- Project Runeberg -  The technic of Ling's system of manual treatment /
113

(1890) [MARC] Author: Arvid Kellgren
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CASES ILLUSTRATING THE TREATMENT. 113
cold, and had great pain in swallowing ;
both tonsils were inflamed,
each with a continuous white covering, more especially on the
right side. The skin was dry and hot, the head ached very much,
and the lymphatic glands were enlarged.
Progress and Treatment.—Jan. 23rd. I gave the shakings as
shown in figs. 20-23 for about five minutes each, and the pain
and difficulty of swallowing passed nearly away; also frictions
for three minutes in the neck, more particularly over the second
pair of cervical nerves. The patient felt the cold sensation, which
nearly always accompanies administration of these frictions,
very strongly. The shivering ceased, she turned warm, and
the skin moist. This was followed by general petrissage of the
abdomen.
In the evening at six o’clock the temperature was 3 8 ’6° C.
;
pulse, 132. Same treatment as in the morning. The pulse
immediately went down to 96. She now also told me that she
had severe pains in the sacral region, and that she had had them
very strongly at the menstrual periods since the time, six months
previously, when she had a child. I gave nerve frictions over
the sacrum, with the consequence that the pain entirely passed
away.
Jan. 24:th. ’Not treated in the morning. The pain on swallowing
had diminished considerably. Up to ten o’clock the evening
before, she had felt well, but at that hour the fever set in
again.
Dr. Brown took the temperature an hour after the treatment
the preceding night, and found it normal. This sudden effect
astonished him, and he asked Dr. Escher and Dr. Gormond, the
former surgeon and the latter physician to the Infirmary at Trieste,
to be present at my next visit. We decided to treat the patient
in the evening only at six o’clock.
The pulse had again risen to 122, and the temperature was
38° C. I gave the same treatment as the day before. The pain
in the throat went entirely away. I gave the nerve frictions in
the neck for two minutes. Dr. Escher and Dr. Gormond each
II

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