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70 PASSIVE MOVEMENTS:
respond very painfully indeed, while on the other side frictions
give very little pain.
In disorders of the liver, we find tender places corresponding
to the lower angle of the scapula on the right side. I may give
an instance of the effect of stimulation of the nerves in this
situation. Doct. Med. Eugen. Gruber, surgeon in the Imperial
Austrian Navy, had a patient who suffered from biliary calculus.
The patient had had several attacks, during which the pain had
been reduced by injections of morphia. Some little time ago these
attacks returned ; the patient was again obliged, as heretofore, to
take to her bed, and suffered very much. Dr. Gruber prescribed,
as u^ual, subcutaneous injections. The pain was not relieved,
although two injections were administered. Then he remembered
what I had shown, and tried nerve frictions. In the back, as
described, he easily found some very tender places. He made
frictions over them. They at once produced a strong fit of
vomiting, the pain was relieved, and the patient was better.
In diseases of the kidney we have to turn our attention to
the lower dorsal nerves. When the generative organs, the
bladder, and the rectum are affected, we also find tender places
in the lumbar and sacral regions. There are two places in the
lumbar region which respond very readily to frictions, viz. just
below the twelfth rib, at the angle formed by it and the deeper
muscles of the back, and at the base of the spine, where an angle
is formed by the same muscles and the crest of the os ilium.
A lady, 27 years old, married, no children, had from the
very first suffered agonizing pain at each menstrual period.
The pain set in two or three days before the catamenial flow
began, and continued throughout the whole period, leaving her
completely exhausted for several days. During the attack she
was confined to her bed, and could often not lie down, but
was obliged to sit up, and she was able to obtain very little
sleep. The abdomen,—especially its lower part,—was painful
to the touch. The patient had become anoemic, weak, and
nervous.
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