Logan Class of December 2011 - Home



Chiropractic Correlations

big on nutrition – uses Nutradyne, Progressive ____, Dyna ____

also financially involved with some nutritional companies (Nutradyne and another one)

Reflexes – Chapman (D.O.)

- Bennett (D.C.)

- SOT-based (DeJarnette)

- acupuncture

History of class – a relationship of reflexes and organs to the vertebra

- based on a personal interest study he did 20 years ago

energy medicine – includes a lot of reflex work, acupuncture, magnetic spectrum, ____

- especially of interest in Europe

the body has electromagnetic fields (ex – “Ring-Around-The-Rosie” doll)

muscle tests – can show relationships between organs and nutritional products

- but – there are a lot of BS tests out there

- can do a test wrong/differently and get different results

- ex – pulling at the wrist ( tests BAD

- pulling above the wrist ( tests good

- so – need to do tests accurately and repeatably (consistently) (the same each time)

- get different/inaccurate results if person has broken that limb in the past

Reflex – upper cervicals affect psoas muscle test results

- bilateral psoas weakness (and low back) – you often see a C1/C2 problem

- likewise, if C-spine problems recur – it could be a pelvic problem

- why ‘regional’ exams are BS

Recurrent tennis elbow – related to a lateral pelvic instability

When it doesn’t make sense, think physiology.

Scientific methodology – 1st step – observe what’s going on

Muscle tests – don’t want patient to therapy localize by touching another body part

- Ex – patient touching abdomen when testing the psoas

- the abdomen and psoas are related, so the circuit is affected

- the position of the body can affect it

psoas – extreme C-spine extension makes the psoas weak

-why you pull up on a dog’s head to make them sit – it inhibits certain muscles

T5 level

gastric area

–some authors – T5 thru T9, T3/T4 thru T7/T8 (not in total agreement)

the vagus nerve has a strong influence on all visceral functions

the upper cervicals have a strong influence on the vagus nerve

some cranial functions are also affected by the vagus nerve (??)

stomach – ulcers, gastritis, gas, heartburn

- intrinsic factor

- digestion (HCl, pepsin, etc.)

other areas of the body rely on the digestive function of the stomach, especially the HCl

- ex – calcium absorption (poor HCl (poor Ca absorption)

- patients often lack HCl as they get older

- affects osteoporosis (especially in women)

HCl levels __________35__

\

\

\ 60-70

taking Ca with a meal helps its absorption

(contrary to the common protocol of taking it between meals)

- even if the patient is achlorhydric

- the body is in the mode to absorb and digest food

multiple small meals – most people don’t benefit from these

- body physiology is geared for 3-4 meals today (from farming heritage)

- best to have the largest meal in the AM, a medium-sized meal at lunch, and a small meal at night

Study – fed subjects a meal of protein, carbs, and fats

- looked at stomach contents and analyzed them for digestion

- all had started to digest, even the fats

- some rejected the study (they didn’t believe the fats had started to be digested)

Note: the rawer the food, the more digestion you get

- due to some of the food’s natural self-digestive enzymes still being present

- cooked items didn’t digest as well

to get the full benefit of enzymes – chew food (esp. veggies) to break down the cell walls

- why vegetarian animals have multiple stomachs and regurgitate & rechew their food

- why blenders and juicers help (but don’t overload on the juice

Plants – all have toxins and poisons built in (to protect them from insects)

- some are highly toxic to humans (in large amounts)

to test for HCl – used a tube to withdraw stomach juices

- but - doing this elicits HCl, so it’s not the best test

- diath____ - a chemical that turns blue in the urine if there’s not enough HCl to change it into something else

- Heidelberg test – a radio frequency device that is sensitive to pH

- Not commonly used, but it’s simple

- HCl drops between meals

- Anger/stress causes HCl to increase

How to judge when to give patients HCl

- most doctors use trial and error (4-5 days worth of it)

- have patients report back on their symptoms

- don’t tell patients what the test is in advance

- can bias them due to negative TV ads about stomach acid

if you increase HCl, you can decrease intestinal gas (??)

supplemental enzymes

- in older people, it often helps the body produce more

- enzymes are amino acid based

- if not digesting well, you may not be making enough amino acids and have to use those you eat for other things

Stomach – T5

Muscles:

- Pectoralis major,clavicular division (but not always linked)

- Easy for a patient to cheat on the muscle test

- Test – Patient’s arm up, elbow straight, hand pronated (to remove biceps action)

- Doctor’s hand presses down and out on patient’s arm

- Doctor’s other hand checks the patient’s shoulder to insure the correct muscle is engaged, then switches to the opposite shoulder to stabilize patient

- Use flat of hand

- Look for initial lock-in (not strength)

- other indicators (gastric)

- upper abdomen between xiphoid and umbilicus

- hard, oblong area (or cold)

- left anterior shoulder area (reflex)

- tenderness of 5th-6th intercostal spaces on the left

- left thumb-index finger web area (on the muscle, not just the skin fold)

How to tell referred pain from musculoskeletal (M/S) pain

- motion in the shoulder may or may not affect it

- if the patient can point to the exact spot where it hurts, it’s probably M/S

- if the patient rubs a generalized area, it may be referred

- referred pain doesn’t localize as well

ulcer – often gives a dime-sized area that’s very tender

(in the hard area of the upper abdomen)

gastric – referred pain can often overlap heart pain areas

nutrition – B complex (low to moderate amounts of 50 mg or less)

(> 50 mg puts stress on the liver)

(too much B can lead to liver and bladder problems as you get older)

- HCl

- General digestive enzymes

- if ulcer – enterotroph (raw duodenum) – taken with meals

- chlorophyll capsules – taken between meals

- either oil-soluble or ½ oil: ½ water

- oil soluble is healing for the patient

- water soluble is deodorizing for the patient

- if helicobacter is the cause

- causes decreased HCl – so – give HCl with meals, raw duodenum between meals

- helicobacter is killed off by bismuth, so Peptobismol will work

- if nothing else works, try

- thymus capsules (4-6 per day) – helps immune system

- raw pituitary

licorice – good against ulcers, but pushes the adrenal glands too hard, so Dr. H. doesn’t recommend it

herbals – Dr. H. doesn’t use these much because herbs are drugs

- if use them a lot, your body gets resistant and you have to take larger doses

- can develop allergies to them that are hard to pinpoint

- echinacea – not all that good for colds

- it’s natural, but it can still hurt you

- don’t use it daily – it will not build up your immunity

glandulars – 2 modes of action

1) local (ex – raw duodenum)

2) “like cures like” (to supply building blocks)

protomorphology theory

- take a glandular to bind up waste products so the body can eliminate them

vet story – bulls – need zinc for testicles

- amino acids help also

- gave them ground up testicles + zinc

chicken – disease may only show up in one part

- cut off that part and sell the rest as ‘chicken parts’

- lot of disease show up in the liver

- why the liver isn’t sold with chicken/turkey much anymore

Gastric – Treatment

1) Gentle soft tissue manipulation of the epigastric area (the hard or cold spot) plus a holding contact on the left upper trapezius (at the most tender spot), which is a reflex/referral area.

2) Soft tissue manipulation of the left thumb-index finger web area plus a holding contact on the most tender area between the xiphoid and the umbilicus. Do this manipulation until the abdominal tenderness decreases.

3) Soft tissue manipulation of the left 5th-6th intercostal spaces (the Chapman reflex) (also known as a neurolymphatic reflex)

4) Occiput/C1/C2 – vagus nerve

5) Thoracic – T5

6) Mid-cervical (C3-C4-C5) – affects diaphragm via the phrenic nerve.

R. Lenhartz – nutritional diet for ulcer patients (used if all else failed)

- milk plus raw, whipped eggs

- divide mixture into 12 parts and take 1 part/hour. 7-day schedule

- eat nothing else except water

Day 1: 100 cc milk + 100 cc cream + 2 eggs

Day 2: 200 cc milk + 3 eggs

Day 3: 300 cc milk + 4 eggs

Day 4: 400 cc milk + 5 eggs

Day 5: 500 cc milk + 6 eggs

Day 6: 600 cc milk + 7 eggs

Day 7: 800 cc milk + 4 eggs + eat 4 soft-boiled eggs

Danger in eating raw eggs over an extended period (not just 1 week)

- After several weeks to months, you develop a skin rash (dry, flaky) due to a biotin deficiency

- Raw eggs have avatin that destroys biotin (avatin is destroyed when you cook the eggs)

Eggs – a good nutritional source

- 80% of the cholesterol in patients with high cholesterol is not dietary, but is made by their own livers

- Dr. H. has patients with high cholesterol eat 2 eggs/day to get more lecithin (lecithin destroys cholesterol)

Meat – the big danger is the fat (fat is where the hormones and chemicals are stored)

Schnucks now has meat that hasn’t been treated with hormones

(so does Wild Oats)

Case – 38 yo female

- tongue has changed color

- heavy smoker

- bronchitis was recently treated with penicillin

- recent gagging sensation

- thick, dark brown patch on the posterior 2/3 of her dorsal tongue

( black hairy tongue

- variable color, usually asymptomatic

- color caused by chromogenic bacteria + food/tobacco

- associated with tobacco, oral bacteria, antibiotics, alcohol

- why it’s important to get a good history

- Treatment – acidophilus – to get the good bacteria back

- Acidophilus is a natural bacteria in the body flora

The Chiropractic Report (written by a Canadian lawyer)

Calcium absorption (supplements)

- watch the amount of actual Ca in the supplement

Supplement Amount Available Amount Claimed

Os-Cal 500 mg 500 mg

Nature’s Bounty 266.8 mg 667 mg

Tums Extra 300 mg 750 mg

Rolaids 220 mg 550 mg

Need acid to absorb Ca, so Tums is not the best source since it’s alkaline

Ca is absorbed better if it’s taken with meals

Chewing well helps prime the salivary glands, which are related to the superior cervical sympathetic chain and to C1.

T4 – Gall Bladder

Function: Secretes bile, which emulsifies fats and eliminates cholesterol

Problems: Gall stones (can use ultrasound to see these)

Functional – can give same symptoms as stones

To diagnose: Have Pt eat an early evening meal

Take dye tablets at bedtime

Processed overnight by liver and dumped in the gall bladder

Take a 14x17 ‘scout’ film in the AM to locate the gall bladder

(between the rib cage and the pelvis)

Pt eats/drinks a ‘motor’ meal

(something to make the gall bladder empty)

½ to 1 hour later, start taking films

(over a period of several hours)

if the gall bladder is slow to empty, it’s a functional problem

If stones are present, they look like hollow spots in the dye

If the stones are cholesterol stones, you see isolated ones

Pts subject to gall stones: Overweight

Eats high fat foods

On oral contraceptives

50% of gall stones are discovered by accident (while looking for something else)

no symptoms in 70% of people (??)

if symptoms are present ( bloating, cramping after meals

even if the gall bladder is removed, many Pts still have symptoms

the bile ducts are still there – may get pouches and act like a gall bladder

colic (pain) – usually when stones are moving in the duct

others – ducts spasm, but no stones

9-year-old girl – came in with a knee problem

(gall bladder often refers to the knee)

- family history of gall bladder

- got better after treatment, but came back in a year

- over a 4 year period, she always came in at the same time of year

her grandfather always visited at this time

she stayed up late and ate a pint of ice cream while talking to her grandfather

her knee got better when she shifted to eating fruit instead of ice cream

gall bladder pain can refer to either knee, but usually it’s the right knee

no swelling, just generalized pain

gall bladder Pts: Fair, Fat, and Forty

Pt often gets knee problems at ~ 40 years of age

Autonomic innervation: T4 (T4-T6 is most common)

(some say T5-T8)

both sympathetic and parasympathetic innervation

Anterior Pain Patterns:

Left Shift: Ulcerating gastric Right Shift: Gall bladder

Tail of the pancreas Duodenum

??

Midline: Esophageal Upward Shift: Esophageal

Hiatal hernia Iliatal hernia

Duodenal Gastric ulcer

Gall bladder

Pancreatic

Posterior Pain Patterns:

Left Scapula: Gastric Right Scapula: Gall bladder

Pancreas Duodenal ulcer

Gall bladder

Interscapula: Esophagitis

Gastric ulcer

Gall bladder or cystic duct stone

Duodenal

Upper traps: Gall bladder

Esophageal hiatal hernia

Gastric ulcer

T/L area: Pancreas

Lower abdomen: R – Duodenal ulcer

L – Gastric ulcer

Pancreas

Gastrojejunal ulcer

Nutrition Research Newsletter (in library)

Monthly – good info

Clinical Pearls (in library)

monthly newsletter with summaries (reviews of major journal articles)

Wally Schmitt – DC

got the Brazilian Gold Medal of Honor for his work with brain-injured children

Dr – must decide if pain is referred pain or muscular pain (musculoskeletal problem)

Gall bladder pain – refers to the web of the right thumb-index finger

Muscles for the gall bladder:

Popliteus: gall bladder

Anterior deltoid: gall bladder or respiratory system

Anterior deltoid: Bring Pt’s arm forward

Press down on it

The scapula should not move (rotate)

If it does, the serratus anterior is out (respiratory problem)

Popliteus: Pt lies prone, leg bent at 90 degrees at the knee

Pt’s foot is turned in and flat

Dr tries to rotate the foot out

If the popliteus is weak, the tibia tries to rotate

Dr. H. – does not do gall bladder flushes (he thinks they’re dangerous)

Drink several ounces of olive oil plus a glass of grapefruit juice

(early in the AM or right before bed)

Get green things excreted (mucus droplets)

May or may not get any stones out

Gall bladder:

tender: popliteal space (popliteus muscle)

right knee (right or left)

right thumb-index finger web areas

right shoulder – anterior or scapular

right subchondral area (below the rib cage)

ileocecal valve area

can mimic a right sciatica (chronic gall bladder)

all symptoms tend to be right-sided (headaches, cervical problems, etc.)

feeling of bloat after a meal (but can be during a meal)

sudden onset – like your clothes are too tight

all-over type of bloat

a gall bladder full of stones that hangs low over the SI area

may resemble an osteoblastic lesion on a full-spine x-ray

emotional gall bladder

Pt gets gall bladder symptoms/attacks after a strong emotional upset

Usually settles down in a week or so

Nutrition: Lecithin (comes in 1000-1200 mg capsules)

Usually want 4000-5000 mg/day

Especially important if the Pt is showing stones

Multiple, small stones

Can get rid of these with lecithin and dietary changes

Moderate to large stones

Probably won’t live long enough to dissolve these

(not enough surface area)

Raw liver: Start them out with 2 in the AM

Work them up to 6-8 in the AM

Plus B-complex in the mid-afternoon

Lipotroph (from Progressive)

1-2 per day

from B-complex (especially inositol)

earlier version was called estrochol (from Nutradyne)

developed to counteract the bad effects of the Pill on the liver/GB

A-F Beta Food (Standard Process)

6-8 per day

if the liver is real toxic

this will kick toxins out of the liver if you start them out too high

Pt will feel lethargic, etc. (so – start them out on a half dose)

Pancreatic digestive enzymes

The pancreas, liver, and adrenals are all involved in maintaining blood sugar

Treatment: (Reflexes)

1) Holding contact at the most tender area of the right upper trapezius

Gentle soft tissue massage over the organ

Once this relaxes, do gentle soft tissue massage over the ileocecal valve area

2) Holding contact over the gall bladder

Soft tissue manipulation of the right thumb-index web until the tenderness decreases in both areas

Bottom of the foot

May have tender area 1½ inches anterior to a line between medial & lateral malleoli

(based on Pt – anatomic inches)

Near Kidney 1 in acupuncture

If a Pt is passing stones (gall bladder colic)

Do Reflexes 1 and 2

Do the CO2 technique

Right T5, right and left T10, right and left L2

Apply pressure slowly, hold for 6-8 sec, slow release

Repeat 4-6X

Apex contact checking out the abdomen

Use the cardinal signs to determine the side of contact

Change the LOD until you feel the abdomen release

Phosphatidylcholine (PC)

Found in lecithin

( increased plasma and brain levels of choline

choline prevents fatty liver

choline is a methyl donor ( biosynthesis

neurotransmitter synthesis

acetylcholine – memory and coordination

decreases total serum cholesterol

???

Lecithin – capsules are good

(granules can go rancid, and most rancid oils are carcinogenic)

T3 – Respiratory and Sinuses

Wide innervation (T1-T5)

Inferior cervical ganglion, so C7 can be involved, as can the vagus n.

Head & neck – upper thoracics plus superior cervical ganglion

The Chiropractic Internist (monthly journal)

On visceral problems and internal disorders

Science News

Kids with recurrent otitis media

Chewing gum with xylitol helps

Helps keep bacteria from going up the Eustachian tube

Vit C – helps lower the incidence of pneumonia

Muscles involved:

mid deltoid (also – sometimes the anterior and posterior deltoids)

serratus anterior

coracobrachialis

influencing

diaphragm (bulbar polio messes this up)

pec minor (an accessory respiratory muscle)

can help elevate the rib cage if the diaphragm is messed up

Tests:

1) Pts arm up in front

Dr. presses down while checking scapula

If scapula moves, the serratus anterior is messed up

2) Pts arm out to the side ( deltoids

3) Pts arm up toward the head

Dr. presses down and back ( coracobrachialis (often weak in TOS)

Other Indicators:

Tenderness at ribs 2-3, especially the anterior rib

Tenderness at the origin and insertion of the deltoids

Can mimic subdeltoid bursitis in Pts with chronic respiratory problems

Styloid process of the skull is very tender

2nd rib ~ 2-3 inches lateral to the sternum

crest of the ileum (especially if chronic) (due to attachments of abdominal obliques)

also check the adrenals and pancreatic enzymes

Nutrition

Vit C, A, trace minerals

Raw lung tissue

Pneumodyne (A, C, lung)

Coryza Forte (A, betacarotene – in low doses, so can use without getting toxic)

Ester C – not many studies on this yet, so don’t know if it’s any good

Patented, so would benefit the patent holder if it sells well

Timed-release C – this is a waste of money

Most of these are based on the pH of where they are in the system

(okay if you have an ideal digestive system

Better to find sustained release (dissolves slowly)

Or – take multiple smaller doses

Thymus - used in Europe for ??

Dr. H. uses thymus on chronic infections and Epstein-Barr

Raw spleen (especially in kids)

Reflexes: Sinuses ( lungs & bronchi ( abdominal cavity

Each has its own lymphatic system

Logical to treat the abdominal cavity lymphatics first, then the lungs, then the

sinuses, so the upper ones have somewhere to drain to

General lymphatic pump:

DO – used this on Pts before surgery

found a statistical difference in recovery rates and complications

Pt on his/her back

Dr: one hand on Pt’s sternum, the other on Pt’s lower abdomen

Alternate pressure in a pumping motion

Dr. H. also uses it for malabsorption syndrome

(it increases the circulation to the gut wall)

Treatment

Respiratory System –General Lymphatic Pump

Anterior Soft Tissue Release (throat area)

Check by placing hand on the soft tissues of the throat

Move your fingers side-to-side on the throat

Q: Is there any crepitus?

If so, possible restrictions and lymphatic obstruction

Tx: Avoid the carotid

Reach in at the side with fingers of both hands and spread the tissues apart

Stroke down the SCM

The traction on the pharynx allows the Eustachian tube to drain better

Chapman Reflex (Neurolymphatics)

Intercostals 2-3 and/or 1-2 (both anterior and posterior)

Anterior ones – start near the sternum, then work out laterally

Australian Chiropractic Journal (Article by Marc S. Rosen)

A study of soft tissue techniques and the Chapman Reflex

Done on 30 asymptomatic Pts, each treated 4 times

No real change in pre and post-treatment spirometry results

But – significant change in the post-treatment FVC and FEV1 values in

8 Pts (5 of whom had a history of asthma, etc)

Sinus:

Frontal – palpate the supraorbital ridges and find the supraorbital notch } nerves

Maxillary – palpate the maxillary bone for the infraorbital foramen } here

With the Pt supine:

Hold pressure on the nerves, then slowly flex the C-spine

Hold for 2-3 seconds, then return to normal position

Can repeat, depending on the severity of the sinus problem

Can also massage the areas a little

Hay Fever: runny nose, burning eyes

With Pt supine:

Put bilateral pressure on the TPs of C3

Bring the cervicals into extension

Hold for 30 seconds

Do the maxillary sinus technique

Repeat 3-4 times

Cough: Do as for hay fever, but at C5

Asthma Control:

CO2: T5 on the right

T10 right and left

L2 right and left

Apply firm pressure, fold for a count of 6, then release slowly

Also helps with kidney or gall stones, hypertension, & respiratory problems.

Other: Near the sternum, find the tender spot between Ribs 2-3 or Ribs 3-4

Hold the tender spot for 30-60 seconds

If acute, just hold it

If chronic, some massage is okay

Transverse processes of T3-T4

Hold for acute (30-60 seconds)

Massage for chronic (30-60 seconds)

Repeat the entire sequence as many times as needed

(usually, two times works well)

Cardiac Problems:

There are good reflexes available to help these

Oculocardiac reflex (somatovisceral)

Pressing on the eye can affect the heart rate

If the reflex is too strong, the Pt can die during eye surgery

Use light pressure

Innervation: vagus

T1/T2 are the main segments, but some say as low as T6

The upper levels go up the autonomic chain to all three

cervical sympathetic ganglia and can affect the heart from there

Most of the cardiac circulation to the myocardium occurs during diastole

(between the T and P waves)

(the high pressure during systole closes down the cardiac arteries)

why it’s important to have a good cardiac rhythm and spacing

Ca-channel blockers are potentially dangerous (may be linked to cancer)

For most heart Pts, the medical doctors use a wait-and-see approach

Only do surgery if it’s bad enough

Only recently have we started looking at diet and exercise as ways to avoid surgery

in heart Pts

Calcium oretate: Banished by the FDA a while back

Hans Nieper used magnesium oretate on heart Pts

Only had a mortality rate of 2% at 2 years and 4 years

Meanwhile, the Cleveland Institute used nitrates

Mortality rate at 2 years = 21%

Mortality rate at 4 years = 36%

Other clinics had even higher mortality rates

T1 (coronary) vs. T2 (myocardial, includes the valves)

An artificial separation

Cardiovascular:

Have Pt lie on their back and elevate their feet

Grade 0: Can hold without their feet turning pale

Grade 1: Turns pale in 60 seconds

Grade 2: Turns pale in 30-60 seconds

Grade 3: Turns pale in < 30 seconds

As their circulation improves, the grade should change.

(developed by a cardiovascular surgeon)

ear lobe crease:

from traditional Chinese medicine

cardiovascular doctors also studied it

runs diagonally back from the front of the ear lobe

associated with atherosclerosis

the deeper the crease, the more atherosclerosis

not an absolute test, but has a high correlation

can improve with good diet and exercise

Handout for lab session for tomorrow.

Meet in G2/G3.

Bring notes, stethoscope and sphygnamometer.

Pick one level to do (ex – gastric – T5).

You will eventually need one form for each level (do some outside of class).

Do blood pressures rapidly.

Won’t see a drastic change at all levels.

Muscles: ex – stomach – pec major, clavicular division.

Other indicators: ex – thumb-index web, etc.

Nutritional stuff later.

Treatment: which ones you do.

Comments: anything you want, but he will look at them later

After treatment: redo blood pressures, posture, muscle reflexes, signs

T2 - Myocardium:

Muscles: 1) Rectus abdominus (more mechanical than reflex)

2) Subscapularis (reflex)

3) Diaphragm (mechanical)

4) Psoas (mechanical)

The main determinator of cardiac output = venous return (Starling’s Law)

Depends on the pressure differential between the intrathoracic pressure and

the intraabdominal pressure, which is influenced by respiration and the

respiratory muscles.

The psoas and diaphragm have reciprocal effects.

(If one is hypertonic, the other is hypotonic)

Tests: Subscapularis:

Seated: Pt’s arm abducted to 90, elbow bent,

internally rotated so that fingers point down

Dr presses forward on Pt’s forearm while Pt resists

Supine: Pt presses toward the floor with their wrist

while Dr presses up on their forearm

Rectus abdominus: Pt crosses arms and grabs shoulders, then does a

partial sit-up

Dr presses down on Pt’s crossed arms while stabilizing

Pt’s leg just above the knee

Psoas: Pt’s leg is raised at 45 degrees with foot turned outward at 45

Arms at sides

Dr presses down and out (while bracing opposite hip)

Diaphragm: Dr’s hands on Pt’s lateral rib cage

Pt breathes in and out deeply

Want more lateral expansion than A(P expansion

If uneven, delayed, or more A(P, Pt needs work

Other Indicators: Tender epigastric rib margins

Tender pubes (where abdominal muscles attach)

Lower left rib cage is especially tender

Asthma

Chronic bronchitis

Edema

Fatigue

Cough

Spinal ache that’s variable (moves around)

Note: There are a lot of respiratory symptoms in the above

(Bad heart ( edema in the lung area)

Monitor with a spirometer:

If get decreased readings over time

Possible myocardial weakness ( fluid accumulation in the lungs

Note: Readings may worsen immediately after treatment with some Pts.

Nutrition: B complex (especially for neurotransmitters)

Vitamin E

Minerals (especially Ca, Mg, K)

Old Physiology book:

Experiment (1940s):

Kept a heart alive for years in a nutrient solution by keeping the

nutrient solution fresh (removing wastes, etc.)

Could speed up/slow down/stop the heart based on the mineral ratios

in the nutrient solution

A.C. Carbamide (Standard Process)

= urea (horse urine)

good for mild edema

helps in neurotransmission

helps with weird dreams

helps with summer heat exhaustion (if Na, etc, are okay)

Vit E: 200-400 I.U. are okay

600 or more I.U. – check their blood pressure regularly

can make the BP increase in some Pts

this was discovered in the 1940s/1950s

(Canadian MDs who used up to 6000-12000 I.U.)

Stick with professional lines if possible.

Prefer the natural forms.

Ex – cold process wheat germ oil

NO heat added

Professional quality costs up to 5X more

Postural blood pressures

more important at other levels (ex – adrenal gland)

ideally – should go up ~2 mm - after Tx (??)

from supine to seated

from seated to standing

as you fix the body, the BP should start reacting more normally

moderate stress – the BP stays ~ the same

lot of stress – the BP will drop

postural changes – indicate that the Pt needed what you just did

Meet every Tuesday in the lab!

Myocardium: Holding contact on most tender point of the L upper traps

Also – the L lower rib cage (this area should get warm)

(if L traps are not tender, go to the R traps)

Psoas – diaphragm: You want to balance these

1) Check and balance the psoas muscle.

2) Check for a hypertonic psoas (a toe-in restriction).

3) Check the diaphragm for balance.

4) Check the lower thoracics for fixations.

5) Check the mid-cervicals for subluxations.

Need balance so can maintain the proper intraabdominal and intrathoracic

pressures.

Want a strong psoas:

If it’s hypertonic, it’s usually on the same side as the diaphragmatic

fixation (found when Pt breathes in/out).

If the diaphragm is fixed, the lower thoracics are usually fixed, also.

Mid-cervicals – the phrenic nerve affects the diaphragm

May not show up until you’ve fixed everything else

If bilateral thoracic fixations, you often see bilateral muscle weakness.

If you release the fixations, the muscles should test strong.

Side Note (not part of Myocardium):

Hiatal hernia: Can fix most of these in 2-3 visits so that they usually stay fixed

(~ 1 week between visits)

Don’t do surgery much anymore

They often did not stay fixed

Could also mess up the phrenic nerve, etc.

To pull a hiatal hernia out:

Get 1 to 1 ½ inches below the xiphoid

With the Pt supine, press A ( P and inferior

(trying to traction the stomach down)

Pt takes a deep breath

Dr increases the pressure as the Pt exhales

Can teach Pts to do this for themselves

If it’s an acute onset, a hiatal hernia can mimic a heart attack.

Magnesium and trace minerals are important in cardiac problems

(Patient Care, Jan 15, 1994)

¾ of U.S. citizens have a dietary deficiency in Mg

article – Why peripheral vasodilators fail to improve microcirculation blood flow

(we can correct it with diet)

RBC diameter =~ 6.5-7 microns

Capillary diameter = 5-6 microns

So – RBCs have to be flexible to get through the capillaries

If rouleaux is present, the RBCs lack flexibility

Get a lack of oxygen in the heart and the microcirculation

If you get rid of the rouleaux, the Pt feels better

Mg and wheat germ oil

T1 – Coronary:

Subscapularis muscle

Left shoulder: Typical angina pain

Tip of the shoulder – sometimes – chronic

(acts like an acromioclavicular problem)

Epigastric – especially high up (just below the xiphoid)

Anterior tubercle of the humerus – very tender to palpation

Persistent, recurrent pain – need to look deeper if Pt is only getting temporary relief

from the adjustments

Ear lobe crease

Unique pain on the left thenar pad

Proximal ½ = occlusion

Distal ½ = constriction/spasm

Nutrition: Everything as for the myocardium

Vitamin E (more important than ever)

Fish oils (EPA, DHA – omega-3 oils)

Constriction: (Emotional Coronary – get attacks when you get tense/uptight)

1) Soft tissue manipulation of the distal ½ of the thenar pad

while holding the most tender spot in the left upper trap

2) Soft tissue manipulation with a flat, double thumb contact working under the

left rib cage

Pts will be very rigid under the rib cage (especially on the left)

Occlusion: Soft tissue manipulation under the left ribs (one thumb)

with soft tissue manipulation on the left anterior humerus

(near the greater tubercle)

Pt supine with hand supinated (so it’s easier to get into the area)

Angina Attack:

Pt supine or sitting (Pts often do not want to lie down during an attack)

Ulnar knife edge contact on sternum

Simultaneous pressure at the right and left T9 (T10-T11) transverse processes

Hold until the angina pain is controlled

Light pressure (but firm – so Pt feels restricted)

CO2: T5, Right } pressures applied slowly,

T10, Right and Left } held, then slowly relaxed

L2, Right and Left }

Especially good for hypertension

(also do on gall bladder and ….)

Hypertension: Balance the psoas and diaphragm

Do the CO2 treatment

Tachycardia:

1) Light pressure on the eyeballs (oculo-cardiac reflex)

2) Pressure on the left vagus nerve behind the clavicle

The vagus sends fibers to the heart and to the GI area and elsewhere

The left vagus has more influence on cardiac problems than the right vagus

Note: Be careful – you can slow the Pt’s heart too much

Dr. behind the Pt

Right thumb in under the SCM (lateral to it and behind the clavicle)

Left hand raises Pt’s left arm

One more level to cover before the Midterm (in ~ 2 weeks)

Midterm: Dr. H. hands out answer sheets

T/F, multiple choice

Dr. H. reads each question twice, then we write down our best answer

40-60 questions

no trick questions

everything since Day 1

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