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SHAKim. 35
The head ought to be bent a little forward, in order to relax
the cervical fascia and the muscles, which would otherwise prove
a considerable hindrance. As a security for this position, the
free hand is placed either just above the forehead, or, better still,
below the occiput.
The first two movements have in themselves a tendency to
bring the head back, and this action is heightened by the patient
Fig. 23.
himself, who instinctively draws away from the working hand,
the more so if the complaint from which he is suffering be
acute or painful.
When the third manipulation is given with one hand, the head
is first turned a little to the opposite side, and then bent towards
the one to be treated. This gives a much larger and freer space
to work on.
The whole of the pharynx is more or less acted upon by these
manipulations, and their effect, if correctly executed, is very
rapidly beneficial in nearly all affections of the throat.
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