This manipulation consists of centripetal (toward the body or heart) Strokings.

It is performed in four different ways: (a) Stroking with the palm of one hand. (b) " " " palms of both hands.

(c) " " " thumb.

(d) " " " tips of the fingers.

Stroking with the One Hand (see Fig. 1) is used upon the extremities, the back of the head, and in single massage of the neck (Gerst's method).

Fig. 2. - Stroking with Both Hands.

Stroking with Both Hands is used upon the lower extremities of adults, upon the chest (see Fig. 2) and back, also in double massage of the neck.

Stroking with the Thumb (see Fig. 3) is used between two muscles, or between a muscle and a tendon; also frequently to reach the interossei in the hands and the feet.

Stroking with the Tips of the Fingers (see Fig. 4), or the last two phalanges, is principally used around the joints (in cases of sprains, etc.), the fingers conforming themselves to the shape of the part to be worked upon.

Fig. 3. - Stroking with the Thumb.

The strength of the manipulation, stroking, varies from the slightest touch to the strongest pressure; even with one hand on top of the other, if necessary.

The aim of all Strokings is to increase the circulation in the venous blood-vessels and the lymphatics, thereby causing absorption.