I AM.
I have been maligned, slandered,
misrepresented and lied about. I have been bitterly opposed by
interest whose profits I diminish. I have fought and won in the
world's courts and legislative halls. And I still fight--
for the right to do good. There are many things in the world
older than I, but few are more firmly established. I am a great
Science of Healing. I am as broad as life, for I incorporate
into my philosophy any scientific truth or principle which is
of proven value in the healing of disease. I play no one
stringed instrument--I deal in symphonies. I study nature's laws and
strive to put the individual into harmonious and healthful
relationship to them. I am like life--- changing; I am not
stagnant, ancestor worshiping or bigoted-- I am a moving stream, I
am forever indedted to the past, but cannot allow it's ways to limit
me.I can be convinced of error and my mind is not impervious to
the Light of Truth. When truth is revealed I add something eternal
to my philosophy, I grow. I alleviate human suffering, turn disease
to ease and despair to hope. For the sincere youth seeking a
serviceable and lucrative profession as a life work, I have
arguments that are paramount. I am Osteopathy.
Why Osteopathy ???
I personally like and agree with
the principal of osteopathic medicine. That philosophy treats the
whole patient, the whole person and the whole spirit. I like that
idea. It seems right and proper and the way to practice
medicine.Osteopathic medicine is over a century old. We have fought
long and hard for equal right and privileges with allopathic
medicine (MDs). We have succeeded in all fifty states. We
deliver medicine differently and patients get well because of the
difference.
Medicine is a continuum of
learning and we are never finished. Every patient present a new and
different challenge which is exciting. Osteopathic medicine trains
all its physicians to be a family practitioner first, a specialist
second, if so desired.
I appreciate and value the
additional training in musculoskeletal medicine-one of the hallmarks
of the difference in osteopathic medicine. I chose to listen, learn
and investigate this additional training. It allows me to diagnose,
and more importantly treat, medical problems that other doctors
miss, don't know, or don't care to know how to treat. A prescription
is much easier. A prescription covers the symptoms and only
occasionally fixes a problem.
Osteopathic medicine has also
always been good to women. A.T. Still, the founder of osteopathic
medicine, encouraged women to study medicine along with the
men. The first class of osteopathic medical students had
several women in it over 100 years ago. He was a visionary then and
his principles still hold today. We think MDs should be more
open-minded. More and more MDs are just beginning to realize
osteopathic principles and practice are valuable and correct. That's
exciting.
"Osteopathy will stand if it is in
the hands of the proper men and women" John Martin Littlejohn,
D.O.
Two roads diverged in a wood, and
I- I took the one less traveled by, and that has made all the
difference. "The road less taken" by Robert Frost.
For more information on Osteopathy
see www.osteopathic.org
**********************************************************************
Exposition of Still's
Thought:
The Word
"Osteopathy"
In recent years, the degree granted
by osteopathic colleges has undergone a name change, now frequently
conferred as DOCTOR OF OSTEOPATHIC
MEDICINE. Andrew Taylor Still's original
descriptor Osteopathy was discussed by
E.E. Tucker in 1904. In his search for clarification, Tucker
consulted with a professor of ancient languages at Buchtel College,
Akron, Ohio. In the popular mind of the time, osteopathy was held to
be contrasted with allopathy and homeopathy, the names being
considered analogous. Osteopathy was regarded as being derived from
two Greek words meaning "bone" and "pain or disease", literally,
"bone disease or bone pain". Professor Rockwell informed
Tucker that the word pathos needed to be contrasted with
the word ethos in order to grasp the real meaning of the
word osteopathy. In Greek, pathos is derived from the root
path, meaning "sensitive to " or "responding to". Pathos
describes an incoming impression, while ethos describes an
outgoing impression. A correct understanding of the original Greek
words composing osteopathy would then be "bone influence" or
"sensitive to bones". In the sense of the meaning described,
allopathy would be correctly defined as " influenced by the
opposite" allos = "another" or "opposite"; pathos
= "sensitive to" or "responding to".). Similarly, homeopathy
would be correctly defined as as "influenced by the same"
(homeo = "alike" or "the same", pathos =
"sensitive to" or "responding to". Osteopathy, then, differs from
allopathy and homeopathy in that it does not describe a procedure,
or a theory of medication, or a point of view in studying diseases,
but a fact of diagnosis. After establishing this difference, Tucker
further states: "The bones are not used to produce health, but bones
are effective in producing disease. The bones represent the
mechanism and resisting framework of the body and bear the brunt of
all its shocks. The body framework,the bony structure being in many
instances delicate and intrigate, is subject to lesions which are
not always either easy of detection or correction, but which do
occur. And that they do occur, and that they are closely related to
the nervous system, and thereby become potent factors in producing
diseases, is a fact and not a theory. Facts are matters not subject
for debate, but for testimony and investigation, and as such, these
facts challenge investigation of the whole field of medical
research.
Osteopathic therapeutics proceed logically on
such diagnosis, removing mechanical difficulties and straightening
out mechanical strains. Of these mechanical troubles, conditions in
the osseous system form the largest part. Thus in osteopathy, the
body is treated, not the disease; and in its treatment, a condition
and not a theory is confronted. In this it presents a contrast with
the other practices, allopathy and homeopathy, in which the
practitioner treats the disease and only nurses the body - although
in many cases he recognized the inutility of treating the disease,
and in that case treats "not pneumonia, but a patient with
pneumonia". In all cases, disease is regarded as entirely foreign to
preying upon the tissues of the body, whose character is entirely
unknown - so unknown that the idea of its origin in germs has taken
immediate hold, and advanced for every disease described.
The word pathos implies an influence
from without, and with that connotation may be correcty used in
the name of the science of osteopathy, in which disease found
to be a condition of the body wherein its normal forces are
disturbed by forces from without. It is a matter of actual
experience that the trouble can be so traced to its external
origin.
No name was ever more accurate or fitting for
the thing represented than is osteopathy for the science it
represents.
Tucker's exposition of the meaning of the
word OSTEOPATHY does much to elaborate the
meaning of a statement made by Still in 1897..... " To know all of a
bone in its entirety would close both ends of an
eternity".
***********************************************************************
EDGAR CAYCE ON
OSTEOPATHY
By Theodore
Jordan, D.O.
[NOTE: Dr. Jordan, a
practicing osteopath in Columbus, Ohio, and an A.R.E. member, has
devoted several years to researching early osteopathic literature,
the better to understand the Edgar Cayce readings that recommended
manipulation and its role in health care. The following
article was published in Venture Inward, July/August 1994,
Volume 10, No. 4.]
Osteopathic
treatment is of the most frequently recommended therapeutic measures
suggested in the Cayce readings. Chiropractic adjustments are
recommended only occasionally. This has caused much confusion
for contemporary physician practitioners because osteopathic and
chiropractic manipulative treatments seem so similar today.
A look at
the development of osteopathy and how it was originally practiced
shows how it differed from chiropractic. More important,
osteopathy in philosophy and practice more closely reflected the
healing philosophies of the Edgar Cayce readings.
Osteopathy
was developed by a Midwest
physician, Andrew Taylor Still (1828-1917). When three of his
children died of meningitis despite the best available medical
treatments, he began to question the exceedingly harsh and seemingly
useless practices of his day. This led him to search for a
better understanding of health and disease.
Dr. Still
dissected many human corpses, thus gaining a knowledge of anatomy
that was legendary.
"Indian
after Indian was exhumed and dissected and still I was not
satisfied. A thousand experiments were made with bones until I
became quite familiar with the bony structure. I might have
advanced sooner in osteopathy had not our Civil War interfered with
the progress of my studies."
Nine years
after the war ended, in 1874, Dr. Still advanced his concept of
osteopathy. He believed that the human body, being a work of
God, was perfect and inherently had all the properties needed to
maintain a state of health. Disease only existed if there was
some obstruction to health such as impaired circulation of blood,
lymph, or nerve forces. The osteopath need only remove this
obstruction, he reasoned, and the body would then naturally heal
itself.
In his
autobiography, Still traced his confidence in manipulation as a
healing therapy to an incident when he was 10 years old.
Suffering from a headache, he lay on the ground with his head
resting on a blanket that lay over a rope tied between two trees
about eight to ten inches above the ground. "Thus I lay
stretched on my back, with my neck across the rope.' He fell asleep
and woke up feeling fine. "I followed that treatment for 20
years before the wedge of reason reached my brain, and I could see
that I had suspended the action of the great occipital nerves, and
given harmony to the flow of the arterial blood to and through the
veins, and ease was the effect." He came to believe that "the artery
is the father of the rivers of life, health, and ease, and its muddy
or impure water is first in all disease."
He viewed
the body allegorically as a "finely tuned engine" and the osteopath
as a mechanic whose job was to correct any parts of the engine that
were out of order.
Dr. Still
taught that when a bone or vertebra is slightly out of position
there is also a strain on the surrounding tissues including the
ligaments, muscles, blood vessels, nerves, and lymphatic
vessels. This strain causes a decrease in the local
circulation of fluids and alteration of the nervous impulses.
Disease results when tissues and organs:
- Do not receive sufficient
arterial blood supply to provide them with oxygen and nutrients
- Do not have properly balanced
nervous supply to regulate and coordinate their function with the
rest of the body, and/or
- Do not have adequate drainage
through the veins and lymphatics to carry away their wastes.
The
osteopath's duty was to help elicit the body's natural healing
forces by removing any obstruction to health. This most often
meant correcting the bony malalignment so that all the surrounding
tissues and nerves could work unimpeded.
"Remove all
obstructions, and when it is intelligently done, nature will kindly
do the rest," Dr. Still wrote. He also often said that anyone
can find disease, but an osteopath's job is to find health.
Many parts
of the Edgar Cayce readings and their recommendations parallel the
osteopathic philosophy of health. A book that outlines the
similarities between these two systems is Osteopathy: Comparative
Concepts - A. T. Still and Edgar Cayce, written by J. Gail
Cayce.
The Cayce
readings contain many very complimentary comments about osteopathy
of that day, such as: "There is no form of physical mechanotherapy
so near in accord with nature's measures as correctly given
osteopathic adjustments." (reading 1158-31) Also, "... and
nature is better even than the osteopath - though the osteopath
is the closest to the natural means." (1497-4) "Seek out,
then, an instrument of the curative forces known as the osteopath,
that is capable - through the proper manipulations, using the
structural portions of the body as leverage - of stimulating the
secretions through the various activities of glands and centers and
ganglia along the system to bring about a coordination of the
activities of the physical forces within the system itself." (531-2)
Cayce seldom
recommended chiropractic treatments and even on occasion warned
against them. What was the major difference that Cayce saw
between the two schools of practice at that time which influenced
him to suggest osteopathic much more often than chiropractic
treatments? It seems that the primary difference between
osteopaths and chiropractors of that day was their method of
adjusting the body. Before these differences can be explained,
a clarification of terminology is essential.
A bone out
of proper alignment is termed a lesion, or a subluxation, or somatic
dysfunction. There are many ways to correct these
malalignments; but they fall into two therapeutic categories, the
direct and the indirect techniques.
Most direct
techniques are associated with the popping or snapping of joints,
usually the vertebrae of the spine. In many direct techniques,
the operator applies a thrust that is directed to force a displaced
bone back into position. If a single vertebra is displaced so
that it is rotated and facing slightly to the right, the thrusting
technique forces that vertebra to the left with the intent of
leaving it centered in the midline where it should be. This is
achieved, once the patient is positioned, by a quick thrust which
causes the joint spaces to open, producing an audible pop.
This mechanism is the same as when people crack their
knuckles. The sound is produced as two joint surfaces are
quickly pulled apart, creating a small vacuum. The same effect
is achieved by pulling a small suction cup from a smooth
surface. This does not directly damage a joint, and often
frees any restriction. Injury to the surrounding ligaments can
occur only if the operator puts too much force into the motion,
thereby stretching the surrounding ligaments beyond their
physiologic range.
Depending on
the operator's intent and skill, this thrust can be very specific
and only adjust one segment. With a slightly different
approach, many joint spaces may be opened quickly, producing a
crunch sound instead of a single pop. It appears that early
chiropractic adjustment was administered in this way - with quick
thrusts to correct any vertebrae that might be out of place.
Over the years many variations on this basic technique have been
developed. Some use a great deal of force, while others are
quite delicate and specific.
Dr. Still
and the early osteopaths who trained under him seem to have rarely
used these direct techniques. Instead they used much gentler,
indirect techniques. Their method of correction involved
gentle exaggerations of the position of the dysfunction until the
tensions in the ligaments were felt to balance. Then the job
was to wait, feel for the body itself to correct the dysfunction,
and to assist gently the body's natural corrective movement until
the bone returns to normal, or to a more normally balanced
position. For example, in the case of a vertebra facing
slightly to the right, instead of thrusting it to force it left, the
osteopath would gently exaggerate its position; turning it even more
to the right until a balance was felt, then allowing the body's
intrinsic forces to take over and return the vertebra to its proper
position. The main focus of the operator is on the tension of
the surrounding ligaments and muscles. The corrective action
comes not from the physician, but from the body's natural healing
forces.
Ample
evidence of their preference for indirect techniques is found in the
writings of some of the early osteopaths. Indeed, they even
warned against the harsher direct techniques.
"I don't
think I ever saw the 'Old Doctor' (A. T. Still) snap a joint
with any noticeable sound, "writes M. L. Bush, D.O., who boarded
with the Still family while a student at the first osteopathic
school. "His technique was practically painless to the
patient. I have often heard him say, ‘When you hurt a patient
in treatment, you don't deserve to be called an osteopath."'
G. V.
Webster, D.O. summarized their philosophy when he wrote: "Living
things prefer persuasion to force, consideration to trauma,
intelligence to ill-expended force. It is better to work with
the tissues than at them. Nature has her rewards and penalties
for the manner in which lesions are treated. Co-operate with
nature."
Edgar Cayce
echoed this in reading 1158-24: "Then the science of osteopathy is
not merely the punching in of a certain segment or the cracking of
the bones, but it is the keeping of a balance by the touch -
between the sympathetic and cerebrospinal system!" and "With the
adjustments made in this way and manner, we will find not only
helpful influences but healing and an aid to any condition that may
exist in the body...... Also, "A long series of such (osteopathic
adjustments), just pulling or cracking here or there, has nothing to
do with healing forces! They have to be scientifically
or correctly administered for the individual or particular
disturbances, just as we have indicated here."
Reading
304-2 further explains this difference: "Osteopathic treatment is
needed, not chiropractic. If we had wanted this we would have
given it. The body does not need adjustment, what it needs is
relaxation of the muscu lar forces .... Chiropractic treatment is
adjustment, not relaxation of the muscular forces."
Not every
dysfunction will fully correct on the first treatment but the
osteopath's job was to acknowledge the body's wisdom and allow
the body to correct itself at its own pace. As C. P. McConnell, D.O.
wrote, "Always make it a point when working upon dislocated
vertebrae in any region that just as soon as one has obtained
a slight movement in the lesion do not attempt to
correct it any more for the time being. A slight movement
toward the right direction may be all that is necessary to relieve
the ill effects of the lesion. In fact it might be impossible to get
the lesion anatomically correct......
Likewise,
reading 2519-3 states: "...but to act in the manner as will allow
nature itself - for, this - this would be well for all physicians of
every character to remember: That they may only aid nature to
adjust itself. You can't force nature to do anything! Only aid it in
adjusting itself to meet conditions."
Along with
these indirect techniques, osteopaths also used a number of
different approaches to correction. Some osteopaths
preferred direct techniques to correct vertebral malalignment, but
even these techniques were performed gently and without much
popping or cracking of bony joints. Edythe Ashmore, D.O., in a
1915 osteopathic text, wrote this about treating the neck: "The
habit of putting a cervical joint upon tension and 'popping' it is
one to be condemned in no uncertain language .... Cervical treatment
should be mastered by slow processes."
Even before
A. T. Still's death in 1917, it appears that the direct, thrusting
techniques were slowly becoming more popular with osteopaths.
In the 1920s, Still's influence waned as these techniques became,
and remained, quite popular among the younger osteopaths. Some
osteopaths remained true to the original methods, however, and
criticized this new approach. Among them was J. B. McKee,
D.O., who in 1979 warned that hearing a pop was no indication of
correction.
"... the
main danger [is the] confusion resulting from confounding the sound
of articular separation with the correction of the existing lesion,"
wrote McKee. "Even the veriest layman knows that he can pop
his knuckle without any way changing the relation of the joint
surfaces and it would be well perhaps if osteopaths would give the
thought more consideration than seems to obtain at present."
These
direct, thrusting techniques have remained the most popular mode of
treatment among the majority of chiropractors. Among
osteopaths, these techniques became increasingly popular until they
were apparently the primary method of manipulation taught in
osteopathic schools from the 1930s through the 1960s. Some
reasons, I believe, are fairly obvious. The older osteopathic
techniques require a highly developed sense of touch, focused
concentration, and are slower to perform and very difficult to teach
correctly. The direct, thrusting techniques on the other hand,
are quick, efficient, and can be taught relatively easily to large
classes of students.
Both the
chiropractic and osteopathic professions have changed. Over
the last century, osteopaths have fought for and have won full
licensure in all 50 states and are able to prescribe medications as
well as to perform surgery. Today doctors of osteopathy are
found practicing in all specialties of medicine. Manipulation
is still taught in every osteopathic school and many osteopaths
continue to utilize these skills in their practices.
Today,
however, not all osteopaths continue to use their manipulative
skills on their patients. Nonetheless, there remains a strong
core of osteopaths who maintain the highest proficiency in
manipulative medicine. Although many expertly utilize the
direct, thrusting techniques, the older styles of manipulation never
completely disappeared. Today an increasing number of
osteopaths are interested in learning, developing, and thus
continuing this older, gentler style of manipulation, especially
with the current renewed interest in natural medicine and the
emphasis on assisting with the body's own power for healing.
Some chiropractors are also now using more of the gentler techniques
and methods of correction.
My
explanation of all these techniques has been necessarily
oversimplified. To perform any of these techniques requires a
detailed knowledge of anatomy, palpatory and diagnostic skills,
knowledge of indications and contraindications in the treatment of
patients, and extensive formal instruction for safe, correct, and
successful treatment. Most persons receiving manipulation
therapy today are being treated with direct, thrusting
techniques. When done intelligently and properly, these
treatments are certainly beneficial, as many can attest.
The purpose
of this article has been to explain why the Cayce readings made such
a distinction between osteopathic and chiropractic treatments, to
explain some therapeutic differences within these disciplines, and
to suggest that from the readings, it may be realized that these
gentler, indirect methods of manipulation first used by early
osteopaths, and still in use today, are more in tune with the body's
natural healing forces, and thus kindred in philosophy with health
care as prescribed by Edgar Cayce. As reading 1158-24 put it:
"Then, the
science of osteopathy is not merely the punching in a certain
segment or the cracking of the bones, but it is the keeping of a
balance - by the touch - between the sympathetic and
cerebrospinal system! That is the real osteopathy!"
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The
founder of osteopathy, Dr. Andrew Taylor Still, was certainly
an extraordinary individual, having started the first
osteopathic college at the age of 64, after which he wrote
four books. In addition to his
indefatigable stamina he was considered to have special powers
of clairvoyance by those who knew him. He used this
clairvoyant ability on occasion, as Edgar Cayce had,
accurately diagnosing medical conditions of people in distant
locations. He told one pupil, Dr. Ellen Ligon, that he
could see a patient's aura and could tell from its appearance
whether the patient was sick or well.
During one period of his life, Dr. Still regularly met with a
local spiritualist group, and with a medium named Mrs. Allred,
who supposedly channeled an Indian spirit named "Metah." Dr.
Charles Teall wrote that "He was psychic to a degree and held
communion with unseen powers who helped him over the rough
road he was compelled to travel . . . ."
In his Autobiography of A. T. Still, he
stated, 'I was good at seeing visions all of my life.'
Although these particular talents of Dr. Still were never
emphasized, they provide a more profound understanding of the
unique talents and insights of the founder of osteopathy.
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