The technic of Ling's system of manual treatment / 49 (1890) Author: Arvid Kellgren Table of Contents / Innehåll | << Previous | Next >>
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- On this page / på denna sida - Passive Movements - Vibrations - Vibrations of the Thorax

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It may be interesting in this connection to mention a case
that recently came under my care. Last January, a young
gentleman, twenty-two years old, consulted me on the subject
of a constant dry and hacking cough with which he was
troubled. In February, 1888, during a stay in India, he had
contracted a cold, and the cough had remained with him since,
gradually increasing in severity. The patient had previously
been in South Africa, where he had gone through an acute
attack of fever. In the spring of 1889 he returned to Africa,
where he soon fell a victim to dysentery, and was dangerously
ill for six weeks. It was not considered possible for him to
continue out there, so he returned home in the autumn. The
patient did not rally properly, but remained very thin and
pale; the cough grew more intense, and greatly troubled him
at night. He had attacks of dysentery at least once a week.
In company with the increase of the cough came
breathlessness on walking quickly or going- up-stairs, a feeling of
lassitude, and profuse sweating—the patient, to use his own
expression, being bathed in perspiration. Deep inspiration gave
pain at the tip of both the lungs, more so on the right side;
same on coughing. Respiration was short and quick—even
up to thirty-eight in the minute. Slight dulness at both the
apices — more marked on the rig-ht side. Appetite not
good.

The lung symptoms were treated with vibrations and
tapotement of the thorax, movements causing deep respiration,
nerve frictions, and tapotement between the shoulder-blades,
especially at the upper part, where the patient was very
sensitive; the dysentery with vibrations and general pétrissage
of the abdomen.

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