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162 CASES ILLUSTRATING THE TREATMENT.
lying on his back with his knees drawn up, and the abdomen
greatly distended. He complained of constant pain all over his
abdomen, which was greatly increased by the slightest touch,
movement of the body and legs, or by respiration. He was
unable to draw his breath deeply ; the respiration was short
and thoracic. The pain was most intense in the epigastrium
and round the umbilicus. There had been no action of the
bowels. The temperature was 103°; pulse, 150.
Treatment and Progress.—After vibrations had been applied
for about thirty minutes, the pain subsided to such an extent
that the patient could stretch his legs out and could make
deep respiration without much discomfort. I could now also
make some pressure on the abdomen with the entire hand.
Pointed touch with the fingers alone could not be endured. In
addition to the vibrations, I gave frictions over the cervical
nerves for several minutes, as well as over the dorsal sensory
nerves.
July 14:ih. Forenoon. The boy had slept for about two
hours after I left. He then woke up and became slightly
delirious ; the pain had also increased. Before leaving on my
previous visit, I had shown the boy’s mother what she had to do
in case of a recurrence of the pain, and how she should apply the
vibrations. She now made them at once, and the patient grew
easier and slept again. Towards the morning he awoke once
more, and for the second time she renewed the treatment, with
good result. The temperature has fallen to 101°, the pulse to
120. The pain has considerably diminished, and the respiration
is to a great e^ttent abdominal. Treatment same as on my first
visit. In the afternoon the temperature had fallen to 99’8°.
Treatment repeated as before.
July loth. I saw the patient in the afternoon. The tem-
perature was normal ;
pressure only produced slight pain. Very
light petrissage of the abdomen was given for the first time.
The patient could take a little fluid food, such as milk and
beef-tea.
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