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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"

The use
of a lubricant avoids this, and is a favorite device of unskilful
manipulators. It also does away with much of the good effected by
skin-friction, is uncleanly, very annoying to many patients, promotes an
unsightly growth of hair, and should be avoided except where it is
desired to rub into the system some oleaginous material. There are
exceptional cases where a very dry, harsh skin or a tendency to
excessive sweating during massage makes the use of some unguent
desirable. Cocoa-oil may be used, or what is perhaps more agreeable,
lanolin softened to the consistency of very thick cream by the addition
of oil of sweet almonds. As little as possible should be made to serve.
Too much care cannot be used to cover with stockings and warm wraps the
parts after in turn they have been subjected to massage. As to time, at
first the massage should last half an hour, but should be increased in a
week to a full hour. I observe that Dr. Playfair has it used twice a day
or more, and I have since had it so employed in some cases, letting the
masseuse come before noon, and allowing the nurse to use it at night if
it does not interfere with sleep, which is a matter to be tested solely
by experiment.


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