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40 PASSIVU MO YEMENTS
stand that this manipulation must indeed have a great effect. It
is therefore used in chronic affections of the stomach and the liver.
Shakings at this spot, when made gently, will relieve spasms
in the diaphragm. For this I have used it with success, hoth when
the cause was reflex, as in hiccough, and in chloroform narcosis.
The stomach and the liver may separately come in for treat-
ment, as we, continuing our shaking, follow the lower border of
the thorax to the left or to tlie right. On our way towards the
Fig. 28,
right there is one place which needs special attention, viz. just
under the ninth rib cartilage and the outer border of the rectus
abdominalis muscle, where the gall-bladder lies. In patients
suffering from impaction of a biliary calculus in the duct, shak-
ing here is sure to be attended with success.
In the recumbent position it is usually given with general
petrissage of the abdomen. When the shaking is administered
separately for the liver, the standing side position, as in fig. 28,
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