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TAPOTEMENT. 27
sides of the thorax, and lastly the front of the chest is treated.
The patient makes deep and slow inspirations all the time.
It is oiven in chronic affections of the lungs, and is accom-
panied by movements which produce deep respiration.
On the Back.—The hands are kept midway between supina-
tion and pronation, with the fingers slightly bent (fig. 14).
Fig. 14.
Just before the hand strikes the back it is more supined, in
order that the ulnar edge itself may not strike, but that part of
the dorsal surface of the hand which is just outside it. The
advantages of this are a softer blow, the fingers are spread out
more, and deeper and superficial tissues are thus stimulated at
the same time.
The movement should be carried three or four times up and
down the back, parallel to and a little to the side of the verte-
bral column.
On the Lumbar Region.—We pass transversely over it, in order
to be able to apply the treatment more powerfully, as the
nmscular mass is greater.
For the Liver.—The hacking is made over the lower part of
the right side of the thorax, with the hand held in the same
manner as for the back.
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