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20 PASSIVE MOVEMENTS:
more at the metacarpo-phalangeal joints, not at the phalangeal
ones, and with a slight flexion at the wrist. As the hand
passes lower and lower down close beside the os ilium, it is some-
what supinated, and when the wrist is again near the pubic
arch, the base of the hand again takes up the work.
These manipulations, although described separately, do not
exactly follow each other, but one begins a little before the
other has ended, and in this manner the kneading is produced.
If this were not done, there would, of course, only be pressure
in one direction after the other.
From the wide extent of the movement, we see that the whole
of the intestine becomes rolled and kneaded, the circulatory
activity is increased, and this carries with it increased absorp-
tion and secretion, and also increased peristaltic action of the
intestine. "We can also understand that it must have a great
influence on the circulation in general, because of the large
number of blood-vessels contained in the abdomen.
I have described this general pf^.trissage of the abdomen as
practised by my brother, Mr. Henrik Kellgren. He nearly
always gives it for some minutes, as the final movement of a
day’s treatment, because he has found that it greatly increases
the quickness of recovery. The movement is very difficiilt, and,
indeed, nearly impossible to describe well, but is also as diflicult
and as impossible to give for any one who has not been gifted
by nature with a good hand for the treatment, and it is neces-
sary both to see and still more to feel it.
It is tiresome at first for beginners, or when given often, and
the fatigue is especially felt in the small muscles of the thumb.
Much relief, however, may be derived by placing the fingers
of the left hand on the thumb in such a manner that the
tip of the long finger is over the phalangeal joint, and those
of the fore and ring fingers respectively on the first and second
phalanx.
Nearly all the organs in the abdominal ca\dty may separately
come in for treatment. T will only describe special petrissage
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