found it best to try and count these adhesions and not to break
more than two at a sitting, or to give more than two operations a week
unless the acute condition makes the complete operation imperative at one
Instructions: - Patient sits
on a low stool. He should be made to relax - tell him a funny story if
necessary. Place the fingers of one hand between the trachea and the gland,
then go deep without hurting, sliding fingers up and, down. Adhesions are
stringlike; sometimes they are in clusters of three to five, but more often
they are individual adhesions. Having located one, slide the finger over
tightly against its origin in the gland. With the finger of the other hand,
cover its insertion into the tracheal tissue. Let the finger tips touch,
with hands raised so back of hands almost touch. Then, holding position,
bring hands around neck, after a few seconds of pause, quickly snap the
fingers inward and outward. Never hurry. Take time to make sure of your
diagnosis and contacts. This same process is used to break adhesions in
the. external lateral portion of the gland where it is embedded in the
branchial walls. (See Figs. 23 and 24.)