The emergence of osteopathy by Andrew Taylor Still in 1879, crystallized by the founding of the first school in 1889, defined a distinct medical discipline. Despite controversial beginnings, osteopathy has evolved, influencing global health education. This medical revolution, initiated by Still, transcends the traditional boundaries of medicine.

Introduction

Andrew Taylor Still remains an exceptional figure, a visionary pioneer whose life was entirely dedicated to the medical revolution. Born in 1828 in Missouri, Still made history by marking an era with the founding of osteopathy, a discipline that would transcend the traditional boundaries of medicine.

The era in which he lived was marked by often archaic medical practices and rudimentary treatments. However, Andrew Taylor Still, originally trained as a doctor, was driven by a revolutionary spirit. His quest for answers to the body’s ailments led him to develop a completely new approach, based on a deep understanding of the relationship between structure and function in maintaining health.

Founding osteopathy in the 19th century, Still introduced the innovative concept that the body has innate self-healing mechanisms. He recognized the critical importance of structural balance to overall health, laying the foundation for a discipline that considers the body as a whole, both physical and emotional.

Andrew Taylor Still’s manual technique aimed to restore this structural balance. His methods, focused on gentle manipulation of tissues and joints, were revolutionary at a time when conventional medicine relied largely on more intrusive approaches.

Andrew Taylor Still’s legacy lies in his unwavering commitment to holistic, natural, patient-centered medicine. His life, punctuated by medical innovation, remains an inspiring reminder of the power of vision and perseverance to shape the future of human health. Today, osteopathy, the fruit of his genius, endures as a discipline respected and practiced throughout the world, testifying to the lasting impact of this bold pioneer.

The Emergence of Holistic Medicine Focused on Integral Health

As his perspectives and clinical understanding evolved, Still created a system of diagnosis and treatment with two main priorities.

  1.  Treatment of the physical mental with emphasis on normalization of body structures and functions. His hallmark was a detailed knowledge of anatomy which became the basis for much of his diagnostic and clinical work, notably diagnosis by palpation and treatment with manipulation.
  2. The importance of health and wellness to him was balancing mental, emotional and spiritual health, and avoiding alcohol and drugs and other negative health effects.

Still’s concept of a healthy person is insightful. He places his belief in the importance of structural and mechanical integrity within the perspective of a holistic view of a human being within society:

He believed that life existed as a unification of life forces and matter. Since the body is controlled by the mind, it shows determination to meet the needs and goals of the organism, he stated that

Osteopathy… is the law of mind, matter and movement

Andrew Taylor Still’s Philosophy of Health and Body Mechanics

Through his close study of anatomy, he could see the interdependent relationships between different tissues and their components. He observed that each part developed as the body moved, grew, and developed from embryo, to fetus, to newborn, and throughout life. So every tissue, organ and structure is designed for movement.

 As movement is the first and only evidence of life, by this thought we are led to that machinery through which life works to accomplish these results. If life is matter in motion, then what is the effect on a part of the body that does not move? Life and matter can be united, and this union cannot continue without obstacles to absolute freedom and movement. 

The emblematic anecdote which marks the birth of osteopathy is often associated with a moment of revelation from Dr. Still. While sitting by a river, he observed the movement of the water and realized that life was about movement. He came to the conclusion that health depended on the free circulation of fluids in the body, like the flow of a river. This is how he developed the fundamental principles of osteopathy, emphasizing the structure and function of the body as a whole.

Some people are more susceptible to epidemic diseases than others. Still noticed that resistance to the disease is more apparent in certain individuals with so-called natural immunity, that is to say inherited or acquired. Good circulation in an infected area would allow nature to make its own germicide to eliminate the infectious agent. Still’s philosophy places complete trust in the body’s innate capacity for self-healing. Removing all obstacles to health was not enough, however, as it was the physician’s responsibility to ensure that the body naturally received the chemicals needed to alleviate any pathophysiological processes.

Dr. Andrew Taylor Still believed that the cause of most illnesses was mechanical. So, the treatment must follow the laws of mechanics.

As a result, osteopathy would use manipulative approaches to release bone and soft tissue barriers to nerve and circulatory functions to improve the chances of healing.

Osteopathy: A Holistic Vision of Health

He claimed that mobilizing these structures improves his patients’ outcomes.

However, manipulations were not only applied to relieve musculoskeletal strains and injuries, but also to treat organic diseases.

For example, he found characteristic paraspinal muscle stiffness and other abnormal myofascial tensions in patients with infectious diseases. He noted an improvement in the health of these patients as well when the musculoskeletal system and myofascial effects to normal physiological processes were relieved.

He proposed that to prevent disease,  mobilization  of all joints of the spine with restricted mobility. Indeed, this will ensure the body of good nervous, blood and lymphatic activity.

Jenner introduced the smallpox vaccine in the 17th century, which was a considerable success.

Dr. Andrew Taylor Still describes the shortcomings of Jenner’s methods, pointing out that many patients who were healthy became disabled or fatally ill. He states his belief that there is a less harmful method of vaccination and calls for Jenner’s methods to be improved. His rejection of drugs and vaccines appeared in the first mission statement for the American School of Osteopathy.

However, in 1910, even when Still was president, the school changed its position and accepted vaccines and serums as part of osteopathic practices. First and foremost, Still clearly believed that osteopathic treatment and the physician should strive to help the patient’s body with a particular problem.

Chronology of his Andrew Taylor Still life

August 18 , 1828: Andrew Taylor Still was born on August 6 in Lee County, Virginia. He grew up in a family of doctors and was exposed to the medicine of the time from an early age.

1849: It is fascinating to explore the marriage of Andrew Taylor Still to Mary Margaret Vaughn. Their union was blessed with five children, marking the beginning of a family that would play a significant role in Andrew’s life and career. Mary Margaret, much more than a companion, proved to be a cornerstone in supporting her husband and contributed substantially to his professional journey. The influence and impact of their relationship on the development of chiropractic and osteopathy cannot be underestimated, making Mary Margaret a key figure in the story of Andrew Taylor Still’s life.

1861-1865: During the American Civil War, Still served as a surgeon in the Union Army. This period of military service profoundly influenced his perspective on medicine.: During the Civil War, Andrew Taylor Still faced exceptional medical challenges as a military surgeon. This experience was instrumental in shaping his medical outlook. Witnessing the suffering and aftereffects of war, Still may have developed a unique understanding of the body’s needs for healing. His observations and field service may have been a catalyst for his future research into the importance of structural balance in overall health.

1864: Andrew Taylor Still’s life is marked by heartbreaking tragedy when three of his children succumb to cerebrospinal meningitis. This painful ordeal profoundly changed his life and pushed him to question the conventional medical methods of the time. The loss of his children becomes a powerful catalyst, propelling Still towards a quest for a deeper understanding of the human body and its mechanisms. It was in this period of grief and questioning that his innovative vision of osteopathy emerged, laying the foundations of an alternative medical approach that transcended established norms. Still’s personal pain thus transformed into a driving force for change that would lastingly influence the course of medicine.

1865-1874: Still explores various alternative medical approaches, seeking answers through his own experiments and observations.: Andrew Taylor Still, faced with frustration with the conventional medical practices of his time, explored various alternative medical approaches. These included hydropathy, diet, bonesett →ʼng, and magnetic healing. These explorations played a key role in the development of Andrew Taylor Still’s alternative medical vision. Convinced of the ineffectiveness and sometimes harmful effects of orthodox methods, Still integrated these approaches into his holistic medical philosophy. These experiments laid the foundation for osteopathy, his revolutionary method focused on manipulating the musculoskeletal system to restore balance and promote healing, establishing the founding principles of modern osteopathy.

1874: Death of his wife Mary Margaret Vaughn, marking a turning point in Still’s life. His search for alternative medical methods intensified.: The evolution of Andrew Taylor Still’s medical philosophy was deeply influenced by the experiences and events of his life, particularly after the death of his wife in 1874. Before this period, Still had already questioned conventional medical practices after the American Civil War, noting their ineffectiveness and harmful effects. However, the tragic death of his wife, three of his children and an adopted child from cerebrospinal meningitis in 1864, was a major emotional catalyst. Deeply affected by this loss, Still questioned not only medical practices, but also the very foundations of orthodox medicine of his time. His disenchantment led him to actively explore alternative medical approaches between 1865 and 1874, including hydropathy, diet, fracture reduction, and magnetic healing. After his wife’s death in 1874, his intensified research and exploration of alternative approaches solidified his rejection of conventional medical methods. Convinced of the need for a more holistic and natural approach, Still developed the fundamental medical philosophy of osteopathy. This is based on the belief that manipulation of the musculoskeletal system can treat a variety of diseases, thereby avoiding the negative side effects of medications. Thus, Still’s personal tragedy played a vital role in the evolution of his medical outlook, prompting him to formulate a revolutionary alternative medical approach that gave rise to osteopathy. This philosophy, developed over the years, has continued to evolve and influence modern medicine.

1875:

Indeed, Andrew Taylor Still is the founder of osteopathy. In the second half of the 19th century, he developed the fundamental principles of this alternative medical approach. Still recognized the importance of the relationship between body structure and health. He emphasized the concept that the body has an innate ability to self-regulate and self-heal when the structure is balanced. This idea forms the basis of osteopathy, highlighting the importance of structural integrity in maintaining health.

1879: Still formally sets out the principles of osteopathy, establishing the basis of his alternative medical philosophy. He began to put his innovative ideas into practice.: Osteopathy, founded by Andrew Taylor Still in 1879, met with a varied initial reception from the medical community and the general public. Initially, the discipline was greeted with some suspicion and skepticism, due to its departure from conventional medical methods of the time. The orthodox medical community was often critical of osteopathy, viewing it as an unscientific and heterodox approach to medical practice. Traditional physicians were sometimes reluctant to accept a discipline that focused on manual manipulation and holistic principles, moving away from more invasive and drug-based medical practices. The general public, however, has shown increasing interest in osteopathy, attracted by the idea of ​​less intrusive treatment methods and the emphasis on the structural balance of the body. Some patients have found positive results with Andrew Taylor Still’s approaches, furthering the popularity of osteopathy. Despite initial challenges, osteopathy gradually gained respectability over the years as qualified practitioners demonstrated the effectiveness of this alternative approach. The creation of osteopathic schools and institutional recognition helped to legitimize the discipline within the medical field. Today, osteopathy is practiced and respected on a global scale, reflecting its positive evolution since its founding.

1889: Foundation of the American School of Osteopathy in Kirksville, Missouri. This school will become the first institution entirely dedicated to the teaching of osteopathy. The establishment of the first school of osteopathy by Andrew Taylor Still in 1889 was a complex process, marked by notable challenges such as opposition from the orthodox medical community, the need to gain institutional recognition, and public persuasion regarding the effectiveness of osteopathy. Despite these obstacles, the American School of Osteopathy enjoyed significant success, founding its principles in 1879, publishing the ideas of Andrew Taylor Still in 1892, and gaining institutional and official recognition in the years that followed. The school played a vital role in the consolidation of osteopathic education in the United States and the gradual acceptance of osteopathy as a distinct medical discipline. Over time, it evolved into a respected educational model, influencing the creation of other schools of osteopathy and contributing to the global integration of this alternative medical approach.

1892:

The publication of “Philosophy of Osteopathy” by Andrew Taylor Still marks an important step in the development and dissemination of osteopathic principles. In this major work, Still sets out in detail his fundamental ideas about osteopathy, including his view of the relationship between body structure and health.

“Philosophy of Osteopathy” has played a crucial role in sharing the key concepts of osteopathy with a wider audience. The principles outlined in this book helped establish the foundations of osteopathy as an alternative medical discipline, highlighting the importance of structural balance to the overall health of the body. This publication also helped to generate interest and recognition of osteopathy as a distinct medical practice.

1894: The American School of Osteopathy’s attainment of higher education status marks a significant step in the consolidation of osteopathic education in the United States. This status gives the school formal recognition as an institution of higher education, thereby strengthening the credibility and legitimacy of osteopathy as an educational field.

The first building of the American School of Osteopathy in Kirksville, Missouri. Dr. AT Still taught the first classes here in 1892. Museum of Osteopathic Medicine, Kirksville, Missouri [1991.1402.02].
The second building of the American School of Osteopathy in Kirksville. Rapid growth in school enrollment quickly exceeded the capacity of the first building.

With this status, the school was probably able to broaden its educational impact and contribute to the training of osteopathic professionals. It has also played a role in establishing higher educational standards for osteopathic practice in the United States, thereby strengthening the quality of training provided in the field. This consolidation of osteopathic education likely contributed to the growth of the profession and its broader recognition in the health field.

First class of the American School of Osteopathy. In the center holding a cane is Doctor AT Sill
First class of the American School of Osteopathy. In the center, holding a cane, is Dr. AT Still; on the other side of the skeleton is Dr. William Smith. Courtesy of the Still Museum, Kirkville, Missouri.

1896: The granting of a charter to the American School of Osteopathy by the State of Missouri represents a key moment in the history of institutional recognition of osteopathic practice. This established a legal and official basis for the school, thus strengthening the legitimacy of osteopathy as an educational and medical field.

A third building, including more classrooms and surgical spaces, was constructed in 1906
The American School of Osteopathy, circa 1918.

The charter granted by the state of Missouri likely helped further legitimize the osteopathic profession, providing a formal institutional framework for the education and practice of osteopathy. This was arguably an important step towards the wider recognition of osteopathy as a distinct medical discipline.

The official recognition of osteopathic practice by the State of Missouri, with the signing into law by Governor Lon Stephens authorizing osteopathic physicians to practice and allowing students to attend osteopathic medical schools, represents a significant advance in the field of osteopathic medicine. acceptance of osteopathy as a distinct medical discipline. This decision reflects an increased understanding of the value and effectiveness of osteopathy in health care.

Governor Lon Stephens signed into law a law authorizing osteopathic physicians to practice in Missouri and allowing students to attend osteopathic medical schools.

When a state formally recognizes osteopathic practice, it provides institutional legitimacy to this medical approach, paving the way for fuller integration into the health care system. Osteopathic practitioners can thus benefit from increased recognition of their skills and expertise, strengthening their role within the medical community.

This step toward official recognition, marked by the action of Governor Lon Stephens, also highlights evolving medical perspectives and the growing recognition of osteopathy as a valuable complement to conventional medical approaches. This can help expand patient access to diverse care options and promote a holistic approach to health, considering the relationship between body structure and function.

In sum, the signing of this law by Governor Lon Stephens, allowing official recognition of osteopathic practice by the State of Missouri, represents an important milestone in osteopathy’s journey toward broader acceptance and strengthens its position in as a respected and integrated medical discipline.

1901: Still publishes the second edition of “Philosophy of Osteopathy”, further cementing his ideas and influence in the medical field.

1907: American Association of Osteopathic Colleges founded, highlighting the growth and consolidation of the profession.

1917: The death of Andrew Taylor Still on December 12 in Kirksville, Missouri represents a significant loss to the osteopathic community and medicine in general. As the founder of osteopathy, Still left a legacy deeply rooted in the modern practice of this medical discipline.

His revolutionary vision of medicine, emphasizing the role of the musculoskeletal system in overall health, opened new perspectives in the medical field. The fundamental principles he established continue to influence the way osteopaths approach the treatment of patients, with particular attention paid to finding the underlying causes of symptoms.

Andrew Taylor Still’s influence extends beyond the borders of Kirksville and even Missouri. Its impact extends globally, shaping the practice of osteopathy in many countries. The growing recognition of the importance of the link between body structure and function in the medical field is a testament to the lasting legacy he has left.

In celebrating his life and work, it is essential to recognize that Andrew Taylor Still’s innovative vision continues to inspire osteopathic practitioners around the world, contributing to the continued evolution of medicine towards a more holistic and individualized. His impact is evident in treatment rooms and medical institutions, where the principles he established continue to guide the osteopathic profession toward excellence and in-depth understanding of physical well-being.

Conclusion

The saga of Andrew Taylor Still, marked by the creation of osteopathy in 1879 and the establishment of the first school in 1889, represents a medical revolution that transcended conventional paradigms of health. Despite initial challenges, his holistic vision and perseverance forged a medical discipline respected and practiced throughout the world.

Osteopathy, based on the belief that health arises from the structural balance of the body, was meticulously developed by Still through his experiments and observations. His rejection of orthodox medical methods, reinforced by personal tragedies, led to the bold exploration of alternative approaches. The results of his research, formally presented in 1879 and detailed in “Philosophy of Osteopathy” in 1892, laid the foundations for innovative medical practice.

The timeline of his life, intertwined with Civil War experiences, devastating family losses, and a continued exploration of alternative medical practices, shaped Andrew Taylor Still’s medical philosophy. His belief in the body’s intrinsic ability to self-heal, combined with his holistic approach focusing on the musculoskeletal system, resulted in the creation of the American School of Osteopathy.

The initial reception of osteopathy, characterized by suspicion from the orthodox medical community, was gradually overcome by the clinical successes and institutional establishment of the school. Official recognition by the state of Missouri in 1900 solidified the legitimacy of osteopathy as a distinct medical discipline. Still, throughout his life, continued to refine his ideas, publishing a second edition of “Philosophy of Osteopathy” in 1901.

The founding of the American Association of Osteopathic Colleges in 1907 highlighted the growth and consolidation of the profession, while the death of Andrew Taylor Still in 1917 only strengthened its legacy. His impact extends far beyond his own time, persisting in the global practice of osteopathy.

Thus, the story of Andrew Taylor Still and osteopathy is that of a visionary who, in the face of adversity, created an innovative medical discipline. His legacy lies in a holistic approach that transcended its time, lastingly influencing modern medical practice and global medical education. Today, osteopathy remains a dynamic force, testament to the insight and determination of a man who redefined the way we understand and treat human health.

The brain of man was God’s drug, and contained all the liquids, medicines, lubricating oils, opiates, acids and antacids, and every grade of medicine that God’s wisdom deemed necessary for man’s happiness and health.

See page for author, CC BY 4.0 https://creativecommons.org/licenses/by/4.0 , via Wikimedia Commons