[Footnote 16: "Pinch" is used to avoid the use of a technical term, but should be understood to mean the grasping and squeezing of a part with the whole hand, using the palmar portion of the fingers to press the grasped mass against the "heel" of the hand. Fuller technical details of the massage process and consideration of its effects will be found in the excellent "Handbook" of Kleen, in the works of Dr. Douglas Graham, Dr. A. Symon Eccles, and in an article in Professor Clifford Albutt's "System of Medicine" (1896), by Dr. John K. Mitchell.] [Footnote 17: Dr. Symon Eccles in "The Practice of Massage" recommends this order.] [Footnote 18: Some care is needed not to overwork patients. For details I must refer to manuals of Swedish Gymnastics.] [Footnote 19: See also page 91.] [Footnote 20: A number of observations in late years have been made upon the effect of massage upon elimination. Among the articles to which the practitioner desiring further to study this subject may be referred are,-- _Edin. Clin. and Path. Jour_., Aug., 1884. _Jour, of Physiol._, vol. xxii., p. 68. _Centralbl. f. Inner. Med._, 1894, No. 40, p. 944. _Munch. Med. Woch._, April 11 and April 18, 1899 (Influence of bodily exercise upon temperature in health and disease). Numerous articles by Mosso, Arbelous, W. Bain, Lauder-Brunton, Lepicque and Marette, and Maggiora.] [Footnote 21: American Journal of the Medical Sciences, May, 1894.] [Footnote 22: Numerous examinations made since have quite uniformly agreed with the former remarkably constant results.] [Footnote 23: J.K. Mitchell, _loc. cit._] [Footnote 24: Most induction batteries are without any arrangement for making infrequent breaks in the current.] [Footnote 25: In the extreme constipation of certain hysterical women, good may be done by placing one conductor in the rectum and moving the other over the abdomen so as to cause full movement of the muscles. This means must at first be employed cautiously, and the amount of electricity carefully increased. It is doubtful if any movement of the intestinal muscle-fibres is thus caused, but that it is a useful method of stimulation in obstinate cases may be taken as proved.] [Footnote 26: Harvey on Corpulence.] [Footnote 27: The management of the morphia or chloral habit becomes much more easy under a milk diet, massage, and absolute rest, and I can with confidence commend their use in these difficult cases. Massage in the morning is liked, and general surface-rubbing without muscle-kneading at night very often proves remarkably soothing, while the rest in bed cuts off many opportunities to indulge in the temptation to secure the desired drugs.]