- Project Runeberg -  The technic of Ling's system of manual treatment /
41

(1890) [MARC] Author: Arvid Kellgren
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SHAKING. 41
is mostly preferred ; and in the same attitude, with the left arm
raised, the stomach can also be treated.
In derangements of the liver we can in this position work with
the left hand between the lower part of the shoulder-blade of the
right side and the spine, where we are certain to find tender places.
It is always usual to accompany shaking of the liver by
tapotement over the right side of the thorax.
It is evident that when we follow the lower border of the
thorax towards the left, and give the shaking, that the spleen
must also be acted upon. I have seen this mode of treatment
produce marked change for the better in patients suffering from
enlarged spleen, resulting from malaria.
If the hand is spread out over the surface of the abdomen, and
strong shakings made, the whole of the intestine is stimulated to
greater activity, the peristaltic movement is increased, and the
secretion from the glands is brisker; and thus they are indicated
in sluggish action of the bowels.
Shaking of the Bladder.
For the shaking of the bladder we have three positions. In
two,—the recumbent and the standing,—the manipulation is
Fig. 29.

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