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SRAKim. 37
fingers on it, in the JioUoio of the sternum, in the manner shown in
fig. 25. In this manipulation it is of the highest imj)ortance
that the hand lies close to the throat, in order that the angle
formed between the fingers and the trachea may be as small as
possible. When the angle is increased, the movement loses its
softness ; it becomes disagreeable to the patient ; the motion
produced is, of course, less in the direction of the trachea, and
Fig. 25.
thus its range of effect becomes more and more limited, until,
when the angle is large, the benefit is practically nil.
The patient must sit perfectly upright. The shoulders are to
be well thrown back, in order that the respiration may go freely
and well.
°
These shakings, accompanied by tapotement on the chest and
between the shoulder-blades, are of very great service in bronchitis
and chronic disorders of the lungs.
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