Kurre Ostrom Tantra The Swedish Massage | Page 9

wish to stimulate; ve\
ry slowly and firmly if we
wish the manipulation to have a soothing effect.
FIG. 17. -- Clapping on Both Sides.
V. MASSAGE OF THE GLUTEI
l Position . -- The patient is standing with the body bent forward and supported on\
a lounge or
bed-stead. The operator stands behind and performs:
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l 1. Stroking with both hands from the spine outward, downward (see Fig. \
18).
l 2. Friction with the hand; one side at a time.
l 3. Beating in circles, one side at a time.
      If the patient is suffering severe pain from standi\
ng the manipulation may be performed while he is
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FIG. 18. -- Stroking of the Glutei.
in bed, with a couple of pillows placed underneath his abdomen and thigh\
s.
VI. MASSAGE OF THE ABDOMEN
l Position. -- The patient is lying flat on his back generally without head-rest, \
and with the knees drawn
up, so as to relax the abdominal muscles (see
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Fig. 19). It is most convenient for the operator to sit at the patient'\
s right side.
l 1. Friction with the tips of the fingers in circles from right to left over the umbilical region of the
abdomen, thereby acting upon the smaller intestine. Begin with a very gentle pressure, gradually
increasing the strength of the manipulation (see Fig. 20).
l      2. Spread the right hand over the abdomen so that th\
e ball of the hand covers part of the ascending
colon ; press over that part upward to the transverse
FIG. 19. -- Position in Massage of the Abdomen and the Ventricle.
colon; then stroke with the radial border of the hand firmly over to the left\
side. Here the tips of the
fingers should be used for the downward pressure over the descending colon. The manipulation is
repeated in circles without interruption (see Fig. 21).
      These two manipulations are schematically illustrat\
ed in Figs. 20 and 21, and the operator should
teach the patient how to perform them on himself every morning, particul\
arly in cases of constipation.
      A cannon ball covered with leather is also very
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useful in manipulation No. 2, when the patient for some reason is oblige\
d to do it himself. They can be
procured from Charles Lentz and Sons, Philadelphia.
FIG. 20.
l      3. Kneading with the heel of the hand over the whole\
abdomen, going carefully at first and
avoiding any sore places. Fecal lumps are often found and they should be\
gently and gradually broken
up.
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Near the sigmoid flexure we can sometimes accomplish more by substitutin\
g this manipulation for that
of the friction with the tips of the fingers. The reason for that is tha\
t we can reach in deeper and
FIG. 21.
our efforts become more localized. The same refers to the breaking up of\
adhesions around the appendix
and the ovaries.
      This manipulation will sometimes produce an
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unpleasant sensation at first, which is frequently caused by the patient\
not breathing properly. Talk to
him so as to make him forget that he is being treated. Some operators pl\
ace one hand as a support under
the patient's back, and it is a very good idea, as the manipulation feel\
s more comfortable and we have a
better and more fixed control over the abdominal viscera.
Note: In the case of diarrhea, stomach-pit shaking is very effective. Be\
gin at the epigastrium and shake
from side to side covering the whole abdomen (Fig. 34). Best given in \
half-lying position. -- ( Editor.)
l 4. Vibrations over the descending colon.
l 5. Turn the patient on his face and perform firm beating of the sacrum i\
n circles so as to act upon the
rectum .
      Massage of the abdomen must never be applied soon a\
fter a meal is partaken of. It is well to tell the
patient to evacuate the bladder before beginning the treatment.
      In chronic cases of constipation it is a good plan \
to have the patient take an enema, so as to clean out
the sacculated colon before starting the first treatment. The indiscrimi\
nate and continued use of injections
will produce a relaxed condition of the bowel, while on the contrary mas\
sage will strengthen and
stimulate to normal activity its various membranes.
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VII. MASSAGE OF THE LIVER
l Position . -- The patient is lying half way turned over on his left side. The ope\
rator sits at his right side.
l 1. Friction with the palm of the hand in large circles covering graduall\
y the entire organ.
l 2. Kneading with the heel of the hand.
l 3. Clapping over the entire organ, firmly over the right hypochondriac r\
egion, more gently