Endo-Nasal, Aural and Allied Techniques
Thomas T. Lake, N.D., D.C.
1949 (Sixth Edition)
To Endo-Nasal, Aural and Allied Techniques.

The average doctor has for many years left nearly all nose, ear and throat work to specialists. But within the last decade he has found that the specialist was not fully meeting the requirements demanded for this type of healing because the treatments were too specific. The success expected from specialization in the treatment of chronic conditions has not been forthcoming.

In the latest edition of "Body Mechanics in Health and Disease", by Joel E. Goldthwait, M. D., Lloyd T. Brown, M. D., Loring T. Swaim, M. D., and John G. Kuhns, M. D., Third Edition, J. B. Lippincott Company, Philadelphia, Pa., we observe the trend away from the specific to the general view of the body as a whole.

The authors speak frankly of the dependency upon too much laboratory work which produces only negative results. The patient, according to them, is subjected to many X-ray tests of teeth, sinuses and viscera with various metabolic tests, and bacteriological examinations without any positive results.  The idea through the whole book is to study the body as a whole in its structural, climatic and habit relationships.

It was with this thought in mind that we approached - this subject to present to the manipulative physician a manual of techniques that would enable him capably to take care of most of those who hitherto were going from one specialist to another.

The general outline of this book is to place before the student the significance of oxygen as a necessity in the body for health, or the regaining of health. Then, to give the techniques by areas with explanations, and to explain why each move is required for improving the functional activity of the parts. Photographs are given of each movement as far as it is humanly possible to do so. Of course, we will be realistic and keep in mind that no one method of treatment is absolute. However, it is the conviction of the author that if the practitioner will use Endo-nasal, Aural and Allied Techniques as a supplement to his established office techniques he will find them of immense value. No effort has been made in this book to give gross anatomy, physiology or pathology. The student can find text books on those subjects in abundance, but sufficient is contained herein to give a sensible approach to the great number who apply for treatment for those chronic conditions that once were thought only within the province of the specialist. The need for treatments of this kind is greater than ever. It has been reported that while longevity has been extended, chronic conditions are on the increase. One authority stated that one in every six has defective hearing, one in every five sinus infections, one in every three, suffers from constipation.

This little book will be of especial value to the physicians who believe that:

1. Anoxia and anoxemia are a factor or the factors in the production of many acute and chronic conditions ;

2. The body structure and tissues need replacement, realignment and correction from time to time;

3. All tissues and cells of the body must have freedom for vibrational, oscillatory, expansional and contractional activity;

4. The body is a unit in its anatomical structure, and physiological and functional activity, and if one part is affected, that all parts are affected for good or ill;

5. The burdens of toxemias, shocks, accidents, worries, habits, fears and general habits of life cause special disturbances to the circulatory, cardiorenal, osseous, nervous, digestive and respiratory systems of which one or all may be the cause of anoxia and anoxemia as well as the detrimental effects the lack of oxygen may have on the body organism as a whole. To illustrate: Fear has an extreme effect on the sympathetic nervous system. This results in releasing large quantities of adrenalin into the blood stream. This is a stimulant to energy and gives alertness in danger. But the hindrance to the circulation by the action of the adrenalin in constricting the blood in some small arteries, results in a reduced blood supply to the heart and nerve centers. This in turn results in less blood being pumped through the circulation which deprives the arterial walls of oxygen. If the fear continues, a shock may weaken the walls and the blood plasma may leak through them causing death by oxygen starvation. Another illustration is that of toxemia. A stasis may take place beginning in the liver, which ends up in a block of the whole lymphatic circulation. Efforts by the body to rid itself of the poisons will drive them upward to the open cavities of the head, causing disturbances of the throat, nose, eyes and ears with a general fullness of the head, causing pain and giving all the symptoms of anoxemia.

Old age or accidents of childhood cause the bones and tissues to fall, narrowing the respiratory canals that bring about sclerosis, deafness, lack of energy and a general unsteadiness, all due to the impeded intake and utilization of oxygen. Therefore, we approach the treatment of all conditions with Endo-nasal, Aural and Allied Techniques from the viewpoint of increasing the natural intake and functional utilization of oxygen in the open and closed cavities of the human body as a unit. All impediments to the transport of oxygen to the tissues and the transport of carbonic gases to the surface must be removed. The question of oxygen deficiency and the processes of oxidation have long been a matter of confusing debate, although the depressing effects of lack of oxygen is everyday knowledge.

From the earliest history, man has noticed the presence of respiration during life, its changes during exertion, or disease, and its absence following death. And from the beginning of time mankind has speculated on the mysteries of the process of respiration and its relationship to life, disease and death.

No matter what therapeutics one may use, oxygen intake is basic and fundamental. There is no argument that can foresay the necessity of an adequate residual amount of oxygen in the open cavities of the head and the closed cavities of the body, if one's physical balance, hearing, eyesight and bodily functions are to be maintained or regained when once impaired. Furthermore, it would logically follow that all obstructions to the intake, cleansing, warming and transport of oxygen must be removed if any form of medication or manipulative treatment is to be more than a mere suppression of symptoms, that leaves the patient's last condition worse than the first. It has given us and many other practitioners of these techniques great satisfaction to see how much more quickly results have been achieved not only for a specific condition, but for the whole well-being of the patient by the use of these techniques.

Of the many cases which we have on file attesting to the efficacy of these treatments, we will give only two here. A young man, 28 years of age, weight 105 pounds, was sent to us from one of the Southern States for examination and treatment because of progressive loss of voice. The diagnosis after examination was rickets. Proper diets and outdoor walking exercises were instituted and Endo-nasal Therapy treatments were given. As a result, his voice was restored and his weight increased to 145 pounds. Another case is that of a girl, 26 years of age, who suffered from epilepsy since childhood. When referred to us she was having three attacks a week. In previous years she had received medical, osteopathic and chiropractic treatments without avail, but with the supplemental Endo-nasal Techniques she has not had an attack for the last eight months.

The techniques are not intended to replace any of the physician's present method of treatment but to supplement them. Since they are few in number they require only a little extra time on the part of the doctor.

The author has known what it is to have been deaf, and a victim of constant colds in the head and chest, with tonsilitis and ear abscesses as regular monthly visitors. Specific treatments on one part alone by specialists gave only more pain and distress.  But a medical man who specialized in Neuropathy, treating not only the part afflicted, but the body as a whole, removed the obstructions that were responsible for the attacks. Some of these obstructions were far removed from the acute seat of infection.  


Manipulative physicians have a motley group of nasal, aural and other respiratory dysfunction cases in their offices in a year's time, such conditions as sinus troubles, deafness, mastoiditis, syncopes that have an anoxemic basis, discharging ears, impacted ears, eustachian tube deformities, tinnitus aurium, deformed or congested turbinates, deformed septums, strictures of the external and internal nasal canal, adherence of soft palate to the posterior nares boundary ring, mouth breathing, sore throat, loss of voice, thyroid troubles, epilepsy, catalepsy, catarrh and colds, sinuses infected by bacteria, asthma, anemia, loss of smell, rhinitis and hay fever, eyestrain, headaches,    ptosed diaphragm, deflated lungs, etc., make up a large percentage of the physician's practice.

Constructive finger technique does offer hope and definite promise of more efficiency to the Manipulative Physician in the treatment of those abnormal conditions that have a vital relation to the respiratory apparatus and result from impaired Oxidation.

The Endo-nasalist can in many cases eliminate useless tissues and waste matters. He can enlarge orifices, correct and reconstruct bones and tissues that obstruct the normal passage of air.  Many people suffer because they are afraid of instruments, but they are not afraid of finger manipulation. We are sure that if the physician will make these techniques supplemental to his other office treatments, he will be delighted with the results obtained in the well being of the patient as a whole unit.

From time to time in the Endo-nasal, Aural and Allied Techniques Society classrooms, we have heard practitioners, who have neither authority by law nor training in surgery, speak of operations such as the snaring of polyps or adenoids, or the enlarging of orifices by means of instruments. We do not condone this practice and feel that unless a physician has been thoroughly trained in the uses of instruments and medicaments, he should not, for his own sake as well as for that of our profession, employ these methods of practice. 

Another question frequently arises in the classroom, and that is concerning which fingers should be used in manipulation, especially in the case of the Fossa of Rosenmuller. This is purely a matter of individual opinion or choice. It must be remembered that the emphasis is on the desired anatomical and physiological results, not on the instrument used. After years of practice, we use the middle finger for three reasons: first, the knuckles of the hand are equally distributed around the mouth; second, the middle finger of our hand is more sensitive to variations in temperature, vibrations, and the contour of the tissues; and third, we have found that we achieve better results with little or no pain and distress. However, it still remains an individual matter for the physician, so long as the purpose is being accomplished.