In analyzing a care of nocturnal enuresis it must not be taken for granted that the major is K.P., or even a lumbar. For this may not be true. A most thorough analysis should be made to determine the exact condition of the child. If the nervous system is involved, there will likely be found an atlas or axis subluxation. We have seen many cases that had been adjusted persistently at K.P. and a lumbar, but with no results, while an adjustment of the axis would get almost immediate results. This does not mean that every stubborn case will respond to an axis adjustment.

Scanty and highly colored urine, which has a tendency to scale and irritate the skin, usually indicates highly acid urine. In this case a careful analysis must be made to determine the cause of the acidity. The palpation will reveal a subluxation and most likely a hot box at C.P. and K.P. In many cases the child will be anemic, and in a general rundown condition; in this case the combination will be S.P. and K.P.; the combination may also include a lumbar.

In the cases involving the bladder, the major will be a lumbar vertebra. The combination will be determined by the local condition, which may necessitate the use of K.P. When there is an irritation of the genital organs or adjacent structures, the major will include a lower lumbar vertebra and may or may not require a K.P., the combination depending upon the character of the local condition.

From the foregoing it will be observed that the major for nocturnal enuresis varies, depending upon the condition to which it is adaptative. The major may include At., Ax., C.P., K.P., lumbar, or any combination of these or other subluxations. When the impingements are found, and the causative subluxations adjusted, complete results will be obtained—in every case.

OPHTHALMIA

This is an incoördination characterized by inflammation of the conjunctiva. It is also called purulent conjunctivitis. Medically these cases are supposed to be produced by gonorrhea, although in many of the milder forms the gonococcus is not present. This is evidence that the cause is not the gonococcus but that the germs, when present, are there because of the pathological condition of the tissues.

Symptoms

The eyelids are swollen, there is a copious, purulent discharge, and there may be ulceration of the eyelids.

Major Adjustment

The major for this condition is a combination major which includes a middle or upper cervical for the location and kidney place for elimination.