Position

The patient is lying half way turned over on his left side. The operator sits at his right side.

1. Friction with the palm of the hand in large circles covering gradually the entire organ.

2. Kneading with the heel of the hand.

3. Clapping over the entire organ, firmly over the right hypochondriac region, more gently over the epigastrium and left hypochondrium.

4. Palmar vibration over the different lobes.

5. Digital vibration, working the separated and bent fingers gradually under the curve of the ribs and costal cartilages.

Deep respiratory exercises are very important in connection with massage of the liver.