CHAPTER XVI.

REASONING TESTS.

The Vermiform Appendix--Operating for Appendicitis--Expelling Power

of the Vermiform Appendix--Care Exercised in Making

Assertions--Reasoning Tests--A List of Unexplained

Diseases--Concluding Remarks.

THE VERMIFORM APPENDIX.

At the present time more than at any other period since the birth of

Christ, the medical and surgical world have centralized their minds for

the purpose of relieving locally inside, below the kidney of the male or

female, excruciating pain, which appears in both sexes in the region

above described.

From some cause, possibly justifiable, it has been decided to open the

human body and explore the region just below the right kidney in search

of the cause of this trouble. Such explorations have been made upon the

dead first. Small seeds and other substances have been found in the

vermiform appendix, which is a hollow tube over an inch in length. These

discoveries, as found in the dead subject, have led to explorations in

the same location in the living. In some of the cases, though very few,

seeds and other substances have been found in the vermiform appendix,

supposed to be the cause of local or general inflammation of the

appendix. Some have been successfully removed, and permanent relief

followed the operation. These explorations and successes in finding

substances in the vermiform appendix, their removal, and successful

recovery in some cases, have led to what may properly be termed a hasty

system of diagnosis, and it has become very prevalent, and resorted to

by the physicians of many schools, under the impression that the

vermiform appendix is of no known use, and that the human being is just

as well off without it.

OPERATING FOR APPENDICITIS.

Therefore it is resolved, that as nothing positive is known of the

trouble in the location above described, it is guessed that it is a

disease of the vermiform appendix. Therefore they etherize and dissect

down for the purpose of exploring, to ascertain if the guess is right or

wrong. In the diagnosis this is a well-defined case of appendicitis; the

surgeon's knife is driven through the quivering flesh in great eagerness

in search of the vermiform appendix. The bowels are rolled over and

around in search of the appendix. Sometimes some substances are found in

it; but often to the chargrin of the exploring physician, it is found to

be in a perfectly healthy and natural condition, and so seldom is it

found impact with seeds or any substance whatever, that as a general

rule it is a useless and dangerous experiment. The per cent of deaths

caused by the knife and ether, and the permanently crippled, will

justify the assertion that it would be far better for the human race if

they lived and died in ignorance of appendicitis. A few genuine cases

might die from that cause; but if the knife were the only known remedy,

it were better that one should occasionally die than to continue this

system, at least until the world recognizes a relief which is absolutely

safe, without the loss of a drop of blood, that has for its foundation

and philosophy a fact based upon the longitudinal contractile ability of

the appendix itself, which is able to eject by its natural forces any

substances that may by an unnatural move be forced into the appendix.[8]

[Footnote 8: My first Osteopathic treatment for appendicitis was in

1877, at which time I operated on a Mr. Surratt and gave permanent

relief. During the early eighties I treated and permanently cured Mrs

Emily Pickler of Kirksville, mother of our representative, S. M.

Pickler, and mother of ex-congressman John A. Pickler of South Dakota.

The infirmary has had bad cases of appendicitis probably running up into

hundreds without failing to relieve and cure a single case. The ability

of the appendix to receive and discharge foreign substances is taught in

the American School of Osteopathy and is successfully practiced by its

diplomates. In the case of Mr. Surratt I found lateral twist of lumbar

bones; I adjusted spine, lifted bowels, and he got well. When I was

called to Mrs. Pickler she had been put on light diet, by the surgeon,

preparatory to the knife. She soon recovered under my treatment without

any surgical operation and is alive and well to this date.]

EXPELLING POWER OF THE VERMIFORM APPENDIX.

To a philosopher such questions as this must arise: Has the appendix at

its entrance a sphincter muscle similar in action to that of the rectum

and oesophagus? Has it the power to contract and dilate?--contract and

shorten in its length and eject all substances when the nerves are in a

normal condition? And where is the nerve that failed to execute the

expulsion of any substance that may enter the cavity of the appendix?

Has God been so forgetful as to leave the appendix in such condition as

to receive foreign bodies without preparing it by contraction or

otherwise to throw out such substances? If He has He surely forgot part

of His work. So reason has concluded for me, and on that line I have

proceeded to operate for twenty-five years without pain or misery to the

patient, and given permanent relief in all cases that have come to me.

With the former diagnosis of doctors and surgeons that appendicitis was

the malady, and the choice of relief was the knife or death, or possibly

both, many such cases have come for Osteopathic treatment, and

examination has revealed that in every case there has been previous

injury to some set of spinal nerves, caused by jars, strains or falls.

Every case of appendicitis, gall or renal stones can be traced to some

such cause. These principles I have proclaimed and thought for

twenty-five years.

CARE EXERCISED IN MAKING ASSERTIONS.

We should use much caution in our assertions that nature had made its

work so complete in animal forms and furnished them with such wisely

prepared principles that they could produce and administer remedies to

suit, and not leave the body to find them. Should we so conclude and

find by experiment that man is so arranged, and wisely furnished by

deity as to ferret out disease, purify and keep the temple of life in

ease and health; we must use great care when we assert such is not

undeniably true up to the present. The opposite opinion has had full

sway for twenty centuries at least, and man has by habit, long usage,

and ignorance so adjusted his mind to submit to customs of the great

past that should he try, without previous training, to reason and bring

his mind to such altitude of thought of the greatness and wisdom of the

infinite, he might become insane or fall back in a stupor, and exist

only as a living mental blank in the great ocean of life, where beings

dwell without minds to govern their actions. It would be a great

calamity to have all the untrained minds shocked so seriously as to

cause them to lose the mite of reason they now have, and be sent back

once more to dwell in Darwin's protoplasm. I tell you there is danger,

and we must be careful and show the people small stars, and but one at a

time, till they can begin to reason and realize that God has done all

that the wisest can attribute to Him.

REASONING TESTS.

There is but one method of reasoning. That method is by the laws

governing the subject to be reasoned upon.

Reasoning is the action of the mind while hunting for truths.

THE ABDOMEN.

As we are about to camp close to the abdomen for a season of

explorations and a more reasonable knowledge of its organs and their

functions, we will search its geography first, and find its location on

the body or globe of life. We find a boundary line established by the

general surveyor, about the middle of the body, called the diaphragm.

This line has a very strong wall or striated muscle that can and does

dilate and contract to suit for breathing, and quantities of food that

may be stored for a time in stomach and bowels for use. The abdomen is

much longer than wide. In short, it is a house or shop builded for

manufacturing purposes. In it we find the machinery that produces rough

blood or chyle, and sends it to heart and lungs to be finished to

perfect living blood, to supply and sustain all the organs of this

division. This diaphragm or wall has several openings through which

blood and nutriment pass to and from abdomen to heart, lungs and brain.

I want to draw your special attention to the fact that this diaphragm

must be truly normal. It must be anchored and held in its true position

without any variation, and in order that you shall fully understand what

I mean, I will ask you to go with me mentally to all the ribs, beginning

with the sternum, see attachments, follow across with a downward course

to the attachments of this great muscular septum to the lower lumbar

region, where the right crus receives a branch or strong muscle from the

left side, and the left crus receives a muscle from the right which

becomes one common muscle known as the left crus, the same of the right

crus receiving a muscle or tendon from the left, which you will easily

comprehend from examining descriptive cuts in Gray, Morris, Gerrish, or

any well illustrated work of anatomy. You see at once a chance for

constriction of the aorta by the muscles under which it passes, causing

without doubt much of the disease known as palpitation of the heart,

which is only a bouncing back of the blood that has been stopped at the

crura. Farther away from the spine near the center of the diaphragm we

find the return opening through this wall, provided to accommodate the

vena cava. To the left a few inches below the vena cava we find another

opening provided for the oesophagus and its nerves; like the aorta, it

has two muscles of the diaphragm crossing directly between oesophagus

and the aorta, in such shape as to be able to produce powerful

prohibitory constriction to normal swallowing.

A LIST OF UNEXPLAINED DISEASES.

At this point I will draw your attention to what I consider is the cause

of a whole list of hitherto unexplained diseases, which I think are only

effects, caused by the blood and other fluids being prohibited from

doing normal service by constrictions at the various openings of the

diaphragm. Thus prohibition of free action of the thoracic duct would

produce congestion of receptaculum chyli, because of not being able to

discharge its contents as fast as received. Is it not reasonable to

suppose a ligation of the thoracic duct at the diaphragm would retain

this chyle until it would be diseased by age and fermentation, and be

thrown off into the substances of other organs of the abdomen and set up

new growths, such as enlargement of the uterus, ovaries, kidneys, liver,

spleen, pancreas, omentum, lymphatics, cellular membranes, and all that

is known as flesh and blood below the diaphragm? Have you not reason to

explore and demand a deeper and more thorough anatomical knowledge of

the diaphragm and its power to produce disease while in an abnormal

condition, which can be caused by irritations, wounds or hurts, from the

base of the brain to the coccyx? Remember this is an anatomical and

philosophical question that will demand your attention to the mechanical

formation, physiological action and the unobstructed privileges of

fluids when prepared in the laboratory of nature, to be sent at once to

their ordained destination, before such substances are diseased or dead

with age. You must remember that you have been well drilled, or talked

out of patience in the room of symptomatology and all you have learned

is, something ails the kidneys, and are told their contents when

analyzed are not normally pure urine. In urinalisis you are told "here

is sugar," "here is fat," "here is iron," "here is pus," "here is

albumen," and this is diabetis, this is Bright's disease, but no

suggestion is handed to the student's mind to make him know that these

numerous variations from normal urine are simply effects, and the

diaphragm has caused all the trouble, by first being irritated from

hurts, by ribs falling, spinal strains, wounds and on from the coccyx to

the base of the brain. Symptomatology is very wide and wise in putting

this and that together and giving it names, but fails to give the cause

of all these abdominal lesions. Never for once has it said or intimated

that the diaphragm is prolapsed by misplaced ribs to which it is

attached, or that it is diseased by hurts of spine and nerves above its

own location. Allow yourself to think of the universality of the

distribution of the superior cervical ganglion and other nerves which

are of such great importance that I will by permission insert in the

last chapter of this book a description of that great system of the

sympathetic nerves by Dr. Wm. Smith, whose superior knowledge of anatomy

makes him eminently qualified to describe the location and uses of this

great sympathetic system of the nerves of life.

CONCLUDING REMARKS.

As you read his able essay remember there are four other sets of nerves

equal to, and just as important in their divisions of life, which are

the motor, nutrient, voluntary and involuntary. All of which you as an

engineer must know, and by proper adjustment of the body give them

unlimited power to perform their separate and united parts in sustaining

life and health. Now as I have tried to place into your hands a compass,

flag and chain that will lead you from effect to cause of disease in

any part or organ of the whole abdomen I hope that many mysteries which

have hung over your mental horizon will pass away, and give you abiding

truths, placed upon the everlasting rock of cause and effect. You have

as little use for old symptomatology as an Irishman has for a cork when

the bottle is empty. Osteopathy is knowledge, or it is nothing.

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