The Autonomic Nervous System and Neural Therapy as a regulation tool

[Gaby]

Last November, I was able to complete the Basic and Advanced Course on Neural Therapy in the Institute of Neural Therapy (Sabadell, Spain) and was surprised how useful it is to learn about the Autonomic Nervous System (ANS or Vegetative Nervous System) and its role in about pretty much everything from the point of view of Neural Therapy or as it is also called: Regulatory Medicine.

Although most of my notes and resources are in Italian and Spanish, there are plenty of resources in English so as to give an idea to people about this healing modality which remains almost unheard of in English speaking countries.

The ANS is the most unappreciated system in mainstream medicine, yet it has to do with everything: how fast you heal from injuries, how pain is perceived, how is your digestive system working and every single system around. It connects everything and data shows that it can connect it non-linearly. That is, your autonomic nervous system works until the last straw that broke the camel's back comes (however banal that last straw is compared to other events in your life) and then, it becomes unregulated and chaotic, signalling diseases and conditions that to a mainstream practitioner might seem unrelated, or that he or she simply might even be unable to see with standard tests: endoscopy, ultrasound, scans, etc.

Think of the same science of Éiriú Eolas and how stimulating your vagus nerve can help regulate stress and then extrapolate to more disordered and recalcitrant conditions where something is used to help regulate the autonomic nervous sysstem. In this case, procaine ( AKA novocaine) is used, and not so much as a local anesthetic, but as wonder agent which acts as a crystalline liquid capable of reducing inflammation, resetting chaotic membrane potentials in diseased tissues and increasing blood flow to problematical areas so that the body can regulate itself. Procaine is also antimicrobial and has anti-tumoral properties, it also has a sympatholytic effect (anti-stress). There's something very special about procaine which helps regulate the ANS, well past its duration of action.

Here's more information from an American practitioner:

Neural Therapy

Neural Therapy was originally developed in Germany by the Huneke brothers. It involves the injection of Procaine (also known as Novocain), a common local

www.drkaslow.com

How did Neural Therapy start?

The basis for Neural Therapy started with the use of cocaine as a local anesthetic in the late 1800’s by the great scientists, Pavlov and Sigmund Freud. In 1906, the German surgeon, Spiess, discovered that wounds and inflammatory processes subsided more quickly and with fewer complications after injection with the newly discovered Novocain (procaine), which did not possess the addicting qualities of cocaine.

The famous French surgeon, Leriche, performed the first nerve block into the stellate ganglion in 1925 for the treatment of chronic intractable arm pain. He described the injection of Novocain as the surgeon’s “bloodless knife.” Ganglion blocks are now commonly used for the treatment of neck, shoulder, arm, leg, and low back pain. In addition, Procaine can be used directly in the nerves of the autonomic nervous system, peripheral nerves, scars, glands, acupuncture points, trigger points, and other tissues. Even intravenous Lidocaine has treated chronic somatic pain, including cancer pain.

Modern Neural Therapy owes its discovery to an accident in 1925, observed and interpreted by two physicians, Ferdinand and Walter Huneke. They had for years attempted in vain to help their sister, who often suffered severe migraine attacks. During one particularly violent attack, Ferdinand injected his sister intravenously with what he thought was a remedy for rheumatism. While he was still administering the injection, the blinding migraine headache simply vanished, together with the flashing sensation in front of her eyes, dizziness, nausea and depression. Her headaches never recurred! After witnessing this miraculous recovery, Ferdinand and Walter realized their sister’s intravenous injection actually contained Procaine. After much further experimentation, it became clear that it was Procaine alone that had produced the startling cure, and therefore Procaine could also be used as a treatment remedy, as well as a local anesthetic.

How does Neural Therapy work at a site of disturbance?

A German neurophysiologist, Albert Fleckenstein, demonstrated that the cells in scar tissue have a different membrane potential from normal body cells, functioning much like a 1.5 volt battery implanted into the body. Whenever a cell has lost its normal membrane potential, ion pumps in the cell wall stop working. This means that abnormal minerals and toxic substances accumulate inside the cell. As a result, the cell loses the ability to heal itself and resume normal functioning. Procaine acts on the cell wall to allow the ion pumps to resume normal action and restore the membrane potential. This is how Procaine and other agents used in Neural Therapy correct the bioelectric disturbance at a specific site or nerve ganglion. By reestablishing the normal electrical condition of cells and nerves, the disturbed functions are also restored to normality, and the patient returns to health as far as this is anatomically still possible. The amazing part of Neural Therapy is that the site being treated can be very far away for the tissue in the body that is not functioning properly. For example, a scar on the chin can affect the low back. This is possible because of the vast network of nerves called the Autonomic Nervous System.

What is the Autonomic Nervous System?

The nerves of your autonomic system provide a vast network of electrical circuits, having a total length of twelve times the circumference of the earth, and connecting every one of your 40 trillion cells to form a living whole human organism. This autonomic (or neurovegetative) system controls the vital processes everywhere in your body. It regulates your breathing, circulation, body temperature, digestion, metabolism, hormone formation and distribution. It causes your heart to beat and your lungs to breathe automatically, even when you are asleep. It does in fact control all of the numerous automatic processes without which you could not live. In other words virtually every cell in your body is connected not only to each other through the autonomic nervous system but is also in large part controlled by your autonomic nervous system.

As Fleckenstein showed, scar tissue can create an abnormal electric signal. In turn this signal is transmitted throughout the rest of your body via the autonomic nervous system. Procaine delivered by direct injection to scars or through other nerves that travel into deeper scars through tiny tubules in the cellular matrix to these areas of bioelectrical disturbance for treatment. As a result, Procaine is capable of eliminating autonomic regulatory dysfunctions. Since the autonomic nervous system is the master controller of the body, Neural Therapy can have a profound impact on your condition and your ability to heal.

In 1940, Ferdinand Huneke observed the first “lightning reaction” or the “Huneke phenomenon,” discovering that a scar can produce an “interference field.” A patient presented to him with a severely painful frozen right shoulder that had been refractory to all kinds of therapies. Huneke injected the shoulder joint directly with Procaine without obtaining any pain relief. However, within several days of the shoulder injection, the patient developed severe itching in a scar in her left lower leg where she had surgery years prior and just before developing the painful shoulder. When she returned, Huneke injected Procaine into the itchy scar in her left leg. Almost immediately she obtained full and painless range of motion in her right shoulder joint. The shoulder problem never recurred. The left leg scar injection had apparently “cured” her shoulder problem. This was the first observation of what Neural Therapy is capable.

What causes interference fields?

• Infections.
• Emotional trauma.
• Physical Trauma from any type of surgery, accidents, deep cuts, biopsies, childbirth, dental procedures, vaccinations, burns, tattoos, etc.
• You then may wonder how a scar or infection becomes activated to become an interference field. General stress from illness, malnutrition, emotional stress, food allergies, pregnancy, etc. seems to convert an inactive interference field to one that creates a disturbance.

Why does Neural Therapy work?

I used to believe that if you get all the nutrients you need, avoid everything that makes you worse (allergens, alcohol, etc.), and detoxify or get rid of anything that is preventing you from getting well (mercury, yeast, abusive relationships), your body will heal itself. These were the three ingredients of attaining health. However, for some individuals even when everything has been done in these three areas, something seems to be interfering with getting well. It turns out to be interference fields from scars, trauma, etc. that are disturbing the instructions of the autonomic nervous system to heal the body. Emotional imprints are also considerations, but for the purposes of our discussion, we’ll focus on physical interference fields.

To understand this more fully, one has to understand that the autonomic nervous system is made up of two divisions. One division is the sympathetic nervous system that is activated by stress. It speeds up your heart rate, makes you burn sugar more rapidly, tenses your muscles, and in general increases your ability to “fight or flight.” The other division of the autonomic nervous system is the parasympathetic nervous system. Its job is to promote healing, digestion, repair etc. It slows your heart rate down, increases mucus and digestion, etc.

A key feature of the sympathetic nervous system is that it links all of the cells of the body together, regulates the contraction and expansion of blood vessels, regulates the activity of the connective tissue necessary for regenerating body systems, and it regulates the voltage (membrane potential) across the cell wall in every cell in the body. While either the parasympathetic or sympathetic nervous system could be overly dominant and lead to symptoms, most people are stuck in an overly reactive sympathetic state. In other words, the healing mechanism is impaired or “interfered with.”

Will Neural Therapy replace all other therapies?

I used to think that the biochemistry and hormones of the body directed the all of the metabolic actions in the body. What I now realize is that in fact the reverse, the autonomic nervous system is the master controller of biochemistry. Our personalized nutritional systems have allowed healing only to the point at which the nervous system will allow. Thus, when your interference fields have been addressed here with Neural Therapy, the results seem to be longer lasting and more complete compared to other practitioners using Neural Therapy. I suspect it is because of the attention we give in laying your nutritional groundwork. It is what has distinguished our practice from others. My current challenge is to find out the most effective nutritional ways to balance your nervous system so that you are optimized for staying healthy.

Neural Therapy is just another modality available to you. Combining it with a personalized nutritional/metabolic/detoxification program is one of the most powerful healing tools available.

How many Neural Therapy treatments are typically necessary?

Sometimes one treatment will resolve the problem. More often, only a partial improvement follows each treatment. Three to six treatments are the average number to achieve lasting resolution of a chronic condition. What Neural Therapy does for many of my patients is to open the door to allow the other healing modalities to finish the job. Less often do I see the dramatic miraculous response that the Huneke Brothers described. Rather it is a gradual resolution of the dysfunction and a return to optimal health.

[...]

Summary:

Because of the inner connectedness of every cell through the sympathetic nervous system, now matter how seemingly distant from each other, it is truthful to say that any illness indicates that the living organism as a whole has lost its ability to regulate itself in a completely healthful way. An organ (heart, gallbladder, eye, joint, etc.) never becomes diseased in isolation, but always as a symptom of the whole individual. My task is to provide your body nourishment and, if necessary to remove any interferences, so it can regulate itself and heal itself to your highest function.

Neural Therapy is widely used in South America and Europe, although it is really all over the world. In some countries, it is covered by health insurance (i.e. Turkey, Germany?). It was pioneered by Russian scientists from the Soviet era and German scientists.

In the course, I witnessed how a man with ruptured tendons (he had the MRI with him to prove it) and was unable to lift his arm, was able to lift it up again after the neural therapy, which took about 10 minutes. That never happens in mainstream medicine practice. Yet it happened. As the trainer joked, thanks God I don't care about MRIs. The autonomic nervous system (AKA vegetative nervous system) is one heck of a system and Neural Therapy might be something to keep in mind for those who have recalcitrant conditons that don't respond to detox or nutrition. Even though it can have miraculous results, it is not a miracle therapy. It is just something that helps you regulate your autonomic nervous system, pretty much like stimulating the vagus nerve with breathing exercises help you relax, only that a step further so to speak. The person is actually the one who does all the work, procaine just helps regulate the resources of your ANS.

It also explains with common sense why looking at the mouth is crucial when there's disease. The trigeminal nerve, the Vth cranial nerve, is the cranial nerve that is most represented in the brain and its branches innervate the teeth. The masseter muscle, which helps you to chew, is the strongest muscle in the body. When there's tension from dental braces or an impacted wisdom tooth coming out wrongly, the tension created is such that it can frequently give unrelated symptoms. For instance, in a young woman or man with depression or anxiety, one should always look at how the wisdom teeth are coming out. However, it is not that a tooth has to come out or not, it is the lifestory of the person and the context of his or her complaints that has to be considered. In Neural Therapy, the person's history or life story is the most crucial thing to determine what to inject or not. That, and tension points pretty much like when you go to have a Rolf massage.

Here are more quotes from a paper published in Acupuncture and Related Therapies.

There are multiple interrelationships between neural therapy
and acupuncture. Both are minimally invasive, both have knowledge
of distant phenomena, and both have few side effects. They
are both forms of regulatory therapy and aim to influence the whole
organism by following a holistic approach. This review summarizes
the scientific and clinical evidence, indications, methods of
application, and possible future research in this field...

Local anesthetics have a multitude of effects on the nervous
system. Beside the well-known action on sodium ion channels in
excitable cells, they also seem to provide neuroprotection to the
CNS [4], protect against sympathetic sprouting in neuropathic pain
[5], and reduce intracranial hypertension [6].
There is some evidence in basic science that pleiotropy (i.e., the
“alternative effects”) of LA on non-excitable cells [7,8] has a longer
lasting effect than the pharmacological half-life of the drug in the
sodium ion channel.
Some studies have revealed additional molecular mechanisms
in neural therapy. Local anesthetics induce Gq–protein-complex
mediated intracellular anti-inflammatory mechanisms,
deactivate overactive granulocytes, inhibit the signaling of
human NMDA receptors [10], and affect the synthesis and
release of inflammatory mediators as eicosanoids, histamine,
prostaglandins, and cytokines [11]. LA induce vasodilatation [12],
reduce a pathologically increased capillary permeability in a
hyperoxic lung injury in rabbits [13], have antimicrobial properties
[11], and exhibit a sympatholytic effect [14]. Furthermore, the
interesting concept of neurogenic inflammation [15] opens new
perspectives into the therapy of chronic sterile inflammation by
local anesthetics, thereby reducing the release of pro-inflammatory
substances. Although Tracey has already suggested this approach
[16], there are no data available proving this idea.
Neural therapy works best if it is repeated several times with
increasing intervals as complaints are decreasing. This concept
of “salutogenesis by pain holidays” (Fig. 1) may reflect the central
nervous system action of local anesthetics. Memory effects are
important mechanisms in the development of chronic pain disease.
A central mechanism of LA action is likely. Procaine, for instance,
shows a selective proclivity for activating limbic structures [17]
without inducing the adverse effects of cocaine

[Indications]

5.1. Acute pain and chronic pain disorders
Headache and migraine can be addressed by injections to
the major occipital nerve [3] or by the intranasal or intravenous
application of lidocaine [28,29]. Trigeminal neuralgia has been successfully
treated with 10% lidocaine injections [30] and with trigger
point injections [31].
Postherpetic neuralgia (PHN) could be successfully treated
with local LA injections. Early reports [32,33] were confirmed by
recent studies using neural therapy with procaine in amultifaceted
integratedCAMconcept [34]. Inmost recent studies, however, neural
therapy was only used in combination with steroids [35,36];
therefore, a clear conclusion on the value of local anesthetics alone
cannot be drawn. A promising approach to ophthalmic PHN is the
topical use of lidocaine in eye drops [37]. Similarly, the topical use
of 5% lidocaine plaster has been established as a first-line option
for treating patients with PHN [38].
Myofascial pain is characterized by the frequent occurrence of
muscular trigger points; in fact, myofascial pain and trigger points
are nearly synonymous. One of several publications on successful
LA use in this disease was conducted in Taiwan, with cervical facet
joint injections for shoulder pain [39].
Visceral pain. An important example of abdominal pain conditions
is chronic pelvic pain without organic origin. A French group
reviewed the literature and found a significant diagnostic effect of
autonomic nerve blocks (ganglion impar, hypogastric plexus and
L2 lumbar sympathetic blocks) [40]. Further research may reveal a
therapeutic effect in repeated interventions.
Postamputation pain syndrome. There is some evidence that
contra-lateral injections of LA relieve phantom pain in soldiers [41].
Recent observations support the idea of treating postamputation
pain with LA [42].
5.2. Functional disorders without organic findings
Vulvodynia. Clinical experience in our unit (with 10 patients)
yielded the first evidence that LA injections around the pudendal
nerve and the hypogastric plexus provided long-term relief of this
painful condition [43].
Chronic colitis. In a review with description of their own experience,
a Swedish group [22] described the results of a treatment of
colorectal mucosa with a topical application of 2% lidocaine gel. The
clinical results were promising and no side effects were observed.
Reportedly, tinnitus may respond well to the application of
local anesthetics. The first known publication reported on successful
nasal application of procaine (Barany, 1935). In a recent report,
a Japanese group performed intravenous lidocaine injections with
good success [44].
5.3. Vegetative (systemic) disorders
“Sympathetic pain” describes sympathetically induced vasoconstriction,
ischemia, tissue damage, and chronic pain in the
respective area. Well-known examples are reflex or vasospastic
disorders, such as Raynaud’s phenomenon and thromboangiitis
obliterans (Buerger’s disease). Early sympatholysis with LA injections
or infusions to the respective ganglion or artery is an
auspicious method of relieving these conditions [45,46]. Also
causalgia and reflex dystrophy (Sudeck’s disease, CRPS) are vegetative
disorders. Therapy with LA injections to sympathetic ganglia
is a promising approach for relieving these severe conditions
[45,47–49].
Probably, based on clinical experience, also non-specific vegetative
disorders, such as menopausal flushes, can be addressed with
LA injections to the sympathetic ganglia. Case reports are available,
but there is no available RCT data.
5.4. Chronic inflammation
Following the encouraging results on the anti-inflammatory
effects of LA in basic research, a Swedish group has collected 227
publications on the physiological and clinical effects of LA in inflammation
[11]. They report on its strong effects, e.g., in treating
interstitial cystitis [50], major burn injuries [51], and in recurrent
HSV-1 and HSV-2 infection [52].
5.5. Miscellaneous indications
Oncology.Someclinical units in Central Europe use the systemic
application of procaine infusions for secondary prevention. They
report on good results and refer to in vitro findings that support
an anti-tumor effect of this substance in different tumor cell lines
[53,54] and in mesenchymal stem cells [55]. Obviously, the amidlinked
LA lidocaine has DNA-demethylating properties [56], too.
Alzheimer’s diseasemayalso be a promising indication for neural
therapy. Lecanu et al. in Washington, DC, demonstrated in vitro
that procaine protects rat cells against beta-amyloid-induced neurotoxicity
[57], which suggested a potential preventive application
of procaine in early Alzheimer’s disease. However, no clinical trials
have been published yet.
Hypercortisolemia and stress therapy. An increase of ACTHcortisol
and prolactin by procaine was suspected by an NIH group
in the 1980s [17]. In contrast, the Lecanu group showed the inhibition
of adrenal cortical steroid formation by procaine [74]. Further
studies are necessary to explain this discrepancy.
Wound healing can be improved by local anesthetics in vitro
[55]. In our university hospital, the systemic application of local
anesthetics was shown to reduce the length of postoperative hospital
stays after colorectal surgery [58]...

For didactic reasons, the application of LA can be divided into five
different administration methods. Similar to acupuncture, in daily
use, these methods are not purely applied; instead, most physicians
combine two or more methods in their therapeutic regimen.
6.1. Local and trigger point infiltration
Injections into trigger points and tender areas (ligaments, fascia)
were first described by the authors of The Trigger Point Manual [59]
and are frequently used in pain therapy, e.g., in chronic pelvic pain
[60]. This approach is similar to the acupuncture of ASHI-points.
6.2. Segmental therapy
This form of neural therapy aims to exploit segmental reflexes
and referred pain mechanisms. It resembles needling of the bladder
meridian in acupuncture. Administering wheels (“quaddles”) into
the HEAD zones and infiltrations into intervertebral (facet) joints
[39] are the main techniques in this context.
6.3. Regional therapy
Regional therapy compromises all injections in or around nerves
and ganglia. Many complex pain syndromes are induced or maintained
by sympathetic overweight. Injecting local anesthetics into
the respective ganglia can reduce an increased sympathicotonus
and re-establish the autonomic balance. In a doctoral thesis, our
group demonstrated this effect through the enhancement of heart
rate variability (HRV) shortly after neural therapy compared to a
waiting group [61]. A well-known example for the clinical application
of regional therapy is the successful treatment of CRPS and
chronic pelvic pain (see above publications). Another example for
regional therapy is performing paraurethral injections in motor or
sensory urgency in female patients [62].
6.4. Systemic infusion therapy
The main indications of LA infusions are chronic pain disease,
tinnitus, the prevention of post-surgery ileus [63] for lidocaine,
and acute pancreatitis [23] for procaine. LA infusions also seem to
increase the general pain threshold, which is usable in otherwise
intractable chronic pain [64].
6.5. Stoerfeld therapy
The most sophisticated but otherwise irritating concept is stoerfeld
injection therapy. A stoerfeld (German: “Störfeld”, English
also “interference field”, “disturbance field”) is defined as “any
disturbed structure of the body being asymptomatic but inducing
or maintaining another disorder by remote effects” [65]. Important
examples for stoerfelds are scars, as well as organs with chronic
inflammation, particularly the teeth, sinuses, and pharynx. The
autonomous nervous system (ANS) seems to play an important
role in the information transfer from the disturbed area to the
target region of complaints. Case reports suggest that stoerfelds
and their remote adverse effects can be temporarily or permanently
eliminated by injections of LA [66]. These authors used
LA injections into the area of the wisdom teeth for diagnostic
methods to prove or exclude remote effects. In cases of repeated
positive responses to this “stoerfeld test”, the wisdom teeth were
removed, with remarkable improvement of clinical complaints in
these patients. In another approach, our group showed that LA
injections to the sinuses and the oropharyngeal region significantly
reduced the tenderness in the cervical spine. We called this special
type of tender points of the cervical region neck reflex points
(NRP). These results will be published in a doctoral thesis [67].
There is some evidence that oropharyngeal disturbances may be
a preferred site of developing stoerfelds and may become a major
remote cause of chronic diseases [68], perhaps based on the intensive
interrelation between the dental region and the ANS [69].
Neuralgia inducing cavitational osteonecrosis (NICO) is a term coined
by Bouquot from Houston, TX, for a dental focal disease that induces
remote adverse effects, thus precisely meeting the definition of a
stoerfeld [70,71].

I hope this will serve as an introduction that might be useful for somebody. There are Neural therapists all over the world and even though there could be healing crises after the therapy, it remains overall a pretty safe tool.

I hope to post more information as I go through my notes and books. It is really something that helps to approach health vs disease in a non-linear system/point of view.

 

[Breo]

It also explains with common sense why looking at the mouth is crucial when there's disease. The trigeminal nerve, the Vth cranial nerve, is the cranial nerve that is most represented in the brain and its branches innervate the teeth. The masseter muscle, which helps you to chew, is the strongest muscle in the body. When there's tension from dental braces or an impacted wisdom tooth coming out wrongly, the tension created is such that it can frequently give unrelated symptoms. For instance, in a young woman or man with depression or anxiety, one should always look at how the wisdom teeth are coming out. However, it is not that a tooth has to come out or not, it is the lifestory of the person and the context of his or her complaints that has to be considered. In Neural Therapy, the person's history or life story is the most crucial thing to determine what to inject or not. That, and tension points pretty much like when you go to have a Rolf massage.

This summary is very interesting. Thank you Gaby. It shows that Neural therapy is a holistic approach on the basis of school medicine combining both paradigms, school medicine and holistic/alternative. It gives hope to see that it is possible to fuse both worlds being beneficial for patient and practitioner alike.

I have had best results with Procain injections in the dental area and sinuses with a systemic infection of unknown cause. Nothing before would stop the acute inflammatory symptoms. Minutes after the 1st injection the specific area calmed and most of any other inflamed symptoms in the body eased significantly. Before that several dentists had worked on the problem including a surgery which led to nothing but continuation of the inflammation. I repeatedly tried to point out that this is a "Stoerfeld" zone. Conventional Md´s would not comprehend the concept and still pressed for another surgery. I left as in my Kinesiology courses "Regulation of Stoerfelder" was the central training focus with emphasis on blocked dental meridians, scars and life history events affecting organs, bodily systems and psyche. So thanks for the reference about Stoerfelder.

Its fascinating to read in your summary how Procain applied on accupuncture/accupressure points has an overall positive effect on many different areas of symptoms. Conventional approach misses that. Its seems that its all about how and where to support self regulation of blocked flow of life force.

My present dentist is well aware of the power of Procain and uses it with best results but she does not have a Neural therapy training. I would like to print this summary for her and my General MD who also does acupuncture and Autohemotherapy. Both are open and interested in other modalities. With your permission I would reference you, Gaby? Or will you write an article on your blog?

 

[Oxajil]

Thank you, Gaby! I found this interesting paper in case you haven't come across it yet: Effective Treatment of Chronic Pain by the Integration of Neural Therapy and Prolotherapy

Besides information about neural therapy, the author mentions the effectiveness of combining neural therapy with prolotherapy (when necessary - and when it comes to chronic musculoskeletal pain):

The effective treatment of chronic pain can be a challenging, but rewarding, activity. The pain practitioner is advised to become proficient in any treatment which may help him/her interpret and treat even the most difficult patients. Neural Therapy, when needed, can be integrated with Prolotherapy. This combination can be very effective in the treatment of chronic musculoskeletal pain because it increases healing capacity and allows Prolotherapy to work even more effectively.

If I understand correctly, prolotherapy consists of injecting dextrose which stimulates the body's own healing processes. I wanted to ask you if you've ever heard of this therapy (in combination with neural therapy)?

There are some interesting case studies mentioned at the end of the article, example:

71 year-old male who presented with a chief complaint of low back pain for 46 years. His first episode at age 25 was sudden onset treated with bed rest and chiropractic. The episodes continued to occur four to five times per year, and increased in duration and frequency until they were virtually continuous.

Eventually, the patient received a surgical consult, told there was no surgical pathology and sent for physical therapy which provided little benefit. At the time he was seen at my office he had continuous low back pain, only varying in intensity. His only surgical history was ganglion cyst removal on his left wrist, surgery on his right wrist for unknown reasons, removal of a calcified saliva gland with complications of a “numb spot” on his lower lip that was slowly improving, as well as two wisdom teeth removals in his 20’s and multiple root canals.

Autonomic response testing was done and the patient was found to have interference fields at the wrist scars bilaterally, at the inferior hypogastric plexus, and inferior cervical plexus. Testing also revealed a correlation between the inferior hypogastric plexus, the right wrist scar, and his low back pain.

Treatment was initiated with Neural Therapy to all found interference fields. The patient returned three weeks later for follow-up and reported significant improvement in his low back pain. The patient was treated three more times with Neural Therapy at two to three week intervals before Autonomic Response Testing revealed all interference fields to be resolved.

At this point, the patient stated that his pain was occasionally gone, but that he had some intermittent areas in his low back which still caused pain. Prolotherapy was then commenced. A total of four Prolotherapy treatments were done at three to four week intervals. When the patient presented for his last treatment four months after his first visit, he stated that he had no more noticeable pain at all. He was discharged from treatment.

Another:

75 year-old male with chief complaint of bilateral foot pain for several years. He reported a long history of running, including marathon running, and that he had been unable to participate in this sport for the last several years because of this foot pain. Surgical history included a compound fracture with open reduction of his left forearm and wrist, and left inguinal hernia repair with mesh placement.

Evaluation of his autonomic nervous system by Autonomic Response Testing showed autonomic interference fields at the inguinal hernia and surgical scar, the inferior hypogastric plexus and at all his left wrist scars. The patient elected to do Prolotherapy before doing Neural Therapy. His foot pain improved greatly with the Prolotherapy, however, plateaued at the eighth treatment. Neural Therapy was then done on all interference fields which retested positive, at one week intervals. After six treatments, the patient reported all his foot pain had resolved, and has been able to return to running. His final exam showed no remaining interference fields present.

FWIW.

 

[nicklebleu]

Thanks, Gaby, for this interesting thread!

Do you know whether lidocaine can be used as an alternative to procaine in NT? Procaine is not available in Australia - except as cardioplegia(!) solution (mixed with magnesium).

The NT practitioners here in Australia seem to inject mostly saline (so probably a sort of percutaneous hydrotomy), and occasionally some (unspecified) local anaesthetics.

 

[anartist]

Last November, I was able to complete the Basic and Advanced Course on Neural Therapy in the Institute of Neural Therapy (Sabadell, Spain) and was surprised how useful it is to learn about the Autonomic Nervous System (ANS or Vegetative Nervous System) and its role in about pretty much everything from the point of view of Neural Therapy or as it is also called: Regulatory Medicine.

Although most of my notes and resources are in Italian and Spanish, there are plenty of resources in English so as to give an idea to people about this healing modality which remains almost unheard of in English speaking countries.

The ANS is the most unappreciated system in mainstream medicine, yet it has to do with everything: how fast you heal from injuries, how pain is perceived, how is your digestive system working and every single system around. It connects everything and data shows that it can connect it non-linearly. That is, your autonomic nervous system works until the last straw that broke the camel's back comes (however banal that last straw is compared to other events in your life) and then, it becomes unregulated and chaotic, signalling diseases and conditions that to a mainstream practitioner might seem unrelated, or that he or she simply might even be unable to see with standard tests: endoscopy, ultrasound, scans, etc.

Think of the same science of Éiriú Eolas and how stimulating your vagus nerve can help regulate stress and then extrapolate to more disordered and recalcitrant conditions where something is used to help regulate the autonomic nervous sysstem. In this case, procaine ( AKA novocaine) is used, and not so much as a local anesthetic, but as wonder agent which acts as a crystalline liquid capable of reducing inflammation, resetting chaotic membrane potentials in diseased tissues and increasing blood flow to problematical areas so that the body can regulate itself. Procaine is also antimicrobial and has anti-tumoral properties, it also has a sympatholytic effect (anti-stress). There's something very special about procaine which helps regulate the ANS, well past its duration of action.
-snip-
I hope this will serve as an introduction that might be useful for somebody. There are Neural therapists all over the world and even though there could be healing crises after the therapy, it remains overall a pretty safe tool.

I hope to post more information as I go through my notes and books. It is really something that helps to approach health vs disease in a non-linear system/point of view.

Very interesting Gaby. I have just started reading a book by Nicholas Gonzalez, "Nutrition and the autonomic nervous system" so this quote from the Dr. Kaslow site caught my attention
"Will Neural Therapy replace all other therapies?
I used to think that the biochemistry and hormones of the body directed the all of the metabolic actions in the body. What I now realize is that in fact the reverse, the autonomic nervous system is the master controller of biochemistry. Our personalized nutritional systems have allowed healing only to the point at which the nervous system will allow. Thus, when your interference fields have been addressed here with Neural Therapy, the results seem to be longer lasting and more complete compared to other practitioners using Neural Therapy. I suspect it is because of the attention we give in laying your nutritional groundwork. It is what has distinguished our practice from others. My current challenge is to find out the most effective nutritional ways to balance your nervous system so that you are optimized for staying healthy."
Dr Gonzalez talks about Beards work with enzymes, about Pottengers work with the autonomic nervous system, and then Dr Kelley's integration of Beards enzyme work with Pottengers autonomic nervous system work. It looks like (and I have not finished the book) they postulate that there are people with a balanced autonomic nervous systems, and those with an over active sympathetic system, and others with an over active parasympathetic nervous system. These unbalanced nervous systems can lead to various diseases, and apparently they have found diet has an impact on the functioning of the autonomic nervous system. Apparently overly parasympathetic system patients need a meat based diet to move the body to a more balanced nervous system, and overly sympathetic system patients need a more plant based diet to tone down the sympathetic and up-regulate the parasympathetic systems. Specific systems affect specific organs, for example the parasympathetic dominant people had a highly efficient digestive system, and the sympathetic dominant people had highly efficient hearts and thyroids. Kelley classifies people into ten groups, from Extremely Sympathetic dominant to Extremely Parasympathetic dominant, and four levels of the Balanced system from Extremely efficient to very inefficient. I will be interested to see if there is a way to discover which aspect of the autonomic nervous system is active in people, especially myself as I am interested in doing some experiments. Lord knows I have been doing enough diet experimentation over the last decade!

 

[Stoneboss]

Thank you Gaby for this very interesting post.

I would like to ask a question. My wife's daughter (33 yo) and her daughter (9 yo) were both diagnosed with myotonic dystrophy about 5 years ago. The daughter (the nine year old) is to by hospitalized this week for further tests for reasons they call "failure to thrive", I guess that means her health is really deteriorating lately.

After doing some reading about myotonic dystrophy, I am thinking that it might have something to do with a major malfunction with the sympathetic nervous system.

So my question is, could this treatment be effective for myotonic dystrophy?

 

[Gaby]

My present dentist is well aware of the power of Procain and uses it with best results but she does not have a Neural therapy training. I would like to print this summary for her and my General MD who also does acupuncture and Autohemotherapy. Both are open and interested in other modalities. With your permission I would reference you, Gaby? Or will you write an article on your blog?

You can print them the info. I hope to write about it more in the future, but there's enough information out there to get your practitioners interested in for a possible training.

If I understand correctly, prolotherapy consists of injecting dextrose which stimulates the body's own healing processes. I wanted to ask you if you've ever heard of this therapy (in combination with neural therapy)?

If I remember correctly, I came across it while researching the info posted in the autoimmune thread. I think some of the same doctors that used metronidazol and doxy for rheumatoid arthritis, also used prolotherapy.

Do you know whether lidocaine can be used as an alternative to procaine in NT? Procaine is not available in Australia - except as cardioplegia(!) solution (mixed with magnesium).

You can use lidocaine in case procaine is not available. Unfortunately it doesn't work the same. There are photographs of both procaine and lidocaine at the information/structural level. Procaine looks like a flower/clove arrangement and lidocaine more like random strikes. However, practitioners have used lidocaine with interesting results as well.

Here's the photo of procaine:

Keep in mind that it is not used an anesthetic block. In fact, neural therapy uses procaine 0.25% or 0.50% and in say trigger points, only 0.5cc of that solution is injected in the fascia or muscle with a needle that is basically like an acupuncture needle.

So my question is, could this treatment be effective for myotonic dystrophy?

I would be complementary. Even in intractable genetic conditions, there has been significant improvement as the autonomic nervous system regulates itself better, but approach it as a tool to improve quality of life and as a complementary measure.

I hope it helps!

 

[Stoneboss]

I would be complementary. Even in intractable genetic conditions, there has been significant improvement as the autonomic nervous system regulates itself better, but approach it as a tool to improve quality of life and as a complementary measure.

I hope it helps!

Thank you Gaby. My wife and I are seriously going to look into this.

 

[Learner]

Thank you for the information in this thread! I am currently looking into Neural Therapy for my sister, who is a type I diabetic. This and the information by Oxajil about a combination of Neural Therapy and Prolotherapy raised two questions for me in regards to my sister. She shows interest in Neural Therapy in relation to a jaw condition she has since some time already.

As to my first question, which regards her diabetes, I came to a description of Neural Therapy by Dietrich Klinghardt who lists diabetes among the contraindications:

Contraindications to Neural Therapy

1. Cancer (lymphatic spread could be facilitated),
2. Genetic illness,
3. Nutritional deficiency,
4. Diabetes (it can become unstable from neural therapy),
5. Tuberculosis,
6. Psychiatric illness, except depression,
7. End state of chronic illness (patient too weak to respond). An exception to the above is the treatment of the dental focus; we have seen a case of chronic schizophrenia improve dramatically after removal of the wisdom teeth.

Somewhere else (I don't remember anymore) I read, that it's only contra-indicated if the diabetes is uncontrolled, which is not the case with my sister. Also, I wonder if the above refers more to diabetes type II than diabetes type I, which is the one my sister has as condition.

As to my second question: The dentist of my sister noticed last year that her jaw is somewhat crooked or "outplaced" if she opens her mouth. My sister told me, when opening her mouth, there's a crunching and cracking sound and some joint doesn't seem to move as smooth as would be normal. Her GP said, that the sacroiliac joint seems to be the culprit. My sister then had an osteopath working on her jaw and her hip. But it didn't seem to help much.

My sister doesn't experience pain in the jaw, but told me she experienced a sensation of traction in the hip or groin some time ago.

So I wonder if Neural Therapy would address the problem, or if Prolotherapy might be better or some combination of those? Or maybe an altogether different approach would be best for her?

 

[Gaby]

So I wonder if Neural Therapy would address the problem, or if Prolotherapy might be better or some combination of those? Or maybe an altogether different approach would be best for her?

She can give neural therapy a try, it's not contraindicated in diabetes. Tension points around the temporomandibular joint are very common, almost the norm. The crackling sound might stay there, but at least she could prevent further problems. Tension points in the lower back are also common.

Rather than working directly on those parts, ideally she should be asked for a life story and then the neural therapist will work on those stress points that "broke the camel's back". It could be the joints specified above or not. I would give it a try with an open mind.

 

[Learner]

Rather than working directly on those parts, ideally she should be asked for a life story and then the neural therapist will work on those stress points that "broke the camel's back". It could be the joints specified above or not. I would give it a try with an open mind.

Thank you, Gaby! Maybe it will help her work towards some solution.

 

[luc]

I hope to post more information as I go through my notes and books. It is really something that helps to approach health vs disease in a non-linear system/point of view.

Thanks a lot Gaby for the write-up. I received a Huneke treatment years ago as a teenager from a son of one of the Huneke brothers I believe against my chronic headache. It did make sense to me back then and I remember having read testimonials by people who have been healed chronic illnesses instantly after one shot! However, it didn't seem to do much at the time; although if I remember correctly I was made aware of issues with my wisdom teeth - removing them did seem to bring an improvement. Perhaps the shot(s) also helped with healing down the road. But mainly, it had to do with psychosomatic reasons I believe and it got better later when I was able to let go a bit more.

The way I understood it back then is that you basically "nuke" a pain/inflammation center and break the knot so to speak, particularly with scars and old physical trauma, and the body remembers that and heals. But there seems to be a lot more going on. I would say since this treatment is basically risk-free, it's definitely worth a shot (literally)!

 

[liam1310]

Thanks for this Gaby. I will be looking into this, might be worth trying it out for my leg pain that no other theraphy as been able to fix.

 

[Gaby]

The way I understood it back then is that you basically "nuke" a pain/inflammation center and break the knot so to speak, particularly with scars and old physical trauma, and the body remembers that and heals. But there seems to be a lot more going on. I would say since this treatment is basically risk-free, it's definitely worth a shot (literally)!

That's the gist of it. It's like literally going through all the stressors that broke the camel's back.

I hope to post more information as I go through my notes and books. It is really something that helps to approach health vs disease in a non-linear system/point of view.

I meant to post the science behind neural therapy from back in the day, not because I think people should do neural therapy, but because the information might open our eyes in ways that we didn't think before in regard to dis-ease.

I did a quick search by keywords or authors, and really, nothing very useful comes up. I suppose because this is mostly Soviet and obscure German research, lol!

Well, there are many names that appear in this science, but perhaps I could start with Bykov (Russian neurologist) and Wedensky (Russian neurophysiologist) from the first half of the 20th century. They noticed that when they irritated a neural tissue with electricity, overheating, mechanical pressure, etc., the neural (nervous) tissue lost its properties of conductivity and excitability, entering a state that they named "parabiosis", which is like a permanent irritation or actually a memory of the irritation.

They also noticed that the nervous tissue in a state of parabiosis not only alters the impulse/stimulus information that is conducted through said tissue and/or it is refractory for new impulses, but that the neural tissue becomes a source of new impulses that destabilize the neural network, like a generator of noise in a network.

According to their research, along the research of Spiess and Speransky, these irritations disrupt the tone of the neural network with repercussions in the ability of the autonomic nervous system to regulate the rest of the body. But not all irritations (trauma, chemical, thermic, etc) have the same influence or develop a state of parabiosis.

We know after research conducted by Speransky and Spiess that procaine 1% or less has a regulatory effect in these irritation points because it erases the memory or the irritative state, having a repercussion in the nervous impulse that reaches the hypothalamus in the brain and helping to generate new cortical connections. This is as basic as the science of Éiriú Eolas: the effect of stimulating your vagus nerve through pipe breathing alters cortical networks through incoming information from the smart vagus.

Plajotin (a Russian veterinarian, Manual of Veterinary Surgery, Moscow, Ed. Mir, 1990) describes how the application of procaine in a nerve that is in a state of super excitability due to irritants, decreases or interrupts the generated flow of strong or super strong impulses. Instead, impulses cease to overexcite its areas of projection in the brain cortex.

Other authors (Dosch, Huneke, Hopfer, Fischer, Barop, Payán, etc) demonstrated the same effect of local anesthetics in autonomic ganglia (vegetative ganglia) where a focus of irritation is suspected to be located. The most frequent ones are the stellate ganglion, pterygopalatine ganglion, ciliar ganglion and the celiac and pelvic plexus of the autonomic nervous system.

For instance, my instructor related how one of his patients consulted for an unhealed mastectomy scar. She also happened to have a candida rash on the same part of the upper body and another shoulder problem in the same side. He injected the stellate ganglion instead of the scar because this ganglion helps regulate the entire upper half body where the scar, the rash and the shoulder are located. She got better from all three things with further injections of procaine to the stellate ganglion.

The Sanarelli-Schwartzman effect describes a phenomenon in an experimental animal study where a second injection of a sterilized infiltrate that contains the E.Coli toxin triggers an anaphylactic shock. The first injection sensitizes the animal to the fatal allergic reaction. As it happens, this process does not take place if you inject a local anesthetic in the site of injection. The anesthetic "resets" the memory or stimulus.

What is also pretty fascinating is that these neural networks are hardly found in isolation. On the contrary, they are connected with the immune system, the hormonal system, the cell itself, the fascias. In short, with everything.

Here's a simple explanation by D.K. Klinghardt (Neural Therapy, J Neurol Orthop Med Surg 1993): Fascia surrounding each muscle and dividing certain muscle groups in the body is all interconnected. There's a continuity between the plantar fascia all the way up to the meninges of the brain. An adhesion or scar can affect the fascia by creating tension on it. Tension lines will form along the fascial system and exert disconfiguration or displacement at the periphery. An example often used is a bedsheet that is laid out perfectly flat. If one lifts up the bedsheet with two fingers just an inch or so, there will be wrinkles running all across the sheet to the periphery of the sheet, displacing the edge of the sheet sightly. Therefore, the scar of an appendectomy can tug on the fascia of the abdominal muscles which have continuity with the muscles of the back and the ligaments of the sacroiliac joints. The scar can therefore lead to permanent displacement - or tendency to displace - the sacroiliac joint.

This is why some patients are astonished when they walk in with say a plantar fasciitis and the neural therapist will inject anything but the foot. This happened to my instructor. He found a massive tension point in the gum where a retention brace was left, and he decided to inject that. The plantar fasciitis pain went away with that shot.

 

[sebbe]

Recently, I had the privilege of being able to take advantage of neural therapy ; the treatment is ongoing and I suppose Dr. Gaby will know whether or not to continue after this first session. A big thank you, then, to Gaby.

Here's the background :

I've been having back and pelvic pain for about nine months now. I'd like to point out that I've never had back pain in my life. I haven't hurt myself, either at the time or in the past ; and I haven't been able to connect the problem to any particular trigger event that would have initiated this specific problem. I would even say that I thought I was "protected" from back pain since I practiced a muscle training that strictly respected biomechanics. I quickly came down from my cloud.

The pain appeared in a very progressive way by locating itself in the lower back, in the lumbar region. For the first few weeks, I forced myself to practice daily muscle stretching which, at first, relieved me. However, I noticed that if I stopped doing them for a few days, the pain tended to "build up", not disappearing after a night's rest, for example.

After a while, the stretches proved to be less effective : they had to last longer for a lessened effect. Over time, they proved to be counterproductive, seeming to make some symptoms worse.

The pain gradually spread to half of the back and to the pelvis. From intermittent, the pain became constant, with a multitude of variations in its manifestations : throbbing, sharp or dull pain, burning.

When the pain became constant, it became... hard. With a terrifying state of mind where one has the impression that one has always been in pain and where one has the impression that it will never stop.

So far, I rarely take painkillers to not get addicted. Moreover, the rare times I take them, I find that it usually makes the problem worse : without pain, one starts moving normally again and making inappropriate movements that generate new pain when the effect of the medication wears off.

The problem is such that : I wake up at night to give myself a massage ; wearing a simple running bag can "ruin" my day ; I have little pleasure in socializing ; I withdraw into myself.

I have tried Quinton's plasma injections, in very small, then large quantities. Nothing helped. I did some tests that revealed nothing ; I went to see some good osteopaths, without success.

I also tried different methods for back problems : there are so many that it would take 10 years to practice them all. The only one that really helped me was the book on "Trigger Point", by Clair Davies and Amber Davies; a book that doesn't deal specifically with back problems. The Trigger Point technique is effective, but restrictive: the very positive point is that it allows me to do without painkillers. The method is demanding because back pain can have a multitude of "muscular culprits". In my case, it is mainly the Psoas, the Iliacus and the quadratus lomburum. Result : 1 to 2 hours daily of massages divided into 2 or 3 sessions.

The trigger points may or may not disappear... In any case, the method makes it possible to contain the pain bearably.
By the way, I noticed that smoking greatly helped me to relax my back, especially at night, before sleeping.

So Gaby suggested the treatment. Injections on and/or around old scars (see the first posts of the subject) and injections in the back. Some were painless, others painful.

I felt very tired in the evening and the next day. As for the pain, I felt a change from the next day : more diffuse pain, twinge, tingling and funny itching, as if I wanted to scratch the inside of the back muscle fibers.

Another very concrete thing : some trigger points in the psoas have disappeared. I find that incredible.

The next day and the day after : I've had so little pain for months. The pain is there, but I could go a few hours without thinking about it, that's to say!

Today and yesterday I had to go to work : the pain came back, but I must say that the moment of respite I had means that the method is working for me, at least in part. Should I wait, should I have more sessions, should I have more rest? I don't know yet, we'll see what the future holds.


Translated with DeepL.

Spoiler: In French

J'ai eu le privilege, recemment, de pouvoir profiter de la thérapie neurale ; le traitement est en cours et je suppose que Dr Gaby saura s'il faut continuer ou non, aprés cette première séance. Un gros merci, donc, à Gaby.

Voici le contexte :

Depuis à peu prés 9 mois, j'ai des douleurs au dos et au bassin. je signale que je n'ai jamais eu mal au dos de ma vie. Je ne me suis pas blessé, ni lors, ni par le passé ; et je n'ai pas réussi à relier le problème à un évènement déclencheur particulier qui aurait initié ce problème spécifique. Je dirai même que je pensais être "protégé" du mal de dos puisque pratiquant un entrainement musculaire respectant rigoureusement la biomécanique. Je suis vite descendu de mon nuage.

La douleur est apparu de façon trés progressive en se localisant au bas du dos, dans la région lombaire. Les première semaines, je me suis astreint à pratiquer de étirements musculaires quotidiens qui, au début, m'ont soulagé. Je notais cependant que si je cessais des les pratiquer quelques jours, la douleur avait tendance à "s'accumuler", ne disparaissant pas par exemple après une nuit de repos.

Au bout d'un certain temps, les étirements s'avérèrent moins efficaces : ils devaient durer plus longtemps pour un effet amoindri. Ils se sont avérés, avec le temps, contreproductifs, semblant empirer certains symptômes.

La douleur s'est propagée progressivement jusqu'à la moitié du dos et au bassin. D'intermittente, la douleur est passée à constante, avec une multitude de variante quant à ses manifestations : douleurs lancinantes, aiguës ou sourde, brulure .

Au moment ou la douleur est devenu constante, c'est devenu... dur. Avec un état d'esprit terrifiant ou l'on a l'impression d'avoir toujours eu mal et ou l'on a l’impression que cela ne s’arrêtera jamais.

Jusqu'à présent, je ne prends que rarement des anti-douleurs pour ne pas devenir dépendant. De plus, les rares fois ou j'en prends, je constate que cela empire généralement le problème : sans douleur, on se remet à bouger normalement et à faire des mouvements inappropriés générant de nouvelles douleurs quand l'effet du médicament s'estompe.

Le problème est tel que : je me réveille la nuit pour me masser ; porter un simple sac de course peut "ruiner" ma journée ; J'ai peu de plaisir à fréquenter les gens ; je me renferme sur moi-même.

j'ai essayé les injections au plasma de Quinton, en toute petites, puis en grosses quantité. Rien n'y a fait. J'ai fait quelques examens qui n'ont rien révélés ; je suis allé voir quelques bons ostéopathes, sans succès.

J'ai aussi essayé différentes méthodes pour les problèmes de dos : il y en a tellement qu'il faudrait 10 ans pour toutes les pratiquer. La seule qui m'ait réellement aidé est le livre sur les "Trigger Point", celui de Clair Davies et Amber Davies ; un livre qui ne traite d'ailleurs pas spécifiquement de problèmes de dos. La technique des trigger point est efficace, mais contraignante : le point très positif est qu'elle me permet de me passer des anti-douleurs.

La méthode est exigeante car les douleurs du dos peuvent avoir une multitude de "coupables musculaires". Dans mon cas, il s'agit principalement du Psoas, de l’Iliaque et du carré des lombes (quadratus lomburum). Résultat : 1 à 2 heures quotidiennes de massages réparties en 2 ou 3 séances.

Les trigger point peuvent disparaitre... ou pas. En tout cas, la méthode permet de contenir la douleur supportablement.
Au passage, j'ai remarque que la cigarette m'aidait grandement à détendre mon dos, en particulier le soir, avant de dormir.

Donc Gaby m'a proposé le traitement. Injections sur et/ou autour d'anciennes cicatrices ( voir les premiers post du sujet) et injections dans le dos. Certaines étaient indolores, d'autres douloureuses.

J'ai ressenti une grande fatigue le soir et le lendemain. Au niveau de la douleur j'ai senti un changement à partir du lendemain : douleurs plus diffuses, élancement, picotement et des drôles de démangeaisons, comme si j'avais envie de gratter l'intérieur des fibres musculaires du dos.

Le surlendemain et le jour suivant : cela fait des mois que j'ai eu aussi peu mal. la douleur est là, mais j'ai pu passer quelques heures sans y penser, c'est dire !

Aujourd'hui et hier, j'ai du aller travailler : la douleur est revenue, mais je dois dire que le moment de répit que j'ai eu signifie que la méthode fonctionne pour moi, du moins en partie. Faut-il attendre, faut-il d'autres séances, faut-il plus de repos ? Je ne sais pas encore. Nous verrons ce que l'avenir nous réserve.