Perrin RN. Lymphatic Drainage of the Neuraxis in Chronic Fatigue Syndrome: A Hypothetical Model for the Cranial Rhythmic Impulse. J Am Osteopath Assoc 2007;107(6):218–224. doi: 10.7556/jaoa.2007.107.6.218.
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The cranial rhythmic impulse is a palpable, rhythmic fluctuation believed to be synchronous with the primary respiratory mechanism. The precise physiologic mechanism of the cranial rhythmic impulse is not fully understood. Based on traditional and current views of the cranial rhythmic impulse, animal studies, and clinical findings in patients with chronic fatigue syndrome, the author argues that the cranial rhythmic impulse is the rhythm produced by a combination of cerebrospinal fluid drainage from the neuraxis (brain and spinal cord) and pulsations of central lymphatic drainage induced by the sympathetic nervous system. In addition, evidence is provided to demonstrate that a disturbed, palpable, and visible neurolymphatic process leads to chronic fatigue syndrome. This process may also explain the pathophysiologic mechanisms leading to other disease states. Finally, the author's proposed manual treatment protocol for patients with chronic fatigue syndrome is described.
The cranial rhythmic impulse is the rhythm produced by a combination of cerebrospinal fluid drainage from the neuraxis (brain and spinal cord) and pulsations of central lymphatic drainage induced by the sympathetic nervous system.
When you tap the waters of the brain by compressing the fourth ventricle, see what happens in the lymphatic system. Visualize the lymph node that is holding some poison that has gathered there, changing the constituency before the lymph is moved along into the venous system.2
At this point I will draw your attention to what I consider is the cause of a whole list of hitherto unexplained diseases, which are only effects of the blood and other fluids being prohibited from doing normal service by constrictions at the various openings of the diaphragm. Thus prohibition of the free action of the thoracic duct would produce congestion of the receptaculum chyli, because it would not be able to discharge its contents as fast as received.
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