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INTRODUCTION
OSTEOPATHIC
DIAGNOSIS AND PROGNOSIS
OSTEOPATHIC TECHNIQUE
OSTEOPATHIC CENTERS, STIMULATION, INHIBITION, READJUSTMENT, VASO-MOTOR AND SENSORY NERVES POSTURAL DEFECTS
INFECTIOUS DISEASES Fever Typhoid Mountain Typhus Malarial Septicemia Pyemia Smallpox Varioloid Vaccination Scarlet Fever Measles Rubella Chicken-Pox Mumps Whooping Cough Influenza Dengue Cerebro-Spinal Meningitis Diphtheria Dysentery Erysipelas Yellow Fever Tetanus Simple Continued Fever Tuberculosis Lobar Pneumonia CONSTITUTIONAL DISEASES
DISEASES OF
THE DIGESTIVE SYSTEM
DISEASES
OF THE LIVER AND BILE DUCTS
DISEASES OF
THE RESPIRATORY SYSTEM
DISEASES OF THE
URINARY SYSTEM
DISEASES OF
THE CIRCULATORY SYSTEM
DISEASES
OF THE BLOOD AND DUCTLESS GLANDS
DISEASES OF THE
NERVOUS SYSTEM
DISEASES OF THE BRAIN
GENERAL AND FUNCTIONAL
DISEASES
DISEASES OF THE MUSCLES
THE HIP-JOINT
FRACTURE OF THE NECK OF THE FEMUR HIP-DEFORMITIES
IN INFANTILE PARALYSIS AND OTHER SPINAL DISEASES
PREFACE TO THIRD EDITION. The first and second editions of this volume have been exhausted for some time and in view of continued demands from many sources I have, in collaboration with Doctor Trall, brought out the third edition. The subject matter has been entirely revised and rewritten with copious additions of new and original matter. Many of the older practitioners have contributed ideas of interest from their observations, for which credit has been duly given. The literature of osteopathy has been diligently searched for material to bring the contents up to the point of present development. A special chapter has been contributed by Dr. Geo. M. Laughlin, Professor of Clinical Osteopathy and Osteopathic Technique, American School of Osteopathy, on Hip-Joint Diseases, a subject on which he has put much thought and study. There are certain facts concerning disease, i.e., prodromes, course and termination, both with and without treatment, which are the result of centuries of observation, and these diseases, when they come within the realm of a definite diagnosis, have a well defined history. Pneumonia is pneumonia to the osteopath the same as it is to the allopath, homeopath and eclectic, no matter how soon or how much our treatment may later change its course. In writing on these diseases it has been necessary to use these facts, taken from medical sources, but care has been used to give them from a viewpoint based upon extended osteopathic experience. It is necessary to follow the medical classification until such time as osteopathic records shall show sufficient data on which to base a new nosology, a new symptomatology and a new terminology. That this will be the logical outcome of such tabulation, the close observer will doubtless admit. Disease is not so dependent upon the character of the irritation as it is: First, on the degree of the irritation; second, on the function of the nerve disturbed; third, on the character of the tissue involved. Future osteopathic etiology will take these points into consideration in the development and establishment of a new classification of disease. It is well known to the osteopath that in many acute conditions, symptoms are present which would lead him to expect, in course of time, the development of some well defined disease, yet under treatment they are found to be vaso-motor or other disturbances, and, on correction of the irritation, quickly subside. These conditions have not progressed to a point where they could be diagnosed although they would often develop into a disease entity. Experiences of this kind have lead the osteopath to often give to these derangements the name of the lesion causing them and there can be no doubt as to the lucidity of such a proceeding. It has, in a way, made a start for the new order of things. In taking from this sum of medical knowledge the authors offer no apology from the fact that nothing has yet been developed to take the place of the material of which use has been made. In the preparation of this edition the authors have had access to several osteopathic text-books, which was impossible before, as this was the first osteopathic text-book published. Frequent reference has been made to the writing of Dr. Still, Hulett’s Principles of Osteopathy, Clark’s Applied Anatomy, Hazzard’s Practice of Osteopathy, Tasker’s Principles of Osteopathy and Young’s Surgery. Special attention has been given osteopathic diagnosis and treament, emphasizing the need of the former and going into detail of technique in the latter. With but few exceptions, no conditions are described of which there is not more or less knowledge from osteopathic experience. There has been an effort to make conservation and confidence preeminent features of the entire work. The authors wish to here acknowledge the valuable assistance rendered by Dr. Minnie E. Osesnbaugh in correcting manuscript and reading proof. CARL PHILIP McCONNELL Chicago, October, 1906
PREFACE TO FIRST EDITION. This work on the practice of osteopathy has been written purely for the practitioner and student of osteopathy. Up to the present time there has been little attempt made along osteopathic lines in a literary way. The student has had nothing whatever to guide him in his studies but the notes he has taken from osteopathic lectures; and the practitioner no work to guide him or to refer to in his practice; yet it is with many misgivings, on account of the science of osteopathy being in crude published form, that I publish this work and give it to the osteopathic world. Still I feel a feeble attempt will be a stimulus to all apostles of the science, and especially so as the art of osteopathic practice is being well advanced. It will never be possible to write osteopathy completely and in detail as each case is an individual study. The best we can expect is to give the philosophy of the science and to state the principles in general terms. The science is practically unlimited; its breadth and depth are unmeasurable. Osteopathic practice consists, first, of understanding the normal so that the abnormal conditions may be recognized when met; and second, when these abnormalities are found, of giving specific treatment and readjusting the parts. Practically, to the osteopath it makes but little difference what the disease is; it is his business to locate the derangement and correct it. This practical work is included in the practice of osteopathy and it constitutes the major part of the work; although I have given hydrotherapeutics, nursing, etc., not because I do not think readjustment of the tissues is sufficient to cure many diseases, but occasionally diseases are due to errors in diet, insanitary surroundings, disobedience of hygienic rules, etc.; and besides the proper use of water, food, etc., is an important aid oftentimes in alleviating suffering, being at the same time not injurious to the patient as drugs often are; especially in diseases that are far advanced the use of hydrotherapeutics, etc., is of aid. I have given the old classification of diseases on account of its being universally employed and an attempt at a scientific classification might cause the loss of many points, as our students are taught according to the old classification. I hope to see an attempt made in the near future to establish a more scientific nosology. It seems to me that the classification should be based upon the cause of the disturbance or according to the physiological disturbance. The diseases are taken up and classified in a manner according to the best of our practices of medicine, as, definition, etiology, morbid anatomy, symptoms, etc. This is given in such a manner, not because there is anything special to add in morbid anatomy or symptoms, but that it makes the work a complete practice of osteopathy and is inclusive of lectures given at the American School of Osteopathy. In a few instances I have given a theoretical treatment in diseases in which osteopathy has not had experience. I am specially indebted to Osler, Anders, Tyson, Loomis, Raue, Goss, Stephens, and Hughes’ practices of medicine and to the writers in Allbutt’s System of Medicine and the American Text-Book on the Practice of Medicine. Also to American Text-Books, Landois and Sterling’s, Schaeffer’s, Foster’s, Flint’s and Yeo’s Physiologies and to Ziegler’s, Greene’s and Stengel’s Pathologies for many valuable ides. It has been my full intention to give credit when possible, but not having access to first papers it has frequently been impossible to do so. From my wife, Dr. Agnes Russell Darling, I have received much valuable aid in the preparation of the book. To all my colleagues in the American School of Osteopathy and the Staff of the A. T. Still Infirmary, I am greatly indebted for many valuable suggestions. I am under special obligations to Mr. Samuel D. Barnes, a senior student in the college, who has been a most able and untiring assistant in the correcting of the manuscript. CARL PHILIP McCONNELL. Kirksville, Mo. 1890. |