Atlas of Neural Therapy With Local Anesthetics

235 Pages·2012·95.73 MB·English

Atlas of Neural Therapy
With Local Anesthetics
Mathias P. Dosch, MD
PrivatePractitioner
Munich,Germany
3rdedition
174illustrations
Thieme
Stuttgart·NewYork
IV
LibraryofCongressCataloging-in-PublicationData Important note: Medicine is an ever-changing science under-
goingcontinualdevelopment.Researchandclinicalexperience
Dosch,Mathias. are continually expanding our knowledge, in particular our
[BildatlasderNeuraltherapiemitLakalanästhetika.English] knowledge of proper treatment and drug therapy. Insofar as
Atlasofneuraltherapywithlocalanesthetics/MathiasP. thisbookmentionsanydosageorapplication,readersmayrest
Dosch;[translatedbyArthurLinsay,JohnGrossman].–3rded. assured that the authors, editors, and publishers have made
p.;cm. every effort to ensure that such references are in accordance
Includesindex. withthestateofknowledgeatthetimeofproductionofthe
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Management–Atlases.5.Procaine–therapeuticuse–Atlases. statedinthebook.Everyuserisrequestedtoexaminecarefully
WB17] the manufacturers’ leaflets accompanying each drug and to
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2011050603 ist, whether the dosage schedules mentioned therein or the
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quesofNeuralTherapywithLocalAnesthetics.” ule or everyform ofapplication used isentirelyattheuser’s
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Translators: Arthur Lindsay, Ponte Cremenage, Switzerland;
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V
Foreword to the Second Edition
Neuraltherapyisnotjustanotherinjectiontechnique.It The author of this comprehensive reviewof all rele-
is a complex, safe, and very effective healing system for vanttechniques,MathiasDosch,isthesonofPeterDosch,
our time.Thedevelopmentofneural therapyhas along one of a handful of the original Huneke students, col-
history. It stretches back to the discovery by Vienna’s leagues,friends,andmentors,whoensuredthehanding
famous neurologist, Sigmund Freud, of the topical anes- downoftheseprecioushealingtechniquestothousands
theticeffectsofcocainein1883,andtothepublicationin ofdoctorsofthenextgenerationsallovertheworld.
Germany of the first textbook on healing anesthesia by Neural therapy has become a traditional European
Spiess only one year after Einhorn synthesized the first healing system focusing on the health of the autonomic
pharmaceutical local anesthetic, procaine, in his labora- nervous system. Much of the neurophysiological under-
tory in 1905. Spiess described the technique of “trigger standing is based on the workof the early physiologists
point injections,” which some 60 years later were to of the last century, especially the school of the Russian
change pain management in the US forever through the genius,Pavlov.Thescientificbasisofneuraltherapyrests
wonderful work and further development of this small on a simple neurophysiological truth: injury and illness
but important aspect of neural therapy by the late Dr. oftenresultinlong-lastingdysfunctionoftheautonomic
JanetTravell.Dr.Travellwaspersonallyfamiliarwithand nervoussystem.Theautonomicnervoussystemcontrols
inspired by the work of two German medical doctors, andregulatesorcoregulatesmostmetabolic,immunolog-
dentists,andbrothers:FerdinandandWalterHuneke. ical, healing, digestive, hormonal, and many other sys-
FerdinandHunekeiscreditedwithbeingthefatherof temic functions. It controls such diverse issues as blood
modernneuraltherapy.Heunderstoodtheimportanceof flow, pancreatic enzyme and insulin production, and
injecting surgical scars, following his first clinical obser- metabolicactivityoftheliver.Relativelynewisthefind-
vationin1925ofaprofoundhealingreactionaftertreat- ing that the neurotransmitters produced in the ganglia
ing an old osteomyelitis scar in a young woman. Under andtransportedtothesynapsesof the autonomicnerv-
thetermpreemptiveanesthesia,hismethodisonlynow oussystemarereleasedintheendotheliumofbloodves-
findinggradualacceptanceinsurgicaldepartments,some sels and activate or inactivate specific portions of the
75 years after his initial discovery and publications. immune system. Scars can create abnormal signals that
Hunekealsocollectedandrefinedtheoriginaltechniques affecttheautonomicnervoussystemanditsbranchesfor
for autonomic ganglion blocks with local anesthetics, years after an injury or a surgery. Toxicity can offset an
nerveblocks,andthefirstepiduralinjections. autonomic ganglion. Unhealed emotional trauma and
Many of the early injection techniques were first conflictscanreachtheautonomicnervoussystemviathe
described by French physicians, amongst them the limbichypothalamicaxisandchangethefineorchestra-
famoussurgeon,Leriche.Lerichehadoriginallydeveloped tion of impulses flowing in the autonomic nervous sys-
surgical techniques for pain control, which included tem.Asimpleinjectionofprocaineintotheexactlocation
severing the thoracic sympathetic chain and cutting where the abnormal impulse starts can restore order in
nerves in pain patients injured during WWI. As a much the system and lead to deep healing, often instantly! It
lessinvasivealternativehehaddevelopedinjectiontech- maybeaninjectionintoasurgical scar,aganglion,ora
niques for each surgical procedure by 1925 and named vein.Commonlythesiteinjectedislocatedfarawayfrom
the procaine injection the surgeon’s “bloodless scalpel.” thelocationofthepatient’ssymptom.
Unfortunately, 75 years later surgical sympathectomies The neural therapy techniques comprise an entire
forpaincontrolarestilldoneinsomehospitals,buthave healingsystemthatisscientificallysound.Thetechniques
largelybeenreplacedbynerveblocksandregionalanes- canbelearnedfromthisbook.Thethinkingbehindneu-
thesiaproceduresworldwide.Mostoftheinjectiontech- ral therapycanbelearned byattending hands-onwork-
niquesusedtodayhavealreadybeenpublishedandused shopsandbyapprenticeshipwithanexperiencedphysi-
extensively by the early physicians at the beginning of cian. Good history-taking and newer biofeedback
the last century. Many of their wonderfully intelligent methods such as autonomic response testing (ART) and
and helpful techniques have been recently republished electrodermal testing (EAV) have been able to predict
and renamed under different authors’ names and with whichscarorwhichganglionshouldbetreated.
different indications, most often not giving credit to Neural Therapy is practiced today in all European
Huneke,Leriche,andtherealpioneersinthisfield.Many countries, Mexico, and Central and South America. In
injection procedures had been almost forgotten, such as Franceanoffshootofthisworkisknownunderthename
the Frankenhauser ganglion block, one of the most pro- mesotherapy.IntheUS,someofthesewonderfultechni-
foundhealingtechniquesforproblemsofthepelvicfloor. ques have already become a well-established part of
VI ForewordtotheSecondEdition
“regionalanesthesia,”“nerveblocks,”andotherpaincon- neural therapy into their statutes and to require this
trol procedures, with most physicians being unaware of knowledge to be part of the material for the licensing
the long history of these techniques. John Bonica, who exam.
established the first renowned multidisciplinary pain Neuraltherapyisahealingtechniquethat willoften
clinicinSeattle,wasfullyawareoftheworkofFerdinand helpwhere all other methods havefailed. Often healing
Huneke and had studied his work diligently. In his occursso rapidlyand unexpectedly that it is referred to
ground-breaking2-volumetextbookonthemanagement aslightningreaction(orHunekePhenomenon).Itissafe,
ofchronicpain,manyproceduresaredescribedwhichhe oftennoninvasive,andcan beapplied tocommonprob-
firstencounteredinHuneke’swriting(personalcommu- lemsinallareasofmedicine:generalpractice,ENT,oph-
nication). However, for complex academic and political thalmology,gynecology,internalmedicine,painmanage-
reasonshechoosesnottorefertothesourceinhiswrit- ment,pediatrics,psychiatry,andallotherspecialtiesand
ings. The traditional teaching of neural therapy in the subspecialties. Thousands of clients have been helped
English-speaking countries has made great progress in already in Australia, Canada, the US, and the UK and
the last 14 years under the leadership of the American countlesspatients in othercountries. It is a healing sys-
AcademyofNeuralTherapy.Hundredsofphysicianshave temwhosetimehascome.
taken the workshops and have incorporated neural
therapy safely and successfully into their practice. The DietrichKlinghardt,M.D.,Ph.D. February2003
HomeopathicMedicalBoardinthestateofNevadaisthe Bellevue,WA
first major medical organization to have incorporated www.neuraltherapy.com
VII
Preface to the Third Edition
Thetextbookathandistheresultofalifetimeofexperi- ofNeuralTherapywithLocalAnesthetics,whichwillcon-
ence with neural therapy. It is, so to speak, the essence tainextractsoftheManualofNeuralTherapyAccordingto
thatcanbepassedoninwordsandpictures.Theultimate Huneke by Dr. Peter Dosch and myself, proves the fact
craftsmanship depends on the individual practitioner. I that neural therapyis nowcompletelyestablished inter-
wasfortunatetolearnfromthelastgreatmasterscholar nationally. Today, minds are open to a therapy that my
ofFerdinandHuneke,myfatherDr.PeterDosch.Hedied father had to fight for, and neural therapy has found its
in June of 2005 at the age of 90. Through his life and placeasacomplementtoclassicorthodoxmedicine.
work, Peter Dosch made neural therapy accessible to
teachersandstudents.Itismyhonorabletasktocontinue MathiasP.Dosch,M.D.
hisopus.TheneedforathirdEnglisheditionoftheAtlas
VIII
“
Preface to the 14th German Edition of the Manual of Neural
”
Therapy According to Huneke by Peter Dosch
Thephysicianhasbutasingletask: caughtupinthewheelsofananonymous,pseudo-scien-
tocure;andifhesucceeds, tificmachineanditsattendantbureaucracy.Atthesame
itmattersnotawhit time, their treatment is almost exclusively based on
bywhatmeanshehassucceeded! symptoms, organ, and laboratory findings, but hardly
–Hippocrates(fl.ca.400BC) ever deals with causes. However, the term “natural sci-
ence” can in practice be justified only if such a science
Technical development has brought not only blessings doesnotexcludethenatureofthehumanbeing,sinceit
andprogresstomankind.Thespiritsthathumankindhas isultimatelysupposedtobeservinghumanity!
invokedarenowbeginningtothreatenitsownexistence. Whenever the citizen of today becomes aware ofan
Centralizationandincreasingmechanizationinmedicine unsatisfactory situation, he or she tends to call on the
haveledtooverspecializationandtosoullessrobotmedi- state to intervene. But, in this case, the state is equally
cine.Thishasreducedthedoctor–patientrelationshipto helpless,foritisaboveallelsethestateitselfthatisinter-
something that concerns itself with purely somatic estedinthescientistonlyintermsofhisorher produc-
aspects. The demand for a more psychosomatically ori- tivity. The general practitioner and family doctor,in the
ented approach to medicine concerned with the human eyesofthestate,aremerelyby-productsofbadlyplanned
organism as a whole has remained largely unheard and medicaltraining,which,asitwere,continuestoproduce
unanswered.Merelytalkingaboutsuchalonged-forgoal thesemodelsdespitethefactthatthereisnolongerany
doesnotmeanthatithas,infact,beenattained,theless market demand for them. That this formulation is not
so as long as the ultimate objective is merely toclassify exaggerated is shown by the selection procedure for
illnessbyaccuratediagnosiswhilstaneffectivetherapyis medical students. Admission is restricted to those who
lacking. No wonder, therefore, that the personalities of can prove by their examination results that they can
doctor and patient have retreated ever further into the learn facts, figures,and scientific principles. In this way,
background.Thatchildliketrustinthedoctor,whichsaw they are then able to provide the requisite guarantees
inhimorhersomethingofanomnipotentparentfigure, that they will later be fullycompetent to recognize in a
has beenreplacedalmost totallybya mereservicerela- perfectly disciplined manner that which is scientifically
tionship,albeitstillona“professional”basis.Andillness, andtechnologicallyfeasible.
from being regarded as an affliction willed by God, has But this does not offer any guarantee that anyone
changed into being seen purelyas a malfunction due to with good university-entrance examination results will
chemicalandmechanicalfactors. alsobringwithhimorherthepersonalitythatisessen-
Today’s patient comes to us programmed differently tialforbeingaphysician,acapacityforeasyhumancon-
from the way he or she was in the past. Health has tacts, and empathy, to name but a couple. In addition,
becomeaconsumerproduct.Thepatientandtheirhealth today there is little relation between medical training
insurancepay,inexchangeforwhichhealthistobesup- and medical practice. The “doctoring” aspects are rele-
pliedintheformofrepairswithoutanypersonalcontri- gatedtosecondplaceandthereislittleattemptmadeto
butiononthepatient’spart.Tothepatient,thephysician developtheabilityofthinkingandactingasadoctor.Asa
has become a mere technician with whom he or she result, the patient often finds that he or she is in the
enters into a contract, by which the doctor is only hands of pure technicians who are more or less conver-
requiredtolocatethedefectandeliminateitwiththeaid sant with the diagnostic machinery under their control
of physics and chemistry. After all, isn’t that what they and who are more interested in a diagnosis capable of
arepaidfor? objectiveproofrather thaninthepersonandfateofthe
Thehospitalhasbeenindustrialized.Itnolongersees patienthimorherself.
patients as individuals, but concentrates ever more on All that I have stated here should not, however, be
their illness as thebasis for statistically significant diag- interpretedtosuggestthattherearenotmanygooddoc-
nosticgroups.Ittakesfromthemwhateveritfindstobe tors, in our sense of the word, amongst these scientists
ofuseforitsownpurposes.Patientsaredepersonalized. andclinicians.Butthesehavebecomegooddoctorsnotas
They are made to submit to all the various procedures, a result of their training but despite the principles that
generally without ever discovering why and with what areregardedassolelyvalidinthiskindofeducation.The
results. The findings, rather than their condition, are at cultofanythingthatcanbesupportedbyobjectiveproof
thecenterofclinicalinterest.Itisnotthepatient’sinter- has obscured the fact that the living organism must be
estsbutthoseofthepeopleofsciencethathavetobesat- seenasacompleteandindivisibleentityandhasprecipi-
isfied.Inthisway,alltoooften,patientsfindthemselves tatedmedicineintoacrisis.Thishas,infact,beenrecog-
Prefacetothe14thGermanEditionofthe“ManualofNeuralTherapyAccordingtoHuneke”byPeterDosch IX
nized,butnowayouthasyetbeenfoundbecauseweare that medicine, which is usually generous enough in
not prepared to abandon the schematic framework that namingnames,hasbeensoreluctanttoattachthename
wehavecometoregardasimmutable. of their discoverers and defenders to these teachings
It is notour intention inanywaytodenythatthere andoftenenoughturnsitsbackuponthem,despitethe
hasbeenprogressinmedicineortosuggestthattechnol- factthatwhattheydiscoveredissurelyoneofthegreat-
ogyinmedicineisacreationofthedevil.Butweoughtto estandmostbeneficialachievementsinmedicineofthe
make certain that progress doesnot in the end cometo last 50 years. Nevertheless, segmental therapy is now
threatenourexistenceandthattechnologydoesnotturn widely accepted as an integral part of orthodox medi-
into technocracy. We want to help in trying to contain cine and forms an important part of neural therapy as
theexcessivelymechanisticwaysofthinkingandacting, such.
inordertoprovidemoreroomforalessharmfulformof YetthelightningreactionaccordingtoHunekeisstill
therapy that takes the regulating mechanisms and the regarded as controversial. This is not altogether surpris-
body’s own healing powers more into account. Exact ingifonebearsinmindthatthethoughtprocessesthatit
logic,science,andtheivory-towerideasofthespecialist demands are enough to shake the foundations of medi-
ontheonehand;theartofhealing,intuition,andthink- cineasbuiltupoverthecenturies.Yetthelightningreac-
ingrather more in cybernetic terms on the other: these tionisafactandcanbeproducedbyanyone.Ithastaught
arethetwoopposingpolesbetweenwhichmedicaljudg- us to heal in the true sense of the word, where wehad
ment seems to be moving today. But in the interests of previously been at the end of all our supposed wisdom
thepatient,whomwearecalledtoserve,neithershould thatwehavecarriedaboutwithussinceourdaysatmed-
exclude the other. Both are necessary, each the comple- icalschool.Thisiswhythediscoveriesbasedonthisreal-
ment of the other, and should be used intelligently. The itycan no longer betalked outofexistence. And if they
exact sciences have drawn frontiers in places where,for nolongerfitintotheoldschemeofthings,thenitmust
manysufferersfromillness,itwouldhavebeenbetterto behightimetoaltertheschemeofthings!
build bridges. We regard it not as illegal, but rather as Time has been working in favor of neural therapy
medicallyessential,tocrossthesefrontierswhereverthis according to Huneke. The Viennese professors and their
maybenecessaryforthesakeofourpatients.Ourdutyis helpershaveprovidedproof thattheobservationsmade
tohelpthem,andtocarrythisoutweneedtoexpandthe by the two Hunekes were not a form of self-deception
naturalsciences,concernedastheyarewithmathemati- practicedbyapair ofmonomaniacs. Theydiscovered by
callogic,byanother,moreempiricalformofscience.For empirical methods the effects produced by procaine.
if we fail to do so, human medicine will become ever Thesecannowbeprovedbyscientificmethods.Thereal-
moreinhumanandmoresterile. ityofthelightningreactionhasbeenscientificallyproved
In this time of crisis, modern cybernetics forms a andoughtnolongertoremainthecontroversialprivilege
bridgebetween thesciences and has also begun tocon- of a handful of fanatics and outsiders. These develop-
quer medicine. Cybernetics, with the theory of inter- mentsshowthattheHunekemethodhasnowbecomea
linkedandinteractingcontrolcircuits,isabletomakefor matter of interest to some who would not previously
a better understanding of Huneke’s therapy and to help regarditasfitfordiscussionorwhoadoptedawait-and-
this method to its final breakthrough. For it has now see attitude toward it. From outright rejection, we have
become obvious that the Huneke brothers have discov- reached a point where genuine interest is being shown.
ered cybernetic laws of tremendous importance for the We,whowereamongtheearlypartisansof the Huneke
future of medicine. Neural therapists are already using brothers, are happy to know that many are now begin-
thesediscoveriestoday! ning torecognizethat what we pursuedwas not awill-
The attentive reader of this book will recognizethat o’-the-wisp, but that what we have done is to prevent
neural therapy, acting as it does upon the cybernetic such a logical and successful method from being forgot-
energycycle,formsanintelligentalternativetoimperso- tenanddyingwithitsdiscoverers.Weshallthereforeper-
nal,formalizedmedicineasitexistsinourday.Wedonot severeinoureffortstodismantleanyprejudiceandmis-
wanttoreplacethismedicine,butwecancomplementit conceptionsthatmaystillcontinuetoexist.
andmakeitmoreeffective. Buttheterm“neuraltherapy”isnotintendedtosug-
Meanwhile,neuraltherapyaccordingtoHunekehas gestthatweclaimexclusiverightstothenervoussystem.
setoutonitsworldwideconquestofmedicine.Itbegan Nosurgical,physical,psychotherapeutic,orotherformof
inthesurgeryoftwogeneralpractitioners.Now,general treatment can affordtoleavethe nervous system outof
practitioners and specialists from every medical disci- account. This term is thus intended simply to bear wit-
pline are using it to an ever-increasing extent in their nesstothefactthatbycontrastwithhumoral,organic,or
day-to-day treatment of patients. Nevertheless, outside cellular therapy we have adopted a different point of
Germany, the Huneke phenomenon is still littleknown viewandaretryingtoseeallthevitalprocesses,includ-
asapositivetherapeuticobjective,andeveninGermany ing those of illness and cure, as being primarily condi-
theodorofmagicandquackerystilltendstobeattached tioned by the nervous system. Not in isolation, but in a
toitinthemindsoftheignorant.Itissurelyremarkable cyberneticandholisticsense.Theterm“neuraltherapy”