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Chapter 1 - the study and practice of osteopathy

Chapter 1-1
A deep ocean studies
Revised version of a lecture held in 1982 in a basic course of the
Sutherland Cranial Teaching Foundation in Alexandria, Virginia.
To what you have done so far in your practice to connect with what you will
learn during this week, now a huge transition must stattfi ends. Our main
task as a teacher is to help you in this, this bridge to cross as comfortable
as possible. At the same time I have to tell you, however, also point out
that what we are going to do this week, especially hard work.
As a part of the bridge that we use to make this transition, I have listed
on the chalkboard the four basic osteopathic principles that have been
taught you in college:
1.
The body is a unit.
2.
The body possesses self-regulating mechanisms.
3.
Structure and function to each other in a reciprocal
relationship.
4.
A resonable treatment is based on the understanding of
the self-regulating body mechanisms and the reciprocal relationship
between structure and function in the body.
These are basic principles that you already know your entire dental
profession; first you have it belongs in your first year at an osteopathic
college. We all agree that the beautiful statements. But how many of you
realize, while you listen to these allegations and read that we are talking
about a living mechanism? In our education, in which we have only seen
things in a dead, lying on the autopsy table body
behavior, bring most of us feel with that we can do with it what we want.
In the coming work week but we are talking about a living body as a unit,
a vibrant self-regulating mechanism, a living structure and function, which
are in reciprocal relationship with each other, as well as a rating based on
this understanding, lively treatment. These mechanisms have been
revived, they are healthy. That's why we here today

I-17
allow enbaren their own infallible Potency to off - to bring this health pattern
to light.
To operate in this way, we need deep into another sea of
Understanding plunge and allow the physiological function in the patients
to train us in the truest sense of the word. We want to learn about: Where
is this patient's health? How do I get them to light? The body physiology
of the patient instructs us literally. The doctor who lives in my patients has
trained me in the last eight years, and still I'm a student. This is a part of
the transition, we have to accomplish.
We want to learn, these mechanisms, both in us and in our
Patient work, to feel and to be aware of their. Lawful to you during this
week, if you're the patient to feel this mechanism at work, at the same time
trying to feel during the student treated as the same mechanisms working
in you. So you can begin to sense function.
In order to achieve the objectives set out here, you have to go through
three learning steps, the first is the most difficult. First you have to accept
that the anatomic-physiologic function is alive in you and in your patients,
already in motion, available for your findings and use that fact. You have
to accept this fact - close your eyes, exceeds that limit and Hope that there
is still a floor under your feet when you put on the other side of the border.
Suddenly you are of secondary importance in relation to this matter, in
which you are working. The boss is inside. He is both in you and in your
patients. As a practitioner you're going to understand this fact and use.
Second, we need to study the details of the anatomic-physiological
mechanism in living body. We must understand that the living anatomical
and physiological details of the primary respiratory mechanism, the
craniosacral mechanism, no separate functional units, which have to be
studied separately. We add these details add to the anatomy and
physiology that we have learned in school. In my first lesson with Dr.
William Garner Sutherland I told him I had not come to his
Way we work, learn, but to my knowledge of anatomy and physiology to
the craniosacral expanding mechanism through which we had not learned
anything in college. Dr. Sutherland was the one who gave the our
profession, and now we will give it to you further. You are here in order to
continue your studies of the anatomy and physiology of the living body, and
that includes the Primary respiratory mechanism.
I-19
Chapter 1-2
Students for a lifetime
Revised transcript of a lecture given in 1986 in the
framework of a
Educators of the Sutherland Cranial Teaching
Philadelphia, Pennsylvania.

Foundation

in

What is a treater? The role of the practitioner is to serve humanity. The


science of osteopathy has its origins in which off enbarenden
Structure and function of the individual. This is expressed as one of the
Body physiology inherent mechanism of motility, mobility and a fluid Drive
has. It represents itself as an experience from inside the patient and as a
learned himself, trained, palpation artistry in the practitioner. The work of
AT Still gave us the science of osteopathy. The work of WG Sutherland
gave us the primary respiratory mechanism with its detailed anatomy and
physiology, not as one of Dr. Schaff Stills en separated unit, but as an
integrated in the science of osteopathy share.
Following important point we need to bear in mind: From the time of their
discoveries accepted Still and Sutherland the science of
Osteopathy as a basic living law of body physiology and
To be need for a lifetime student of authority that the lively
Body physiology inherent. They ceased to be doctors and have become
students. Your search was completed, they had osteopathy found and
were now for the rest of their lives students of this science. Dr. Still and Dr.
Sutherland
were to eternal student, as well as all clinicians who follow in their
footsteps, needed fi shall find consent to seek use of the same living laws
for their service to humanity.
However, we are not here to remind us of the work of Still or Sutherland.
We are here to be students of the laws of the mechanism was discovered.
These laws are accessible, they are an off ener room. Still and Sutherland
were to students and gave something of itself. They gave those who
followed them, the work - but gave them only hints, in the knowledge that
those subsequent handler itself also students of this I-21
and in each individual case showed them the body by what he tried to do
it yourself, the appropriate diagnostic procedures and treatment program.
What's new in the science of osteopathy? The answer is simple: the next
patient who comes to the door and previously had been everywhere and
tried everything. The body physiology is the teacher, the attending is the
student. The mechanism of the body physiology has many doors, to make
experimental experiences in the service of better health. As a physician
and a student at the same time you erschaff st on understanding this
mechanism based techniques by you visualize first what should be in this
area in your opinion, and then depending on how you understand the
mechanism in each case and in each individual patient , those techniques
develop. In other words: you will be granted a lot of room for
experimentation, as long as you obey the laws of osteopathic science.
Results you get is proportional to your knowledge and your sense of touch
to be refined. We as students of the body physiology, as doctors can use
the body physiology in treating each patient and are used by it. The future
is bright for all who choose to study the works of Dr. Still and Dr. Sutherland
and apply.

Many Thanks.
I-23
Steps:
1.
Say the living mechanism in you and in patients. Life always
tried to express health.
2.
Give yourself to a result of this affirmation. Understand that
what the mechanism tells you is true.
3.
Develop palpation skills. The body is smarter than you, so
learn from him.
The first step is the hardest, but also the essential, in order to understand
and take advantage of living mechanisms of health. Find and learn the
mechanisms of the living function first in yourself; will you lead them to
understand your patients.
The second step is to be an observer of living functions while working.
Give yourself to the patient.
The third step requires of you that you are developing a vibrant
Palpationskunst. Palpation is the tool that uses the handler to read what
the primary doctor is doing in each of us to bring about health from the
inside. Learn the function as to feel inside, not just smaller or larger
movements.
Did you think you come in this course, to gather information? Palpation
skills to develop? To be knowledgeable in terms of services to your patients
with their problems?
No, you got to be the work that you're going to understand and use in
your service to the patient.
I-25
gene, as one would even solve this situation. Your they want to support it,
herauszufi ends that their own strength is good, no matter how limited they
may seem. In this way, the volunteers support the caller is to use their own
resources and express their feelings in a more constructive manner.
Finally, teaches the "Help" method that it is good, empathize and clarify that
it's important to you, what happens to the person seeking help. The contact
and the person himself are important to you.
These are the principles and skills that make this "help" method so
effective. This type of verbal contact requires an education, but the basic
principles are easy to learn and we can all apply in our lives.
As I now speak so here I would like that you listen to what's going on in
your head, if anyone asks for help. An important point to pay attention to
this, is the need, your own feelings about the person with whom you are
talking to know exactly these people really as to who he is, to accept someone who deserves respect just as itself. Listen to him and answers,
without judging. People feel much freer in the presence of other people,
which they accepted as silent as they are. It is your task to just stay relaxed,

in fact if anything happens. Just to be present in such an atmosphere, is


salutary. Actually, it is these faces, listening response, and not an active,
Shunting showcased reaction that can operate an osteopathic treatment.
The psychotherapist Carl Rogers expresses in his book Development of
the personality of something similar. He writes that help does not consist
of giving, but of pieces basically. He shows us that we can help others, if
we know how to show our real feelings, without judging, and by strength
Hilfebedrft warm encounter as people who are just as valuable as we who
think we're healthy. Others respond to the esteem in which we give them,
by gain confidence and begin to help themselves.
We have now built a bridge by a volunteer helper who works with the
help of talks to a doctor who has worked in the osteopathic science.
Remember: If a patient comes into your practice, it entails a body
physiology that seeks your help. Instead of teaching the patient that help
verbally, we will learn to palpate and silently to examine the body
physiology. Learn silent to work with this patient, by I-27
work. You will begin to help the patient, and you do not have to think
about it or talk about it. Your only need to be aware you are listening by
her and she feels literally using your palpatory skill. Works very quietly
with the patient, are silent partners, active listeners.

I-29
I recognize that the patient has the same mechanism as me. Only then, I
ask the patient in the treatment room. Then I do what has to be always
done. I work here, without thinking of what I hope to achieve for that patient
e. I just start to work.
This small, coming out of my heart greeting, which I acknowledge my
own silence in patients is a silent acknowledgment that she is alive. An
invisible acknowledging or realizing that. Even if you treat 45 patients in one
day, you can take you time for this very moment, in order to connect to a
point of stillness within yourself, and then with the same point in the patient.
Because then - no matter how you work with the individual patient - it
happens 45 times a day that you have recognized in you and in the patient
something that will silence ttzen the treatment program Unters. What is
this something, I do not know, and that's not even important. It's simply,
stand out for identifi with a mechanism that exists in each of us, and to use
one's.
This silence is Will guide you in terms of what specific at this
Day to do. And I am convinced that the patient it does not have to
consciously participate. I treat many patients who do not have the slightest
idea what I'm doing, and it still like it because they feel that something is
happening in them. It feels to them as if finally a treater has recognized
some of them and try to help them. Sometimes they suspect that I'm
doing anything at all, but in the end they know that I'm doing something,
because their clinical picture changes.
So this contact is a silent confirmation, and it also gives me a moment of
rest between patients. If you have a case that really takes along to you and some do - you do not want all this garbage to take to the next patient.
If it is possible to take you then a little more time for this process. Take a
three-quarter minute to you sit down somewhere and let it just herausfl ow
from you, it flushes out. Ye have forgotten then when they leave the
treatment room, you know not even the name. Then you let be quite calm
and asks the next patient to come into the room. Even if it is not a difficult
case, you can watch if the patient is to make aware quietly, that something
has happened, while he was in the treatment room. You must not say a
word about it. This is simply a silent exchange between my silence and the
silence of the patient - the name does not matter, techniques do not matter,
not I-31
Chapter 1-6 Relax, there's no
hurry
The mechanism has no problems
Revised version of a lecture held in 1986 as part of a
basic course of the Sutherland Cranial Teaching
Foundation in Philadelphia, Pennsylvania.

I you would like an interesting story about one of my


Experiences with Dr. Will Sutherland. During a course for doctors in
Denver, C olorado, one of the participants brought a patient with the advice,
who had developed epilepsy as a result of a tractor accident and in whose
treatment he progressed his feeling after not really. He therefore asked Dr.
Sutherland to investigate these patients and see what you could do to help
him.
Dr. Sutherland, a very silent guy who never used words than necessary,
examined the patient, eventually turned to the doctor and said, "I think you
are on the right track, you make just the good work continues . "When
Sutherland got up to return to his chair, the practitioner said," Dr.
Sutherland, a quick question, please. What would
You do, if the patient had a seizure while you are trying to help him, "Dr.
Sutherland simply said," Do not block him, "and moved on. Well, I was
coincidentally at a place from where I could see the whole audience, and
looked in thirty uncomprehending faces. "You block it," was all he said. He
expected that we go back to the mechanisms of our patients and herausfi
ends what he meant. He was just a great man who taught you something
about the mechanism by leaving it to the mechanism to inform you.
So we can be relaxed and cheerful and aufh ren to worry about it. We
must accept the fact that life is already at work both in the practitioner as
the patients and so we can relax as well. We're not going anywhere, and
your patients also to be there. The patient must take responsibility and
appear with you. And patients will not run, unless you treat them really bad.
They are I-33
his work. If there is a dysfunction pattern -. For example, a problem of
okzipitomastoidalen area in the skull base - Man, that's actually a problem.
But this dysfunction between the occipital and mastoid Pars does not
realize that it is a problem. You must be beschft IGT with being a
okzipitomastoidale dysfunction. So we have to go to this dysfunction and
ask quietly: "Look, it may be that you enjoy life like that, but the body in
which you live, it does not enjoy so much. Well, will not you consider to
allow me to touch you with my hands so that you change your state and
aufh Oerst to be a so-called complex dysfunction? "
We have the right, the privilege, and to understand ourselves in the
mechanism, this okzipitomastoidale dysfunction in patients. We have a
okzipitomastoidalen mechanism in our own mind, perhaps having no
dysfunction; but we can use this mechanism, we study, we understand out.
And we will certainly understand him even better once
we get our hands on the person who comes to us, lay.
Exactly the mechanisms that are to be healthy, they also which are able
to express one's health. They work and are in constant motion; Always
working towards the same goal, which is also in us. We are fighting - we
live - to express ourselves in health. That whatever you ask us, everything
that the next patient who enters our practice, will say to us is, "I would like
to be healthy, doctor, and it has been said to me that you and the

mechanisms in themselves understand me that will allow me to health


zurckzufi ends. "We must not hurry this. We can answer: "For the present
treatment, we have X minutes. What is possible, we will do. We'll give a
little suggestion here and there a small suggestion; and then take the home
and make it work. Do you live alone your daily life, follow a few suggestions,
come back next week, and we will continue in our efforts to help each of us.
"In silence, the patient connects speak with the mechanism in me and in
silence Treff e I with the mechanism in patients. We are trying quietly to
work in an atmosphere in which we exchange ideas and capabilities, and
then we'll go quietly from there. When you go from this course back home,
all these mechanisms will work in you to the mechanisms in the patient;
and the two of you it will be fun. All Good.
I-35
aufnehmt her contact with this patient, contact your own
SutherlandFulkrum and the silence.
Let us come back to earth. When you return to your home practice, this
knowledge should be a part of what is available to you to meet the patient's
needs. Not projected it outward - the patient himself will show to try out
what you have learned you need. It's like when you learn for a final exam.
Man studying like crazy, stuffed all sorts of information to himself and is not
sure how it goes. You just studying, reading and lets it penetrate its
essence. Then you throw all textbooks out the window goes to the exams
and somehow fl ows forth the information that you need for the exam.
So let this course a few days penetrate your being before you try to use
everything - and used it in a relaxed manner. Let the knowledge of the
movement of the temporal bones, the pattern of the cranial base, individual,
specifi c, membranous joint dysfunctions, the condyles of the occiput, the
fluid dynamics of living fluctuation, the rocking motion of a reciprocal tension
membrane, the articulated movement of the skull and the Os sacrum
between the ilia Ossa - let these things easy for a few days penetrate your
being. Adds these new diagnostic tools gradually added. When you are
back home, the patients who come into your consulting room, the same
ones that have already been dealt with her in the x years of your practice;
and if they have not yet benefited from this treatment approach will not
make much difference a few more days.
I-37
Dr. Still was in developing the science of osteopathy his Creator closer
than reinstoff royal breathing; he was guided by a spiritual or mental
fulcrum, as Dr. Sutherland.
If we, as students of the science of osteopathy, really want to understand
osteopathy, we will need to fi nd, our knowledge of the Godhead, which
orients us to the center, to reawaken, to turn them into our spiritual fulcrum,
which leads us and learn to have in our daily work the Creator in mind to
feel and use. Thanks to its knowledge and its application of the science of
osteopathy gave us Dr. Sutherland

Signposts, which we can follow. However, let us for a moment this resolute
way of thinking in 1900 with today's science compare. I recently the recently
published article by a famous science moth read, in which he tried and
spiritual science Liche truths together. His conclusion is that science and
spirituality are not incompatible, but that the great truths of these two areas
are, so to speak, more or less parallel. In other words, both are moving
towards that unknown understanding that is necessary for the well-known
understanding. I'm not really agree with this idea. How can you conclude
that this is a science Liche truth and the other a spiritual truth? Because I
trust more a science ler which his science comprehensive understanding
comes through a Spiritual Guidance and not by attempting to build a
separate super-structure.
I like the idea of a biologist and science Jewellers, who made this remark in a
discussion about the phenomena of life: "It is a fact that the life science s are not only
much more complicated than the science s, but also a much larger symbol space have;
and they go further in the exploration of the universe of science as the
Science s. While you are using all natural science data and your
explanation basics, then go far beyond that and include an even greater
amount of data and additional explanation foundations that offer no less,
but in a sense, even more scientific probability. The point here is that all
known material processes and explanatory principles on living
Organisms en zutreff, only a limited number but not living systems. "When
osteopathic concept, and this includes the cranial area, is about a living
system. Dr. Sutherland said, "The cranial work is not a special, separate
from the science of osteopathy area. The truth is a lot of I-39
per takes in response to its internal and external environment to its
voluntary and involuntary actions. And with these factors we can learn to
feel through the use of our thinking, feeling, seeing, knowing fingers.
If we put our hands on a patient who is in good health, we feel a general
sense of well exploitation ends. We feel the respiratory cycle of his
breathing. We feel the flexion and extension of his running in the midline
structures in their function. We feel the alternating external and internal
rotation of its bilateral structures in their function. We feel any voluntary
movements this person and many involuntary movements of various organ
systems within the body. If our hands are on his head, we can feel the
movements of the cranial mechanism tion joint mechanism, the vast
movements of the reciprocal tension membrane and the fluctuation of the
cerebrospinal fluid as an integrated radio. Throughout the body is
something tangible that today in the
Anatomy and physiology texts is normally not mentioned: a general
Uten Tidenbewegung the entire body, a Hereinfl and out Ebben. It is as if
the whole, acting as a unit body reacts to a force similar to that which moves
the tides of the ocean. It is a rhythmic movement within all Krperfl uids.
She's on her quiet way Krft strength than any other physiological function
within the physical mechanism, important and powerful than the breathing

cycle, the voluntary or involuntary movements or any of the other


movements that we normally take into consideration.
Our expert touch learns to recognize all of these factors that work together
as an integrated feature in each we examined body part. This is a rhythmic
Tide in the physiological interaction with their highest known element and
their inherent potency.
If we go deeper in our understanding of the physical mechanisms, we
learn that any normal functioning of the individual body units - there were
bones, ligaments, membranes, fascia, organs or fluids - apparently carried
out by means of free-floating, automatically changing Fulkren. The
Sutherland fulcrum which is located where the falx meets the tentorium, is
a free-floating, automatically to changing fulcrum for the reciprocal tension
membrane. The sternal end of the clavicle is a osseous fulcrum for the
functioning of the entire upper extremity. The Atlas is used in childbirth than
osseous fulcrum for Partes condylares of the occipital bone. It I-41
To clarify this thought further, he adds:
"D he is the breath of life in the tide of the cerebrospinal fluid, the principle of the primary
respiratory mechanism underlying."
Next he gave us as we develop thinking, feeling, seeing, knowing fingers
detailed instructions to the Tide bring down to its point Still, their break-rest
period to check their function in the body physiology. It is important to know
that we are in our efforts to learn how to control the tide, are not limited to
the craniosacral mechanism. If we are looking at a body portion balance in
tissue and fluid element, while we detect a disease or a pathological state
s, we learn how to bring the tide in their balance point or Fulkrumbereich.
When we do this, a transmutation process stattfi ends, which resolves the
mechanics of dysfunction, pathology corrects and restores health for that
person. This is the designed by the master mechanic healing principle that
works in our patients; and we can develop and see how it works in the
tissues of patients our perception as a handler inside and workstations.
So far I have referred to the functioning of the Tide in the body and to
the many Fulkren who work in the body physiology. Now it's time to talk
about something else that Dr. Sutherland gave us on the way to deepen our
understanding. This is the silence of the tide - not the up-and-down
fluctuation of its waves, but the silence that nds the fulcrum point within the
Tide fi. There is a potency within this silence. The term silence confused
when trying to understand this kind of work, perhaps our thinking. How can
there be a potency or power or energy in the silence? Dr. Sutherland
described the pictorially: If you transfer a vibration on a glass of water, you
can watch how to form a still point in the center of Wasseroberfl che. He
pointed out that this is a fulcrum point within the water glass, and compared
him to the fulcrum point, which we achieve when we the fluctuation of the
cerebrospinal fluid during the compression of the fourth ventricle (or any
other technique for controlling the Tide) bring down their still point." It is the
silence of the Tide, which we are seeking , "he pfl EGTE to say, because in
that silence is the Potency of the Tide.

Those of us who had to be there when he about this happiness


Th ema said, were able to experience how the entire classroom was
noticeably quiet. Dr. Sutherland made us aware and mentioned that this
huI-43
following action. We need to understand the mechanism of this silence and
use in treating our patients. It is not necessary that we fully understand what
it is or where it comes from or where it goes after it had us in this moment
of benefits - the silence of the tide in the body physiology.
So far I have talked about feature, the free-floating, automatically
changing fulcrum and the Tide, the silence and the potency that operate
within all these facets in the body physiology. It seems as if I'm trying to
develop a theological hypothesis to explain this kind of work. However, this
is not the case. I'm just trying to show you that the Creator of the human
body and its mechanisms is more than a passive concept,
of which only we speak, without believing in it and to use it.The science of
osteopathy heard daily, active benefits of the Creator. Osteopathy is an
acquired art, not just a science; and I like the quote that I read somewhere:
" Be at peace with God, who and what ever he is in your opinion. And
whatever they may be your wishes and desires in this noisy confusion of
life: " Be in harmony with your soul. " Therefore, we need in our daily
practice working tools for understanding and using a Spiritual Fulkrums.
What is one of these tools? First, a practitioner needs to develop in my
opinion, an objective perception. He was the anatomy, physiology and
pathology and know all the integrated, related to each other and with
themselves functional sequences that ends stattfi between all these
elements of the body physiology. He must be capable of diagnostic and
prognostic
To evaluate knowledge and to determine, from the first examining the
patient until its release from treatment. He should be able to bring in every
patient the changes that causes the use of potency in the tissue, with the
objective progress towards normalcy and recovered compensation in
connection. And he should be guided in each case, treatment of the
objective findings in determining the procedure.
Second, the clinician should have a subjective perception of the potential
that lies in the application of healing principles described herein. And he
should be able to feel, what is the chance to turn the pathology of the
patient, and the extent to which a recovery within the tissue units is possible.
It has to do with the subjective phenomenon of life itself and takes on the
changes taking place in the patient's subjective changes in part, I-45
ments that I hear in my practice on hufi gsten, are: " He has not done
anything, but ... " or " All he did was to put his hands on me and sit there,
and when he had finished, it went better for me. " It's always important to
establish and allow a good relationship with the patient, that the internal
physiological function of their own, never erring Potency brings as motive
power for the correction, rather than a force applied from the outside blind.

If you have reached good results in someone who already had various
other treatments behind her, including sometimes osteopathy using
manipulation, then you will of this patient and this patient like to send his or
her friends. It is interesting to see how these potential patients are prepared
for their services. The new patient is said: " If you go to my osteopath, was
not surprised about his type of treatment. You'll think he does nothing, but
it will you be better off if he's done with the treatment; and when he says he
wants to see you again, stick with it, and it will ensure that you're well again.
" I have a very fine gentleman as a patient who has already sent me a lot
of other patients, and which says he, " go to my osteopath with the magic
hands. I do not know how he does it, but he can help you. "
Your patients come back and send their friends because they achieve
good results in case of problems that could be solved either by medicine,
physiotherapy or some other form of examination or testing. Then, when
further develop your skills, you will get more and more complex cases;
People who have been everywhere and still need help for your
problems.And just when you think that this is now the most difficult case at
all, comes a new patient who can appear just before lying all cases. If you,
as the main force for diagnosis and treatment uses the infallible Potency,
the complex cases attracts as flowers attract bees. That is the reason,
why this kind of work is always interesting.There is always something new
to learn from the physiological body of the patient. Growing understanding
- that is what the clinician needs to be able to help the patient.
" You come back to: cause , "said Dr. Sutherland. " If you understand the
mechanism, the technique is simple. " Think for a moment about what these
two statements mean for osteopaths. In this world of consequences pile up
in the problem cases that come to us in the practice, consequences to follow
until these consequences totally drown out the causal factor, ie the original
injury or illness that caused the syndrome. Now I-47
Skepticism be observed in one patient and creates in this type of work an
interesting challenge.
In addition, the practitioner should have an objective and a subjective
consciousness as well as a thinking, seeing sentient, knowing sense of
touch feature. The following concise set of Dr. Sutherland summarizes all
these qualifiers cations together: " If you understand the mechanism, the
technique is simple. " And it's easy. This was and is the science of
osteopathy as Dr. Still, Dr. Sutherland, and many other leading capacities
have formulated and practiced in our profession. Today we are concerned
with the traditional by Dr. Sutherland truths and their demonstration.
Now we must consider what all this means for us and for our practical
work now and in the future. We need every service out there today within
our highly qualifi ed profession. We need our hospitals, our surgeons,
internists, pediatricians, gynecologists, psychiatrists and all other
departments. Each area of modern medicine is important for the routine
care of our patients. There are, however, not only for all these areas space,
but also for somewhat beyond Going. We need at least 2,000 women and

men who take the time to learn the necessary material in order to use the
truths of Still and Sutherland in their daily practice. They told me that not
every practitioner is able to acquire these specific skills that you have to pay
to be particularly gifted. This opinion I am not. I think the practitioner needs
perseverance, time, and has to spend a lot of work to learn this skill and
science. Who is willing, time and effort into the basic requirement " be still
and know "investing, which can bring a closer to the Creator as a pure
substance royal breathing, is on this path inevitably an advocate and
practical user of the principles given to us by Dr. AT Still and Dr. WG
Sutherland were mediated. Off en said I would like to see how 2,000 men
and women to exercise this kind of osteopathy because those osteopaths
will be many thousands of patients to services, which you have said
elsewhere: " We have done for you everything is possible. You will have to
learn to live with this problem. " A high percentage of these numerous
people can be led to a much higher level of health but, as is available in
their present condition are available. Such patients, which can help me at
heart. So you get stuck, you need the help of osteopaths with
Skills in the said areas. At present there are in America but only I-49
sent me many years ago in response to a letter in which I referred to certain
aspects of osteopathy in the cranial region. However, his response includes
the entire body physiology in the science of osteopathy. I quote him
verbatim:
" I am closer than my breath the creator of the cranial mechanism ... The patient closer
is the creator of his or her cranial mechanism ... 7 My thinking, sentient, seeing, knowing
fingers out on smart way of Magisterial mechanic who created this mechanism , It does
not matter how you interpret, as long as you mentally contact with the overhead line has
like a streetcar. "
Let me repeat that: ' It does not matter how you interpret, as long as you mentally
contact with the overhead line has like a streetcar . "

Chapter 1 - the study and practice of osteopathy


Chapter 1-1
A deep ocean studies
Revised version of a lecture held in 1982 in a basic course of the
Sutherland Cranial Teaching Foundation in Alexandria, Virginia.
To what you have done so far in your practice to connect with what you will
learn during this week, now a huge transition must stattfi ends. Our main
task as a teacher is to help you in this, this bridge to cross as comfortable
as possible. At the same time I have to tell you, however, also point out
that what we are going to do this week, especially hard work.
As a part of the bridge that we use to make this transition, I have listed
on the chalkboard the four basic osteopathic principles that have been
taught you in college:
1.
The body is a unit.
2.
The body possesses self-regulating mechanisms.
3.
Structure and function to each other in a reciprocal
relationship.
4.
A vernnft owned treatment is based on the understanding of
the self-regulating body mechanisms and the reciprocal relationship
between structure and function in the body.
These are basic principles that you already know your entire dental
profession; first you have it belongs in your first year at an osteopathic
college. We all agree that the beautiful statements. But how many of you
realize, while you listen to these allegations and read that we are talking
about a living mechanism? In our education, in which we have only seen
things in a dead, lying on the autopsy table body
behavior, bring most of us feel with that we can do with it what we want.
In the coming work week but we are talking about a living body as a unit,
a vibrant self-regulating mechanism, a living structure and function, which
are in reciprocal relationship with each other, as well as a rating based on
this understanding, lively treatment. These mechanisms have been
revived, they are healthy. That's why we here today

I-17
allow enbaren their own infallible Potency to off - to bring this health pattern
to light.
To operate in this way, we need deep into another sea of
Understanding plunge and allow the physiological function in the patients
to train us in the truest sense of the word. We want to learn about: Where
is this patient's health? How do I get them to light? The body physiology
of the patient instructs us literally. The doctor who lives in my patients has
trained me in the last eight years, and still I'm a student. This is a part of
the transition, we have to accomplish.
We want to learn, these mechanisms, both in us and in our
Patient work, to feel and to be aware of their. Lawful to you during this
week, if you're the patient to feel this mechanism at work, at the same time
trying to feel during the student treated as the same mechanisms working
in you. So you can begin to sense function.
In order to achieve the objectives set out here, you have to go through
three learning steps, the first is the most difficult. First you have to accept
that the anatomic-physiologic function is alive in you and in your patients,
already in motion, available for your findings and use that fact. You have
to accept this fact - close your eyes, exceeds that limit and Hoff e that there
is still a floor under your feet when you put on the other side of the border.
Suddenly you are of secondary importance in relation to this matter, in
which you are working. The boss is inside. He is both in you and in your
patients. As a practitioner you're going to understand this fact and use.
Second, we need to study the details of the anatomic-physiological
mechanism in living body. We must understand that the living anatomical
and physiological details of the primary respiratory mechanism, the
craniosacral mechanism, no separate functional units, which have to be
studied separately. We add these details add to the anatomy and
physiology that we have learned in school. In my first lesson with Dr.
William Garner Sutherland I told him I had not come to his
Way we work, learn, but to my knowledge of anatomy and physiology to
the craniosacral expanding mechanism through which we had not learned
anything in college. Dr. Sutherland was the one who gave the our
profession, and now we will give it to you further. You are here in order to
continue your studies of the anatomy and physiology of the living body, and
that includes the Primary respiratory mechanism.
I-19
Chapter 1-2
Students for a lifetime
Revised transcript of a lecture given in 1986 in the
framework of a
Educators of the Sutherland Cranial Teaching
Philadelphia, Pennsylvania.

Foundation

in

What is a treater? The role of the practitioner is to serve humanity. The


science of osteopathy has its origins in which off enbarenden
Structure and function of the individual. This is expressed as one of the
Body physiology inherent mechanism of motility, mobility and a fluid Drive
has. It represents itself as an experience from inside the patient and as a
learned himself, trained, palpation artistry in the practitioner. The work of
AT Still gave us the science of osteopathy. The work of WG Sutherland
gave us the primary respiratory mechanism with its detailed anatomy and
physiology, not as one of Dr. Schaff Stills en separated unit, but as an
integrated in the science of osteopathy share.
Following important point we need to bear in mind: From the time of their
discoveries accepted Still and Sutherland the science of
Osteopathy as a basic living law of body physiology and
To be need for a lifetime student of authority that the lively
Body physiology inherent. They ceased to be doctors and have become
students. Your search was completed, they had osteopathy found and
were now for the rest of their lives students of this science. Dr. Still and Dr.
Sutherland
were to eternal student, as well as all clinicians who follow in their
footsteps, needed fi shall find consent to seek use of the same living laws
for their service to humanity.
However, we are not here to remind us of the work of Still or Sutherland.
We are here to be students of the laws of the mechanism was discovered.
These laws are accessible, they are an off ener room. Still and Sutherland
were to students and gave something of itself. They gave those who
followed them, the work - but gave them only hints, in the knowledge that
those subsequent handler itself also students of this I-21
and in each individual case showed them the body by what he tried to do
it yourself, the appropriate diagnostic procedures and treatment program.
What's new in the science of osteopathy? The answer is simple: the next
patient who comes to the door and previously had been everywhere and
tried everything. The body physiology is the teacher, the attending is the
student. The mechanism of the body physiology has many doors, to make
experimental experiences in the service of better health. As a physician
and a student at the same time you erschaff st on understanding this
mechanism based techniques by you visualize first what should be in this
area in your opinion, and then depending on how you understand the
mechanism in each case and in each individual patient , those techniques
develop. In other words: you will be granted a lot of room for
experimentation, as long as you obey the laws of osteopathic science.
Results you get is proportional to your knowledge and your sense of touch
to be refined. We as students of the body physiology, as doctors can use
the body physiology in treating each patient and are used by it. The future
is bright for all who choose to study the works of Dr. Still and Dr. Sutherland
and apply.

Many Thanks.
I-23
Steps:
1.
Say the living mechanism in you and in patients. Life always
tried to express health.
2.
Give yourself to a result of this affirmation. Understand that
what the mechanism tells you is true.
3.
Develop palpation skills. The body is smarter than you, so
learn from him.
The first step is the hardest, but also the essential, in order to understand
and take advantage of living mechanisms of health. Find and learn the
mechanisms of the living function first in yourself; will you lead them to
understand your patients.
The second step is to be an observer of living functions while working.
Give yourself to the patient.
The third step requires of you that you are developing a vibrant
Palpationskunst. Palpation is the tool that uses the handler to read what
the primary doctor is doing in each of us to bring about health from the
inside. Learn the function as to feel inside, not just smaller or larger
movements.
Did you think you come in this course, to gather information? Palpation
skills to develop? To be knowledgeable in terms of services to your patients
with their problems?
No, you got to be the work that you're going to understand and use in
your service to the patient.
I-25
gene, as one would even solve this situation. Your they want to support it,
herauszufi ends that their own strength is good, no matter how limited they
may seem. In this way, the volunteers support the caller is to use their own
resources and express their feelings in a more constructive manner.
Finally, teaches the "Help" method that it is good, empathize and clarify that
it's important to you, what happens to the person seeking help. The contact
and the person himself are important to you.
These are the principles and skills that make this "help" method so
effective. This type of verbal contact requires an education, but the basic
principles are easy to learn and we can all apply in our lives.
As I now speak so here I would like that you listen to what's going on in
your head, if anyone asks for help. An important point to pay attention to
this, is the need, your own feelings about the person with whom you are
talking to know exactly these people really as to who he is, to accept someone who deserves respect just as itself. Listen to him and answers,
without judging. People feel much freer in the presence of other people,
which they accepted as silent as they are. It is your task to just stay relaxed,

in fact if anything happens. Just to be present in such an atmosphere, is


salutary. Actually, it is these faces, listening response, and not an active,
Shunting showcased reaction that can operate an osteopathic treatment.
The psychotherapist Carl Rogers expresses in his book Development of
the personality of something similar. He writes that help does not consist
of giving, but of pieces basically. He shows us that we can help others, if
we know how to show our real feelings, without judging, and by strength
Hilfebedrft warm encounter as people who are just as valuable as we who
think we're healthy. Others respond to the esteem in which we give them,
by gain confidence and begin to help themselves.
We have now built a bridge by a volunteer helper who works with the
help of talks to a doctor who has worked in the osteopathic science.
Remember: If a patient comes into your practice, it entails a body
physiology that seeks your help. Instead of teaching the patient that help
verbally, we will learn to palpate and silently to examine the body
physiology. Learn silent to work with this patient, by I-27
work. You will begin to help the patient, and you do not have to think
about it or talk about it. Your only need to be aware you are listening by
her and she feels literally using your palpatory skill. Works very quietly
with the patient, are silent partners, active listeners.

I-29
I recognize that the patient has the same mechanism as me. Only then, I
ask the patient in the treatment room. Then I do what has to be always
done. I work here, without thinking of what I hope to achieve for that patient
e. I just start to work.
This small, coming out of my heart greeting, which I acknowledge my
own silence in patients is a silent acknowledgment that she is alive. An
invisible acknowledging or realizing that. Even if you treat 45 patients in one
day, you can take you time for this very moment, in order to connect to a
point of stillness within yourself, and then with the same point in the patient.
Because then - no matter how you work with the individual patient - it
happens 45 times a day that you have recognized in you and in the patient
something that will silence ttzen the treatment program Unters. What is
this something, I do not know, and that's not even important. It's simply,
stand out for identifi with a mechanism that exists in each of us, and to use
one's.
This silence is Will guide you in terms of what specific at this
Day to do. And I am convinced that the patient it does not have to
consciously participate. I treat many patients who do not have the slightest
idea what I'm doing, and it still like it because they feel that something is
happening in them. It feels to them as if finally a treater has recognized
some of them and try to help them. Sometimes they suspect that I'm
doing anything at all, but in the end they know that I'm doing something,
because their clinical picture changes.
So this contact is a silent confirmation, and it also gives me a moment of
rest between patients. If you have a case that really takes along to you and some do - you do not want all this garbage to take to the next patient.
If it is possible to take you then a little more time for this process. Take a
three-quarter minute to you sit down somewhere and let it just herausfl ow
from you, it flushes out. Ye have forgotten then when they leave the
treatment room, you know not even the name. Then you let be quite calm
and asks the next patient to come into the room. Even if it is not a difficult
case, you can watch if the patient is to make aware quietly, that something
has happened, while he was in the treatment room. You must not say a
word about it. This is simply a silent exchange between my silence and the
silence of the patient - the name does not matter, techniques do not matter,
not I-31
Chapter 1-6 Relax, there's no
hurry
The mechanism has no problems
Revised version of a lecture held in 1986 as part of a
basic course of the Sutherland Cranial Teaching
Foundation in Philadelphia, Pennsylvania.

I you would like an interesting story about one of my


Experiences with Dr. Will Sutherland. During a course for doctors in
Denver, C olorado, one of the participants brought a patient with the advice,
who had developed epilepsy as a result of a tractor accident and in whose
treatment he progressed his feeling after not really. He therefore asked Dr.
Sutherland to investigate these patients and see what you could do to help
him.
Dr. Sutherland, a very silent guy who never used words than necessary,
examined the patient, eventually turned to the doctor and said, "I think you
are on the right track, you make just the good work continues . "When
Sutherland got up to return to his chair, the practitioner said," Dr.
Sutherland, a quick question, please. What would
You do, if the patient had a seizure while you are trying to help him, "Dr.
Sutherland simply said," Do not block him, "and moved on. Well, I was
coincidentally at a place from where I could see the whole audience, and
looked in thirty uncomprehending faces. "You block it," was all he said. He
expected that we go back to the mechanisms of our patients and herausfi
ends what he meant. He was just a great man who taught you something
about the mechanism by leaving it to the mechanism to inform you.
So we can be relaxed and cheerful and aufh ren to worry about it. We
must accept the fact that life is already at work both in the practitioner as
the patients and so we can relax as well. We're not going anywhere, and
your patients also to be there. The patient must take responsibility and
appear with you. And patients will not run, unless you treat them really bad.
They are I-33
his work. If there is a dysfunction pattern -. For example, a problem of
okzipitomastoidalen area in the skull base - Man, that's actually a problem.
But this dysfunction between the occipital and mastoid Pars does not
realize that it is a problem. You must be beschft IGT with being a
okzipitomastoidale dysfunction. So we have to go to this dysfunction and
ask quietly: "Look, it may be that you enjoy life like that, but the body in
which you live, it does not enjoy so much. Well, will not you consider to
allow me to touch you with my hands so that you change your state and
aufh Oerst to be a so-called complex dysfunction? "
We have the right, the privilege, and to understand ourselves in the
mechanism, this okzipitomastoidale dysfunction in patients. We have a
okzipitomastoidalen mechanism in our own mind, perhaps having no
dysfunction; but we can use this mechanism, we study, we understand out.
And we will certainly understand him even better once
we get our hands on the person who comes to us, lay.
Exactly the mechanisms that are to be healthy, they also which are able
to express one's health. They work and are in constant motion; Always
working towards the same goal, which is also in us. We are fighting - we
live - to express ourselves in health. That whatever you ask us, everything
that the next patient who enters our practice, will say to us is, "I would like
to be healthy, doctor, and it has been said to me that you and the

mechanisms in themselves understand me that will allow me to health


zurckzufi ends. "We must not hurry this. We can answer: "For the present
treatment, we have X minutes. What is possible, we will do. We'll give a
little suggestion here and there a small suggestion; and then take the home
and make it work. Do you live alone your daily life, follow a few suggestions,
come back next week, and we will continue in our efforts to help each of us.
"In silence, the patient connects speak with the mechanism in me and in
silence Treff e I with the mechanism in patients. We are trying quietly to
work in an atmosphere in which we exchange ideas and capabilities, and
then we'll go quietly from there. When you go from this course back home,
all these mechanisms will work in you to the mechanisms in the patient;
and the two of you it will be fun. All Good.
I-35
aufnehmt her contact with this patient, contact your own
SutherlandFulkrum and the silence.
Let us come back to earth. When you return to your home practice, this
knowledge should be a part of what is available to you to meet the patient's
needs. Not projected it outward - the patient himself will show to try out
what you have learned you need. It's like when you learn for a final exam.
Man studying like crazy, stuffed all sorts of information to himself and is not
sure how it goes. You just studying, reading and lets it penetrate its
essence. Then you throw all textbooks out the window goes to the exams
and somehow fl ows forth the information that you need for the exam.
So let this course a few days penetrate your being before you try to use
everything - and used it in a relaxed manner. Let the knowledge of the
movement of the temporal bones, the pattern of the cranial base, individual,
specifi c, membranous joint dysfunctions, the condyles of the occiput, the
fluid dynamics of living fluctuation, the rocking motion of a reciprocal tension
membrane, the articulated movement of the skull and the Os sacrum
between the ilia Ossa - let these things easy for a few days penetrate your
being. Adds these new diagnostic tools gradually added. When you are
back home, the patients who come into your consulting room, the same
ones that have already been dealt with her in the x years of your practice;
and if they have not yet benefited from this treatment approach will not
make much difference a few more days.
I-37
Dr. Still was in developing the science of osteopathy his Creator closer
than reinstoff royal breathing; he was guided by a spiritual or mental
fulcrum, as Dr. Sutherland.
If we, as students of the science of osteopathy, really want to understand
osteopathy, we will need to fi nd, our knowledge of the Godhead, which
orients us to the center, to reawaken, to turn them into our spiritual fulcrum,
which leads us and learn to have in our daily work the Creator in mind to
feel and use. Thanks to its knowledge and its application of the science of
osteopathy gave us Dr. Sutherland

Signposts, which we can follow. However, let us for a moment this resolute
way of thinking in 1900 with today's science compare. I recently the recently
published article by a famous science moth read, in which he tried and
spiritual science Liche truths together. His conclusion is that science and
spirituality are not incompatible, but that the great truths of these two areas
are, so to speak, more or less parallel. In other words, both are moving
towards that unknown understanding that is necessary for the well-known
understanding. I'm not really agree with this idea. How can you conclude
that this is a science Liche truth and the other a spiritual truth? Because I
trust more a science ler which his science comprehensive understanding
comes through a Spiritual Guidance and not by attempting to build a
separate super-structure.
I like the idea of a biologist and science Jewellers, who made this remark in a
discussion about the phenomena of life: "It is a fact that the life science s are not only
much more complicated than the science s, but also a much larger symbol space have;
and they go further in the exploration of the universe of science as the
Science s. While you are using all natural science data and your
explanation basics, then go far beyond that and include an even greater
amount of data and additional explanation foundations that offer no less,
but in a sense, even more scientific probability. The point here is that all
known material processes and explanatory principles on living
Organisms en zutreff, only a limited number but not living systems. "When
osteopathic concept, and this includes the cranial area, is about a living
system. Dr. Sutherland said, "The cranial work is not a special, separate
from the science of osteopathy area. The truth is a lot of I-39
per takes in response to its internal and external environment to its
voluntary and involuntary actions. And with these factors we can learn to
feel through the use of our thinking, feeling, seeing, knowing fingers.
If we put our hands on a patient who is in good health, we feel a general
sense of well exploitation ends. We feel the respiratory cycle of his
breathing. We feel the flexion and extension of his running in the midline
structures in their function. We feel the alternating external and internal
rotation of its bilateral structures in their function. We feel any voluntary
movements this person and many involuntary movements of various organ
systems within the body. If our hands are on his head, we can feel the
movements of the cranial mechanism tion joint mechanism, the vast
movements of the reciprocal tension membrane and the fluctuation of the
cerebrospinal fluid as an integrated radio. Throughout the body is
something tangible that today in the
Anatomy and physiology texts is normally not mentioned: a general
Uten Tidenbewegung the entire body, a Hereinfl and out Ebben. It is as if
the whole, acting as a unit body reacts to a force similar to that which moves
the tides of the ocean. It is a rhythmic movement within all Krperfl uids.
She's on her quiet way Krft strength than any other physiological function
within the physical mechanism, important and powerful than the breathing

cycle, the voluntary or involuntary movements or any of the other


movements that we normally take into consideration.
Our expert touch learns to recognize all of these factors that work together
as an integrated feature in each we examined body part. This is a rhythmic
Tide in the physiological interaction with their highest known element and
their inherent potency.
If we go deeper in our understanding of the physical mechanisms, we
learn that any normal functioning of the individual body units - there were
bones, ligaments, membranes, fascia, organs or fluids - apparently carried
out by means of free-floating, automatically changing Fulkren. The
Sutherland fulcrum which is located where the falx meets the tentorium, is
a free-floating, automatically to changing fulcrum for the reciprocal tension
membrane. The sternal end of the clavicle is a osseous fulcrum for the
functioning of the entire upper extremity. The Atlas is used in childbirth than
osseous fulcrum for Partes condylares of the occipital bone. It I-41
To clarify this thought further, he adds:
"D he is the breath of life in the tide of the cerebrospinal fluid, the principle of the primary
respiratory mechanism underlying."
Next he gave us as we develop thinking, feeling, seeing, knowing fingers
detailed instructions to the Tide bring down to its point Still, their break-rest
period to check their function in the body physiology. It is important to know
that we are in our efforts to learn how to control the tide, are not limited to
the craniosacral mechanism. If we are looking at a body portion balance in
tissue and fluid element, while we detect a disease or a pathological state
s, we learn how to bring the tide in their balance point or Fulkrumbereich.
When we do this, a transmutation process stattfi ends, which resolves the
mechanics of dysfunction, pathology corrects and restores health for that
person. This is the designed by the master mechanic healing principle that
works in our patients; and we can develop and see how it works in the
tissues of patients our perception as a handler inside and workstations.
So far I have referred to the functioning of the Tide in the body and to
the many Fulkren who work in the body physiology. Now it's time to talk
about something else that Dr. Sutherland gave us on the way to deepen our
understanding. This is the silence of the tide - not the up-and-down
fluctuation of its waves, but the silence that nds the fulcrum point within the
Tide fi. There is a potency within this silence. The term silence confused
when trying to understand this kind of work, perhaps our thinking. How can
there be a potency or power or energy in the silence? Dr. Sutherland
described the pictorially: If you transfer a vibration on a glass of water, you
can watch how to form a still point in the center of Wasseroberfl che. He
pointed out that this is a fulcrum point within the water glass, and compared
him to the fulcrum point, which we achieve when we the fluctuation of the
cerebrospinal fluid during the compression of the fourth ventricle (or any
other technique for controlling the Tide) bring down their still point." It is the
silence of the Tide, which we are seeking , "he pfl EGTE to say, because in
that silence is the Potency of the Tide.

Those of us who had to be there when he about this happiness


Th ema said, were able to experience how the entire classroom was
noticeably quiet. Dr. Sutherland made us aware and mentioned that this
huI-43
following action. We need to understand the mechanism of this silence and
use in treating our patients. It is not necessary that we fully understand what
it is or where it comes from or where it goes after it had us in this moment
of benefits - the silence of the tide in the body physiology.
So far I have talked about feature, the free-floating, automatically
changing fulcrum and the Tide, the silence and the potency that operate
within all these facets in the body physiology. It seems as if I'm trying to
develop a theological hypothesis to explain this kind of work. However, this
is not the case. I'm just trying to show you that the Creator of the human
body and its mechanisms is more than a passive concept,
of which only we speak, without believing in it and to use it.The science of
osteopathy heard daily, active benefits of the Creator. Osteopathy is an
acquired art, not just a science; and I like the quote that I read somewhere:
" Be at peace with God, who and what ever he is in your opinion. And
whatever they may be your wishes and desires in this noisy confusion of
life: " Be in harmony with your soul. " Therefore, we need in our daily
practice working tools for understanding and using a Spiritual Fulkrums.
What is one of these tools? First, a practitioner needs to develop in my
opinion, an objective perception. He was the anatomy, physiology and
pathology and know all the integrated, related to each other and with
themselves functional sequences that ends stattfi between all these
elements of the body physiology. He must be capable of diagnostic and
prognostic
To evaluate knowledge and to determine, from the first examining the
patient until its release from treatment. He should be able to bring in every
patient the changes that causes the use of potency in the tissue, with the
objective progress towards normalcy and recovered compensation in
connection. And he should be guided in each case, treatment of the
objective findings in determining the procedure.
Second, the clinician should have a subjective perception of the potential
that lies in the application of healing principles described herein. And he
should be able to feel, what is the chance to turn the pathology of the
patient, and the extent to which a recovery within the tissue units is possible.
It has to do with the subjective phenomenon of life itself and takes on the
changes taking place in the patient's subjective changes in part, I-45
ments that I hear in my practice on hufi gsten, are: " He has not done
anything, but ... " or " All he did was to put his hands on me and sit there,
and when he had finished, it went better for me. " It's always important to
establish and allow a good relationship with the patient, that the internal
physiological function of their own, never erring Potency brings as motive
power for the correction, rather than a force applied from the outside blind.

If you have reached good results in someone who already had various
other treatments behind her, including sometimes osteopathy using
manipulation, then you will of this patient and this patient like to send his or
her friends. It is interesting to see how these potential patients are prepared
for their services. The new patient is said: " If you go to my osteopath, was
not surprised about his type of treatment. You'll think he does nothing, but
it will you be better off if he's done with the treatment; and when he says he
wants to see you again, stick with it, and it will ensure that you're well again.
" I have a very fine gentleman as a patient who has already sent me a lot
of other patients, and which says he, " go to my osteopath with the magic
hands. I do not know how he does it, but he can help you. "
Your patients come back and send their friends because they achieve
good results in case of problems that could be solved either by medicine,
physiotherapy or some other form of examination or testing. Then, when
further develop your skills, you will get more and more complex cases;
People who have been everywhere and still need help for your
problems.And just when you think that this is now the most difficult case at
all, comes a new patient who can appear just before lying all cases. If you,
as the main force for diagnosis and treatment uses the infallible Potency,
the complex cases attracts as flowers attract bees. That is the reason,
why this kind of work is always interesting.There is always something new
to learn from the physiological body of the patient. Growing understanding
- that is what the clinician needs to be able to help the patient.
" You come back to: cause , "said Dr. Sutherland. " If you understand the
mechanism, the technique is simple. " Think for a moment about what these
two statements mean for osteopaths. In this world of consequences pile up
in the problem cases that come to us in the practice, consequences to follow
until these consequences totally drown out the causal factor, ie the original
injury or illness that caused the syndrome. Now I-47
Skepticism be observed in one patient and creates in this type of work an
interesting challenge.
In addition, the practitioner should have an objective and a subjective
consciousness as well as a thinking, seeing sentient, knowing sense of
touch feature. The following concise set of Dr. Sutherland summarizes all
these qualifiers cations together: " If you understand the mechanism, the
technique is simple. " And it's easy. This was and is the science of
osteopathy as Dr. Still, Dr. Sutherland, and many other leading capacities
have formulated and practiced in our profession. Today we are concerned
with the traditional by Dr. Sutherland truths and their demonstration.
Now we must consider what all this means for us and for our practical
work now and in the future. We need every service out there today within
our highly qualifi ed profession. We need our hospitals, our surgeons,
internists, pediatricians, gynecologists, psychiatrists and all other
departments. Each area of modern medicine is important for the routine
care of our patients. There are, however, not only for all these areas space,
but also for somewhat beyond Going. We need at least 2,000 women and

men who take the time to learn the necessary material in order to use the
truths of Still and Sutherland in their daily practice. They told me that not
every practitioner is able to acquire these specific skills that you have to pay
to be particularly gifted. This opinion I am not. I think the practitioner needs
perseverance, time, and has to spend a lot of work to learn this skill and
science. Who is willing, time and effort into the basic requirement " be still
and know "investing, which can bring a closer to the Creator as a pure
substance royal breathing, is on this path inevitably an advocate and
practical user of the principles given to us by Dr. AT Still and Dr. WG
Sutherland were mediated. Off en said I would like to see how 2,000 men
and women to exercise this kind of osteopathy because those osteopaths
will be many thousands of patients to services, which you have said
elsewhere: " We have done for you everything is possible. You will have to
learn to live with this problem. " A high percentage of these numerous
people can be led to a much higher level of health but, as is available in
their present condition are available. Such patients, which can help me at
heart. So you get stuck, you need the help of osteopaths with
Skills in the said areas. At present there are in America but only I-49
sent me many years ago in response to a letter in which I referred to certain
aspects of osteopathy in the cranial region. However, his response includes
the entire body physiology in the science of osteopathy. I quote him
verbatim:
" I am closer than my breath the creator of the cranial mechanism ... The patient closer
is the creator of his or her cranial mechanism ... 7 My thinking, sentient, seeing, knowing
fingers out on smart way of Magisterial mechanic who created this mechanism , It does
not matter how you interpret, as long as you mentally contact with the overhead line has
like a streetcar. "
Let me repeat that: ' It does not matter how you interpret, as long as you mentally
contact with the overhead line has like a streetcar . "

Chapter 2
Understanding the mechanism

The involuntary mechanism


Revised Excerpts from lectures, held in 1976 during a basic course of
the Sutherland Cranial Teaching Foundation in Milwaukee, Wisconsin.
We want to talk about the nature of the primary respiratory mechanism,
which is a simple, basic, primary rhythmic functional unit. He is completely
involuntary, involves the entire anatomy and physiology and can be
palpated by a trained clinician in each body area. Just as he provides the
evidence for health throughout the body physiology, he also points to a
reduction in the health area in each dysfunction. One can equally be used
as a tool for diagnosis and treatment him. The primary respiratory
mechanism is a manifestation of life in the patient and the practitioner can
in his service to restore health in patients who take his help.
He is and remains a functional unit, this primary respiratory mechanism,
even though he was divided for teaching purposes in five components, one
of which therefore each forms part of these simple, rhythmic, primary
functional unit within the body physiology. You see that I have not just said,
"within the primary respiratory mechanism" but "within the body
physiology," The entire unit has this factor.. Everything follows the laws of
flexion / external rotation and extension / internal rotation of the anatomicphysiological mechanism. We are completely dependent on this simple,
rhythmic, mobile, motile fluid-drive mechanism.
The entire body has an involuntary mechanism.
Even if your
Psoamuskel is sick, he is destined to go into internal and external rotation.
Your foot is so designed that it ten or twelve times per minute is in internal
and external rotation - not because of the primary respiratory mechanism,
but because of the primary respiratory mechanism can function only in this
way. Therefore, we must learn its rules and laws.
Let me read you a text in which it comes to what I want to express here.
He comes from a book of essays by the American anthropologist Loren
Eiseley. If you have not yet read Loren Eiseley, you should do that especially if you want to learn how to palpate. Through his books I-55
mechanism, to move and to stay alive, to be what he is: a mind-body
structure, an anatomically-physiological, functioning mechanism. We have
many involuntary systems in our body - circulatory, digestive, etc. But the
key role in the human body has a very special unwillkrlichern mechanism:
Every single body cell, each individual cell that lives within the liquids in
which it is produced, is 10 to 12 times per minute moves in flexion and
extension, in internal and external rotation.
So if we have a healthy patient - regardless of whether he sits quietly,
walketh about, deep asleep, running, is very active or in complete tranquility
are in a friend - is taking place everywhere in him this involuntary
physiological function movement. We focus on the neurokranialen and
sacral mechanism than the

Parts enbaren this mechanism, this involuntary movement off. But the
neurocranial and the sacred activity axis, its physiological function is when
you want to say so, more or less, the drive shaft of the system that allows
all the wheels and hoists as well as everything that comes so directly from
the factory, to do their work be brought - flexion / external rotation and
extension / internal rotation. So one can understand the neurokranialen
and sacral mechanism under any circumstances as a separated from the
whole body physiology unit. Every time we put our hands to a patient, we
are dealing with the largest and most important involuntary system in the
human body. Every time we touch these patients, no matter whether we
are here referring to a tiny finger joint or a whole leg, we must attune
ourselves to these involuntary, physiological mechanism.
Arbitrary mechanisms correspond all that the decisions precipitating
fraction of our brain decides to do with this involuntary thing. I decide to go
myself to stand or sit; I decide to persuade me to eat and think (or think
that I think); I can a million decisions taken en. I decide to have thoughts
or emotions - everything is arbitrary. These are activities that we can use
in an intelligent way, by trying to offend nor to let them starve or to take on
excessive manner. We just use the normal daily lives, and once we aufh
ren to use them, they fall easily back to where they came from, and our
involuntary mechanism continues to support us until we give the instruction
again, that the arbitrary something else to do. It is the arbitrary page in life
that puts us in difficult situations, not involuntary.

I-57
among leading levels. That's the change that speaks of the Eiseley, the
infinite variety of patterns, from a functional state to another, in the
involuntary mechanism by which it works. As long as it takes. This is the
time, the needs change. Our job as a therapist is to us silently tune from
the inside out in order to understand this event. Our understanding arises
out of something that we feel, though can not explain. What
we because it is perceptible to us, feel, is a consequence. And yet we can
observe that something is actually happening in this nanosecond. We can
observe what pattern was previously there and that thereafter, and because we have studied the details of the physiological movement of any
part of this involuntary mechanism not only in the craniosacral axis, but in
the whole system - with our intelligent comprehension able to make this
available for clinical purposes.
A universal design
There are in this craniosacral mechanism and throughout the anatomy and
physiology of the entire body and the aspect of universality. Approximately
ten thousand generations or three million years did it take to make the
human body to what it is today. Basically, it is designed so that it functions
as a voluntary and involuntary mechanism. The only reason why we are
sitting here today is that we are the product of x people generations that
have managed to survive. Therefore, the mechanisms are in us all those
that have been determined by nature to survive.
In other words: The fundamental guiding principle in the healing arts (I
have deliberately not told "the osteopathic profession," because we are
talking about something that should be understood that members of all
healing arts), the fundamental idea is so that the body from head to at the
feet is a wonderful mechanism and, although was composed, designed
from many parts as a comprehensive unit, as a universal functional unit.
The more clearly we understand how he as a holistic mechanism works in
ourselves - and I mean both the voluntary and involuntary part -, the more
precise can be our diagnosis and more capable certainly our treatment.
Yesterday there was talk in the department about the architectural
principles of I-59
Craniosacral mechanism has principles that work universally in all of us
and then ends its individual expression in the personality, to which they
belong, fi.
That we while studying in these courses do not look for pathologies but
to the basics, which can function this mechanism, expands our horizons
considerably. Not to study the so-called Normal, so here you are, but to
understand the principles that belong to the so-called normal at the
individual person with whom you were working.

DNA patterns
If you could examine the structure of an involuntary people without any
interference of arbitrary would you fi nd that there is an individual pattern of
health for every human being in this world. Each anatomical-physiological,
involuntary mechanism follows from the top of the head to the feet a pattern
that inoculated him, for him geschaff en was of the DNS, which was at the
time of conception there and around which every man his pattern of health
builds. He received energy to build this pattern. It takes nine months to be
born, and 90 years in order to tear oneself away; But all this time on the
involuntary structure is continuously built up cell by cell again, with only the
DNA patterns of this particular body creates the internal mechanism that
makes it into a functioning system involuntary.
If you are with your hands on these patients einstimmst you with the aim
of problems ausfi constantly to make, then fi du nd also problems caused
by arbitrary geschaff enes stress, disease or trauma - that is, by something
that carried the patient from the outside inwards has. But if you're able,
through what has been saddled with this thing, wade and your focus judge
on the whole of involuntary pattern you call instead the most energy in the
world - the DNS and its pattern or blueprint - brought that saying: "That is
what I want to be," This pattern is individually designed for this soul, this
one individual..
So if I do this cranial mechanism, or whatever I'm trying to deal with,
touch, while the I focus my consciousness on
MAKE mechanism of this patient, I try to read under the I-61
Chapter 2-2
Movement - the key to diagnosis and treatment
Paper presented at a conference of the Cranial Academy, which took
place in 1979 with support of the Sutherland Cranial Teaching
Foundation.
Movement is life. Movement is a manifestation of life. The miracle of life
is expressed in movement, the flow of electrons around a nucleus around,
call to the living creatures, Anzen we viruses, bacteria, fungi, plowing
animals and mankind. This life can be ends in the sea fi, on land and in the
air - perhaps even in space. Mankind has lived in all these environments
or adapted in order to be able to live there. Webster defi ned movement
as:
"The act or process of moving itself; the local change of a body from one place to
another; the action to move his body or a body part; in mechanics: a combination of
moving parts; Mechanism. "9
At Dorland total 30 Defi nition of movement include the following: 1. The
process of self-moving. 2. Active activity: a caused by the own muscle
movement. 3. Automatic movement: a movement which has its origin in
the body, but is not triggered deliberately. 4. Transferred movement: a force

triggered by external movement.


5. Passive movement: each
photosensitive from outside the body are in a force caused body movement.
6. refl exbewegung: an involuntary movement, provoked by an external
stimulus, acting on a nerve center. 7. Spontaneous movement: a
movement that has its origins within the organism. 8. Index movement: a
movement of a cranial part of the body in relation to a fi xed caudal part. 9.
Brownian motion: the dancing movement
tiny particles suspended in a liquid.
These nine Defi nition of the term s movement are important for our
discussion. For example Defi nition number eight: "Index movement: a
movement of a cranial part of the body in relation to a fi xed caudal part", a
very clear definition of the clinical condition, we at whiplash
9 No reference in the original text.
I-63
their off ensichtlichen movements, whether coarse or fine, draw their power
from an inherent potency, allow me as a clinician, allow the internal
physiological function of their own, never erring Potency off enbart, held in
treating my patients blind force applied from the outside.
Our nameless bodies have other resources that complement the overall
functional processes in our internal and external environment, complicate,
promote and support. We have a name that was given to us by our parents.
We have an ego, a mind and emotions. These three - ego, mind and
emotions - are also manifestations of life as movement, but at different
frequencies than on the, which is the physical and physiological structure
of our nameless body as its own. All three are an inherent portion of our
holistic nature and therefore part of our total existence. Ego, mind and
emotions creating en areas is manifesting movements with so many rapidly
changing variables as there are people on Earth. Answered and Again refl
ected our nameless body an existing internal and external natural
interdependence with all of these variables in the fields
of ego, mind and emotions.
Compare the body of a man whose whole being expresses anger, a
friend of the one man who is allowed to be in are in a state of utter devotion,
in meditative silence. Watch the infl uence of a terrified mother to her
injured child. Once they brought me a baby that had fallen from his high
chair and unconscious. As I examined it, his mother sat on the other side
of the room. I looked at the still unconscious appearing little boy thoroughly
and found no physical injuries. "You must not worry, nothing happened," I
said to the mother. "Thank God!" She cried and relaxed. Immediately the
little boy responded by he began to move normally and crying. The fear of
the mother had contributed to the immobility of the child.
We have now briefly talked about all of the various types of motion in a
nameless body, capable of turn out to answer his internal and external
environment as a functional unit per se and to refl ect. We have

supplemented by the many variables that ego, mind and emotions can
contribute with its forms of movement. These are no cause-effect
relationships. Here it comes, whether it is the physician or the patient to an
undivided individual in an existing externally and internally interrelated with
its own individual environment.
I-65
Can be read out of the functional processes of the body physiology The
now following criteria for the care provider and patient. The physiology of
our nameless body has four main movement patterns, the five senses,
which can be used to his conscious perception for the diagnosis of the
doctor in addition, and five basic principles of potential treatment. The four
main patterns of movement are:
1.
The neuromuscular movements of the musculoskeletal
system; it could also be as arbitrary mechanism of physiological
function sequences indicate in the body.
2.
The secondary ribs and breathing mechanisms that move all
body tissues during breathing cycles.
3.
The inherent rhythmic motile and mobile, involuntary
craniosacral fluctuation of the cerebrospinal fluid and the entire
lymphatic system with a cycle speed of 10 to 14 times per minute in
a healthy state. Dr. William G. Sutherland has described this
perfectly rhythmic motion as a kind Tidenphnomen. This means
that over a period of ten minutes the whole body physiology each
about 100 times passes through a cycle of movement of flexion with
external rotation and extension with internal rotation. This is a
powerful tool for diagnosis and Th erapie.
4.
A large tidenartige movement that approximately 6 times
stattfi friend over a period of nine minutes a fl uktuierender
mechanism needs for each rhythmic cycle about one and a half
minutes. I could watch this great Tide in my patients for the first time
ten years ago and I have no idea what their origin or to their very
nature. It is one
Tide, the massive feels like having a gradually swelling expansion of the
whole body physiology and a gradually rcklufi gene movement,
followed by the next, gradually becoming a massive expansion in a
rhythmically balanced exchange within the whole body physiology. I have
this movement simultaneously counted in two patients, and it was
common to both, but in each case on an individual way. This too is a
powerful therapeutic tool, as we'll discuss later.
The full resources of the body physiology, including the four main
movement patterns, answer and reflect the creative tensions of normal
functional processes within the involuntary articularly-membranous
mechanisms of the primary respiratory mechanism and the fascialligamentous voluntary and involuntary linkages of the rest of the body
physiology. This I-67

the linkages up to the deepest level of voluntary and involuntary movement


in the overall physiology of the patient.
The more sensitive we are to be participants in the palpation, the more
awareness we develop the true value of the capacity and the resources that
are inherent to the voluntary and involuntary mechanisms of our patients.
They are the ones that allow us to diagnostic assessment and ask ourselves
the therapeutic mechanisms are available that help can be the many
problems that we encounter in our practice, treat. The possibilities are
limitless.
The concept of movement in the treatment in the healing arts covers a
wide area and many branches of science: Medicine and Surgery,
Psychology, Radiology, Physiotherapy, Krankenpfl ege, and any other
additional supply. All of these areas of knowledge based on a number of
principles that are aligned so that they can be used for any type of service
and are suitable to address specifi c problems when creating a useful
diagnosis and a clinical treatment plan for a recovery towards health. In our
discussion, it continues to the conditions laid down by us criteria for some
of the main forms of movement in a nameless body physiology as well as
the criteria for the use of conscious perception, the five projected
sensations and the sensory motor skills by the dentist who these tools with
the finding its palpation performed by him as a participant coordinated.
Following therapeutic principles are applied when we use motion: 1.
reinforcement 2. Perform apart, 3. Direct Action, 4. Opposite Physiological
motion and 5. Compression.
The artistry and science of palpation for a diagnostic findings can be
when you realize as an interested party is not separate from the therapeutic
principles, because it is a synchronous process in the physiological
functional processes of the nameless body when the practitioner with the
problem in Patients works. The reason is simple: the nameless
The patient's body has developed a problem which brings us to the patient.
Our careful estimate using our participating palpation and our motor skills
gives us the movement pattern in this patient experience. We are out of
the range of movement and use the aforementioned five principles, not
techniques of reinforcement, apart Run, Direct Action, opposites
physiological movement, compression I-69
Again, it is interesting to see that when we have reached the point of
balance or the balance points and support the tissues so that they go
through the treatment cycle, the creative tension of the nameless body from
the inside reinforcement, apart Run, Direct Action, opposite physiological
motion and compression - or a combination of the five - show, while the
body searches and goes through the quiet period of the change in the
reciprocal tension balance what correction means. The nameless body
uses in themselves the same set of principles that we apply as a dentist to
go to fi nd those balance point that allows the body through his course of
treatment.

Even a brief remark about the great tidenartige movement as a


therapeutic tool: it is not clearly noticeable in every patient. If it can be
observed, it feels solid, with a gradually swelling Ngern expansion of
tidenartigen Flssigkeitsfi that ltrieren the bundle of membranous and
fascial sheaths throughout the body INFI. If one edge of the ocean life and
saw the heranfl utenden finger the Tide, which gradually fill the cracks and
crannies of an estuary to the sea, so you would get an idea of how this
works great Tide. While the returning pattern the tidenartigen finger pull
back from the membranous and fascial bundles, then reappear the next
rhythmic cycle. This tide is a powerful therapeutic tool. You can feel how
dozens or hundreds of tiny membranous and fascial-ligamentous joint
corrections stattfi ends - a connective tissue that has enriched from a source
that makes it work in its eff ektivsten phase of living function. Our
participating palpatory sensitive and motor skills can learn to use this Tide
to fi nd and not necessarily in every case of treatment, but often enough to
make it be interesting and productive when they are the dentist shows.
In summary, I would say that to me is awarded as a dentist and my
patient as individuals life that manifests as movement. We learn at all levels
of our being, in our spiritual consciousness, our ego, our mind, in the
emotions and the physiological functional processes of our nameless body
the resources of this life. It is off Obviously, that we can use as a practitioner
this existing movement as a key for diagnosis and treatment in the service
of our patients. I would like to leave you with the question: "What is the key
to movement"?
I-71
physiology, the use innate vitality in every living human being, and the
ability of the physician this basic anatomical and physiological mechanism
in living patients to restore health. He had spent thirty-five years to learn
these principles. Dr. Still knew the basic anatomy and physiology of the
living body, was able to receive a mental picture of the health mechanisms
in individual people and developed a skilful manual approach for correcting
body physiology of the patient to guide their return to healthy functioning.
Dr. Still knew these principles, and - more importantly - he took it and
observed in the patients who took its service to complete, the result: a from
the inside out executive return to health.
The principles that Dr. Still discovered in 1874, are still as applicable and
true as ever. The term "principle" is defined as follows defi in dictionary:
"1) The original source, origin or cause of something or 2) a natural or original or trend
basis."
These definitions describe the Defi presented by Dr. Still basic concepts.
It is refreshing to read the works of Dr. Still, and you fi nd easily hundreds
of citations that the one-to-one relationship between Dr. Still and his various
patients subject s. Through his discovery Dr. Still realized that:

these active principles and concepts inherent in the mind, live


in the body and in the soul of every patient,

it is the supreme duty of the physician, for the people 'health


to fi nd "(because" any disease can fi nd ") 10,

the resources of the living body to the attentive practitioner to


Ver-addition are, so that he can make a mental picture, which combined with palpatorischem Can - for evaluating the body
physiology can be used in healthy, sick or traumatized state,

the living body of the patient carries tools in itself, with which
you promote the existing in patient self-healing principles and may
induce them to work.
10 Note. d. Edit .: Here Becker refers to the famous still-quote "The health
of fi nding should be the concern of a doctor. Anyone can fi nd the
disease "[From:. Still AT:
The great Still Compendium. 2. A., Volume II: The philosophy of
osteopathy, JOLANDOS,
2005, pp II-16th]
I-73
The quote of Dr. Still emphasized the normalcy of health in the living
human body. This main focus on health runs through all Still'schen font en.
The second lesson that we can learn from this quotation is the fact that the
presence of any disease or of trauma in the body physiology is merely a
consequence, a departure from the norm in terms of position and function
in the areas where the disease or trauma to fi nd is.
Health is a living principle in the living body, and they can not be defi ne.
Cause and effect is a principle of body physiology that can be defi ned in
the presence of disease and / or trauma.
For example: A patient comes with a severely sprained ankle, with
possibly torn ligaments. The ankle shows symptoms and dysfunction; but
these are only consequences, not the cause of the restriction. Perhaps the
patient has tried to catch with an outstretched hand or with both hands while
he umknickte and fi el. In all kinds of places in his body normality may have
been disturbed, and each of these places controls as a cause to the
eventual development the sprained ankle in. There may an abnormal
rotation at the knee or at the hip give e the right or left leg, a dysfunction
pattern in psoas or ligamentous joint Train in the arm and hand, and indeed
where they are pitched when falling on the floor. The accumulated results
of this single cause areas add up and be the cause of the ankle injury. Each
of these areas must be carried out and evaluated a corrective treatment so
that the healthy functioning of both the causal areas as well as in the ankle
is restored. With the return to normality can be seen again at the ankle
health and even torn ligaments heal better.
Another example of a deviation from the health and as well as the ankle
injury is merely a consequence disease. You can take many forms: There
are chronic problems such as rheumatoid arthritis, which lasts for years, or
relatively acute diseases such as lobar pneumonia. The - in the latter case

- diseased lung is not the cause of anything. There are a number of effects
that occur in a specifi c pattern and cause the deviation from normality. The
health returns to the lungs if all these consequences are resolved. To
perform a corrective evaluation and treatment that addresses the root
cause, you have to work on the areas of the body physiology, who allows
the lungs, their opposition to I-75
Dr. Stills work began at an hour when he turned his back on the ineff
ective health system of his time. He describes his discovery of the science
of osteopathy on June 22, 1874 as follows:
"22 years ago I shot hit not into the heart but into the dome of the mind.
This dome was then in a poor state, to be pierced by an arrow with the
principles of philosophy. ... Some of the time I retired to think about this
event, which I realized thanks to the force of closing that the word means
god perfection in all things and in all places. At this point I began with the
microscope of the mind to consider carefully the assumption was often
made in our presence that the divine perfection can be seen in his works.
"12
Dr. Still took it upon himself to work with all the hidden factors that belong
to the basics of the science of osteopathy, to examine them, to experiment
with them, to study them, to test, to rethink and to feel. It was a sudden
break out for a man, this change from "elimination of pain and suffering"
toward "restoring health from the inside."
There are many facets of knowledge and understanding that can be
learned from the living body physiology of the patient. And there are many
lively diagnostic and treatment skills that can be utilized in the development
of a perceptual coordination of the living practitioner in its work with the
living patient to achieve a correction towards health.
The emphasis on the word is intentionally alive. To Dr. Stills discovery
belongs his knowledge that the human body is a machine, which is driven
by the invisible force called life.It is the vitality of the human body, which
makes him react to tests, techniques and tools of medical science - to exact
from the technologically more advanced computed tomography and
magnetic resonance tomography on vaccinations, which have wiped out
some of the most dangerous diseases of mankind, through acting
antibiotics or other drugs and sophisticated heart surgery, etc. In this
direction there was in the past six to ten years more progress than in the
fifty years before. Many thousands of lives have been saved thanks to these
advances.
12 AT Still: The great Still Compendium . 2. A., Volume I: autobiography , JOLANDOS,
2005
S. I-121st
I-77

Seres service explained. Before his discovery, Dr. Still was working for
humanity as a doctor " particularly through the elimination of pain and
suffering "from the outside in, with the medical art and science of his time.
He was, as it should be a philanthropist, dissatisfied with his results,
searching for answers and ways to improve. At the time of his discovery
"something happened", an invisible factor, a step into the unknown. The
quality of his life as a doctor was changed, transformed. Or you could use
the word "transmutation" in order to explain what happened? As a result of
this "silent" action he became a philanthropist, whose primary interest was
the fact of humanity through the " restoration of health from the inside out
to serve. " He now understood the meaning and experience of the "vitality"
of his own nature and the same "vitality" in his patients as a unity of life. He
took this quality of "aliveness" that was given to him on without question;
The knowledge served him in his daily practice as a doctor, engineer and
philanthropist.
What happened at the time of its discovery, is something that has already
happened to hundreds of times people in the most diverse areas. It is part
of a learning process with such people and autodidacts who are looking for
a heartfelt response to their specifi c questions. It is precisely then,
if it is to happen, and not by intention.
Dr. Still gave the world the science of osteopathy and two clear, basic
principles that can be used to serve the needs of mankind: first, the principle
of health in the body physiology, which can be regarded as a law per se,
and Second, the principle of cause and
Effect that can be used in treating disease and / or trauma in the body
physiology, wherein each such problem is merely a consequence that can
be diagnosed and treated by causal areas to restore the processes of
health. Both principles may be used by clinicians living in his work with a
living patient.
The following statement by Dr. Still gives us an insight into his profound
knowledge and the quality of his experience:
"I hope e all those who read this to me, my full conviction will perceive that
the mind of God in nature its planning ability - unless plans are needed and has demonstrated the creators ung self-organizing laws no pattern for
the myriad of life forms ; he did well with the equipment and I-79
Chapter 2-4
Still points
Revised version of a discussion, in 1986 during an
internal training of the Sutherland Cranial Teaching
Foundation in Philadelphia, Pennsylvania, took place.
You have asked the question: What happens when the Still Point? That's a
good question, and I'll try anything to say about it - but it's not the answer,
because there is no answer to the question, what happens when a still point.

You walk through a still point by changing the relative function of a lever
on a fulcrum. You created st a complete exchange between the two ends
of the lever.
Now, I want you to not confuse, but I've given up trying to use the Still
Point; he is not a target of the treatment. I've even given up trying to look
for it. I Found A Million Still points - before, during, after ... and finally I gave
up. I take just as much as possible out of the way, as far as it is necessary
so that something can be done.
A still point is a physiological balancing act, the body goes through the
physiology of each patient. He may at any time, any place, to happen in
some way. Probably it comes spontaneously when the patient sleeps well
at night or in similar situations. The Still Point is the body's attempt to make
himself free, back into a fully motile mechanism. In treatment it is an
observable event that the practitioner can recognize as something that a
friend stattfi in the body physiology, which he does not voluntarily sought or
tries to evaluate. It is an anatomical-physiological change that brings about
the body, and I as a doctor had nothing to do with it. I do not even recognize
the Still Point. The fact that he stattfi friend, points out that the body
physiology decides to use it.
I am here simply an observer and not a man who pursues an aim.
Often Still Points are going to happen in front of you, but you can also
hufi g the
Making experience that you nd stattfi at some distance. You are about to
quietly work on a field in a patient, listen, and suddenly you realize that
something is happening somewhere else. Well, it has gone through a Still
Point I-81
Chapter 2-5
Sit with your mechanism
Revised version of lectures around the course as part of
a G 1976
Sutherland Cranial Teaching Foundation was held in Milwaukee,
Wisconsin.
The experience of the inner Sprens
In this course, we started with the bones of the cranium on the outside, then
inside gone through the reciprocal tension membrane, the rolling and
unrolling of the central nervous system have to taken and a fluid Drive the
cerebrospinal fluid, introduced into the neurokranialen mechanism. We
have seen that this mechanism has the capacity to do certain things and
certain patterns to be created en - twist, SidebendingRotation, vertical and
lateral shear and compression muster14. We have found that it can have
certain membranous joint dysfunctions and that he has a lot of joints. And
today we have drangehngt a detailed face.
Now I want you to just sit down yourselves for a little while and you should
look to yourselves. We want to reverse the process of training program this

week. I want you to become aware of cerebrospinalis you quietly and


without effort of the fluctuation of the cerebrospinal fluid, the stattfi friend in
your minds - the turnover of the Fluid Drive. Feel very quiet the
cerebrospinal fluid, the fundamental basis of the primary respiratory
mechanism. Whether you can actually feel it or not: Be aware of basic
cerebrospinal fluid. I do not ask you, you feel active. Be you its just as aware
of Fluid Drive, the rhythmic fl uktuiert, heranfl ows and ebbs like the tide of
an ocean, within your complete craniosacral mechanism flows into and
flows out, flows out along the cranial nerves and along the spinal nerves,
further drives in the lymphatic system and a part of the lymphatic system your whole body will be an inflow and outflow of CSF
cerebrospinalis.
14 Original: Strain
I-83
Meditation
This morning I want to do something I've never done before. I do not know
if it will work, but it's an interesting thought. Here in Dallas, there are quite
a few yoga groups, and as the student of yoga western bodies have, trying
to sit in non-Western positions, they come to me with physiological
dysfunctions that they by their attempts for a certain time sit and meditate,
have acquired. At the same time I have contact with at least two people, to
guide the meditation groups and may well sit in the position that is
appropriate for yoga meditation; and I believe that there is a physiological
reason why this position is used.
In the lotus position you sit not on its rump, as is the case with the reclined
sitting in a chair where you can put pressure on the sacrum, which limits
the primary and secondary respiratory mechanism. Instead, you sit upright
and slightly bent forward, with your spine straight, on his sit bones and
thighs. What happens here? The primary respiratory mechanism floats - the
whole mechanism of the skullcap to the sacrum depends as it were in the
air.
Since this involuntary mechanism moves rhythmically back and forth, the
liquid, the reciprocal tension membrane, the central nervous system and
the hinge mechanism can be as simple free-floating hanging. This allows
the potency in the cerebrospinal fluid to nourish every cell in the body, and
the reciprocal tension membrane, gently rocking the fascia in flexion /
external rotation and the counter-movement. It allows the bone, the bands,
the central nervous system and everything else to change. Your pattern is
formed on a micro level, so that they can zurckzukorrigieren in a more
normal physiological mechanism. You are in ends up almost in a state of
self-treatment when they are in this position; they make this mechanism a
living factor of function.

So sit down now in your chair, with your feet on the floor, with your spine
straight and slightly bent forward: So you're sitting on your sit bones and
rejects you not determined in the chair. Then, in silence, with his eyes
closed, thinking about a Krft strength cerebrospinal fluid, which expands
and contracts rhythmically. This is an inner feeling - try to feel himself a
body of liquid which comes at a still point and expand ated, comes at a still
point and ebbs, comes to a standstill point quietly in you

Chapter 3 - The Tide of cerebrospinal fluid


Chapter 3 - The Tide of cerebrospinal fluid
Chapter 3-1
The cerebrospinal fluid
These texts were written by a writing please set
out forward from the year 1977th
From the understanding of the cerebrospinal fluid in the anatomicphysiologic
Overall structure of the body tap into our concepts, which are rich in
anatomical and physiological details and - more importantly - to
philosophical details. Dr. Still noted:
"A thought comes to him that the cerebrospinal fluid is the highest known element that
contains the human body. As long as the brain does not produce this liquid in a large
amount, the invalid state of the body is maintained. Who can close, will see that this great
river of life and tapped the parched field must be watered immediately, otherwise the crop
health is lost forever. "15
And WG Sutherland added that the arterial flow was most important
though, the cerebrospinal fluid but the "supreme command" have and one
can observe its fluctuation within a natural cavity by palpation. The key to
understanding the cerebrospinal fluid is that it due to its
Fluctuation pattern by the practitioner for both the diagnosis and the
treatment can be used, and, more importantly, within the living body as an
anatomical and physiological unit in integrated function with the whole body.
One could say that one is dealing with the rechargeable battery of the life
and health in human physiology, if one understands the CSF and its
fluctuation pattern correctly.
Anatomical considerations
The discovery of cerebrospinal fluid to write to generally Domenico Cotugno. But the
first serious study of e Liquor has 1825
15 AT Still: The great Still Compendium. 2. A., Volume II: The philosophy
of osteopathy, JOLANDOS, 2005, pp II-20th
I-89
CSF in the ventricular and subarachnoid space usually varies 125-150
ccm.16
Science of liquor is seen Lich a vibrant liquid whose
Water content is somewhat higher than that of blood. Compared with the
blood of the protein content is very low, and the sugar content is slightly
lower. Other substances such as creatinine, uric acid, urea, not organic
phosphate, bicarbonate, Wasserstoffi mation, sodium, potassium,
magnesium, calcium, and lactic acid in the spinal fluid in the same or a

lesser extent as in blood plasma to fi nd. Obtained by a lumbar puncture


spinal fluid, will
slightly different from the fluid found in the ventricles.
Some studies relate except to the described circulation paths also in a
way the tides within the cerebrospinal fluid, a characteristic of a fluctuation.
However, such indications are not accompanied by a clear acceptance of
the phenomenon, but instead say that you have indeed observed the
existence of such a pattern, but it can not explain.
Since most of these studies served the purpose to determine the factors
of CSF circulation, were their primary interests in this Th ema and not to
declare a fluctuation pattern to fi nd and its significance.
Physiological Considerations
In an editorial the Lancet in 1975 was notable following quote:
"One function of the lymphatic system is to cleanse the tissue spaces of substances
that leak from capillaries or from the tissue itself and not re-absorbed into the bloodstream
is. The meninges and the nervous tissue of the brain have no lymphatic channels; does
this omission mean that the problem of the removal does not exist?
... Apart from the MAIN TRIAL USS Liquor back into the bloodstream through the
arachnoid villi of the CSF could also be purified by the Plexi chorodei of substances. This
idea seems bizarre when one thinks only of the plexi in the lateral ventricles, because
they already produce the liquor, for agt you how
16 Note. d. amerik. Ed .: An article in which it uence comes to the review
of the various ways of Liquorfl, is under the title Recent Research Into the
Nature of cerebrospinal fluid formation and absorption in the J.
Neurosurg 1983 59: 369-383, to fi nd.

I-91
Brain with the lymphatic system, "" Our studies of the compound of
submembransen rooms with lymphatic system, "" The movement of
cerebrospinal fluid within the medulla and the submembransen rooms
"and
About the penetration of various substances in the nerve trunk and its
movement along the nerve."
In his chapter on "rheumatism" Speransky describes a method, the liquor to "pump":
"The pump was done by means of a lumbar puncture, performed on the seated patient.
We used a 10.0-CC> Record <-needle. The retraction and re-injecting the liquid was
between 8 and
Repeated 40 times. Last time, the liquid was removed. The whole thing
must go neither too slow nor too fast in front of him. A quick extraction,
particularly in the second part of the puncture, always brings with it a
headache which last until the evening, and sometimes even the next day.
In a few cases, there was vomiting. "
This clumsy mechanical pumps of Liquor within the dural sheath and the
Subarachnoidalrume has been applied in a number of neurodystrophen
processes or diseases. The methods used were to say the least
dangerous. Spreranskys work was also then very controversial in his time
and.
Characteristically is his chapter 21 introductory statement: "This book
can not provide a final" It may in fact, no other conclusions, except the
realization that the knowledge in the area of the cerebrospinal fluid is highly
complex.. The Liquor exchanged ions, metabolites, and trophic factors with
the choroid plexi, with the nerve cells of the central, peripheral and
autonomic nervous system, the pituitary-hypothalamic axis, with the pineal
gland and the lymphatic system. In addition, the thin Liquorfi lm used in the
Subarachnoidalrumen together with the Cisternas as waterbed to protect
the brain and spinal cord.
Philosophical considerations
To take advantage of the cerebrospinal fluid in a diagnostic and treatment
plan, it takes more than a synthesis of anatomic and physiological details
and more than one guided by laboratory testing study of cerebrospinal fluid
characteristics in health, trauma or disease. To experience this vibrant I93
I am talking about the following: If I work as doctor with the living
fluctuation patterns of the cerebrospinal fluid in patients, I'm involved in this
fluctuation pattern. I have participated in the experience of what I observe
by palpation with sensory input, and what changed as a result of the applied
in the form of a motor output palpatory skills within the pattern. The only to
be considered the end of reality is constant change - change that friend

stattfi while I watch the pattern change that friend stattfi while applied
palpatorisches Can pattern adorns modifi, and change that in the
anatomical-physiological structure of the patient takes place when
continuing the work happened on this day after my diagnosis and treatment
program.
It is extremely important that the practitioner takes on his palpating the
functioning of the cerebrospinal fluid, the role of stakeholders.
I like to be the idea, party rather than an outside observer, when it is
necessary to take care of a problem in the patient's body - like this now a
dysfunction of the musculoskeletal system, a fascial dysfunction pattern or
an interconnected with the primary respiratory mechanism. I have a feeling
that I directly experienced the changes that stattfi ends in patients at
diagnosis as in the treatment and so in relation to the type of dysfunction
get a better diagnostic insight. I can therefore Ussen influenced food better
at the potential that day corrections and the treatment results. I fi nd it
necessary to accept the idea that I'm a party, and maintain this awareness
during my diagnostic and therapeutic review. Because as a participant to
reach to what I experience, as well as in the treatment results a much
deeper quality than in the role of an outsider observer.
If we want to take advantage of the sensory and motor skills of our
consciousness while working with the natural resources in the body,
including the cerebrospinal fluid heard we need to better understand the
mechanisms at issue here, first of three concept E - self-organization, staff
turnover and transmutation - defi ne and two principles - the breath of life
and the breathing air - explain.
Self-organization: the innate human ability to live physically, mentally,
emotionally and philosophically express.
Everyone has two mechanisms that interact lifetime: an arbitrary ability
to work, play and rest, and a complex UNI 95
The detectable by palpation, basic rhythmic fluctuation pattern of the
CSF represent longitudinal, lateral and alternating spiral pattern. There are
probably many other patterns or combinations of patterns that are very
small and therefore not so easy to notice. A specifi Scheres rhythmic
fluctuation pattern of cerebrospinal fluid can be palpated, by directing the
cerebrospinal fluid along a maximum diagonal direction in any part of the
body.
Generally it is believed that the turnover rate of the cerebrospinal fluid is
in a healthy state at 10 to 14 times per minute. However, you can the
various states dysfunction in individuals according to
vary and so may be very slow in chronic diseases, increases with fever,
however.
More important than its speed but is the quality of the fluctuation pattern.
If the state is healthy, you can feel the palpating a full amplitude, vitality and
lively dynamics. Is contrast against rheumatoid arthritis, fi nds due to stasis
in connective tissue and lymph system, a thin, watered-down, low
amplitude, and after a meningitis or encephalitis empfi nds them as sluggish

as the reciprocal tension membrane has lost the quality of their


physiological tone. These are just a few of many examples of clear the
variable quality of the liquor-fluctuation pattern. The lively cerebrospinal
fluid reacts with its off enkundigen fluctuation to the challenges of a
changing from hour to hour and from day to day health pattern in the
individual organism and refl ected by changes in their quality and speed
these processes.
Dr. Sutherland tells us that the fluctuation of the cerebrospinal fluid is
paramount, as a phenomenon in itself, and I totally agree with this thought.
There are others who disagree, and want to bring them to the contractility
of the central nervous system or the rhythmic inhalation or exhalation of the
respiratory system in conjunction. It is off Obviously that relationships and
relationships are between all living tissues and the speed of their rhythmic
function, motility of the central nervous system, the rocking motion of the
reciprocal tension membrane, the rhythmic respiratory mechanism and
others, both voluntary and involuntary mechanisms and that grace this
fluctuation of the cerebrospinal fluid and modifi be reversed again graces
modifi from her. Nevertheless, we will as a clinician with our conscious
WahrI-97
sem area improved, but its inherent function is not the body for immediate
use.
2. Be aware of an attentive and at the same quiet palpation of all the
components of the self-organization, the uktuation with the quality of the
involuntary movement Liquorfl and associated in the body. Palpiere now to
found the overall vitality of the anatomical-physiological mechanisms.
Although this vitality is not necessarily an electrical nature, I like to compare
it with a measuring volts and make an estimated findings for each patient.
In other words: The vitality of the average patient should feel as if they
would be at 110 volts. In the case of a dysfunction, such as a chronic
breakdown of the nervous system, the voltage V may be 60, 50 or less on
the other hand. The same applies to rheumatoid arthritis. If the patient is
in a state of acute fatigue, this comparison may be with a volt also yield low
results, but in which you can feel that it is temporary and will probably
correct for a good night's sleep yourself. For a professional athlete, the
tension is not at 110 but at 220 volts.
This is also necessary at all that these people have to endure in their sport.
This is a useful test, because it gives you a sense of the quality of vitality
with which you work in the diagnosis and treatment of problems. Sufficient
VOLTAGE means sufficient vitality in order to carry out a correction and to
have them develop further, so as you wish it to you. Low VOLTAGE is an
indication that your corrective attempts should not exceed the capacity of
the patient to use the correction because over-correction in this state of
reduced vitality not last and the already prevailing local and general
exhaustion of the patient will intensify.
This second of my recommended test should not be confused with the
counting of the Cranial Rhythmic Impulse (CRI), because it is more

sensitive and aussagekft strength. About two I mentioned tests could


speak even longer; But I have said enough Hoff entlich to call your
attention to it.
Transmutation: The conversion of a thing to another; the change of a
chemical element to another.
The ability to transmutation is a natural phenomenon, which is in the body
for a lifetime present. For rhythmic fluctuation of the cerebrospinal fluid that
ability is part of the transmutation. It creates a rhythmic balanced
interchange with the choroid plexus, the physiological centers in the I-99
a CV4 technique; This time it took 30 minutes. Within another week, the
skin healed completely on his legs and remained healthy.
Howard Lippincott, DO, describes the results of the CV4 technique so:
"It's hard to be cautious when it comes to the benefits achieved through the
compression of the fourth ventricle. Because if this powerful liquid is activated by said
technique leads to results which justify the enthusiasm.
This leads to a beneficial effect on the overall circulatory
system, comprising
Decrease of congestion, edema and ischemia, as far as this is possible
without surgery.
The metabolic processes are improved, including the nutrition of all the tissues and the
gradual absorption and calcium-fi brser deposits that are not physiological or
compensatory nature.
The compression of the fourth ventricle also improves the function of organs, and in
infections, the immune system is strengthened by the effect on the spleen, pancreas and
liver.
The endocrine system is regulated according to the immediate needs of the body.
The cerebrospinal fluid has the change of command on the substance, much of the
involuntary functions, and the autoprotektiven mechanism of the organism.
Dr. Sutherland pointed out that secondary osteopathic dysfunctions after compression
of the ventricle are less off Obviously. The compression is therefore useful to determine
the primary dysfunction. "21
As you can see, is the involuntary mobility of the body, revitalizes with its
micro-movements of flexion / external rotation and extension / internal
rotation. In addition, the battery life - which we evaluate comparable volts instantly transmuted / converted toward the physiological ideal state for
these patients, were the now 110 or 220 volts.
A controlled compression of the fluctuation of the cerebrospinal fluid by
being downloaded to their short rhythmic period or her arrest point and pass
through this brings, can be of the parietal bones, the os frontal and the Ossa
frontalia, the temporal bones or the Os carry out sacrum. However, it does
not necessarily have a compression of the fourth Vent
21 Sutherland, WG & A: The big Sutherland Compendium. Volume II:
Some thoughts JOLANDOS, 2004, pp II-197th
I-101

Patients had to spend a lot of persuasion, to keep them as long at the bar
until the desired results were achieved.
A comparable number of cases with rheumatoid arthritis responded
similarly positive and gained their inherent vitality. Although the aff enes
joints were still limited, but they hurt a lot less. Also, the treatment dragged
on for six to nine months. Two of the patients did not respond as strongly,
but even they felt an improvement. As with the previously described case
of the 55s it took with them at the beginning of treatment until there ceased
breastfeeding spot. This was, however, from week to week better and they
responded to the rhythmically balanced exchange in their clogged s tissue.
In many cases, were terminally ill cancer patients, some for example with
inoperable brain tumors, in recent weeks and months to live relatively painfree and tolerable before her death.
This controlling the fluctuations of cerebrospinal fluid by putting them
down brings to their short rhythmic period, I applied to a wide variety of
ways and in hundreds of cases, to satisfy the most diverse requirements. I
do not use that in every patient who comes to my office, but whenever it is
aware that it is appropriate. It always corresponds to the respective
challenge, though usually with much less dramatic effects as in the cases
described. However, by palpation and Applied palpation skills I erspre that
was achieved, what was necessary in this day of treatment.
The principle of life breath: Dr. According to Sutherland, the potency of
the cerebrospinal fluid breathing mechanism can be regarded as a
fundamental principle in the operation of the primary. He described it as a
breath of life, as an invisible element and gave her another name, our
Drawing attention to their importance for the functioning of the
cerebrospinal fluid. Dr. Sutherland spent a lot of years trying to
understand all the elements and components of the craniosacral
mechanism: the cranial
Linkages and the sacrum, the reciprocal tension membrane, the motility of
the central nervous system and the fluctuation of the cerebrospinal fluid.
He worked all to yourself and experimented with compressed bandages on
own skull to dysfunctions of the extension, the flexion, the
Generate Sidebending rotation and twist; he also produced membranous
joint dysfunctions, some of them right-wing extremist, and corrected her
then.
I-103
logical circulatory and rhythmic functional systems that we use for our
Need presence on this earth. In order to manifest ourselves as an
individual, we need something that is more than merely a life force. We
need food, water, air, light, darkness, mobility, motility and other factors;
We have a variety of internal systems, some random and some involuntarily
- all geschaff s to decorate to modifi other and to be financed simultaneously
from other modifi if your circulatory and rhythmic
Services and functions to exercise. We have something that we call spirit
or

Awareness, and makes us understand that we are not just our own product
are (even if we think it's the most important thing), but the product of our
entire environment, and must be in a rhythmically balanced exchange with
that environment. These are some of the elements that are necessary for
an integrated function of the self-organization of human life in order to
maintain health and to adapt to disease or trauma.
As Handler a constantly evolving, huge range of diagnostic and
therapeutic tools is given to us that we use in order to lodge objections with
the person who comes to us with a problem finding one and treat him. The
most valuable of these tools include our own conscious perception, our
feeling and our Applied palpatory ability. With them, we have part of the
internal environment of the patient, whether in a primary care or in a
complementary treatment in the context of examination and treatment
program.
For purposes of this discussion, I have divided the self-organization of
the people in a principle of life breath and a principle of breathing air.
However, in reality they are one - one in the inherent ability of the individual
to express the life physically, mentally, emotionally and philosophically. As
an osteopath I can use all the possibilities of modern medicine and surgery
to help the patient who seeks my support. And when a party I can thanks
to my conscious perception, my flair and my applied palpatory skills work
with the patient's inherent abilities to strike a balance in this dynamic,
homeostatic controlled, the "eternal law of life and movement" obedient
body of to achieve functional
The cerebrospinal fluid as one of those inherent abilities net publishing
pictures we still have a long room to explore his options.
I-105
As Dr. AT Still noted in his e Autobiografi, he has the basics of
Science of osteopathy not invented - he discovered it. Equally Dr. WG
Sutherland invented the concept Cranial not - he discovered his
fundamental principles. He found that the cerebrospinal fluid is exchanged
with what he called the Breath of Life. If you control the fluctuation of the
cerebrospinal fluid, by bringing him down to a relative standstill point,
immediately there is a transmutation, an exchange between the highest
known element and the cerebrospinal fluid. This exchange results in a
nourishing factor, which may be called sparks and bioenergy, as well as
Further, still to be discovered factors that whatsoever cerebrospinal fluid
is ends throughout the body physiology to fi between the cerebrospinal
fluid and the central nervous system, the capillaries of the choroid plexus,
and where, act. Complicated, lifeless machinery - such as in a car, a
dishwasher, a moon rocket - needs a spark in their systems, so that they
can start and run. Biological systems have built for millennia a spark and
a Bioe nergy system in its mechanisms. This is not an esoteric or
religious imagination; It's a simple, bioenergetic, physiological fact.

I-107
Body goes from head to toe in his involuntary mobility ten times per minute
in anatomic-physiologic flexion / external rotation and extension / internal
rotation - through a micro mobility throughout the functional model of the
whole body.
I have an arbitrary body with which I walk, I can shake or be otherwise
do something I want. And at the same time, while I do that, as I stand here,
these involuntary flexion / external rotation and extension / internal rotation
takes place in the entire mechanism that belongs to us.
Let us also science Liche" evidence is lacking that the primary
respiratory mechanism is responsible for all this involuntary system
throughout the body, we can still say categorically - and this claim can be
put up defi nitely - that this is the only way in which the primary breath
mechanism operates. There are within the primary respiratory mechanism
no muscle work or other arbitrary mechanisms that induce him to this flexion
/ external rotation and extension / internal rotation - this is really the only
way, as he works.
There is a mechanism, and this means that we have to study it as a
mechanism. We have the bones, the meninges, the central nervous system
and the cerebrospinal fluid study as working units - as work units belonging
to something that does what it does, because it was intended and
because that simply is just the only way, how it can work.
My task now is to talk about the amount of cerebrospinal fluid in this
mechanism. According to Dr. Sutherland is the Liquor cerebrospinalis the
primary, fundamental principle in the primary respiratory mechanism. After
Dr. AT Still, he is the highest known element in the human body, and there
are other places in its written s, suggesting that there is something different
from other Krperfl uids that there is something in the cerebrospinal fluid,
which a basic law expresses.
The cerebrospinal fluid is a fluid drive. He fl uktuiert and changes and
does not require the rolling and unrolling of the central nervous system, so
that it can uktuieren fl. He fl uktuiert, point. This fact you have to accept. I
have accepted it on the day, when I heard them say Will Sutherland. I
assumed that it was true, and I have never found a contrary proof in my
patients. I do not care really what makes him the Fluid Drive - I want to let
him work easy - it is a principle.
The cerebrospinal fluid has an automatic fluid Drive, the things GEI 109
sought to initiate a twist left, it stopped before it ever anfi ng. Well,
What is the result of a pronounced twist like this? The central nervous
system must be twisted in a twist as well as the reciprocal tension
membrane and the bony elements. Due to the pronounced torsional
mechanism of aqueduct of Sylvius was twisted this patient like a tube and
it was not a good fluid exchange between the third and fourth ventricles
instead. They probably had their lives a torsion mechanism, but then had
befallen her something: She had fallen, had twists, sat down too hard or

anything else, and thereby brought this mechanism in an even stronger


torsion.
To correct this situation, I took them into the Rechtstorionsmuster,
reinforced it, and waited. In this way we had the entire mechanism - the
Fluid Drive, the motile nervous system and the reciprocal tension
membrane - begin to deal with this Torsionsmuster. The end of the
treatment carried out on that day was the time when the central nervous
system so was quiet, there was practically no movement, as well as the
reciprocal tension membrane was so quiet that there was practically no
movement, and as the cerebrospinal fluid quiet was to a point of infinite
silence. Thus, the patient went through a still point of the liquid, the Central
Nervous system and the reciprocal membrane voltage. In the Still Point
her head began to get comfortable zurckzuentspannen in a mechanism
that was consistent for them. Later, when I examined her again, she was
still in a pronounced Rechtstorsionsmuster, but now was the hose, the
aqueduct of Sylvius, do its job. He was able to leave the liquids back and
that was the end of their headaches. What I want to emphasize here is that
the cerebrospinal fluid had to be taken from us by a still point, so that it
could function properly - to get the correction.
Exactly the same thing we are trying with the CV4 technique, so the
compression of the fourth ventricle to achieve. We are keen to bring down
this fundamental principle to a point where it can speak to change in the
course. Where it does so, it meets the needs of the individual patient's
physiology. It creates its potency factor. It exchanges views with the
Krperfl uids. Up to the lymphatics of the toes down clears up everything.
If we bring down there to a still point, it may change in all these areas the
transition, and we have infl uenced the complete physiology.
When we talk about a CV4 technique (lateral or turnover), speak I-111
hinzubekommen correction of membranous-articulated connection. Forget
it. Sick membranes correct not good, they can not. There is none
Tonusqualitt in this reciprocal tension membrane; it is already there, yes
- but it is not working.
So is your CV4 technique as a regular part of your treatment for a
Period of several weeks or months, depending on the chronicity of the
Problem, gradually the whole of the tone quality, the function of the
reciprocal
Restore membrane voltage and the normal tension and thickness. If this
is correct, then you not only get better further corrections, but makes the
patient again living people.
In volume by weight cases, patients always ask how long it will take. I tell them then:
"You forget how long it will take. We will stay tuned until you are my tired and I yours,
and there will be in the first six months no noticeable change. If you do not want to join
in the, we do not need to start. "In these circumstances it is then possible maybe one in
three on the treatment a. But also gets results.
Nervous breakdown: There are people with a total nervous breakdown to
get here - and I'm not talking here about psychosomatic cases - I'm talking

about people who have suffered a nervous breakdown physiologically. You


pick up on their mechanism and feel that they do not have an electric
charge. You barely get to 20 volts (and should still be at 110 volts) - a sick
nervous system precisely. They had a nervous breakdown and its
mechanism is weak, tired, running with low energy. This is chronic, it's been
around for years so; some months were better and some were worse, but
it's a lousy mechanism. The nervous system is sick. It has no charge.
What these people recharges?Once a week a CV4 technique, and as
long as a treatment of rheumatoid arthritis - that is six to twelve months.
You have to tell them " you will feel some time not even better, and I'm not
going to try to prove to you that it goes upwards. The mechanism needs us
both prove that you are you better. "Suddenly, after two to three months, it
does not feel like 20, but as 25 volts. When patients come the next time, it
falls back to 23 and then rises to 27 Later they come, and the thing is
charging. And finally they come one day in practice (the corrections fi nd
normally between treatments instead, not while the patient on the treatment
table I-113
Rheumatoid arthritis: I expect that all my patients with rheumatoid arthritis
also consult other doctors. Me you are looking for on account of the things
that I know about the science of the human body, and what they get from
me, as good as I can. My rheumatoid arthritis patients I treat with the CV4
technique point. Techniques in which one works with the individual joints,
etc., I do not use. For me, rheumatoid arthritis is a disease of the connective
tissue, collagen, from the head up to the feet. Everywhere there is a stasis.
Suppose you want a method by which you and the complete collagen
system on most direct and fastest way
Way infl Ussen and anchor the desire in him can exchange all of its fluids
and cells, so it may be so, as it should be really, from head to toe, even in
all the diseased joints. What would you then apply for a kind of
physiological medicine? A CV4 technique, period.

I-115
brings.In any body tissue there is trouble, all fascia, in all lymph channels
of the body. So I'm not only a CV4 technique in the field of the fourth
ventricle, I make a CV4 technique that influenced food the whole pattern of
the cerebrospinal fluid throughout the body infl.
In one case, I had to sit 45 minutes and wait until the liquid through came
in a still point, and through him, before this Supraokziput was hot. When the
patient returned the next time, it took only 40 minutes and the next time only
30 So we moving in the right direction. In about six to twelve months it will
take the normal seven minutes, and the patient will be alive. He will still
have rheumatoid arthritis - that's not the point. But he will be alive again.
I want to emphasize here that the CV4 technique is a lively treatment. It
is necessary to read the quality of the liquid in the mechanism and the
quality of the
Tissue. In a CV4 technique is not simply a routine in which one invests his
hands, something does, and then passes it. You really need the quality of
the entire mechanism Read, if you apply a CV4 technique.
How much pressure exerted on her Supraokziput, varies from patient to
patient and from
Treatment to treatment differently - some are tougher, and some are gentle
it. You can get overreact when you make a CV4 technique on Supraokziput,
especially if the patient is a dysfunction in okzipitomastoidalen area has regardless of whether this dysfunction has existed for 25 years or 25
minutes. These patients have a compression of supraocciput in relation to
the temporal bone on the side of dysfunction - and now you compress it
even more. Dysfunctions in okzipitomastoidalen area are notorious for
triggering overreactions. You can really have a problem,
if one makes a CV4 technique in the field of okzipitomastoidalen
dysfunction while haphazardly applies the same power from both sides of
the supraocciput.
Let me give you a little tip - but it is different in each patient, and will not
work for everyone so, as I describe it. You will it, depending on the quality
and requirement on each patient must adjust. So here's my tip: Because
this Supraokziput has been driven into the temporal in the os already up,
it's on this side have the compression that you want to achieve by a CV4
technique. Therefore, you are the side where the Supraokziput has
okzipitomastoidale dysfunction, only support and turns on the other side of
a compression until one of the Tide Liquor CEI 117
considers it until you can feel the reaction of cerebrospinal fluid, which is
that it is quiet and comes to a point where he changed his inner fulcrum.
This approach from the sacrum from being used in all cases where the
cranium suspected such a strong trauma that you can not ranwagt there,
but still a bit of theory erapeutisches want to do for the patient. We know it
when we bring the liquor into the silence, comes to an exchange of fluid
balance; the vital, physiological centers are stimulated; the tension in the

fascia and ligaments Intrazellulrrumen is graced modifi; an immune


response is stimulated - it happens a lot. So if we bring the cerebrospinal
fluid via an approach to the sacrum in the silence, we can do much good to
care without us, that we might create problems in addition at a potential
skull fracture or any other traumatic injury.
Lateral fluctuation
We have a technique by which we created a lateral fluctuation en. Here we
summarize the temporal bones in the way how we do it the findings of its
movement: Our hands are under the skull with your thumbs along the Proc.
mastoidei and the mastoid shares;are in our fingers ends below the neck.
If we then our fingers, our Mittelfi nger, very gently rolling,
We will automatically rotate Os temporale gently in the external rotation and
the other in the internal rotation, and the liquid body of the liquor will launch
a fluctuation pattern uktuiert from side to side fl. We roll our Mittelfi nger as
I said barely, only until we feel the lateral fluctuation over moves and swells
on the other side. As soon as we feel that this thing to the other moves from
one side, we reduce the scale of our roll, so we restrain them. We have
started something, and now we begin to hold it back, it gradually to slow
down. In other words: The fluid will over there, but we do not quite allow
that, we begin to return. Little by little we slow this fluctuation, until there is
a change in the fulcrum within the CSF. Carried out in this way, it is a
comforting thing. It soothes potential
Via reactions after treatment. Understanding the lateral fluctuation and to
use in practice, is important.
Even if we have a patient who urgently needs a Energiefl uss I-119
Chapter 3-5
The cerebrospinal fluid - a mechanism
Revised version of a lecture given during a basic course
in 1986 Sutherland Cranial Teaching Foundation in
Philadelphia, Pennsylvania.
We as individuals live a life of voluntary and involuntary mechanisms. There
are millions of different mechanisms within the whole body of the patient
physiology. Our arbitrary mechanism allows us to do everything - from
jogging to quiet sleep. This mechanism of action is different in each
individual, depending on its overall quality of life.
On the other hand there is the quiet primary respiratory mechanism - a
completely involuntary unit of function, physiology, activity and vitality that
can be an active, vibrant, arbitrary mechanism us. We do not think about
the changes that happen in the function inside the fluctuation of the
cerebrospinal fluid and the primary respiratory mechanism - they exist
simply. We accept life as it is. We accept the fact that our mechanism works
- we do not think about it. When we encountered en us and talk about it, it

becomes a topic of conversation - but usually we waste no thought in mind


that we are a primary respiratory mechanism. The involuntary mechanism
is the thing that keeps us alive and functioning as a manifestation of life.
The fluctuation of the cerebrospinal fluid is a part of the primary
respiratory mechanism, which also includes the motility of the central
nervous system and the mobility of the reciprocal tension membrane, the
cranial bones and the sacrum. We can not be separated from them - they
all form a single unit. Any trauma or any disease that affects any part of the
body, is a
Eff ect on the primary respiratory mechanism have; and any recovery
towards health, any correction of dysfunction within the voluntary
mechanism in the body that needs to include an improvement in the function
of the primary respiratory mechanism - it is a functional unit. And as it is a
mechanism.
I-121
These are small strudel, which - perhaps in different areas of the central
nervous system - roll up and roll out.
I speak to you about things that can be observed by every clinician who
understands the mechanism and with the help of his palpatory skills to read
the learning that comes from the patient. The lateral Tide as the longitudinal
relatively easy to fi nd; both are great and the whole body moves with them.
The spiral tides are against how these little animals crawl along the beach,
or the spirals forming the back and forth waving sea grass near the coast
sometimes. They are not noisy and off Obviously. Such spiral tides suggest
may indicate a straight stattfi Ndende local change.
And then there are what I "undercurrents" 24 call. An "undercurrent" is a
Tide, which can be used by the practitioner to make a difference, as a
motivation for the existing Tidenmechanismus the patient to change his
function pattern. By it uses, can be the
Tidenmechanismus in patients adorn some modifi. Excluding the patient
supine his feet in Dorsifl ection bring, this causes the whole mechanism of
the body unit to go into flexion. Then while the patient holds his feet in
Dorsifl ection, a lateral fluctuation induced, we pretty soon two tides, the
work in the body: a longitudinal and above the lateral. Of course, all this
takes place under the control of the practitioner who has learned the gently
s Working with the mechanism and can induce fluctuation slowly, he reads
what he palpated carefully, and lets these things happen within the patient.
Try out the ends and then tried herauszufi yourself why you want it might
apply.
There is another Tide, which, I think, from the universe came to me.I had
a patient with a rather serious s, further-calibrating, complicated problem. I
tried quietly to read this Fluid Drive, and worked here within the body
physiology of that patient. Suddenly the fact was aware that a greater Tide
was there, in parallel to that 8 cycles per minute
occurred. Here was a big tide that felt as if it came from somewhere inside,
and they expanded, stopped, expanded, stopped, expanded, stopped. It

24 Note. d. bers .: undercurrents pull away from the shore into the sea
and endanger swimmers. They are an indication of a strong storm
gathering, press its heft strength winds the water towards the shore.
I-123
their complaints are.In case of psoas spasm, her puts a hand under these
spastic lumbar and the other hand on the abdomen about it so that the
problem is between your hands. Now feel after this involuntary tidal
mechanism of cerebrospinal fluid, which you have already felt throughout
the body. He feels in this area of dysfunction equal to?
No, he's eingeschnkt, there is so much disability that interferes with the
fluctuation pattern. It can be seen that one does not feel the same vigor as
in the whole person. Mark you, how that feels this dysfunction.
Now make her your treatment.You give the patient an appropriate for this
day and this particular problem treatment. What a technique you use, does
not matter. When you're done with the treatment, and thinks you have your
correction or whatever made, lay your hand back under these lumbar and
traces of the same Tide that you first felt it throughout the body. Then, when
you realize that the lumbar region just treated can express the involuntary
movement better, it means that your treatment of the lumbar spasm has
yielded truly corrective results, because the
"Boss," the entire involuntary mechanism, is now also present locally in this
area. You can feel that it's happened, something's going on.
However, if you go back to this area, re-examined and the same feeling
of stasis fi nd still treating the patient, I can guarantee you that you have not
accomplished much. Even if it leaves the practice, they will be back arrived
at the same complaints with which they came in. This tide can thus be used
as a small, invisible diagnostic clue. We can use this silent, involuntary
mechanism as a hint that leads us in our treatment programs for the rest of
the body.
Ask yourself quietly in each patient: How is the quality of this primary vital
function in this patient? What is the quality in the healthy areas,
as it is in the area of dysfunction, as it is before and after each office visit?
If you work with the stress patterns and disorders of your patients, you're
always aware of quiet, the fact that this fluctuation pattern, this entire unit
constantly is your silent partner and helps you to bring about corrective
changes in the areas of dysfunction; because your goal for these patients
is to restore health. Patients are not only there so that is cracked or
corrected its dysfunction. They are there to get rid of the stress, the loss of
function, movement disorder, the I-125
Chapter 3-6
Time, tissue and tides
Lecture text in September 1983rd

" should be of sanitary fi be the goal of the practitioner. Disease, any fi nd.
"This maxim has given us AT Still. Health is much more than just the
absence of disease or trauma. It is a living, dynamic Learn anatomical and
physiological functional processes on physical, mental and spriritueller
level.
Certain basic principles of osteopathic practitioner takes for granted:
1.
2.
3.
4.

The body is a unit.


The body is a self-regulating mechanism.
The body has the ability to heal itself.
There is a correlation between structure and function.

These principles are based the time, the tissues and the tides the tools the
body uses to express health or certain traumatized or diseased areas.
The body is a unit
Provided so a certain time to exist, the body is a complete system consisting
of tissues and fluids in constant mobility and motility. It is equipped with
voluntary and involuntary mechanisms which make it possible to use it in
everyday life and for maintaining health. Dr. Still gave us the science of
osteopathy, which allows us to understand the body as a unit, including the
cranial concept.
Dr. Sutherland has hufi g stresses that its contribution to the detailed
anatomy and physiology of the craniosacral mechanism, a continuation of
the science of osteopathy within the meaning of Dr. Still's vision. A body - a
functional unit.
I-127
be, if it manifests itself. I do not know its origin; I feel not that they occur in
every patient, and I do not induziere to begin their rhythmic pattern. They
showed me the first time several years ago when I treated a patient and
watched the 8 to 12 times per minute and other decongestants Tide did
their work in patients. Since then I have often observed this massive tide
and can report that in every patient it is not universally the same, it is
expressed individually in each patient. I never know when they will
themselves runs, and I do not know where to return when they aufh work
rt in a particular patient.
There are hundreds of self-regulating mechanisms in the body
physiology, but now we want the involuntary mobility of rapid, 8 to
12 times per minute running and the slow, stattfi ndenden within 10 minutes
6 times Tide deal. Both tidal movements can be palpated when developing
a trained sense of touch. Palpated to the presence of these tides, should
be done preferably as a party, as in quantum mechanics. In this process,
the therapist joins with its sensory input, to participate in the movement of

the respective Tide while they performed their work in the patient's
physiology. Both tides are noticeable both in health and in injuries and / or
illness. The quality of Tidenbewegung varies however, depending on
whether a healthy, a traumatized or diseased state prevails, sometimes
depending on the problem locally, sometimes referred to as a total unit of
body tissue function.
Both tides are inherent, innate and involuntary self-regulating
mechanisms, whose main objective is the maintenance of health. They are
factors that contribute to the efforts of the body, in the case of
To heal trauma and / or disease itself. The reciprocal balancing exchanges,
the friend stattfi between the fluids and tissues of the body, is a result of the
fast and slow, a human life continuously working tides and is reinforced by
it.
The body has the ability to heal itself.
The rhythmic, involuntary mobility of tissues and fluids and the various tides
are all fully integrated with one another and within the body as a unit. They
are factors that self-heal step to FhigI-129
The fast Tide: The fluctuation of the cerebrospinal fluid, the friend of 8 to
12 times per minute stattfi, is one of the fl uid components of the involuntary
movement of mittellinigen and paired structures. The cerebrospinal fluid
and its tidenartige fluctuation has been studied for years. Its fluctuation
pattern can be modifi ed to meet what needs physiology in patients. An
understanding of how you can use the CSF and its fast Tide will likely
promote the understanding of the function of the slow tide. A Tide in the
Tide.
The cerebrospinal fluid is a component of the primary
Atemmmechanismus; an involuntary mechanism to the principle the highest
known
Element - the CSF - including, where is the invisible breath of life at home.
Recognizes the science of osteopathy and accepted all the physiological
mechanisms that created the health of every human being s and
maintained; and the vitality factors of fast and slow tides are certainly
fundamental aspects of these health principles.
The fluctuation of the cerebrospinal fluid Cerebrospinal can be observed
by means of palpation. The existing pattern of rapid fluctuation Tide can
stand out modifi by gently, gradually in its rhythmic tides restricts
intelligently the movement of cerebrospinal fluid until its turnover falls to a
still point and this goes through. This passing through the Still Point fi a
friend rather than change in the rhythmic fluctuation of the cerebrospinal
fluid that is good for the whole body physiology at a physiological level - a
short but potent transmutation from the inside, from the liquor out.

Dr. Howard Lippincott describes the result of a compression of the fourth


ventricle, so the technique for slowing the longitudinal fluctuation, when
applied carefully to adorn the fluctuation of cerebrospinal fluid to modifi:
"It's hard to be cautious when it comes to the benefits achieved through the
compression of the ventricle. Because if this powerful liquid is activated by said
technique leads to results which justify the enthusiasm. This leads to a beneficial effect
on the overall circulatory system, comprising
Decrease of congestion, edema and ischemia, as far as possible without
surgery.
The metabolic processes are improved, including the nutrition of all the tissues and the
gradual absorption and calcium-fi brser deposits that are not physiological or
compensatory nature.
I-131
down and to bring through him. Repeating this technique over a period of
weeks and months, once a week, these cases are
rheumatoid arthritis not only have amazing changes in their physiological
vitality, but also in terms of their symptoms indicate a generally positive
trend towards health. The need in the first treatment for 30 minutes reduced
to 15 minutes and each time then shortens the treatment time further.
This type of clinical problem illustrates an important fact:
The whole body physiology of movement of mittellinigen and paired
structures is there when the fluctuation of the cerebrospinal fluid down to
her still point and is brought through him.
As described by Dr. Lippincott, change all involuntary mechanisms when
the Tidenfunktion is graced modifi. The tone of the tissue and the fluid can
checked before and after use of such a technique
will.Anyone who has a trained sense of touch and palpation skills and
knows the anatomical and physiological mechanisms, which provide the
fast Tide and the involuntary movement of mittellinigen and paired
structures in the body unit diagnostic data before and after a corrective
treatment, and he can also in the treatment process itself use. Find Health
"means for the practitioner in the case of rheumatoid arthritis, to introduce
a compression of the fourth ventricle in the mechanism, which means that
the seeker after health resources of the patient from the inside stimulate its
own self-healing abilities. It is a continuous process that ends in the
correction and change usually between treatments stattfi. Over time, the
relative health, which is accessible for people with this type of clinical
problem, manifest. The point here is that in this patient a lifetime health is
searched, not a cure his arthritis.
Slow Tide: 6 times in 10 minutes; it is a physical phenomenon that occurs
in the body physiology. In some cases, the slow Tide shows their presence
during the application of a certain corrective treatment, while they will not
appear in another case, if one carries out the same corrective technique.
I suspect that it was the type of use from me corrective treatment
technique, which enabled me to feel the slow Tide for the first time a few

years ago and since then many times. There are different types of
osteopathy in the I-133
even the relatively healthy. If this Tidenwelle has reached its highest level,
there is a short pause and then she begins herauszuebben. It seems that
the full addition Ebben from all tissues and fluid spaces as well
takes a lot of time, such as filling. After another short break, they come
back in, pause, ebbs addition - and this happened 6 times in a 10 minute
period.
The quality of the slow Tide varies with problems of different patients and
may be different in each case in the same patient at different times.
Interesting case study shows how this slow Tide works: The patient had a
serious clinical problem there, which required weekly treatment, to give it
as a support for his recovery the maximum self-treatment input. While
several treatments to slow the tide did not show. But when she appeared,
her first wave was a powerful intumescent filling the body and physiology
mediated a feeling as if she had to force their way against the resistance of
the fluids and tissues of the body literally. She came to its climax, paused
and then ebbed out with almost the same urgency. Then was a brief pause,
and the second wave came in, and with it a sense, as they try to cope with
the consequences of the first wave - a reassuring infl uence. The third wave
appeared in her Auff Bucket Fill and out Ebben practical as a relief. Thus
the appearance of the slow tide in this treatment was completed; total
issued three waves in 6 minutes. In the meantime, went on the selfcorrecting treatment in matters of local somatic dysfunction, but was during
the three cycles of the slow tide and even then effi ciently. The following
weekly treatments slow the Tide did not appear every time.
Off Obviously it was necessary for the physiology of the patient precisely at
the time of their appearance in his treatment program.
Unlike the fast, 8 to 12 times per minute stattfi Ndende Tide, which can
be modifi decorate with a variety of techniques in their function way, the
slow tide seems to be a in themselves and in the patient's physiology to be
inherent unit in which you do not try to decorate them or their work to modifi.
I fi nd it more effi cient, simply continue my efforts, self-correcting, to induce
healing changes in the local areas of dysfunction, and integrating all the
effects of the slow tide in the local treatment, while it is in the whole body at
the filling and ebbing. Through bringing a ligamentous or fascial strain
through his still point toward a of I-135
somatic dysfunction, to finally bring the healthy element to the fore, which
should be there. If this health factor then shows the palpating hands of the
practitioner, this makes every effort to work with him instead of with the
superimposed stress mechanism. In other words: The practitioner seeks so
to speak hand in hand with the body physiology of patients coming from
inside recovery.
He affirmed the structure and function and their reciprocal interaction and
developed palpatory skills to use these principles. The body physiology of

the patient directs the practitioner in his efforts to meet their needs by giving
it provides three tools: the involuntary mobility mittellinigen and paired
structures that life in a rhythm
8-12 times per minute is at work; within this mobility mittellinigen and paired
structures stattfi Ndende fast Tide - a mechanism of cerebrospinal fluid with
its potency, modifi ible for the needs of the patient physiology; and the slow
tide that comes in about 6 times within 10 minutes and hinausebbt, and their
functioning within the body physiology probably has a vitality factor. And
already on
Beginning mentioned by Dr. AT Still repeatedly stressed maxim: " Health
should be to fi nd the goal of the practitioner "is one of the basic principles
of corrective treatment program.

Chapter 4 - The Art of palpation


Chapter 4 - The Art of palpation
Chapter 4 The art of palpation

Chapter 4-1
The task of diagnostic palpation in K
raniosakralen mechanism
Lecture February 1983rd
Palpation of the craniosacral mechanism
Dr. AT Still mediated the osteopathic practitioner following concepts: The
role of the artery is outstanding. The body has an innate ability to heal itself;
and between structure and function is a reciprocal relationship. Dr. William
G. Sutherland added another fundamental concept added: Arterial flow is
the highest, but the High Command has the cerebrospinal fluid, the
fluctuation can be observed within a natural cave with the help of palpation
when working superiorly.
Although Dr. Sutherland on the mechanism of primary respiration - the
craniosacral mechanism - said, we know that the body physiology is an
anatomically-physiological function unit to which this includes the Primary
respiratory mechanism. The craniosacral mechanism is not a separate
area.
To demonstrate this rhythmic, involuntary, portable, two-way structurefunction relationship, we want to think about the following:
CSF: He is constantly producing, and indeed, as we assume, of the
lateral ventricles and in the third and fourth ventricles of the central nervous
system are in choroid photosensitive Plexi. From the fourth ventricle of fl
ows of cerebrospinal fluid around the Subarachnoidalrume to the brain
and the spinal canal down to the sacrum. By Granulationes arachnoidales
in superior sagittal sinus it is reabsorbed into the venous system. He also
follows the perineural channels or servings of cranial and spinal peripheral
nerve and is then absorbed into the lymphatic fluid system, the third
circulation of body physiology. With regard to the circulation, are the
cerebrospinal fluid and thus the physiological Krperfl uids a common
functional unit.
I-141
fill cerebrospinalis with the incoming tide of liquor. In the opposite phase
the ventricle with the ebbing tide are slim. This constant, involuntary,
rhythmic motility of the central nervous system contributes together with the
fl uktuierenden cerebrospinal fluid at and the reciprocal tension membrane
to a good venous drainage of the brain, the pituitary, pineal, and other key
functions.
Notes on palpation: It is difficult to sense the motility of the central
nervous system, and generally not necessary. The expansion of a
compressed portion of a Grohirnhlft e can be palpated during a correction
phase of a membranous joint Trains occasionally.

Reciprocal tension membrane: There are three meningeal layers that


envelop the central nervous system - the pia mater, the arachnoid and the
dura mater. The dura mater was called reciprocal of Dr. Sutherland tension
membrane, since they work as a unit in their relationship with the
craniosacral mechanism.
The dura mater clothes neurocranium as their inner periosteum,
continues through the sutures, unites with the outer layer of the periosteum
in the skull and then passes into the whole, drooping of the skull base
Bindegewebssysteme the body. Within the neurocranium the Dura has
three doublings: the falx, the tentorium and the falx cerebelli. It is important
at this Arrangement that falx and tentorium on sinus encountered en to form
a fulcrum, the falx and the two halves of the tentorium are three moving
sickles. This compound is called Sutherland fulcrum.
The three crescents - falx, right and left cerebellar Tentrorium - with its
front, rear, side and bottom Anhaft ments in the bony elements of the skull
and sacrum Os act as a reciprocal tension membrane. It is no less than a
reciprocal Spannungsmebran, there are no membranes. It is a function
unit.
Accordingly, the reciprocal tension membrane moves in the expansion
phase in an anterior-superior direction, with the skull base is expanding in
the frontal plane of the head. In the expansion phase, it moves in a direction
posteriorinferiore, with the skull base narrowed in the frontal plane. The
Sutherland fulcrum is the fulcrum, work on or by the three crescents
physiologically, when the balance in the cranial membranous Gelenkme-

I-143
Fulcrum and the reciprocal tension membrane controlled. The relative
mobility of the sphenoid infl uenced the frontal (or both Ossa frontalia) and
the bones of the face, and the occipital bone infl uenced the temporal
bones, the parietal bones and the mandible.
The membranous articulation patterns in craniosacral mechanism are
described in terms of their relationship to the SSB. They include torsion
(left or right), Sidebending rotation (right or left) and compression. In
addition, there is in connection with the mutual relations of the individual
sutures specifi c membranous joint Trains, eg a strain of occipitomastoid
suture, so the relationship between frontal and sphenoid or frontal and
parietal, or a strain on Angulus mastoideus the parietal -. And more so many
more as there are articulated connections.
The basic, described in reference to the SSB pattern, ie, for. Example, a
Torsion, are reflected in all parts of bone and connective tissue throughout
the body physiology. The same is true for some heavy specifi c
membranous joint Trains such. As a dysfunction of occipitomastoid suture.
Notes on palpation: The bony elements are located on the surface face
of the craniosacral mechanism and are more accessible for tactile evaluate.
However, it is important to understand that they are part of a membranous
hinge mechanism. And the art of diagnosis is to palpate the mobile
operation of these bony elements in health and dysfunction. The bones
were, taken from a moving mechanism for the ride.
Sacrum: The sacrum plays an important role in the mobility of the body
physiology, because it has a complicated overriding pattern for arbitrary or
postural pelvic movement and a constant, rhythmic, involuntary flexionextension-mobility as part of the craniosacral mechanism. The sacrum
forms the lower pole of the reciprocal tension membrane and part of the
Sutherland fulcrum and the three lever arms or sickles. Blocked by trauma
in his involuntary mobility, the sacrum can restrict the movement of the
entire reciprocal tension membrane and the connective tissue of the body.
Such a restriction may contribute to many problems throughout the body
physiology. A loss of involuntary mobility of the sacrum is not necessarily
lead to a loss of an arbitrary or attitude mobility of the sacrum, and the loss
of involuntary movement is often overlooked.
I-145
Rotational patterns of SSB, the prodromal symptoms begin on the side
where the greater wing of the sphenoid bone and the os are occipitale high.
The
Presence of this pattern is not the cause of the migraine, but useful to
secure the diagnosis.
High Blood Pressure: A hufi ger palpatory findings in chronic high blood
pressure is a Abfl attening the tentorium what its anatomical function
impaired. In the extension it is not as steep as it should at its rhythmic
movement.

Dyslexia: In many of these cases there is a intraossales pattern of the


temporal bone.
Trigeminal neuralgia: hufi g associated with dental caused traumatic
Strainmustern.
Hormonal disorders: A limitation of the motility of the hypothalamus
Pituitary axis may lead to under- or over-activity of the hormonal function
and may be related to a vertical or lateral membranous joint Train the SSB.
Concussion: Here mediates the reciprocal tension membrane feel a
shock-like rigidity in its functioning.
Meningitis, postmeningitischer Condition: The reciprocal tension
membrane alters its tone and function quality. In the acute stage it feels
like a wet paper towel, in chronic postmeningitischen state as sodden
cardboard. And in each of the two states is a central nervous system
subject end chronic venous congestion detected.
Pattern of SSB: Reinforced trauma can decompensate existing patterns
and affect craniosacral and other body mechanisms.
Specifi c membranous joint Trains: You can, whether acute or chronic,
very debilitating effect over a period of months or years.
The 12 cranial nerves: Each of them may be limited in its function
relationship. Associated problems can facial runs Reten, with symptoms of
eyes, ears, nose, throat, or neurocranium and the skull base and trigger a
vagal syndrome, or down to the sacrum and impair its parasympathetic eff
erenten river. In an interesting case, the patient lost his eyesight as a result
of damage caused by a compression of parietal trauma that his calcarine
sulcus pressed the occipital lobe of the central nervous system and in the
area of the sinus tectus against the falx. The compression of the parietal
bone and the consequent loss of membranous and articular mobility, was
found by palpation.
I-147
work and allow them their basic function patterns within the craniosacral
mechanism and - to show for the whole body physiology - the connective
tissue and the liquid matrix of the body. Zuknft owned health and
dysfunction pattern of an individual, the clinician better understand when he
has a record of lifelong palpation basic involuntary mobility of the subject
patient.
Overall, there is therefore ranging from headache to treat the newborn a
lot of medical problems that can be diagnosed and treated with the help of
trained Palpationskunst. In many cases, the palpatory tools are even the
only way to achieve results. In addition, there is also a medical fact that
ligamentous joint dysfunctions, fascial train down and other related trauma
or disease problems, various functional areas of the primary respiratory
mechanism can affect. Conversely, can have a negative eff ect on the rest
of the body problems in craniosacral mechanism. One can conclude that
the body physiology is a functional unit, regardless of whether. In health,
traumatic conditions and / or disease With palpatorischem skill you can

throughout the entire body - from head to toe, and vice versa - track healthy
functioning mutual relations, as well as medical problems.
Diagnostic palpation as Kunstf ertigkeit and Science
When palpating the primary respiratory mechanism and the body
physiology
Not to separate the diagnosis and treatment of each other. Palpation is
both a
Artistry and science. From the science point of view to them represents a
quantum leap in the sensory perception. Once the practitioner places his
hands on a patient in order to diagnose and treat palpation, he takes with
him participate in this quantum experience. It is completely impossible for
him to be a neutral or independent observer, while he works with the living
tissues of the patient.
The practitioner is an involuntary primary respiratory mechanism within
a living body physiology arbitrary. His patient has the same qualities: an
involuntary primary respiratory mechanism in a living body physiology
arbitrary. And with the help of palpation I-149
Activity mediated. This requires a Beteiligtsein at this from the inside, from
the
Patient out-working units and also enough time to allow the tissues
enbaren its operation to off. While the clinician palpates with his
proprioceptive sensory input, he must wait a few moments or even minutes
until the awakened Primary respiratory mechanism and the mechanisms of
body physiology begin to work. These mechanisms include all cells, fluids,
tissue and their tidenartige movement, mobility and motility.
If the palpated area healthy, he will inform the clinician that fact by
appropriate tone quality of the randomly moving tissue as well as the quality
of the involuntary mobility of the basic rhythm, where the primary respiratory
mechanism during flexion / external rotation, extension / internal rotation of
mittellinigen and bilateral structures follows. Prevails, however, in areas
palpated dysfunction, which is the handler by the changed tone quality of
the randomly moving tissue and by limiting or non-Stattfi ends of
tidenartigen basic movement of the primary respiratory mechanism
reported. The practitioner should be possible from the body physiology of
the patient these findings before he analyzed. Function, so living tissues
make as visible, when it has completed its work, be better understood than
if it is still working. If you have initiated a corrective treatment to return the
function towards health, it is advisable to investigate the dysfunction area,
to feel how the rhythm of the primary respiratory mechanism tidenartige
makes its way through the corrected spot again. The presence of Tide
ensures that a further inherent self-healing mechanisms of the patient
through the living friend stattfi. Is the Tide not available or only to a reduced
extent, this indicates a slowing local healing function.

Palpation is something that you have to teach yourself. So is the


Palpationskunst part palpatory skills. If the therapist using objective,
passive movement tests, he learns based palpatory techniques to feel the
quality of its own motion and that of the patient. He uses as a participant
the involuntary mechanisms and the body physiology of the patient, then he
learns with the help of his proprioceptive nerves and the sensory-motor
areas of his central nervous system, the quality of motion, mobility and
motility of the inside, out of the patient, to read , In order from the primary
Respiratory mechanism maximum sensory knowledge for diagnosing
recoup your I-151
Chapter 4-2
Develop Palpationsfhigkeiten
Revised version of a lecture held in 1986 in a basic course of the
Sutherland Cranial Teaching Foundation in Philadelphia, Pennsylvania.
When I was a student in an osteopathic college in the 1930s, we were
blessed with teachers who practice the art of patient care by means of
various manipulation arts gave us, mainly High Velocity Th rusting (HVT).
What we learned at school, was eff ective; and when I graduated, I was
able to perform a good osteopathic treatment. I had many patients and had
them while trying to solve their problems, give many treatments. After I had
spent eight to ten years with this kind of general medicine, it started to bore
me that these patients always came back with the same problems in the
same areas - problems that the last time when they were actually already
there, would to be rigged. Out of ten cases of a particular problem type it
was three or four within a reasonable period of time better, another three or
four it was sometime better and remaining showed no positive reaction, no
matter what I did. What frustrated me was the fact that I could not erentiate
to diff with my Palpationsfhigkeit why one person responded positively and
the other not. I finally realized that you can have a wide range of
Palpationsfhigkeiten that does not really help one - and off Obviously was
the case with me.
So I decided to re-read the writing s of AT Still, were in literally the
practice of "Osteopathy" and decided instead to study the practice of AT
Still. After some time I realized that I,
if I wanted to understand his expressed particularly in a certain Absatz26
concept as a development goal and use, give away all my so-called
palpation skills and something had to learn new things. This I started by
just my hands together in different, with the symptoms
26 Note. d. Ed .: For the full text of this paragraph from AT Stills
autobiography see silence of life, Page II-16th
I-153

taken are lousy? Do you feel anything? Do you feel really, what's going
on? You know really what's going on? We need to develop our sense of
touch, by training the sensory area of the brain, that was never exposed to
this type of sensing previously. We take an orange and an apple in his
hand and feel that the fruit has an uneven surface che and the other a
relatively smooth - great! But how are things now with the fine motilities
and mobilities that stattfnden here in this body that we feel? We need to
develop palpation tools that match the complexity and simplicity of this
primary respiratory mechanism. We must learn to feel. But this does not
happen by teaching. I can teach you anything about it - you have it even
on a
Learn one-on-one basis. Patients have taught me, from inside out. As I
listened from my heart out, I learned from her inside, how to work with the
body physiology. I do not even now all I have to actually know, I'm still
learning.
Five years after I started with this new way of working, I moved from
Michigan to Texas. When it was so far over three hundred people came to
me and said, "We like what you're doing. Where can we get further treat
us in this way? "You can believe it or not, but that was the first time in five
years, had in those working in this way, that people said he liked them.
Before that date, not a single person had told me that it was a good
approach. I only reason that the approach was good because he knew
worked.
Interestingly enough, was the fact that I felt nothing in those first years,
not determinative of the effi ciency of treatment. I could not feel anything
from what I feel today, but I worked with a body physiology in patients who
knew that something was happening. You did something for these patients
- not because I feel it, or give her instructions or could tell her: "Be quiet,"
or they could do anything else, but simply because I took over the job, the
range in the patient to get hold of the bit had to say. It was about my hands
to position and then quietly listening using my hands to read with the help
of my hands, to feel quietly what the patient was trying to tell me. It was not
the ego of the patient or his intellect, but the rest of his tissue function, which
rewarded me report that the emergency
sary changes carried out and the patient allowed to make physiological
changes in the direction of health.
The body physiology works exclusively in this way, and that's the only
reason we talk about the development of appropriate Pali 155
Try it yourself: Let your hands first anywhere on your body to make
contact. Then does nothing more than a little bit of your Mm. FL EXOR
pollicis and Mm. FL EXOR to contract digitorum. Do you feel now
something that you have not previously felt? Now go back to without feeling
proprioceptors. The variable quality of sensing arises because her through
enough with the proprioceptive contact with a body fluid, a number of
ligaments and muscles, and all this moves. In surface chlichem Contact
you feel any movement - everything you do is, gripping the body. But if you

use the proprioceptors, are you listening to a mechanical way of function


that takes place in this particular area.
Useful to the operation of this proprioceptive contact there is a fulcrum
for creating s. Lay down your forearms comfortably on the treatment table
and you based on your elbow then gently. This leads to a slight
compression. If ye too heavily on the elbow, then you blocked that which
tries to feel her. Your prevented then that something is happening. One
method, the correct pressure to fi nd is, initially hineinzulehnen too strong
and then the pressure gradually partially abandon. Take away the pressure
of the poor, but moved his hands not - and suddenly you realize that
something is happening. At this point you are not too tight on the treatment
table fi xed nor her hangs freely - you have a floating contact. This contact
will be everything that happens in patients, refl ected what you noted
because your proprioceptors are now exactly in line. With the voltage in the
part of the mechanism of the patient, which you touched
This idea of being with the voltage in accordance, is particularly evident
in a patient who has an extremely tense, fi brotischen and dysfunctional
lumbar. If such a case comes to you in practice, puts a hand under the
psoas muscle, creates a contact or Fulkrumpunkt and supports you then
firmly on your elbow. You will probably find that you have very strong push
against the treatment table, finally matches against this Fulkrumpunkt until
your pressure with the tension in this psoas. If you then wegnehmt some
pressure, you come to the point
where this muscle begins to work. This is an example of how to apply
through proprioceptive contact compression and can be controlled so that
it coincides with the noticeable in the body pathology. This brings the whole
thing to work.
So far we have talked about the fingertips and forearms - now we want
to go up. If you made your hand contact and I-157
tense areas. As a practitioner so you can by the Sandpipers listen to the
to focus on what is happening in the body physiology. Is not that nice? The
beetle makes all the work and you sit there and listen. When you absorb
these little sandpipers comparison, can get from the operation her other
impressions. It gives you just an idea - and it's fun to play with.
If you begin to examine the problem of a patient, still thinking about what
is happening here, and understand that you have this mechanism to play
the role of a practitioner when reading. You use your surface chlichen
hand contact and bring you as much information as possible. Then take
over the proprioceptive and sensory-motor contact touch on in order now to
get input from these levels, and finally looks to the Sandpipers in the entire
body physiology of the patient. You are agree to let you use the body
physiology this patient while listening to messages you sent by the
Sandpipers. With these messages, the internal handler of the patient tries
to show how her this
Can help patients to move towards the restoration of health.

Now I would like you to go to the treatment tables, your hands invests
anywhere on the body, will the Sandpipers, and, listening to what is
happening - whatever it is - observed just for ten minutes.
I-159
Interpret spirit, read with the spirit. Developed a "mental picture" of what,
when and why the physiological mechanism of the patient wants this kind
of movement.
What the practitioner should do to palpation of the mechanism:
Watch with sensorimotor input.
Feel with sensorimotor input.
Read with sensorimotor input.
Listen with sensorimotor input.
The Wasserlufer28 allow you to be quiet, as it moves with the
mechanism.
Agreeing to be used by the body physiology of the patient.
And another note for Th ema listening: If you listen to the body physiology
of the patient, Be aware of how much is happening in the anatomicphysiologic overall structure of the patient's body - compared to the little
that is happening, if the therapist is not listening. The deeper enters the
practitioner in himself to listen through his palpatory contact through the
activity in the body physiology of the patient, the more information is shown
to him during his investigation.
Listen to this process on, think about and give yourselves completely to
what comes from the anatomical-physiological totality of the patient. Let
that it is stored as sensory input for you as a practitioner who receives this
input and accepts, without judging its contents. This allows the anatomicphysiological mechanism of the patient "the inherent physiological function
to allow, enbaren their own, infallible Potency to off, rather than blind force
applied from the outside." 29 The practitioner agrees that the body
physiology of the patient uses it.

28.
F o r more EXPLANATIONS for Wasserl shore see page I156th
29.
Rollin Becker foreword from: Sutherland, WG & A: The large
e Sutherland Compendium.
Volume I: instruction in the science of osteopathy, JOLANDOS, 2004 S.
I-IX.

Chapter 5 - Diagnostic touch: principles and applications


Chapter 5 - Diagnostic touch: principles and applications
Chapter 5
Diagnostic Touch
Principles and applications

Four written by Dr. Becker articles for Th ema Diagnostic touch: principles
and applications" were entlicht publ in Yearbook of the Academy of Applied
Osteopathy. Part I of this series of articles was published in 1963, Parts II
and III in 1964, part IV in Volume 2 in 1965th
For Verff entlichung in this book were these items in
larger
Scope revised. The original version of part III was almost completely
Replacing material that had been prepared for a presentation at a meeting
of the Academy s. For the full text of the reader is referred to the original
sources. The title en the parts I-III has chosen the publisher, the title of Part
IV comes from Dr. Becker.
The terminology of diagnostic touch, including the names biodynamic and biokinetic
energy, was later abandoned by Dr. Becker again. In a letter that was sent to Anne
Wales, DO 1969, he explained his decision in this respect the fact that this terminology
was encountered to low acceptance and in his view, practicing physicians in their attempt
to get the reaction of the concepts, rather hinders. He repeatedly remarked Dr. Wales
over that he, although the material is consistent in his opinion, consider it better to use a
more familiar terminology when talking about> Stills and Sutherland's basic principles of
anatomy and physiology and the clinical for their application required palpatory art
<speak.

Diagnostic Touch Part 1: feel alive


function
Diagnosis is both art and science. In the field of science, we have
expanded our senses through devices: There are now a variety
Tests that can diagnose diseases in the human body.
The diversity and complexity of such tests and the parameters to which
they refer, are endless. Diagnostics as a science gives the practitioner
information that can be detected objectively, which reduces human error to
a minimum.
I-165
holds himself to his problem; then the concept of the practitioner of what
constitutes in his opinion the patient's problem, and finally what the
anatomical-physiological totality of the patient's body knows about this
problem. The opinion of the patient about what is going wrong may, on the
based of what other doctors have already said about his condition. If you
can think of an image that tells him his problem satisfactorily, it can
cooperate with you. Ultimately, however, he still has his opinion, right or
wrong.
The Auff assung the doctor of what is wrong with the patient, based on
years of education. It taught him, diagnostic drawers to be created en
expressed by a terminology with which he can communicate his findings.

So, for example, transmits the diagnosis of stomach ulcers, a viral-induced


pneumonia or a whiplash injury each a whole syndrome of findings in the
head of the patient or other doctors. Like this way to communicate also be
necessary, yet it is a limiting factor for diagnosing true.
The body thinks about his problem not limited to such a manner.
And then there's the third factor: the knowledge of the anatomicphysiological mechanism to his own case. He has the answer. The
anatomically physiological mechanism and its unity of structure and
function contribute to the complete picture of the disease and the restored
health.
In summary, one can say: The patient provides regarding a diagnosis of
suspicions, the practitioner provides science Lich based on assumptions,
the patient's body, however, knows the problem and puts it in its tissues.
One can achieve a more accurate result in diagnosing, one that is closer to
the true pattern, if you to use the information and the expertise of the
patient's body. We can use our senses, especially touch umseren train, so
that they lead us in the unity of structure and function of anatomical and
physiological mechanisms of the patient and cause them to give us the
necessary information. The exact way in which
Structure-function in and through them has any handler that these
Would tread path, herausfi ends for themselves. It's just something that
you teach yourself. Manual is possible but ultimately the therapist must
decide which methods bring him results alone. We must learn the message
s, sent to us by the structure-function unit from the patient's body to feel. What happens now? When fi ng on there? And how does it go on? This
is really a challenge.

I-167
to develop of potency. The diagnostic tool with which we learn to read
these potency and understand is the use of Fulkrums. We
will use the principle of Fulkrums, by leveraging our hands and fingers so
that we created an environment s, in which the principle of potency is
useable detectable for us and for diagnosis and treatment.
The dictionary-defi nition of "potency" is "the state or quality of being
strong, or the extent of this power; Force; . Strength "and" potent "is defi
ned as" be able to control and exert infl uence; Have authority or power.
"For years we have heard that the body has all the factors by which he can
get healthy or heal in the event of trauma or disease. This statement is
basically true. The body has the ability to express by means of these
inherent potency health, and he is capable of compensatory mechanisms
in response to trauma or
Maintain disease using different Potencys. In the very center perfect health
in the human body resides a potency that manifests him in health. Also
lives in the very center of any traumatic or disease-related condition in the
human body a potency that manifests their reciprocal relationship with the
body in trauma or disease.
It is up to us to learn, to feel this potency. It is relatively easy to feel the
tension and stress patterns of trauma and disease; but within this be off
enbarenden elements there is a potency that is capable to control and exert
infl uence because it has authority or power. They centered the disorder.
This can be felt and read by means of sentient contact.
To get a clearer idea of what it means to feel the potency within a specific
problem, we take as an example a natural phenomenon that demonstrates
the strength in the potency - a hurricane. It can be shown that the principles
and manifestations of a hurricane similar to the principles and
manifestations of disease and traumas in the human body.
I have the potency considered a Fulkrumpunkt that around and through
which the human physiology inherent biodynamic Krft e their work in
health do as well as inherent biodynamic Krft e maintained for the order
by him or her illnesses traumatized states in the body. This potency is
similar to the power or the energy field in Fulkrumpunkt a moving seesaw
or the eye of a hurricane. For
Example is in large, mature en hurricanes kinetic energy produi-169
while I learned to read the structure function in the patients who came to
me with their problems. I became aware of this field of silence, which forms
the center of each trauma or any disease. Slowly, over a long
Time out, the knowledge and understanding developed, why it exists and
what is its role in the trauma or disease process.
Would have had any change in the eye of Carla occurred before she met
on the Texas coast, then have also the entire pattern of their spirals,
changed the intensity of its winds and other factors in order to adapt to this
change in potency in mind. Likewise, I can observe that whenever any

change in the area of silence in patients stattfi friend, said a completely new
design in the related traumatic or disease patterns or otherwise manifested
in the Potency. And that did not discover about me. It exists out of itself.
It asks only that you recognize its existence and that it takes time to develop
a feel for the touch and perception, with which one can see it. As always,
the problem remains that which is to express in words, and methods to fi
nd that it can become a part of our experience. It's just something that one
learns only from itself.
Fulcrum
In order to develop this sense of touch, you first have the principle of
Fulkrums learn and can then work out a way to use the fulcrum in the
diagnostic approach. The dictionary defi ned fulcrum as "support or support
point on which a lever turns, it moves or lifts something." So it's something
that you can put pressure etc. infl uence. There is a statement by Dr. WG
Sutherland, where he describes the fulcrum in relation to the two en hlft
the tentorium and the falx:
"The fulcrum is that silence, not moving lever connection, through which the three
sickles act on or physiologically in cranial membranous tension mechanism when they
really get the voltage aufr. As with all Fulkren, it can be moved from one point to another,
but there is with respect to its leverage feature silent and motionless. "31
31 Sutherland, WG & A: The big Sutherland Compendium. Volume II:
Some thoughts JOLANDOS, 2004, pp II-266th
I-171
metabolizing touch ersprbar that is the time to a knowing touch. It's like
popping up on a moving train. The train is still in action and moves while I
jump up, the unevenness of the ballast bed einschtze and the relative
speed of the train, when he lies in the curve. And then I jump from the train,
while he drives. So it is in treating the patient's problems: I'm getting into a
living mechanism
is still in function, I make my diagnosis, I perform my treatment and leaving
them again, the mechanisms that go on in their eternal changing patterns.
My kind of touching is deep thinking deep seeing, deep feeling - but limited
or not they blocked the structure-function of tissues that I investigate.
In forming my sense of touch, I can still go one step further. By the Still
Point of Fulkrums and through the depths of my fingers touch, I can develop
a conscious awareness of the potency and structural function in the tissues
of the body of my patient. This perception goes beyond the physical
sensations all around donor compounds the five senses of the practitioner.
In my opinion, it is not what I feel with my finger-touch. Instead, it is what
reports the patient's body with the help of my Fulkrums and my fingers

touch. This means perception. This means listening finger-touch. That


opinion and knowledge of the patient's body, not just information.
I can see the gently s and at the same specific contact my hands and
fingers by the way, how do I create a fulcrum check. Your establishes a
fulcrum to a starting point can be created en from which to work from her
and evaluate the case; and at the same time you have to let it free enough
to make it change in adapting to the changing needs of the studied
mechanisms, but this can leave its lever function at rest. Attempts times to
investigate a hyperactive child, and you will see how much you need a
change-capable fulcrum and a corresponding hand-finger lever, and not
only within the mechanisms of the child, but also for the child himself.
You will also herausfi ends that when increasing the pressure on the
fulcrum automatically the depth of palpatory contact at the end of the lever
- that the hand and fingers - reinforced. Conversely, it is just the case. I
can adjust my touch so that the particular requirements of the kinetic,
energy equivalent to that of the located off enbarenden anatomicallyphysiological Mechai-173
gene or the forearm of this hand to his own knees and so set up a
Fulkrumpunkt. The other hand is placed over the liver and elbow or forearm
are so conveniently placed that you can stay in touch longer. Are in the
diseased organ thus is located between the examining hands of the
practitioner. Based on these double-Fulkren the practitioner can now
perceive the stattfi in liver area ndenden changes in the structure function.
He can sense whether the liver is moved or ligament. Around how it works
as it should do it in a healthy state falciforme. And he will feel well if you
know how to also do it in a healthy state, responds to the rhythmic rise and
fall of the diaphragm during inhalation and exhalation. He can now allow
the field of silence, so the potency of this specifi c problem, to focus, and
he will learn over time and in repeated examinations much about these
diseased liver. While the anatomical-physiological unit of the liver is able
again to respond to the respiratory exchange of the diaphragm, begin their
normal movements relative to the ligament. Falciforme, and their venous
and lymphatic drainage are beginning to work to ff NEN and. The
practitioner now knows that this is a case of hepatitis, coming out of the
pathological situation and returns to the normal state. All these changes
are perceived by a clear-sighted touching.
The application possibilities of Fulkrumprinzips are as diverse as the
List of complaints, with whom we have to do it in practice. Each case must
be approached individually and every practitioner and each practitioner
needs to develop his or her own approach. The practitioner should know
as much as possible about anatomy and physiology as well as on the
related to the anatomical and physiological structure units function. If he
continued to develop this kind of touching by the structure-function-patterns
that show their changes under his hands, zoom in using the Fulkrumpunkte
and pass through it feels, the practitioner acquires knowledge that his
understanding deepened. This contact ff net the door and lets him

understand why this patient is suffering from those ailments that he


manifested. Even if laboratory tests bring no clarity about the cause of the
symptoms, the trained touch ability of the practitioner will make this
understanding possible.
Why is it necessary to set up this Fulkrumpunkte? The therapist tries to
feel function in living tissue and the Still Point to fi nd, of the manifested
from a stress pattern his symptoms. For this he needs out of the heart of
his own silence feel in the heart of silence in patients.
I-175
The Fulkrumprinzip can be used rust techniques even in theory, to make
their applications more effi cient. Once you have the handle, it is desired to
use in the manipulation employed, paused a brief moment you established
a fulcrum, paused again and can appreciate the thinking, feeling, seeing
fingers, how much leverage and power you need to complete the process ,
You will find that you can use less power needs from the outside and can
control them leverage much more accurate.
Harnessing the inherent Krft e, is not a time consuming process. Since
we use mechanisms that are already in the works, it is only necessary to
enter into contact with them and they let speak for themselves. The patient
comes into practice with a symptom in a specifi c area. It is possible to go
to this area and carry out an investigation, the one giving the information
that you need to explain why he has his difficulties. Of course, this may be
only a small part of the picture of his problem, which is interrelated to much,
but it's a start. From here you can go to other areas and finally put together
an entire Diag nose. Here, the anatomical knowledge of the practitioner
and his physiology knowledge play an important role. He can bring his
knowledge and his sense of touch and the pattern of restriction and
dysfunction trace until the entire diagnosis is clear in his head. Every time
the patient comes back to the understanding of the practitioner will deepen
- until he can use his knowledge to the history of dysfunction and its current
State to understand and is able to make a prediction of possible
development. So always remember that what is already contained in the
issues that we can fi nd use in our patients. We just have to contact and to
work for us.
I-177
accompanied post-coronary syndrome? Do you know that in case of lobar
pneumonia temporal is relatively limited mobility of the os on the side of the
consolidated lobe? Do you understand the anatomical and physiological
connection of the tissue, which explains why this statement is true? Can
you using a diagnostic contact locate the aff enes sinus in sinusitis and
determine the extent of the disease?
If you treat a Shoulder bursitis or neuralgia in the arm area, you can feel
when the drainage of these areas will be jammed better during treatment?
In a severe case, this is the moment when you should ren aufh for that day
to deal with, in order to avoid depletion of the diseased tissue. Remember:

Most dysfunctions of the body change in the center of the disturbed area
on a micrometric level of structure and function. Can you feel how the Krft
e can melt away the dysfunction pattern while watching her?
Can you feel the flatness and the loss of vitality, of any so-called
"Nervous breakdown" and all cases of a syndrome accompanied
postencephalitic? Can you feel how increases in such a case, during your
treatment, normal vitality?
Can you with a freshly experienced whiplash determine the direction of
the force of the accident, when you lay your hands on the diagnosed aff
enes tissue? Can you feel fatigue in the tissue, be it throughout the body
of the patient or in specifi c sick or traumatized areas? This is an extremely
important factor in diagnostic and therapeutic considerations: Do I
understand what I feel?
These are just some of the myriad ways in which the upfront diagnostic
touch off. In each area mentioned qualitative, quantitative, prognostic,
diagnostic and therapeutic considerations apply. In this
Field of self-effort, the diagnostic touching, no one is an expert. This lively
body lying on the treatment table in front of you, is the teacher.
He challenges you to discover his problem.
In developing the diagnostic touching there are several steps that can be
summarized as follows: Positioned your hands or your hands on or below
the tissue, which want to investigate her. Established a Fulkrumpunkt for
each hand contact, can of the work from her. Let your hands and palpating
Fulkrumpunkte become one with the tissue to be treated. Let that function
and dysfunction of the tissues by your hands and FulkrumI-179
or a dysfunction there that will teach you the experience that it is
necessary to build a more solid contact to the Fulkrumpunkten, so you can
watch how shows the dysfunction in this area. Experience and the nature
of the problem studied are perfecting your understanding.
Let me clarify what I mean when I say pressure on Fulkrumkontakt and
not on hand contact. When the down expresses an end of a lever which
operates on a fulcrum, automatically lifts the other end of the lever. But
that's not the kind of lever mechanism that I mean, if I by force - speak or
print application to my Fulkrumpunkt. My hand contact is not lifted, in the
patient's body into it. My hand contact is gently but firmly with the patient's
body in contact and I turn proportional to the degree of dysfunction that I
feel in the tissue, pressure or force directly down on my Fulkrumpunkt on.
The hand contact remains gently but firmly in contact with the body
physiology of the patient. So if a man has about a 50-kilogram sack lifted
wrong, I turn to my Fulkrumpunkt probably a significant
Downward pressure on in order to counterbalance this by lifting the 50kilogram
Build weight caused dysfunction. Here my hand but not suppressed with
the same degree of intensity, because that I would block the sense
impressions that one receives from the bioenergy fields in patients who
destroyed.

Try both of times and make your own experiences.


Such a process may require a lot of pressure on Fulkrumpunkt of the
practitioner or very little. In case of dysfunction such as that which was
caused by the lifting of the 50 kilos, the pressure must be at Fulkrumpunkt
as I said be significant to counterbalance the force magnitude to form the
patterns of dysfunction. The hand contacts this might be fixed, but remain
soft enough to allow the problem in the patient to go to work. If the
practitioner has the Krft e compensated in patients with the help of his
Fulkrumpunkte, he gets the maximum response of the dysfunctional tissues
in their efforts to position themselves to diagnose and treat. Interestingly,
results for the patient a degree of exploitation ends well when the e Krft
be aligned in its physiological mechanism by the practitioner. I experience
hufi g that the patient thinks that I practice little or no pressure from although I actually support myself with all my strength to my Fulkrumpunkt
or my Fulkrumpunkte.
The practitioner has to his anatomy and physiology to know to interpreI181
feel how it is done, and be with your anatomical and physiological
knowledge will be able to recognize whether it is a normal physiological
mechanism that works here, or in a state of dysfunction. If you are not sure,
go to the other knee and thigh and tests them. It may be that both are
normal, or normal and the other not. The need herausfi ends her.
Diagnostic touch is therefore essential, because there is something
subtle in the function and dysfunction of tissue that can be explored in any
other way than through craftsmanship, sensitive, knowing perceive using
this kind of touching. For this an interesting case study: A woman comes
into practice and complains of heft owned headaches that it has the past
two years. You take your medical history to make let various studies and
you can then say, under what sort of headaches she suffers. So far so
good. But if you now applies even diagnostic touch, you come across the
consequences of an old concussion at the skull base, which has there
limited mobility, which in turn interferes with venous drainage from her head
and produces an irritation of the intracranial and extracranial tissue through
which pass the nerves that have to deal with the headache of the patient.
You ask the patient whether they eventually had an accident with
concussion or one in which they "saw stars", and they told you about an
accident in her childhood, in which she sat down so hard that she briefly
unconscious and was actually "saw stars" Now you have not only the range
and type of their headaches localized and determined, but also their
etiology found -. both in terms of the original trigger as well as the cause of
the current state of pain. This information would have to get in any other
way than by touching diagnostic - a diagnostic touch that you said that this
was an old, inflicted 40 years ago injury that now manifests as headaches;
a touch that actually feel the dysfunction in these tissues and accurately
tells you which make tissue what if. in function or dysfunction By the same

Kind of touching gets her prognostic information: Which auxiliary options


are available in this case?
Diagnostic touch is therefore essential, because it goes hand in hand
with something that might be called therapeutic touch. Let's go back to the
case just described: It is this woman with medication and physiotherapy
some symptomatic relief procure for s; but if you want to try to solve the
problem in any case, you have to I-183
suppressed. Findings obtained by diagnostic touch come from a much
more subtle, sub-clinical level.
That brings us to an interesting point: If our investigations revealed that
the explanation of the restrictions suffered by these people for months and
years, in fact, problems of physical kind, you really should then designate
such problems as neurotic or psychosomatic?
I do not think so. The hypochondriac, one finds is not a hypochondriac.
My reasons for this feeling based on the fact that someone who is able to
diagnose the responsible for complaints subclinical dysfunction, has also
found the way in which these dysfunctions can be corrected, and thus it
back to a state of normality and re-compensation in the patient comes. A
sensitive, highly trained diagnostic touch can provide the tool with which the
understanding necessary in such cases can open up. For these people it
is a huge help when it turns out that their problems have a physical output
level.
The body is basically made of solid components (bone), semisolid
constituents (connective tissue) and liquids (Krperfl uids). These solidsemisolid-fl uid structure is equipped with living life biodynamic principles.
It is organized and highly capable of expressing lively changes that ends
stattfi in their own environment. An area with a dysfunction can be found in
this living body, because it expresses the dysfunction. What can be felt
when touching diagnostic, are kinetic energies in this area stressed that act
in the body, that solid-semisolid-fl uid mechanism as dysfunctional patterns.
The therapist interpreted this manifestation of kinetic energy in a
physiological and clinical language that is based on anatomical and
physiological knowledge of the bodily functions.
All anatomical-physiological units express kinetic energy and use it to
show in health, disease or traumatized state how they work. Diagnostic
touch is the art of learning how to use this kinetic energy and the Potencys
at their centers. Depending on the current situation in the patient vary
intensity, quantity and quality of these energies. Once, when I discussed it
with an electrical engineer, he said, "It takes a lot of energy to bring a
transistor or a vacuum tube to work, but only a little energy to steer this
work" Likewise, there is in human physiology much biodynamic. Energy that
is constantly on the I-185
stattfi friend, because they begin the forehand end in them restriction
pattern to off enbaren This means that the inherent biodynamic energy
begins to operate in this pattern. If someone is watching from outside of

our work, our hands are apparently still on the patient, the movement,
mobility and motility, we feel the patient is, however - depending on the
problem - considerably. In the tissues, there is a planned pattern by which
they go when they show their dysfunction. They work their way through to
a point, seems to stop the every sense of movement or mobility. This is the
Still Point. It's quiet - and yet fully biodynamic force. That is the potency
range for this dysfunction pattern. A still point within this functional unit. At
this time, carries out a change that can not really feel the therapist, but
rather perceives as the feeling that a change has taken place. After that
manifested a new pattern, because the fabric create a new functional state.
It's a more normal function pattern, compared with the limitation that existed
at the beginning of the investigation. The extent of the correction, the friend
stattfi may not seem large, but it is an existing Gewebspathologie
appropriate physiological correction and it is everything in this can
accomplish a treatment to correct the physiological tissue.
By following the biodynamic inherent Krft en and their potency and the
biokinetic inherent Krft en and their Potencys by the potency or the Still
Point in Gewebsmuster the patient, I could in most pathological conditions
I have encountered in patients achieve therapeutic success. Needless to
say, that the terminally ill patient, for example, those with cancer, eventually
died. But the results of this treatment brought them in the meantime,
symptomatic relief, and that more relief than with other therapeutic agents
would have been possible.
In other cases, where the potential was available in the direction normal
health for a reversal of the pathological condition, the physiology of the
patient responded with its maximum performance to return to normalcy or
recompensation. A fellow practitioner once told me the following to me:
" If one uses Diagnostic and Therapeutic Touch as you do, disease states through While
their cycle, but do so with a number of minimum time for each phase of the disease and
with a minimum of complications and long-term consequences. In traumatic conditions is
the stress factor leading to I-187
to move from one point to another, but this remains silent in its lever
function. You can take a glass of water and transferred a fine vibration on,
until you see that the water forms a pattern that is centered in the middle of
the glass. There is a silent point is formed around the in response to the
vibration pattern of the water. It is important to understand that in the
periphery to a friend Fulkrumzentrum around an incredible activity stattfi,
and also that the potency in Fulkrumbereich is part of that total kinetic
energy pattern. Fulkrumpunkte exist in all material s, masses in the air, in
liquids, but also in solid substances.
There is a potency in all Fulkren for activities in the functional processes
of the body; and as the world of nature, in this body exists, this function
processes its own power make biodynamic ready. It takes ability, time and
patience to learn how to sensed this function to learn how you can feel the
movement initiated by these living structures in tissues - not voluntary
movement that emanates from the clinician or patient, but that movement,

the already there when this patient quietly lies on the treatment table. It
takes time and patience to learn how to follow the patterns that show up in
this pattern, how the potency is aware in the Fulkrumpunkten and how
during diagnostic or therapeutic study perceives the moment in which a
change in the potency has occurred. Likewise, one learns only gradually
over time, to feel how the pattern develops after it has passed through the
still point, and analyze this material and translate it into clear physiological
ideas. In words taken to developing a diagnostic touching sounds quite
complex, but in the practical implementation, it is a relatively simple matter.
People with no experience in this field are hufi g skeptical. They do not
believe that diagnostic touch can fulfill everything that is ascribed to him on
positives. However, a sense of skepticism is a valuable aid in this work. It
helps one to keep our feet on the ground. The therapist asks a living body
for information. If he absolutely can not believe that it is possible to receive
this information by diagnostic touch, he will get very little information. Only
when he allowed his mind to the possibility to ff nen that you can actually
receive information in this way, and if it means brings just as much
skepticism that the body is challenged to prove himself as an information
provider, I-189
Chapter 5-3
Diagnostic Touch Part 3:
Application
Part III of diagnostic Touch , originally from the Academy
of Applied Osteopathy published, has been largely
replaced for this book by material that Dr. Becker had
prepared for a presentation at a meeting of the Academy
s, and contains all 26 photos that Dr . Becker had made
for this lecture - in the original article, there were only ten.
A dentist has two tasks when a patient first comes to him, he must first
diagnose the patient's problems and then offer him professional help for
these problems. Diagnostic touch helps both. The patient and his problem
is a challenge for the practitioner.
When working with diagnostic touching is the patient of teachers. His
problem quasi represents the space where his inherent biodynamic Krft e
and their infallible Potency the students - that is, the practitioner with his
diagnostic touch - teach. When diagnostic touching it comes to learning how
to feel the inherent biodynamic Krft e and understands and how the hidden
in them, infallible Potency is aware. I ask the biodynamic and biokinetic
Krft e of patients and their Potencys to tell me their findings through my
Fulkrumpunkte. And they do, without ever being wrong. If an error occurs,
then this is due to my inability this Krft e and Potencys perceive correctly
and to interpret.
I've learned that this force are fields in the patient always in action. The
coated fabric of its connective tissue elements and the fl uid contents

automatically move with it, while the bioenergy patterns unfold in its
functioning. I have to go as it were out of the way and follow the bioenergy
patterns. One can compare this role at a concert with an accompanying
musician. A good sideman follows the singer for whom he plays and lets
them take the lead. If the practitioner chooses to approach via fulcrum and
pressure, it stimulates its fulcrum-pressure points on the bioenergy factors
in patients and can then take from the pattern in the patient through its
activity cycle.
I-191
pensions biokinetic Krft s in the body physiology, over, around and through
the manifest this activity pattern. It is comparable to the force at the point
which serves as a fulcrum for a balance board or with the eye of a hurricane.
A fulcrum has energy and strength. The practitioner noticed this pause rest
time and their potency when he studied these patterns through its
diagnostic touch.
Once the clinician has positioned his hand contacts and established a
Fulkrumpunkt for each of them, he initiated by applying pressure or force to
his Fulkrumpunkt an activity in the inherent biodynamic
Krft s and the inherent biokinetic Krft s in patients. He can then ability to
sense how the tissue elements and these energies go through on a
micrometric level three distinct phases of activity over its Fulkrumpunkte:
1.
It feels as if these energy fields and fabric elements working
towards the balance point for this pattern within their pattern.
2.
A silent pause resting phase, the potency is achieved and all
movement seems to stop. Until then, the practitioner can follow these
changes with the help of his hand contacts and Fulkrumpunkte and
so the problems of
Better understand patients. If the pattern through the silence goes, fi nd
a change in the potency instead. "Something happened," because of this
change in potency. This is the correction phase in the course of
treatment.
3.
In the fields of energy and tissue elements motion is felt again.
The pattern that is unfolding now, manifests itself as a more normal
functional models for the disturbed area.
These three phases can in one minute, go through their cycle within a
short time, for. Example, but it may also be that it takes several minutes,
depending on the extent and intensity of pathological physiology, at issue
here.
Phase 2, the physiological break Serenity moment, is the goal that the
practitioner wants to achieve through diagnostic touch. Pressure on fulcrum
of the practitioner uses the power in the potency, the break-rest phase the
body physiology. The physiological energy fields donate the moving force

for both the diagnostic information that deepens the insight of the
practitioner, as well as for the therapeutic benefit of the patient.
As a practitioner who uses diagnostic touch, I have directed my attention
to the potency in this patient because I know that when a change in this
potency friend stattfi, a completely new, Richi-193

Figure no. 1: sacrum and pelvis


The patient are in a friend supine, his sacrum is the Innenfl che the right
hand of the practitioner, touching their fingertips the spinous processes of
the fifth en Lumbarwirbels. The Fulkrumpunkt is on the right elbow, which
is based on the treatment table. The patient has both legs outstretched,
could in the treatment but just as well both or only one set. The left arm and
hand of the practitioner are like a bridge over the iliac spines ant.sup.
Fulkrumpunkte are shown at both iliac wings, because the handler is
alternately use one or the other as spina Fulkrumpunkt when ilium the
respective opposite Os checked in its functional relationship with the
sacrum.
This position - the way perfectly suited to check for a whiplash the
functioning of the sacrum - lets us understand the basin as a whole: the os
sacrum, the two legs and the hip
Interrelations of the basin above the lumbar region and the areas lying
below lying hip.
I-195

Figure no. 3: sacrum, sacroiliac relationship, lower lumbar


The right hand is under the sacrum, the Fulkrumpunkt is at the elbow on
the plinth. The left hand is under the joint between the sacrum and ilium,
with the fingertips on the spinous processes of the lumbar vertebrae lower.
The left Fulkrumpunkt is on crossed knees of the practitioner. I use here the
term "iliosakral" instead of "sakroiliakal" in order to clarify from a
physiological point of view, that the dysfunction of the Ossa Ilia starting
direction sacrum is created and not vice versa.
This hand position can sacroiliac dysfunctions and problems of the lower
Lumbarbereiches diagnose and treat them well.
I-197
Figure 6:. Lower Th ORAX
The surgeon sits at the head of table facing patient. He puts his hands on
both sides among the patients, at the height of the approaches of the Mm.

trapezius. His Fulkrumpunkte are based on his on the treatment bench


elbow.
This position coordinates received from the lumbar impressions with
those who are from the lower dorsal region, the lower ribs and via
divergence of Mm. trapezius can get the shoulder girdle.

Figure no. 7: Upper Th ORAX


The Fulkrumpunkte are on the forearms resting on either side of the plinth.
The contact of a hand is under the upper dorsal region, the other hand is
below this hand. So it reinforces its attentive perceiving the inherent
biodynamic and biokinetic Krft e and their Potencys in the upper dorsal
area and can analyze relationships with the cervical region and the lower
dorsal region.
I-199
Figure no. 9: The ribs
The right hand is below the ribs, with your fingertips on the other side of the
Proc. spinous dorsal vertebrae of each belonging to the studied fins. The
hand adapts to the shape of the rib or ribs. The Fulkrumpunkt is the crossed
knees of the practitioner. The left hand is on the anterior ends of the ribs to
be examined. Your Fulkrumpunkt the forearm or elbow resting on the iliac
spine of the patient on the same page.
In the picture of the patient's arm is stretched out next to the head; this
happened only, so you can see the hand of the practitioner contacts and
Fulkrumpunkte better. Usually I let drop his arm comfortably on my during
this phase of the study patients.
A slight pressure on Fulkrumpunkt on crossed knees initiated a
Movement to the ribs to be examined heads. Dysfunctions of the ribs can
be easily - and convenient for both patients and clinicians - diagnose and
treat, by taking advantage of the inherent Krft e and their Potencys in
dysfunction pattern. The hands with their Fulkrumkontakten may lie above
or below the Th ORAX to treat the dysfunction area to fi nd and.
I-201
The same form of contact can be used to to locate a compressed lung at
a lobar pneumonia. TO do this create a hand anterior, the other posterior
on the aff enes lobe and builds up a Fulkrumpunkt through which you can
feel the degree of health or pathology in the lungs. In the investigation of
lung lobes can establish a Fulkrumpunkt for the right hand on the anterior
superior iliac spine of the patient. This one has two Fulkrumpunkte what the
evaluation improves.

Figure no. 12: the cervical spine


The hands of the practitioner bridge on both sides of the entire area of the
cervical spine, ORAX of the skull base to the top Th. The Fulkrumpunkte
be formed of the forearms resting on the treatment table. See the upper
arrow in figure pointing to the Fulkrumpunkt, you can not see.
I-203
Figure 14:. Specifi c dysfunction in the cervical spine
The Fulkrumpunkte be formed of the forearms resting on the treatment
table. Fingertip localized to the specifi c dysfunction in the cervical spine.
The biokinetic Krft e and their Potencys are the moving force for diagnosis
and treatment.

Figure 15:. Cranial base


The Fulkrumpunkte be formed of the forearms resting on the treatment
table. The fingers are slightly crossed; This is convenient for the practitioner
and also makes a convenient base for the patient's head on his hands. A
third Fulkrumpunkt is shown at the contact point of the third finger, but can
also
Select the contact point of two other fingers as Fulkrumpunkt for work in
this area.
This image shows only that the investigation or treatment of skull base for
both patients and clinicians, should be pleasant.
I-205
structures of the posterior cranial area and its contents includes: the
occipital, temporal bone, the SSB, the reciprocal tension membrane, the
fluctuation of the cerebrospinal fluid, the cranial base and the area of the
cervical spine.
Figure 18:. Upper Limb
- Hand to Shoulder
Fulkrumpunkte: right elbow against the back of the chair. Left forearm on
crossed knees. Crossed right hand with thumb and little finger to feel
through the ulna and radius (see circle).
Both the little finger and the thumb are entangled, so that you can
evaluate the bones of the forearm better. Supply
examined it with and without entanglement. You will see more if you have
your fingers crossed as indicated.

Figure 19:. Upper Limb

- Hand to elbow
Fulkrumpunkte: right elbow against the back of the chair. Left forearm on
crossed knees. In the circle of folded hand contact of the thumb and little
finger is shown.
Instead against the backrest of the
Chair, the right arm also be pressed against the body of the practitioner, to
serve as Fulkrumpunkt.
I-207
Figure 22: Lower limb - foot.
The patient are in a friend supine; his leg hanging side of the plinth.
The Fulkrumpunkte be formed from the forearms of the therapist, which
are supported on his thighs. One of the two hands is located at the heel.
Finger contacts locate the specifi c disorders of the foot.

. Figure 23: Lower extremity interosseous membrane between the


tibia and fibula
Fulkrumpunkte:
right
elbow on the plinth. Left
forearm against the side
of the practitioner.
One hand controls the tibia, the fibula, the other, while the interosseous
membrane between the two evaluated. Another option is to stretch the
upper and lower finger towards the interosseous membrane towards.
Dysfunctions of the membrane normally accompany Injuries to the knee or
ankle.
I-209

. Figure 26: Lower extremity - hip area and sacroiliac area


Fulkrumpunkte: The right elbow is based on the treatment table, the left
forearm on the crossed knee. Hand Contacts: The right fingertips are in the
area of the piriformis muscle. The left hand is below the sacroiliac joint.

The fingertips in the field of piriformis show in direction of the sciatic nerve,
where it passes the sacrum. This method I fi nd very useful in irritation of
the sciatic nerve - from any cause whatsoever.
I-211
The bioenergy field of welfare exploitation ends or health
The bioenergy well ndens fishing is the most powerful force in the world. It
is dynamic. It is rhythmic. It is a force field that begins with the moment of
conception and continues until the last moment of death.
The body is an independent mechanism provided with the ability to
homeostasis, which serves for the stabilization of its internal environment.
So he can maintain his health and treat disease, trauma and stressful
situations. All he needs to fulfill his life-sustaining basic needs, he relates
from his external environment. Physically, mentally and emotionally, he is
in constant contact with the external environment, ranging from his
immediate environment to the farthest universe. Why then separate internal
and external environment? Instead of the term e to use "man" and
"separated his environment," they can also be summed up in one word:
biosphere.
The bioenergy field of health is a tangible experience. It is possible to feel
exactly how the bioenergy of Health is working in our patients. It is a quiet,
rhythmic sensations all around ends of a complete exchange between the
patient's body and the rest of his biosphere. In a healthy state fi complete
replacement rather than a friend without any area restriction, stress, trauma
or stress.
Everyone has his own bio-energy field of self-well-being, which
constantly changes from the cradle to the grave. Every man, every woman,
every child has his or her individual pattern. When a young woman who
suffers from an intestinal inflammation for years, another health pattern is
determined normal than an athlete of her age. If the practitioner can feel in
a patient that this and its biosphere are in harmonious exchange, he can
dismiss him with the certainty that he is healthy again.
Power factors in the body physiology
To create a trauma in the body physiology, force is required from the
outside, and some of that force remains as a part of any traumatic
experience. Some of these adventitious force factors that I would call
biokinetic energy, the body absorbs. This force is a part of physiology in I213
go with them. their own inherent energy, together with the bioenergy
throughout the body physiology of the patient benefits Your pattern of
activity gives me the diagnostic information that I interpreted to the effect
that the patient has a rotational compression dysfunction in the area of the

fourth and fifth lumbar vertebrae and that s on both sides there is
considerable muscle spasm in the psoas. The pattern continues to show
me by it reaches its focus, comes at a still point, go through a point where
"something happens" and finally hineinentfaltet in a corrective, normalizing
change of all structures involved in the Potency. The total time for the
treatment varies between five and fifteen minutes. The patient leaves the
treatment bench very relieved and if its tissues were not damaged too,
will return with him within the next few hours or days everything back to
normal.
According to the patients I have not done much. In the three-phase cycle
of the process he may have sensed changes in themselves or not. Even an
outside observer would probably say that I have not done much, because
he sees neither me nor the patient in motion. Had he but put his hand
between my elbow and my fulcrum-point pressure on the knee, it would be
a different story. I have applied enough pressure to create a counterweight
to the 40-kilo bag, enough pressure to compensate those biokinetic force
that had been added to the body physiology of the patient to produce the
described patterns of dysfunction. When I met this force in patients who
bioenergy factors began in him, at its maximum effi work zienzlevel to
factors return the biokinetic force back to its biosphere. What remained was
the pattern of bioenergetic good fishing ndens this patient. Sometimes I am
so strongly leaning on my fulcrum-pressure points that I got bruises. The
patient does not feel this, because by I build a counterweight to the Krft s
in it, I have his sense of the factors that make its dysfunction patterns
canceled. He feels only the relief that is formed when the energy to which it
is going to be compensated. So it's much more than simply a "laying on of
hands." It is in every patient and every time you use it, a knowledge of body
physiology, bio-energy and the biokinetic energy and a
Science royal applying many factors.
Deep-seated, chronic problems respond equally well to the use of
Bioenergy as a driving force. The correction and the results that you get,
Hni-215
was, thousands of sensory impulses will send in the spinal cord segments
and brain areas that supply this part of the body. If the injury is severe and
long lasting, this message en be imprinted in the nervous system, similar to
the recording messages on a tape recorder. Although the local injury heals,
the nervous system can not necessarily go of his memory. It tends to
remember the disturbing message, and will remain long after the accident
a facilitierter dysfunction area.
For a man whose left very badly injured leg had taken months to heal, the
lumbar region of the spinal cord appeared in a state
to be of shock. The bioenergy field in this area felt abnormal. Even as his
leg was already healed, the man always felt his legs as very cold. As the
lumbar region with the aid of corrective treatment restored his normal
bioenergy factor of health, this feeling disappeared. Such a situation I
observed also in two other cases: In one case, the patient had a completely

cold lower back. He developed a bilateral dysfunction pattern of the psoas


muscle, which was resistant to therapy until the lumbar spinal area was
returned to its normal pattern bioenergy. Otherwise, the toxic effects of a
series of rabies vaccinations in the M. rectus abdominal had affected the
spinal origin of its nerve supply. It is worthwhile to think about the treatment
program to the segmental origin of any traumatic condition. Each of the
techniques that work with the fluctuation of the cerebrospinal fluid can be
used to exert infl uence on the central nervous system. All normalizing, and
delete old-coined Embassy s from disturbed areas.
As the site of a spinal cord segment feels when it is marked by nerve
impulses from a disturbed area? One can only herausfi ends, by examining
a person who has suffered a serious injury in the past. Go to the segmental
area of the spinal cord, which supplies this part, puts a hand over, one hand
under this area - that is, with posterior and anterior Contact - established
Fulkrumpunkte, applies pressure to the Fulkrumpunkten and feel the
change in the bioenergy fields in the investigated area. Comparing with your
treatment program, with each new visit as normal. The Tonusqualitt the
tissue in the traumatized area is compared with adjacent normal areas,
have a significant change. If one has the felt and once understood, it
becomes easier to feel for each new case that.
I-217
Dr. Sutherland's positive and laconic reply was: " a real bales of cotton
"34.
Stress factors in trauma
The general adaptation syndrome, as Dr. Hans Selye, known as the "father
of stress research", it describes accompanies each traumatic Erfahrung35.
" Stress manifests itself as a specifi cal syndrome, but unspezifi sch caused
, "says Selye. Trauma as a stressor brings the general mechanism of the
adaptation syndrome to react. Trauma stimulates the pituitary gland, which
then stimulates the adrenal glands. These in turn offer the stomach, and
the Endothelsysteme
white blood cells respond. Selye stated that the whole development of this
reaction depends largely on conditioning factors. The skill
Be variables which act from within us - for example, inherited
predispositions and previous experience (conditioning from the inside) -, or
those with the cause externally influenced food our bodies simultaneously
Ussen (conditioning from the outside). These are all integral elements of
the stress response. They all contribute to the image of something in
general adaptation syndrome.
Selye also mentions tissue memories, as well as AD Speransky:
"The permanent body changes (in the structure or the chemical composition),
underlying the eff ective adaptation or their collapse, are consequences of stress. They
represent tissue memories that Ussen infl our future somatic behavior in similar stressful
situations. They can be saved. " 36

In order to explain what is happening in the body physiology and its


biosphere, it was necessary for Selye, the basic concept of a functional unit
of life - the reaction - to develop. It is a functional unit of energy in the body
physiology and classifi ible as one of the many forms of bioenergy,
expressed by physiological functional processes. Selye defi ned reaction
as " the smallest biological target that can still selectively react to
stimulation. "
A trauma is clearly a stressor; and we can discuss another phase of
Selyes concept that refers to an area that us even more interested as
clinicians: Selye speaks of "conditioning" by chemicals
34.
American phrase f r: You've hit the nail on the head made
the village en!
35.
Hans Selye, Th e Stress of Life , revised ed age, McGraw
Hill, New York 1976th
36.
AD Speransky, A basis for the theory Eory of Medicine , edited
and translated by CP Dutt.
International Publishers , New York 1943rd
I-219
Stress also affects the bioenergy factors in the body function; and
regardless of whether they are called bioenergy or reactions: The
Palpationsfhigkeiten the practitioner can locate and analyze these
energies and use them in a diagnostic and treatment program that will cope
with the trauma caused stress pattern. Each treatment and each case is
different again. It is important to study Selyes work so that you can the
stress syndrome in traumatic cases defi ne and is able to recognize the
associated symptom circle and the pathology and also the fact that stress
a chronological time factor in relation to the recovery in Subject ends case
adds. The traumatic condition may be improved in an appropriate manner,
but the patient still feels comfortable. And what his total recovery is
delaying, in my view, is undoubtedly the stress syndrome. To restore its
bioenergy well fishing ndens, this factor must be eliminated. These stressenergy can return to the biosphere or wherever they go. Then the bioenergy
of Health remains the only functioning force. Since the Cranial concept also
includes the primary mechanisms that restore mobility and motility of the
pituitary gland and the hypothalamus, I will make sure me that normalize
the bioenergy fields in this area in all traumatic cases. I also check the
segment areas of the thyroid and adrenal glands, the spinal segments of
the traumatized areas and all other regions that have to do with the general
adaptation syndrome. My feeling is that this biokinetic areas of stress
syndrome are part of the whole traumatic pattern and therefore I close with
a traumatic event in my
Total care with a. This contributes to a faster recovery of the entire problem.
A formula of bioenergy

To summarize the discussion so far, you can have any number of


Present equations to test the reaction of a body physiology to trauma and
stress and the effort of the body, this power-added factors
to distribute back to the biosphere, to explain.
To illustrate the equations, a few Defi nition are required.
In previous speeches I called bioenergy well fishing ndens and CFI-221
Fulkrumpunkte compression applied, while his hands are below or on the
area where the patient has symptoms. This compression of his
Fulkrumpunkten stimulates the biodynamic and biokinetic energy and
potency in patients to work; Now go through the three-phase treatment
cycle. Thus, it is now necessary, by the equation F (for fulcrum) and C (for
Supplement compression) to denote the role of the practitioner in this
diagnostic and treatment program.
Equation 6, in the FC represents the Fulkrumkompressionspunkt the
practitioner is: DK + FC Potency EC (-K) = D. It represents a case where
the patient fully recovered in a single treatment session, while Equation 7:
DK + FC Potency EC (-K) = Dk or Equation 8: Dk + FC
Potency EC (-k) = Dk-n show the case which requires many treatments to
gradually K dispense -Factors in the biosphere. If this type of case
arbeitsintensiverem ultimately a focus for the entire sample and return to
normality fi nd is that expressed by Equation 9: Dk n + FC Potency EC (kn) = D. Now the patient is back to its basic
Patterns of health. D = 1 is back. The practitioner feels that with the help of
his hand contacts and Fulkrumpunkte and he may dismiss these patients
safe in the knowledge that he is healthy.
Equations 1 to 5 represent the body physiology of the patient, which
operates within its own mechanisms to eliminate their interference.
Equations 6 to 9 put the role of the practitioner is, the enhanced bioenergy
factors of body physiology and support so that a more complete solution to
the traumatic and stressful experiences can ends stattfi.
The answer to the question why and how all this works, is a qualifi ed: " I
do not know. "I say qualifi ed because I have in this respect ideas that make
me happy when I think of traumatic and stress-related problems plagued
patient care. The bioenergy factors in the patient gave me instructions that
allow me to track the progress in any case until I can feel how the bioenergy
of Health in each patient spreads again. I can follow the process in any
case, the way to normality - or to the point where I know the case can not
continue to improve and certain traumatic and stress-related factors will
remain a part of the body physiology of that patient.
With regard to the fact that we use this bioenergy factors without so
comprehensively to understand how we wish us in treating our patients

Chapter 6
Treatment principles and B ehandlungsmethoden

Chapter 6-1
Philosophy and methods of treating
Revised version of a lecture delivered in 1983 during a basic course of
the Sutherland Cranial Teaching Foundation in Colorado Springs,
Colorado.
This lecture on treatment philosophy and treatment methods is only a
summary and a reminder of what you have already learned during this
course. In the first few days of the course you have been working to feel
and function to make a diagnosis. But in reality, you've already dealt with
all the time. Diagnosis and treatment are in fact inseparable.
It is very difficult to express in words health. Health is a word of unknown
meaning. For us health is simply health. We have no Defi nition for it. We
can not prove that we are healthy; we can not prove that we feel health.
Yet health in the broadest sense, health is very important, a little. It is the
reason that we're all here - I do not mean here in this classroom event, but
here on Earth. We are here because we own health. As clinicians, we want
to recognize and learn this quality of health in the living body physiology of
our patients. We use our palpatory skills to read these vibrant body
physiology and can thereby, that the body of the patient physiology us their
patterns of health as well as their shows arisen due to illness or stress
patterns.
Therefore, diagnosis and treatment are inextricably linked.
If one learns the science of osteopathy, you get no specifi c instructions.
It is a way of experiencing, a way of developing. I am advised when
developing my principles of osteopathy for my operation in any impasse
that you can imagine. I fought back me on the main road, only to determine
that I was stuck in a dead end again many times. I've done all known errors
that you can do only - and until I'm finished, I'll probably do more. Even Dr.
Sutherland learned until the last week of his life more than the science of
osteopathy and developed better ways to adapt to it. It is an entertaining
journey.
I-227
can help his recovery. Then you have to look at if you studied a patient
again. The Tide feels better? If so, then it is good; but
when the patient returns in six months and you have the feeling that the
tide is again limited, this is an indication that you probably should evaluate
your view new that you release more a bit, a listen little harder, learn a bit
more and again shall work for these patients.
We are talking about treatment principles. I'm not trying to teach you
something - no one can teach this kind of work, you can only learn
themselves. Dr. Irvin Korr, one of our famous physiologist, said several
years ago at a conference that it was impossible to convey palpation skills,
because only one person can put your finger on one spot. This is

really true. Palpation is something that needs everyone teach yourself.


One can teach the ideas and basic principles, and mention some of the
things that you as a clinician might good cheer - but herauszufi ends how
you translate it in your body physiology, and how do you use it in order to
understand the body physiology of the patient, which is then your business.
Search Health
I want to say something about the philosophy of treatment that I have
learned in the last few years. When a patient comes into practice, he would
have corrected this left sacroiliac joint, so it aufh rt to hurt him. He wants
something is done for this sciatica or that those rib is treated so that it no
longer bothers him. That's fine. My idea, if a patient comes into practice
with a specific problem is, however, elicit the health pattern of this
dysfunction pattern. I do not want to limit itself to diagnose the problem and
to try to treat the anatomic-physiological process, based on the ISG
problem or sciatica.
As an example, I want to tell you about one of my patients. (This is not a
Hero story - I do not know. In the 49 years that I'm working, I've never
been a hero - the patient is the hero). This man was so cast down through
a skylight from seven meters. His leg was broken in several places
- The tibia had pushed right into the femur. As a result, he had the
Problem that his legs were ice-cold 24 hours a day. Even if the
temperature

I-229
Chronic pattern and closed circles
Of course, not simply melt away every problem. The physiology of
Tissue that works with old scar tissue - scar tissue that has been around
for twenty years - is not just wake up and be healthy; you have to train back
to health those tissues, so to speak. Chronically injured tissue must be
trained. Chronic disorders have a tendency to form a closed circuit. My
experience with a certain unwinding technique that had showed me was
that the patient felt better after all the movement - the treatment was as it
were oil in the whole thing into it. But when the patient returned the next
week, he had the same dysfunction, in the same place all the same. A
closed circle - once initiated, it was endless. It was constantly in a circle.
The body had formed a neuromuscular biofeedback closed circle in the
truest sense of the word.
Such a situation means that one has to pass through this feel dysfunction
pattern. One wonders: What does health from this field? And if one has
approached to said dysfunction pattern must be a
In drill hole so that it dissolves; it needs to do something other than just
staying in a closed circuit. Then you can begin to achieve a correction of
this problem. Was it for years since, only the belts must be soft, voltages
in the musculoskeletal system have to change, the autonomic systems
must adorn their function modifi, the lymphatic system has to wake up and
find that there is something to do, and the breath of life must in hineinfl ow
literally in these tissues, and as strong as the rest of
Body. Many things have to change, and they will do slowly.
You can feel how this thing gradually - no, not moved eyelet for a
correction, but as it were, on a self-self-ed and how the health pattern the
prevailing pattern.
Identify pathologies
Another similar idea: If you learn hindurchzuspren to the pathologies in
living tissues, they are not like a book based on headlines identifi ible. You
feel the function of the body physiology as it is designed without a label.
For example, it does not deal with just a bursitis or a I-231
ter have, where I want to be yet, please, even if I am released from your
treatment program. So, I'm trying the overall pattern of body physiology to
fi nd, illustrating how that person copes. Because that makes me
understand how the pattern looks, with this patient has previously lived, and
how this pattern works in flexion / external rotation and extension / internal
rotation. Then I can go back to the problem area and see how this patient
is true to his type pattern in relationship.

In this evaluation I note also, of what quality of the mechanism of the


patient is. For this I use the idea that the mechanism in the healthy state
has, so to speak 110 volts. I've been watching, it feels like I at as if 110
volts screwing in the mechanism of the patient and flow out again? It flows
with only 50 volts in and out, this is an indication. A 110-volt battery in a
living patient indicates a good quality in these tissues, so that ligament or
joint membranous dysfunctions can correct. In such a case one has enough
juice to work with it; the battery is full of power and life. If the patient,
however only 50 volts, are its local tissue, especially in the area of
dysfunction, fatigue much faster and you have an appropriately cautious
approach to what is initiated in the body or trying to achieve on this day.
Maybe this body endures only a treatment of a few minutes, before he tired.
For this Th ema fits a very nice story about a guy who had an incredibly
acute inflammation of the psoas muscle. I put my hands on this psoas
muscle and after exactly 30 seconds told me that I should damn again
disappear from there. "I heard you, just now the door," told me his
mechanism. Two days later, the patient came back; This time I was able
to stay almost two minutes to another, minimal change took place. Then
the local batteries were over. He should come back after a few days, but
was prevented business Lich. Its primary respiratory mechanism and its
body physiology, however, had received instructions - and suddenly on his
way to a meeting in East Texas all hell broke loose. He was almost thrown
out of his car, while carried out the self-correction. On his next visit to the
practice, he said, "When I came to you after my first appointment home,
has AGT my wife gefr:> What did he do? 'And I answered:' He has only
studied me, in two days he wants to see me again <After the second visit
she again agt gefr, and I said, '. He has not done anything. He has again
just examined me and said that it back in order I-233
the parts. Direct back to the neutral position or healthy action is applied
especially at a very acute dysfunction, because by reinforcing one would
intensify the symptoms of the patient in such a case. If you try instead,
return it and zulasst that the physiological function helps you, it is more
pleasant for the patient. This so called Direct
Action (which I want to emphasize again that I do not like labeling - even
here).
Another treatment is apart Perform. 39 It works like this, as its name
suggests already. In a dysfunction between frontal and sphenoid may for
example a notebook owned Coincident give s, with all these toothed tines the one must then lead apart.
When pattern of opposites physiological movements 40
falls as a
For a dysfunction of okzipitomastoidalen range. By trauma, the OS can be
driven in a temporal pattern of internal rotation that also extends across the
membranes. Here, the occipital bone is driven into a flexion. If we have an
old chronic dysfunction of okzipitomastoidalen range, the slumbering
unnoticed for many years, we might use the opposite physiological

movement. We carry the temporal bone or try to bring it toward external


rotation, while we at the same time the occipital Os result in an extension.
We are extremely careful and read with great Zartfhligkeit the quality of
the tissue changes that ends stattfi in membranous joint pattern. I give you
here no technique for okzipitomastoidalen area, I describe the opposite
physiological movement.
And finally there are the shapes 41st These are all no techniques; there
are the fundamental principles that use the Primary respiratory mechanism,
the reciprocal tension membrane and the body physiology of the patient in
order to correct their own problems themselves in the truest sense of the
word.
For the newbies in this course, these are valuable methods to touch the
patient and this tissue recirculate by utilizing amplification, direct action or
apart guiding to a point in the membrane voltage to fi nd where the body
physiology of the patient will begin to to work you
39.
40.
41.

Originaltext: Disengagement
Originaltext: Opposing Physiologic Motion
Originaltext: Moulding
I-235

zen body and her fl ssiger content in reciprocal, mutual relationship with
the primary respiratory mechanism. The initiation of a function in one of
these elements in turn initiates a physiological action in all elements. That
is the reason why it works. There are just words, but the palpatory
experience proves it.
Response to treatment
How often do I treat? I like to have at least one week between treatments,
unless you have a patient with an acute inflammation of the
Psoas muscle who kills you if you do not receive it earlier. When the
Patient the next time you come, lay your hands on him and begin your
diagnostic program to determine how things developed or not developed.
Does it feel like: "Yes, I have this week been trying to get some work done,
but I'm not sure if I have understood you," then you know that you still have
to do anything else. The patient then comes in the following week again,
you are doing the same thing. One week later, his mechanism says, "Hello,
Doctor, I'm starting to hear you; but I'm with these other things not done
yet - I'm still working on the last three instructions "So it lengthens the
treatment gap to two times, and then once a month.. I try to keep my
patients to treat just often enough to feed back repeatedly to what I'm
working on - back to the patterns that are healthy for these special people.
In the course of a treatment series, it can also happen that you take
positive responses from the body physiology produces a few splendidly

unpleasant reactions. Especially in my novice years I have succeeded in


some cases, to accomplish some really great overreactions. It was for
example that patients, after I had tried a correction somewhere in the range
of Os perform temporal, only once had to lie on the treatment table and a
half hours before they could get up again. You get something like that but
back under control. We can unpleasant reactions calm, by certain
techniques - about a compression of the fourth ventricle - apply, which we
will discuss later.
Apart from such overreactions has it, when a patient feels after leaving
the practice a little, mostly to do with the work that just in terms of its I-237
Chapter 6-2
Flexibility in osteopathy
This text was written in the 1980s.
The role of the practitioner is to serve humanity. The science of
Osteopathy offers a direct, based on a one-to-one relationship with the
patient clinical approach for this service to humanity. Purpose of the
following essay is to show, for which wide spectrum of clinical syndromes,
the science of osteopathy can be applied, and in addition make an
evaluation and an anatomically-physiological interpretation of the results of
diagnosis and treatment in the selected case studies.
To clarify the point: I assume that the practitioner the
Science of osteopathy so applies, as formulated by AT Still and WG
Sutherland that the structure function of the body physiology of the patient
their inherent, involuntary primary respiratory mechanism and its
anatomical and physiological integrated mobility, their motility and their fluid
Drive off enbart and that the practitioner of these elements to the inside,
from
Body physiology of patients facing life can be used for his service to
humanity in diagnosis and treatment.
From personal experience I have learned that there is every time a
patient comes into practice, three factors are that are essential for the
renewal of his health: first, the opinion of the patient or the patient with
respect to his or her diagnosis and stands on the treatment program, and
secondly knowledge of the practitioner at his diagnosis and his treatment
program and thirdly, the body physiology of the patient, the functional
models in a direct one-to-one relationship with their located off enbarenden,
specifi c functions and Dys.
To ensure greater accuracy in diagnosis and treatment, it is helpful to
know the opinion of the patient regarding his illness. It is for the practitioner
also useful to have an idea for a diagnosis and a treatment approach. Most
importantly, however, is that he has a trained Palpationsfhigkeit with which
he the dynamics of body physiology
Read patient, feel and listen to them may - whether these are their healthy
funki 239

with extension and internal rotation.


This rhythmically balanced,
involuntary
Exchange is done 8 to 12 times per minute. As a total unit in the body
physiology it is essential for life and health. The secondary mobile, motile
fluid Drive in the body physiology is the arbitrary mechanism, to the
individual at his or her daily activities needed. Specifically, patients can
observe both involuntary and voluntary mechanisms and working on the
basis of its trained palpatory perception with them the practitioner.
In clinical applications, these principles work (involuntary and voluntary
mobility, motility and Fluid Drive) together as a unit. I would like to present
the case of a young woman who was sleeping in the back seat of a car, as
this crashed into a pillar in the wake of an accident and was stopped so
abruptly. After the emergency treatment was finished, this woman came to
my office because her right leg always swelled. In the morning it was still
relatively normal, but then thickened during the day.
A palpation of involuntary and arbitrary units of their body physiology
showed that the fascial sheaths at left, healthy leg alternately moving quite
freely along with the entire body physiology in an outdoor and internal
rotation pattern. When your right leg against the fascial sheaths moving
only in internal rotation; the
External rotation was relatively blocked in their patterns and so disturbed
the venous and lymphatic drainage. It turned out that the right leg of the
patient had been in a pattern of internal rotation, as she slept in the back
seat at the time of impact. A corrective treatment triggered this fascial train
the internal rotation and brought the whole thing back towards health
mechanism and good function - a satisfactory venous and lymphatic
drainage
was restored.
Another interesting case was that of a 46-year-old man who came
because he had been suffering for several years from chronic back pain. In
history, it turned out that he had had a car accident with head-on collision
16 years ago. The palpatory findings showed two major defi cits in the
function of the body physiology. One was that all the muscles and fascia in
the cervical and thoracic spine anfhlten as glass. The second defi ciency
expressed as a "blocked" sacrum with complete loss of involuntary
movement. The entire pelvic ring - the os sacrum, the Ossa Ilia, the
lumbosacral
Area and the two hip s - was not using the moving unit from I-241
This last-mentioned case is an example of a whiplash or a kind of inertia
dysfunction with loss of involuntary mobility of the sacrum. . This type of
dysfunction fi nds hufi g My documents show that in the last thirty years
one in seven new patient came with this kind dysfunction patterns, with a
relative loss of involuntary mobility of the os sacrum between the Ossa Ilia
- although this is not a part of his current complaints was. If the patient was
then asked: "Did you have some point a car accident," was the answer hufi
g negative?. But the question was: "Did you have times a car accident in

which you were not injured," was the response is positive and the patient or
the patient then remembered such, for months or even years earlier inertia
dysfunction?.
Obleich this usually is not the reason why patients seek treatment, the
therapist meets with the palpatory examination on a single-sided or doublesided restriction of involuntary mobility of the sacrum, which means that the
mobile, motile, 8 to 12 times per minute stattfi Ndende, rhythmic fluid Drive
cycle of body physiology of the patient does not deliver its full
Nhrpotenzial. However, since the patient is due to other problems and did
not come his blocked due sacrum, to develop a treatment program for what
the patient is suffering, and then takes during the treatment phase some
time to solve the dysfunction of the sacrum, so that it in his involuntary
movement work freely again. This solution process coordinated with all
other treatment corrections toward health. There are many different forms
and types of inertia dysfunctions and all require a specifi c findings, a specifi
c diagnosis and treatment. The syndrome of the sacrum with whiplash is
used here as an example, because there are so hufi to observe g,
diagnose and correct towards health.
When working with the body physiology and their inherent unity of
involuntary and voluntary mobility, motility and Fluid Drive, revealed when
the therapist examined by palpation detectable pattern. Here are three
exemplary cases of e "shocked" lumbar thickening of the spinal cord: The
first case is one of my colleagues, the lever through a skylight
"Not to heal the sick is the duty of the machinists, but a part of the whole
system back to adjust so that the water can fl ow Lebensfl ows and the
parched fields" [From:. Still AT: The great Still Compendium. 2. A.,
Volume I: autobiography, JOLANDOS, 2005 S. I-94].
I-243
carry out, if the patient is at home - and usually it happens that way. If the
patient then reported at the next visit of this change, the practitioner can
verifi adorn this result. A fact when working with the body physiology in
patients is that the body physiology during treatment in practice though
initiates its corrective change towards health, the actual treatment results
but set up between treatments. Next visit in practice, completed changes
confirmed and you look at what is still necessary to continue the treatment
program. The body physiology as a teacher is highly accurate in their
diagnosis and their treatment outcomes.
In the third case, a similar restriction in the lumbar spinal cord showed
thickening; However, the cause was a completely different. A man in his
fifties suffered a few years from chronic circulatory disorders of the lower
Krperhlft e and had already been unsuccessfully with several doctors. In
his medical history showed that he twenty years ago a number
had received from 28 rabies vaccination; these were injected into the
abdominal muscle that is innervated by the lumbar thickening of the spinal

cord. Over time, the toxic eff ects of these vaccinations had the quality and
functioning of the spinal cord affected in this segment. The
Tonusqualitt in the muscles and in the lumbar thickening was very poor.
This provisional diagnosis has been explained to him; but he refused to be
treated further.
Findings associated with dysfunction of the lumbar thickening of the
spinal cord, are not rare. The three cases presented here are examples of
different types of mechanisms which can trigger a reaction in the spinal
cord. In this case, the reaction consisted of an overload or a shock in specifi
c sensory, motor and autonomic segments of
Nervous system. If the coming of the traumatized area aff erente sensory
input persists, established the shocked spinal cord in the lumbar thickening
the phenomenon of a closed circuit. This can be a
Compare message on a tape recorder to be played repeatedly. News from
the injured area to report a trauma, and the feedback is an ever-recurring
event that continues even when the injured area is stabilized. This can take
weeks, months and years go on.
The basic activity of the body physiology is a rhythmic, involuntary, 8 to
12 times per minute in sunbeds stattfi flexion and extension of the structures
I-245
Session will continue. If on the other hand, although some kind of
correction stattfi friend, but there is no evidence that the body physiology of
the patient has improved its quality in the traumatized areas, meet these
so-called corrections not what the physiology needs. A before and after
test conducted to help assess the health quality in the areas of relative
health and in the areas of closed circuit are,
valuable insights into the work with the living mechanism of the patient.
The day will come when the patient enters the practice and announced its
mechanism: "I'm fine," A Test of the elementary tools of his body
physiology, namely the functional unit of mobility, motility and fluid Drive will
confirm this statement.. Closed loops are gone and all traumatized units
work toward health before.
The dentist, who developed his sense of touch, to work with the body
physiology of the patient, can also include palpation herausfi ends: When it
comes to a heart attack, carried out at the same time an implosion in the Th
oraxhhle. Watch the first time I was able to in the case of a woman who
in the
Sixties, was treated for relatively minor complaints made and then suffered
a massive heart attack. She survived him and came after for other
treatments in the practice. When I evaluated the quality of function in the
thoracic region, it felt as if the entire wall of the Th ORAX in a fascial
restricted state - a striking change compared to thoracic tone in the chest
before the heart attack. It was like bein pregnant an excessive shock or an
implosion the chest cavity - an implosion, which had to fi nd and treat
disease, so they disappeared and more recovery was possible.

Over the years I have observed such an implosion in several patients


and all developed this phenomenon as part of a thoracic fascial response
to the shock of a heart attack. Whatever the complaints in respect of which
the patients visit us: You can also treat this implosion to allow another
healing of myocardial infarction. This is an example of one of these silent
physiological events that the Palpationskunst the practitioner from within,
out of body physiology out, show up. Loosening the damage caused by the
implosion fascial train can only be beneficial for the overall promotion of the
health of the patient.
The body physiology is the silent partners and the foundation for health
throughout the human beings. Two basic principles are the ones that I-247
states, which appear due to trauma and / or disease in a particular area,
do more than just correct: they melt away and literally leave behind health
centered again in the physiological function. Whatever the practitioner
applies to correct: The rhythmic Tideneinheiten work about 10 times per
minute and act like lubricating oil, which cooperates with other trophic
factors to resolve the consequences of stress and return the area to health.
The practitioner can develop his touch ability to feel this healing changes in
body physiology of the patient to read and learn.
As part of the healing process, the flexibility is restored.
The role played by the body physiology in their service to humanity and
to every single human being, is very real, and you can use them very well
within the framework of a one-to-one relationship between the care provider
and patient.The point is not what the doctor can do for the patient, but what
he can do to get the doors for self-healing of the patient or the patient to ff
NEN. In all cases previously described have the patients who were treated
to recover and go on the return journey towards health, by taking up the
basic principles of body physiology - namely involuntary mobility, motility
and function of the fluid Drive together with the arbitrary, in daily life required
mobility. The practitioner accepts the vibrancy of these acting in the
patient's principles and developed the palpatory skills, the qualities of
relative health, as it manifests itself in the individual patient, as well as to
feel, to overhear, to read and to recognize as the specifi c qualities through
which express trauma or disease in the stressed area. He can do such local
specifi dysfunctions ausfi thanks to its tactile feinstgeschulten constantly
and igenden basic principles work with the inherent Krft so that the patient
will recover. It's a - at least verbally - generally accepted fact that the body
physiology of every human being constantly strives for health, whether it is
conscious or not. This verbal acknowledgment, however, to implement
every day as part of a one-to-one relationship with every patient who comes
in personal experience, is a real challenge.
I-249
Chen pain in the same area and of course is not particularly happy with it.
I have to admit that I probably am sitting at the wrong end of the lever. The
whole

Noise comes from the upper Krperhlft e, but nothing indicates there an
Eff ect. The
Patient experiences no relief. So I go further down and put my hands under
the sacrum - and the thing is completely blocked, it can still go in extension
neither in flexion. To test the movement in this area, I put one hand under
the sacrum and the other arm across the hip legs. While the patient is now
bringing his feet alternately in flexion and extension, I feel like moving the
entire basin as a unit. This means that his sacrum is completely fi xed later
in this pool, because otherwise would be, if he moves his feet, the hip legs
feel the sacrum and how three independently movable from one another
units.
The sacrum was thus blocked in its basin - but where have expressed all
the symptoms of the patient? Above, at the other end. Up there they
complained because they had to work against a completely blocked pelvis
literally. There was pain, there neuralgia, there the train to the fascia. So his
symptoms were all caused by a completely blocked basin. For this blockade
is needed to figure out a reason and when I asked the patient why, was that
he - the self only about 75 kilos weighed - had taken out of his sports car
the 125-kilogram engine to heave him on a few blocks. And in the process
he had taken off Enbar a so unfavorable posture that his sacrum
downloading or was pushed between the two Ossa Ilia. There was nowhere
else to go. To deal with this, I used a handle across the basin, on the aff
enes tissue, and worked, where I used the Tide that comes through there
10 times per minute.
If you touched a dysfunction pattern, let work. Your grabs the tissue in
this area and around it and adds to some compression. Your calls the
mechanism which automatically goes in flexion, extension, internal and
external rotation, and follows the patterns of dysfunction in this area. I
position my hands in aff enes area and apply with the help of my arms or in
other ways enough compression that results in a change. This compression
then stimulates the bones to Ilia, as they would call out to them: " Hey, wake
up - we are working on you! "
In the case of this young man I was after a few more treatments in the
tissues read that in this 18 month old problem something to funktionieI251
Chapter 6-4
About treating
Extracts from lecture notes that emerged 1969-1986.
In our thinking there is a conscious and unconscious tendency to separate
Cranial Osteopathy from the body Osteopathy. This idea of a separation,
they now may be consciously or unconsciously, we must eliminate from our
minds. It is essential that we remove this dichotomy in our thinking and
understand the body in the science of osteopathy as something whole. He
is from head to foot a functional unit. When it comes to tackle a problem,

one must always consider this issue as something that affects the entire
science of osteopathy.

Art as opposed to a principle: do something with a problem is


tech-nik; to work with an inherent mechanism within the problem is
the application of a principle, no technique.

Healing: an individual manifestation of a universal principle

Health: harmonious, effective life

Treatment: Treat people, not clinical problems in people!

Can you the inherent concern of the anatomy-physiology of


the patient to-hear and watch how it corrects itself? Can you admit
that the living needs of the patient show and cooperate with their
program for the return to health?

If the door for her ff net - ie producing the first contact with
the mechanism of the patient - it may take 30 seconds or even a
minute until he realizes that the door is now off en.

Health is restored when show flexion / external rotation and


ex-tension / internal rotation of involuntary mechanisms of the body.

The treatment phase is to know when to take his hands knowing when the treatment is over. Until then, everything is a
diagnostic phase.
I-253
the other. Equally you can feel when the fluctuation of the cerebrospinal
fluid expands in its Tidenbewegung that the body on one side more easily
in external rotation is as on the other; the other side of the body then moves
free in the phase of extension / internal rotation.
Father Dura
At a meeting of the Faculty of en Sutherland Cranial Teaching Foundation
, the
Held in 1986, described Dr. Becker a father Dura technique called him Dr.
Sutherland showed.
Dr. Sutherland According to one can, with regard to the direction of
movement, actually feel a difference between the inner and outer layers of
the cranial vault bones. If you watch carefully, the inner layer moving
somewhat differently than the outer. To work with it, you sit there quietly
and gently amplifies the pressure on this Ossifi cation center until nds the
point of balance fi. Still then you hold this point of balance, reads it and
makes a change between the inner and outer layers of each bone in the
skull roof.
Skull base pattern

The experience to learn as we go with our minds and our hands by the
pattern of the cranial base, and perceive how the living reciprocal tension
membrane is able to take the sphenobasilar mechanism in different
patterns is useful because these patterns clearly a clinical have relevance
for certain types of problems. It is also important to understand these
patterns in the broadest sense. When we go through this pattern of
sphenobasilar Synchondrosis, we fi nd out for us, in which the patient
sample in question lives. There's more to it than simply herauszufi ends that
the reciprocal tension membrane can organize all this Herumgewackle in
our minds.
It is important to know whether a patient membranous under a specifi c
Joint dysfunction, are the two bones aff en, a fundamental torsional,
Sidebending-rotation or a vertical or lateral shear pattern I-255
Chapter 6-5
Cause and effect
This paper was written in the 1960s.
"Cause and effect are made continually. The cause may
in some cases at the beginning not be as large as in other,
but time enhances the effect to the effect extends beyond
the cause and it ends in death. Death is the end or the
sum of all effects.
I expect the reader just that he takes care of the
difference and the progressive change in the effect as an
additional element which engages in the debate and the
effect can come increasingly important to note. " 43
Let these thoughts of Dr. AT Still use and briefly talk about the role of
osteopathic dysfunction in cause and effect. How manipulate every day or
many times we mobilize the osteopathic dysfunction or dysfunction in our
patients and are thinking that we are doing everything for these cases in
this area of our treatment program, which is possible for us? If we would
but into embark when analyzing a dysfunction problem deeply into the
mindset of Dr. Still, we might discover that we do not have to do it in our
way of handling this case with effects and causes.
We recognize in our medical care that the prescribed medicines from us
at a high percentage are for en geschaff to eliminate the effects or
symptoms of a problem, but does not purport to change the cause. This
also applies to the mere manipulation or mobilization of an osteopathic
dysfunction, if we limit our efforts and our thoughts alone on these methods.
We change the patient's pattern of movement and the result is a change in
the symptom complex for some time. If this patient then the
43 AT Still: The great Still Compendium . 2. A., Volume I: autobiography ,
JOLANDOS, 2005 S. I-95.

I-257
schleunigungskrft e in the moment when his car bumper to approximately
1,80 meters from his body remote obstacle impacts, can be up to 15 tonnes.
Each molecule of his body is thrown with full force toward impact. The total
impact force must be involved in the treatment of his case. There are also
the many thousands of small, due to our surroundings traumatic Krft e, the
various dysfunctions in the body mechanics creating en: If a 50-kilo bag
fertilizer you lift wrong about to get very stretched when making the bed or
twisted a heavy object obsolete from a shelf in berkopfh he, in an
unfavorable posture gets a sudden coughing or sneezing, comes from a
curb that you have not seen, holds a charge firewood while wearing too far
from the body in order not to soil the clothes, and in countless other
incidents in everyday life that we ourselves have already experienced,
thought or learn from patient stories. Each of these from case to case
different power factors
was the body physiology of the patient who seeks your support, added. All
these factors need to be evaluated and force the diagnostic overview, the
are ye procured from this patient added. Some of the details you can
herausfi ends by a careful history: exact nature and
Way of loading, the direction of impact, qualitative and quantitative amount
of load, at issue here, the body movements of the patient, elapsed since
the accident period and other information that are important to the case.
Trained palpatorisches touch can read the aff enes tissue and as much or
even more information herausfi help as the history.
What about osteopathic dysfunctions that were not caused by a known
traumatizing force, but due to illness? Again, there are acting Krft e; but
they are more subtle in its origin as a trigger for osteopathic dysfunctions.
These are Krft e at the molecular level of bacterial and viral particles that
just to our environment polluters are like the heavy load of firewood, we are
trying to carry into the house.
Whether through injury or illness: The osteopathic (s) dysfunction (s) are
effects and not causes. If you treat them fi nd and as a self-contained unit,
neglected to the hlft s the reason why the patient came to us. If this is all
that we consider in the care of her case, we procure for her s only
symptomatic relief. We must learn to read through the osteopathic
dysfunction patterns, whose origins as a traumatic or sickness process to
I-259
Chapter 6-6
The rule of the healthcare
These texts come from lecture notes of 23 May 1973rd
" The health dominates the body with the help of laws, as immutable as
the laws of gravity, and as long as we obey the laws
Chen, leading to health, we need not be afraid of disease to have. "

Cause and Effect - Part 1: Case Studies


1.
A woman, age 26, severe headaches since she was 18 years
old. When she was 19 years old, a part of the os was on the right
parietal and temporal bone removed to achieve a cerebral
decompression. Cerebral edema, various disorders of the central
and peripheral nervous system, Vagussyndrom, and somatic
symptoms. Had last year 5 major general investigations, each time
Pneumoenzephalogramm45 no findings. At the age of 18 years
difficult birth of her second child.
2.
A woman, age 44. Severe, hardly influenced food ussende
headache for four years. Multiple medical examinations. No relief.
With
10 years heft strength fall with the sacrum on a rock - at that time a
postpartum rest.
3.
Young woman who gave birth to triplets - the three together
weighed 21 pounds. Nine months after the birth she came; the Beck
mechanism worked still as if he were carrying the triplets.
4.
A woman who underwent a lung infection in their twenties, but
at that time "recovering well" had. 15 years later she got a secondary
induced hepatitis was restricted for three years, cortisone, etc. They
developed cirrhosis.
5.
A man who had lost as a teenager in a car accident its normal
involuntary mobility and subsequently developed symptoms
following 20 years:
45 Note. d. Edit .: introducing air or helium into the CSF via suboccipital or
lumbar puncture - largely become superfl uous by CT.
I-261
All these are integrated with each other and all are intertwined for the
purpose of health and possess the ability to work, to play, to think, to
develop feelings, praying to adapt their functioning to each requirement and
the inside and exterior with the environment and the Universum exchange in which they exist.
This is the pattern in which " the health body governed with the help of laws, as
immutable as the laws of gravity. "
This is a dominant , unique in each individual pattern of functioning health
and is nurtured by a potency.
Cause and effect - Part 3: diagnosis and treatment
When a patient comes to us, he brings one or many complaints and a
history of trauma or disease.

We collect the history, make an inquiry, let lab tests do so and feel with
our experienced hands, whether there may be as a physiological and
pathological cause of the patient's problems. We diagnose the problem as
a problem of disturbed health.
Our most important task should be to seek the existing in every human
being predominant functional model of health, its us to be aware of it to feel
at his functioning and to understand how health looks for this individual at
the time of initial examination. Our second task was to identify the existing
patterns of dysfunction that the prevailing overlay pattern of health. One
must understand the specifi c basic health pattern that we are looking for
this individual at this office visit at this time of diagnosis and treatment, and
devise a plan to produce it, so that it can function properly.
All cases described in Part 1 are consequences, consequences of trauma
or illness that lead over time to further consequences, which restrict the
subject person even more.
The prevailing patterns of health described in Part 2 are consequences .
By trauma or disease get conditional patterns so that they can exist, force
of Potencys that are specifi cally for each effect and for each of traumatic
or disease-related condition aff ene tissue.
I-263
Chapter 6-7
Emotional factors
Revised excerpt from the article An osteopathic concept
and its relationship to osteopathic dysfunction , of the
1952 Yearbook of the (Academy of Applied Osteopathy
today: American Academy of Osteopathy) was entlicht
publ.
It has taught us that the Diff erenzialdiagnose between a neurosis and
psychosomatic disease looks like this: the neurotic developed to
environmental factors resistors are triggered aware when psychosomatic
patients, however unconsciously and 'these resistances are objective
phenomena, which serve the dynamic biological signifi cance of the total
disease show on 46th Such patients rarely know what bothers them, and
say often protesting that with them everything is fine when it draws their
attention that they might suffer from a hidden power.
An osteopathic treatment is one of the best therapeutic options for both
types of patients. If the recognized existing osteopathic dysfunctions
normalized, usually hidden tensions come to the surface che and dissolve.
The osteopathic treatment if they " prescribed by science Lichem Expertise,
precisely dosed and applied capable , "is how Dr. Arthur D. Becker to say
pfl EGTE, aims to the free flow of blood, fluids, energy and other vital Krft
e, of the
Dysfunction areas leads and - more importantly - also the free flow of

Blood, fluids, energy and other vital Krft s leading away from the
dysfunctional areas normalize - so a really normal ebb and Heranfl uten
reach toward health.
We can go to our reasoning one step further. We not only recognize the
therapeutic value of a treatment osteopathic dysfunction in such complex
cases, but can the osteopathic dysfunction seen as a powerful diagnostic
aid in the analysis of a neurosis or psychosomatic illness. In the Diff of a
somatic disease erenzialdiagnose against a neurosis or psychosomatic
46 Hart, A ,: Psychosomatic Diagnosis , JAMA , 136: 147-149, 17. Jan 1948th
I-265
Chapter 6-8
Balanced membrane voltage
Revised version of a lecture recorded on tape held
1976 in a basic course of the Sutherland Cranial Teaching Foundation in
Milwaukee, Wisconsin.
If a load leads to a dysfunction pattern, keep the membranes of this stress
pattern upright. The result is that the "normal" fulcrum is pushed over to the
dysfunction point, ie the point at which the field was gone in a dysfunction.
Within this pattern dysfunction there is a point of balanced membrane
tension. There is a Fulkrumpunkt, a relative point of stillness around which
to organize all Krft e. By bringing all these Krft e in balance, then the
mechanism goes through a still point, a Fulkrumpunkt, a moment of silence.
While this still point, the fulcrum shifts back towards the so-called normal
pattern of this man - towards the Sutherland Fulkrums - and the result is the
correction that is possible on this day. Through this process, changing the
Fulkren in the cerebrospinal fluid and in the reciprocal tension membrane.
Hufi g is the Still Point off Obviously, and yet you go through it many times
without noticing him. In such cases, you will notice that it is not so feels as
if many disputes in the head ends stattfi; it feels as if it goes smoothly, it
feels effortless, and perhaps the head is also hot - then one knows that one
has passed through the Still Point.
How to use the principle of balanced membrane tension? Suppose you
decide that day to focus on treating a twist as the right to come into
appearance dysfunction. We initiated this Torsionsmuster, admits that it is
in the full range of motion, it stops then gently in this area and does not
allow that it goes back to the neutral state. While you hold it there, it goes
through its cycle of confrontation, goes through a still point, and then leaves
you to it back drift to the new neutral state et that it has discovered.
If you do this, you have not only a membranous joint dysfunction - worked,
but also I-267 - in this case a Torsionsmuster
Orchestra musicians, this lively Tonbild produce in response to demand. I
wonder: Where is there a difference between this approach and the

edition Egen our hands on the patient, our contact record conveyance
with a fl owing, living mechanism and our looking at the tissue Auff to
respond? The musicians are in our case the various tissues at issue - and
they will respond to your conveyance Auff and cooperate with you in order
to manifest the perfection that you're trying to produce for the benefit of
the health of the body. Beautifully!

I-269
At the beginning of life the cranium is still trying to develop a structure.
The plates of the Ossa frontalia and parietal bones arise from connective
tissue and are connected with each other membranous. The bones of the
skull base are preformed from cartilage. At birth, there are 11 small pieces
of this arising from cartilage bone: four parts in the occipital bone, three in
Os sphenoid and two each in the temporal bones. This bone portions are
connected by cartilage zones with each other and by the reciprocal tension
membrane with its three sickles and its lower tacking ungspol the sacrum.
Over time, if the Ossifi mature cation centers and grow together, these
eleven different units are in fours: Os sphenoid, occipital bone and the two
temporal bones. Just think of all the fascia, all the connective tissue
elements, which are attached to the skull base and form the framework of
the body. Think well to the rhythmic fluctuation of the cerebrospinal fluid
and the 8 to 12 times per minute stattfi Ndende movement (the structures)
of the center line and the bilateral (structures) in all these developing
tissues. If the base of the skull could develop freely, as would be the
structure function of the body? Then again thinking about the reality: There
is at least minimal, but seriously hufi ger e changes the base of the skull,
caused by Krft e from outside - can prenatally, perinatal, postnatal or later
happen. How then are the patterns of structure and function in baby, child
or adult?
The only joint circuit in the cranium, which operates at birth is, the
connection between the condyles of the occipital bone with the Gelenkfl
surfaces of the atlas. In adults, there is the occipital bone from a bone while
it consists of four parts in the child until the age of seven or nine years: a
basilar which lies anterior to the foramen magnum, the two lateral Partes,
which limit the foramen magnum side and the posterior occipital squama,
which is connected to the cartilaginous Partes lateral. The condyles
converge anteriorly and diverge posteriorly. When the head of the fetus
passes through the pelvis at birth, can the contractions with a compressive
force that is transmitted uid on Amnionfl, drive the condyles in the articular
facets of the atlas, which in this age of single bony contact and a
Fulkrumpunkt , Depending on the direction of the force that can Partes
lateral in their cartilaginous contact with the occipital squama or the Pars
change basilar and produce a structural pattern that a little bit from the
normal
Different pattern of freely functioning skull base. This refl ected then with I271
Vitality.The baby was taken several months for further treatments, and
there were again some areas of skin irritation - but never like the original
pattern. When I think about it now, I remember that develop both the central
nervous system and the skin, from the ectoderm, and both were in this
particular case, aff s.
With a trained Palpationsfhigkeit and knowledge of anatomic

Mechanisms can both shear pattern of the entire body as well as specifi
Found problems in local areas. Some of this is fascial ligament or joint
dysfunction that has been made throughout the body of the child as a result
of his or her activities of daily living. If you can diagnose the proprioceptive
contact and work in the treatment to restore health in the dysfunctional
tissues, this is a one-to-one relationship between the practitioner and the
inherent vitality of the baby or child.
Another case history illustrates this point: A nine-year-old boy had fallen
a year ago and since then limped. On examination I found a ligamentous
joint dysfunction in the left hip area. In the palpatory examination of rhythmic
external and internal rotation to the right hip e showed healthy but on the
side of this dysfunction foreign and internal rotation were limited or inactive.
The ligamentous joint dysfunction has been corrected and joints with a
renewed investigation of alternating internal and external rotation of both
hips this was equal on both sides. This showed that a recovery towards
health in the left hip joint reaches
had been.
The craniosacral mechanism of a baby or child has Reten a number of
specifi c areas where relatively often dysfunctions runs. The membranous
joint dysfunctions that can hufi g temporal in older children fi nd, exist
between the occipital bone and the mastoid (the temporal bone), between
frontal and sphenoid or on Os. In the early years the focus should be on the
membranes. Between the emergence of dysfunction and the proceeds
themselves of symptoms may take weeks or months or years are. So felt a
patient who had suffered as a four year old a blow to the occiput, which this
the petrous temporal and the right part of the tentorium inward compressed,
first as a 24-year-old symptoms. In another patient whose sacrum was
blocked by an experienced aged ten years fall in his involuntary movement,
this was manifested at the age of

Chapter 7
The essence of trauma

Chapter 7-1
Body physiology plus power factors
This article, the original 1959 Yearbook of the Academy of Applied
Osteopathy (now American Academy of Osteopathy) was published,
was entlichung for Verff in this book largely revised.
In today's literature fi nds a lot of discussion about the effects of force on
the body physiology. All traumatic events require that you analyze what is
going to happen to the body physiology and what course of action you must
now apply to the daraufh treat in problems identified. However, it is also
important to see this traumatic experience in a different light - namely to
recognize the role played by traumatic force in their relationship with the
body physiology. To illustrate this point, however, one needs first a clear
picture of the body physiology to be - and that can be extracted at least
partially from an explanation of the term s homeostasis. In the first part of
this article will therefore briefly describe this concept, while it comes to some
of the principles in the second part, which involved
must be to understand the role force in cooperation with the body
physiology.
Homeostasis
In his book Th e Wisdom of the Body Walter B. Cannon perfected the
theory eorie and work of Claude Bernard in relation to the processes of selfregulation in the body and gave the whole thing the name of homeostasis,
what he described as "a tendency towards uniformity or stability in the
normal conditions of the body
Organism "defi ned. The Th eorie homeostasis can with the principles of
AT Stills osteopathischem concept are compared; the similarity is off
Obviously.
Cannon begins with the perception of instability. His goal is to
understand how the body can remain stable at all. Homeostasis is the body
principle, which refers to the automatic stability, the body constantly I-277
only references to the state of the body at the time of sampling. Carrying
out the test a few hours later by, the body has developed a whole new set
of quantitative and qualitative values. The fault lies in the instruments
themselves. In order to be accurate and reliable, an instrument must
necessarily only have limited adaptability and can in this limitation only
cover a small reaction region, while a number of factors that contribute to
this reaction, remain unaffected.
But the problem is not insurmountable. The practitioner who is willing to
learn about the many parts of the body in relation to their position as well
as to their functional aspect, that is the way you work in the integrated body
has taken a big step towards an understanding of this system. He needs
to know

where in this scheme scaffold each part is sitting, and its maximum
Arbeitseffi ciency in his functional status within the framework herausfi ends
by taking the entire physiological functioning of the body as a reference.
And that requires more than just a check of the end products of its
capabilities. So a doctor checked as the passive range of motion of the hip
e not only on the basis of internal and external rotation of the femur relative
to the pelvis. He would also like the body's ability to rotate the hip joint itself
outwards and inwards, so know how it demonstrates the body with its own
self-regulating, reciprocally balanced mechanisms. Exactly what Dr. Still
meant when he understood of anatomy (and physiology) is sprach.47
By developing perceptive skills to the touch should the
Treater this self-regulating mechanisms in the framework of the
biodynamic
Can sense body. He should be capable of the processes that are already
in the body
Work to achieve the maximum baseline of balance, strengthen, to support
them in their recovery, to conduct and control. To do this, he must know
how the body works in a healthy state.
If he understands it in a healthy state, it will detect dysfunction when
47 Note. d. Edit .: Still mentioned the combined expression anatomy and
physiology at 22 places in his four books. Here Becker refers probably to
the following quotation: "This festival is of little interest and good taste for
a man who does not understand the combined beauty of anatomy and
physiology. The sweetness comes with familiarity because of a long and
deep study of that composition and that use of any part of organic life,
which is the invited guest purposed "[From:. Still AT: The great Still
Compendium. 2. A., Volume III: The Philosophy and Mechanical
Principles of Osteopathy, JOLANDOS, 2005, pp III-91].

I-279
Body physiology plus power
The aim of this article is part of it, to unite the factors strength and body
physiology together. The physicist and philosopher Victor F. Lenzen
provides in his book Causality in Natural Science a significant interpretation
of the application of force to a specific body - not as an activity or pure
symbol, but as a characteristic external body in the vicinity of a certain body.
He says that a force from the outside is not just something that happens to
the body, but is one of the environmental factors that work with the body.
The body physiology never rests. The "silence" body is never still. His
inner environment is basically fl uous and constantly on the move. Any
external force is therefore added to a moving mechanism is inside. The
body physiology is a collection of living cells, bathed in moving liquids
whose biodynamic structure is changed when a force comes together (from
the outside) with the body physiology. Cellular systems assume new
functional models, if power added factors. It comes to subjective and
objective symptoms such as movement limitations, pain, neuralgia,
myositis, fibrositis, ligamentous and membranous joint dysfunction and
other disorders. As long as the force are factors since that body physiology
has to compensate for its normal physiological function this growth. The
patient must include factors that force in any arbitrary activity and at every
involuntary activity in its internal milieu with every move that he makes.
Which has been written into the structure and function of its cells, in its
homeostatic mechanism.
My current opinion is that this force factors that are, so to speak driven
into the body physiology, wearing a wavelike motion in the liquid matrix and
each cell. This will in turn recorded by the peripheral nervous system and
this impression in the nervous system is part of the pattern of the CNS. Is
he strong enough, the CNS receives this data, and then reappear in the
commands erent eff in the motor system, enter the trophic system and the
autonomic nervous system. The whole mechanism has a new feature
pattern geschaff s, which corresponds to the body physiology plus power
factors. All this is in addition to the local injuries that had to endure the body
and are usually the only thing that will be treated by a doctor.
Cellular Intelligence is a recognized quality of all biological tissue; and I281
Instead of the diagnostic process to test the stressed area related to
limitations in the functioning and disturbing the patient, the practitioner
should reverse this process. The area is anatomically and physiologically
accommodated as possible in the position in which he feels most
comfortable. Since in the course of most accidents, a force has acted on
the patients in him is then to fi nd, induces the practitioner while he seeks
to focus the maximum effi ciency, a degree of compression - but not so
much that it interferes with the physiological action this tissue, but enough

to work with tissues when you are looking for their new equilibrium baseline.
This is a part of that Tonusqualitt, of which I spoke in the last section. The
whole point is to go to the focus of the most comfortable position, but not
look up to what extent the area is limited, but to read the Tonusqualitt the
maximum effi ciency. Tissues are telling the story.
An example: A woman who had put in a car accident with total loss her
leg under her body was positioned according to their accident history - now
the Tonusqualitt and the physiological function of her injured leg was
almost as good as in the other leg, especially if a moderate compression
was added thereto, which corresponded to the force of sudden
Gestopptwerdens. The same applies to other similar cases. Each sample
shall be considered individually for each patient and for each added force
vector. It is really noticeable how this added power to dissolve factors, if
the injured areas were set precisely in their anatomical and physiological
position. To position it so that the physiological function patterns are
brought to the point where this Sichauflsen and Sichverteilen the force can
stattfi factors, part of the treatment program. The main objective in treating
is that only the basic body physiology remains inherent in the injured areas.
Then Instead a more complete healing
fi nd it and stay little complications zurck.48
Hufi g is the Tonusqualitt the tissue so that it is impossible to obtain
good correction results. This is possible only when the vitality of the
regions has improved. A correction of structural abnormalities may simply
appear
48 Note. d. amerik. Edit .: Not always positioned Dr. Becker his patients
actually, that is by means of normal, clearly visible movements. Instead,
he brought a lot of that power factors alone with his hands, his attention
and smallest movements of his body to the point.
I-283
Case 1: A man in his mid-thirties. He suffered for 18 months to shoulder
pain, a Brachialisneuralgie and repeated acute movement restrictions of the
neck and had the usual for these complaints local dysfunction who were
treated three or four times. Although the treatment did every time some
relief, but a few hours after the problems were there again. Finally came
out that he, just before all these problems began, its 125 kg engine of his
car after repair alone
had again lifted into the body. Thanks to this information we found to be
the main problem, which upheld everything, it was dissolved in two
treatments and he was even years later symptom-free. In his case, the
power of his effort when lifting the sacrum between the two Ossa Ilia had
blocked, namely at the level of S2. However, there was no restriction of the
movement of Ilia in relation to the sacrum to the sacroiliac joints. With the
loss of free movement and the integrated function of the sacrum between

the Ilia were the paraspinal muscles and ligaments, including those that
extend to the shoulder girdle, limited in their built-in function, and when he
used these structures randomly, there was always runs auchendem stress.
By the force was dissolved vector caused by the raising of dysfunction and
the normal Sakrumfunktion be built, there was a resolution of the problem
ed.
Case 2: A twenty year-old woman had a past in one year
Car accident a complicated fracture of the left ankle suffered. Even after
its apparent healing they still suffered during the day at a generalized
Swelling of the left leg, from the foot to the pelvis, at night, however, the
symptoms subsided.
When examining showed ligamentous joint
dysfunctions in the right sacroiliac area and in the hip joint, knee, ankle and
foot, and indeed throughout internal rotation dysfunctions.
Eight
osteopathic treatments with the aim to correct these various dysfunctions,
brought a certain reduction of the pattern and an improvement of symptoms
and swelling, but the necessary satisfactory progress did not show up. In
the ninth treatment told the patient that they have slept at the time of impact
on the backseat. I asked them to take the former position on the treatment
table, and she curled up in the right side position together and produced the
entire pattern of internal rotation for all the in symptom complex aff enes
structures. The car was driven at about 50 km / h of a bridge pier and the
heft impact strength in her leg had a total pathological phyi-285
again as a whole and its various symptoms disappeared in the next two
days also.
Case 5: In a similar case, a boy of fifteen with a had
Motorcycle accident a complicated fracture of the right femur and the
twelfth en
Thoracic vertebra and a severe concussion suffered. While he was in the
hospital, he was treated twice a week to resolve the shock in his tissues
and his body physiology. It took almost a month, until it shocked body
physiology of receive-ready contact of the practitioner gave an indication
that their normal repair mechanisms - now freed from the burden of the
additional force factors - were able again to fulfill their job completely.
Case 6: A 39-year-old man had two years before it came into effect, a
number of each 50-kilo sacks raised while his lower back so damaged that
it was still wrong. Worn down by his constant Eingeschrnktsein the man
was about to leave to stiffen the aff enes area in an operation. His
radiographs showed the following findings: a spondylolisthesis first degree,
a pronounced spondylarthrosis the lumbosacral segments with an almost
complete fusion of the front edges of the fifth en Lumbarwirbelkrpers and
the first sacral segment and a marked degeneration of the intervertebral
disc in the fifth en space, which in itself by a strong contraction this area
showed.
Over the next five months he underwent a total of 28 treatments and after
five months of treatment per month. During this period, there was a
complete resolution of his limitation. He could ride, win a 100-meter race

against his son and draw buckets full of sand from a well on his ranch. After
all this was accomplished, he was sent to another radiologist to follow. The
report of the radiologist was a duplicate of the first findings; Nevertheless,
his symptoms did not occur again in the last six years. Of course, the man
continues to confront all complaints potential of a congenital unstable spine
with degenerative changes in themselves. But be arisen by the Sackslifting main issue additional force factors in his body physiology had after
Ed eyelets these factors thanks to the re-won his normal compensatory
mechanisms Domimanz made a normal functioning space.
I-287
Case B: In this case report is actually about a group of five
Cases, namely about four 20-year-old men and a 55-year-old woman.
Each of them had a car accident. The young people who came to me until
years later, had been unconscious for months after their accidents. The
woman's head was during the accident against the windshield and side
against the
Car inside beaten. All they had suffered serious injuries in an e Gehirnhlft,
all they showed serious e stress symptoms, and all still had a lot of "shock"
all over their bodies, and also in its many areas of dysfunction.
In the initial treatment program it came to physiological
Thus, the stress syndrome and to correct the shock because the
assistance available in more normal areas of the body physiological
functioning then sit down again and get the maximum possible healing
could. Irreversible pathology is not correct, but in this kind of problem you
can do much to bring areas where a reversal is possible to work again.
The following is a letter that Dr. Becker wrote to a colleague on Sept. 4,
1981:
Regarding: body physiology plus power
factors Dear Doctor,
To answer your question, I have read the article again after twenty years.
Although he is too wordy and redundant in many ways, but his basic
message to Th ema body physiology plus power factors applies today as it
was when it was written. However, it is necessary to briefly out
why it was written.
The first part of the article on "homeostasis" can be summed up as the
fact that in the body physiology structure function and functional structure
are interdependent and their own internal processes. Besides there are the
arbitrary mechanisms of the body and the rhythmic involuntary mechanisms
that work to flexion with external rotation and extension to be created en
with internal rotation, in every cell of the body,
from head to toe.
Against this background, I want to emphasize something related to
palpation: I spent ten years at the palpatory skills that one needs at

gelenkmobilisierenden techniques, and my palpatorisches Can enough for


this I-289
Chapter 7-2
X being affected by whiplash
This article has been revised by the Issuer on a larger
scale.
The original was published in 1961 in the yearbook of the Academy of
Applied Osteopathy (now the American Academy of Osteopathy).
The title of this article describes the level of impairment in a
Whiplash: the point of application of force "X" through the whiplash caused.
It is this starting point and some of the resulting consequences for the
patient are explained here. Three of these consequences are particularly
emphasized: the induced whiplash mental and emotional changes that ows
trophic influences within the aff enes tissue and the time factor or chronicity
in the aff enes patients.
The adventitious Krft e
The analysis of a problem caused by whiplash begins at the point of impact.
This impact point are in a friend typically not within the patient's physiology,
but the vehicle traveling the patient at the time of the accident. This force,
which from the point of impact, which hit the vehicle, proceeds will drag the
entire patient affected. His entire body is stopped abruptly, either in its
movement or the direction of its relatively sluggish movement is radically
changed or he is - sitting in a stationary vehicle, on the other ascends - at
a stroke from hibernation set in motion. In any case - whether the body
mass is now brought to inactivity suddenly into motion or movement
suddenly in a relative inactivity - it comes to a pronounced physiological
shock and to a direction of change in the whole body system.
This picture you will still need to add the individual physiological body
parts that come here in active contact with the vehicle. If the rear of the
vehicle made the village s, the contact point is the back of the seat, in which
the patient are in a friend. The relatively free neck and upper shoulder area
is I-291
curved spine mechanism in the thoracic vertebrae area. In every human
being there is scoliotic patterns varied proportions. And it's off Obviously,
that each of these variations becomes responsive throughout an individual
way to a whiplash. The so simple mechanical differences between male
and female bodies can expect a different reaction. Some
Basic patterns, the power to take the sample in the same direction, which
already keeps an aff ene pattern, whereas it may be in other way around.
In a kyphotic pattern like the direction in which the force meets in the
kyphotic area, the direction in which runs the kyphosis, be diametrically

opposed, while a vaulted forward thoracic area is reinforced in its anter


Ioren direction. This simple example can be deepen by means of a detailed
analysis of each type aff enes.
But there are still more to add ever-present factors in these cases,
namely the adaptation mechanisms that accompany in response to earlier
trauma experienced each of our basic physiological pattern. These
compensatory patterns were also exposed to the arc force generated during
the spinning process and must be taken into consideration. It is my
observation that this adjustment patterns are de-compensated as a result
of whiplash, then like sleeping tigers come to life and add their symptoms
on the damage caused by the whiplash symptoms.
Sometimes it takes some use to unravel the various factors that weekly in
patients for months or act for years: Are there direct remnant of whiplash or
are there compensatory dysfunctions that have been awakened and now
must first be reassured about the patient return in a tolerable state? Such
a recalcitrant case requires a precise diagnosis. As long as the body still
acts a certain, arising from whiplash force, this force will be a factor that
would like to aufgeweckten "Tiger" keep awake, and there is a diagnostic
way to evaluate the healing response of the patient by observing how fast
return its adaptation mechanisms back into a state of rest. The
compensations that do not return to this state, show that there is something
that prevents the reversal of the pathology, and this "something" is usually
a residue of the power factor, which acted at the time of injury through the
whiplash on the body , I can say from my personal experience that these
compensatory mechanisms usually back to a more normal physiological
functioning zurckzufi ends when this factor is resolved.
I-293
a lateral impact unilaterally. Such consequences of whiplash injuries are
deep and lasting.
In this situation, the long paraspinal muscles and ligaments, the iliac of
the cristae are rich to the shoulder girdle, limited in their functioning - not
only during the breathing cycle, but also in
voluntary movements of the shoulders and neck. When palpating the
upper area, you can feel that the base in the basin is fi xed and does not
float freely. Every movement that carries out the patient with his shoulders,
arms or the neck, therefore is a work against the resistance of the blocked
Beck mechanism. This may be one reason why the shoulders and neck
remain tense, tired quickly and retain their limitations in such cases.
The sacrum, the anterior longitudinal ligament is connected, which was
further injured up and now a functional limitation clearly bears down to the
sacrum. The dura mater that surrounds the spinal cord hanging freely down
from the upper cervical vertebrae and from the foramen magnum to be then
fixed at the level of the second sacral segment back to heft s. At a loss of
respiratory movement of the sacrum is the spinal and cranial Dura in their
normal

Respiratory movement restricted during inhalation and exhalation. Also


restricted is the filum terminale the pia mater, which in the coccygeal region
tacking his clothes fi nd. There are some limitations for the normal upward
motion of the spinal cord and peripheral nerves associated structures
during inhalation as well as to a limitation of the downward movement
during the
Exhalation. From the physiological disorder of the spinal cord and the
central nervous system resulting in a continuous dysfunction level, which
contributes as a result of whiplash injuries to chronicity and trophic
changes.
The other postural movements of the Ossa Ilia in relation to the sacrum
are not disturbed in general, which is why so-called sacro-iliac dysfunction
related to an injury due to whiplash not often runs reten - only in cases
where compensatory mechanisms were disrupted. Not all problems
caused by whiplash is the sacrum of the key, but in many cases it plays a
very important role, because it maintains the dysfunction syndrome of
whiplash and the compensatory mechanisms.
There is another anatomical detail, which I think it is important for
whiplash. There is a level with the fourth and I-295
Psychological complications
First a quote from World Wide Abstracts of General Medicine, that
illustrates this aspect of the problem:
"The painful consequences of whiplash ... s accompanied by psychological
complications, which are characterized by anxiety, depression, hyperexcitability, and
especially confusion. Patients expect unusually high number of statements, reinsurance,
personal attention and for eundlichen handling. Immediate treatment is of crucial
importance.
In 47 cases examined (23 men and 24 women) the severity of the psychological
symptoms did not correlate with the extent of the injury. In almost all of the accident had
been caused by a foreign vehicle Auff Ahren on the standing or very slow-moving vehicle
of the patient, where this felt very safe at the time. Then came without any warning of
violent> attack "from behind and made a cozy a dangerous and painful e situation.
Most patients say they know nothing about the course of
the collision.
It is believed that this displacement mechanism is set in motion, because
the
Accident has happened too fast. In some people, the ego can not mobilize
the normal defense mechanisms and therefore chooses the more drastic
mechanism of denial. This makes it impossible to edit the importance and
burden the accident emotionally.
It seems as if the ego unconsciously perceives that in order to accept the accident may
have to accept the possibility that the control - head and neck, which were hurt - can be
separated from the body. In this regard, the violation of the neck is unique in
psychological whiplash. Both this unexpected, sudden runs Reten and its unconscious

meaning produce in normally well-integrated and stable people usually greater anxiety
than injuries of body parts.
"From this perspective, the emotional aspects are an important part of whiplash. They
do not depend on the circumstances now and are in no signifi cant relationship with
previous psychiatric disorders. " 53
This succinct report describes the situation very clear and serves to
emphasize some of the already mentioned in this article aspects: the
integers
53 World-Wide Abstracts of General Medicine September 1960th
I-297
trained tactile touch and. by an understanding of the mechanisms at issue
What happens with the venous drainage of all these important nerve
centers? What happens with the venous drainage of the eye sockets? The
motility of the nervous system usually has its own rhythm. With a terminal
filum and the pia mater, which are limited in the sacro-coccygeal region, but
there are further functional limitations within the central nervous system.
Is it any wonder that these patients are anxious, have depression, appear
hyperexcitable and distraught? Some may tell you that they feel that their
eyes would be drawn out of the eye sockets or pressed into it. Is
considering a blocked dural membrane and an insufficient
not easy to understand the venous drainage, why?
Another such limitation is the disturbance of the normal fluctuation
pattern of cerebrospinal fluid - a serious pathological process leading to
dysfunction and as serious as the venous stasis.
Those fl uktuierende liquid controls namely the exchange process between
the
Central nervous system, the arterial and venous system an important
Nutrition factor in helping therefore, if you allow her to fulfill her job turnover
within the craniosacral mechanism in the normalization of the patient. A
trained touch can learn how to recognize deviations from normal fluctuation
pattern and the Tonusqualitt the dural membrane and corrects for
whiplash always runs retenden membranous joint dysfunctions.
Yes, psychological factors play a major role in whiplash. They are effects
of physical factors - factors so that contribute reversed to maintain the
psychological consequences. Diagnosing and treating the physical factors
brings hufi g a major breakthrough in solving not only the psychological
impact, but also the pathological physiology. In my personal experience,
these symptoms disappear quickly when the normal physiological motility
of the central nervous system, the normal mobility of the surrounding
membranes as well as the fluctuation of the cerebrospinal fluid is restored.
I-299
this juice pump back into the cycle. We therefore depend primarily on the
Tonusqualitt the fascial pump and the muscular activity of the body, to
return the fluids through the veins and lymphatic vessels. If these pumps

weakened, we have a chronic congestion - minimal in extent, but lasting


effect than dysfunction.
Trophic disorders manifest themselves in many ways, partly depending
on the various forms of aff enes body types, from the length of the period in
which these "septum cleaners" were affected by the increase sensations
photosensitivity of special, protected by the fascia and nourished tissue and
by the presence or absence of other diseases or traumatic conditions. The
degree of restriction may vary, but you can feel that there is both a general
and a specifi cal problem. That's right, every disease and every traumatic
conditions include trophic changes, but hufi g there in whiplash first minor
changes whose effects accumulate during the following days, weeks,
months and years, until the results with the words of Dr. can be expressed
Still:
"Cause and effect are made continually. The cause may in some cases at the
beginning not be as large as in other, but time enhances the effect to the effect extends
beyond the cause and it ends in death. Death is the end or the sum of all effects.
I expect the reader is that he carefully the difference and the progressive change in the
effect as an additional element which engages in the debate and the effect can come
increasingly important, notes. " 55
In this way, trophic changes and their consequences in any cellular
system, organ system, or the musculoskeletal system of the body can
manifest in our whiplash patients because the patient has been exposed to
an overall pattern of potential restriction. The pattern is localized in the
course of time in specific regions and keeps specifi c symptoms upright; but
both, both the specifi c and as well as the "silent" regions are en aff.
The positive side of this image is that these trophic changes a
55 AT Still: The great Still Compendium . 2. A., Volume I: autobiography ,
JOLANDOS, 2005 S. I-95.
I-301
I have learned to feel the function or dysfunction of the anatomicalphysiological mechanisms of these patients, not only the degree of mobility
or immobility of the dysfunctional regions. Each structure in the body is
subject to during the respiratory cycle of a rhythmic change. All midline
structures move during inhalation in flexion and in extension during
exhalation. Also make all bilateral structures external rotation during
inhalation, and internal rotation during exhalation. The movement is
minimal, with the touch but noticeable if you look at trained to feel the
function of the tissue. Limitations of these factors help in the diagnosis. A
generalized restriction means that the whole person from a total dysfunction
in varying degrees is aff s. Localized dysfunction means that specifi c details
have to be examined in order to explain the restriction.
The term chronicity has hufi g a negative meaning when it is used to
describe a patient. When I use this term, I refer only to the period in which
the patient is already burdened with the whiplash. These patients are not

just "chronic pain patients"; they have never been and there will never be.
Your limitations are effects that can be diagnosed and treated; and thanks
to the potential reversibility of the pathology occurs in a large percentage of
patients to a considerable extent to a recovery towards more normal
function. This automatically brings out the negative classifi cation as a
"chronic psychosomatic" I say this because I too was often very surprised
when it came to the patient well again. and of course the patient was
relieved when he discovered that he was recovering from long-lasting
symptoms.
I also had my failures, primarily due to lack of diagnostic skills, but even
if I had too little time for the necessary corrective changes. It takes time to
crank the engine in some of these long-lasting static Faszienpumpen; But
if they will finally come to life, the recovery to a new level of health is
irrefutable.
I-303
TER for this one individual that should be evaluated by the practitioner to
determine the baseline of health for the purpose of diagnosis and treatment.
The health that have a man or a woman in her sixties, is off Obviously
different from that of a man or a woman in her twenties. The physical
characteristics of a body which is long and slender, are different from those
of a short and stocky body. The impact of past illnesses and injuries that
have occurred during a life, of which the patient recovered well and he has
well compensated, are all a part of the overall pattern of health for this
individual. All of these factors belong to the findings of the baseline.
Let us now consider the various body systems in detail: The connective
tissue system is a framework of multiple layers, ribbons and
feinstgestalteten mechanisms by millions and trillions rooms where sit the
working cells of the body. It is a living system that has a Tonusqualitt,
health or ill health expresses so that the palpating hands of the examining
practitioner they can detect. In connective tissue, the system of muscles
and bones sitting.
The skeletal system is comparable to a vibrant, finely-designed Mobile.
These include the shapes and contours of the individual bones of the foot
as well as the 22 bones that make up the cranial mechanism. Each bone is
articulated with its neighboring bone or several bones, so that the entire
skeletal system, extremely eff does its job during the time spent by the
person on earth ectively. Throughout the entire life are all in motion, from
head to toe. The body muscular systems, together with the connective
tissue fascia that she with the skeletal system
connect a scaffold that serves the coordinated movement of the individual.
There are other muscular systems in the body, which serve to maintain the
internal functioning of life: the cardiovascular, the kostorespiratorische,
gastro intestinal and urogenital system. These systems of muscles and
bones have a vibrant Tonusqualitt that is felt for the diagnostic and
therapeutic hands of the practitioner, and can be evaluated as part of the

baseline of the health of the individual. There are many other soft tissue
systems in the body; This includes all viscera. The central, peripheral and
autonomic nervous system are also counted to the soft tissues. They form
a vast communications network that serves the functional processes
throughout the body.
I-305
Flexionskurve above and below the range of abgefl eighth place. The
junction regions of the various scoliotic voltage patterns are particularly
empfi ndlich regarding whiplash-related disorders.
With regard to the physiological dynamic structure and function in their
functional relationships are mutually interchangeable. We have already
briefly discussed the structural aspects. The physiological function of the
human body can be roughly divided into two main categories. One is the
arbitrary use of the body in its everyday activities. If you're healthy, you use
all body resources for the most part unaware of the diverse activities of daily
living, started when you get up in the morning, then goes to work, play and
then go to bed to sleep through the night, so that one of is the next day
ready. The musculoskeletal system, the digestive system, the respiratory
system, the cardiovascular system and all other systems do their work
easily and professionally.
There is another function complex, the friend stattfi in the body. Again,
this is for the overall health of the people is of fundamental importance. It is
the primary respiratory mechanism, which can be divided into five parts: the
inherent motility of the brain and spinal cord, the fluctuation of the
cerebrospinal fluid Cerebrospinal, the mobility of intracranial and intraspinal
membranes articulated mobility of the cranial bones and the involuntary
mobility of Os sacrum between the ilia Ossa. All these five units work
together in a harmonious, rhythmic patterns of the overall function; they are
inseparable in their inherent functional capacity that allows them to function
throughout the body physiology, from head to toe. This simple, rhythmic
motion (alternating flexion / external rotation and extension / internal
rotation) fi nd place in the whole body mechanisms, no matter what other
patterns show at a structural analysis: the scoliotic curves, the different
types of physique and all other data.
It's a small movement that is not easy to notice when the practitioner has
not yet trained its Palpationsfhigkeit. But it's there and you can
fi nd when the practitioner down on his sense of touch to their level of
functioning. Its importance lies on the one hand in the fact that it is part of
the normal physiology, and secondly that this rhythmic motion helps to
maintain the normal health of the individual. So this is the individual who
will be now exposed to a disease caused by a whiplash sprain.
I-307
gen content of all body cells, this power exposed. This reduces the chronic
Eff ectiveness of all structures, which are surrounded by the fascia. Since

the fascia virtually envelop all somatic structures in the body, this may be a
factor contributing to the fact that a complete recovery can not stattfi ends.
In many cases, but the whiplash-energy releases during or shortly after
the accident entirely, and only acute, traumatic injuries and decompensated
physiological body mechanisms will need a treatment to restore health.
However, there is also a certain percentage of cases where it does not
dissolve, and is an additional factor in the physiological function of the body
of the model of health of the patient. You will then become a part of the
body physiology, with which the patient must deal when his body strives to
heal.
In patients, the presence of this unidirectionally acting force field to fi nd,
is more difficult the longer ago the accident. In some cases, however, even
I could find another 35 years after the car accident. One must not
necessarily fi nd, but you have to understand that it may be present in the
functional processes of the fascial body physiology necessarily. His
presence is a medical condition, which can be observed by means of
palpation, and it contributes to persistent fascial dysfunctions.
Technology for detecting an unresolved whiplash-energy
field:
A patient who has been exposed to a frontal impact in an accident, you
can take the supine position on the treatment table. The practitioner seated
at the head and lets his hands slide under the torso of the patient to make
contact there. The patient's weight is sufficient to secure a good contact
with the hands of the practitioner. The hands are not lazily under the patient.
The practitioner projected his sense of touch through his hands in order to
get an overall impression of the whole body. Then
he tempted to feel specifi cally oraxwand to front Th. While continuing
projected his sense of touch, the practitioner should close his eyes and the
Feel vector presence or absence of a unidirectional directed force, which
runs through the whole body anteriorly. To close your eyes, is not absolutely
necessary, but may increase the sense of such a phenomenon. If there is
such a force vector is, it will make about one minute noticeable in the body
physiology of the patient, and indeed towards the ceiling.
I-309
Rotation of the head at the time of the accident occurs
Torsionsauswirkungen, wherein on one side of major injuries may arise as
to the other. The Aa. vertebrales may be aff s. Frontale Auff ahrunflle
produce a Krft owned hypersurface ection of the neck and spine; Again,
perhaps many anterior and posterior structures are injured. An impact from
the side often creates a complex exercise and injury patterns.
While the car accident, there are the added factor of a unidirectional field
directed force, in which the moment of inertia of hundreds of kilos of mass
to move through the body physiology towards the point of impact. These
vectors in force field do not follow the normal planes of movement of the
ligamentous joint mechanisms of midline structures in the body physiology

(flexion, extension, and rotation with Sidebending). Through their


momentum they interrupt the movement planes of midline structures at
angles that are opposite to the normal movement. Therefore, fi nd the
hypersurface ection, the hyperextension and Hypersidebending rotation in
the body physiology to a strong resistance instead. The accident triggered
by power factors towards collision point set of the entire mechanism of the
fascia and connective tissue and ligamentous joint mechanisms of the
whole body physiology nonphysiological Krft s.
The effects of a car accident on the body physiology begin with a shock
for the whole cellular physiology of the body, from the feet up to head high.
Whether it is a major or minor accident: Generally, the patient gets out of
his car when he can, and claims he is not injured. The shock wave is quickly
hindurchpassiert through his body physiology to pathology to be created en
that he will feel later; At first he felt a numbness of sensation in the central
nervous system communication. This shock can be after a few hours
gradually, and its pathology can be expressed in the form of symptoms. It
can take days until the tissue shock finally dissolves. I've even seen cases
where a tissue shock was still present three months after the accident.
Brain injuries by direct impacts to the head are hufi g. If the
Car hit from behind, it also comes to a Krft strength hyperextension of the
neck, which brings to the base of the skull because of all the muscles and
ligaments, the tacking mechanism at the base of the cranial en, a sudden
train with him. An injury of the brain and brainstem may also result from
pressure differences to be caused by a pressure build-up or in Scherkrft s
I-311
these physiological ability be restricted. The aff enes segments, unable to
exercise at a relatively fi xed Fulkren their natural functions, to the strained
ligaments have healed. This loss of automatic adaptation as
Fulkrummechanismus is even more serious when it comes to the
membranous hinge mechanisms, with the consequent disturbance of
venous drainage and the fluctuation of the cerebrospinal fluid.
This booklet strength movements of the body, and the Krft e, where it is
exposed to, de-creating the potential for microtrauma in all Krperfaszien,
the seated in the fascia somatic cellular elements equally aff s are such as
those with the fascia their fl uid content are wrapped. This microtrauma
cause tiny fascial fibrosis pattern and leave in the fascial planes tubular
areas of increased tension back that affect the future function of the somatic
structures within this fascia: muscles, nerves, blood supply to tissues and
their venous and lymphatic drainage. This leads to a disruption of
homeostatic mechanisms compensated and develop scoliotic voltage
patterns of the
Areas of the skull base extend beyond the spine up to the sacrum and
become focal points of Facilitation in the decompensated body physiology.
It comes to the collapse of restriction patterns that the patient had before,
and he could yet compensate sufficiently.
I call such a disorder "more alert Tiger."

In this context, "describe Tiger" old injuries, illnesses old and old patterns
of a physiological disorder have been compensated by the people. Patients
have many months or years felt good and had no serious problems with
these s problems that can again come to life, however, if the person has
had a car accident.
Hufi g is then the patient who comes to you complain - not about the
Fact that he had a car accident, but that this created many years ago and
so far held control problem now again making trouble. He has tried it as
before with the same treatment, but this time the problem is not to. If you
then raises his history, you will find that he had a car accident - a few weeks,
a few months or sometimes even a year before it came again woken Tiger
to annoy him. Not with a lively Tiger is the problem: the whiplash, with all its
consequences on the primary respiratory mechanism, this tiger disturbed,
and is now back to life, tearing around in this patient and the I-313
express in a full physiological movement restricted. When it comes to
membranous joint dysfunction in the cranial mechanism, the fluctuation of
the cerebrospinal fluid may be disturbed. This in turn prevents adequate
transmutation of nerves in the central nervous vitality
vous system, a major factor that is necessary for the healing of the injured
in whiplash nervous. The drainage from the brain venous ladders in the
skull becomes more difficult - another factor that contributes to a disease of
the central nervous system.
The cranial dysfunction in case of whiplash include membranous
restrictions of Sutherland Fulkrums and the inner membranous lining of the
skull cup, unilateral or bilateral dysfunctions between occiput and atlas,
dysfunctions of the temporal bone, modifi ed forms a okzipitomastoidalen
dysfunction etc. disorders of the fluctuation of CSF accompany
dysfunctions of the primary respiratory mechanism always; so they are
always present in such cases.
These modifi ed form a okzipitomastoidalen dysfunction is an interesting
point. Here it is not, as usual, produced by a blow to the occiput, which
drives this inward, but. By the sudden train of whiplash-force acting as the
suction cup of a Klempnerpmpels about the deep cervical fascia on the
basilar part of the occiput Your debilitating clinical result may or may not be
as large as in the conventional okzipitomastoidalen dysfunction - but this
depends on the specifi c effect on the brain venous director and the
tentorium in the cranium from.
One limitation of their normal mobility experiences hufi g the reciprocal
tension membrane. This includes the dura lining the skull inside the falx,
the tentorium and spinal dura that envelops the spinal cord and spinal
nerves accompanies each when he leaves the spinal canal through the
intervertebral foramen. As the Sutherland fulcrum is restricted in its entire
normal operating pattern, and the two hlft en the tentorium each at the
Margo sup. petrous have been et heft, this dysfunction can affect each of
the nine cranial nerve, the temporal near the Os by

Run Dura. This in turn may lead to many bizarre symptom pictures. Even
the "sleeves" of dura that envelops each spinal nerve, can exert a restrictive
infl uence, as the restriction of the dura, which triggers a trigeminal
neuralgia in the cranium. The dynamics of this mechanism is that the for
normal metabolism in the nerve function is so important I-315
Extremities are now working against the resistance of a fi xed base in the
basin. Pathological stress in these areas will maintain in his sick, little effi
cient state and the wedged sacrum, with its loss of involuntary flexion and
extension movement, is a major factor in the collapse of the compensatory
homeostatic mechanisms and decompensation of scoliotic voltage pattern.
Since the sacrum forcibly yanked out of its place in the basin as well as
forcibly reset again was in a combined ligamentres and membranous
dysfunction patterns, it immediately loses its ability to act as an
automatically changing to, free-floating fulcrum. The sacrum is now xed at
the level of the second sacral segment in position in the tank fi; the larger
L-shaped portions of the sacroiliac joint are usually not so very aff s. The
upper thoracic vertebrae and the cervical vertebrae areas have lost a
floating fulcrum that existed about 45 to 60 cm from the sacrum. You must
compensate for this loss by they behave more like a whip. Ligaments and
other tissues that are already stressed out because they still need to heal
are now forced to work even harder to maintain the dynamic function of the
spine.
In order to illustrate the whole, it can be the comparison between a
Tree and stuck in the ground staff use: The tree can yield from wind and
shows no stress because its roots provide him sufficient compensation
capabilities. The driven into the ground rod may indeed turn forward or
backward, but its resistance is much higher due to buried into the ground
portion; he does not have the same elasticity as the root of a tree structure.
Just making a fi by whiplash xiertes sacrum every movement of the thoracic
or cervical resistance.
Normally, the sacrum moves between the Ossa Ilia involuntarily in flexion
and extension (in the expansion phase of the cranial base, the base of the
sacrum sinks to the bottom and moves anteriorly, while the caudal end
moves posteriorly, in the flexion movement is reversed ). A free sacral
mechanism allows for operation of the trunk and the cervical spine.
However, if the sacral mechanism is restricted in his freedom to move and
work with the Ossa Ilia as a unit, it becomes a fi xed fulcrum that creates a
resistance to the free movement in the trunk and cervical spine. A
restoration of function and mobility of the sacrum is necessary for virtually
all car accidents.
I-317
lenbereichen can feel. If the practitioner with gentle hand he holds these
areas to receive diagnostic information, he will have a feeling as if he were
sitting at the end of a lever which moves with the quiet pattern of
physiological function and the patient's breathing. It feels as if this

movement work from a fi xed base in the basin, which is indeed the case.
Usually when so suspended the Beck mechanism free, conveys a
movement in the cervical and thoracic vertebrae areas not that leverage
end-feeling; you only feel the movement of the local feature in the neck and
Th ORAX. You sensed as a lever-like motion in the neck and chest areas,
you should check the pool on a possibly impacted sacral mechanism
towards.
Treatment in the event of chronic whiplash
The key word for a therapeutic approach is: physiological function. This
applies both for the diagnosis and for the treatment, for all treatment
programs are continuously monitored diagnostic analyzes, of the first to the
last treatment. You need the diagnosis to determine how the pattern of
health in the normal physiological function of the patient is or should be; you
need a diagnosis to determine the pathological anatomical physiological
function, as it is the first office visit or subsequent visits; and you need a
diagnosis to determine the effi ciency of a treatment program in the case of
course, to know when the physiological function of the patient has returned
to health. The treatment of chronic whiplash cases is very complex,
because the physiological function is disturbed in so many different
patterns. You have to consider in diagnosing and treating a lot of the
individual patterns that show up in every case adapt, in these cases.
Sometimes it is in a chronic case difficult to realize that it is based on a
whiplash because the possible restriction patterns are the whole person
subject s and has become over the years a subtle Dysfunktionieren, and
because the focus of individual complaints, any system or may involve a
combination of systems in the body. Mostly the patient brings his current
symptoms are not related to his old, hufi g already forgotten whiplash
experience.
I-319
Mechanism. The sacrum was completely xed between the two Ossa Ilia fi;
it could not move independently of the Ossa Ilia itself, whether forward,
backward, up, down, or otherwise. The normal rocking motion was not
passed on from the pool by the muscles and ligaments. There was simply
no movement - it was blocked. All aff enes muscles were about to dry up -.
"Dried up fields"
We started once a week with a treatment in which only my
Put his hands under his sacrum and worked on this by trying to accept
everything that was found in the entire mechanism - whatever it might be, if
it would have on this sacrum any infl uence, we wanted it to happen. I
compressed the already compressed in sacrum strong enough that it
noticed my presence, and called for it to thus to wake up. For a while
nothing happened. Three months later, I suddenly realized that the sacrum
anfi ng, like a very hard piece of wood instead of behaving like a stone. After

another three months, I felt as if something was moving in this sacrum.


Finally, after nine months, the patient came to treatment and its sacrum was
really alive - it worked like an involuntary mechanism. At some point this
week since the last treatment, had Enbar off the effects of all treatments of
the past nine months
combines, the sacrum to life and began to function IG fully Krft. Now I
could discharge the patient, because the only purpose of the treatment was
fulfilled.
Five years later, the man and the Tonusqualitt and everything else came
back orakalbereich the top theory was completely normal - no longer felt
like glass, It was in perfect condition. Sometimes I see him in company
union events, and he is now, 20 years after treatment, as strong and healthy
as you can be. If he had that, he would have continued to this blocked
sacrum? I do not think so.
There are really hundreds of patients with pain in the neck and upper
Back to come and have forgotten that she had a car accident. When the
Treater looking for it, it will ends the physical indication of the effects of
whiplash fi. Cases that respond very slowly to the usual treatment, you
should re-examine this premise.
The first goal of the therapist is to determine how health for the patient
looks. His second goal is a corrective change in I-321
act they not do for the time being - by complaining that they have to work
now. The next time the patient visits you will then find that they have
completed a correction and change.
In very few cases, patients stay with you until you had the normal
functioning pattern that they Reten before the proceeds of whiplash injury,
can fully recover; but virtually all can be a well-balanced, compensated,
asymptomatic state return, allowing them proper functioning in everyday
life. Irreversible pathological areas can not be recovered, but do not be
hasty in your decision as to whether an issue is irreversible or not. If you
stay tuned correctly, you will be surprised you about the results.
Your goal is to look into the subject patient the valid health and for him to
bring them back into an active, physiological function. Can nd the abnormal
function fi anyone, even the patient. It hurts him! I've been using specifi c
physiological Krft e in patients by I latent, dormant or quiescent
physiological energies transmuted into him in active or kinetic physiological
energies that bring the body in the truest sense of the word to be treated at
each office visit itself. I plan physiologically what is appropriate in each
treatment, and let the patient's body physiologically participate to his own
treatment program to be created en. If your patients treated thinks to, deal
with the ever-changing patterns that show up you can, on the physiological
function. Then you will each patient have proven an osteopathic service,
which has a healing effect.

The treatment of chronic whiplash I would now like to explain using the
following four steps:
1.
Deriving brought in with whiplash, unidirectionally-oriented,
non-physiological energy fields throughout the body physiology of
the patient.
2.
Restoring involuntary flexion and extension mobility of the
sacrum between the ilia Ossa and solving a fascial train down in the
pelvis.
3.
Correct specifi ligamentous joint dysfunctions associated with
the car accident.
4.
Reconstructing and returning a compensatory scoliotic
myofascial tension function in an "Easy" -Normalitt for the
individual.
I-323
force for the solution used. From its below the sacrum hand the practitioner
projects his sense of touch towards a balance point, comparable to that
used in the technique for deriving the whiplash-energy fields. In other
words: The practitioner seeks to transform the in his hand lying motionless
in a sacrum sacrum that can go along with the flexion-extension cycle of
moving feet. Its like a bridge over the ASIS of the Ossa Ilia set free arm he
can cooperate by gentle pressure on both spines strengthened in order to
both meet Ilia front and NEN back ff and so give the sacrum space to
resolve its blockage by him. The dentist may also involve the help of the
patient by letting breathe this deep while moving his feet and asked how
the practitioner ensures its point of balance. Let him hold his breath as long
as he can, and then exhale. This can be repeated two to three times him.
This rhythmic Dorsifl ection and extension of the feet and the ff nen of
Beck shell by the dentist will continue until the therapist feels that the pelvic
girdle begins to dissolve as far as ag in this Behandlungst is possible. It
must be achieved no complete solution. The time required for this technique
should not exceed five minutes per treatment. The body physiology will visit
until the next practice and during the follow-up treatment to the problem
work until then its complete dissolution can ends stattfi and friend also
stattfi.
Here is the key to greater susceptibility in the touch of the practitioner in
diagnosis and treatment that he projected his sense of touch of his below
the sacrum hand to the forearm-hand contacts to the SIAS and vice versa
from there on exploiting under the sacrum RURAL hand. In this way he gets
the widest possible understanding of what is happening in the pelvic ring,
while the patient cooperates by moving his feet and / or holding his breath.
To correct the dysfunction diagnosed heard the attentive Mitbedenken all
participating in the infringement proceedings the ligamentous and
membranous joints factors. The correction should be extremely gentle: Man
trying to allow the inner physiological processes show their own infallible

Krft e to solve the dysfunction, while the hand the process only directs and
analyzed under the sacrum. Th rusting and other techniques that use force
are to be stapled strength for this kind of problem. Many of these I-325
the spine areas that had direct contact with specifi c vehicle parts to
ligamentous joint dysfunctions manifest as a result of rapid, spin like
movements of the head and the cervical spine in the loading
movement patterns during the first accident moments.
The practitioner can use any osteopathic technique he mastered well in
order to diagnose this specifi c ligamentous joint dysfunctions and treat. He
should keep in mind the following points: These dysfunctions can in the
cranium, in the entire spine Reten runs up to the sacrum, at the
Ribs and in the extremities. They are caused by trauma and when they
Production was a lot of energy. Therefore, they are of organic and
importance have not only functional character. che the layers transverse
to the height of the dysfunctional region throughout the entire body fascial
surface are above as well as the deeper fascial aff en levels and below the
dysfunction.
In my clinical experience, is achieved by applying dissipative
Techniques to facilitate general myofascial dysfunctions or the liberation
of a wedged sacrum (in cases where you are dealing with one of these
two problems or both) a lot and also promotes the
Ed eyes soft tissue dysfunctions that can include to the specifi c dysfunction
pathology. I use such techniques always in front of a specifi c correction of
each dysfunction. In osteopathic techniques, which you can then apply for
the correction of those specifi dysfunctions, you should be aware of how
extensive the tissue involved, and not just concentrate on mobilizing a
specifi c Gelenkfl che. Attempts at applying the technique to feel how the
correction takes place both across the entire soft tissue as well as in all its
facets.
4. Recovery of compensatory myofascial scoliotic voltage function in an
"Easy" -Normalitt for the individual. The microtrauma in the fascial planes
of the whole body and the production of a specifi c dysfunction pathology
have contributed to the well-compensated scoliotic function between the
sphenobasilar synchondrosis top and the sacrum has collapsed below. In
chronic cases of whiplash decompensation this is not mentioned in the
complaints catalog of patients, however, the practitioner will ends in his
investigation fi when he carefully diagnosed by palpation. A wellcompensated scoliosis is part of normal

Chapter 8 Clinical Considerations

Chapter 8-1
Approach to clinical problems
Summary of a text in January 1958th
Before one begins to discuss a clinical Th ema, it is my opinion advisable,
it initially recorded an overall picture before it disappears behind too many
details. The Cranial concept is part of a broader concept - namely the
osteopathic concept as Dr. Andrew Taylor Still had imagined it. Dr. William
G. Sutherland insisted that his work to belong to, which had been started
by Dr. Still. It should never be anything of the general science of osteopathy
Separate.
From Dr. Sutherland all correspondence en his comprehensive
understanding of the cranial concept and of its relationship to osteopathy in
general can be seen. And you can from them even draw more conclusions:
His concept was in its construction holistically, and his tools were firstly the
craniosacral, anatomic-physiologic mechanisms with their ability to function
by itself, and their inherent living quality and to other talent of the
practitioner, these
Mechanisms to elicit knowledge to diagnose and treat can. This type of
thought building requires at least some degree of insight into his totality
before you can remove any parts of it out of context and defi ne or discuss.
The same applies to the writings of Dr. Still.
If one thinks in terms of Dr. Still and Dr. Sutherland, it is important to
Always look people holistically. The physiological processes that represent
normality, and mean the dysfunctions in the processes that disease, are
only one part of the picture. One should always see these items as
something to an overall pattern belonging and classify their place on this
basis. Dr. Still and Dr. Sutherland wrote their works with this holistic
approach in mind. They did not separate the person from their physiological
or disease-related processes. When working with a physiological or
disease-related process they studied, they always kept the whole person
Forefront of your mind. Reference point for their thinking was the man in
his I-331
Chapter 8-2
Clinical observations
Revised copy of a lecture given in 1976 during a basic course of the
Sutherland Cranial Teaching Foundation in Milwaukee, Wisconsin.
I would like to talk about a few things that I have observed in my practice.
Hypertension: Interestingly, it can be established in most cases, soberly
hypertension that the tentorium cerebellum down and seems to be forced
apart. It is relatively fl at and would not be high arch. I have treated a
number of such cases. Such a reciprocal tension membrane must be
trained again to function normally. This is slowly made over time - because,
how many years did it take to develop these essential hypertension? One

can this reciprocal tension membrane but teach slowly, her job is
hochzuwlben rhythmically to get right again, and the essential
hypertension can then control with fewer drugs than usual.
Dyslexia: From time to time you will on children with dyslexia taken en.
Often the parents bring the child because of other complaints to you and
not because it is dyslexic. By the way, they tell then, that it suffers from
dyslexia. You can then complete the treatment in order to help them.
Virtually all children with dyslexia the clinical findings is an intraosseous
dysfunction of the temporal bone, the petrous is turned into a kind of internal
rotation dysfunction while the squama is more or less the way it should be.
When one examines these children, the Os temporale feels almost as if it
had some sort okzipitomastoidale dysfunction, with a traumatic stress in this
tentorium that says that something is wrong here. But it is a intraosseous
dysfunction, usually the right temporal bone, sometimes the left, depending
on the child. With the help of forming Techniken56 and by the Tide of
cerebrospinal fluid down directs the joints of the petrous to the
Occipitomastoid suture and to connect to the squama, be able to
Change things. Gradually - only once a week, then every 14 days, then
56 Original: Molding Techniques

I-333
to be alive and to feel good, but it needs as we said six months to one year
of treatment per week to get the results that you want. This treatment is a
complement to their medical setting or other things that you want to do.
Brachialisneuropathie with blocked sacrum: As I have mentioned on
other occasions, one should make sure to whiplash that the sacrum float
freely along with the rest of the mechanism. I want to emphasize again
here therefore, because the sacrum not normally makes attention through
complaints. Almost always have to look for it. Patients are not saying that
it hurts them down there, but they have pain above.
The following case, in which the cause, however, was no whiplash,
illustrates this: A young man had on both sides for 15 months a
Brachialisneuropathie. When I touched his neck and his shoulders,
herauszufi correspondent to why he had a Brachialisneuropathie, I felt like
I was at the other end of a lever; because no matter what I, as I sat quietly,
at this end did: I was moved around. Now, when I'm at the end of a lever
which moves, then it must give off somewhere Obviously a Fulkrumpunkt,
which is relatively quiet. So I went to the sacrum, to investigate it, and yes,
it was in his respiratory function completely blocked. When I questioned
him further, I found out the reason. The guy loved his sports car. However,
he weighed only 75 kilos - and when he lifted his engine one day to return
him to the car, he blocked his sacrum.
The first two times, when he came into practice, I tried ends herauszufi
what was going on. The third time, I found the sacrum and solved it. The
fourth time the sacrum was free, and the fifth en time there was no more
Brachialisneuropathie. Point. So that was the end of this case. Since his
sacrum fi xed and was blocked, he had the top of the shoulder girdle do
everything against resistance. Your pool should give actually, if you move
your arms. Due to the loss of this micro-movement he had every time he
moved, move both: the Ossa ilia and sacrum, and his nerves. Brachiales
were in continuous voltage. When triggered the sacrum and could move
freely now, the tension disappeared in the brachial fascia to the plexus. The same situation obtains incidentally also a chronic whiplash upright.
Compression of the skullcap: It is possible to get a massive, traumatic
Incurring compression of the entire cranium, when in the Schdeli-335
so is. Then, when you worked with him, her revitalized that energy field
that its vitality is such that it moves back toward the normal 110 volts.
You can also leave the superfl uid energy ABFL ow if it is a burden for
the patient. Here's a practical example: A man came to treat in my practice
and I could feel that his mechanism basically had 110 volts. It was a
relatively normal mechanism in many ways, but one had the feeling that he
somehow hovered at 110 volts, so it was an undecided mechanism which
said, "I would love to work, but I'm not so sure it is in this moment is a good
idea "When I treated him -. I do not remember exactly how, probably with a
CV4 technique - I was in contact with the fluid drive and the reciprocal

tension membrane. And suddenly took place in a change or a change, and


the man began to cry.
Then he told me that in his newly inaugurated pool the child of the neighbor
had drowned. So he had a total shock and a completely blocked
mechanism. The treatment he could drain their emotional load and start
again to work. The energy that had blocked him, went back there, whence
they had come. We do not care,
where energy comes from, but we know that the mechanism can respond
to them and build either or scatter, as it is needed. It takes a certain amount
of caution and care when dealing with such emotional dysfunctions in
patients.
So you can read the patterns in people. In patients who you already a
While've treated you encounter when trying to see the pattern that you
usually fi nd, perhaps on small areas that are overweight or have too little
in them - either need a drainage or recharging. So you have many
applications for what you have learned this week - a lot more than you're
thinking.
The timing of dysfunction determine: You can learn to feel how long a
problem already exists. People ask me: "How do you know that this person
has the problem for ten years," It's nothing fancy?. If I an old, chronic
ligamentous or membranous joint dysfunction fi nd, I ask the patient: "When
you had an accident in this area," he answers perhaps:. "Ten years ago,"
Then I know: this is a dysfunction feels, is ten years old. It is easy. And if
one makes repeatedly, one begins to recognize what that feels like a tenyear-old dysfunction.
Complicated it unnecessarily.
I-337
only a bony connection to mobilize and bring into motion. The entire area
is characterized by the dysfunction aff s. If you have a dysfunction pattern,
it is to normalize the target of diagnosis and treatment, the function of this
region, so that everything runs as it corresponds to the physiological needs
of this patient.
I have given this brief explanation, because the discussion of your two
next two questions on certain cardiac and urological pathologies a
perspective requires that includes more than just the bony connections that
are described in a typical osteopathic dysfunction. We are dealing with the
functioning of the institutions, and we must therefore think from the
standpoint of a functioning anatomy and physiology of - as it applies to this
organ - and its ability to be sick, just consider how its ability to become
healthy again.
The Heart
If we are dealing with a pathology of the heart - a heart attack, coronary
artery disease or a Herzinsuffi ciency - we must think of the innervation,

blood supply and function of the entire cardiac mechanism, as he lives in a


functioning chest and breathes , The heart area is riding on the curvature
of the diaphragm and is rocked with its movement up and down. Its basic
innervation comes from the vegetative plexi in the upper dorsal region.
These are the ribs and head are part of the sympathetic trunk. They
branch out into branches to the neck region and the cardiac ganglion and
climb from there to the heart from - that's the sympathetic innervation. The
parasympathetic nerve supply comes with the vagus nerve from the brain
stem through the foramen magnum. If we want to do something for these
patients, we must think of the normal anatomy and physiology, which helps
to control the operation of this mechanism heart. That is, very briefly
describes the anatomy and physiology of the central control mechanism of
heart.
I treat a young pediatrician because of his lumbago, and I let out the tape,
you sent it to me. He was very interested to hear how I answer the problem
that I just discussed with you - this
Heart situation. So I told him the same story I just you ERI 339
as for the function of the kidneys, which we will then discuss. One can
think of the heart region and the diaphragm as follows: The left crus of the
diaphragm is continuous with the muscles on the right side of the
diaphragm; the right crus of the diaphragm leads to high and is part of the
muscles on the left side of the diaphragm. So if we can do something to
resolve the tone and tension in the upper lumbar region of the crura on both
sides, we will normalize the movement of the diaphragm in the trend.
Picture 5 diagnostic in the series Touch (see page I-196) shows the
method that I use in general, to get to the crura of the diaphragm. Although
the Bildunterschift reads Upper lumbar and psoas, but I let my fingertips
just below the twelfth rib e slide, toward the lumbar vertebrae. The crus of
the diaphragm is, just like the psoas muscle, anterior to and on the sides of
the vertebral body. So you have to deeply think in this matter. Your
fingertips are below the twelfth rib and en close to the head and the hand is
just below the twelfth rib e in this field. Then you think deeply through to
the crus of the diaphragm, and bring your fingers, the course of the twelfth
s rib following, slightly outwards. You think deeply, until you can feel or feel
like a change in the anterior crus friend stattfi on this page. If you work on
the right, you loose the right crus and thus the left side of the diaphragm infl
Ussen. If you then work on the left side on the left crus, infl uenced you the
right diaphragm. So you can solve the crura on both sides of the lumbar
spine.
Then you can your hands under the top dorsal place, as shown in Figures
7 and 8 in diagnostic touch (see page I-197f.). Here you are trying to feel
the function of the upper Dorsalbereichs that normalization - the release of
the tension in both the upper dorsal area and on both sides in the upper
chest. By treating the upper dorsal area and the function of the vortex, but
also the ribs, the surrounding muscles and everything else goes with it,
ensures Solving the in this area usually relatively mobile source of the down

in the neck region and from there to Heart extending cardiac plexus. The
parasympathetic innervation passes through the base of the skull. A
cautious attention to the
Area of the temporal bone and the occipital bone is attached: The interplay
between these two bones should be such that the vagus nerve can do his
job.
I-341
The urogenital system
Let's now move on to the other issue that you have incorporated into our
discussion: a young woman with recurrent inflammation of the bladder.
The concern that it could develop kidney problems, make it the candidate
for the use of suppressive antibiotics. We need to think about the basic
anatomy of these regions. There is the Nn here. Splanchnics supplying
the parasympathetic part and a part of the sympathetic
Lead innervation with it. The lower thoracic and upper lumbar two Nn.
Spanchnici lead the sympathetic innervation to the kidney and the
suprarenal structures as well as the sympathetic innervation to the bladder
and other organs of the pelvis.
We must also bear in mind something else: The kidneys are moving up
and down with breathing and make every body movement of patients. They
ride on the surface che the crura of the diaphragm and the psoas muscle
on both sides of the lumbar spine. Uterus and bladder sit on the pelvic
diaphragm.
Strictly speaking there are in the body several diaphragms: the pelvic
diaphragm which closes the basin below, then your diaphragm, which the
Th ORAX and abdomen separated, and finally a cranial diaphragm which
bilateral from the
Tentorium is that the Grohirnhlft s underlying of the
Cerebellum separated. All three diaphragms are lowered by inhalation
and stand out on the exhale. You know that it is the diaphragm so, and
the same applies to the pelvic diaphragm and the cranial diaphragm.
The pelvic diaphragm is in many of these cases that we are discussing
here, lashed, particularly in young women. It is pushed down so that it does
not move rhythmically up and down. The pelvic diaphragm may be held on
one side or bilaterally below. This is the result of births or gynecological
surgery s and makes a function of the pelvic diaphragm impossible. In such
a case, bladder, vagina, and other organs to be disturbed in their fascial
sheaths up to a certain extent - they can not so move with the breathing
cycle, as planned.
Because healthy tissue can ward off bacterial infections of all kinds, we
tailor our treatment from it, the nerve supply that controls the blood supply
to these organs, and restore to allow the movement, which ends should
stattfi in these areas. The treatment to solve the pelvic diaphragm is
relatively simple. Dr. Howard Lippincott wrote in 1949 an article on I-343

the side under the fifth en lumbar. When bladder problems there is always
a dysfunction or a voltage in the range between the fifth lumbar vertebra
and the sacrum s. There is a fabric tension throughout the entire area of
the fifth lumbar vertebra and the sacrum s. Interestingly, one achieves a
considerable control over the irritability of the bladder, when redeemed (by
having a hand under the sacrum and the other under the Proc. Spinosus of
the fifth en lumbar vertebra to see what's going on) the voltage when So in
this area for a while working until you can feel how the function in the sense
restores that they can do what they want.
When your grandmother visited us a few years ago, they had such a
pronounced bladder incontinence, that she had to wear insoles. She was
six weeks with us, I treated every day and made this nothing more than
what I've just described. At the end of that time, she did not need any more
deposits and was for two to three hours free of urination. After her
departure crept gradually regain their old incontinence, but of course it was
a long standing, chronic problem, and she had a long-term treatment
needed. The idea is certainly to approach at a urinary incontinence in this
area and to achieve a correction of the mechanism between the fifth lumbar
vertebra and the sacrum s.
These urogenital problems, we also go up and solve the crura of the
diaphragm on both sides, as it is described in the cardiac event. This
achieves two things: Dissolve the tension not only in the C Rura, but also
in the psoas muscle, and it creates a stimulating infl uence on the autonomic
innervation of the kidneys and pelvis. While you are under the sacrum and
the fifth lumbar s, one automatically tones the nerves extending therefrom,
the parasympathetic innervation of the pelvis.
I believe that this simple method, the so-called pelvic floor lift, releasing
the mechanism of the fifth en lumbar vertebra and the sacrum, and the
release of the crura and the psoas to support the freedom of movement of
the kidneys and the autonomic innervation - to normalization chronic
bladder problems, or at least contribute something to bring help. Examine
the diaphragm pelvis and lumbosacral junction with these people very
carefully and work on it defi nitely something to solve in both areas. See if
that does not make a difference in the symptoms of patients and the need
to use drugs. A small report later I would be happy.
I-345
simply the hip joint in each leg to herauszufi ends, in which direction would
rotate it (see Figure 24 on page I-208). I check out the good leg and fi nd
whether it preferred indoor or external rotation. Then I check the leg in
which the strain has happened at the knee, and fi nd out whether it wants
to go in an opposite pattern, because usually preferred in each patient the
external rotation one side, the other side internal rotation.
If I z. B. a dysfunction pattern with internal rotation fi nd, I bring it
deliberately in the direction of this dysfunction pattern, with the same hand
position as shown in Figure 24, until I feel how it dissolves in the pelvic area.
Then I feel that the pattern has declined and now again equal to the

normality of the subject patient. This correction of the hip joint dysfunction
support at a relatively slight knee injury in which there was no broad
ligaments, the healing of the knee. It does this by looking at the long
Lever the hamstrings and quadriceps adjusted again. Then the knee
problem can get started and even perform even better correction if it does
not have to work the field with a partial dysfunction in the hip. So it is
advisable for all knee injuries to hip check area to the normal pattern that
this man is true for the basin, herauszufi ends and any existing dysfunctions
of internal or external rotation correct.
I-347
Tacking ung at the junction with the falx and is also attached to the right
and left edges of the temporal bones petrsen. Dr. Sutherland called the
three sickles: the left tentorium, the right tentorium and the falx. In sinus
problems we actually have to do it with membranous joint Trains to which
the falx or the tentorium belong.
The tentorium is both Partes petrous temporal bone attached, and the
temporal bones are in turn connected to the zygomatic bones. Restrictions
of the full breath movement of the right temporal bone restrict the
movements of the zygomatic bone on the right side, and thus the pumping
motion of the "plumber's friend," the one of the right maxillary sinus.
Limitations of the physiological expression of falx interfere with normal
motility and mobility of its anterior tacking ments to the crista galli of the
ethmoid bone and the sphenoid bone. The sphenoid is for normal loading
mobility of virtually all fourteen bones of the face responsible. Almost all
the bones that make up the face, have a direct connection with the sphenoid
bone or a clear, indirect connection with its motility. Whatever happens with
the sphenoid, will therefore have a direct infl uence on all facial bones.
During normal breathing cycle when the Synchondrosis sphenobasilar
moved in flexion, the sphenoid bone raises its rear connection to the
occipital bone; the front end of the os sphenoid descends slightly, and the
rear end of Os ethmoid lowers with him while lifting his front area. Directly
below the perpendicular lamina of ethmoid sits the vomer. The rocking
motion of the sphenoid and the ethmoid produces movement in the vomer;
and if the sphenoid dives forward, infl uenced the
Movement of the sphenoid sinus Vomer by the rostrum. In addition, the
lateral sides are each frontal bone by the big, square, frontosphenoidalen
joints taken outwards. When inhaled they are taken laterally, at the
exhalation medially. Due to the expansion capability of the bone itself, the
various sinus wide also ethmoidales laterally during inhalation phase and
medially in the exhalation phase. This self-reciprocating-forth movement of
the sinus and frontal ethmoidal during inhalation and exhalation acts like a
pump for their normal drainage.
In view of all these operations, we start with the diagnosis and treatment
of sinus problems do not worry too much about the sinus itself It is the end
organ, which complains. condemned to inactivity, he displays the fault deep
I-349

len function is returned, it can all so be a delay in the resolution related


symptoms. Chronic jammed cells only know how to produce too much
mucus. Healthier cells that produce only as much slime as physiologically
necessary, but are only beginning to develop, and work their way
gradually to the surface of the mucous membranes che. In serious
cases, this en lasts three months.

I-351
least since. To test the effects of the prosthesis, I asked him to use them
again, while his involuntary movable mechanism using
Palpation was monitored. There was an immediate reaction. His
involuntary
Craniosacral mechanism and its fascial tissue went into a pattern of
Extension and internal rotation and the operation phase of the rhythmic
involuntary flexion and external rotation was not possible. All this happened
within 30 to 60 seconds. He took the prosthesis back out and you could
feel the alternating involuntary movement ceased again, in a rhythmic
health cycle of 8 to 10 times per minute. I advised him daraufh in, no longer
to use the prosthesis.
With supportive treatments that have been carried out irregularly over a
period of several months because the patient lived far away, he gradually
became his grand mal epilepsy seizures and other restrictions going. One
wonders: What would have been the result of his health pattern,
if he continues to use this prosthesis? He himself answered this question
with "death", and thus physiologically correct. When you die, go the body
mechanisms in extension and internal rotation.
This extreme and unusual case illustrates well as the less traumatic
cases, which I shall describe, the need to know and understand, which
means health in the involuntary anatomically-physiological mobility and
function of the face. The face is the front portion of the craniosacral
mechanism and is prior to the neurocranium. For craniosacral mechanism
include the linkages of the os sphenoid, the Os occipital, temporal bone,
the os frontal or Ossa frontalia, and the parietal bones that existing in a vast
round-fro movement mobility of reciprocal tension membrane and in a oneand-out of roles existing motility of the central nervous system, the
fluctuation of the cerebrospinal fluid and the involuntary movement of the
sacrum between the ilia Ossa.
The face make up 15 bones: the ethmoid bone, two zygomatic bones,
two
Ossa Maxillaria, two palatine bones, the vomer, two nasal bones, two Ossa
lacrimalia, the two lower conchae and the mandible. In the technical sense
the Os ethmoid part of the skull base, but it will mitbesprochen here. There
is also the face 79 articulated connections, the neurocranium 43. The
mechanisms of involuntary mobility of the face - except controlled from the
occiput and the temporal bone mandible - controlled by the sphenoid. The
sphenoid is a part of the main shaft in the base of the skull, is on I-353
Considering the complexity of facial mechanisms, one realizes that there
are many ways, such as membranous joint dysfunctions in the posterior
region may interfere with the inherent, fundamental involuntary mobility of
the face. I spoke with a dentist about this problem, and he mentioned the
list of procedures that can lead to traumatic results that an improperly
executed balance of occlusion, Massenverkronung of teeth, an improperly

used rail for problems of Temporomandibulrgelenkes, and traumatic


extractions of teeth which have an unusual root system, to name but a few.
To as much as possible to prevent a trauma during the extraction of teeth
is, he cuts apart the tooth in order to draw any root in the direction of
movement their own can. He avoids possible with extraction of the whole
tooth injury of mandible. With this discussion, I do not want to suggest,
however, that all prostheses, splints and similar disadvantageous are - most
of them are beneficial to set up specifi c needs.
In another type of a membranous joint dysfunction in the posterior region
after tooth extraction Os are temporal, sphenoid, maxillary and mandible
Os en aff. On the side of dysfunction fi nds the following: the temporal bone
with its petrous in internal rotation; the Proc. pterygoideus the sphenoid is
directed upward and laterally. The maxillary bone is pulled down and the
mandible is in their joints in an incorrect position. The mechanics of such a
dysfunction may take its origin in a dental chair with V-shaped headrest.
The occiput of the patient resting on the headrest, and it comes to a
compression on the
Partes mastoidea the temporal bone, directly in front of the anterior
lambdoid suture. The occiput and the temporal bone are thus relatively
immobile - and the dentist now turns on the other side a lateral leverage
inward and downward at what sets the sphenomandibulre ligament under
tension and the Proc. pterygoideus on the dysfunction side upward and
outward schwingt.59
The results of this kind of trauma, in which the functional unit of the
occiput, temporal, mandible, maxilla and sphenoid aff s is, the trigeminal
ganglia and affect pterygopalatina and symptoms such as a tri
59 Note. d. amerik. Edit .: Although nowadays are those equipped with a Vshaped headrest treatment chairs barely, it still comes to traumatic
disorders.
I-355
Chapter 8-7
The Eye
Practical application of the cranial concept in ordinary refractive and muscular disorders
of the eye
This text dated January 1958th
In the field of conventional refractive and muscular disorders of the eye, the
net Cranial concept publishing pictures tremendous opportunities. How far
can go help in such cases, however, depends firstly on the extent of organic
limitation in the disease processes from and to the other of the
Knowledge and skills of the practitioner as a technician in the cranial
concept. The more complete his knowledge of the cranial mechanism, the
more possibilities to a reversal of the pathological processes he will see.

Disorders of the eye muscles


They are based mostly on neurological disorders in the structures that
innervate the affected muscles. Such disorders include, for example:
paresis / paralysis of the extraocular muscles, paresis / paralysis of eye
movements associated or gaze palsy, disorders of convergence and
divergence and paresis / paralysis of the intrinsic eye muscles. Should do
this, add one disturbances of the seventh cranial nerve with restrictions on
the eyelids, and defects of the fifth cranial nerve s (ie the shares, which
subject the orbital s).
Whole and partial motor paralysis of the extraocular muscles affect the
possible movements of the eye. Strabismus, so a failure of convergence
and divergence, is a deviation of
Eye who can not control at will the patient. The visual axes are in this case
each other in a relationship that deviates from the norm. The various forms
of strabismus are called Tropien, the prefix indicates the respective
direction, as in esotropia and exotropia.
Motor paralysis complete type (paralysis) or partial type (paresis) can the
third, fourth or sixth cranial nerve, or a combination of these three subject
s. The clinical findings are different, depending on which part of a nerve is
particularly aff s. The pathological or Eini-357
we ust the Cranial concept to a number of potential pathological infl:
compression of Synchondrosis sphenobasilar, traumatic torsion or
Sidebending-rotation pattern, vertical or lateral shear pattern, compression
of Partes lateral of the occiput with the condyles, the Partes petrous the
temporal bone in one of its various patterns and dental problems related
traumatic patterns. Again, the tentorium and the Sutherland fulcrum with
the image. Recall that these cranial nerves slip through the cavernous
sinus, by folds of the dura mater, close to the posterior Proc.clinoidei.
Therefore, disturbances in the train of Dura may contribute to partial or
complete paralysis of the nerves in this area.
The next area which we need to bear in mind is the cavernous sinus and
the
Area of the optic chiasm. Here you can ligand potential primary
dysfunctions in Os sphenoid and its relations fi. The sphenoid is a major
bone structures in terms of eye pathologies. It has hinged connections with
all the bones of the neurocranium and with five of the facial bones - the two
zygomatic bones, the two palatine bones and the vomer. Its dysfunction
potentials are as diverse as its joint labyrinth. The sphenoid is also in all the
dysfunctions Synchondrosis sphenobasilar aff s.
With respect to the cavernous sinus have to remember that he is a part
of the membrane system that supports the venous drainage of the eye.
Diseases affecting the membranes as encephalitis, meningitis, and toxic
states, can have serious e effects of interference in
Eye result. The Tonusqualitt the meningeal membranes has to be perfect,
to ensure good venous drainage of the skull and the eye sockets. The

Tonusqualitt of the membranes after a encephalitis or meningitis or toxic


states can be compared with wet cardboard, or a plurality of layers of moist
tissues. It is dull, fl at and has lost its ability to reciprocal tension. This
seriously en loss of tone in the reciprocal Spanungsmembran it is almost
impossible to achieve a solution of dysfunctions of the cranial structures. If
there is a correction, while the patient lies still, he just has to get up to leave
the room
- And all its dysfunction pattern returns. There is a lot to work to restore
normal Tonusqualitt before trying to correct the bony cranial pattern. The
membranes, which have fallen into such a state of disease seem to be the
fastest to recover, if some treatment appointments long the mechanics of
the Liquor cerebrospiI-359
sees possibilities of a free-floating, automatically changing Fulkrums, he is
able to found the operational procedures of the cranium and the Orbita and
Ussen to infl.
The cranial nerves pass through on their way to the eye the superior
orbital fissure of the sphenoid, the Apex and the orbit itself. The eye
muscles originate on Annulus of Zinn. This is oval in cross-section, closes
the foramen and a portion of the medial side of the superior orbital fissure
and consists of two parts: from the lower band of Lockwood, which is
attached to the lower root of Ala minor of the os sphenoid and the origin of
a part of Mm. Medial and lateral rectus and the entire rectus inferior forms,
and from the upper band of Lockwood, which is attached to the body of the
sphenoid bone and the origin of the other portion of the Mm. medial and
lateral rectus and the entire superior rectus forms.
Emergence of the sphenoid:
Since the individual parts of the bone of the sphenoid play an important role
in both partial as total paralysis of the eye muscles as well as refractive
errors, it is appropriate to the development of the sphenoid again to
consider and look at us, especially when the various growth centers of each
become a part mature en sphenoid are:
Until the eighth month in utero the os sphenoid from two different
proportions of: a rear portion or Postsphenoid to the pituitary fossa, the Alae
majores and Proc. pterygoidei belong, and a front portion or Praesphenoid,
which includes the front part of the corpus and the Alae minores. It develops
from 14 centers: 8 for the Postsphenoid and 6 for the Praesphenoid.
In the rear part of the os sphenoid appears first the Ossifi cation centers
for Alae majores. Approximately in the eighth week in utero, they appear
between the foramen rotundum and the foramen ovale, and from them arise
the laminae of the lateral Proc. pterygoidei. Shortly after the Ossifi appear
cation centers for the back part of the corpus, one on each side of the sella
turcica. These two combine approximately in the middle of the fetal life. The

other four centers appear about four months. The Ossifi ossify cation
centers for the laminae of the medial Proc. pterygoidei from BindegeI-361
together with the overall pattern of the reciprocal tension membrane
because there is the time of birth no sutures in the skull. Therefore, one has
to almost the end of the first year of life time to treat the disturbed Alae of
the sphenoid, before they become a part of the permanent structure of the
sphenoid bone and less likely to change.
The orbit is formed by seven bones: the sphenoid with its
Alae majores and minores, the ethmoid, the lacrimal bone, the maxilla, the
zygomatic bone, the frontal bone and the small Proc. orbital of the palatine
bone. It is the availability and ease of normal articulated relationship
between these units, which leads to a normal function of the eye socket and
contributes to a normal function of the eyeball. If one of these units is
disturbed, this can contribute to a pathology of the eye socket or the eyeball.
Within the orbit there are 12 muscles: the six extraocular muscles and the
ciliary muscle, the M. pupil dilator, the M. pupillae sphincter, the orbicularis,
the M. orbital and the levator palpebrae superioris. To the six extraocular
muscles is what the partial or complete paralysis of the eye muscles. Aside
from the inferior oblique, which originates from the medial side of the facies
orbitalis the maxilla, have opticum all originated in the area of the foramen.
The superior oblique muscle passes from its origin at the optic foramen by
a trochlea, an arrangement such as a pulley, on the medial side of the facies
of the orbital frontal bone. All six muscles have their attachment to the sclera
of the eyeball, near the front pole. The oculomotor nerve supplies the
following muscles: the inferior oblique, inferior rectus, medial rectus,
superior rectus, levator palpebrae and the sphincter of the pupil. The
trochlear nerve supplies the superior oblique, and the abducens nerve
supplies the lateral rectus muscle.
Because of these anatomical features of "Krumme branch" pattern or
traumatic impact on the Alae minores of Os can sphenoidale the majority of
the muscles of the eyeball affect the result of trauma of the frontal bone, the
capacity for action of the superior oblique hinder, and a trauma that meets
the maxilla may interfere with the inferior oblique. Rarely, however, trauma
is limited to a bone unit and usually its consequences on all bony
components of the orbit transfer. Virtually every child who comes with a
seriously de plagiocephaly to us for diagnosis will have some kind of eye
muscle paralysis or a refraction problem.
I-363
colliding s. When Presbyopia occurs by a loss of elasticity of the lens due
to aging in a limitation of the ability to Nahakkommodation; Therefore, the
point at which one can see clearly is farther away from the eye. When
astigmatism of the incident light beam is not focused sharply on the retina
because the Brechungsoberfl surfaces of the eye has an irregular

Have curvature. All these problems can be used individually or together in


the patient Reten runs. Such phenomena are not fixed - they do not
continue year after year the same.
This fact that such refractive errors have a variable character, is an
indication that you can change this pattern. When fixed patterns, the
potential for change would be very small. The eyeball with its inherent
Brechungsoberfl surfaces is a fl uid mass in an envelope of the sclera and
the Krft en exposed to his residence, the orbital surrounded.
Each pattern of refraction anomaly - whether myopia, hyperopia or
astigmatism - can financings in different classifi and descriptions are
divided. Here are probably the axial myopia and hyperopia the most
interesting. When axial myopia is an extension of the eyeball. Could not
related to an extension pattern of the skull, in which there is an elongated
orbit, which in turn infl uenced the shape of the eyeball, so that the rays of
light before striking the retina s? The And could the cause of an axial
hyperopia not be a flexion of the head, the eye socket and thus the eyeball
shortened so that the rays of light behind the retina colliding en? With a
pronounced
Torsionsmuster could keep an eye farsighted, the other being short-sighted.
The same could be at a distinct Sidebending rotation pattern runs Reten,
albeit not as strong.
Yet different than the other patterns are the astigmatism. There are
several Brechungsoberfl surfaces in the eye, and the astigmatism is after
the type of Brechungsoberfl che, at issue, named. The cornea, the lens
and the Glaskrperfl uid all play a role in these disorders. Again, the bulk
liquid of the eye responds in its envelope of the sclera to changes in their
environment. Specifi c disorders that are related to diseases of these
media, as important factors contribute to astigmatism. Each differs from the
normal orbital pattern can function any
Type of astigmatism show. If you treat astigmatism, it is advisable to I-365
the traumatic pattern that is observed. It is a physiological fact Reten that
runs the cranial asymmetries, the misalignment of the eye sockets and the
individual anatomical disturbances corrected visual inspection after, and the
symptoms the patient still again. What did you forget? As the patient was in
practice, has a correction of disturbed anatomical
Units held to the satisfaction of the practitioner, but if one wants to
understand the big picture, you have to recognize the power that has this
brought and still acts as a focus for the pattern. If the subject The patient
returns to his active daily life, this additional force is the focus fresh
corrected anatomical image in a variation of the original pathological
phenomenon back model. The force and their focus has become a
physiological unit that is in addition to the anatomical units, and this unit
wants to establish the only reciprocal voltage balance, she knows: the
balance of the anatomical-physiological pattern including the force.
It is therefore essential to understand and resolve the focus of this power,
so that the normal anatomical and physiological patterns of the patient's

body have their full functional capacity again. The practitioner can learn
quite skillfully to read these force fields in the problem of the patient, and
then its
Conduct ed OLUTION by the time of diagnosis an anatomicallyphysiological image of the entire pattern created that is as complete as
humanly possible. Thus, the normal factors of inherent living body will have
a chance to resolve the factors added to the image force, so that the normal
factors again have supremacy in the body of the patient and correct the
faults present. With such a procedure, a long-lasting improvement is much
more likely.
The osteopathic and Cranial concept offer more than just palliative relief.
They challenge us, along with his problem fully understand every patient
who comes to the diagnosis and treatment to us.