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cases which I append, it will be found that I mention examples
of acute inflammation, such as diphtheria, tonsillitis, parotitis,
recent fractures, etc., which were treated at once.
In giving the massage manipulations, I never use oil or
ointment of any kind. The dry massage is cleaner, it affords a better
and more certain feeling to the hand, the movements are steadier,
and it is seldom necessary to expose the patient’s body, except
occasionally for purposes of examination. For example, in
pétrissage of the abdomen, a linen or silk garment intervenes
between the hand of the manipulator and the skin of the patient.
It should be added that mere theoretical teaching will never
train any one to give the exercises properly. To gain complete
mastery of the movements necessitates several years of careful
work, as seen from the fact that the course at Stockholm has
been extended to three years. Moreover, a special aptitude is
required for the treatment, which even long experience will not
create,—just as one man may bring to the practice of operative
surgery a neatness and dexterity of handling which others may
work for years without being able to acquire. The treatment, in
short, is one that cannot lightly be taken up in connection with
other forms of medical work, but should either be exclusively
practised or left alone.
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