CHAPTER VII.

THE DIAPHRAGM.

Investigation--A Struggle With Nature--Lesson of Cause and

Effect--Something of Medical Etiquette--The Medical Doctor--An

Explorer for Truth Must Be Independent--The Diaphragm Introduced--A

Useful Study--Combatting Effect--Is Least Understood--A Case of

Bilious Fever--A Demand on the Nerves--Danger of Compression--A

Cause for Disease--Was a Mistake Made in the Creation--An

Exploration--Result of Removal of Diaphragm--Sustaining Life in

Principles--Law Applicable to Other Organs--Power of

Diaphragm--Omentum.

INVESTIGATION.

Let us halt at the origin of the splanchnic and take a look. At this

point we see the lower branches; sensation, motion, and nutrition, all

slant above the diaphragm pointing to the solar plexus which sends off

branches to pudic and sacral plexus of sensory system of nerves; just at

the place to join the life giving ganglion of sacrum with orders from

the brain to keep the process of blood forming in full motion all the

time. A question arises, how is this motion supplied and from where? The

answer is by the brain as nerve supply, heart as blood supply, all of

which comes from above the diaphragm, to keep machinery in form and

supplied with motion, that it may be able to generate chyle to send back

to heart, to be formed into blood and thrown into arteries to build all

parts as needed, and keep brain fed up to its normal supply of power

generating needs. We see above the diaphragm, the lungs, heart and

brain, the three sources of blood and nerve supply. All three are

guarded by strong walls, that they may do their part in keeping up the

life supply as far as blood and nerve force is required. But as they

generate no blood nor nerve material, they must take the place of

manufactories and purchase material from a foreign land, to be able to

have an abundance all the time. We see nature has placed its

manufacturies above a given line in the breast, and grows the crude

material below said line. Now as growth means motion and supply, we must

combine in a friendly way, and conduct the force from above to the

region below the septum or diaphragm, that we may use the powers as

needed. This wall must and does have openings to let blood and nerves

penetrate with supply and force to do the work of manufacturing.

A STRUGGLE WITH NATURE.

After all this has been done and a twist, pressure or obstructing fold

should appear from any cause, would we not have a cut off of motion to

return chyle, sensation to supply vitality, and venous motion to carry

off arterial supply that has been driven from heart above? Have we not

found the cause to stop all processes of life below diaphragm? In short,

are we not in a condition to soon be in a complete state of stagnation?

As soon as the arteries have filled the venous system, which is without

sensation to return blood to the heart, then the heart can do nothing

but wear out its energies trying to drive blood into a dead being below

the diaphragm known as the venous system. It is dead until sensation

reaches the vein from the sacral and pudic plexus.

LESSON OF CAUSE AND EFFECT.

Previous to all discoveries that have been made a demand for the

usefulness of such discovery, is felt and talked of for years, centuries

and cycles of time. Its discovery is an open question and free to all,

because in this fact all are interested. That lack may be felt and

spoken of by all agriculturists, and the inquiry directed to a better

plow, a better sickle or mowing machine with which to reap standing

grain. The thinker reduces his thoughts to practice, and cuts the grain,

leaving it in such condition that a raker is needed to bunch it previous

to binding.

His victory is heralded to the world as king of the harvest, and so

accepted. The discoverer says, "I wish I could bunch that grain." He

begins to reason from the great principle of cause and effect, and

sleeps not until he has added to his already made discovery, an addition

so ingeniously constructed that it will drop the grain in bunches ready

for the binder. The discoverer stands by and sees in the form of a human

being hands, arms and a band; he watches the motion then starts in to

rustle with cause and effect again. He thinks and sweats day and night,

and by the genius of thought produces a machine to bind the grain. By

this time another suggestion arises, how to separate the wheat as the

machine journeys in its cutting process. To his convictions nothing will

solve this problem but mental action. He thinks and dreams of cause and

effect. His mind seems to forget all the words of his mother tongue but

cause and effect. He talks and preaches cause and effect in so many

places that his associates begin to think he is mentally failing, and

will soon be a subject for the asylum. He becomes disgusted with their

lack of appreciation, seeks seclusion and formulates the desired

addition and threshes the grain ready for the bag. He has solved the

question and proved to his neighbors that the asylum was built for them,

not for him. With cause and effect which is ever before the

philosopher's eye, he ploughs the ocean regardless of the furious

waves, he dreads not the storms on the seas, because he has so

constructed a vessel with a resistance superior to the force of the

lashing waves of the ocean, and the world scores him another victory. He

opens his mouth and says by the law of cause and effect I will talk to

my mother who is hundreds of miles away. He disturbs her rest by the

rattling of a little electric bell in her room. Tremblingly the aged

mother approaches the telephone and asks "Who is there?" And is

answered, "It is me, Jimmie," and asks, "To whom am I talking?" She says

"Mrs. Sarah Murphy." He says, "God bless you, mother; I am at Galveston,

Texas, and you are in Boston, Mass." She laughs and cries with joy; he

hears every emotion of her trembling voice. She says to him, "You have

succeeded at last. I have never doubted your final success,

notwithstanding the neighbors have annoyed me almost to death, telling

me you would land in the asylum, because no man could talk so as to be

heard 1000 miles away; his lungs, were too weak, and his tongue too

short."

Now, friends, I have given you a long introductory foundation previous

to giving you the cause of disease, with the philosophy that I have

given upon cause and effect. I think it absolutely clear and the effect

so unerring in its results, that with Pythagoras I can say "Eureka."

SOMETHING OF MEDICAL ETIQUETTE.

To know we have found a general cause for disease, one that will stand

the heights and depths of direct and cross examinations, as given by the

high courts of cool headed reason, has been the mental effort of all

doctors and healers, since time began its record. They have had to treat

disease as best they could, by such methods as customs had established

as the best known for such diseases; notwithstanding their failures and

the great mortality under such a system of treatment. They have not felt

justified to go beyond the rules of symptomatology as adopted by their

schools, with diagnosis, prognosis and treatment. Should they digress

from the rules of the etiquette of their alma maters they would lose the

brotherly love and support of the medical association to which they

belong, under the belief that, "A bad name is as bad as death to a dog."

THE MEDICAL DOCTOR.

He says that in union there is safety, and resolves to stick to, live

and do as his school has disciplined all its pupils, with this command,

"The day thou eatest thereof, thou shalt surely die. Stick to the

brotherhood."

AN EXPLORER FOR TRUTH MUST BE INDEPENDENT.

The explorer for truth must first declare his independence of all

obligations or brotherhoods of any kind whatsoever. He must be free to

think and reason. He must establish his observatory upon hills of his

own; he must establish them above the imaginary high planes of rulers,

kings, professors of schools of all kinds and denominations. He must be

the Czar of his own mental empire, unencumbered with anything that will

annoy while he makes his observations. I believe the reasons are so

plain, so easily comprehended, the facts in its support so brilliant,

that I will offer the same, though I be slaughtered on the altar of

bigotry and intolerance. This philosophy is not intended for minds not

thoroughly well posted by dissection and otherwise of the whole human

anatomy. You must know its physiological laboratories and workings with

the brain as the battery, the lungs as the source or machine that

renovates the blood from all impurities, and the heart as the living

engine or quarter-master, whose duty is to supply the commissaries with

blood and other fluids to all divisions and sub-divisions of the human

body, which is busily engaged producing material suited to the

production of bone and muscle, and all other substances necessary to

keep the machinery of life in full force and action.

Without this knowledge on the part of the reader, the words of this

philosophy will fall as blanks before reaching his magazine of reason.

Thus this is addressed to the independent man or woman that can, will

and does reason.

THE DIAPHRAGM INTRODUCED.

At this point we will introduce the diaphragm, which separates the

heart, lungs and brain from the organs of life that are limited to the

abdomen and pelvis. A question arises at this point; what has the

diaphragm to do with good or bad health? At this time we will analyze

the diaphragm; we will examine its construction, and its uses; we will

examine its openings through which blood passes both above and below. We

will examine the opening through which food passes to stomach. We will

carefully examine the passage or opening for nerve supply to the abdomen

below, to run this great system of chemistry, which is producing the

various kinds of substances necessary to the hard and soft parts of the

body. We must know the nerve supply of the lymphatics, womb, liver,

kidneys, pancreas, the generative organs, what they are, what they do,

and what are demanded of them, before we are able to feed our own minds

from the cup that contains the essence of reason as expressed from the

tree of life.

A USEFUL STUDY.

The diaphragm surely gives much food to the one who would search for the

great whys of disease as reported causes seem to be far back in the fogs

of mystery. It may help us to arrive at some facts if we take each organ

and division and make a full acquaintance of all its parts and uses

before we combine it with others.

COMBATTING EFFECTS.

In all ages, the Doctor has for lack of knowledge of the true cause of

diseases, combatted effects with his remedies. He treats pain with

remedies to deaden pain; congestion to wash out overplus of blood that

has been carried to parts or organs of the body by arteries of blood and

channels of secretions and not taken up and passed out and off by the

excretories. He sees the abnormal size and leaves the hunting of the

cause that has given growth to such proportions and begins to seek rest

and ease for his patient. Then he treats to reduce by medicine to carry

the waste fluids to bowels, bladder and skin, with tonics to give

strength and stimulants to increase the action of the heart in order to

force local deposits to the general excretory system. At this time let

the Osteopathic Doctor take a close hunt for any fold in muscles of the

system that would cause a cut-off of the normal supply of blood or

suspend the action of nerves whose office is to give power and action to

the excretory system sufficient to keep the dead matter carried off as

fast as it accumulates. Let us stop and acquaint ourselves with the true

condition of the diaphragm. It must be normal in place, as it is so

situated that it will admit of no abnormality. It must be kept

stretched, just as Nature arranged that it should, like a drum-head. It

is attached all around to the chest, though it crosses five or six ribs

on its descent from the seventh rib to the sternum at the lower point

and down to fourth lumbar vertebra. It is a continuous slanting floor,

above bowels and abdominal organs, and below heart and lungs. It must,

by all reason, be kept normal in tightness at all places, without a fold

or wrinkle, that could press the aorta, nerves, oesophagus, or

anything that contributes to the supply or circulation of any vital

substance. Now can there be any move in spine or ribs that would or

could change the normal shape of the diaphragm? If so, where and why?

IS LEAST UNDERSTOOD.

The diaphragm is possibly the least understood as being the cause of

more diseases, when its supports are not all in line and normal

position, than any other part of the body. It has many openings through

which nerves, blood and food pass while going from chest to all parts

below. It begins at the lower end of the breast-bone and crosses to ribs

back and down, in a slanting direction to the third or fourth lumbar

vertebra. Like an apron, it holds all that is above it up, such as heart

and lungs, and is the fence that divides the organs of the abdomen from

the chest. Below it are the stomach, bowels, liver, spleen, kidneys,

pancreas, womb, bladder; also the great system of lymphatics of the

whole blood and nerve supply of the organs and systems of nutrition and

life supply. All parts of the body have a direct or indirect connection

with this great separating muscle. It assists in breathing, in all

animals, when normal, and when prolapsed by the falling in and down of

any of the five or six ribs by which it is supported in place, then we

suffer from the effects of suspended normal arterial supply, and venous

stagnation below diaphragm. The aorta meets resistance as it goes down

with blood to nourish, and the vein as it goes back with impurities

contained in venous blood, also meets an obstruction at the diaphragm,

as it returns to the heart through the vena cava, because of the packing

of a fallen diaphragm on and about the blood vessels that must not be

obstructed. Thus heart trouble, lung disease, brain, liver, womb, tumors

of the abdomen and through the list of effects can be traced to the

diaphragm as the cause.

I am strongly impressed that the diaphragm has much to do in keeping all

the machinery and organs of life in a healthy condition, and will try

and give some of the reasons why, as I now understand them. First, it is

found to be wisely located just below the heart and lungs; one being the

engine of the blood, and the other is the engine of the air. This strong

wall holds all substances or other bodies away from any chance to press

on either engine, while performing their parts in the economy of life.

Each engine has a sacred duty to perform under the penal law of death to

itself and all other divisions of the whole being, man. If it should

neglect its work of which it is a vital part, should we take down this

wall and allow the liver, stomach and spleen to occupy any of the places

allotted to these engines of life, a confusion would surely be the

result; ability of the heart to force blood to the lungs would be

overcome and cause trouble.

A CASE OF BILIOUS FEVER.

Suppose we take a few diseases and submit them to the crucial ordeal of

reason, and see if we do, or can find any one of the climatic fevers

that appear with its full list of symptoms and have no assistance from

an irritated diaphragm. For example take a case of common bilious fever

of North America. It generally begins with a tired and sore feeling of

limbs and muscles, pain in spine, head, and lumbar region. At this point

of our inquiry we are left in an open sea of mystery and conjecture as

to cause. One says, "malaria," and goes no farther, gives a name and

stops. If you ask for the cause of such torturous pain in head and back,

with fever and vomiting, he will tell you that the very best authorities

agree that the cause is malaria, with its peculiar diagnostic tendency

to affect the brain, spine and stomach, and administers quinine and

leaves, thinking he has said and done all.

Reason would lead seekers for cause of the pain above located to

remember that all blood passes first as chyme up to heart and lungs,

directly through the diaphragm, conducted through the thoracic duct,

first to heart, thence to lungs, at the same time rivers of blood are

pouring into the heart from all of the system. Much of it very impure,

from diseased or stale blood. Much of the chyle is dead before it enters

the great thoracic duct and goes to the lungs without enough pure blood

to sustain life. Then disease appears.

As a cut-off the diaphragm, when dropped front and down, and across the

aorta and vena cava by a lowering of the ribs, on both sides of the

spine; it would be a complete pressure over coelic axis, with liver

supply, renal, pelvic, to a complete abdominal stoppage. Then we have

over-due blood for other parts to send off dead corpuscles by asphyxia,

with no hope that it can sustain life and health of the parts for which

it was designed. Thus we know that nature would not be true to its own

laws, if it would do good work with bad material.

A DEMAND ON THE NERVES.

Why not reason on the broad scale of known fact, and give the "why" he

or she has complete prostration when all systems are wholly cut off from

a chance to move and execute such duties as nature has allotted to them.

Motor nerves must drive all substances to, and sensation must judge the

supply and demand. Nutrition must be in action all the time and keep all

parts well supplied or a failure is sure to appear. We must ever

remember the demands of nature on the lymphatics, liver and kidneys,

that nerves work all the time or a confusion for lack in their duties

will mark a cripple in some function of life over which they preside.

DANGER OF COMPRESSION.

At this time we see by all systems of reason that no delay in passage of

food or blood, can be tolerated at the diaphragm, because any

irritation is bound to cause muscular contraction and impede the

natural flow of blood, first through the abdominal aorta, and even to a

temporary, partial or complete stoppage of arterial supply to the

abdomen. Or the vena cava may be so pressed as to completely stop the

return of venous blood from the stomach, kidneys, bowels and all other

organs, such as the lymphatics, pancreas, fascia, cellular membranes,

nerve centers, ganglionic and all systems of supply of organs of life

found in the abdomen. Thus by pressure, stricture or contraction to the

passage of blood can be stopped, either above or below the diaphragm,

and be the cause of blood being detained long enough to die from

asphyxia, and be left in the body of all organs below the diaphragm.

A CAUSE FOR DISEASE.

Thus you see a cause for Bright's disease of kidneys, disease of womb,

ovaries, jaundice, dysentery, leucorrhoea, painful monthlies, spasms,

dyspepsia, and on through the whole list of diseases now booked as

"causes unknown," and treated by the rule of "cut and try." We do know

that all blood for use of the whole system below the twelfth dorsal

vertebra does pass through the diaphragm, and all nerve supply, also

passes through the diaphragm and spinal column for limb and life. This

being a known fact, we have only to use reason to know that an

unhealthy condition of the diaphragm is bound to be followed by many

diseases. A list of questions arise at this point with the inquirers

that must and can be answered every time by reason only. The diaphragm

is a musculo-fibrinous organ and depends for blood and nerve supply

above its own location, and that supply must be given freely and pure

for nerve and blood or we will have a diseased organ to start with; then

we may find a universal atrophy or oedema, which would, besides its

own deformity not be able to rise and fall, to assist the lungs to mix

air with blood to purify venous blood, as it is carried to the lungs to

throw off impurities and take on oxygen previous to returning to the

heart, to be sent off as nourishment for the system. It is only in

keeping with reason that without a healthy diaphragm both in its form

and action, disease is bound to be the result. A question from our side

of the argument is: How can a carpenter build a good house out of

rotten, twisted or warped wood? If he can, then we can hope to be

healthy with diseased blood, but if we must have good material in

building, then we should form our thoughts to suit the heads of

inspectors, and inspect the passage of blood through the diaphragm,

pleury, pericardium and the fascia, superficial, deep and universal.

Disease is just as liable to begin its work in the fascia and

epithelium as any other place. Thus the necessity of pure blood and

healthy fascia, because all functions are equally responsible for good

and bad results.

WAS A MISTAKE MADE IN THE CREATION?

At a given period of time the Lord said, "Let us make man." After He had

made him He examined him, and pronounced him good, and not only good,

but very good. Did He know what good was? Had He the skill to be a

competent judge? If He was perfectly competent to judge skilled arts His

approval of the work when done was the fiat of mental competency backed

by perfection. Since that architect and skilled mechanic has finished

man and given him dominion over the fowls of the air, the beast of the

field and fishes of the sea, hasn't that person, being or superstructure

proven to us that God, the creator of all things, has armed him with

strength, with the mind and machinery to direct and execute? This being

demonstrated and leaving us without a doubt as to its perfection, are we

not admonished by all that is good and great to enter upon a minute

examination of all the parts belonging to this being; acquaint ourselves

with their uses and all the designs for which the whole being was

created. If we are honestly interested with the acquaintance of the

forms and uses of the parts in detail by close and thorough examination

of the material, its form and object of its form, from whence this

substance is obtained; how it is produced and sustained through life in

kind and form. How it is moved, where it gets its power, and for what

object does it move? A demand for a crucial examination of the skull,

the heart, lungs, of the chest, the stomach, liver and other organs of

the abdomen is made. The septum of the brain, the pericardium of the

chest--the diaphragm of the abdomen which is a dividing septum between

the abdomen and chest. In this examination we must know the reasons why

any organs, vessel or any other substance is located at a given place.

We must run with all the rivers of blood that travel through the system.

AN EXPLORATION.

We must start our exploring boat with the aorta, and float with this

vital current; see the captain as he unloads supplies for the diaphragm

and all that is under it. We must follow him and see what branch of this

river will lead to a little or great toe, or to the terminals of the

whole foot. We must pass through the waters of the dead sea by the way

of the vena cava, and observe the boats loaded with exhausted and worn

out blood, as it is poured in and channeled back to the heart, with all

below the diaphragm. Carefully watch the emptying of the vena azygos

major and minor, with the veins of the arms and head all being poured in

from little or great rivers to the vena innominate on their way to the

great hospital of life and nourishment; whose quarter-master is the

heart; whose finishing mechanic is the lung. Having acquainted ourselves

with the forms and locations of this great personality we are ready at

this time after examination, and found worthy and well qualified to

enter into a higher class in which we can obtain an acquaintance with

the physiological workings separately and conjoined of the whole being.

At this place we become acquainted with the hows and whys of the

production of blood, bone and all elements found in them, necessary to

sustain sensation, motion, nutrition, voluntary and involuntary action

of the nerve system. The hows and whys of the lymphatics, the life

sustaining powers of the brain, heart, lungs, and all the abdominal

system, with their various actions and uses, from the lowest cellular

membrane to the highest organ of the body.

RESULT OF REMOVAL OF DIAPHRAGM.

When we consult the form of the cross-bar that divides the body in two

conjoined divisions and reason on its use, we arrive at the fact that

the heart and lungs must have ample space or room to suit their actions

while performing their functions. At this time a question comes up: What

effect would follow the removal of the fence between heart, lungs and

brain, above that dividing muscle, and the machinery that is situated

below said cross-bar? We see at a glance that we would meet failure to

the extent of the infringement on demanded room for normal work of heart

to deliver below lungs to prepare blood, and the brain to pass nerve

power to either engine above, and all organs below the diaphragm.

SUSTAINING LIFE PRINCIPLES.

The life of the living tree is with the bark and superficial fascia

which lies between the bark of the body of the tree, its periostium. The

remainder of the tree takes the position or place of secreting. Its

excretory system is first upwards from the surface of the ground, and

washes out frozen impurities in the spring, after which it secretes and

conveys to the ground through the trunk of the tree to the roots which

is like unto the placenta attached to mother earth, qualifying all

substances of constructing fiber and leaf, of that part of the tree

above the ground. Each year produces a new tree which is seen and known

by circular rings called annular growths. That growth which was

completed last year is now a stale being of the past and has no vital

action of itself. But like all stale beings its process is a life of

another order, and dependent upon the fascia for its life and cellular

action which lies under the bark, for its own existence as a living

tree. It can only act as a chemical laboratory and furnish crude

material which is taken up by the superficial fascia and conveyed up to

the lungs, and exchanges dead for living matter, to receive and return

to all parts of the tree, keeping up vital formation. With frost its

vital process ceases through the winter season until mother earth

stimulates the placenta, and starts the growth of a new being, which is

developed and placed in form on the old trunk. Thus you see everything

of animal growth as we would call them, is a new being, and becomes a

part of the next being or growth formed.

STALE LIFE.

Should this form of vitality cease with the tree another principle which

we call stale life takes possession and constructs another tree which is

just the reverse of the living tree, and builds a tree after its own

power of formulation from the dead matter, to which it imparts a

principle of stale life, which life produces mushrooms, frogstools and

other peculiar forms of stale beings, from this form of growth.

Thus we are prepared to reason that blood when ligated and retained in

that condition of dead corpuscles, and no longer able to support animal

life, can form a zoophyte and all the forms peculiar to the great law of

association, as tumefactions of the lymphatics, pancreas, liver,

kidneys, uterus, with all the glandular system, be they lymphatics,

cellular, ganglia or any other parts of the body susceptible of such

growths, below the diaphragm. Thus we can account for tubercles of the

abdomen and all organs therein found.

LAW APPLICABLE TO OTHER ORGANS.

This same law is equally applicable to the heart, lungs, the brain,

tissues, glands, fascia and all substances capable of receiving without

the ability to excrete stale substances.

As oedema marks the first tardiness of fluids we have the beginning

step which will lead from miliary tuberculosis to the largest known

forms of tubercles, which is the effect of the active principles of

stale life or the life of dead matter.

POWER OF DIAPHRAGM.

At this point we will draw the attention of the reader to the fact that

the diaphragm can contract and suspend the passage of blood and produce

all the stagnant changes from start to completed deadly tubercle. Also

the cancer, the wen, glandular thickening of neck, face, scalp, fascia

and all substances found above the diaphragm. In this stale life we have

a compass that will lead us as explorers from the North star, to the

South pole, the rising sun of reason, and the evening dews of eternity.

This diaphragm says: "By me you live and by me you die. I hold in my

hand the powers of life and death, acquaint now thyself with me and be

at ease."

OMENTUM.

The truth of the presentation of facts should be the principle object of

every person who takes his pen with a view to give the reasons why

certain witnesses' testimony are indispensable to establish supposable

or known truths. This being the case I have summoned before this court

of inquiry an important witness. He has now taken the oath to tell the

truth, the whole truth and nothing but the truth, of the case before

this court. His name is the Great Omentum. Mr. Omentum, state if you

know of any reason why or how by irritation from a misplacement of your

body or any of its attachments to or about the diaphragm, the spine,

stomach or other places that could cause irritation and thickening by

congestion of your own body to such degree as to impede the flow of

arterial or venous blood, over whose position you occupy much space from

the diaphragm downward? State what effect a falling down of the eleventh

and twelfth ribs on both sides of the spine with their cartilaginous

points turned inward and down; if they should draw the diaphragm down

and across your body? What would be the effect on circulation of the

blood, and other fluids on the kidneys and other organs of the abdomen

and pelvis? Would it not be the foundation for destructive congestion,

and abnormal growth? State if you know if any such ligation would cause

swelling by retention of blood in the spleen, liver, kidneys or other

organs of the abdomen and pelvis? Would it be reasonable to suppose that

you could perform your functions in office with any irritating condition

caused by prolapses of diaphragm? Would not an irritation of your

attachment to the diaphragm, spine or stomach be great enough to impede

the blood on its passage through the aorta to the abdomen, or impede the

flow of blood back and through the diaphragm? If so state how and why?

Philosophy of Osteopathy · 第 7 / 20 章