=Head.=—The cervical sympathetic for the same side of the face, eye,
ear, salivary glands, tongue, etc., and possibly the brain. Lesions
are found in all the tissues about the cervical region, but usually in
the vertebræ, which influence these nerves. Deep contracted muscles
oftentimes involve them. The spinal vaso-constrictors for the vessels
of the head are from the first five or six thoracics. Many lesions are
located in the upper five or six dorsal vertebræ, or corresponding
ribs, that have apparently a direct influence upon the vessels of the
head. Not only congestive headache and congestion of the brain tissues
are influenced by lesions in this region, but disease of the eye, ear
and face occasionally arise from such derangements. It is always best
when the head, neck or even the arms are involved, to examine carefully
this region. Vaso-dilator fibres for the face and mouth are found from
the second to the fifth dorsals; these fibres unite almost entirely
with the trigeminus, and pass from the superior cervical ganglion of
the sympathetic, to the ganglion of Gasser. This fact is of great
importance to the osteopath, for oftentimes when inflammation of the
face and mouth occurs, lesions may be located along the upper dorsal
vertebræ or ribs, or in the deeply contracted muscles of this region.
Observation revealed in several cases of erysipelas that the causative
lesion was located in the upper dorsal region; and the cases were cured
by correcting these lesions, thus showing that probably the vasomotor
nerves were the seat of the trouble. Other dilator fibres arise
apparently in the trigeminus, for stimulation of this nerve between the
brain and Gasser’s ganglion causes dilatation of the vessels of the
face. The lingual and glosso-pharyngeal nerves are the dilators of the
lingual vessels. The sympathetic and hypo glossal are the constrictors;
these arise in the sympathetic and reach the nerves by way of the
superior cervical ganglion. Stimulation of the cervical sympathetic
causes constriction of the retinal vessels. This point is extremely
interesting to the osteopath, because diseases of the retina and optic
nerve are oftentimes due to subluxated cervical vertebræ, usually the
atlas or third cervical. The retinal fibres leave the sympathetic at
the superior cervical ganglion and pass along the communicating ramus
to the ganglion of Gasser, from whence they reach the eye through the
ophthalmic branch of the fifth nerve, the gray root of the ophthalmic,
the ganglion and the ciliary nerves. Almost all the fibres to the
anterior part of the eye are found in the fifth nerve; this, also,
is another important point for the osteopath’s consideration. Cases
of conjunctivitis, keratitis, corneal astigmatism and diseases about
the eyelids and tear ducts are usually caused by lesions to the fifth
nerve, due to a deranged atlas or third cervical. The vaso-dilators
for the anterior part of the eye, and also dilating fibres to the
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