. Pelvic and hernial therapeutics : principles and methods for remedying chronic affections of the lower part of the trunk, including processes for self-cure . stant bendingforward, grasps and firmly holds the two hands of the patient. Action and Effects.—The assistant slowly re-cedes, and in so doinggently draws upwardand backward the twoarms of the patient un-til they are entirelystraightened and paral-lel with the trunk. Thepulling is continued andits effect extends to theribs and gently drawsthem asunder, increasing the circumference, distending thediaphragm; and by increasing the intermed


. Pelvic and hernial therapeutics : principles and methods for remedying chronic affections of the lower part of the trunk, including processes for self-cure . stant bendingforward, grasps and firmly holds the two hands of the patient. Action and Effects.—The assistant slowly re-cedes, and in so doinggently draws upwardand backward the twoarms of the patient un-til they are entirelystraightened and paral-lel with the trunk. Thepulling is continued andits effect extends to theribs and gently drawsthem asunder, increasing the circumference, distending thediaphragm; and by increasing the intermediary space, caus-ing the whole mass of visceral contents to the lowest part ofthe cavity to move upward. The abdomen flattens, and at-mospheric pressure is available over the whole of the bound-aries of the cavity, from the perineum to the diaphragm. After a few moments pause, the arms of the patient are al-lowed slowly to return to the commencing position. Thisprocess may be repeated four or five times, with intervals ofa few seconds. The above described process is entirely passive; and nottasking the will of the patient not only produces no fatigue,. Fig. 8. Commencing position. 154 PROCESSES. but affords positive rest, as it both deepens and aids the in-voluntary act of respiration. Modificatio7i i.—The patient may offer resistance to theefforts of the assistant. His will power now receives agentle but indisputable stimulus from the incitation affordedby the assistant. This enables him instinctively to put un-usual vigor into the acting muscles, greatly increasing thenutritive effects of the process. The assistant should be advised that the resistance he of-fers should be adjusted to the varying power of the patients ^ muscles in the differentstages of the process ;weak at first, afterwardsstronger; then again withdiminishing vigor till ac-tion ceases. The actionshould not be repeatedmore than three or fourtimes, and very slowly. Modification 2.—Theabove described proc


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Keywords: ., bookcentury1800, bookdecade1880, booksubjecthernia, bookyear1885