=Arthritis Deformans.=--In well developed cases some almost complete

cures have been effected in periods varying from two to four years.

Prognosis good as to relief, but poor as to complete recovery.

=Ascites.=--Fair prognosis, depending upon the nature of the portal

obstruction. Cirrhotic ascites does not yield well.

=Asthma.=--Spasmodic bronchial asthma is almost always curable except

in the very aged, but the usual posterior curvature in lower cervicals

and upper dorsals requires time and persistent heavy adjustments for

its correction. The asthmatic paroxysm may be relieved instantaneously,

but will recur at intervals for a long period before the cure is fully

established. The cardiac form of asthma depends upon restoration of

compensation for a leaking valve, and yields by irregularly progressive

diminution.

=Blindness.=--As a condition, without qualifying terms, blindness

offers a bad prognosis. Most cases fail to develop sight under

adjustments. Yet some individual cures in optic atrophy, in detached

retina, and in other conditions, attest the possibility. Cataract

blindness perhaps yields best.

=Bradycardia.=--If symptomatic, yields as does the disease. If primary,

a few adjustments are usually sufficient. In one case the first

adjustment increased to 90 a pulse which had been at 60 for fifteen

years. In twenty-four hours, without further adjustment, the rate had

settled at 69 and there remained.

=Bright’s Disease.=--Prognosis good, but some cases terminate abruptly

with intercurrent disease, such as pneumonia. There is danger until

the albuminuria has ceased and the strength of the patient markedly

improved. Probably the diseased kidney area is simply walled off from

the healthy tissue, which then hypertrophies and takes on the work of

the entire organ, or pair of organs. If too much damage has been done,

the case will terminate fatally in time, even though its progress is

checked by adjustments.

=Bronchitis.=--Acute bronchitis is quickly checked as a rule. Chronic

bronchitis may prove intractable, or may require many months for a

cure. There are exceptional quick cures of the most chronic cases.

=Caked Breast--Mammary Inflammations=.--Rapid and positive cure follows

proper adjustments.

=Cerebral Softening.=--Prognosis bad.

=Cerebrospinal Meningitis.=--Serious always, but no fatalities reported

in adjusted cases. Failure to modify fever and cervical retraction

within two or three hours, and with one to ten adjustments, is alarming.

=Chickenpox.=--Like smallpox and the other exanthemata, chickenpox

should be modified at once by adjustment and all cases should be light,

eruption hastened, and fever quickly broken. Sometimes the rash may be

strongly marked and the disease run its usual course in all particulars

except fever and prostration, being a febrile with absence of all the

consequences of fever.

=Cholangitis.=--Recovers quickly under adjustment.

=Cholecystitis.=--Prognosis excellent.

=Chorea.=--Prognosis excellent in acute and subacute cases, less

favorable in chronic. No figures are available, but many chronic cases

fail to respond at all.

=Cirrhosis of Liver.=--Doubtful. No statistics have been compiled, but

it seems probable that most cases are unmodified by adjustment.

=Congestion of Liver.=--Prognosis good.

=Conjunctivitis.=--Readily curable, unless part of a more general

infection.

=Constipation.=--Prognosis usually good, but some cases which have

paralyzed the intestines with drugs, or in which atony of the

intestinal muscles exists from any cause, are very stubborn. One is

led to believe that any case of chronic constipation would respond to

proper adjustments in time, but sometimes the time is prolonged more

than seems reasonable.

=Coryza.=--Some cases respond instantly, others persist and run their

usual course. Chronic nasal catarrh recovers in favorable climates,

and in unfavorable tends to become permanent, though less severe and

annoying under adjustment.

=Croup.=--Always dangerous, but no fatalities reported under

adjustments, which are powerfully effective. Croup requires constant

attention until all symptoms subside, usually within an hour or two.

=Cystitis.=--Usually curable, but some chronic cases prove intractable

for an unknown reason. There is no way of recognizing the curability of

a case before the attempt.

=Deafness.=--Variable outlook. Deafness due to catarrhal occlusion of

the Eustachian tubes is usually curable. That due to middle ear disease

sometimes yields. That due to nerve disease is possibly--though not

certainly--incurable.

=Diabetes Insipidus.=--Prognosis excellent. Few cases fail of cure, and

no fatalities are reported.

=Diabetes Mellitus.=--Always necessitating grave and careful

consideration, this metabolic disease is marvellously controlled by

Chiropractic adjustment. Probably 90 per cent of all cases are curable,

and only those presenting impossible problems of adjustment, or those

in the very last stages, are hopeless.

=Diarrhoea.=--Prognosis depends largely upon secondary causes.

Adjustments sometimes produce diarrhoea to cleanse the intestinal tract

of waste or poisons. Such a diarrhoea, if instituted by Nature without

aid, does not cease with adjustments until its purpose is accomplished.

Nervous and infective diarrhoeas usually respond well.

=Dilatation of Heart.=--Compensatory hypertrophy and strengthening of

the muscle usually follows adjustment.

=Diphtheria.=--Under adjustment the false membrane tends to exfoliate

and to be coughed out entire within a few hours, with rapid recovery.

In children, watch for possible strangulation from loosened membrane.

Constant bedside attention is imperative until fever and membrane

have disappeared. Convalescence, unless antitoxin has been used, is

very rapid, and physicians watching the clinical course of diphtheria

under adjustment customarily doubt the diagnosis unless culture is

made. Antitoxin modifies the prognosis toward gravity, and in spite of

adjustments persistent sequelae often follow its use.

=Dropsy.=--Cardiac or renal dropsy disappears with improvement in the

diseased organ.

=Dysentery.=--In temperate climates death is extremely unlikely.

Recovery is often quick and easy, but some cases persist. The tropical

amoebic dysentery seems hardest to master and may not improve at all.

=Dyspepsia.=--Prognosis good.

=Endocarditis.=--If primary, recovery is the rule. Occurring in the

course of some other disease, as rheumatic fever, it renders the

prognosis less certain and may terminate fatally. Likely to leave

chronic valve weakness or contraction.

=Enteritis.=--Prognosis generally fair. No figures available.

=Enuresis.=--The majority recover within a few weeks or months, with

occasional exceptions. Failure to get results within a few weeks

suggests a change of adjustment.

=Epilepsy.=--Doubtful. Less than half of all cases recover, and no

case can be pronounced cured until all symptoms have been absent for

a year. Cases with anterior cervicals offer the poorest chance. It

is usually possible to restore consciousness and muscular control

by an adjustment during the grande mal, in the instant between

the tonic and clonic spasms, but such immediate response does

not--unfortunately--always mean that a cure will eventually be effected.

=Epistaxis.=--Nose-bleed usually stops at once following proper

adjustment.

=Erysipelas.=--Cases adjusted early show little spreading of the

eruption with but slight constitutional symptoms. After eruption

is fully developed it is more difficult to keep down the fever and

recovery is slower, but none the less certain unless cardiac or other

grave weakness is present.

=Exophthalmic Goitre.=--Like other forms of goitre this may be reduced,

and with its reduction all other symptoms disappear. Many cures are on

record.

=Friedrich’s Ataxia.=--In hereditary cerebellar ataxia (which is

probably congenital, rather) cures are limited to 40 per cent or

less. History of instrumental delivery, with marked upper cervical

subluxation, argue for the natal origin of the disease and increase the

probability of cure.

=Gallstones.=--Prognosis excellent. The calculi absorb under adjustment

by a reversal of the chemical process by which their deposit was

induced. When small they may pass through the ducts and escape, with

slight pain. Adjustment during the painful passage of a gallstone may

act upon the duct so as to lessen greatly the pain and hasten the

passage.

=Gastralgia.=--Like other gastric neuroses, is easily curable but may

sometimes require correction of a neurotic diathesis, which means time.

=Gastric Ulcer.=--Usually recovers, but occasionally leaves a fibrous

cicatrix which cannot be affected by adjustment and which, if located

at the pylorus, may produce stenosis, with consequent incurable

dilatation of the stomach. Operation is required for such a condition,

but the diagnosis is difficult, and it may be best to test with

adjustments for some time.

=Gastritis.=--Prognosis good. To prevent recurrence adjustments should

continue after symptoms subside.

=Goitre.=--Prognosis good. One large goitre under the author’s

observation was reduced in one week so that the neck measurement

decreased one inch. Most cases require several months for complete

reduction.

=Gonorrhoeal Rheumatism.=--More stubborn than other forms of rheumatism

and sometimes defies adjustment. No percentages are available. It

is probable that nothing but a general cleansing of the system will

prevent recurrence.

=Hay Fever.=--Perhaps one-half of all adjusted cases recover fully,

some at once and some after several months. By recovery is meant

failure of the annual appearance of the attack with no symptoms at

any time. No case can be pronounced cured in less than a year. The

remaining half are modified little or not at all.

=Headache.=--Nervous, bilious, ocular, and reflex headaches yield

well. Toxic headaches, or those accompanying systemic infections, give

way slowly with the cleansing of the system.

=Hemorrhoids.=--Excellent, except when lower lumbars are anterior and

defy adjustment.

=Hernia.=--In all sites and forms of hernia, excepting strangulated

hernia, prognosis is good. Strangulation requires immediate surgical

interference. Prognosis is better if a truss be used.

=Hodgkins’ Disease.=--Prognosis theoretically good, but the few cases

under adjustment, while benefited, seem to have died of intercurrent

disease, so that it is well to suspend judgment.

=Hydrocele.=--Theoretically hydrocele should respond well, but in

practice the author has seen several failures, and no cures.

=Hydrocephalus.=--If due to cervical twisting at birth, the prognosis

is fair; otherwise bad.

=Hypertrophy.=--Adaptative hypertrophies, those due to overstrain upon

an organ, do not and should not disappear until the strain has been

relieved. Hypertrophy is sometimes accelerated by adjustment, as in the

case of defective heart valves, when thickening of the wall restores

and maintains compensation. Other hypertrophies tend to disappear under

adjustment.

=Hysteria.=--Good, but slow. Some extreme cases refuse to respond.

Instant recovery from hysterical coma is the rule following adjustment,

but the coma tends to recur.

=Immunity.=--There is no doubt that adjustments often confer immunity

from infection and contagion, but it is so difficult to strengthen

every part of the body against every possible infection or contagion,

and so uncertain that immunity really exists in a given case, that

it is best always to assume the possibility of contagion and act

accordingly. Adjustments following exposure to known contagion are

always wise, but one may never know, if they succeed, that the patient

might not have escaped without them.

=Impotence.=--Variable outlook, according to secondary causes and

pathology. Previous venereal disease renders the prognosis most

doubtful. Nervous or vascular impotence is likely to respond well.

If due to cord disease, the prognosis is to be made on the original

disease.

=Influenza.=--Mortality not more than 2 per cent, and that in the

very aged and infirm. Duration varies greatly. May yield at once,

first adjustment being followed by disappearance of fever, profuse

perspiration, and completed convalescence in from twenty-four to

forty-eight hours; or may require several adjustments at frequent

intervals to break fever.

=Insanity.=--No accurate tabulation of results in different forms of

insanity has been made. Numerous successes, interspersed with fewer

failures, have been reported. The author has both succeeded and failed

with acute dementia, but the failure was a twenty-four-hour trial only,

and included but three adjustments.

=Intestinal Obstruction.=--The prognosis of intestinal obstruction from

intussusception or strangulated hernia is, under Chiropractic, bad.

Such cases are almost surely fatal unless operated. Faecal obstructions

or masses of worms, also volvulus, respond quickly and prognosis is

good. Careful diagnosis is required before taking a case of apparent

complete obstruction.

=Irritable Heart.=--If purely nervous, recovery is quick and easy. If

there is a drug diathesis or organic disease, slow and doubtful.

=Jaundice.=--Yields readily, but if of the obstructive form the

obstruction must first be reduced or removed by adjustments.

=Laryngitis.=--A few adjustments suffice for simple acute cases.

Specific laryngeal infections are more difficult. Laryngitis with

ulceration, which is either syphilitic or tubercular, may not recover

or may recover after a protracted struggle. Chronic laryngitis of other

forms is curable, but requires more time than acute.

=Leucorrhoea.=--Fair prognosis only.

=Lumbago.=--Good, unless pain prevents proper adjustment. True lumbago

is quick to respond.

=Malaria.=--Tenacity varies according to climatic conditions. Malarial

cachexia always yields slowly, sometimes defies adjustment altogether.

No reports are to be had on pernicious malaria. Other forms recover

though paroxysms tend to recur several times before checked, but of

shorter duration than if no adjustment is given.

=Mastoiditis.=--Good results in the few cases observed.

=Measles.=--Excellent. Recovers quickly. Eruption hastened by early

adjustment, runs very mild course with little or no fever, catarrhal

symptoms disappear early. No sequelae.

=Meniere’s Disease.=--Labyrinthine disease of this character has been

cured, without reported failures, but data is meagre, not more than

three or four cases having come under the author’s notice.

=Menorrhagia--Metrorrhagia=.--Results excellent, and usually quick. One

fifty-two-hour intermenstrual hemorrhage from uterus was stopped in one

hour by adjustment, with no recurrence.

=Migraine.=--Migraine, or hemicrania, gives a fair prognosis only. Most

cases require a long course of adjustments.

=Movable Kidney.=--Prognosis good, but change of position and complete

fixation slow. No treatment required--merely adjustment.

=Myelitis.=--Transverse myelitis, if adjusted in the acute stage, may

be checked as any other inflammation, and the damage and resulting

paralysis will be greatly lessened or altogether prevented. The

paralyses which follow myelitis require time for the rebuilding of the

degenerated axons whose course is interrupted at the diseased area, but

tend to recover.

=Myocarditis.=--Reports conflict. It is well to consider this a grave

condition and one open to investigation.

=Myxoedema.=--Only one case known to have been under adjustment, and

this after several years was markedly improved, but not yet quite cured.

=Nephritis.=--Prognosis good. Acute cases show rapid, chronic cases

slow, improvement.

=Neuralgia.=--Prognosis excellent in any form. Trophic neuralgias,

such as herpes zoster, are slowest as a rule, but occasional cases of

tic doloureux will require several months. One may always expect a

cure unless the patient, in long cases, becomes discouraged and stops

adjustments.

=Neurasthenia.=--Good, but will be slow unless mental aid be given in

the form of freedom from worry or strain.

=Neuritis.=--Good, but very uncertain as to time; some cases show quick

disappearance of all pain and some drag interminably.

=Optic Atrophy.=--Complete atrophy with total blindness is rarely

cured, though occasional partial or complete cures have been reported.

Partial atrophy may slowly recover, or recovery may cease at some point

short of completion and case remain stationary thereafter.

=Ovaritis.=--Good, except in suppurative forms. When adhesions have

been formed, results are doubtful.

=Pancreatitis.=--Obscure, hard to recognize, and hard to cure.

Prognosis probably bad.

=Paralysis Agitans.=--Probably in the earliest stages this is curable.

Cure of a fully developed case is exceedingly doubtful and the writer

has yet to see marked benefit in such a case.

=Paralyses.=--Prognosis decidedly variable. Apoplectic hemorrhage

recovers in about 50 per cent of all cases. Paralyses from central

lesions require much more time than peripheral palsies because of the

necessity for rebuilding degenerated nerve cells as well as fibres. The

paralyses following anterior poliomyelitis are almost certain to be

cured if sufficient time is allowed. Most peripheral palsies, except in

the very aged, are curable. Any other paralysis but a purely functional

one recovers slowly, but this form may yield almost in a day.

=Parotitis.=--Mumps respond immediately and may be checked at any stage.

=Pericarditis.=--Usually recovers. Effusions are stubborn and may

become purulent, in which case the prognosis is grave.

=Peritonitis.=--Prognosis grave, but some cases have been reported

as cured under adjustment. These are probably localized rather than

diffuse inflammations, usually pelvic.

=Pertussis, or Whooping-Cough.=--Tends to run its course despite

adjustments, though some aborted cases are reported. All cases mild

under adjustment, with small liability of complications. A nervous

cough is likely to persist for months after the infection has passed.

Adjustments seem seldom to prevent contagion.

=Pharyngitis.=--Acute form yields readily. Chronic pharyngitis is more

stubborn, but usually curable.

=Pleurisy.=--Pleurisy, unless purulent or tubercular, yields well in

varying periods. Purulent and tubercular pleurisy are stubborn and may

not recover.

=Pneumonia.=--The author has had a wide and gratifying experience

with pneumonia. At every stage it seems amenable to adjustment, and

the usual effect of the first adjustment is a drop of from one to two

degrees in the temperature with immediate softening of the consolidated

area. Specific adjustments get best and quickest results. Pneumonia

should =always= recover, unless it occurs as an intercurrent event in

some chronic and wasting disease, as Bright’s Disease.

=Potts’ Disease.=--Tubercular caries of the bodies of the vertebrae

is curable, within limits. Occasional cases are seen in which Nature

has stopped the spread of the disease by walling off the morbid area

with exostosis. Such cases should not be adjusted, and the disease may

remain latent through a long life. When active the disease proves fatal

unless checked, which is possible in the earlier stages, and becomes

impossible when the vertebral bodies are too fragile to stand strong

adjustments. Discernment in case-taking will avoid any fatalities under

adjustment, but by no means all cases of Potts’ Disease are curable.

=Pregnancy.=--We may correct by adjustment any pathological conditions

arising during pregnancy which would be amenable to adjustment under

other conditions. A course of adjustments during a normal pregnancy

will render delivery easier and lessen, but not abolish, the pains.

Great care must be exercised in the manner of adjustment.

=Prostatic Enlargement.=--Varies according to age and recuperative

power. Prognosis is bad in the very aged and infirm, but in more

vigorous subjects quite good for steady reduction of the hypertrophied

gland, with subsidence of attendant symptoms. Venereal history is

unfavorable.

=Pulmonary Tuberculosis.=--In the early stages, where little damage

has been done to lung tissue, recovery is rapid and quite certain. In

fully developed cases, with characteristic symptoms and marked damage

to tissue, prognosis is very grave, and it is usually wisest to advise

a trip to the Southwest in preference to adjustments. Tubercular cases

should be studied with a view to estimating the exact condition and

recuperative power of the patient before taking.

=Rachitis.=--Prognosis excellent. In a period varying from six months

in the best to five to seven years in the slowest cases, all show

complete or nearly complete cures. All deformity may be checked in

a short time and proper bone nourishment established. Correction of

deformities existing prior to adjustment is a growth process. Too

many cases become discouraged at the slowness of the work and stop

adjustments.

=Retinal Hemorrhage.=--Prognosis fair. Undoubted cures have been

recorded, as well as a few failures. At least one case of hemorrhages

followed by partially detached retina has been cured, or nearly so, by

adjustments.

=Rheumatic Fever.=--Hard to adjust because of its painful nature.

Results of proper adjustment usually, but not always, good.

=Rheumatism.=--Muscular rheumatism yields more rapidly than articular.

Acute tends to quick recovery, chronic to more or less lengthened

and slow improvement. Rheumatic diathesis may require many months of

careful adjustment.

=Rubella.=--Simply and easily checked. Rash slight, and no prostration

at all.

=Scarlet Fever.=--Data on quarantinable cases is meagre, but scarlet

fever, or scarlatina, seems to be quickly modified by adjustment. One

may expect a drop of from one to two degrees in temperature after first

adjustment, followed by steady rise, which will again be checked by the

next adjustment. Rash appears early, and all symptoms are mild, but

several days are often required to put the patient at ease. Occasional

sequelae, such as endocarditis, otitis media, or other inflammations,

occur unless case be watched with great care. No fatal terminations

under adjustment except in cases which were at first misdiagnosed.

=Seminal Emissions.=--Prognosis excellent in cases uncomplicated by

masturbation or excessive venery; in such cases bad until habits are

changed.

=Simple Continued Fever.=--Always recovers. Usually drops one to two

degrees shortly following correct adjustment, with amelioration of all

symptoms.

=Smallpox.=--Infections vary in virulence. In temperate climates all

phases are hastened by adjustment and tend to recover without sequelae.

The milder smallpox due to infection by vaccination is also amenable to

adjustment, and prompt handling will often prevent serious poisoning.

=Splanchnoptosis.=--Partial or marked relief is usual--and slow.

Complete natural replacement of all viscera is the exception rather

than the rule.

=Splenic Enlargement.=--Variable prognosis according to cause.

Secondary enlargements due to systematic infection yield with the

disappearance of the infection. Primary enlargements yield more readily

as a rule, with exceptions. Malarial spleen is slow to reduce.

=Splenitis.=--Prognosis presumably good, but few authentic cases

reported.

=Spondylitis Deformans.=--Prognosis favorable for slow, slight

improvement, but not for complete cure.

=Strabismus.=--Excellent in young subjects, less than fair in patients

over thirty.

=Sunstroke.=--Theoretically curable, but no experience.

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