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Liberty You will find in this section hot NEW articles which we feel are of national importance to all folks.  These in-depth scientific forensic works are brought to you as a free service from AAJTS.  If you wish to become a member of the Academy and receive weekly Articles, join now!


      Lymphopathy is an organized approach to the understanding and of specific conditions related to the lymphatic system as published by this author in the ACA Journal of 1983.  Obviously, lymphopractic manipulative therapy will be limited in scope.  Physicians must research science and now how to apply science to aid people.  Next, it is our duty to carry out the procedure when indicated.  Thus, lymphopathy techniques are limited, but without using it at the correct time, we, as physicians, have failed as primary health care providers.  The purpose of this chapter is to familiarize the physician with the science of lymphopathy and the art of lymphopractic technique. 


     The lymphatic system is made up by: (a) collection of lymphoid tissue situated in the walls of the alimentary canal, spleen and thymus; (b) circulatory lymphocytes; (c) plexuses of small vessels (lymph capillaries) that end blindly into the interstitial spaces:  (d) lymph nodes. 

     The large superficial lymph channels of the skin lie near the deep fascia and tend to accompany the superficial veins, through some run independently.  The deep lymphatic trunks usually accompany arteries or veins.  Most lymphatic vessels anastomose freely and those of the two sides of the body are in communication across the midline. 

     The lymph nodes consist of small solid masses lymphoid tissue into which the lymph channels at some point in their course pour their lymph.  Generally, the lymph from any tissue or organ traverses one or more lymph nodes. 


     The important feature of the endothelial wall of the lymph capillaries is that they are permeable to substances of much greater size than those, which pass through the endothelial wall of blood capillaries.  The lymph capillaries thus form the pathway for absorption of colloid material and particulate matter including cell debris and microorganisms.  These macromolecules are thought to be absorbed through intercellular fenestrations between endothelial cells or by micropinocytosis across the cells.  Once absorbed, the particulate matter, bacteria, microorganisms, and so forth move to lymph nodes, where to a large extent, much is filtered off by the phagocytic activity of the cells in the nodes, thus preventing entrance to the blood stream. 

    The essential significance of lymph nodes are: (a) they are an intricate network of spaces of large volume and surface area, through which the lymph may slowly percolate, (b) the exposure of any contained foreign material to phagocytic action in the sinus, (c) the trapping of antigen by the phagocytes, (d) the provision of a center for the lymphocyte production and a pool of stem cells potentially capable of transforming into antibody producing cells, (e) the interaction between antigen laden phagocytes and the lymphoid tissue with the mounting of an immune response both cellular and humeral, (f) as a portal of entry of blood born lymphocytes back into the lymphatic channels and (g) they provide a means for transfer of protein from the interstitial spaces back to the blood. 


     Intralymphatic pressure is nearly the same as local interstitial pressure, usually 1 to 3 mmHg.  A small pressure gradient from the periphery to the major central trunks favors flow in that direction, however lymph flow is largely attributable to external compression combined with the effect of centrally directed valves in the bigger channels. 

     Lymph as propelled from the tissues toward the lymph nodes via: (a) filtration pressure in the tissue spaces generated by filtration of fluid from blood capillaries, (b) contraction of surrounding muscles compresses the lymph vessel, thus moving the lymph in the direction determined by the valves, (c) where the lymph trunk is close to an artery, pulsation of the artery may compress the lymph vessel and assist the flow of lymph, (d) respiratory movements and negative pressure in the brachiocephalic veins promote lymph flow, and (e) smooth muscle in the walls of the lymphatic trunks is most noticed just proximal to the valves.  Sympathetic nerves, which accompany the trunk, may stimulate the smooth muscle, which results in contractures of the channel. 

     Generally, the total lymph flow in man is 2 to 4 L/day, yet sometimes the fluid is quite stagnant for long periods.  Very little lymph flows along the lymphatic of a human limb that is immobilized.  Flow is considerable increased where the human limb is moved (actively or passively).  External massage can raise peripheral lymphatic pressure in the limb of a dog to 5 mmHg, which results in increased flow.  Finally, moment or massage of a human body part where there is excess of fluid (edema) in the tissue spaces promoted the flow of the lymph from the affected area.  Thus, it is clear that the lymph flow can be increased by external physical manipulation. 


     1.     Relieve occluded lymph vessels.

2.      Remove cell debris, microorganisms, bacteria, toxic metabolites and fluids from the interstial spaces.

3.      Circulate lymphocytes.

4.      Improve antigen – antibody coupling.

5.      Improve cellular and humeral immune response via improved circulation.

6.      Improve transport of proteins.


1.      Edema

2.      Muscle stiffness

3.      Muscle pain.

4.      Manifestations of the immobilized or bedridden patient.

5.      Common cold. 


1.      Large non – tender lymph nodes.

2.      Malignant Cells

3.      Poor physical, orthopedic, and neurological examinations. 



1.      Auricular (Pre and Post) and Occipital Nodal Technique 

     The patient is supine.  Patient’s head is rotted toward the physician with the involved side up.  Place the ear between the index and chiropractic index fingers.  Relax 4th and 5th digit in extended position over the occipital nodal area.  Gently traction the skin and tissues in a clock-wise, then counter clockwise motion under the fingers.   

2.     Submaxillary, Submental and Tonsillar Nodal Technique. 

     The patient is supine.  Rotate the head toward the physician.  Place the index finger along the superior surface of the ramus of the mandible.  Place the 2nd, 3rd and 4th fingers under the ramus of the mandible approximately over the submaxillary, submental and tonsillar nodal areas.  Traction the tissue down – ward, anterior and medial until tight.  Then have the patient open his mouth slowly.  Move the contact hand in a smooth, gentle, vibratory motion for approximately 10 seconds.  Have the patient take a deep breath and exhale, then repeat procedure. 

3.     Superficial, Posterior and Deep Cervical Nodal Techniques. 

     The patient is supine.  The physician’s left hand steadies the head and laterally flexes the patient’s head toward the doctor.  The physician places his right fingers over the patient’s neck in the nodal area of interest (Note: Do all cervical nodal areas).  While the physician keeps their fingers flat, they exert gentle traction caudal ward without gliding over the skin.  As the skin begins to stretch, pressure I released and reapplied in pulses without moving the fingers.  This is done at a rate of 3-5 movements per second. 

4.     Pectoral, Subscapular, Central, Lateral, Supra and Infra – Clavicular Nodal Techniques. 

The patient is supine and the physician is standing at the head of the table.  The patient’s arms are extended above is head and clasped behind the thigh of the physician.  The physician will place the calcaneal area o his hands in the nodal areas (bilateral).  Generally, the physician manipulates the Lateral and Central nodes first, the Subscapular and Pectoral nodes next, and the Infra and Supraclavicular nodes last.  Pressure is applied downward ad caudalward in a gentle, rhythmic, vibratory movement as the patient exhales.  Then, as the patient inhales, the physician extends back stretching the patient’s tissue cephalad. 

     The above Lymphopractic techniques will bring tremendous reward and satisfaction to both the physician and patient when utilized in conjunction with the indications and omitted when contraindications are noted. 


as a dedication to the people of Minnesota and to the "Fountain Head" of learning and care, The Mayo Clinic. 09-01-04


© & TM 1998 American Academy for Justice Through Science. All rights reserved.

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