Lumbar Two - Caecal Syndrome

Jacquie Strudwick - Monday, October 15, 2012
The L2 is the story about the first two feet of the colon consisting of the caecum with its vermiform appendix and the ascending colon. This is the drying out portion of the colon. From the small intestine, the used up intestinal chyme is passed in liquid form to the caecum. In the next half a metre it is dried out to about the consistency of toothpaste. If it is not dried properly a loose bowel is the result.

The ability of the lining of the caecum and ascending colon to absorb water and electrolytes from the chyme gives it its second name which is “absorbing colon”. The distal metre of colon is principally a storage area for faeces or dried up chyme.

Problems in the absorbing colon can be classified under one of three types:
1.    The acute caecal syndrome.
2.    The coeliac sprue syndrome.
3.    The chronic caecal syndrome.

1.    The acute caecal syndrome is the second most common L2 state. It results from bacterial toxins or ingested poisons irritating and inflaming the caecum. This irritated cannot properly dry out the chyme. Instead it passes it violently through the colon with resultant dysentery.
Under this heading also would be the inflamed appendix or the appendix stump. In acute lumbar two presentations, always suspect appendicitis when the appendix is still present. The amazing thing is the appendix, like the gall bladder can still be problematic even after surgical removal. These need occipital neutralisation of the occipital fibre involved along with the TS work and the post and preganglionic.                                                                          

2.    The second type of L2 major is the coeliac-sprue sufferer. Idiopathic steatorrhoea, called sprue is the syndrome with periodic diarrhoea in which the stools are frothy and fatty. This indicates faulty absorption of fats and carbohydrates. Note the problem is not digestion but absorption. These people need the TS  and the CMRT procedures.

3.    The most common L2 major is the chronic caecal type. To review the presentation of these refer back to your CMRT notes. Leg spasms, joint pains and arthritis, in the main. Symptoms similar to rheumatoid arthritis but they can present with many combinations of visceral complexes. There is a connexion between the heart and the liver and gall bladder. Nineteenth century physicians first notice predispositions.

The term, diathesis is a general constitutional predisposition to a certain disorder.
The rheumatoid arthritis diathesis is a well developed body, fleshy round face, with hypertension and tendency towards obesity.

Corrections with TS and CMRT
CMRT work begins with the S2 and occipital fibre neutralisation.  

Step 2:

The TS cybernetic feedback work that you were introduced to at the start of this series. The 2 contact points are Mc Burney’s point and the L2 TS point.

Step 3:

The TS thoracic 4 contact and McBurney point technique.

Step 4:
The carrying of the tissue at McB’s point in a superior direction to help with drainage.

Step 5:
The procedure of choice of Drs Rees and Heese which has been restored as part of CMRT- the preganglionic.

Nutritional procedure
We have spoken previously about glandulars and the variations in the world regions as to availability of products. Dr. Darren Little’s article in the winter “Expression” was timely and pertinent. Darren stated that there is a need to review and rewrite the CMRT management notes, in coordination with the International board .Further, there is a need for current methods and supplements to be included in these sections.
Dr Rees’ nutrition for an L2 major was four-fold: 1. vitamin E2 2.vitamin G 3.chlorophyll perles and 4. Formula 17606.Let us explain. Vitamin E2 was a phospholipid synergist of alpha-tocopherol from beef chromatin. We use the past tense in that we are unsure whether this is still available. In any case, it was never available in Australia or New Zealand. Down in our part of the globe, plant-based nutrition seems to be the order of the day.

Vitamin G was a portion of the B complex of vitamins that are not soluble in alcohol and tend to be vasodilators( riboflavin, niacin, betaine, inositol, folic acid and PABA).The Standard process labs out of Wisconsin used to make these up. This was useful if you were De Jarnette working out of Nebraska but not if you were we Kyneur brothers working out of Australia. (Peter had a distinct advantage of being trained as an herbalist and homoeopath before becoming a chiropractor. John has had the disadvantage nutritionally of adopting a Palmer ideology and being a guest lecture at Sherman college, a few years ago) Chlorophyll, well this is available as either chlorella or spirulina.(This is for those who have colitis and who want to reduce the Guanidine and histamine build up). The fourth supplement available to US and from Standard Process again was 17606 or Betacol.Go to and look it up(we did and were pleased to see that Betacol is still available).This is for the liver and heart involvements of an L2 major. You could probably get some by mail. The Australian TGA(therapeutic goods act) would make it difficult to bring to Australia. New Zealand’s government is a little more liberal.

This article series on the TS work is written and published to give our modern SOT,CMRT and Cranial scholar and practitioner some additional insight into the organ work that is part of the chiropractic heritage. We have added a bit of our own commentary from time to time and have been grateful to Averil and our previous editors for their lack of censorship. Until summer, we remain;

Dr John Kyneur, Sydney, NSW
Dr Peter Kyneur, Lake Macquarie, NSW


Jacquie Strudwick - Wednesday, June 13, 2012

Welcome to our winter edition write-up of the Bloodless Surgery, CMRT and TS line work.  As stated in our last issue, we are doing the digestive in 2012 and are thus going T10, L1, L2 and L4.  We have suggested that you will need your seminar notes; a reflex chart and preferably DeJarnette’s 1966 CMRT manual (the latter two items are available from Averil; go to the website).  This series of articles on the organ work has, in the main, been a presentation of the writings of Dr. M.L. Rees, that first appeared in the SORSI Despatcher, in the 1970s.

Visit our online shop to purchase Marc Pick's CMRT Reflex Chart and the 1966 CMRT Manual!

A warning you will find in your Lumbar 1 ileo-caecal seminar notes is:  An incompetent or over competent I.C. valve may simulate appendicitis.  The thing to do is establish the differences and we turn to Dr. Bennett’s chapter, Ileocaecal spasm v. Appendicitis, from a long-forgotten volume from the 1970s (The same Dr. Bennett of Bennett reflex points that have been preserved by Dr. Goodheart in the Applied Kinesiology notes).

Bennett states:  “If the case is an acute abdomen, and everything is sore, you cannot determine anything.  First you want the white blood cell count.  You check several hours later, or the next day, and it is not too acute.  Then you find that the condition has localised itself in the area of McBurneys point, where there is point tenderness.

Spasms of ileocaecal valves will present the same symptom complex as appendicitis, sometimes; vague chest, abdomen and back pains.  The difference with the ileo-caecal is that there is little or no fever nor will there be an increase in the white cell count.”  DeJarnette’s observations about the signs and symptoms may be of help in that your frozen shoulder will be present with an I.C. valve, not so with L2 syndrome, generally.

Return to Dr. Bennett’s observations, he further states:  “In appendicitis, the point tenderness is at McBurneys point and there is spasm across the entire lower portion of the right rectus muscle.  Where it is splinted, it shortens.  The classic symptom is that the person cannot extend the thigh because when they do it pulls on this sore muscle.  In order to seek relief they flex the thigh.

In the instance of the ileocaecal valve, the splinting is not across the belly of the muscle.  It is the outer margin of the right rectus muscle only.  The middle portion of the muscle is perfectly free.  In ileocaecal conditions you  have a rope like tension of the outer border of the right rectus muscle.  The mechanical pull of the shortening of the outer border would be just as painful if the extend the thigh, so that is no criterion.

As a practising SOT chiropractor you have one thing in your favour with the chronic lumbar one case and that is that you are not going to see one!  These are past the point of no return types who will have already been hospitalised, given up as incurable degenerative disease cases who are ‘made comfortable’ only.  In the last stages these cases are riddled with cancer.  Gruesome.

You are going to come across the acute and the sub chronic aplenty.  If you find an L1 in the early stages, you have a good chance to help them recover.  If you are unfortunate to come up with a sub chronic lumbar one patient, then you have a long haul ‘vale of tears’ in reversing this ‘morbific’ destructive syndrome and can only hope to save a partially destroyed patient, whom you must care for on a maintenance basis for the rest of their lives.

When you look at the T-S reflex points charts, you will see a zone called ‘toxic’.  Often this is active and tender along with the T-S L1 palpatory tender area.  Remember, a patient with an incompetent ileo-caecal valve is a fast ageing patient where all of the vital organs are wearing out fast fighting poisons.

The ileo-caecal patient will complain of a pain like a broken rib on the right anterior rib cage at the tips of the 11th and 12th ribs.  But the one to look out for is that condition that is printed in capital letters in your seminar notes:  FROZEN RIGHT SHOULDER.  Be suspicious of inflammation of the ileo-caecal valve if your patient complains of a right shoulder problem that resembles a rotator cuff tear.

Dr. Rees suggested another condition to observe which was a pseudo-gouty arthritis in both big toes.  In your seminar notes are two diagrams of pain and signs and symptoms of the ileocaecal syndrome.  Of note are the head and neck indicators that we need to bring to your attention.  These are the areas around the side of the head, the cheeks and the ears.

What will occur is that your L1 patient will lie prone on your table and feel an undue pressure from the headpiece.  The other thing that occurs is violent headache spasms coming from subluxation of the atlanto-occipital articulations often with vertebral artery occlusion.  This sets up the tinnitus aurium and vertigo symptoms of the eighth cranial nerve by circulation starvation.  Tinnitus is considered a condition with multiple and sometimes unknown cause.  As SOT, CMRT and Cranial trained practitioners, we have the basic cranial procedures in our armamentarium.  There is no better place to start than with the Basic One and Basic Two procedures.

Before going to procedure, we will list out the clinical picture of the ileo-caecal valve in the stages you are going to see, namely; a) the acute attack and; b) the sub chronic.

A.  Inflammation of the Ileo-caecal Valve (Acute)

1)        These people will have migraine headaches that are sub-occipital starting at the pain reflex line just below the occipital three and extending over the ear on the temporal bone through T-S D4 and D5 with extreme posterior eye pain and upper teeth pain.  They will be nauseated and when they vomit, bile will be present resembling a bilious attack.  Many of these people will have been through the barrage of tests and scans and may even have been hospitalised.  They are coming to see you with headaches for which they are often taking multiple pain killing drugs.

2)         They will have tinnitus aurium as the petrous portion of the temporal bone is pulled into distortion.

3)         They will have higher level low back pain around the level of the first lumbar and check for the palpatory pain at the transverse processes.  This is often the pain that drives them in to see you.

4)         They will have pain resembling broken ribs at the tip of the 11th and 12th ribs on the anterior rib cage.

5)         In these acute cases, the area on your wall chart – the temporal sphenoidal tonic area (slightly medial and anterior to the L1 and actually on the zygomatic) may not yet be painful.

6)           Another observation that didn’t appear in the 1966 CMRT notes is that the metatarsal-phalangeal joints of the big toes will be painful to pressure palpation as inflammatory material is being deposited.

B.  The Incompetent Sub Chronic Ileo-Caecal Valve

1)         They will have painful but hardened tissue at the right anterior humeral head which will be felt in the rotator cuff musculature. This is the frozen shoulder type patient.  Note in your seminar notes, under signs and symptoms that frozen right shoulder is in capital letters.  This is the frozen shoulder that does not have ‘rotator cuff tear’ or ‘supraspinatus problem’ reports from the radiologist.  In advanced cases you will note that the patient cannot raise the right arm and keep the neck straight.  Your true indicators for this type of frozen shoulder is occipital line 2 area 3 is active; TS L1 and the hardened feel of the shoulder.

2)         As previously mentioned, the metatarsal phalangeal joints of the big toes have become like a toxic dumping ground.  The pain will resemble gouty arthritis.  Hallux valgus develops.

3)         The 10th rib costal tip on the right side becomes acutely painful.  A chest x-ray  will show a calcified costo-chondral cartilage.

Background Thoughts and Rees’ Marking

Two factors in correction of the ileo-caecal incompetency are of note.  First, you must think in terms of mesentery correction.  The apron-like folds of the mesocaecum must be lifted back to normal position and all lace adhesions that restrict the freedom of ileo-caecal movement must be broken up.

A second factor is that you must think in terms of the entire digestive tract with ileo-caecal fault.  One common cause of this syndrome is back pressure of colon gas causing the valve to open the wrong way.  Trace it back to the person’s stomach not producing enough stomach acid.  Remember with insufficient acid there is difficulty digesting proteins and iron.

With this background information covered let’s now look at information on the Rees’ marking system and then we will cover the Dr. Rees procedure for correction.  Once again, for those who may be reading this article separately from others in the series, the Rees procedure was developed from his 1950s study of the De Jarnette Bloodless surgery notes combined with the 1965 Temporal Sphenoidal Research.  We have found that reviewing DeJarnette’s early work as presented by Dr. Rees has helped us understand the reasoning behind the 1966 work that is presented yearly in the seminar series along with providing some additional, effective procedure.

Rees’ Marking points

  1. The basic receptor block area for the ileo-caecal syndrome is located 5cm inferior of McBurneys point.  This area is quite tender to pressure palpation.
  2. Find an mark the tender area on the right shoulder.
  3. Find and mark the tender area found at the fifth level interspace (this is an area marked in your seminar notes that you probably wondered about.  It is a tender area that vanishes with L1 CMRT procedure.)
  4. Find and mark the 11th and 12th rib anterior rib cage.  These will be quite painful and are easily located.
  5. Find and mark the tender metatarsal phalangeal joints.
  6. Find and mark the TS lumbar one points and the tonic point.
  7. Now palpate the neck motor unit at cervical 5 and 6 which is your Lovett brother relationship.
  8. Another indicator not included in the 1966 CMRT notes is the temporal sphenoidal meningeal irritation area.  If this area on the interior of the T-S line is palpatorily painful, then you also have a disc problem at lumbar one level which must be corrected with annular ligament technique before the work will be effective.
  9. If sacral one is painful to palpation, then you have a dural port closure at lumbar one and a need for the fibre neutralisation work.


In modern times (from 1966 on) CMRT lumbar one technique has consisted of a) neutralisation of sacral one and occipital fibre, b) receptor reflex area and shoulder contacts, c) postganglionic.  In going over Dr. Rees’ procedure you can see some inclusions and exclusions of the work of DeJarnette.  This is the case in all of the thoracic and lumbar syndromes and L1 is no different.  Here now is the bloodless surgery technique for a lumbar one major, by the number.

  1. As soon as the patient is turned from prone to supine, you apply the following temporal sphenoidal pain control.  Dr. Rees found the combination of the TS work at the start of the procedure and the use of the preganglionic to ‘switch on the motors’ again to be a successful action in many of the syndromes (not all).  Note, with L1 there is a warning about when and when not to perform preganglionic technique.

The left hand holds light contact over the most painful T.S, L1 area as the right hand finger tips hold light contact over the ileo-caecal receptor block area.  Hold these contacts for two minutes with no motion.  The ileo-caecal patient will have a very alive occipital area 3 and the valve area may just be screamingly tender to the touch.  So, your two minute TS contact is for pain control to first calm down the abnormal pain oscillations in the reflex arc between the hollow viscus and the spinal cord pathways before you can successfully do the deep tissue work.  In two minutes this reflex arc pain oscillation will be neutralised so that you have anaesthetised your patient, locally, or blocked his pain interpretation pathway from the hollow viscus, so now you can go deep into the soft tissue without discomfort.  If you wish to make sure the pain pathways are blocked you can re-palpate your marked areas and you will find them absent or with only a faint remnant of pain.  Be sure and remember this is not a correction.  You have only anaesthetised the warning signs.  This is a regional visceral receptor block anaesthesia that will last about ten minutes.  This gives you sufficient time to painlessly accomplish your bloodless surgery to the involved hollow viscus.

  1. The receptor area and right shoulder work.  Your left hand is over the right humeral head; your right two fingers contact the ileocaecal area.  Your work both areas.  This procedure is continued until you can feel the tension resistance at the ileocaecal release.
  2. Using a double hand reinforced contact just below McBurneys point, you have the patient flex their leg.  The patient moves their flexed leg medial then lateral eight times.
  3. In the same position, with both hands you squeeze an expanse of abdominal tissue into a mound.  You lift this soft tissue ceiling-ward like you were going to raise the patient off the table.  Carry this tissue headwards then away from you then towards you.  Repeat this complete manoeuvre eight times.  This puts normal motion back into the ileocaecal valve.
  4. Now adjust the metatarsal – phalangeal joints of both big toes.  This is done by traction and then a quick thrust.
  5. In subsequent visits when the pain rib areas are not present; when the right shoulder pain, the 5th rib intercostal pain and the other indicators of L1 toxicity do not return, you can be rest assured that you have removed this patient from his tendency towards carcinoma.
  6. If there were 8th cranial nerve indicators, you clear this with your upper cervical work and with Cranial Technique Basic One and Basic Two.  The 2nd or 3rd office visit after the initial L1 is a good time to do this.
  7. You do not do preganglionic technique until you are ready to have this patient on maintenance visits.

As a final word, there is a right / left brain dysfunction as a key problem in many of these patients.  There are often resultant immune related problems such as sinusitis, influenza and colds.  L1 has the associated C5 which is part of the neurological rod of the phrenic nerve to the diaphragm.  These people are very sick and the liver pump and hiatal technique will also be of help.

With the Expression newsletter every three months, we hope that this allows you time to study and incorporate the TS, bloodless surgery and CMRT work.  Remember as SOTO Australasia members you also have access to the Rose Ertler memorial library which has a very large selection of DeJarnette’s works including the 1965 Temporal Sphenoidal research project notes.

Until spring, we remain

John S Kyneur                                                                Peter J Kyneur

Haberfield, Sydney                                                         Toronto, Lake Macquarie

New South Wales                                                           New South Wales

hands-on pocket reference guide for the practitioner that provides an easy-to-use item for your treatment room - available from our online shop.  Click on the picture to purchase.


Jacquie Strudwick - Monday, May 14, 2012

  • Basic
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The 2012 SOT Certification Examinations will be held on Saturday 20 October commencing at 2pm. The venue is to be announced, Melbourne.
DON’T FORGET! Applications close one month prior - Friday, 21 September, 2012

D10 Intestinal Syndrome

Jacquie Strudwick - Thursday, March 22, 2012
We have been progressing through the Bloodless Surgery and CMRT work from the viewpoint of Dr. M. L. Rees, a good friend of Major’s and a keen student of SOT, from his (Rees’) college days in the 1950s and his attendance at the annual Omaha Homecoming seminars.

We will cover the third and fourth units of digestion in this year’s four Expression articles and thusly will write about D10, L1, L2 and L4, so consider 2012 the ‘year of digestion’.  The first unit of digestion is the mouth, throat and oesophagus.  Have you ever wondered about reflex work for this zone?  The second unit of digestion is the stomach with gall bladder, pancreas, liver and bile duct.  When you are performing your TS, CMRT and Bloodless Surgery work with these areas you are normalising function and often freeing up the spider web and lace adhesions that have developed.  The third area of digestion is the small intestine and ileo-caecal valve covered in the next two issues.  The fourth unit of digestion is the caecum and large intestine and this with its two articles will see out the year.

As with all of the articles of this series, we encourage you to review the relevant section of your seminar notes and the chapter in DeJarnette’s 1966 CMRT manual.  If you haven’t got a copy of the latter, visit our online shop on our website ( or contact Averil at SOTO Australasia headquarters, 07 5442 3322 email, to secure your very own manual which you will refer to many times in your chiropractic career.

To obtain this or any of our manuals
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A review of the above two references (seminar notes, 1966 manual) informs you that D10 syndrome includes gall bladder and modified liver procedure.  DeJarnette’s view, from the 1943-44 Bloodless Surgery compendium, is applicable.  He states:  ‘No one can be sick and have a healthy liver and gall bladder’.

As we have done in previous articles we will present DeJarnette’s CMRT work with reference to Dr. Rees’ variation so you can see the two at work.  Dr. Rees always started with a TS contact and included some of the earlier procedures of DeJarnette Bloodless Surgery that may not have made their way into the 1966 manual.

DeJarnette’s procedure is:

1.    Occipital fibre neutralisation
2.    Umbilical box procedure
3.    Gall Bladder reflex
4.    Modified liver pump; and
5.    Post-ganglionic.

Dr. Rees starts with the TS contact and umbilical box hold which acts as a good manoeuvre for patients who are ‘tender to the touch’ with the occipital fibre neutralisation.  Contacting these points and reflex areas often serves as a good calming, starting point preliminary to the procedures to be performed.
Step Two is the umbilical contact.  You palpate in a circular area about two and a half inches around the umbilicus.  You are particularly interested in 2 O’clock, 4 O’clock and 10 O’clock as being tender to palpation.  Note that if all three are tender then your patient has intestinal parasites and you need to recommend elimination.  There are several vermifuges (worm eliminators) available from your local health food shop.

Rees, also noted that the intestinal syndrome patient with the worms, will have a painful angle of the jaw.  This needs correction but first comes the use of the post-ganglionic work.
Step 3:  Hold the over the shoulder contact with your left hand on the patient’s right shoulder.  Your right hand works the most tender area of the umbilical box.  As we mentioned previously you may find all three clock face areas in the 2, 4, 10 pattern.  In this case it is beneficial to work each of these for thirty seconds as a variation.

Step 4:  Now to the forgotten painful angle of the jaw.  You make a saddle contact under the patient’s chin as your other hand is flat hand contact over the umbilicus for a minute.
Step 5:  Rees used neck extension to free up the vagus nerve.  So he would stretch the cervical column with the chin contact from the previous step while at the same time making a mound of the other hand-held tissue in the umbilical box and moving this mound headwards three times.  Very useful.
In addition, a gem of a technique for vagus stimulation is to be found in the old DeJarnette Bloodless Surgery compendiums and we have extracted the description from the 1943 Bloodless Surgery Abdominal Technic notes.

“Stimulation of the vagus nerve does the following things in the order given:

1.    Closes the cardiac orifice of the stomach
2.    Opens the pyloric orifice of the stomach
3.    Opens the ampulla of vater
4.    Contracts the gall bladder
5.    Produces peristalsis of gall ducts
6.    Opens ileo caecal valve
7.    Slows the heart beat”

Centres of Vagus Stimulation:
Mechanical Centre:  Medial border sternocleidomastoid muscle opposite angle of the right jaw.  To gain this contact, turn the patient’s face to the left until SCM muscle becomes fully visible on right side of neck.  Place left thumb in medial border of this muscle at angle of right jaw.  Support left thumb contact with left index finger which is on lateral border of SCM muscle.  Pinch tissues between thumb and index finger.

Physiological Stimulation Centre: 
This is the ampulla of Vater reflex spot.  Go one and a half inches (3.75cm) right of the umbilicus and inferior for three quarters of an inch (2cm).  Place a contact on this located area and press posterior and you will have located the ampulla of vater reflex which is the physiological centre for vagus stimulation.

Application of the Reflex:
Place index and middle fingers of right hand on the ampulla of vater centre which you have just located.
Place left thumb and index finger on the SCM points described above.  Now, you rotate the ampulla of vater contact clockwise and simultaneously rotate the neck contact anti-clockwise.  You do this procedure for two seconds then reverse the direction.  So second time through you rotate the ampulla contact anti-clockwise with neck contact clockwise for two seconds.  A total of five times through is an extremely useful ten second procedure for maximally affecting the liver, gall bladder and duodenum.
And so, a couple of ‘new – old’ procedures have been discussed which we know you will find most useful.
See you next issue.

John S. Kyneur        Peter J. Kyneur
Sydney, NSW           Newcastle, NSW


Jacquie Strudwick - Monday, December 05, 2011
Welcome to the summer edition of ‘Expression’ and here is the next article in the series on the temporal sphenoidal work. We are most fortunate, living in this age and having available the computer generated graphics capable of producing life-like wall charts.

Of course, we are talking about the Occipital – Trapezius, CMRT and Temporal Sphenoidal Reflex chart produced by Dr. Marc Pick’s company, Marc Pick Creations.

You need one of these in each of your clinic rooms. You can now order them and all other SOT charts, manuals and products via our website

A word about your available resources, if you are a new reader or new to the SOT fraternity, SOTO Australasia has been publishing a newsletter since the early 1970’s and as our good friend and one of the early Australian SOT practitioners, Dr. Ken Leyonhjelm put it in a letter to the editor a few years ago: ‘these are chockers full of useful information.’ Also available to you is the online reprinting of the 1930 to 1984 DeJarnette manuals at the Rose Ertler Memorial library hosted and maintained by Dr. David Roseboom.

The TS research 1965 manual is the one you will want to delve into to give you the background for this series.

Dr. Mel Rees of Sedan, Kansas was the chiropractor who rose to the occasion of developing the T-S line and correlating it to DeJarnette’s bloodless surgery procedures following his attendance at the 1965 Convention.

Now, the T9 work. If your patient’s temporal sphenoidal thoracic nine is active and painful to palpatory pressure then you will know that your patient has adrenal gland function irregularity.
These patients have blood pressure abnormalities because the adrenal medulla has vasomotor nerve control as part of its glandular duties. You will observe a weak and fatigued patient with a stooping posture because cardiac output and general body metabolism is partly controlled by the adrenal glandular activity.

It is of interest to note that sympathetic nerve fibres pass from the spinal cord at the ninth thoracic level and pass without synapses through the sympathetic chain and on through the splanchnic nerves to go directly into the adrenal medullae and end in special cells that secrete adrenalin and nor adrenal hormones which have to do with arterial tone and general metabolism.

The temporal-sphenoidal T9 reflex directs your attention not only to the adrenal medulla but also to the adrenal cortex with its cortico-steroid hormone problems.

This portion of the adrenal is under different neural control so it is like you are performing two separate bloodless surgery procedures.

DeJarnette starts all CMRT work with occipital fibre and spinal level neutralisation. In many cases this work can be quite painful. This is where Rees’ usage of TS9 point for adrenal and the receptor block area serves to not only alter physiology so that the work can take effect but also to be more comfortable for your patient.
Step 1
Then, is locating and contacting the T.S. and the receptor block areas for adrenal. The anterior abdominal areas are found about two to three inches below the rib cartilage, lateral and slightly superior to the umbilicus. A receptor block area is like a pendulum, it keeps right on going until you stop it. In other words, this receptor block reflex arc keeps oscillating until you put the brakes on it. Here’s how ….. if the right receptor block is painful, you simply hold the right temporal sphenoid T9 and the receptor block area for two minutes. This means you have stopped the reflex arc short circuit so you can now attempt to start repairs to the damaged vital function. If both T – 9’s were painful you must use the same technique on both sides to remove the receptor block that has kept the reflex arc in abnormal oscillation.
Step 2
Not part of Dr. Rees’ procedure, but the first step of Dr. DeJarnette’s 1966 standardisation of the protocol comes in here. Of course, we are talking about the neutralisation of the occipital line 2, area 7 and the ninth thoracic vertebra. The promise of the TS and receptor area calming contacts you have just performed is that this is now much more bearable to this nervy, stressed-out adrenal patient.
Step 3
This is taking the patient’s blood pressure. If the systole is low – 95 to 140 you are going to use low blood pressure adrenal CMRT. If 140 and above, you will use high blood pressure adrenal technique.
Step 4
This is the cranial contact procedure used for improvement of adrenal cortico-steroid hormone production. This involves pituitary gland stimulation for the low blood pressure people and calming holding pressure contact for the more common high blood pressure adrenal major.

Dr. Rees used a variation which combined temporal sphenoidal work, so let’s describe both.
Dr. DeJarnette’s pituitary gland technique is thumbs contacting the vertex of the skull with fingers bilateral on the anterior margins of the temporal plates.

Dr. Rees’ approach was to place the thumbs on bilaterally on the most tender areas located by palpation on the parietal bone straight above the ears to the sagittal suture. These are easy to find areas as the patient will tell you where your pressure hurts. You now place a finger of each hand on the 9th dorsal TS area and the 4th dorsal TS area (which lies above it on your chart). The technique is an alternating pressure of about five pounds at the temporal then at the parietal contacts. And now you have two procedures for the adrenal cortex.
Step 5
Now we turn our attention to the adrenal medulla. DeJarnette’s approach is found in your CMRT seminar notes. This is the double thumb contact two inches inferior of the Xiphoid with your fingers on the patient’s lower rib cage, either side, which has been nicknames ‘the butterfly contact’ due to your hands and thumbs positions. It’s a hold and release approach for the high blood pressure adrenal patient and a rapid thumb to fingers flutter for the low blood pressure patient.

It probably comes as no surprise to you the regular reader of this series, that Dr. Rees used a variation. Remembering that he learned bloodless surgery procedure way back in 1952; it seems that DeJarnette had modified some of the contacts for 1966. The question of whether one is better than the other is for you to be the judge. Of course, we don’t expect you to turn up to your certification examinations and do anything else but what is in your seminar manual.

Dr. Rees’ approach to putting adrenal vasomotor controls back in action was to place a thumb on each 9th rib costal cartilage and the fingers on the lateral rib cage so as to contact over the 9th rib. So you have different ‘anchor points’ for the contacts of DeJarnette (early to late) but the action of holding and alternating pressure for a slow count for the high blood pressure person and doing the ‘101’ butterfly flutter for the low BP patient remains the same. This is like artificial respiration for the adrenal medullar. Whether high BP or low BP, the procedure lasts for two minutes.
Step 6
You now have the adrenal gland functions back on track and you are ready to ‘start the motors’. This is usage of our old friend, the pre-ganglionic with adrenal umbilical contacts, that is; your hold contact point is one inch superior and two inches lateral to the umbilicus – the receptor block area, the area you ‘work’ is the mid-sternal area. Your seminar notes suggest no longer than a two minute application. Dr. Rees’ suggestion was to simply and lightly rub out the pain area. In previous articles with use of the preganglionic, you will note he suggested about ten clockwise circles. This is about the right number of repetitions tolerable to your average patient in that this area can be very sensitive. A gentle tapping of the sternal area with your index finger is another excellent approach.
Step 7

We have included this very important step which Dr. Rees tended not to use, that is, the post-ganglionic control. This procedure with shoulder contact hold and adrenal receptor block working is one you will need to educate your patient into doing as a home procedure. It is performed several times a day until the blood pressure normalises for a month. The last word on patient management for the adrenal patient concerns dietary corrective supplementation. These are stressed out people, so you need to get them onto their vitamins B, C and E. Dr. DeJarnette suggested the usage of calcium lactate. These days there are several calcium / magnesium supplements available which are proving efficient.
Dr. Rees was firmly in favour of the usage of standard process glandulars such as drenamin and drenatrophin.

We have two more years of articles to follow in this series in which we cover the usage of TS work with your CMRT.

Hope you enjoy the summer and festive season.
Until next issue, all the best.

John S. Kyneur           Peter J. Kyneur
Sydney, NSW             Newcastle, NSW


Jacquie Strudwick - Sunday, November 13, 2011
Welcome to the Spring ‘Expression’ article on the bloodless surgery, CMRT and temporal sphenoidal work for the liver.
For those just joining us in this series of articles, we have been working through the work of Dr. Mel Rees. Dr. Rees learned the bloodless surgery work in 1952 while at Chiropractic College.
In 1965, he attended Dr. De Jarnette’s seminar on the Temporal Sphenoidal reflex points and incorporated the work into his practice. In 1966 Dr. De Jarnette standardised the bloodless surgery work and called it C.M.R.T. (Chiropractic Manipulative Reflex Technique).

The T8 T.S point is located on your wall chart, and on your patient on the lower line. If you haven’t got a wall chart, you need to make the small investment and have one of these in your clinic rooms – call Averil for prices (phone 07 5442 3322).

If you have located T8 and it ‘ouches’ to palpatory pressure, you have a patient with liver abnormalities. They will have an occipital line 2, area 6 heavy nodule. Dr. De Jarnette called the liver, ‘the great imitator’ in that it can mock just about any other organ of the body. The liver presents three
types of problems; metabolic, secretory and vascular.

The patients you see with a TS major will have metabolic liver problems. The secretory and vascular types will show up as a T4 and an L4 major, respectively.

The metabolic functions of the liver are by far the greatest concern to the C.M.R.T. and TS practitioner.

The liver is the gateway to the body and this amazing organ exercises tight control upon materials – food and poisonous substances – seeking entrance.

Materials absorbed from our intestines must first be carried to the liver by the portal circulatory system, inspected and stamped ‘good to use’ or ‘neutralise, poison’ before the needed nutrients are allowed to continue on to the billions of hungry cells clamouring for them. If there has been a lack
of ‘life force’ to the liver function for even a short time, we have a weakened liver unable to normally cope with these all important metabolic functions.

T8 Liver Physiology

The change in metabolic function you will see with these patients results from back pressure of the portal circulatory system. The portal circulation to the liver normally has about 8mm of pressure behind it. Liver dysfunction causes an increase in circulation pressure and this will produce the
symptoms these patients exhibit. Remember that the portal system has a large number of anastomoses with the general circulatory system – these are collateral circulatory pathways that are normally slightly travelled.

When the liver is in trouble, the portal pressure can increase to 20 and 30mm resulting in a spill-over into one or more of the collateral pathways. The weakest pathways will be the first affected and the symptoms appearing will depend upon the pathways to succumb.

The most common are:
  1. Probably the most common ballooning collateral is the back pressure through the haemorrhoidal circulation. The resulting symptoms, of course, are the very uncomfortable piles that occur overnight, many times.
  2. The second most common symptom you will find is the ‘oesophageal varicosity syndrome’ which in categories work and C.M.R.T. we know as reflux oesophagitis or pseudo-hiatal hernia. It can present as a sub-clinical version with the Category II patient. It can also present as a most terrifying affliction which the patients interprets as a ‘heart attack’. The distal oesophagus where it moves with respiration within the diaphragm balloons as an overworked collateral pathway.
  3. Two very serious symptoms can be caused by collateral ballooning in the splenic duct and/or in the pancreatic duct. This is where the liver major can resemble splenic problems or pancreatic problems and if not repaired can actually set the stage for future trouble in those areas.
  4. A ballooning of the collateral system through the peritoneum, omentum apron, that acts as a holding structure for pelvic and abdominal contents can result in kidney, GI tract and many pelvic symptoms. Female organ ptosis symptoms and prostate ptosis symptoms and kidney ptosis symptoms are what you will find in these liver major patients.
You may now understand why Dr. De Jarnette
called the liver the ‘great imitator’!
We will now present Dr. Rees’ procedure for the T8 work. As we have staged in previous writings in this series, it is a chance for you to review your C.M.R.T. notes from the seminar series and perhaps to re-read the 1966 C.M.R.T. manual appropriate pages.

Bloodless Surgery Technique for T8 Major

You are seated on the right of your supine patient throughout this procedure, which is outlined in ten steps:

  1. Dr. De Jarnette located two liver reflex areas on the anterior and posterior of the right shoulder girdle. It was Dr. Rees’ habit of marking these areas with a skin pencil for pre and post checking. The anterior is on the third right rib, about 5cm lateral of the sternal margin. The posterior is right straight through to the back side, thus just off the right transverse process of T3. The front area when painful means the front half of the liver is congested. The back area when painful means the back half of the liver is congested. Nearly always, both will be painful in a TS T8 major. When you do your bloodless surgery / C.M.R.T. procedures, these painful areas are gone and the portal back pressure can be normalised.
  2. This is an area of liver reflex you will have read about in your C.M.R.T. seminar notes and most probably overlooked. The front portion of the forearm, over the biceps muscle or lower one-third of the biceps muscle. This is a reflex area of soreness that is extremely consistent in its use as a progress monitor in the C.M.R.T. /TS work.
  3. Locate the most painful area, on the patient’s right from the liver down to McBurneys point. This is the receptor block area – the region you will use in the TS work and may wish to use with post ganglionic. In our current seminar notes we call this the ‘caecal area’!
  4. Here is the TS approach. You have previously located the painful temporal sphenoidal T8 indicator and you hold this with a left hand finger contact while you contact the receptor block area with your right hand finger tips. This is the ‘stop the reflex arc oscillation’ step of your technique which enables the steps to follow to take better. Essentially, if you hold the reflex arc oscillation contacts for two minutes you neutralise these areas and their neural volley input. Your temporal sphenoidal pain will no longer be present and the biceps’ indicator (as mentioned in step 2 above) will no longer be there. This results from your removing the receptor block that has kept the reflex arc in abnormal oscillation and with it removed the ‘pain interpreted’ reflex areas on the body.
  5. Now you are ready for your deep tissue technique which consists of the five steps:
    1. Third rib and posterior contact
    2. Third rib and McBurneys contact
    3. The anterior liver technic
    4. The posterior liver technic
    5. Pre – ganglionic work
    You know these from your C.M.R.T. seminar notes, but by repetition and stating these in a different context, this should give you more certainty to your approach. You hold the posterior marked third rib reflex area while you use a circular motion over the front third rib area for the count of ten, which is, about the length of time taken to achieve tissue relaxation.
  6. Now hold the anterior third rib marked area as you use your right hand to break up the adhesions at the caecal area. This area covers the area from the ampulla of vater down to the McBurneys point. It is less tender than it would have been if you didn’t do the TS contact, but nevertheless will still have loads of tension in it. You will feel this tension leave in about thirty seconds of gentle circular work. This step is most necessary to relax the bile duct so your liver congestion techniques, the anterior and posterior pumps that follow, can work.
  7. This step is the anterior liver technique which is a gem of a move and seems to have been overlooked in the modern notes. Dr. Mel Rees whilst a student at the small and now, defunct Kansas State Chiropractic College, learned this from his teacher, Dr. Brian Surtees. As to the importance of this step, Dr. Surtees used to say ‘you better do this move or you aint done nothing’. Here is the liver pump out technique or anterior liver technique to clear out the front portion of the liver. Your left hand is an ‘over the shoulder contact’ with your thumb landing on the anterior third marked area. Your right hand finger tips make a soft touch contact two inches under the right inferior costal arch and gradual increase pressure, superiorly and then floorward, like the tide going in and out, for one minute. In this action, remember your anatomy and the fact that you are squeezing out congestion on the front one half of the liver.
  8. This next step, you know from the C.M.R.T. seminar notes as ‘the liver pump’ which is described as – left hand over right liver area presses and pumps in a rotation motion while the right hand lifts and holds the caecal area. In more detail and with some variation, this technique in the old Bloodless Surgery notes was called the posterior liver technic. Following your last step, you move both hands down. Your left hand which was over shoulder now is moved down to the right inferior costal arch with heel of the hand over the lateral margins of T-7, T-8, T-9 and T-10 ribs. Your contact needs to be as far posterior as you can on your supine patient. Now follow these variation directions. Your right hand is placed on that caecal area, just below McBurneys point with the fingers pointing to the medial line. Your left hand holding contact lifts the rib cage ceilingward as your right flat hand contact turns in a torque manoeuvre until the fingers face the right shoulder and at the same time carry the soft tissue floorward always gaining as much tissue stretch as possible. Now your left hand rib cage contact squeezes the costal arch towards you as your right hand pushes for a count of five. This cycle is repeated five times to clear the most difficult portion, the posterior portion of the liver of congestion.
  9. Now palpate the sternal bone for tenderness. This is the pre-ganglionic, which you have come to know now from this series of articles, a component which had been forgotten. Remember, the idea here is to ‘start the motor’ again, that you ‘switched off’ with the TS and organ receptor area holding contact. You hold the liver area flat hand contact with your right hand while you give ten quick left finger circles on the mid-sternal area.
  10. Except for nutritional support, this concludes your bloodless surgery technic. Remember the liver needs a food source of manganese enzymes for the formation of urea from ammonium ions and for the glycolysis process. Also, the sick liver needs vitamin A but can’t tolerate oil sources. Thus, lettuce, carrot and/or beetroot juices need to be taken. There are several liver cleansers available on the market but the simplest measure of having the patient squeeze the juice of half a lemon and taking this in warm water twenty minutes before breakfast proves to be a very successful action.
A principle the C.M.R.T., bloodless surgery and TS practitioner must remember is that there are often
secondary organs involved. Thus, a liver ‘major’, may have a need for kidney raising and drainage and as we said before reflux oesophagitis and the Allen Flip technique are often indicated. Most likely you would have started these procedures when the patient presented as a Category II.

All the best with the work.
John S. Kyneur
Sydney, NSW

Peter J. Kyneur

Newcastle, NSW

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