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Fj^TEISSAGK 23
the ribs ; and the patient is told to breathe very deeply. As he
now makes strong expirations, we come further and further down,
until we can at least easily feel the kidneys. Then the patient
has to make thoracic respiration, so that the manipulation may
not be hindered by the movement of the abdominal muscles.
The kneading is made from without inwards, and slightly from
above downwards, in order that the pressure may be applied in
the direction of the venous circulation and the larger number of
the renal canals. One kidney may be treated at a time. "We
then use the palmar surface of the fingers, and, while giving the
treatment, stand or sit on the opposite side to the kidney sub-
jected to manipulation.
Above the Pubic Arch.
In petrissage above the pubic arch, the hand is placed just
above it, and is spread out in a manner similar to that in general
petrissage of the abdomen. The movement here goes from side
to side, and the kneading is made with the fingers and the root
of the hand.
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