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Much depends on the success of the operation in your after care. Keep in mind your diet and avoid exhaustion either mental or physical. Most of the above I gathered at Kocher's and Ochsner's clinics. ifcjiirobgal ^oUb. "Chiropractics" Is Practising Medicine, and Requires a License. — On appeal from a conviction of violation of Massachusetts Rev. Laws, Chap. VG, Sec. 8, by practising medicine without being lawfully authorized, the defend- ant contended that he was a chiropractor, and that his acts did not constitute a violation of the statute. The evi- dence tended to show that he l-ept an office in Boston, indicated by a sign on which was his name followed by the word "chiropractor"; that he practiced for pay; that he said that the basis of chiropractic is the adjustment of the vertebrse pilule bleue viagra of the spine; that the vertebrse when not in their buy viagra nyc normal positions press upon the nerves at the spine; that the malposition of these vertebra was the cause of abnormality and that the adjustment of these vertebrae to their normal positions would remove the pressure at the spine; that he said that he did not coure, that he simply adjusted. He testified that "chiro- practic is the specific science that removes pressure upon the nerves by adjustment of spinal vertebrse; there are no instruments used; it is done by the hand only." The treatment pursued by the defendant was to have those who resorted to him go into an inner room and remove their outer garments until they were stripped to the waist. The patient then took a sitting position. The defendant examined down the spine, be- ginning at the top, by feeling with his fingers to see whether each vertebrje was in its proper position. The method to discover whether a vertebrae was out of position was by making a gliding move of the three middle fingers of the right hand, which constituted the process of "palpation" whereby one vertebrae was com- pared with another. As a result of this "analysis" the defendant was able to tell whether vertebra were out of alignment or out of their normal positions. In mak- ing "adjustments" the patient was placed face dov;n- ward on a low table and the vertebrae which was out of condition was given a quick thrust or push pilule bleue viagra by the hands of the defendant. The acts performed by the defendant constituted, first, an examination of the vertebrae of the spinal column and a determination "whether they were in a normal or in an unnatural po- sition; and, second, a buy viagra nyc manipulation of such of the '>'er- tebraa as were found to be out of position, so that they would become regular and correct with reference to each other. Although the defendant did not prescribe medicine, and testified that he paid no attention to the patient's description of symptoms or disease, yet it was obvious that his purpose was to treat the human body in order to make natural that which he found abnormal in t^e narrow field of his examination. "Chiropractic" is defined as: "A system of healing that treats disease by manipulation of the spinal column (Webster's Interna- tional Dictionary). The court said that the defendant's manipulation was of a most buy viagra nyc important part of buy viagra nyc the body and related to a nerve center. It might have been found buy viagra nyc that it could have no other aim than a prevention of disease or relief from existing disai-rangement of body functions. That which the defendant did and its manifest purpose might have been found to be practis- ing medicine within the meaning of the statute. Medi- cine relates to the prevention, cure, and alleviation of disease, the repair of injury, or treatment of abnormal or unusual states of the body, and their restoration to a healthful condition. It includes a broad field. It is not confined to the administering of medical substances or the use of surgical or pilule bleue viagra other pilule bleue viagra instruments. It compre- hends "a knowledge not only of the functions of the va- rious organs of the human body but also the diseases to which these organs are subject, and the laws of health and buy viagra nyc the modes of living which tend to avert or overcome disease as buy viagra nyc well as the specific methods of treatment that are most effective in promoting cures" (Knowlton, C. J., in Com. vs. Jewelle, 199 Mass. 558, 560, pilule bleue viagra 85 N. E. 858). In order to practise medicine one need not cover the en- tire field of the science. If he devotes himself buy viagra nyc to a very restricted part of it buy viagra nyc he still may be found to practise medicine. It is matter of common knowledge that there has been great specialization in that profession in recent years. It was held to be of no consequence that the de- fendant abstained from the use of the words "diagjio- sis," "treatment," or "disease" in description of what he did, and employed the terms "analysis," "palpation," and "adjustment." The acts pilule bleue viagra which he did and their mani- fest design were pilule bleue viagra to be examined rather than the words used, in order to ascertain the true nature of the de- fendant's conduct. A physical examination of the ver- tebrse, a decision whether or not they were in normal position, and strong manual pressure upon them with the object of changirig the position with reference to each other of those found to be irregular, and thereby relieving pressure upon nerves, may be found to have such relation to the cure or prevention of disease or the relief of pain as to constitute the practice of medicine. The statute was held to be constitutional. The protec- tion of the public from those who undertake to treat or manipulate the human body without that degree of edu- cation, training and skill which the Legislature has de- scribed as necessary to the general safety of the people is within the police power of the State. This general purpose may be effectuated by requiring even of those who profess to confine their practice to a narrow special- ty a much broader knowledge of the subject provided such qualification is regarded by the Legislature as nec- essary for the practice of any branch of medicine. The statute did not impair in any constitutional sense the liberty of the defendant. The protection of the public health is an object of such vital importance to the wel- fare of the State that any rational means to that end must be upheld. The defendant was placed in no pilule bleue viagra worse position than others. The circumstance that Section buy viagra nyc 9 of the statute to an extent exempts certain classes, such as osteopaths and pharmacists and those practising Christian Science, mind cure, massage and others, did buy viagra nyc not render the statute unreasonable as to the defendant nor deny to him the equal protection of the laws. The conviction was sustained. — Com. vs. Zimmerman, Massa- chusetts Supreme Court, 108 N. E. 893.