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I
PASSIVE MOVEMENTS:
In addition, the patient received some general treatment, includ-
ing nerve frictions.
The cough gradually passed away ; the sweating during the
night ceased ; the respiration grew deep and free,—sixteen to
eighteen a minute; no breathlessness ; the appetite was good.
During the time he was under treatment the patient had no
attack of dysentery. He has enjoyed excellent health ever since.
The treatment lasted a fortnight.
Vibrations over the Heart.
If we are to give vibrations over the heart, they must be
given very carefully, the hand being placed lightly over the
apex. Just as their effect is good when properly executed, so
the result is mischievous when they are unskilfully performed.
A weak heart has already more than enough work to do, and if
a heavy hand is added, rendered still heavier by a stiff wrist,
together with flexion and extension at the same place, it is no
wonder the patient feels anything but ease, and frequently pain,
and sometimes even faints.
According to the condition of the patient, he may lie or stand,
—the arms may be up or down, and the hands fixed behind the
neck (fig. 33),—but the chest must always be well thrown out.
The effect of the vibrations is a stronger, quieter, and better
beat. This is well seen in a fainting fit when the heart stops or
begins to flag, and also in the opposite condition, viz. palpitation.
During the former, the beat soon comes back or grows stronger
while in the latter steadiness in its action returns.
In fainting from shock, the simplest method of reviving the
patient is to compress the internal jugular veins.
Vibrations of the Abdomen, or part of it.
For vibrations of the abdomen in general, the position of
the patient and the position of the hand are precisely the same as
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