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Page 20
In very nervous or hysterical women, ignorant of what the act of
kneading may be expected to bring about, and especially in such as are
thin and an�mic and have either a somewhat high or an unusually low
normal temperature, we may find at first a slight fall of the
thermometer, then a fairly constant rise, with some irregularities, and
at last, as the health improves, a lessening effect or none at all.
The most notable rise is to be found in persons who, owing to some
organic disease, have acquired liability to great changes of
temperature.
It is impossible to observe the increase of heat which follows both
massage and electricity without inferring that these agents must for a
time, like exercise and other tonics, increase the tissue-waste by the
stimulus they cause of the general and interstitial circulations, and by
the direct influence they seem to have on the tissues themselves. I have
sought to study this matter carefully by placing patients on a fixed and
competent diet of milk alone, and by estimating the waste of tissues as
shown in the secretions before and after the use of massage. This study,
although it was never completed in a satisfactory manner, would seem to
show that massage does not much alter the total elimination of the
entire day, but causes a large and abrupt increase within three hours,
followed by a compensatory decline.[20]
I add a number of tables, which very well illustrate the facts above
stated as to rise of temperature.
Mrs. J., at rest, on the usual diet. Manipulation at 11, daily:
Before Massage. After Massage.
100 100
100 100-1/5
99-2/5 99-4/5
99-4/5 100
99-2/5 100
100 100
99-4/5 100
99-4/5 100
Miss P., �t. 24, hysteria:
Before Massage. After Massage.
99-1/4 99-1/4
98-1/4 99
98-1/2 99
98-1/4 99
98-1/4 98-1/4
99 99-3/4
100-1/5 100-2/5
100-2/5 101-2/5
100-2/5 100-3/5
100-3/5 100
Mrs. L., a very thin, feeble, and bloodless woman, �t. 29 years:
Before Massage. After Massage.
99 100
98-1/2 99-1/5
98 98-2/5
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