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Mitchell, S. Weir (Silas Weir), 1829-1914

"Fat and Blood An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria"

At brief intervals the
manipulator seizes the limb in both hands and lightly runs the grasp
upward, so as to favor the flow of the venous blood-currents, and then
returns to the kneading of the muscles,--and each part is finished by
light yet firm upward stroking, the hand returning downward more
lightly, yet without breaking its contact with the skin.
Care must be taken as the different groups of muscles are treated that
the leg is placed in the position which will most completely relax the
ones to be operated upon. Any tension of muscles wholly defeats the
effort of the masseur.
After completing the process upon both legs, the arm is next treated in
the same manner, the hand receiving somewhat more detailed attention
than the foot. Pains must be taken to reach the several groups of the
forearm by operating from both sides of the arm. The ordinary
manipulation of the shoulder can be accomplished with the patient lying
down; but if special conditions, such as articular stiffening, call for
unusual care or unusual force, it will be found best to treat the
shoulder with the patient seated.


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