Phlegmasia Dolens.

Massage is given for the œdema and woodiness that are left after this disease. Great care is necessary to give the movements evenly and steadily, as a jerk might bring about fatal consequences, by detaching a clot and sending it into the general circulation. Pincement is a suitable movement, preceded and followed by effleurage.

A thrombus (venous obstruction from blood clot) may occur at any time other than after child-birth ; the treatment is always the same. The massage consists of stroking and pincement ; pressure movements are out of place.

Varicose Veins.

Pressure is to be avoided on the varicose veins, and circulation improved in the collateral veins by massage of the rest of the leg.

Lumbago.

The patient lies prone, a pillow under the abdomen to relax the muscles of the back.

All the lumbar region on both sides from the middle line outwards is deeply kneaded with thumbs and fingers and with the base of the hand, then deep friction with fingers over the most painful parts, followed by hacking and beating.

Asthma.

The usual manipulations of the chest and back, clapping and vibrations. Deep breathing.