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Peter Dosch, MD Mathias Dosch, MD !!Thieme -------------------------TEK.pdf Manual of Neural Therapy According to Huneke I Peter Dosch, MD (t) 'FormerlyInternationalAssociationfor NeuralTherapy Accordingto Huneke eV Freudenstadt Germany Mathias Dosch, MD Physician in Private Practice Munich Germany Second edition 130 illustrations ) Thieme Stuttgart· NewYork 20100511132213922ÇÇÇ.pdf IV Libraryoj-CongressCataloging-in-PublicationData Importantnote:Medicineisanever-changingscienceundergoing continual development Research and clinical experience are con , Dosch,Peter. tinuallyexpandingourlmowledge, in particularourlmowledgeof [LehrburchderNeuraltherapienachHuneke.English] propertreatmentand drugtherapy. Insofaras this bookmentions / ManualofneuraltherapyaccordingtoHuneke/J.PeterDosch, any dosage or application, readers may rest assured that the au MatthiasDosch.- 2nded./[translator,RuthGutberiet]. thors,editors,andpublishershavemadeeveryefforttoensurethat p.;em. suchreferencesareinaccordancewiththestateofknowledgeat Rev.andupdatedtranslationof:LehrbuchderNeuraltherapienach thetimeofproductionofthebook. Huneke (Regulationstherapie mit Lokalanasthetika).14th German Nevertheless,thisdoesnotinvolve,imply,orexpressanyguarantee ed.1995 orresponsibilityonthepartofthepublishersinrespecttoanydos Includesbibliographicalreferencesandindexes. ageinstructionsandformsofapplicationsstatedinthebook.Every ISBN-13:978-3-13-140602-6(GTV:alk.paper) userisrequestedtoexaminecarefullythemanufacturers'leaflets ISBN-10:3-13-140602-X(GTV:allcpaper) accompanyingeachdrugandtvcheck,ifnecessaryinconsultation ISBN-13:978-1-58890-363-1 (TNY:allcpaper) withaphysicianorspecialist,whetherthe dosageschedulesmen ISBN-10:1-58890-363-X(TNY:allcpaper) tioned therein or the contraindications stated by the manufac 1.Porcaine.I.Dosch,Mathias.II.Title. turers differ from the statements made in the present book. Such [DNLM:1.Huneke,Ferdinand,1891-1966.2.Huneke,Walter. examination is particularly important with drugs that are either 3.ComplementaryTherapies-methods. rarelyused orhavebeennewlyreleasedonthemarketEverydos 4.Procaine-therapeuticuse. age schedule or every form ofapplication used is entirelyat the WE890D722L2006a] user's own risk and responsibility.The authors and publishers re RM666.N84D682006 questeveryusertoreporttothepublishersanydiscrepanciesorin 615.5'35-dc22 accuracies noticed. Iferrors in this work are found after publica 2006024965 tion, errata will be posted at www.thieme.com on the product descriptionpage. Thisbookisarevisedand updatedtranslationofthe14thGerman edition published and copyrighted 1995 by Karl F. Haug Verlag, Heidelberg, Germany. Title ofthe German edition: Lehrbuch der Neuraltherapie nach Huneke (Regulationstherapie mit Lokalanas thetika) tDr.PeterDoschdied2June2005 Translator1stedition:ArthurLindsay,MIL,MTG,BDO,ASTI Translator2ndedition:RuthGutberletChom,NCTMB, Cologne,Germany ©2007GeorgThiemeVerlag, Some of the product names, patents, and registered designs re Riidigerstrasse14,70469Stuttgart,Germany ferredtointhisbookareinfactregisteredtrademarksorpropriet http://www.thieme.de arynameseventhoughspecificreferencetothisfactis notalways ThiemeNewYork,333SeventhAvenue, madeinthetext.Therefore,theappearanceofanamewithoutdes NewYork,NY10001,USA ignation as proprietaryis not to be construed as arepresentation http://www.thieme.com bythepublisherthatitisinthepublicdomain. Thisbook,includingall partsthereof,islegallyprotectedbycopy TypesettingbySommerDruck,Feuchtwangen right.Anyuse, exploitation, orcommercializationoutside the nar PrintedinGermanybyAppl.Aprinta,Wemding rowlimitssetbycopyrightlegislation,withoutthepublisher'scon ISBN-l0:3-13-140602-X(GTV) sent, is illegal and liable to prosecution.This applies inparticular ISBN-13:978-3-13-140602-6(GTV) tophotostatreproduction,copying,mimeographing,preparationof ISBN-l0:1-58890-363-X(TNY) microfilms,andelectronicdataprocessing.andstorage. ISBN-13:978-1-58890-363-1 (TNY) 1 2 3 4 5 6 -------------------------TEK.pdf v Preface to the 1st English Edition Therapy using local anesthetics occupies an ever more observations into a method that has now established importantplace amongstalternative methods in medi itself particularly in continental Europe and in South cine.ThePresidentoftheAmericanSocietyofAnesthe America. Because it is so successful and has such a tidts, Professor ]. J. Bonica, has stated that the nerve wide therapeutic spectrum, it has been received with Iblockasadiagnostic,prognostic,prophylactic,andther- special enthusiasmbythe general medical practitioner, apeuticmethod has beenreceivedwithever-increasing who inevitablyfinds him orherselfstandingin the fir interest in the USA and has been employed ever more ingline. Neural therapy does notregard itselfas asub frequently in recent years. He hCls expressed the view stitute for scientific medicine as taught at medical that the nerve block used as a specific therapy may schools, but as complementary to it. This is especially wellbethebestclinicalmeanstotreatillness. the case where mainly functional disturbances are in But the "nerve block used as a specific therapy" is volved, whose interacting cause-effect relationships precisely what the Huneke brothers ofGermany intro cannot be accurately determined because they result duced into medicine in 1928. They called it "neural from cyberneticregulatorydysfunctions. therapy."Thatthis is notgenerallyknown intheUSAis Fleckenstein proved that procaine also possesses an less remarkable than the fact thateven inthe German unusual feature apart from its well-1mown effective speaking parts ofthe world few people are aware that ness as a local anesthetic. The cell, which has been de the use of local anesthetics for therapeutic purposes, polarized by endogenous and exogenous stimuli, is which is far more widespread in these countries, goes able, under the protection afforded by procaine, to re back to the Huneke brothers. As long ago as 1925, the seal the cell membrane that has become permeable. greatFrenchsurgeon,Leriche,whosespecialtywas sur The potassium-sodium pump is thus enabled to dis gery o( the sympathetic chain, observed healing re place the sodium that has penetrated into the cell and actions produced by local anesthetics administered to replace this again with potassium. By this means, before the operation and praised procaine as the "sur the physiological potehtial of-60mV to -90mV need geon's bloodless lmife," the use of which sometimes ed by the cell in order"to function normally is builtup madesurgerynecessary. Buttheseexperienceswereal again.This enables us, with the use oflocalanesthetics lowedtobeforgotten. such as procaine orlidocaine, to repolarize depolilrized In Russia, the observations made by Spiess on the cells and thus to reactivate them in their functions, anti-inflammatory effects oflocal anesthetics were in cells thatwouldotherWise beincapable ofrepolarizing vestigated moreclosely.There, pupils ofPavlov, suchas themselves from their own resources. Fromthis itwill Speransky, Vishnevsld, Bykow, Wedensld, and others, be obvious that successful treatment by these injec confirmedthatitis possible to influencethe regulating tions depends on the correct positioning of the local mechanisms ofthe neurovegetative system by means anesthetic and on the use ofaspecial technique in ad of procaine. These discoveries prompted Speransky to ministeringit. construct ABasisfor the Theory ofMedicine, which he The technique ofusing accuratelysited injections in published after emigrating to the USA in 1936. For a the area where the symptoms occur is lmown as "seg time his work remained controversial, but today it is mental therapy." There are four methods that produce again receiving recognition. Before him, Ricker had asegmentaleffectwiththeuseoflocalanesthetics: attempted to provide a theoretical basis for all vital 1. Injection directly to the site ofpain. The accurately processes, includingthe phenomena ofneural therapy, sitedinjectionofprocaineorlidocaineiseffectiveas in his Pathology as a Science; Pathological Relation much in treating painful conditions in the muscles, ships. Later, Wiener's teachings on biocybernetics and ligaments, tendons, bones, and nerves as it is for Pischinger's·observations on the basic neurovegetative contusion, hematomas, abrasions, painful scars, and system provided new viewpoints to explainthese phe traumaticdamageofanytype. nomenaofhealing. 2. Acting on painful areas by means of paravertebral TheHunekebrothers discovered the therapeuticpo injectionsinthe relevantsegment. tential of procaine by empirical means and independ 3. Neural-therapeutic treatment by direct injection to entlyoftheirpredecessors.Theyrecognized the impor the sympathetic chain and its ganglia, i.e., the stel tance oftheirdiscoveryand expanded theirsystematic late, ciliary, pterygopalatine and/or the Gasserian 20100511132213922ÇÇÇ.pdf VI ganglion etc., orofthe abdominal and lumbarsym kinesia of the smooth or striated musculature. Gross patheticchains. organ changes can also provoke functional disturban 4. Injections into and around arteries and veins, to ces as a secondary effect of an interference field, and pleuraandperitoneum,andtotheafferentnerves. these are therapeuticallyaccessible to us. Butthis type of pathomorphology can also lead to feedback pro Segmental therapy has nowbecome an integralpartof cessesthatthenform avicious circleandarethus capa thecurriculumatanumberofmedicalschools inconti ble ofrenderingour usual therapy ineffective. Oncewe nentalEuropeandelsewhere. have been able to find and eliminate the cause, such But h; 1940, Ferdinand Huneke also found that, in therapy is again capable ofworldng. The consequence addition, there may be "interference fields" active in ofall this is thatthis cyberneticregulatingtherapy has , theorganism,whichstandoutsidethesegmental order an extremely broad spectrum ofindications, and this, / and send outinterference impulses via the nerves, and atfirst sight,tends tostrikeoneasratherstrange. thatthese impulses canbecome pathogenic. In making The objective evidence for neural therapy, includ this discovery, he revisedandelaboratedthe oldteach ing the previously controversial Huneke phenomenon ings onfoci; these had assumed thata focus is capable (lightningreaction), has meanwhilebeenproduced,no of spreading bacteria and their toxins only via the tablyas a result ofthe work ofthe Austrian professors bloodstream, thus causing illness. But any focus-or in Bergsmann, Harrer, Kellner, Pischinger, and others. The terference field is a permanent source ofirritation, be presentauthor, whom F. Huneke described as his mas cause it burdens the regulating systems and continu ter pupil, has assembled the theoretical principles, in ally forces the body to make up for these additional dications, and techniques in this book. It is in three stresses.This compensationcalls foragreaterexpendi parts: ture ofenergy and this, in its tum, produces disequili e A. Theoryand Practice ofNeuralTherapyAccording brium in the body's economic system. The regulating toHuneke. systems are made labile and any banal irritation may B. Encyclopedia of Neural Therapy, which provides G actas an additional stress and canthen produce faulty an abstract in alphabetical order ofthe vast litera regulatory reactions. Once the tolerance threshold has ture onthesubjectofthe accuratelysitedtreatment been exceeded, functional disturbances or pathological withprocaineorlidocaine. symptoms will manifest themselves. Huneke showed C. The Techniques of Neural Therapy, which pro G us how such interference fields can be eliminated via vides adetaileddescriptionofsuggestedtechniques, the lightningreaction (Huneke phenomenon) by accu againinalphabeticalorderforeaseofreference. rately sited injections ofprocaine or lidocaine. Normal cybernetic regUlation is restored instantly and the Also provided are 141 illustrations and nine tables that pathological symptoms disappear, insofar as this is are designed to help the readercommitto memory the anatomicallystillpossible. informationtheycontain. Thus, neural therapyaccording to Huneke is, first of The Germanversionofthis textbookhas meanwhile all, segmental therapy. When this fails to produce re reached its 14th edition and has helped to spread the sults,thesearchfor and eliminationofthe interference practice ofneural therapy to anever-wideningcircle of field can lead us to our goal. This explains why this physicians. May this first English edition make this formoftherapyissuitableforthetreatmentofallfunc widely applicable, successful, lOW-risk method, which tional and organic disturbances resulting from neuro impresses on account both ofits economyand its free vegetative dysregulation. In some cases, the emphasis dom from side-effects, accessible to an even greater is onpain, inothers itis amatterofdisturbances inin number of physicians,and, through them, to their pa ternal or external secretions or ofthe blood supply to tientsthroughouttheworld. and nourishment ofthe tissues; then again the central factormaybeadisturbanceintheblood pictureordys- PeterDosch, MD -------------------------TEK.pdf VII Preface to the 2nd English Edition InJune of1005, my father, Dr PeterDosch, died at the AccordingtoHunekeprovesthefactthatneuraltherapy ageof90.When heleftus,welostthe lastgreatneural is now completely established internationally. Today, therapist, master scholar of Ferdinand Huneke. minds are open for a therapy that my father had to Through his life and work, Peter Dosch made neural fight for, and neural therapy has found its place as a itherapy accessible to teachers and students. It is my complementto classicorthodoxmedicine. honorabletasktocontinuehisopus.Theneedforasec ond English edition of the Manual ofNeural Therapy MathiasDosch,MD 20100511132213922ÇÇÇ.pdf VIII Preface to the 14th German Edition C,.Thephysicianhasbutasingletask: why and with what results. The findings, rather than .to cure;andifhesucceeds, theircondition,areatthecenterofclinicalinterest.Itis itmattersnotawhit not the patient's interests but those of the people of I bywhatmeanshehassucceeded! science that have to be satisfied. In this way, all too Hippocrates(fl.ca.400BC) often,patientsfind themselvescaughtup inthewheels ofananonymous, pseudo-scientificmachineand itsat Technical development has brought not only blessings tendantbureaucracy.Atthesametime, theirtreatment and progress to manldnd. The spirits that humanldnd is almost exclusively based on symptoms, organ, and has invoked are nowbeginningto threaten its own ex laboratory findings, but hardly ever deals with causes. istence.Centralizationandincreasingmechanizationin However, the term "natural science" can in practice be medicine haveled to overspecialization and to soulless justified onlyifsuchascience does notexcludethe na robot medicine. This has reduced the doctor-patient ture ofthehumanbeing,sinceitis ultimatelysupposed relationship to something that concerns itself with tobeservinghumanity! purelysomaticaspects.Thedemandforamore psycho Wheneverthe citizen oftoday becomes aware ofan somatically oriented approach to medicine concerned unsatisfactory situation, he or she tends to call on the with the human organism as a whole has remained state to intervene. But, in this case, the state is equally largely unheardand unanswered. Merely talldng about helpless,foritis aboveallelsethestateitselfthatis in such a longed-for goal does not mean that it has, in terested inthescientistonlyinterms ofhis orherpro fact, been attained, the less so as long as the ultimate ductivity.Thegeneral practitionerand family doctor, in objective is merely to classify illness by accurate diag the eyes ofthe state, are merely by-products ofbadly nosis whilst an effective therapy is lacldng. No wonder, planned medical training, which, as it were, continues therefore, that the personalities of doctor and patient to produce these models despite the fact that there is have retreated ever further into th~ background. That no longer any market demand for them. That this for childlike trust in the doctor, which saw in him or her mulation is not exaggerated is shown by the selection something of an omnipotent parent figure, has been procedurefor medical students.Admissionis restricted replaced almost totally by a mere service relationship, to those who can prove by their examination results albeit still on a "professional" basis. And illness, from that they can learn facts, figures, and scientific princi being regarded as an affliction willed by God, has ples. In this way, they are then able to provide the changedintobeingseenpurelyas amalfunctiondue to requisiteguaranteesthattheywilllaterbefullycompe chemicaland mechanicalfactors. tent to recognizein aperfectlydisciplinedmannerthat Today's patientcomes to us programmed differently whichis scientificallyandtechnologicallyfeasible. from theway he orshewas inthe past. Healthhas be But this does not offer any guarantee that anyone comeaconsumerproduct.The patientand theirhealth withgood university-entranceexaminationresults will insurance pay, in exchange for which health is to be alsobringwithhimo~herthepersonalitythatisessen supplied in the form of repairs without any personal tial for being a physician, a capacity for easy human contribution on the patient's part. To the patient, the contacts, and empathy, to name but a couple. In addi physicianhas becomeameretechnicianwithwhom he tion, today there is little relation between medical or she enters into a contract, by which the doctor is training and medical practice. The "doctoring" aspects onlyrequired to locatethe defectand eliminate itwith arerelegated tosecond placeand there is littleattempt the aid of physics and chemistry. After all, isn't that made to develop the abilityofthinldngand actingas a whattheyarepaidfor? doctor.Asaresult,thepatientoftenfinds thatheorshe The hospital has been industrialized. It no longer is in the hands of pure technicians who are more or sees patients as individuals, butconcentrates evermore less conversant with the diagnostic machinery under on their illness as the basis for statistically significant theircontrol and who are more interested in a diagno diagnosticgroups. Ittakes from themwhateveritfinds sis capable ofobjective proofratherthan in the person to be of use for its own purposes. Patients are de andfate ofthepatienthimorherself. personalized. They are made to submit to all the vari All that I have stated here should not, however, be ous procedures, generally without ever discovering interpreted to suggest that there are not many good -------------------------TEK.pdf IX doctors, in oursense oftheword, amongstthese scien-' do notwantto replace this medicine, butwe can com tists and clinicians. But these have become good doc plementitand makeitmoreeffective. tors not as a result of their training but despite the Meanwhile, neural therapyaccordingto Huneke has principles that are regarded as solelyvalid in this ldnd setoutonitsworldwide conquestofmedicine. Itbegan of education. The cult of anything that can be sup in the surgery oftwo general practitioners. Now, gen port~dbyobjectiveproofhas obscuredthefactthatthe eral practitioners and specialists from every medical livingorganismmustbeseenas acompleteand indivi discipline are using it to an ever-increasing extent in sible entityand has precipitated medicine into a crisis. their day-to-day treatment of patients. Nevertheless, This has, in~fact, been recognized, but no way out has outsideGermany, theHunekephenomenonis still little yet been found because we are not prepared to aban known as a positive therapeutic objective, and even in dontheschematicframeworkthatwe havecometo re Germany the odor of magic and quackery still tends girdas immutable. to be attached to it in the minds ofthe ignorant. It is / It is not our intention in any way to deny that surely remarkable that medicine, which is usuallygen there has been progress in medicine or to suggest erous enough in naming names, has been so reluctant that technology in medicine is a creation ofthe devil. to attach the name oftheir discoverers and defenders But we ought to make certain that progress does not to these teachings and often enough turns its back in the end come to threaten our existence and that upon them, despite the fact that what they discovered technologydoes notturnintotechnocracy.Wewantto is surely one of the greatest and most beneficial help in trying to contain the excessively mechanistic achievements in medicine ofthe last 50 years. Never ways ofthinldng and acting, in order to provide more theless, segmental therapy is now widely accepted as room for aless harmful form oftherapy that takes the an integralpartoforthodoxmedicineandforms anim regulating mechanisms and the body's own healing portantpartofneuraltherapyassuch. powers more into account. Exact logic, science, and Yet the lightning reaction according to Huneke is the ivory-tower ideas of the specialist on the one still regarded as controversial. This is not altogether hand; the artofhealing, intuition, and thinldng rather surprising if one bears in mind that the thought pro more in cybernetic terms on the other: these are the cessesthatitdemands areenoughtoshakethefounda two opposing poles betweenwhich medicaljudgment tions ofmedicine as builtup overthe centuries.Yetthe seems to be moving today. But in the interests ofthe lightningreactionis afact and canbe producedbyany patient, whom we are called to serve, neither should one. It has taught us to heal in the true sense ofthe exclude the other. Both are necessary, each the com word, where we had previously been at the end ofall plementofthe other, and should be used intelligently. oursupposedwisdom thatwe have carried aboutwith The exact sciences have drawn frontiers in places ussinceourdays atmedicalschool.Thisiswhythedis where, for many sufferers from illness, it would have coveries based on this reality can no longer be talked beenbettertobuildbridges.We regarditnotas illegal, out ofexistence. And ifthey no longer fit into the old but rather as medically essential, to cross these fron scheme ofthings, then itmustbehigh timetoalterthe tiers wherever this may be necessary for the sake of schemeofthings! our patients. Our duty is to help them, and to carry Timehasbeenworldnginfavorofneuraltherapyac this out we need to expand the natural sciences, con- cording to Huneke. The Viennese professors and their . cerned as they are with mathematicdl logic, by an helpers have provided proof that the observations other, more empirical form ofscience. Forifwe fail to made by the two Hunekes were not a form ofself-de do so, human medicine will become ever more inhu ception practiced by a pair ofmonomaniacs. They dis manand moresterile. covered by empirical methods the effects produced by In this time of crisis, modern cybernetics forms a procaine.These can now be proved by scientific meth bridgebetweenthesciences and hasalsobeguntocon ods. The reality ofthe lightning reaction has been sci quer medicine. Cybernetics, with the theory of inter entifically proved and ought no longer to remain the linked and interacting control circuits, is able to make controversial privilege ora handful offanatics and out for a better understanding ofHuneke's therapy and to siders. These developments show that the Huneke help this method to its final breakthrough. For it has method has now become a matter ofinterest to some now become obvious that the Huneke brothers have whowould notpreviouslyregard itas fit fordiscussion discovered cybernetic laws oftremendous importance or who adopted a wait-and-see attitude toward it. for the future of medicine. Neural therapists are al Fromoutrightrejection,we havereachedapointwhere readyusingthesediscoveries today! genuine interestis beingshown.We, who were among The attentive readerofthis bookwill recognize that the early partisans ofthe Huneke brothers, are happy neural therapy, acting as it does upon the cybernetic to lmow that many are now beginning to recognize energy cycle, forms an intelligentalternative to imper that what we pursued was not a will-o'-the-wisp, but sonal, formalized medicine as it exists in our day. We thatwhatwehavedoneis topreventsuchalogicaland 20100511132213922ÇÇÇ.pdf x successful method from being forgotten and dying nearestspecialistorclinicdealingwiththis orthatspe with its discoverers. We shall therefQre persevere in cificorgan. our efforts to dismantle any prejudice and misconcep Despite every form ofresistance to it, its successes tionsthatmaystillcontinuetoexist. have enabled this method discovered by the Huneke But the term "neural therapy" is not intended to brothers to remainalive aftermore than 50years.Why suggest that we claim exclusive rights to the nervous it did not prevail more quicldy is easy to explain. Pro system. No surgical, physical, psychotherapeutic, or caine has beenwith us since as long ago as 1905 and a otherform oftreatmentcanaffordto leavethenervous large amount ofliterature has been published about it system':.outofaccount.This term is thus intended sim during this period. For the research scientist there plytobearwitness tothefactthatbycontrastwithhu- seems to be no more grass left in this particular , moral, organic, or cellular therapy we have adopted a meadow. There are many problems of more current I differentpointofviewandaretryingtoseeallthevital interest that promise them greater personal renown. processes, includingthose ofillness and cure, as being Thepharmaceuticalindustrydoes notexisttoservethe primarily conditioned by the nervous system. Not in doctors but only to pursue its own lucrative aims. The isolation, but in a cybernetic and holistic sense. The doctor merely acts as intermediary for its products on term "neural therapy" has become familiar enough theirwaytotheend user, and heorsheis thus itsguar over the last 50 years. Nowadays, we should in a way antee ofprofitability. It is therefore continually devel pr~fer to see it replaced by the more accurate descrip oping new specialties that can be sold profitably to tion "regul~tingtherapy." Butmore importantthan the patients bymeans ofbriskpublicityamongstmembers name is the fact that the successful results obtained ofthe medical profession. It is therefore not interested prove us right to such an extent that we are bound to inpropagandafor so cheapapreparationwithso broad acknowledge that the road pointed out by the Huneke a spectrum of indications. Procaine and lidocaine are brothersisright. available everywhere, even in the primeval forests of Neural therapy is a modern, safe method with a SouthAmerica. Ifthey were to be used not onlyfor lo good chance of producing an improvement or cure. If cal anesthetics butalso for awide range oftherapeutic we apply the principle of using the least force com purposes, this would have a substantial impact on the mensurate with achieving the best result, it must be sale of profitable pharmaceutical preparations. It is the method of our choice in the day-to-day work of thereforeeasyto concludefromthiswhyand bywhom general medical practice. Butwe also know the limita the fight against a wider use ofthe Huneke therapy is tions ofour therapy. We know that it is not a method beingconductedwithso much determination, and itis that can be used to cure everything, nor can we ever all the more to its credit that it has succeeded to so denyanyothersuccessfulmethodits righttoexist.Par great an extent in becoming accepted, despite its total ticularlyin medicine, the onlycriterionforjudgingany lackoffinancialbacking. method should be whether it is successful: whatever Theclinicianisfullyand profitablyoccupiedintest andwhoeverisableto curethesickisright! ing the latest preparations produced by the pharma Orthodox medicine is divided into a number oftra ceuticalindustry. He orshefeels obliged atall times to ditional specialties related to specificorgans: eyes,ear adapt his orhertreatmentto the "lateststate ofscien nose-throat,gynecology,orthopedics,etc.Internalmed tific knowledge." Those who occupy university chairs icine itself has a large number of organ-specific sub and those who work in the editorial departments of divisions: heart,lungs,stomach, kidneys, blood,etc.But the specialist press are subject to the same pressures. the patient who walks into the general practitioner's General practitioners, however, can seektheir therapy surgeryis awhole patient, consistingofan organic en inreasonableindepenqencefrom theflood ofpublicity tity comprising body and soul, who complains of ills and the currents of fashion. They ought also to have that can butrarelybe coerced intothe straitjacket ofa the courage and the liberty to free themselves from scheme ofthings concerned onlywithseparate organs. dogmas and seek new ways responsibly, sensibly, and For this reason, general practitioners have not been with love for their fellow human beings, and gather able to let their view ofthis whole being become ob fresh experience when the well-trodden paths fail to scured, and this is whytheyaredelightedto useneural lead them to their goal. Many roads lead to Rome. therapybecauseitisagenuinelyholistictherapy. Ithas Similarly, there are many ways of helping nature to givenbacktothemtheirresponsibilityforalmostevery help itself. More than this lies beyond the power of one ofthe specialist areas in medicine, it has released any doctor. This is how, for many of them, procaine them from the "crisis in medicine" and from all that is therapy has become a fixed component oftheir diag therapeutic nihilism. It enables them to make use of nostic and therapeutic armory. The general practi the neurovegetative system for cures right across the tioners do not talka greatdeal about it, nordo the re whole spectrum ofmedicine and frees them from the search scientists or the clinicians want to say more depressing task of merely acting as signposts to the aboutitthantheycanhelp. -------------------------TEK.pdf XI It has become a habit simply to talk about "neural This bookhas beenwritteninorderto give the busy therapy" when procaine orsome otherlocal anesthetic doctoroftodaythe possi~ilityofusingthis newexperi is used in treatment. The collective term "neural ther ence and knowledgewithoutfirst ofall havingtowade apy" has been taken up uncritically by so many bran through and digest some 10000 publications on this ches ofmedicine and the pharmaceutical industrythat subject. Itis intendedtobeno morethanaguidetothe we attachgreatimportanceto theadditional definition theory and practice ofneural therapy. It has been de "according to Huneke," whenever we mean the selec signed as a work ofreference and is in three parts, to tive, carefully pinpointed, specifictreatmentwith local enable interested practitioners to orient themselves anesthetics:·This is why K. R. von Roques originally with a minimum ofeffort and to discover newsugges CQined the term "neural therapyaccordingto Huneke." tions wheneverthey use itintheirday-to-daypractice. Even iffar from perfect, it is now well established and For the sake of clarity, I have refrained from quoting t~ere , is no reasontoconsiderchangingit.Weoccasion too many case histories, from giving every name and lally hear the objection that similarindividual observa from providing a complete bibliography. The three tions ofthe healing effects oflocal anesthetics were in partsofthebookare: fact made by others (Schleich, Spiess, Leriche) before 1. Theoryand Practice ofNeuralTherapyAccording to theHunekebrothers.Buttherecognitionofthebiologi Huneke. cal laws involved and the far-reaching therapeutic im 2. Encyclopedia of Neural Therapy. The alphabetical portance ofthe actionofprocainewere and remainthe list of indications is an extract from the enormous intellectual property of the two brothers. They built amount ofliterature on carefully localized therapy their years ofexperience into a complete method and with products containing procaine or lidocaine, fought against considerable resistance for its recogni based mainly on segmental therapy. Practical sug tion. gestions take precedence overtheoretical consider Followingthe Hunekebrothers,anumberofdoctors ations. On the other hand, principles regarded as have gained recognition for their work in providing a important are intentionally repeated, some ofthem theoretical basis and a scientific foundation for the more than once. This section dealing with indica principles underlying this new form of therapy. But tions makes no claim to completeness. But from this does not entitle them to claim the right to pro whatis stated inthis partofthe book, itwill gener pagate the method ofthe Huneke brothers practiqtlly allybe possibleto decide onthe procedureto adopt unchanged under different names of their own in forotherdisorders presentinginsimilarlocationsto vention, such as "therapeuticlocal anesthesia," "neuro thosequoted. topic therapy and diagnosis," "selective neuro-regu It is essential to c;mphasize again and again that lating sympathetic-system therapy," "regional pain segmental therapy has its limitations and that the therapy," and othersuchneologisms! lightning reaction forms the coveted summit ofthe There cannot be many doctors who have not heard diagnostic and therapeutic potential available to us. something of the successful cures achieved by neural This is simplybeca~seitis the only possiblewayto therapy, some ofwhich border on the miraculous, and cure a large number of hitherto therapy-resistant who have not also tried it out for themselves, though disorders causedby interferencefields, becauseitis generally without the expected success. Not everyone theonlymethod thatcancurethemattheirorigin. who injects procaine, Scandicaine, Xylocaine, Xyloneu 3. The Techniques of Neural Therapy. The suggested ral, or anyone of the mass of combined preparations techniques have been grouped alphabetically and covered by the comprehensive designation of neural areinasectionbythemselves.This is doneforprac therapeuticproductsis, byvirtueofthatfact, practicing tical reasons, in order to make it possible to locate neuraltherapy! Neural-therapeuticpreparationsare, in the required information quicldy. Techniques are reality, extremely demanding and can develop their described in considerable detail, and the sketches remarkable effectiveness only ifthey are given in the and illustrations are intended to make it easier to rightplaceforthespecificpatientwho is beingtreated. committo memorythe informationprovided. The localization of the injection is crucial for success or failure. No two human beings are identical and My son, Mathias Dosch, has produced an illustrated there are therefore no two identical disorders. This is Atlas of Neural Therapy: with Local Anesthetics, also why the decisive point for the injection in 10 patients published byThieme. This atlas is designed as a com with the same diagnosis can be in 10 different places. plementtothis manual. Simple as it mayseem at first sight, it is not as simple Therewould have been no neural therapyaccording as saying: "From now on, simply take some procaine to Huneke iffate had notplaced these new discoveries and cure practically anything, since in.any case in in the hands of two brothers with very different per some way or other everything goes via the nervous sonalitiesthat perfectlycomplementedeachother. Fer system!" dinand, the dynamic fighter, who went imperturbably

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More and more patients with chronic pain and other disorders are relying on neural therapy - a treatment concept based on employing the properties of local anesthetics to regulate disorders of the autonomic system - to alleviate their symptoms. Yet there are precious few spezialized, didactic resour
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