..Poge 32 CHIROPRACTIC ECONOMICS

THE ACID ALKALINE BALANCEAND PATIENT MANAGEMENT

By Dr. George J. Goodheart542 Michigan Building. Detroit. Michigan 48226

\L1m indi\ idu:lis hav~ s\'mptoms,'f l'ithlo'r acidl'sis l'r alkalosis and sincethlo'se pH changes relate directly tothe nerYl)US s~ st~m in that acidosis is;In l'Yl'ractiit~ ,)f the sympath~tics andalkall'sis is an ()\"eracti\'ity of th~

paLIS\ mpathetic nen'ous s y s t e Ill.

Ch:lnges in the acid-alkaline balances.lre \ en' important. A high normal pHthrl1\\s calcium l'ut of solution. whichin~\ itably hecomes associated with anallerg~'. migrating n~uritic and arth­ritic pains and complaints of a typeof insomnia that is often associated\\ ith stitrnlo'ss on rising. This dissipates\\ ith activity as the blood lactic acidb~gins to ri ~ with muscular activity,sinc~ lactic acid dilates the capillaries.The human body is an acid consum­ing. acid producing and ecid eliminat­ing organism. It eliminates acid so thatwe find the expired air is acid, theskin is acid. the urine is acid as is thevagina. A gastric deficiency of acidis probahly the most common condi­tion after 50. Research has shown thatat age 50 there is only 15 % of theamount of acid present as there is atthe age of 25.

Thirty-five percent of all individualsover 65 do not secrete any hydro­chloric acid at all. Many individualswho have allergies also have a hypo­chlorhydria. These patients complainof fullness, nausea, even vomiting, anda confusing symptom of "heartburn".

They also have a palpitation and acomplaint of shortwindedness and fre­quently complain of pruritus ani.These people have much flatulenceand a sensation of distention of thestomach immediately after eating.This is sometimes relieved by belch­ing. The pancreas is influenced by thedegree of acidity of the stomach inthat the pancreatic secretion is in­creased in quality and quantitythrough proper acidity of the stomach.D1AGNEX by SQUIBB procurable atyour college or from your local phar­macist is a simple test that allows youto quickly tell if the patient is secret­ing enough acid. It is quick, simple,reliable and inexpensive. It relies ona simple color comparison on a urinesample which the patient brings inafter taking the test (resin dye) bymouth. It is a standard method, wellaccepted.

Dr. Goodheart

In a survey of patients in SouthernCalifornia by Dr. Harold Hawkins hefound that 48% were too alkalineand only 32 % were too acid. Nowin this survey he did not refer to thestomach but to the blood stream andhe found that the saliva closely par­ailed the blood and this provides anexcellent method of measuring the pa­tients progress as therapy continues.So specific stomach acid problems aremeasured by the D1AGNEX methodand routine body measurement canbe accomplished by the use of pHHYDRION test papers that can beobtained through your local supplysources.

The average case of acidosis oralkalosis can not be changed bychanging the percentage of acid alka­line ash foods alone. The cause fre­quently lies in a structural fault inthe upper cervical or the pelvic area.Correction of subluxations in theseareas along with intelligent changesin the diet provides an excellent ap­proach to these problems. The mea­surement of saliva is a much betterindex than the urine and is a muchmore convenient method, for the urinedoes not accurately reflect the bloodreaction, where the saliva does. Forexample. fats and oils when oxidizedand absorbed increase the alkalinityof the body but if there is liver slug­gishness or poor choice of fats, theexpected alkaline reaction from in­creasing these foods fails to appear.

The saliva wil~ nicely show the suc­cess or failure of your efforts, whereas the urine reacts in an opposite di­rection and is inP.uenced by manyother factors. (Se~ previous article onUrinary testing methods.)

In general, alkalosis conditions arecharacterized by a slow pulse. itchycrawling sensations. stiffness of jointsand symptoms which occur after restsuch as night cramps. night coughsand an abnormally high hematocrit.

In general, acidosis symptoms relateto oxygen uptake patterns such asfrequent sighing and breathlessness.They have insomnia associated withhreathlessness and complain of a"'ump" in the throat. have a coldsweat type of perspiration pattlo'rn al­ternating with a dry skin and a dryhard stooL Basically the pattern isone of dehydration.

A word of explanation on the oxy­gen pattern of the acidosis complexmight be in order here. When Bicar­bonates, which are the normal bascsthat the body uses to prevent acidosissymptoms. become depleted and thecarbon dioxide accumulates in thetissues, oxygen cannot be utilized, isnot taken up, and is carried off bythe venous blood. unutilized. Thus thepatient suffers from suffocation, de­hydration and hyperirritability symp­toms.

In alkalosis, many of the symptomsundoubtedly are due to calcium de­posits forming in the increased pHenvironment. The paradoxical deposi­tion of calcium with the obvious cal­cium deficiency has been discussedbefore but the key factor is the factthat calcium precipitates in an excessalkaline environment even though thepatient is calcium deficient on a die­tary level.

The orange juice or grapefruithabit so common in our urban dietwith the usual lack of activity failsto allow the 48% of those tested byDr. Hawkins for example, the oppor­tLmity to oxidize these acids andcombining with the usual amount ofsodium in the diet forming sodiumcitrate. an alkaline substance usefulinterestingly enough, as a means ofalkalizing the urine.

The recent popularity of cider vine­gar and honey as a universal remedy

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as puhlished in "Fl'lk I\lcdicinc" washased on good comnll'n sense and i<;an excellent dietary appn>ach tl' theprevalent alkail'sis pattern masquer­ading as "arthritis. hursitis. neuritis.and sciatica.

The endocrine glands regulate thehlood pH nll'rl' than the diet as youhaw alread\' imacined and thereforethe SUPPl,rt' l,f the edocrines is im­pl'rtant especiall\' the kidney. In thisregard aJl'quall' Ih,ids and sutlicient\'itamin "A" arc vcry important. Na­tural Sl'lIfCeS of this material arc tohe preferred since there are fourtecndill'erent fl'rms l,f vitamin "A" in the\\ hl'le \'itamin "X' c0mplcx.

As n1l'ntiL'ned earlier. pancreaticfuncti,'n is inlluenced by the level ofHCL in the stomach. Lack of propertriggering of pancreatic function maylead tll impnlper protein digestionadding to the lack of initial proteindigesti,'n creating a state of hypopro­teinemia. Ine\'itahly this leads to fur­ther prllhlems with digestion and pro­tein levels, since all enzymes digestiveor otherwisc arc protein in nature.The hOlh' \-\ ill tn' to C0nserve protcinin protei'n defici~ney and the obviousbut faulty reasoning of increasing theprotein intake will usually he met withfailure, since it cannot be digestedand leads to accumulation of tissuepoisons such as guanidine which pre­cipitates calcium in a dreary round ofpain patterns. Again, treat by the in­telligent use of methods to raise theHCL content by upper cervical ad­justing. attention to dorsal lesions andtemporary HCL supplementation. Theelimination of normal and abnormalprotein waste is by way of the bile.Bilc of some exclusive meat eatinganimals is so toxic that it is used bynatives for arrow point poison.

The necessity of maintaining goodliver function by the use of good qual­ity fats and oils and the sharp de­crease in baked and cereal goods is in­dicated in the initial stages of treat­ing disturbances of the acid alkalinebalance.

The liver and the pancreas are onopposite ends of a metabolic "teetertotter" and the indiscriminate usc ofvitamin "B" to pick up pancreaticfunction will depress liver function.It is best to use low concentration ofthese materials and to balance anyVitamin "B" depression of liver func­tion and fat assimilation by usingstimulation of bile production by bileitself temporarily and using liverpumping methods on patient's visit.

There is a definite antagonism be­tween Vitamin A and Vitamin B, sothe use of multiple concentrates indifficult cases is advised only after aninitial period of careful observationand manipulative care. Liver functionis greatly helped by sun exposure amIis one of the best methods of improv­ing it. An alkaline stool is generally

the indication for the use of bile andHCL stimulation. A high HCL as inpeptic ulcers is a definite indicationfor the improvement of liver functionby all means possible.

Phosphorus cannot pass thru the in­testinal wall or be eliminated thru thekidney without the use of high qualityfats and oils. for all food phosphoruspasses into the circulation as phospho­lipids. The unsaturated unsatisfiedchemical valences acting as attach­ment points. The whole problem ofproper endocrine and acid alkalinebalance is associated with proper fatintake, liver, and kidney function. Theuse of proper control of phosphorusmetabolism is especially important inalkalosis and strangely enough in gas­tric hyperacidity, for it is deficient inboth of the conditions even tho theyapparently contradict. Phosphorusstabilizes and balances the overactiveparasympathetics that are too active

in gastric hyper aciLiity. It contributesto lowered hlooLi viscosity and com­bats the calcium carbonate formationone finds in alkalosis.

Acidosis is often cau<;eLl by patholo­gy as in diahetes hut h\'poadrenia is amost common cause as is the excessiveperspiration onc finds in hot humiLiweather where there is NaCI lost byway of the skin. Restriction of sodiumis also a source of acidosis since thesodium reserves are important in thcalkaline reserve. An acid ash diet cancause a gradual shift to acidosis anLithis can be well shown by the salivatest. Normal hlood pH is 7.3 to 7.4.7.0 being the neutral point. The nor­mal saliva pH range is about 6.5 to7.0 but for all extents and purposesthe saliva parallels the hlood and is agood inLlex of change. If the test pa­per is quitc yellow as opposed to aL1efinite green. the patient has anacidosis problem. These people cannot holLi their breath more than 20seconds anLi complain of a dry mouth.They fail to calm down after excite­ment. respond violently to loud noises.have a dilated pupil and wink infre­quently and also seem to stare a lot.They respond to upper cervical andpelvic correction remarkably well andare benefited by increasing the leafyvegetable content of the diet. Theyrespond well to increased sodium suchas crude or sea salt, calcium lactatesuch as in milk or in concentratedform and also respond to an increasedurea function by increasing the liverfunction. Urea is naturally formed bythe liver and it serves to open theflood gates of the kidney allowing thekidney to eliminate waste as well aswater. The significance of a low spe­cific gravity of the urine shows poorliver function and often is found withacidosis. Urea is formed of the carbondioxide we breathe out which as youknow is acid. and the ammonia from

the protein break down of the meatwe eat. It can release ammonia whenneeded and is one of the means bywhich the body maintains a chemicalequilibrium.

Normal blood contains bufferingsubstances that prevent acids or alka­lies from changing the pH. The blood

is always alkaline in life but it canbecome less alkaline or more alka­line. Infectious diseases cause a rise intemperature but a drop in pH. En­zymes arc regulated by pH changesa~d enzymes that are constructive inactivity, reverse their activity and teardown tissues when the pH drops inan acidosis.

A particularly useful and dramaticmethod is to compare the appearanceof the pH HYDRION test paper afterthe patient has placed the test paperin his mouth, with the appearance ofthe test paper of that of the doctor.Granted of course the doctor followsthe ancient wisdom of "Physician healthyself".

There seems to be little correlationbetween the pH test paper result andthat of the Diagnex reagent whichmeasures gastric HCL only. A generalimpression over a long period of timehas shown a low pH test paper result,a yellow color, to accompany a lackof HCL in the stomach but as men­tioned there seems to be no directcorrelation. Both tests therefore areadvised with the saliva test paper bestfor routine daily use. A low pH, a yel­low color shows a need for alkalineminerals and leafy vegetables. A highpH, a blue color, shows the need forthe aCid minerals and noncitrus acidssuch as cider vinegar. Calcium anLisodium are good examples of alkaline

I mineral, phosphorus and potassiumare good examples of acid minerals.Cider vinegar is a dilute solution ofacid potassium and is very useful inalkalosis.

*Dr. Manley's book on arthritis ishighly recommended here for it dealsvery clearly with the acidosis alka­losis problem in arthritis. Potassiulllseems to be a mineral that can actequally well on either side of the aciLialkaline fence. It is sometimes needcLiin both conditions.

An attempt has been made to showthe interaction of the sympathetic andthe parasympathetic nervous system.with the endocrine system and thecontinuing interrelationship of cal­cium, phosphorus. potassium. and so­dium. A few minutes thought on theserelationships is just one more way toadvance chiropractic, yourself anLiyour practice. Copies of a diet helpfulin acid alkaline imbalances are avail­able from the author without charge.Please enclose a stamped self-ad­dressed envelope.

*For copies of Dr. Manley's book.write to: The Endicottc Press, P. O.Box 2217. Vancouver, Wash. 98661.

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