New concepts in diagnosis and treatment : physico-clinical medicine, the practical application of the electronic theory in the interpretation and treatment of disease, with an appendix on new scientific facts . at its rounded extremity is provided with a soft rubber ring. Light blows with the plexor yield the best results—asound almost woody in character, when the lower borderof the stomach is attained. Plexor-finger percussion maybe used (Fig. 14); the tip of the finger firmly approximatingthe abdominal wall. Before attempting delimitation of the lower stomachborder, the lower border of the l
New concepts in diagnosis and treatment : physico-clinical medicine, the practical application of the electronic theory in the interpretation and treatment of disease, with an appendix on new scientific facts . at its rounded extremity is provided with a soft rubber ring. Light blows with the plexor yield the best results—asound almost woody in character, when the lower borderof the stomach is attained. Plexor-finger percussion maybe used (Fig. 14); the tip of the finger firmly approximatingthe abdominal wall. Before attempting delimitation of the lower stomachborder, the lower border of the liver is defined in the usualway, and marked by a dermograph. It must be observedhowever, that when energy is conveyed to the epigastric re-gion, the liver border will be found lower (pages 81 and io3). 32 THE STOMACH KEFLEX To elicit the stomach reflex, it is necessary to take thefollowing factors into consideration; the subject, postureand position of the subject, grounding and energy. The subject.—The reflex is best elicited on a healthytest subject with known stomach tonicity, with moderatelythin abdominal walls, and in whom a tympanitic sound isdemonstrable by percussion over the entire Fig. 14.—The authors method of threshold percussion for defining visceraborders. The tip of the index finger is firmly fixed at an angle with the chest orabdominal wall and parallel with the boundary percussed. As the finger graduallyapproaches the boundary it is struck \vith the middle finger of the other hand atits base and side as indicated by the black spot. Spastically contracted intestines, obesity, the presence offeces and intra-abdominal congestion*, will modify theabdominal tympanicity. For esthetic reasons when thebiodynamic reactions are executed (page 124), the subjectmay be screened from the patient. When a better acquain- *Described by the author in his book SplanchnicNeurasthenia, E. & Co., New York. THE STOMACH EEFLEX 33 tance with the method is attain
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