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

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