Hemorrhoids. Obesity. Enlargement Of The Liver.

HEMORRHOIDS.
Closely connected with the former disease is the accumulation of blood in the abdominal parts, called hemorrhoids. By the manipulations on the abdomen we assist the intestines in their action; by rotation and turning of the body we control the great venous system, and by beating over the sacral region we increase the circulation through the rectum. The following movements have been used with success:
1. Massage of the liver and the abdomen (ten to fifteen minutes).
2. St. bending of knees.
3. Separating and closing of knees.
4. L. raising of body.
5. Rotation of legs.
6. Beating of sacrum.
7. Rotation and turning of body.
Although we highly recommend the movements for this affection, we must acknowledge that one treatment'a day is not enough. The patient must be instructed in certain calisthenics which give a direct effect upon the great venous system.

OBESITY.
Massage and Swedish movements have been used with great success in cases of obesity. Muscular exercise decreases the fat by promoting a more perfect oxygenation through the whole organism. In connection with firm massage use the following movements:
1. Separating and closing of arms.
2. Separating and closing of legs.
3. L. raising of body.
4. St. bending of knees.
5. St. rotation of arms (active).
6. St. turning of body.
During the first treatments use only a few movements, gradually getting the patient used to them. As pathologic changes in the texture of the bloodvessels are rather common in cases of obesity the operator should use careful judgment in regard to the strength of the manipulations. Without proper diet massage will accomplish but very little. Frequently the masseur will be asked by the patient how he can consistently claim that massage will reduce fat, and also in a thin person, produce fat. When we desire to reduce fat we give firm massage, especially kneading, which produces heat; this causes combustion of fat. When we apply the treatment with the object of increasing weight we do so by building up the whole system and particularly the digestive organs. Whatever our aim may be, one of the most important parts of the treatment consists in teaching the patient how to breathe properly.

ENLARGEMENT OF THE LIVER.
We use such movements as are calculated to increase the circulation through the great venous system.
1. S. rotation of arms.
2. L. rotation of feet.
3. S. raising of body.
4. L. rotation of legs.
5. S. rotation of body.
6. St. flexion and extension of feet.
7. Massage of the liver with clapping.
8. Separating and closing of knees.
9. Vibration over the liver.
10. St. percussion of back.
The movements must be performed twice a day, and the patient instructed in certain calisthenics.