
PD DR. MED. ECKHARD LÖHDE
WHAT IS THE
CORE-ENGINE?
To understand the l.oe.h.d.e. procedure, one must shift away from viewing individual organs and their functions in isolation.
Our research has shown that centrally, deep behind the sternum, there is a fascinating functional interplay of crucial organs. Just like the gears in a car or a clockwork mechanism, day and night, the individual components interlock to sustain our lives.
In this "engine room of the human body," there is never rest or relaxation. Every second, blood is pumped, pulled, pressed, creating negative pressure and converting it into positive pressure; blood is drawn up from the lower body, compressed in the heart, the lungs are pulled down and expanded, tiny vessels are moved back and forth with the fluctuations in pressure peaks, molecules are extracted from cells, while others are drawn in, and much more.
This system in the body is what we call the Core Engine. It is the motor within us that drives everything with the constant heartbeat and the uninterrupted rhythm of breathing, keeping us alive.
The diaphragm holds central significance. It is the most important organizing structure in the human body and ensures the stable arrangement of all involved components: heart, lungs, liver, esophagus, stomach, pancreas, spleen, aorta, large veins, vagus nerve, other nerves, lymphatic pathways, and more. The diaphragm assigns an exact, predetermined position to each of these elements within this machinery.
This function becomes particularly important in the context of reflux disease.
These many interlocking functions create a large whole, with countless synchronized and interconnected bodily functions. The diaphragm works tirelessly to maintain order in the body. It is linked to the brain, the vagus nerve, and neurotransmitters in the blood through neural networks on an emotional level and, as perhaps rightly suspected in ancient times, is very close to being the seat of the soul.
WHAT IS THE HEART`S ROLE?
While the diaphragm ensures perfect order in the body, our heart provides the actual drive for the Core Engine.
The heart is the crucial motor in this fascinating machinery of neural networks and complexly interconnected organs.
Our research has shown that the heart is the key to reflux control! The esophagus is closely coupled with the left ventricle. Why?
The data shows that the heart operates as a bifunctional pump. With each heartbeat, it pumps blood upward into the circulation, relying on the esophagus for this pressure movement. This support movement generates downward compression and pumping action, ensuring that everything in the esophagus is directed into the stomach within 1-2 heartbeats.
What does this have to do with reflux?
Our data showed that the esophagus is always open to the stomach in humans. This is vital so we can drink and eat without having to wait seconds or minutes for a sphincter to open. However, such an open system allows for constant potential reflux! Indeed, everyone experiences some degree of short-term reflux.
But the heart also addresses this problem: with a pumping capacity of more than 100,000 heartbeats per day, any form of reflux in this system is prevented, effectively protecting us from rising stomach acids. There is a kind of counter-current principle that makes it impossible for substances from the stomach to move upward.
It’s fascinating how the many demands in this area are managed, with our heart, the core motor of the Core Engine, working efficiently and bifunctionally to secure all these vital functions.
However, this is precisely where the problem lies with a diaphragm rupture, for here at the hiatus, where there is a hole to allow the esophagus to pass through, there exists a weak point! The two crura muscles are very vulnerable. Every day, they are strained, pulled, and pressed during coughing, straining, and breathing. Under certain conditions of muscle angles, genetic predisposition, strength, and direction of pull of the crura, growth processes, or extraordinary stresses, it can happen that the muscles gradually break apart. The hole widens, and the esophagus can no longer be held in the important position within the machinery of the Core Engine by the diaphragm. It slips out of the heart's pressure zone.
The emergence of malfunctions in the system is now predictable, much like in a clockwork mechanism. In particular, the rise of acid from the stomach can no longer be stopped by the pumping heart. The esophagus is too far away. Reflux occurs. This deep-seated displacement has been demonstrated in reflux patients.
What do these insights mean?
On one hand, we must not simply blame one organ for a malfunction in the system and say, "The esophagus cannot close; let’s make it tighter!" On the other hand, this knowledge opens a completely different path to healing: If the organs are properly reassembled in the Core Engine, will the system with all its functions work again?
Today we know the answer is yes!
And we have developed the l.oe.h.d.e.-procedure for this purpose.
With a double-click on the image series, you can view the phases of an axial diaphragm hernia. It seems so harmless. But imagine if the axle of your car shifted by a few centimeters! The vehicle would need to be towed.
Also, pay attention to the His angle (see the menu item: Start), which appears sharper when everything is properly arranged and slowly opens as the stomach slides upward. The angle is thus solely a function of spatial arrangement, not a characteristic of closure ability! When the organs are placed correctly again, the His angle returns to its usual state.
![]() Das Zwerchfell trennt die Brust von dem Bauchraum. | ![]() Bricht das Zwerchfell auf, löst sich die Speiseröhre aus ihrer Verankerung. | ![]() Der Magen tritt in den Brustraum. Die Speiseröhre wird aus dem Verbund der Organe gedrängt. |
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