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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 (www.soto.net.au) or contact Averil at SOTO Australasia headquarters, 07 5442 3322 email sotoa@bigpond.com, to secure your very own manual which you will refer to many times in your chiropractic career.


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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


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