Treatment to the =intestines= through the abdomen is an effective
treatment. In the various obstructions to the intestines, constipation,
etc., the direct work is essential. Treatment of the intestines is to
correct any abnormal position that they may have assumed, to relieve
constrictions of the gut caused by contracted tissues, to relieve
impactions and adhesions, to increase peristalsis and to tone up the
intestinal coats in general. The treatment consists in a manipulation
of the intestines, especially in the right and left iliac fossæ, and
the pelvic colon, ascending colon and duodenum, as impactions and
prolapses of the gut are more liable to occur at these points than in
any other locality. In manipulating the intestines, work for a definite
purpose and not give a general kneading treatment unless the walls of
the abdomen and the coats of the intestines are weakened; in the latter
case the spinal treatment is the primary one. In treating over the
iliac region, draw upward and inward on the folds of the gut. It is
claimed by some authorities that nerves pass from the cutaneous surface
of the abdomen directly to the intestine by way of the peritoneum;
if such is the case, manipulation of the abdominal walls would have
direct effect upon these nerve fibres. The abdomen may be treated when
the patient is sitting up, but the treatment is not satisfactory. (See
Prolapsed Organs).
=The Pelvis.=—The treatment of the pelvis is easy, but the difficult
work is in making a diagnosis of the position of the pelvic bones.
The pelvis is especially apt to become deranged by jars and falls.
Some of the most successful osteopathic results have been obtained in
correcting the pelvic region.
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