Rational treatment of the effects of fatigue.

Rational treatment of the effects of fatigue

In cases where demographies is white, it is necessary to prescribe absolute rest, but without sleep therapy, a fruit and vegetable diet, a heating pad for the liver after meals, an ice pack on the back of the head twice a day for 20 minutes, baths with herbal infusion.

If demographic is very pronounced - a fruit and vegetable diet, normalization of kidney activity, baths with infusion of walnut leaves. In any case, it is necessary to restore respiration, blood circulation, assimilation of food and the elimination of metabolites.

In addition to general fatigue, there are various forms of localized fatigue: respiratory fatigue, circulatory fatigue of the digestive tract (liver, intestines), kidney fatigue, and cerebral fatigue. Every localized fatigue inevitably gives rise to general fatigue. It is necessary to conquer various forms of fatigue in time.

Chapter 4. Pathology or from health to disease.

Inflammation

The classic formula of inflammation is pain, redness, fever, swelling, dysfunction (dolor, rubor, calor, tumor, functio laesa). Can this definition, known for centuries, retain its meaning today? There are many reasons that lead pathophysiologists to proclaim the need to revise this definition.

Let me begin this revision by examining the role of leukocytes in the body, given their protective barrier under the skin, in muscles, in parenchymal organs and in body cavities. Until now, it  believed that purulent rhinitis does not pose any danger of septicemia; that profuse leucorrhoea is very unpleasant, but not dangerous to the patient; that even purulent sinusitis, threatening the penetration of pus into the respiratory tract, does not affect the general condition; that purulent conjunctivitis, which is very common in the Middle East and among tribes with insufficient nutrition, poor housing conditions, causes exclusively ulceration of the cornea.

However, all these diseases cannot be considered local. Why? Because when leukocytes with bacteria or without them accumulate, when pus cannot be secreted, leukocytes, along with the ubiquitous bacterial flora (which is well known to bacteriologists), undergo decay with the formation of protein toxins and the release of gases from fermentation in dead cells. This concept is still controversial. The theories of Reilly (1942) and Selye (1956) support our theory with regards to clinic and therapy, unfortunately the high priests who adhere to the theory of antigens and antibodies.

If the hyperthermic baths introduced by prof. Valinsky, modified by us, applied several times, cure purulent otitis media, erysipelas, this cure is due to the fact that the increased temperature of the blood and extracellular fluids accelerates blood flow, causes the combustion of protein poisons and eliminates protein through the blood and through the lymph and, finally, through the kidneys and microbial toxins. For protein toxins - excess protein breakdown products, as well as microbial toxins, are a disease-causing factor. Microbial endotoxins are known in classical microbiology, but we introduce the concept of "intracellular toxic proteins" into medical terminology.

Until 1907, when Ehrlich introduced the treatment of syphilis with Salvarsan, vigorous rubbing of gray mercury ointment   considered the classic treatment for syphilitic ulcers and even rashes (in the second stage). It is now clear to us that the success of this treatment must be attributed to the breakdown of protein toxins. If we compare the effect of mercury and hyperthermic baths on various types of microbes (with staphylococcal infections, boils, phlegmones, salpingitis, osteomyelitis with the entire gamut of bacteria), then you begin to understand that there is a common denominator in all inflammatory processes, with all microbial aggression: intracellular protein toxins ...

Of course, it is possible that toxic proteins of some microbes may have different molecular structures, but one thing is certain: all protein toxins are susceptible to hyperthermic baths. Think about these conclusions, and you will see how necessary it is to undertake a deep revision of the concepts adopted in microbiology and immunobiology. By organizing the excretion of dead leukocytes from the body in case of leukemia, malignant anemia and Birmer's anemia, we will help the patient survive his illness and enable him to lead a normal life. In cases of spastic paralysis, the consequences of poliomyelitis, we achieve our method of restoring nerve and muscle fibers compressed by swollen connective tissue, even with chronic intoxication caused by protein toxins due to the breakdown of muscle and nerve fibers.

In each infectious process, in each process of rebirth, the game taking place deep in the tissues   determined by the relationships between the cell, on the one hand, and the vessels and extracellular fluids, on the other. Bichat established the foundations of histology (tissue life), Virchow took Bichat's thoughts and in doing so discovered the world of cells, and cellular pathology  created.

After the works of Peters (Peters, 1935) and Gamble (Gamble, 1954), pathophysiological studies cannot be continued without starting to study each disease syndrome in the light of citohumoral pathology.

Finally, we must realize that in all our therapeutic attempts with microbial, chemical, thermal, traumatic aggression, we can do nothing either to restore the affected structure, or to normalize the disturbed cellular metabolism. If we change the intracellular currents, we kill the cell, we can only deliver nutrients to the cells through the arterial loops of the capillary network and organize excretion through the venous loops of the same network and at the same time keep the composition of extracellular fluids intact, including lymph. All medicinal and hydro therapeutic effects must be reviewed and subject to this physiological axiom.

Any disease is a local or general stop in the movement of life; without stopping blood circulation, without obstructing the movement of extracellular fluids, there is no disease. The cell suffers hunger, suffers thirst. Each depletion, each anoxemia, each suffering of a cell corresponds to a slowdown in extracellular fluids, a blockage of the excretory pathways.

Each cell is a microbrain, micro-lungs, micro-intestine, micro-kidney, “microelectrocentral”; the cell does not allow sodium chloride to enter its cytoplasm and jealously guards the supply of its potassium. Our knowledge of cell physiology, cell metabolism is in its infancy; we know about the flows between the nucleus and the cytoplasm, the different phases of the cytoplasm are approximately known, we know about the existence of electric currents and we are almost sure of the existence and activity of countless diastases in the life of a cell, causing intercellular micro explosions. We want to propose one hypothesis: it would be possible to consider various disease states of cells caused by anoxemia, blockage of the excretory tract, slowing down of the intercellular movement of fluids, erosion, rupture, expulsion or  edema of the cell membrane, slowing down of humoral influx, as a result of the formation of various protein toxins that enter the blood stream, into the extracellular fluids.

We were convinced of this after a long medical practice, during which 20 years of collecting classical clinical and pathological observations, and after 37 years of our own clinical observations under the influence of the ideas of Krogh, Polikar, Peter and Gambl. Associated with phagocytes and with various types of microbes, these toxins, perhaps, create biochemical synergy with microbial endotoxins, or, perhaps, cellular protein toxins provide nutrition for microbes, which in these cases play the role of phagocytes, or, finally, maybe some microbes are like poor "coolies" carrying protein cellular toxins.

Here is an immense field of work for microbiologists, immunologists; here is a new road for pathophysiological research.

Infection

Carlsl (Carrel, 1927), working at the Rockefeller Institute with Flexner, stated that during a thunderstorm, tissue cultures die if the nutrient medium  not changed very quickly. Every housewife knows that milk curdles during a thunderstorm. Atmospheric as well as mental depression causes cytolysis in certain tissues. Cytolysis produces toxic protein molecules, which leads to intoxication of the nerve centres. Then there is stagnation of blood in the capillaries and the opportunity for the invasion of microbes.

It is impossible to influence atmospheric pressure, and it is not always possible to eliminate mental depression, but it is possible to increase the body's resistance to the action of cytolysis, improving breathing, blood circulation and excretion by simple means. Capillary stasis can be treated with wraps, heating pads, soothing or stimulating baths. In case of serious acute diseases, you do not need to immediately grab onto antibiotics, but give the body an opportunity to respond. We have no right to prevent the body from using its own protective equipment.30-40 million patients who have undergone a single allergic disease are forced to monitor their diet, avoid allergens, and always be in a state of anxiety. About 500 articles on allergy are published each year. There are more than 3 thousand doctors in the United States who specialize in allergy. Special hospitals have been created for the treatment of allergic diseases. A large number of factories produce food without milk, eggs, or cereals. They produce mattresses, pillows, soaps, lipsticks without allergens.

In the United States, there is the American College of Allergy, the American Academy of Allergy, and the International Association of Allergy. In England - "British Association of Allergy", in France - "French Society of Allergy". And yet, despite or perhaps as a result of these efforts, allergic diseases are not diminishing.

Allergists consider the following factors causing allergies:

1) vegetative paging (vegetative neurosis), big life shocks;

2) constant irritation of the mucous membranes of the respiratory tract by gasoline vapors and exhaust gases;

3) the use of an increasing number of new drugs (sulfonamides and penicillin are now prescribed not only in serious cases, but also in minor diseases);

4) an increase in the proportion of protein substances in the national diet;

5) development of the production of canned food, which contain irritating chemicals (various acids and dyes), especially canned vegetables and fruit, containing traces of poisonous insect repellents;

6) the development of cosmetics: creams, lip sticks, blush, often containing irritants.

Abderhalden (1950) has no hesitation in calling allergy a disease of modern civilization. But there is another big decisive factor that could be, if not completely eliminated, then at least weakened by the efforts of doctors. We are talking about the hobby for intravenous injections and various vaccinations. Moro (Mogo) and Keller (Keller) were able to establish on the basis of an extensive questionnaire that a negative skin reaction turns into a positive one in healthy children after smallpox vaccination. Inflammation of the tonsils (tonsillitis) is often observed at the same time.

In healthy circulating blood, pathogenic microbes do not multiply, with the exception of malaria and typhoid pathogens. Even complicated infections in the oral cavity proceed favorably and pass quickly due to a good blood supply; an infection in the anus is not dangerous, despite the passage of faeces with a large number of germs. Dermatitis in the anal area never causes serious complications, also due to the presence of abundant blood circulation.

But the bactericidal ability of blood is limited. You should not tire the blood for too long, forcing it to decompose irritating substances alien to it (not to mention preventive mania). Each new shock in a multiple traumatized organism responds primarily to the traumatized areas. Micro-irritations are summed up, and the micro-reaction turns into a macro-reaction.

Allergy is the body's primary ability to mobilize its defenses to eliminate disease-causing agents. To desensitize the body means to reduce the defenses and inhibit the protective activity of cells and tissues. Medicine is obliged to transform the "pricked" humanity into a humanity protected by less crude preventive measures.

Arteriosclerosis

Articles, works, studies of arteriosclerosis in the medical literature are already innumerable. However, can we say that the problem of arteriosclerosis has been solved? There are words, terms, thoughts that do not express any reality, although no one dared to issue them a death certificate.

For some reason, in arteriosclerosis, they neglect the fact of the secondary role of arteries in the nutrition of cells and tissues. The volume of blood circulating in the arteries is actually only one-tenth of the total blood volume. Atheromatosis, calcification and proliferation of connective tissue should be considered by pathologists as defensive phenomena.

It can rightfully be argued that with each microtrauma of the walls of the arteries, an attempt is made by the body to clog the site of injury and protect it with other protective means in order to avoid fatal bleeding.

Delivery of nutrients to the parenchyma is carried out by precapillaries and extracellular fluid, which, due to the correctly directed permeability of the membrane, absorb oxygen, glucose, amino acids and remove harmful metabolites.

The cause of the disease in cases of tissue degeneration must be sought, therefore, not only in the arteries, but also where the true distributors are located, i.e. precapillaries and extracellular fluids. Arteries are only suppliers of nutrients to their destination.

Can arteriosclerosis be considered as a nosological unit? The reason for the changes in the intima should be sought in the composition of the blood, in the adventitious, elastic and part of the muscular membrane of the arteries - in the damage to the vase-vasorum. If somewhere the arteries are blocked, then this is endoangeitis and vase-valorum the reason (see, section "Arteritis").

The role of skin in general pathology

Although dermatology has long used all the discoveries of normal and pathological histology, microbiology, biological chemistry, and animal experiments, the state of our etiological and pathogenetic knowledge of skin diseases is still very sad. Indeed, what do we know about the pathogenesis of eczema, neurodermatitis, psoriasis, pemphigus?

Despite the large literature, the same is the case with other skin diseases. Together with Bisha (Bichat), and among contemporary authors, together with Speransky, we will only have to admit our deep ignorance. For too long it was believed that the skin performs only the simplest and most passive functions of the protective shell of the body, or, according to Mechnikov, the protective cover. Clinical observations and modern research on the biology of the skin teach us that the skin, this highly developed parenchyma, the border between the external and internal environment, carries functions of vital importance. It is an organ endowed with a wonderful and varied activity.

First of all, the role of the skin in heat regulation is important. It performs cleansing functions by releasing numerous substances:

1) some products of intermediate metabolism, microbial toxins and endogenous poisons, products of cellular autolysis;

2) some medicines, in particular halogens, as well as liquid, dry and emulsified substances.

The skin is able, like a reservoir, to accumulate numerous organic and inorganic substances that can be mobilized for the needs of the body. Due to its permeability, vascular irritability and nervous system, the skin also provides a convenient route for the administration of certain drugs. Most importantly, the skin provides a huge surface for thermal and balneological treatments that affect the entire body.

But the skin, apparently, also has other functions and other activities, about which there are many indications from various authors. Considering a large area of ​​skin, ranging in size from 1.7 to 2.6 m, and its biological structure, we can rightfully assume that this organ is not only influenced by the centrifugal activity of the body, but is also capable of directing its influence inward. Some authors believe that the skin can be viewed as a large endocrine gland. According to Dejust, the weight of the skin is about 4 kg. The metabolism in it occurs directly through the basal membrane with the help of the circulation of blood plasma and lymph.

Endocrine functions of the skin. Numerous studies have shown that the skin is exceptionally rich in enzymes. Robert (Robert), director of the dermatological clinic in Bern, was able to identify 70 enzymes found in the skin. The groups of hydrolases and desmolases are well established. Selye was the first to call a group of skin diseases dysfermentosis, i.e. diseases caused by enzymatic disorders. Selye isolated stable lipase in scleroderma and achieved interesting therapeutic results using preparations of stomach and pancreatic enzymes.

The enzymatic functions of the skin are, as it were, harmoniously connected with the entire enzymatic system of the body, Meltzer established a decrease in cutaneous lipase in tuberculosis patients. Ottenstein observed an increase in amylases in diabetics.

Reticuloendothelial functions of the skin. Kaufman, Schreiner and Wendelberger (Kaufrnann, Schreiner, Wendelberger) studied the cytology of experimental blisters from the Spanish fly on the skin.

They established a parallelism between the state of general immunity and the percentage of the elements of the reticuloendothelial system (RES) and the serous fluid of these vesicles. Leszinsky observed an increase in RES activity in women during menstruation. He argues that the hypofunction of the cutaneous RES is the cause of the observed menstrual rash due to the delayed removal of toxic products.

Immunobiological functions of the skin. It has long been known that the skin is closely related to the body's defenses. Clinical observations teach us that the skin has a protective function in febrile diseases. Hoffmann (1919) views the skin as a microbial grave. Experience shows, for example, that it is very dangerous to develop typhus without a rash. People with lupus usually easily tolerate internal tuberculosis; early syphilis with profuse skin manifestations seems to prevent later complications in the nervous system.

Generalized dermatitis, such as mercury or salvarsan erythroderma, is a severe disease (similar to massive burns). There is reason to believe that in this case, the neutralizing and detoxifying effect of the skin fell out. Bezredki's work also showed that the skin plays a specific protective role in the body. In anthrax, the skin is predominantly susceptible to infection and only one immunity could be successful. Thus, it can be said that one skin inoculation is enough to immunize animals.

It has often been established that intradermal vaccination against strepto- and staphylococcal infections is more effective than subcutaneous inoculation. Biglieri and Villegas observed that inoculation of rabies vaccine into the skin creates stronger immunity and at lower doses than subcutaneous injection. Consequently, the cutaneous apparatus has specific functions in immunobiological processes. He often ascribes these functions to certain perceiving cells of the reticuloendothelial layer. (The observation is correct, the conclusion is problematic. It is hardly possible to imagine an impenetrable barrier between cells and extracellular fluid).

Skin pathology is comprehensible only against the background of the general pathology of the body. The skin is the mirror of health and disease. The skin is an important gland of external and internal secretion, with an extensive surface, richly supplied with blood vessels, closely connected with all internal organs, with other endocrine glands and with connective tissue. It produces heat, electricity, radiation, it is the center of the metabolism of many organic and mineral components, it is the source of numerous humoral reactions. The skin reacts humorally to all physical, chemical and microbial agents, whether external or internal. So let us maintain the resistance and youthfulness of the skin and we will become more adapted to fight against any aggression!

The Malpighian layer of the skin is of great biological importance. Its thickness is 30-60 microns, it consists of 6-8 layers. The last layer, the deepest, adjacent to the dermis, a layer capable of reproduction, produces new viable cells, constantly pushing the latter to the surface of the skin instead of constantly wearing out in the surface layers. There is an eternal stream of cells from the bottom up, which are freed from their cytoplasm on the surface of the skin, like tired soldiers throwing their weapons on a grueling march. Among the particles along this stream is the well-known cholesterol, which is an important factor for cardiologists in the development of arteriosclerosis. In fact, cholesterol is required for the formation of many hormones, especially for corticosteroids and for the formation of fat and carbohydrates.

Skin glands. The estimated number of sweat glands is over two million. The amount of sweat excreted per day is from 600 to 900 g, it can even go up to 1400 g. External temperature, the amount of fluid you drink, renal failure, blood circulation intensity, excitement, fear, anger increase the amount of sweating. During the development of subacute diseases, night sweats appear instead of an attack of fever.

Sweat contains dissolved or suspended mineral salts, fatty acids, lactic, formic, acetic acids and urea. The sweat glands ensure a constant body temperature; during acute attacks of illness, they remarkably enhance their activity in order to rid the body of toxins and other substances that cannot be excreted by the kidneys, lungs and digestive tract. Their immense work in a profuse sweat is reminiscent of the desperate efforts of sailors pumping water from the hold of a wrecked ship.

The size of the sweat glands is very different, some of them can reach 3-4 mm, others do not exceed 0.1 mm. The most important part of the sweat gland is the ball located under the dermis. The ball secretes sweat through a special channel, the sweat gland is supplied with muscle elements. In its structure, the sweat gland resembles a nephron. Sweat quasinephron protects the body from the retention of water, urea, sodium chloride.Counting 500 glands per cm2, the total sweating surface will be about 5 m2. The excretory surface of the kidneys is 8 m. These figures indicate the important role of the sweat gland system in the body. In a normal state, sweat contains about 1 g of urea per liter, in a painful state, the amount of urea increases significantly, deposited in crystals on the surface of the skin. Sweat and tears are the most mineral-rich secretions. So, the average content of mineral salts in the solid residue is: in blood plasma 8%, urine 30, tissue fluid 64, lacrimal secretion 72 and sweat 75%. Analyze these numbers and you can easily establish a remarkable relationship between sweat and renal secretion, on the one hand, and the degree of hydration of the ocular fluid, on the other; may we be allowed to draw the attention of ophthalmologists to this undeniable connection.

With an excess of fluid in the body, the degree of eye hydration and the amount of cerebrospinal liquor decrease due to the loss of water and minerals caused by profuse sweating and increased diuresis. Remember the frequent cases of cataracts and glaucoma in diabetics. Obviously, drying out of the lens contributes to the formation of cataracts, and this is the same process of seepage of mineral salts that is observed with the formation of sand in the gallbladder and stones in the ureters. Ophthalmologists should get seriously involved in the hydromineral economy.

Only the restoration of hydromineral balance throughout the body will help to create a rational therapy for serious eye diseases: retinitis, glaucoma and cataracts. Ophthalmologists will have to be interested in a complete urinalysis, demineralizing and remineralizing diet, physiological hydrotherapy. The surgical scalpel will give way to more modest and more effective general therapy.

Among the sebaceous glands, 9/10 accompany hair follicles, and 1/10 opens directly on the surface of the skin. Their excretory duct is short and mostly opens into a hair follicle. The sebaceous glands lubricate the hair with oil and prevent the skin from drying out. The secretion of the sebaceous glands begins at the age of five. Their number reaches 250,000, of which 225,000 belong to the hair follicles, and 25,000 directly provide the epidermis. On the forehead, on the wings of the nose, on the eyelids, there are more sebaceous glands than sweat glands, although their total number is 8 times less than the number of sweat glands. When the forehead. the wings of the nose and the front of the chest are too shiny, undoubtedly insufficient fat metabolism and a tendency to acetonemia is possible.

The sebaceous glands secrete products of intestinal fermentation, iodine, bromine, antipyrine, salicylic acid. The secretion of the sebaceous glands is under the influence of the autonomic nervous system and under the influence of the cerebral center, which is located in the wall of the 3rd ventricle of the brain. Facial neuralgia, trauma to the temple area, parkinsonism can cause increased secretion of the sebaceous glands.

In addition to the organ of external secretion, the skin is a giant endocrine gland. It is replete with enzymes, enzymes that decompose protein substances into polypsptides and amino acids. The skin contains oxidases and alkalizing enzymes.

Biochemistry of the skin. The biochemical structure of the skin can be compared to the structure of connective tissue. It is a colloidal complex in a state of an organized protein gel. Collagen is an important substance in the skin. Recently, a new painful condition has been identified: collagenoses. This is scholastic nonsense. There are no diseases of just one system. The organism is one and indivisible. No one has the right to engage in the invention of sterile systems in the clinic. In fact, all aggressive agents change the composition of collagen. Erythema lupus, scleroderma, rheumatic diseases and even serum diseases are collagen changes, but the dominant factor in these diseases is not the same.

Skin lipoids account for 2% of their total. Skin neutral fats and fatty acids account for 5/6, and the famous cholesterol is about 1/6. Fatty acids, free and combined, form a protective acid layer; the basis of skin immunity is its self-cleaning. Water makes up 70-72% of the chemical composition of the skin. It contains a significant amount of alkali metals - potassium, sodium, magnesium, calcium; metalloids - bromine, fluorine, iodine, phosphorus, arsenic. All of them are in an ionic state of stable equilibrium.

Since all these substances are in an ionic state and are dissolved in water, they do not belong, in the strict sense of the word, to the composition of the skin, but are part of an intermediate fluid that irrigates skin tissues. Their stable balance must be respected and the use of harsh remedies must be avoided.

The skin contains one third of the total sodium chloride in the body. In cases of persistent weeping eczema and pemphigus, you will find a strong decrease in sodium chloride in the urine. Instead of 10-12 g, only 2-3 g per liter will be released, the rest will be retained by the skin. The acidity of the skin is normally higher in the surface layers, the pH here is 3.2-5.2, in the deeper layers it is weaker, almost neutral.

The skin is the primary regulator in the field of water exchange. With renal failure, the skin retains water, with myxedema (hypofunction of the thyroid gland), serous-mucosal fluid accumulates in the skin. Extracts from the skin can act as vasoconstrictor and anti-infectious agents. It is completely incomprehensible why endocrinologists cannot find any interest or time to deal with the largest endocrine gland.

Itching, like other so-called allergic symptoms, is caused by an excess of metabolites accumulated in the body as a result of a number of deep disorders of the excretory tract (renal failure, hypoxemia, liver failure). In all cases of pruritus, urinalysis will show a strong decrease in sodium chloride or urea. Itching is the result of an excess of various metabolites in the extracellular fluid.

In our dermatological practice, we do not recommend the use of either vitamins or hormones. They can cause digestive upset. Why chase a complex therapy when you can cure it with simple, surefire remedies? We also do not share the enthusiasm for ACTH and cortisones because they inhibit the skin's sensitivity to toxic and inflammatory effects. This neutralization, this anesthesia of the means of skin and general protection is often accompanied by too serious diseases. With the exception of skin injuries and deformation of the skin, her reaction always indicates deep disorders in the body.

The stratum corneum protects it from the penetration of water and chemicals; due to its acidity, it protects the deep epidermis from the development of microbes and fungi. Less acidic areas (with increasing pH) - armpits, genital folds, anus circumference - are more prone to infections. Other layers of the skin, where the pH is lower (3.2-5.3), are better protected. This life-saving acidity is the result of the activity of the sweat and sebaceous glands, which deliver essential fatty acids. In the stratum corneum, oxidation takes place, which is necessary for constant flawless acidity. Therefore, the importance of providing the skin with an adequate supply of oxygen in the treatment of skin diseases should be taken into account.

The skin breathes. Experimentally, you can kill an animal if you place it in an atmosphere of carbon dioxide or hydrogen sulfide, even if you leave the head in a normal atmosphere. If you cover a person with varnish, he will begin to suffocate, the heartbeat will slow down, the temperature will drop and death will occur. In this case, death must be seen as a consequence of the combination of suffocation with loss of heat.

Skin is the organ of touch. She distinguishes between superficial and deep touches, pricks, pressure, shape, density, relief of an object. The skin is a huge surface covered with nerve endings. There are fewer sensory nerve plexuses in the epidermis than in the dermis. On the sensitive nerve endings in the skin there are special tactile cells that form the so-called bodies of Wagner, Meissner, Pacini, Timofeev, Golgi. Each of these nerve endings has a specific sensitivity (cold, heat, pressure, cravings, pain).

Sensory nerves of the skin transmit nerve irritation to the posterior horns of the gray matter of the spinal cord. They are accompanied by motor fibers that control the contractions of the facial muscles and the movement of the smallest muscle fibers deep in the sweat and sebaceous glands. Psychologists and neurologists do not take the trouble to think about the currents between the skin and the nerve centers of the spinal cord. The weakening or disappearance of tactile differentiated sensations is accompanied by significant changes in the psyche. A neurological exam with pins, which fixes anesthesia in some areas of the skin, is too harsh. It would be logical to observe the difference in temperature and color of different areas of the skin in order to establish vasoconstriction, venous congestion, ischemia or hyperemia. Studying the degree of blood filling in some areas of the skin, you can find interesting explanations for many neurological and mental disorders.

The transmission of skin sensations to the nerve centers can also occur without contact, as if our integuments were exposed to radiation, and small hairs of the skin would be the antennas. A blindfolded cat perfectly finds direction with the tips of its whiskers; if you cut the mustache, she loses orientation and bumps into everything. Hands and feet, especially the soft fingertips, are extremely sensitive.

Modern clinical knowledge based on fluoroscopy and encephalography is largely depreciated without the art of palpation. Without palpation, you will not find local muscular atrophy, aortic points, periarteritis, neck stiffness, sinusitis, pyloric stenosis, duodenitis, cholecystitis, etc. Percussion, carried out with a small sharp hammer with a rubber tip, should accompany the search for hypersensitive points of the digestive tract, both ureters, and the spine. Make your skin talk and it informs you better than most machine research.

It should never be forgotten that the skin and the nervous system, including the brain, have the same endodermal origin. The skin is a giant "peripheral brain", a tireless watchman who is always on the alert, constantly informing the central brain of every aggression, every danger.