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VIBRATIONS. 51
in petrissage. For special situations, part of the palm and fingers,
or the back of the fingers of the lightly-closed hand, are used.
These vibrations are valuable in relieving pain and stopping
diarrhoea, whatever the cause of these may be ;
but they should
never be given in cases of constipation, for they tend to produce
this condition.
In connection with the action of vibrations of the abdomen
on diarrhoea, I may mention the case of a gentleman, about fifty-
seven years old, who suffered from this complaint. For five or
six weeks he had felt pain and discomfort in the abdomen
generally. During day and night he had frequent calls to stool,
and the motions were constantly mingled with blood. After
two treatments his bowels acted perfectly normal, and the pains
had of course disappeared.
A friend of mine, a young Swedish officer, whom I met while
at Stockholm last autumn, had suffered intensely from diarrhoea
for some weeks before he mentioned the fact to me. He was
growing seriously pale and thin. I treated him for the first
time one evening before he went to bed. The night that followed
that treatment was the first during which he had complete rest
for over a fortnight ; while previously he had been obliged to rise
several times every night. I continued the treatment for a few
days ; and during the four or five weeks I afterwards stayed in
Stockholm he had no relapse.
As regards pain, I have relieved it both in colic, in acute
general peritonitis, and perityphlitis. The effect of vibrations in
causing constipation is of marked advantage in cases of this
kind, where action of the bowels is contra-indicated.
For the bladder, it is better to use the back of the flexed
fingers, and the hand should be well down in the pelvis.
At the pit of the stomach we have recourse to vibrations in
painful gastric conditions, such as ulcer, acute catarrh, and nervous
dyspepsia. They probably produce their effect through the solar
plexus of the sympathetic.
When we use them for pain at the menstrual period, p.-p.
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